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Home My Public Portal About9154 HERMOSA DR_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0009220012 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 5905 LT: 79 9154 HERMOSA DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801920 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ENCINITA 5387-016-025 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY HA FAU LESS 3HP 1.00 FAU 10.95 TENANT: JB AC UNITS +3-10HP 1.00 AC 19.65 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 58.35 09/22/00 UT 03/22/01 OWNER: TEL. NO: FINAL DATE F[N BY: CODE: SIMMONS FRANKLIN R;RAE D 9154HERMOSADR - U/y1,1(` TEMP 917801920 DESCRIPTION OF WOR ELECTRICAL FOR HVAC APPLICANT: TEL. N0: CONNOR A/C - SPECIAL CONDITIONS: PNGELES CO CONTRACTOR: TEL. N0: yGS APPROVALS DATE INSPECTOR SIGNATURE CONNOR A, C (626) 286-3157- 4931 N ENCINITA LIC. NO TEMPORARY POWER POLE TEMPLE CITY 403735 C38 " UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: / UFER GROUND LIC. NO;� 111111] ROUGH CONDUIT `�►1—L ROUGH WIRING Ir�p (7 O n �� (\ /1 ((�I�II/J MAIN WATER LINE U �L�J�{ 1LI' \\11/�\\V1� 101 /,7 ILIKC\1 PLASTIC Y/N METAL Y/N UTIL TY COMPANY NOTIFIED O 0 m �o� Service That * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508 re WoRKERsCOMPENSATION DECLARATION W19 APPLICATION FOR ELECTRICAL PERMIT O herebyEaffirm that I have a certificate of consent to self CEA i nsurr, dr a ce,hficote of Work;rom�ensatiao Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a_s r fled copy thereof (Sec. 38 0, Lab. C.) Policy'No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS r .l ❑Certified copy Is filed with the county building Inspec- 1 8 2-Family, Sq. Ft. $ — $ LOCALITY e vA Le C ( 1 tion department. Multi-family Sq. Ft. — NEAREST CROSS ST. Date Applicant Residential Swimming Pools OWNER OR d .t •, y . , FIRM NAME S w1mOl,.ks CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec—Light_Sw._ MAIL q-yy`� COMPENSATION INSURANCE ADDRESS �-T (This section need not be completed if the work Involved byFirst 20 _ CITY PM ')-`� Tel. No.� ^- the permit is for one hundred dollars ($100)or leis.) Total No. Additional. ti Le if PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Come �jianon Laws. Lighting Fixtures First 20 ADDRESS `� n /n. - Additional ✓" �(�s'�Gli(A/v'� Total No. CITY Tel. No, Date Applicant Fixed Appliances Not Over 1 HP PERMIT �-� NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION C T//�Ro/5ii Exemption, you should become subject to the Workers' Range— Heater—D.W. Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS ,v (3 p)( LlS-ic,(o with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other— CITY 61= Tel. N - �)(�(�_ LICENSED CONTRACTORS DECLARATION LICENSE OR (� Disp. — Room Air Cond. REG. NUMBER / �3 Class.l—f v I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business Power A DISTRICT N _ PROCESSED BY a ( 9 ) Apparatus 8 Large Appliances and Professions Code,and my license is in full force and effect. (� s,/ Size 8 Type HP, KW, KVA, or KVAR y 0 O License Number %Q /D3� Lic. Class ��0 Up to 1 Incl. . FINAL V ��•��- Over 1 to 10 Incl. DATE ` VALIDATION 0 Contractor ate Over 10 to 50 Incl. O ElFINAL am exempt under Sec. Over 50 to 100 Inc. BY UL1 B.BP.C. for this reason Over 100 � U) Services, Swbd., MCC 8 Pan b rds Z Date. 0- 200 Amp. Under 600 V /OA — Signature 201 - 1000 Amp. Under 600 V A 04 3..7 A OOver 1000 Amp. or Over 600 V # e e�a le • '2 Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances 4 !- 2 5.5 0 HOME OWNER-BUILDER DECLARATION Sign with One Brooch Circuit .e �'O.2 5.5 0 hereby affirm that am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and g Dal 6'� 8 Professions Code): - ❑ I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors structure is not Intended or offeredfor sale(Section 7044, Other (See Complete Fee Schedule)— , 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 PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address TOTAL FEE I certify that I have read this application and state that the OS 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-menti o ed property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Tr,Signature of Permittee - Dote 1 \VORKERS'COMPENSATION DECLARATION Ea63OfiG (280) CAPPLICATION FOR ELECTRICAL PERMIT E$ 1 hereby affirm that I have a certificate of consent to self COUNTY OF,LOS ANGELES l BUILDING AND SAFETY / insure, or a certificate of Workers'Compensation Insurance,or l a certified copy thereof(Sec.3800,Lab.C, / 7 _`//j'/�_� �• FOR APPLICANT TO FILL IN JOB Policy No. Company !2;7±"""'9�r-� EACH NO. FEE ADDRESS _ New Residential Bldgs. &Pools 'Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Certified copy is filed with the county g buildin inspection Multi-family Sq. Ft. — NEAREST depart mens CROSS ST Residential Swimming Pools OWNER OR '� !� v - FIRM NAME Date`(_ Applicantaip ,lets: Rec._Ligh[_Sw. MAIL First 20 ADOREPS CERTIFICATE OF EXEMPTION MOM WORKERS' Total No. Additional' CITYTel Na. y,� 2� COMPENSATION INSURANCE ? . PLAN CHECK d ' (This section need not be completed if the work involved APPLICANTOU by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS Total No. Additional 2 I certify that in the performance of the work for which this - CITY Tel No. 0 permit is issued, I shall not employ Fixed Appliances Not Over 1 HP F p p y kers' Comp n any manner PERMIT W so as to becomesubject to the Workers' Compensation Laws. Range_ Heater_D.W. _ APPLICANT Oven _ Dryer_W.M._ ADORES Z Date Applicant Top _ FAU _W.H. Hood _ Fan _Other_ CITY No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond.— LICENSE OR Exemption, you should become subject to the Workers' _ REG. NUMBER •s Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCE SED BY - with comply with such provisions or this permit shall be Size&Type HP,KW,KVA,or KVAR deemed revoked. �� .J Up to 1 Incl. FINAL zK LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATEOver 10 to 50 Ind. VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000) of Division3 of the Busi- Over 100 BY ness and Professions.Code, and my license is in full force and effect. Services / License Numb ric. Class 0-200 Amp. Under 600 V 201-1000 Amp. Under 600 V Contractor ate Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp. Power Pole.&Appurtenances I hereby affirm that 1 am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional•Sign Branch Circuits 12 3.5 A ness and Professions Code): Misc.Conduits&Conductors °'o - 2 ° 2 El I, as-owner of the property. will do the work and the Other (See Complete Fee Scheduler - structure is not intended or offered for sale (Section 2 ° 1 9,5 0 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY 9.505 1 hereby affirm that there is a ronsl iuc[ion lending agencyC - for ttheperformance of the work for which this permit is - PERMIT FEE (Sub-Total) 09, 1 8-81 issued (Sec. 3097,Civ.C.). - - Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE 7� 0 6 I certify that I have read this application and state that the TOTAL FEE - above information is correct. 1 agree to comply with all County ordinances and State laws regulating Electrical wiring, and / LJ ,S d hereby authorize representatives of this County to enter upon th hove-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signat� of Perm i,(tee Date _ I WORKERS'COMPENSATIONDECLARATION 76A663 _ APPLICATION FOR ELECTRICAL PERMIT CE-806G (2-801 ter ' I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES - BUILDING AND SAFEThY® 1U} insure, or a certificate of Workers'Compensation Insurance,or, a certified copy thereof(Sec. 3800,Lab, C.) I 192-Zl-3080-2OR APPLICANT TO FILL IN JOB Policy o. Company Ins. Co.COEACH NO. FEE ADDRESS . 9156 Hermosa of the West, New Residential Bldgs.&Pools - Certified co ' py is hereby furnished. 1 & 2-Family.Sq.�FL $ Is I LOCALITY Temil Cit Multi-family Sq. Ft. — NEAREST Certified Copy is filed with thecounty building inspection CROSS ST Las Tunas department. I Residential Swimming Pools OWNER OR 4-6, 81 Edwards Electric FIRM NAME Date- applicant Outlets: Rec._Light Sw.` gODREsS ' First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No. COMPENSATION INSURANCE } PLAN CHECK - O APPLICANT i U (This section need not be completed if the work involved Lighting Fixtures First 20 ADDRESS by the permit is for one hundred dollars, (SI00) or less.) Additional 1 certify that in the performance of the work for which this Total No. CITY Tel No. permit is issued, I shall not employ y Fixed Appliances Not Over 1 HP p p y an y person in manner PERMIT UW so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT Edwards Electric d - Oven '_ Dryer_W.M.^ ADDRESSW Date Applicant Top FAU _W.H.,— 25353rd, Ave Z Hood _ Fan _Other_ CITY Arcadia Te' "° 447-5096 NOTICE TO APPLICANT: If, after making this Certificate of Disp. Room Air Cond._ LICENSE OR C,-1 O Exemption, you should become subject to the Workers' REG. NUMBER_ class _ Compensation provisions'of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT-N/O. PROCESSED BY with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or KVAR � a Y� deemed revoked. Up to 1 Incl. o FINAL Over 1 to 10 Incl. DATE //7 LICENSED CONTRACTORS DECLARATION VALIDATION Over 10 to 50 Incl. I ��/ I hereby affirm that I am licensed under provisions of Chapter _ Over 50 to 100 Inc. BY AL /J 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 ness and Professions,Code, and my license is in full force and effect. Services - License Number 257191 Lie. Class C-10 0-200 Amp.Under 600 V i 201-1000 Amp. Under 600 V Contractor Edwards EleC4'tic July 1982 Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp..Power Pole&Appurtenances - Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's additional Sign Branch Circuits License Law for the following reason (Section 7031.5, Busi- - 078.5 A ness and Professions Code): Misc. Conduits&Conductors .#,e'e 2 I, as.owner of the ,property, will do the work and the Other (See Complete.Fee Schedulel— - , structure is not intended or offered for sale (Section a a'a'e a s • 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency _ __ - 0 Q 1 '4 8 ) for the performance of-the work for. which this permit is PERMIT FEE (Sub-Total) issued (Sec. 3097,Civ.C.). I Lender's Name _ PLAN CHECKING FEE (One-Fourth Permit Fee) ' Lender's Address PERMIT ISSUING FEE i I certify that I have read this application and state that the TOTAL FEE No Fee _ above information is correct. I agree to comply with all County - ordinances and Statelaws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon t the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signa�ermittee Date - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0009220013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 5905 LT: 79 9156 HERMOSA DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801920 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ENCINITA 5387-016-025 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY HA FAU LESS 3HP 1.00 FAU 10.95 TENANT: JB AC UNITS +3-10HP 1.00 AC 19.65 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 58.35 09122/00 UT 03/22/01 OWNER: TEL. NO: FINAL DATE F;P BY: CODE: SIMMONS FRANKLIN R;RAE D - 9154 HERMOSA DR /D_z4( ,„, � TEMP 917801920 DESCRIPTION OF WOK ` ELECTRICAL FOR HVAC APPLICANT: TEL. NO: CONNOR A/C SPECIAL CONDITIONS: PTAGELES CO CONTRACTOR: TEL. NO: pS U/y�. APPROVALS DATE INSPECTOR SIGNATURE CONNOR A C (626) 286-3157- 4931 N ENCINITA LIC. NO TEMPORARY POWER POLE TEMPLE CITY 403735 C38 / UNDERGROUND CONDO T ARCHITECT OR ENGINEER: TEL. NO: / UFER GROUND LIC. NO: � 1111111 ROUGH CONDUIT ROUGH WIRING �f lF� n O (1 C {1 n (/O F[1�/j MAIN WATER LINE FU IL�� U111JI/OROR 3) PLASTIC CY/NOM METAL IFI UTILITY COMPANY NOTIFIED 61 0 0 _ - `' 46,rC Ser 7hat�ot�y * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508