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Home My Public Portal About10727 GRAND AVE_Electrical__ oOUNTY of LOS ANGELES APPLICATION FOR PEBJM Department of ConatT EngImw WMSION OF BUILDING & SAFETY ELECTRIC 1 WILUAN L FOX, Oourb Efllnew FOR APP I 7 ILL IN DISTRICT NQS' ORDUP I ZONA PERMIT NO. ELECTRICIAN R[O[ NY READY FOR DATI INDUKD ADDRESS! FIPUIT INSPECTION CITY L _ 093UNTY LIOI►INE N0. FXPIREB BUILDING PE JM FEES ADDREe■ C� NUMBER lKAOH FL[ I^^AI ITY LIGHT OUTLETS NEAREST R NT R[OEPTAOL[D WALL EIWITCHIG OWNER TOTAL OUTLrre 6O MAIL EL.ID. RANGIN Jm ADOREta [LIG. HF-AT11RE JL6 DITY TEL Na FIXTUREe 6 1 HEREBY AOKNOWL[DOE THAT 1 HAVE READ THIN MIlw_ OM ' p--l-9APPLICATION AND ETAT1 THAT THE AD1■ CORRECT NUMBER OF LIGHT DIROUITG -:�O AND AGREE TO OOMrLY WITH ALL DOUNTY 13RDIMANCES NUMBER OF RICEPTAOLI CIRCUITS AND (TATE LAWN REGULATING EL[OTRICAL WIRING. MOTORS I O[RTIFY THAT I PONNEJIN THE AGOV[ VALID LOB NuwNJot HORSEPOWER FLK ANGELRN COUNTY LJO[HN[, OR 1 AM THE LEGAL OWNER N[w MvO. HP OvvA IHG. KAaH OF THE ROID[NTIAL PROPIRTY D 4INED ARDV[. a r.. .IIB NINNATURI OF Y. _ ,90 PERMI a N 1000 INSPECTION BECOBD B 1■ 1.60 1■ W 2.50 BO 700 15.130 700 mm 10.00 -J BOO 1DO0 IILOO Q Z OVER IOOO W3.00 M.G. !!IrT/FREQ. CHANGER-HP WELD ERBJAO-KVA O GINIRATORN - KW TRANNFORMERB - KVA TEMP. MOTORS (76 Or ORIO. MOVm MOTOR■ (7N OF GRIOJ 1 BIONS NO. NO.TRANa 0. NO. LAMPS APPROVALS N FOR [ADH PERMITI INNrtOTOR'N NAM[ WIRING 1.00 OONDUIT FIXTURED e1.00 Q WIRING .60 FIXTURIN POWER TOTAL FEE f / UTILITY D0.NOTIFIED tA . FINAL T&A6a Dng#5A 4-0 F 6`3 WORKERS'COMPENSATION DECLARATION 76A663 10/81 affirm that I have a certificate of consent to self CE-806r, APPLICATION FOR ELECTRICAL PERMIT +.in re, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a cart fled copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPUCANT TO RL IN Certlfled copy Is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ❑ _ TY Certified copy is filed with the county building Inapec- 1 8 2 Fam _ $ LOCALI ily, Sq. Ft. tlon department. Multl-famlly Sq. Ft. NEAREST CSS ST Date Applicant Residential Swimming Pools OWNER OR FIRM NAAAE CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Ro-c Llght Sw. -+ • M'41L l COMPENSATION INSURANCE ADDRESS J Finit20 L8—e (This section need not be completed if the work Involved by Add ti the permit Is for one hundred dollars(;100)or Less.) Total No Additional Cl101 P Tel. No. 21 I certify that In the performance of the work for which this RAN permit Is Issued, I shall not employ any person In any manner APPLICANT so as to become subject to the Worken'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CfTY o. Date daeo ApplIcanE,tA;-nFixed Appliances Not'or I HP per NOTICE TO APPLICANT: If, after making this Certificate of Ly APPLICANTExemption, you should become subject to the Workers' Range_ H t D.W. — Compensation provisions of the Labor Code, you must forth- Oven _W.M.— ADDRESS with comply with such provisions or this permit shall be Top _ FAU W.H. — deemed revoked. Hood _ Fan -�_Other_ CfTY Tel. No. LICENSED CONTRACTORS DECLARATION DIsp' _ Room Air Cond. UUNSE OR I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER Class. (commencing with Section.7000) of Division 3 of the Business ffaratus 8 Large Appliances DISTRICT NO. Y and Professions Code, and my license is In full force and effect. power App /' Q Size b Type HP, KW, KVA, or KVAR C/ U License Number l lc. Class Up to 1 Incl. FINAL I 0 Over 1 to 10 Incl. DATE VAU TION Contractor Date Over 10 to 50 Incl. FINAL Izt7. ❑ 1 am exempt under Sec. Over 50 to 100 Inc. BY Cn B.BP.C. for this reason Over 100 z Services, Swbd., MCC 8 Panelboards Date: 0 -200 Amp. Under 600 V 2419.2A Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Malnt. Elect. Over 1000 Amp. or Over 600 V # 0 o a o 0 2 SINGLE FAMILY Temp. Power Pole 8 Appurtenances I o o 2 2 5 0 HOME OWNER-BUILDER DECLARATION Sign with One &anch ClrcuIt o 0 0 2 2 5 I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits 06 Law for the following reason (Section 7031.5, Business and Profeulons Code): o i l o—8 6 }l 1, as owner of thewill do the work and the Misr— Conduits 8 Conductors �� Other See Complete Fee Schedule)- 70", chedule _ , structure Is not Intended or offered for sale (Section ( P ) 7041, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued PERM Fr FEE 16S&, Ai F" (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE above Informatlon Is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mens oned property for Inspection pu SEE REVERSE FOR EXPLANATORY LANGUAGE Q Signature of Perml"aa Date COUNTY OF LOS A,tKTELF4 TEMPLE CITY N 0508 ELECTRICAL PERMIT DEPARTENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1102150026 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 ETP: LEGAL ID: FIM PAID BUILDING AZCP 6SS: TR: 17867 I4T: 59 .10727 GRAND AV FEE DESCRIPTION: QUANTITY: DON: AMOUNT: TE 4P CA 917803408 ASSF9S0R INFORMATION NUMB$R: NEAREST CROSS STREET: EL MONTE 8574-002-035 Al PEMJ-= ISSUANCE FEE 27.80 TRx0.9 PAGE: 597 GRID: C4 LOCALITY: TEMPLE CPT7, C LA 100 AMP FANEIS, MCC 1.00 PAN 38.80 TENANT: Tl NO PERMT OTHER OCCUP 257.00 DOL 257.00 ISSUED,ON: PROCESSED BY: PLAN BY: TOTAL FEMS 323.60 02/15/11 SR 0WNER: TEL. NO: F12AL DATE BY: CODE.: BER.LSTROM, HIL= (714) 947-2892- 10727 GRAND AVE. TEMPLE CITY CA 91780 DE.9CRI 091 OF WORK UPGRADE OLD ELECTRICAL SERVICE TO 100 AHP SERVICE APPLICANT: TEL. NO: DALY ELECTRIC INC. (626) 786-5628- 5021 B EEiM ST. SPECIAL CONDITIONS: BAIDWIN PARA 91003 CONTRACTOR: TEM. NO: APPROVALS DATE INSPECTOR SI� DALY ET,E.CT IC INC. (626) 786-5628- 5021 BLEE= STREET LIC. NO T04PORARY PONER POLE BALDWIN PARS, CA 91003 943760 C10 UNDER3ROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: - UFER AZOUND LIC. NO: ROUGH CONDUITROUGH WIRING WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY N7T2 REPORT ID: DPR265 ROUTE TO: B90508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNS EL 0508 1206270034 BUILDING AND SAFItiTY / LAND DEVELOPMENT TMeLE CI'T'Y CA 91780 PHONE: (626) 285-0488 EXT: LdDGAL, ID: FEES PAID BUILDING ADDRS.9S: TR: 17867 LT: 59 10727 GRAND AV FTSE DESCRIPTION: QUANTITY: DOM: ANfOUNT: TEMP CA 917803408 ASSESSOR INFORMATION NUMBER: NF.ARRST CROSS STREET: 8574-002-035 Al PERMIT ISSLANCE FEE 27.80 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C HA FAU LESS 3HP 1.00 FAO 11.00 TEIANP: JB AC UNITS +3-10HP 1.00 AC 19.70 ISSUED ON: PROCESSED BY: PLAN BY: TOTAL FEMS 58.50 06/27/12 SR 09=: TrEM. NO: FINAL DATE FILL BY: CODE: BERGSTROM, EIT•�F.a - 10727 GRAND AVE TEMPLE CITY CA 91780 DESCRIPTION OF WORK 110/229 V ELECTRICAL TO EQUIPMENT A/C HEAT APPLICANT': TEL. NO: XACHIXAN, VIGAN (818) 612-5276- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: � APPROVALS DATE INSPEQTOR SIGNATURE PRECISE AIR SYST'Eti4 INC (818) 240-1737- 5467 SAN FER ANDO RD LIC. NO TEXPORARY POWER POLE IAA ANGELES CA 90039 428900 * Q LRffiERLH2OIIND CONDUIT ARCHITECT OR RNG12=: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGE WIRING MASH WATER L= PLSLQTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED * ADDITIONAL DATA ON FITS REPORT ID: DPR265 ROUTE TO: B80508