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Home My Public Portal About9025 HERMOSA DR_Electrical__ ]SASS3_CESO6-�S_57 APPLICATION FOR ELECTRIC PERMIT 1•, COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 961 Z1 &pit, 74 •- JOHN A.LAMBIE,COUNTY ENGINEER '•� CASSATT D.GRIFFIN, SUP'T OF BUILDING LOCALITY / 0 G NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES ITEM NUMBER EACH FEE OWNER - OUTLETS 5 $ MAIL LIGHTS ' RE T. 6w. .10 A'ODRESS LI HTW G'FIXTURES .10 U CITY ♦ TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN - v WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS ro GARBAGE DISPOSERS AUTO-- CITY TEL. NO. WASHERS STA.COOKING UNITS ,25 STATE LICENSE NO. I'LJ MOTORS: OVER INC. H.P. O — V 25 DISTRr O. GR 1.IP Z N� READY FOR INSPECTION. V. — 2 s0 INSPECTIONRECORD ---- -.1:00` 5 — 15 1.50 15 — 50 2.50 50— 200 5.00 SIGNS: NO.TRANS. /A� /I`T� ��/��` ,/ NO.LAMPS T 5hlb ,1's` lg4-"�l/V SERVICE 0-600V 1.00 LRTYfP -7711)14 V SERVICE OVER 600V 5.00 LF7TF2 -7-'q 77 MISC. WIRING PERMIT 1.00 AAAS� FIXTURE PERMIT 1.00 '�(� - DIT/OI/IY�//A�A/- KPAQ.CE'O //OT WI,2 SUPPLEMENTARY PERMIT .50 � TO N/]l�R FXeUS,� TOTALFEE $ APPROVALS ptA'm -(E4, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE - INSPECTORS SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT SIL/y� ELECTRICAL WTH ALL INTY RING,ORDINANCES AND STATE LAWS REGULATING WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REDO IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OW R OF THE ABOVE POWER DESCRIBED RESIDENTIAL PERTY. SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE FINAL '...i"vl-S"R'- N Rig•1w/-e�A • - v .IDATION ARTHUR C.,EELEVEICTRICAL .v) SUPERVISING NG ELECTRICAL ENGINEER.. K MO 'CASH pi 2.3 9 FEB 13 2 A 2.4 78A883CEB06-7APPLICATION FOR ELECTRIC PERMIT 1 BUILDING AND SAFETY DIVISION Department of County Engineer BJUILDING i'1 - G' Lerr County of Los Angeles ADDRESS V J 2216 s JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY / I NEAREST C FOR APPLICANT TO FILL IN c.....T. FO PERMIT FEES NUMBER OWNER G'` 'r r• • / LIGHT OUTLETS ADDRESS / U /- /['yI Y/I 0 .i 4 p Y� RECEPTACLES WALL SWITCHES FEE CITY /I C {EL. NO. 7 TOTAL OUTLETS @ S4 s ELECTRICIAN _ ELEC. RANGES 25 ADDRESS / P/•/T/. Y ELEC. HEATERS 25 CITY TEL. NOVI Y?LQ a -�1 KEW EA STATE /zcq 9 FIXTURES 5 LICENSE NO. MOTORS DISTRICT NO. IGROUP ZONE I READI FOR INSPECTION NUMBER HORSEPOWER FEE NEW MVD. HP OVER INC. EACH A LESS S .25 INSPECTION RECORD %4 2 .50 / \ 2 5 1.00 5 15 1.50 15 50 2.50 /�- 50 200 5.00 misc. v NO. SIGNS NO. TRANS. NO. SIGNS NO. LAMPS FOR EACH PERMIT: WIRING PERMIT $1.00 FIXTURE PERMIT $1.00 SUPPLEMENTARY .50 I APPROVALS TOTAL FEE g DATE INSPECTORS SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICAT ON CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT I AM THE LEGAL O HER OF THE ABOVE DESCRIBED RESIDENT iPROPE i•Y. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE9 4 FINAL JOHN A. LAMBIE. {/AI,IDATION ARTHUR C. VEIT. COUNTY ENGINEER C[/\ SUPERVISING ELECTRICAL ENGINEER MO CASH LAC04 4 7 JAN25 2 2.40 76AG63-CEBDG..7.S$ APPLICATION FOR ELECTRIC PERMIT 1, BUILDING AND SAFETY DIVISION Department of County Engineer BUILDING County of'Los Angeles ADDRESS ^�9f� L. 7 �. /�� JOHN A. LAMBIE. COUNTY ENGINEER CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS 5T. y !-' PERMIT FEES NUMBER OWNER 1 -( LIGHT OUTLETS A IL ADDRESS �O Y • I' Yj� S G RECEPTACLES 1 WALL SWITCHES FEE CITY T1 � TEL. NO. �`� TOTAL OUTLETS ® S¢ S ELECTRICIAN 'I � ELEC. RANGES - 25 ADDRESS `/"ri ELEC. HEATERS 25 D CITY � TEL. NO. � U KW EA STATE~' FIXTURES 5 ala LICENSE NO. MOTORS - - DISTRI eO. IGROUP I ZONE 1 .eA01'10R INSIECTTON NUMBER HORSEPOWER FEE � SFT ala NEW MVD. HP OVER INC. EACH ' -6 LIEGE s -.2s - - -- - INSPECTION-RECORD - - -- 2 .50 2 s 00 5 5 1.50 15 50 2.50 50 200 5.00 MISC. '-.'7 � 4 ^ ? NO,SIGNS NO. TRANS.. NO. SIGNS NO. LAMPS IF-I tr_ c Rn� FOR EACH PERMIT: WIRING PERMIT $1.00 �� WL'L �o —L�/lT f7F,yi�N'l�`P/✓( FIXTURE PERMIT $1.00 0(J ' �(o SUPPLEMENTARY .50 , APPROVALS TOTAL FEE s i DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT ' �^ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. FIXTURES 1 - 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER ' Y CALIFORNIA OR THAT I AM THELEGA�NER OF THE ABOVE DESCRIBED RESIDENT[A ROPE TY. UTILITY CO.N TIFIED SIGNATURE pp r OF PERMITTEE FINAL JOHN A. LAMBIE. .VALIDATION _ARTHUR C.VEIT. COUNTY ENGINEER 1/`� ARTHUR C. ELECTRICAL ENGINEER C No CASH QCo 5 0 1 0 FEB 1 ]_ 2 2.4 5 " 7GA663-CE806 ID/R APPLICATION FOR ELECTRICAL PERMIT `u COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER HooRE55 Z Y flE.iwvy.F., BUILDING AND SAFETY DIVISION T LOCALITY l� /I NEAREST 4 FOR APPLICANT TO FILL IN CROSS ST. C$.L OUTLETS NO. EACH FEE OWNER OR S $ FIRM NAME RECEPT 1. Al L LIGHT _ 1 ADDRESS 1 FIRST 20 LIGHT TOTAL 25 OVER 20 CITY TEL. N0. SWITCH_ .10 PLAN HECK LIGHTING TOTAL FIRST 20 P5 APPLICANT FI%TURES .10 OVER 20 ADDRESS RESIDENTIAL APPLIANCES clTv TEL. NO. PERMIT RANGEDRYERWTR. HTR._ APPLICANT STA. COOKDISP. F.A,U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. - DI SHWASH._ LICENSE OR CLASS. REG. NUMBER FAN_OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION _ AND .STATE. THAT-THE ABOVE_IS_CORRECT. AND.AGREE TO COMPLY _ MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. NEATERS, ETC. HP, KW. KVA, ELECTRICAL WIRING. SIZE 6 TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 10O LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE Or CALIFORNIA ORS l I AM THE LEGAL OWNER OF THE ABOVE y 1 - 10 3.00 DESCRIBED ESIDE TIAL PROPERTY. a O PERM ITEE U 10 - 50 500 SIGNATURE O 50 - 100 1000 U DISTRICT NO. PROCESSED BY W 100 - 500 15.00rj �A 1 Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS' /J DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE SERVI CE NOTOVER 600 VOLTS OR 200 AMP / 3.00 O UNDERSLAB WORK S ERVI CE OV ER 600 VOLTS O R 200 AM P 1000 ROUGH CONDUIT TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT, SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL , 1•>7 6 fGfa PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 300 QQ TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.D. cnsH. - 0 4 3 473 RrR 6 2 D r6.0 0- d SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKERS*COMPENSATION DECLARATION CE-806G D,a, APPLICATION FOR ELECTRICAL PERMIT {I cE-eos �J I hereby affirm that I have a certificate of consent to self insure, , or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3600.Lab._C.) Policy No. - Company- ,FOR APPLICANT TO FILL IN JOB ❑ EACH N0. 'F.EE. � ADDRESS' Certified copy is hereby furnished. New Residential Bldgs.8 Pool's LOCALITY ❑ Certified copy is filed with'the.county building inspection 1 & 2-Family,Sq.Fl. - $ _ $ NEAREST - department Multi-family Sq. Ft. CROSS ST. Date Applicant Residential Swiriiming Pools OWNER OR - '/] O FIRM NAME . CERTIFICATEOMP EXEMPTION FROM WORKERS` Outlets;Rec Light t 2 0 3. -.E . - p , COMPENSATION INSURANCE .. ADDRESS (This section need not be completed iYthe work involved by the First 20 Total No .permit is for one hundred dollars ($100)or less.) . - Additional CIT Tel.No. PLAN CHECK/ NT certify that'in the performance of the work for which this permit AppDCANT is•issued, I shall not employ any person in any manner so as to become subject to the.Workers'Compensation Laws. "Lighting Fixtures First 20 ADDRESS Additional r Total No.� 'CITY Tel.No. Date Applicant Ma Fixed Appliances Not Over 1 HIP PERMIT NOTICE TO APPLICANT: If: .after making thi Certific of lctv -Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D W. _ APPLICANT , provisions of the Labor Code, you must forthwith comply with such Oven Dryer_ W.M.— ' ADDRESS S E . r .provisions or this permit shall be deemed revoked., Top _ FAU _ W.H. LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other_ - - hereby affirm that I am licensed under provisions of Chapter 9' - - -- "LICENSEOH (commencing with Section 7000) of Division-3,of.the.Business.and Dtsp.-- Room Air Cond. - - - _ - 7 D - Gass. _ -_ - REG.NDMDER .Professions Code;and my`license is in full force and effect Power.Apparatus& Large Appliances DISTRICT NO. P PROCESSED BY Size& Type HP,KW,KVA,or KVAR •Dofr�� 0 License Numbe,t?700?S, Lic.Class ✓/�lo Up to 1t 1 I. ,� �,r/� FINAL . V �,�/ 1 - r 1rr', - Over 1 to q/ntI.r - DATE 'tom � VALIDATION O Contractor�+(6Fd C care p Over 10 to 50 Incl. FINAL V U ❑ I am exempt under Sec. �� Over 50.to 100 Inc. BY _ d B.&P.C. for this reason Over 100 ' In Services,Swbd.,MCC&Panelboards Date: _ 0- 200 Amp,Under 600 V ' Signature 201 - 1000 Amp.Under 600 V - ' ❑ - - Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. - - SINGLE FAMILY Temp.Power Pole& Appurtenances 2 _ .HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit r I hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5,Business and Professions Additional Sign Branch-Circuits Code). - ,;,M37 `7.ri, qU' ❑ Mise:Conduits I,as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044, Business Other(See Comppletelate Fee e S Schedule) i I E�J • and Professions Code). , TOTAL 25 - 60 CONSTRUCTION LENDING AGENCY 'C•HEI.K - c.El 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 - CHANGE ,00 Civ.C.). PLAN CHECKING FEE - Lender's Name _ OOUCI-GPO i ID/12/9[1 PERMIT ISSUING FEE . . - Lender's Address _ 3218 1 AN 9:24, I certify that 1 have read this application and state that the above TOTAL FEE - information is correct.I agree to comply with all County ordinances r and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned i pr party for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE r I� p signaturerot Permitte if I Dae - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OP PUBLIC WORKS 9701 LAS TUNAS EL 0508 0704300036 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 5904 LT: 306 9025 HERMOSA DR IEEE DESCRIPTION: QUANTITY: 00M: AMOUNT: ( TEMP CA 917801836 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: ROSEMEAD 15384-016-042 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl G2 LIGHTING FIXTURES 2.00 LGT 3.90 (TENANT: TOTAL FEES 31.65 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 104/30/07 sX 10/27/07 (OWNER: TEL. N0: (FINAL DATE FINAL BY: CODE: 1 (LAI, MIKE (626) 215-9354- f 19025 HERMOSA DR I ��/� ITEMP 917801836 IDESCRI TION OF WORK REMOVE 2 UNITS CELING FAN AND REPLACE WITH CEILING LIGHTS (APPLICANT: TEL. NO: I -- IWANG (909) 948-3191- 110264 RING AVE I 1SPECIAL CONDITIONS: 1ALTA LOMA, CA 91737 1 I 1 I (CONTRACTOR: TEL. NO: I - (APPROVALS DATE INSPECTOR SIGNATURE IBW IDEAL CONSTRUCTION, INC. (909) 948-3191- 1 110264 RING AVENUE LIC. NOITEMPORARY POWER POLE 1ALTA (OMA, CA 91737 833565 B 1 (UNDERGROUND CONDUIT 1 (ARCHITECT OR ENGINEER: TEL. NO: JUFER GROUND LIC. NO: IROUGH CONDUIT II I IROUGH WIRING MAIN WATER LINE I IPLASTIC Y/N METAL Y/N I I I (UTILITY COMPANY NOTIFIED( I I I I I I I 1 I I I I I I I I I I I I I I I I I I I I I I I IRE PORT ID: DPR265 ROUTE T0: BSOSOB II 1 1 I