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HomeMy Public PortalAbout9860 HOWLAND DR_Electrical__ 3B.BB .• APPLICATION FOR ELECTRIC PERMIT 1 .DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING ` �� /171 , )� WM.J. FOX. COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN. SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN v PERMIT FEES CROSS sr. 11 G 1/"-y NUMBER EACH FEE OWNER . LIGHT OUTLETS / RECEPTACLES ADAIL DREBS �O O 'O GLj /.4•'✓O ����� WALLSWITCHES TOTAL OUTLETS Z I Be S `l,�� CITY Z111 4-1C. I, TEL. NO. ELEC. RANGES 25 ELECTRICIAN �/l UJ/✓'�+� _ELEC. HEATERS 25 ADDRESS KW EA CITY TEL. NO. FIXTURES / 5 LICENSE NO. NUMBER OF LIGHT CIRCUITS !!l!llll nnnn��'�cccc rr DISTRICT NO. I GROUP I ZT�J�''``// flEPDY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS / j✓� MOTORS NUMBER HORSEPOWER FEE -1 INSPECTION RECORD NEW MVO. HP I OVER I INC. ERCH `e��Sc- LUG.°h^ YS H LESS $ 25 �t IT wC !�- L7 f1Q� -r-&,v*u. �n . 1h 2 .50 �~ 2 5 1.00 _ 5 15 1.50 15 50 2.50 50 200 5.00 MISC. ' NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS _ FOR EACH PERMIT' WIRING $1.00 IDR - FIXTURES 31.00 SUPPLEMENTARY .50 APPROVALS _ TOTAL FEE I5 J. 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. I 'HEREBY CERTIFY THAT I AM PROP REGISTERED R. FIXTURES LICENSED AS REQUIRED BY LOS AN ES OUNTY AN TE OF CALIFORNIA OR THAT I AM TH EGAL WNER OF E ABOVE POWER DESCRIBED RESIDER Y ,11 Tip PROPERT . ,(J UTILITY CO.NOTIFIED 4. SIGNATURE PERMTTEE / /� •`�"' FINAL I I ` WILLIAM J.FOX,COUNTY ENGINEER VALIDATION A. C.VEIT,CHIEF ELECT. INSPECTOR ..�Co 9 3 6 7` OCT 2 5 2 2.3 5 .In "A-52 54 .APPLICATION FOR ELECTRICPERMIT ODs66A IL1 DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING //y WM. J. FOX, COUNTY ENGINEER ADDRESS �C�/(�0 QGU/x/1v CASSATT D. GRIFFIN. SUVT of BUILDING LOCALITY FOR APPLICANT TO FILL IN PERMIT FEES DNaoss sr. �Z^/es NUMBER EACH FEE 1 LIGHT OUTLETS J OWNER 71: -- RECEPTACLES MAIL ADDRESS WALL SWITCHES TOTAL OUTLETS 5o S 119 CITY TEL. NO. ELEC. RANGES I 25 ELECTRICIAfJ / ✓O ELEC. HEATERS 25ADDRESSGNA/GUVG KW EA CITYi LOY/w TEL'�'hl"O` FIXTURES 5 � LICENSE NO. 1 NUMBER OF LIGHT CIRCUITS NUMBER OF RECEPTACLE CIRCUITS DISTRICT_t�IO. GROUP ZONE I READY FOR INSPECTO. 1` C^ MOTORS r.3 0 r /?%o NUMBER HORSEPOWER FEE INSPECTION ]RECORD NEW MVO. HP OVER INC. EACH 1�8 LESS $ .25�_ I/i 2 .50 5-10 _ 2 5 1.00 _ 5 15 1.50 IS 50 2.50 50 200 5.00 MISC. NO, SIGNS NO. TRANS. NO. SIGNS NO. LAMPS FOR EACH PERMIT: WIRING 61:00 �lti FIXTURES $1.00 / ®� SUPPLEMENTARY ,50 ( APPROVALS TOTAL FEE $ r� 6J DATE INSPECTORS SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 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. 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER F THE BOVE POWER DESCRIBED RESIDENTIAL PRQPENtTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE FINAL A 4 WILLIAM J. FOX, COUNTY ENGINEER ✓ VALIDATION g5 a �.'2 ccT 11 2 q 2_65 ID © :SCO rJ/ .WORKERS'COMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT I he,efiy affirm that I have a certificate of consent to self CE806G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copq thereof (Sec. 3800, 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 p '\ Certified copy is filed with the county building inspec- I & 2-Fomily, Sq. Ft, $ = $ LOCALITY 7r 0 CA y 2O d Zion department. Multi-family Sq. Ft. NEAREST ^/�NZ4 � �LO� CROSS ST. /l�cZ7 T Dole—Applicant Residential Swimming Pools OWNER OR PP FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec�ight Z Sw.� _ MAIL First 20 �J Shy _ �f-S �Q000- COMPENSATION INSURANCE 1 'ADDRESS (This section need not be completed if the work involved by Total No. Additional CITY Tel. No. the permit Is for one hundred dollars ($100)or less.) PIAN 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'Compensation Laws. Lighting Fixtures First 20ADDRESS > p Additional Total No. CITY T Dale Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If,' after *9okiQ this Certificate 1Wf APPLICANT 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 with comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. Hood — Fan _Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER Class. (commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. PROCESSE BY d and Professions Code,and m license is in full force and effect. `�f` Size 8 Type HP, KW, KVA, or KVAR' O License Number Lic. Class FINAL V .Up to 1 Incl. Over I to 10 Incl DATE 7('� VALID A+DN 0 Contractor Date Over 10 to 50 Incl. ' V ❑ FINA4. ` am exempt under Sec. Over 50 l0 100 Inc. FIBY d B.&P.C. for this reason Over 100 w Services, Swbd., MCC&Panelboords ► Y Dote: 0 - 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V OOver 1000 Amp. or Over 600 V ;E.7 5 b Exemption for Reg. Mainz. Elect. SINGLE FAMILY Temp. Power Pole &Appurtenances # 0 is 0 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit •I,e e 5 1 hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and e o o ,2 5 Prof sions Code): 1• as owner of the property, will do the work and the Misc. Conduits&Conductors 0 7,29—8 7 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)- 7044, Business and Professions Code), CONSTRUCTION LENDING AGENCY I hereby offirm'that there is a construction lending agency for 7 5 9,8 A the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). # 0 0 o e e 2 PLAN CHECKING FEE . Lender's Name I e - 1 7.25 PERMIT ISSUING FEE Lender's Address e e e 1 7•2 5 1 certify that I hove read this application and slate that the TOTAL FEE above information is correct. I agree to comply with oll County ordinances and Slate laws regulating Electrical wiring, and 0a04-87 hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE k,. '� 3- 1 Si nater of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0412160007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: -- - FEES PAID - BU LDI G ADDRESS: TR: 6755 LT: 30 9860 HOWLAND DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803232 ASS SSOR FORMATION NUMBER: NEAREST CROSS STREET: AGNES 8589-009-031 Al PERMIT ISSUANCE FEE _ 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C _ G1 OUTLETS-LGT SW,RECP 65.00 OUT 99.75 TEN G2 LIGHTING FIXTURES 27.00 LGT 48.45 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: HA FAU LESS 3HP 1.00 FAU 10.95 12/16/04 JK 06/14/05 H1 RES ELEC OVEN LT 3HP 1.00 OVE 10.95 OWNER: TEL. N0: H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 FINAL DATE FINAL BY: CODE: LY, KIRK (626) 712-4841- H3 RES DI SHWASHR LT 3HP 1.00 DIS 10.95 .1., 9860 HOWLAND DR H4 RES RANGE HDS LT 3HP 1.00 H00 10.95 TEMP 917803232 H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 D SCR TION OF WOR - - JB AC UNITS +3-10HP 1.00 AC 19.65 ELECTRICAL FOR ADDITION, REMODEL AND UPGRADE SERVICE TO 200 LB 200 AMP PANELS, MCC 1.00 PAN 38.85 AMPS APPLICANT: TEL. N .- TOTAL FEES 300.15 SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR NG R: TEL. N0: - UFER GROUND HA, LONG 1815 AZALEA LIC. NO: ROUGH CONDUIT - ALHAMBRA, CA 91801 NONE ROUG RING MAIN WA ER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508