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Home My Public Portal About9127 HERMOSA DR_Electrical__ ION WORKERS'that I have a certificate of consent CE-806 0'81 APPLICATION FOR ELECTRICAL PERMIT {� I hereby affirm that I have a certificate of consent to self insure, CE-806G u or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(S&c.3800,Lab.C.) 0 Policy No. Company FOR APPLICANT TO FILL IN JOB n ❑ Certified copy is hereby furnished. EACH NO. FEE ADDRESS New Residential Bldgs. & Pools �^ ❑ Certified copy is filed with the county building inspection 1 & 2-Family, Sq.Ft. $ — S. LOCALITY T�l department. Multi-family Sq.Ft. NEAREST CROSS ST L {y Date Applicant Residential Swimming Pools OWNER OR ��)) FIRM NAME �G_G CERTIFICATE OF EXEMPTION FROM WORKERS'. - Outlets:Red�_ Light Sw. MAIL COMPENSATIONINSURANCE ADDRESS �rN� (This section need not be completed if the work involved by the _ First 20 - permit is for one hundred dollars ($100)or less.) Total No. Additional CITY Tel.No. '9 certify that in the performance of the work for which this permit PLAN CHECK \ I is issued. I shall not employ any person in any manner so as to �� . APPLICANT ADDRESS become subject to the Worker Date Applimpens 1 Lighting Fixtures First 20 Total No. �_� r/p VV Additional GI Tel.No. 1 a NOTICE TO APPLICANT: It, after making this Certificate of Fixed Appliances Not Over 1 HP �rri PERMIT n - Exemption,you should become subject to the WorkersCompensation Range_ Heater_ D.W. _ -1 APPLICANT provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M._ ADDRESS' i provisions or this permit shall be deemed revoked Top — FAU _ W.H. _ �� LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ CIT ' t\. Tel.No.ZS7, I hereby affirm that I am licensed under provisions of Chapter 9LICENSE OR (commencing with Section 7000) of Division 3 of the Business and Disp. Room Air Cond. REG.NUMBER Class �•� Professions Code,and my license is in full force and effect. - DISTRICT NO PROCES BV Power Apparatus& Large Appliances v 0 a Size& Type HP,KW,KVA,or KVAR cr-e�! VX License Number �"71'7 3 Lie. Class �10 Up to 1 Incl. FINAL U Over 1 to 10 Incl. VALIDATION DATE Contractor - Date - ❑ Over 10 to 50 Inc. FINAL am exempt under Sec. Over 50 to 100 Inc. By U W B&P.C. for this reason Over 100 - Q. Services,Swbd., MCC&Panelboards r N Z Date: 0 - 200 Amp. Under 600 V D ® ' -' 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 HOME OWNER-BUILDER DECLARATION7 Sign with One Branch Circuit hereby affirm that I am exempt from the Contractor's License Law i Ci S i ddtional Sign Branch Circuits i• .a for the following reason (Section 7031.5, Business and Professions A Code): E] 1, Conduits & Conductors 13137 `1.90 I,as owner of the property,will do the work and the structure Other (See Complete Fee Schedule) fEMS is not intended or offered for sale (Section 7oaa, Business 1 I�' and Professions Code). - '- ""' TOTAL 31 -90 CONSTRUCTION LENDING AGENCY CHECK 31.9U 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) CHANUE ,013 Civ.C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE _ 0000-000 1 7/ 1/9IN Lender's Address rn e I certify that I have read this application and state that the above TOTAL FEE r itV-' 1 AN 9'5 information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize represents this Co my t e on the above-mentioned property for ins tion pur os SEE REVERSE FOR EXPLANATORY LANGUAGE 7'�2 l0 at Signature of Permi a D COUNTY-OF LOS ANGELES TEMPLE CITY k 0508 - ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0510280001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 - PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 5904 LT: 362 9127 HERMOSA DR FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917801919 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOMA 5384-014-036 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: R3 LOCALITY: TEMPLE CITY, C LB 200 AMP PANELS, MCC 1.00 PAN 38.85 TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 10/28/05 SK 04/26/06 OWNER: TEL. NO: F_jAL1 DATE FINAL BY: CODE: NG, KING (626 215-8812- 'O/ �Q 9127 HERMOSA DR ✓ �1 TEMP 917801919 DESCRIPTION OF WORK UPGRADE METER TO 200 AMP APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO - TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LEE, PETER (626) 280-9000- 8748 VALLEY BL LIC. NO: ROUGH CONDUIT ROSEMEAD CA 91770 ROUGH WIRING MAIN WATER LINE PLASTICY/N METAL Y/N UTILITY COMPANY NOTIFIE /-j- ADDITIONAL .3ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # OSOB ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0603220034 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 5904 LT: 362 9127 HERMOSA DR FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917801919 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOMA 5384-014-036 Al PERMIT ISSUANCE FEE 27.75 _ THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C F2 208, 277V LGT BR CKT 3.00 ER 81.90 TENANT: G1 OUTLETS-LGT,SW,RECP 20.00 OUT 39.00 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: G2 LIGHTING FIXTURES 15.00 LGT 29.25 03/22/06 JK 09/16/06 HA PAU LESS 311P 1.00 PAU 10.95 OWNER: TEL. NO: H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 FINAL D AI'E FIN A BY CODE: NG, KING (626) 215-8812- JB AC UNITS ♦3-10HP 1.00 AC 19.65 9127 HERMOSA DR TOTAL FEES 219.45 TEMP 917801919 DESCRIPT ON Op WORK ELECTRICAL FOR ADDITION FRONT HOUSE APPLICANT: TEL. N0: JAMES QIU (626) 260-4600- 428 PARR AVE SPECIAL CONDITIONS: MONTEREY PARK 91754 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ROBERT RUNG CONSTRUCTION CO. (323) 722-0378- 600 N. 18TH ST. LIC. NO TEMPORARY POWER POLE MONTEBELLO, CA 90640 792204BHIC UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE CIS PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 `COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0603220039 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: _ FEES PAID BUILDING ADDRESS: TR: 5904 LT: 362 9127 HERMOSA DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801919 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOMA 5384-014-036 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C D2 1 OR 2 FAMILY DWELL 633.00 SQ 66.47 TENANT: _ TOTAL FEES 94.22 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 03/22/06 SK 09/18/06 OWNER: TEL. N0: FINAL /�_ PINyL BY: CODE: NG, KING (626) 215-8812- 2 9127 917801HERMOSA DR 1` TEMP 917801919 DESCRIPTIONOF ORK ELECTRICAL L POR 2ND DNIT APPLICANT: TEL. N0: JAMES QIU (626) 260-4600- 428 PARK AVE SPECIAL CONDITIONS: MONTEREY PARK 91754 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ROBERT FUNG CONSTRUCTION CO. (323) 722-0378- 600 N. 18TH ST. LIC. NO TEMPORARY POWER POLE MONTEBELLO, CA 90640 792204BHIC UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. N0: ROUGH CONDUIT f ROUGH WIRING lyyJ-rl/r}I✓]I/T/�/II'/y- MAIN WATER LINE PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: ES0508