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Home My Public Portal About9908-10 HOWLAND DR_Electrical__ >sgsa:+ CEaV69I2,>! APPLICATION FOR ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN JOB New Residential Bldgs. &Pools EACH NO. FEE ADDRESS 1 &2 Finaily Sq. Ft. $ — $ LOCALITY �� C Multifamily Sq. Ft. — NEAREST l �S Residential Swimming Pools CROSS ST. C.D OWNER M FIRM OR E Outlets: Light, Switch &Receptacle MAIL First 20 ADDRESS �r Additibnal CITY / Tel. No. — C/ PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel, No. PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range_ Heater_ D.W. ADDRESS �/ 6 Oven _ Dryer _ W.M. Top FAU W.H. CITY 77(2- Tel. No. 12 6(��//11^ 0 Hood Fan LICENSE OR DIaP. A.C. 0 REG. NUMBER Class. c� I HERESY ACKNDWLEDQE THAT I HAVE READ THIS CATION AND STATE THAI INS A-1 IS c.RN��l AN. ASPIC E TO ORDINANCES AND STATE LAWS REGULATING Power Apparatus& Large Appliances WITH ALL COUNTY Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. w Up to 1 Incl. IKEREBY CERTIPY THAT AM RDiDR y Over 1 to 10 Incl. _b NTY A z _ALRE//YHR i o c R OF THE ADov Dver 10 to 50 Incl IF C.RA .E L rRoPC Over 50 to 100 Ind. PER MITEE Over 100 SIGN qTU RE DISTRICT N RO ESSED BY Services 0-200 Amp. Under 600 V /L.SD ( 08 201 1000 Amp. Under 600 V APPROVALS ATE INSPECTOR'S Over 1000 Amp.or Over 600 V SIGNATURE TEMP.POWER POLE Temp. Power Pole& Appurtenances _ UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE L' —NOTES TOTAL FEE / s0 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. CASH 1 0 2 n{iiik 1 6 2 D 1 9,5 0 &-3 DS APPLICATION FOR PERM OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC 1 WM. J. FOX CHIEF ENGINEER z DISTRICT NO. GRO P ZONE PERMIT NO. NAME l{([i(/ . 1C ADDRES I I D o2 IA SkArn,.L� / W CITY TEL.NO.y'KJ S REC�EI,VEDATE ISSUED A'D BY FIRST INSPECTION JCOUNTY n n' Y6LSg3 f yz`7�"r W CERT.NO. 3 EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIP'T'ION OF WORK FADZ SD /� NUMBER OF OUTLETS ON CIRCUITS LOCATION BY ROOMS LIGHT OUTLETS SW. PLUGS FIIi IAM-4/Ci CIRCUIT A B C D E F G H a nn Z. SS oG J Q CITY 9'P/ TEL.NO. _ 1 AM THE LEGAL PCIS R Fj AB 8 ANGELES COUNTY CER.0 F IC ELECTRICIAN 1 AM THE LEGAL OWNER OF THE PROPERTY ABOVE OWNER. CORRECTIONS J Q Z 17 E D TOTAL /oil NO. OF OUTLETS $ 1 APPROVALS NO. OF FIXTURES z:, $ S G DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER i PERMIT FEE Q $ D UTILITY CO.NOTIFIED TOTAL FEE S 1 -501 FINAL )' WORKER'S COMPENSATION DECLARATION 200019 DPW 9/89 I hcraby `firm that I have a certificate of consent to self insure, 76A663 APPLICATION FOR ELECTRICAL PERMIT oto 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 JAOB P5 Certified copy is hereby furnished. New Residential Bltlgs.&Pools EACH NO. FEE ❑ $ _ $ LOCALITY, Certified copy is filed with the county building inspection 1&2-Family,Sq.Ft. NEAR department. Multi-family Sq.Ft. CROSS ST. Date Applicant - Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Res._Light_Sw. OwnNn NAME COMPENSATION INSURANCE �� (This section need not be completed First 20 MAIL the work involved by the Total No. Additional ADDRESS 0 permit Is for one hundred dollars(5700)or less.) I certify that in the performance of the work for which this permit CITY HejTal.No. 30 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 Data Applicant 15 OR 20A,120V BRANCH CIRCUITS NOTICE ,y APPLICANT: a after making this ' Compensation of CITU rel.No. Exemption,you should become subject to the Workers' Compensation 1 TO 10 INCLUSIVE EACH provisions of the Labor Code, you must forthwith comply with such 11 T040 INCLUSIVE EACH PERMIT APPLICANT provisions or this permit shall be revoked. 41 OR MORE BRANCH CIRCUITS EACH } LICENSED CONTRACTORS DECLARATION ADDRESS d I hereby affirm that I am licensed under provisions of Chapter 9 150R 20A,208V TO 277V LIGHTING EACH (commencing with Section 7000)of Division 3 of the Business and CITY - Tel.No. o O Professions Code,and my license is in full force and effect. RESIDENTIAL APPLIANCES UP T03HP LICENSE OR IL Power Apparatus&Large Appliances REG.NUMBER Claes O License Number Lic.Class Size 8 Type HP,KW,KVA,or KVAR DISTRICT NO. PRpeat 0 ED'BY' F Up to 3 Incl. �'o(� �C•L.c-rR-c-w-- a Contractor Date Over 3 to 10 Incl, FI E Over 10 to 50 Ind. // QZ ❑ 1 am exempt under Sec. Over 50 to 100 Ind. l 0 / Z VALIDATION B.&P.C.for this reason Over 100 / FINAL �� Services,SwO �MCC?8a`rl�lboards / Data: 0-2 mp.lIM1'er 60+0 V � Signature 201 -1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maim.Elect. SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Temp.Power Pole 8 Appurtenances ' I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit �.�'•r• z for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits nvt'iF.a i d &C i d Conuts Conductors 'T', 1' I,as owner of the property,will do the work and the structure Misc. t �D is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)_ n �� and Professions Code). , T i T AL _e+ _ _e_1 .rr CONSTRUCTION LENDING AGENCY _,HOI"V _n I hereby affirm that there is a construction lending agency for the CHANG (I I performance of the work for which this permit is issued (Sec. 3097. PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE Lender's Name tae //]] tt''��I•/�J PERMIT ISSUING FEEN,; Lender's Address LSC- rl!1_I=�i= I certify that I have read this application and state that the above TOTAL FEE A /3 information is correct. I agree to comply with ail County ordinances and Stale laws regu ng Electrical wiring, and hereby authorize re a entad of County 10 anter upon the above-mentioned pp ty f i spa purposes. 1/^ SEE REVERSE FOR EXPLANATORY LANGUAGE 5 A q F-IL-4 AGENT DAT �' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0306060023 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES A L ✓`7o '.Q4jA H TR: 6755 LT: 32 HOW LAND DR FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: TEMP CA 917803234 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN 8589-006-002 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY B2 1 OR 2 FAMILY DWELL 3443.00 SO 361.52 TENANT: TOTAL FEES 389.27 issuEo ON: PROCESSED-97-7-PIAN S . 06/06/03 JK 12/03/03 OWNER: TEL. NO: FINy. DATE FINAL BY: CODE: SAYPHRARAJ;MAY LLKING (626) 279-9135- 3 c _ 9910 HOWLAND DR TEMP 917803234 SCR ELECTRICAL FOR SFR REMODEL/ADDITION APPLICANT: 0: GIA BINH IRAN (626) 282-0560- 912 N STONEMAN AVE SPECIAL CONDITIONS: ALHAMBRA 91801 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE BINH GIA TRAN (626) 282-0560- 912 N STONEMAN AVE. LIC. NO TEMPORARY POWER POLE ALHAMBRA, CA 91801 751686 B UNDERGROUND CONDUIT ARCHITECT R L. NO: UFER GROUND � y LIC. NO: ROUGH CONDUIT ROUGHR b c3 `moi MAIN WATER LINE PLASTIC Y/N METAL Y/N UTrL-rTY-COMPANY NOTIFIED, REPORT ID: DPR265 ROUTE TO: BS0508