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Home My Public Portal About8820-8822 HERMOSA DR_Electrical__ 79A663-CESOG-11.31APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADI RzS, BUILDING AND SAFETY DIE.VISION ADDRESS C SATL D. GRIFFIN, SGD�I OI DuBdIOY LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PEPMT FEES ITEM NUMBER EACH FEE OWNER 0,9A L OUTLETS: $ E MAIL (J LIGHTS RE.El. SW. .10 ADDRESS b LIGHTING FIXTURES .10 CITY /� TQQEL. NO.197 ELEC.RANGES CLO.DRYERS ELECTRICIAN `r- WATER HEATERS .50 ELEC.SPACE HTRS. DISHWASHERS ADDRESS GARBAGEDISPOSERS AUTO. CITY TEL.NO. WASHERS STA.COOKING UNITS .25 STATE LICENSE NO. MOTORS: OVER INC. H.P. G — V. 25 DISTRIC GROUP ON/ p SAOY ROR INYI8CT10N I/2 — 2 .50 L�/�� 2 — 5 1.00 INSPECTION RECORD 5 — 15 1.50 15 — 50 2.50 50— 200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-6O0V 1.00 SERVICE�OVER 6O0V 5.00 MISC. WIRING PERMIT 1.00 �V FIXTURE PERMIT 1.00 QQ SUPPLEMENTARY PERMIT ,50 TOTALFEE S s APPROVALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PERTY. SIGNATURE UTILITY CO.NOTIFIED s< OFPERMITTE FINAi IfIv v VALMATIM ARTH UR C.VEIT. CK MO SUPERVISING ELECTRICAL ENGINEER CASH 1.2 6 3.,m MAY 26 2 A 2.5 0 M WORKER'have a certificate DECLARATION 26-66,9 DPW 112-9„ APPLICATION FOR ELECTRICAL PERMIT IJ 0-001 I h.reby affirm that I have a Certificate of consent to self insure, or a certificate,of IJorker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 3800 Lab. C.) ,. Policy No. Company FOR APPLICANT TO FILL IN JOB [.' ♦) ��y� �n.I d�� AOORESS Poli Certified copy is hereby furnished. New Residential LOCALITY Bldgs.&Pools NO. EACH FEE y / F-1Certified copy is filed with the county building inspection i &2-Family,Sq.Ft. $ $ department. Multi-family Sq.Ft. CROSS ST. V� •�/{ Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK NEAREST PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rea�LightSw. OWNER OR ,o� .,� �O/IQ� I. _.J COMPENSATION INSURANCE �,L2) /�j GD FIRM NAME r l hA rr First io MAIL V /•• #/V w (This section need not be completed if the work involved by the Total No. AddiFirs 0 ADDRESS L_ permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY ` T.I.N.IM ..� is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT 4 p ) Total No. Additional ADDRESS Date�_�i _ ` Applicant Sr� A� pe`rl RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY TeI.No. Exemption, you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP, provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS a L /Cfse I hereby affirm that 1 am licensed under provisions of Chapter 9 Over 3 to 10 MCI. �6 (commencing with Section 7000) of Division 3 of the Business and CITY n✓�( `•�2 T.I.No.yY' _fl Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICESE OR /� q 7 } (: Over 50 t0100 InCL REGNNUM ER L y{•- �� Class. C O a y Y2 y f 7 G U Over 1 DO DISTRICT NO. RO SEO BV O License Number ! V J Lic.Class Y }., {d. Services,S``yq+(('b%bf��,.,, C Panel ands ;>>�l0 ��i-�t Q Contractor f�e%�� tell IYC Date ��✓ •v��e�P�U O V Q DATE F F-1 I am exempt under Sec. 400-1000 Amp, Under 600 V Z-Z?...4 W Over 1000 Amp.or Over 600 V FINAL VALIDATION d B.&P.C.for this reason BRANCH CIRCUIT FEES BY � Date: 15A.or 20A, 120V,Lighting or Recept. z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits F141 Or More Branch Circuits Exemption for Reg.Maim.Elect. 15A,20A,20BV To 277V Lighting Br.Circuits SINGLE FAMILY Temp. Power Pole&Appurtenances ? pT.a HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the ContractorC•C Sign with One Branch Circuit A 's License Law n for.the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits 3303 75.60 Code): ❑ I, as owner of the property, will do the work and the structure Misc.Conduits&Conductors 1 ITEMS CMS is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) , TOTAL 75 - 60 and Professions Code). CHECY, 75.60 CONSTRUCTION LENDING AGENCY CHANGE .�� I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ. C.) '/� PLAN CHECKING FEE 0000-0001 1/96 Lender's Name ' PERMIT ISSUING FEE o'Z 7 Q 4954 1 AM11:23 Lender's Address S I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this Coo ty[o an r upon the above-mentioned property for ins ecticn rpose SEE REVERSE FOR EXPLANATORY LANGUAGE OF /-y�/jf� PE DATE WORKER'S COMPENSATION DECLARATION 76A6619 3 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I h4reby affirm that I have a certificate of consent to self insure, or a certificate-of Worker's Compensation Insurance. or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy ther§of(Sec.3800 Lab,C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ",. _./yt f` ❑ / Certified copy is hereby furnished. New Residential Bldgs.8 Pools NO. EACH FEE ADDRESS p? e/d ❑ 1 &2 $ $ LOCALITY Z Certified copy is filed with the county building inspection -Family,Sq.Ft. NEAREST department. Multi-family Sq.Ft. CROSS ST. deowof Date Applicant Residential Swimming Pools ASSESSOR MAP BOON PAGE PARCEL CERTIFICATE COMPENSATION INSURANCE FROM CEWORKERS' Outlets:Rec. Light Sw. 60 FIIRM NAME eo 'e N IPV 10 First 20 /D MAIL (This section need not be comps [S1 0 the work Involved by the Total No. Additional ADDRESS /(ff;JC//1rClN permit is for one hundred dollars(5100)or less.) I certify that in the performance of the work for which this permit CITY .,d— Tel.No. IV6 / 3 is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No Additional ADDRESS Date Applicant STe ng this .hrcTM� RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE , y APPLICANT: a after making this 'CertificateComsa o/ CITU tel.No. .Exemption, you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT S e 1 ��[�_ / provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT �n LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to t0 incl. p t (commencing with Section 7000) of Division 3 o1 the Business and CITY Te/il//e G ' Tel.No-Vii /Jr/ Professions Code,and my license is in full force and effect. Over 10 to 50 Ind. LICENSE OR �Y� // n Class. G ! d �' 7 /� (J Over 50 to 100 Incl. REG.NUMBER 1 �/ (f a License Number liYZ �V / Lic.Class Over 100 DISTRICT NO. _ PR SED BY 0 'J _,n n Service6,$wpd.,MCC&Papel boards �' 0/ U Contractor s�z'/ilz Firer Date_i=E�—� 0-39 m.. er fi00 V I DATE 0 F ❑ 400-1000 Amp.Under 600 V VALIDATION C..) I am exempt under Sec. Over 1000 Amp.or Over 600 VFINAL LU B.&P.C.for this reason BRANCH CIRCUIT FEES BY d U) Date: 15A,or 20A. 120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Main[.Elect. 15A,20A,208V To 2T7V Lighting Sr.Circuits 2 SINGLE FAMILY Temp. Power Pole&Appurtenances ACCT.'e HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit C I hereby affirm that I am exempt from the Contractor's License Law 75.6 for the fallowing reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): 1 ITEMS ❑ I, as owner of the property,will do the work and the structure Misc.Conduits&Conductors TOTAL 75. 60 is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). , CHECK 75.60 CONSTRUCTION LENDING AGENCY CHANGE •00 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Q Civ.C.) PLAN CHECKING FEE OOOO-0001 2/21/96 Lender's Name 4953 1 AM11:22 PERMIT ISSUING FEE Q Lender's Address I certify that I have read this application and under penalty of perjury state TOTAL FEE that the above information is correct. I agree to comply with all County ortlinances antl State laws regulating Electrical wiring,and hereby authorize representatives of this County to enter upon the above-mentioned property for Ie Ion pur oses. SEE REVERSE FOR EXPLANATORY LANGUAGE 1 ai-yb al TU EF PERMITT I DATE WORKER'Shave COMPENSATION DECLARATION20-0019 0-001 76AB69DPW112-9„ APPLICATION FOR ELECTRICAL PERMIT. I hereby affirm that I have a certificate of consent 10 self insure. or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB 2— New ) j /�`+�% yj�/j •,Il r/, ❑ ADDRESS V •i/ G. / ! (— Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE ❑ _ 6 S LOCALITY _ Certified copy is filed with the county building inspection 1 ul 2-Family,Sq.Ft. tt _ department. Multi-family Sq.Ft. REST CROSS ST. Dale Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PAPCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Red. Light_Sw._ OWNER OR COMPENSATION INSURANCE FIRM NAME First 20 MAIL (This section need not be completed if the work involved by the Total No. Additional ADDRESS It ] _. AL CAP-r`/r 1• permit is for one hundred dollars(5100)or less.) I certify that in the performance of the work for which this permit CITY %�!( i{J!/`,^j is issued, I shall net employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional S. 7f" t.C ADDRESS Date Applicant NOTICE APPLICANT: alter making this Certificate of CITY T.I.No. Exemption,,you should become RESIDENTIAL APPLIANCES NOT OVER 3 HP.subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT %� 1 �_ provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HR KW,KVA,or KVAR ADDRESS J6 x J I hereby affirm that I am licensed under provisions of Chapter 9 - 7d �.• to � >_(commencing with Section 7000) of Division 3 of the Business and Over 3to 10 Ind. CITY ,i I(' ( I Tel.No. /�•v LL Professions Code,and my license Is In full force and effect. Over 10 to 501.1. r• ? C / ) Class. ,t! 7 LICENSE OR Over 50 10 100 Incl. REG.NUMBER License Number r rl� Lic.Class / G Over 100 DISTRICT NO. PROCESSED BY UU _ Services,Swbd.,MCC&Panelboards I LL r 1In�l,(-1 l"{�'(r� / ' ,��"f� 0-399 Amp.Under 600 V FINAL } Contractor - Date DATE ❑ 400-1000 Amp.Under 600 V Q I am exempt under Sec. VALIDATION CE Over 1000 Amp.or Over 600 V FINAL CE B.BP.C.for this reasonBRANCH CIRCUIT FEES BY Q Date: 15A,or 20A, 120V.Lighting or Recept. LL 1 To 10 Branch Circuits LU Signature i i To 40 Branch Circuits I- ❑ 41 Or More Branch Circuits Exemption for Reg.Mainz.Elect. 15A,20A,208V To 277V Lighting Sr.Circuits 2 SINGLE FAMILY Temp. Power Pole 8 Appurtenances A HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law i"fails] 9G' for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): + tSYTkh! ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors �ltYfLL o is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule)_ l' , 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 (Sec. 3097. PERMIT FEE (Sub-Total) a Civ.C.) PLAN CHECKING FEE (oil PERMIT Lender's Name 1. (oil PERMIT ISSUING FEE Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above information 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-mentioned property for inspection purposes I SEE REVERSE FOR EXPLANATORY LANGUAGE /!1/✓� If s* " i }1 'if SIGNATURE OF PERMITTEE' DATE COUNTY OF LOS ANGELES TEMPLE CITY 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS EL 0508 1209240032 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91980 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 3623 LT: 110 UN: .003 8820 HERMOSA DR I IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I TEMP CA 917801815 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ROSEMEAD 1 15381-010-036 JAI PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl G1 OUTLETS-LGT,SW,RECP 20.00 OUT 40.00 1 TENANT: IG2 LIGHTING FIXTURES 3.00 LOT 6.00 (ISSUED ON: PROCESSED BY: PLAN BY: 1 IRA FAU LESS 3HP - 1.00 FAU 11.00 109/24/12 SR ID OWNER: TEL. NO: TOTAL FEES 104.50 I'B AC UNITS t3-10HP 1.00 AC 19.70 ( FINAL DATE( FI Y: CODE: IHOA, JIMMY (626) 456-2398- I 1435 NORMAN AV ARCD 910064826 DESCRIPTION OF WORK INSTALL ELECTRICAL OUTLETS, SWITCHES, LIGHTS AND A/C AND IFAU FOR NEW ADDITION APPLICANT: TEL. NO: 1 IBEAS, ELI (626) 905-2434- III 1863 E. 9TH ST. 1 ISPECIAL CONDITIONS: POMONA, CA 91766 I I I I CONTRACTOR: TEL. NO: IAPPROVALS DATE INSPECTOR SIGNATURE IT U T CONTRACTOR, INC. (626) 523-970E- 12402 STRATHMORE AVENUE LIC. NO ITEM,PORARY POWER POLE ROSEMEAD CA 91770 521176-B (UNDERGROUND CONDUIT I ARCHITECT OR ENGINEER: TEL. N0: +OPER GROUND I I I I I I LIC. NO: IROUGH CONDUIT I IROUGH WIRING I I 1MAIN WATER LINE 1PLASTTC YIN METAL YIN (UTILITY COMPANY NOTIFIED I I I I I I I I I II I I I I 111 I I I I I I I I I � I 111 I II I I I I I I I I I 11 II 11 I I I � 111 111 I I I ADDITIONAL DATA ON FILE II I I I I I IREPORT ID: DPR265 ROUTE TO: ES0508 CDUNTY OF LOS ANGELES TEMPLE CITY 4 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9401 LAS TUNAS EL 0508 1212100033 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0468 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 3623 LT: 110 UN: .003 1 8820 HERMOSA DR (FEE DESCRIPTION: - QUANTITY: UOM: AMOUNT: I TEMP CA 917801815 1ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET: ROSEMEAD 5389-010-036 JAI PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl IG1 OUTLETS-LGT,SW,RECP 17.00 OUT 34.00 1 1 TENANT: IG2 LIGHTING FIXTURES 6.00 LAI 12.00 ISSUED ON: PROCESSED BY: PLAN BY: IH7 RES EXHAUST FANS 2.00 EX 22.00 112/10/12 SR I I TOTAL FEES 95.80 1 1 IOWNER: TEL. NO: I IFINAL ITSAI, BY: CODE: IHOA, JIMMY (626) 456-2398- 1 `f 435 NORMAN AV 1y ARCD 910064826 IDESCRI TION OF WORK 1 110 OUTLETS, 6 RECESS LIGHTS, 5 SWITCHES AND 2 EXHAUST FANS 1 APPLICANT: TEL N0: TRAN, THANH (626) 523-9708- 12402 STRATHMORE SPECIAL CONDITIONS: ROSEMEAD CA 91770 (CONTRACTOR: TEL. N0: 1 (APPROVALS DATE INSPECTOR SIGNATURE IT D T CONTRACTOR INC (626) 523-9708- 12402 STRATHMORE AVENUE LIC. NO (TEMPORARY POWER POLE I I R0SEMEAD CA 91970 521176-B ` UNDERGROUND CONDUIT (ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND LIC. NO: (ROUGH CONDUIT I I I (ROUGH WIRING I ,MAIN WATER LINE IPLASTIC Y/N METAL YIN I I I (UTILITY COMPANY NOTIFIED( I I I I I I I I I I I I I I I I � 11 II I I 11 I I I I I I I I I I I � 11 II II II I` ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE T0: BSO508