HomeMy Public PortalAbout9933 HOWLAND DR_Electrical__ DBS SA11-46 - tt BUILDING
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DEPARTMENT,��prg®�1P_ ISD@ I LRYHL�QG AND wSH11C1CJ14 H - �[�}�'7�y�,
_ ECOUNA Il OF JOS ANGELES �d��������
{ WM. J. FOX CHIEF ENGINEER
Z I DISTRICT NO. GROUP ZONE PERMIT NO.
Q NAME �A ea�,� O" awl r?a� �j
ADDRESS _.s�f� `�¢ �d i.G?J a _:75J ��r �" y 38
RECEIVED BY READY FOR DATE ISSUED
Uu CITY /rte` TEL.NO 77� � // FIRST INSPECTION ,p7
WCOUNTY
CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION (OF WORK _ODRESS
NUMMER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS ISW. PLUGS FuiT CROSS ST.
CIRCUIT A B C D E F G JH a NAME
a Z ADDRESS
CITY TEL.NO.
AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGF�LE$ COUNTY CERTlFICAT OF F QUA�L�IfFICATlOj+7..
�J yELECTRICIAN. �
v I Q AN THE LEGAL OWNER OF THE PROPERTY DESCRIBED
,. ABOVE '
�+ OWNER.
�rueo� . .11 11 i"
l i
/ � J
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L7
D
TOTAL L O®
NO. OF OUTLETS $ 7170 APPROVALS
NO. OF FIXTURES S $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING - v GL
NO. OF RANGES OR HEAERS $ FIXTURES
MISCELLANEOUS $ -POWER
PERMIT FEE UTILITY CO.NOTIFIED
TOTAL FEE FINAL
WORKER'S COMPENSATION DECLARATION 20-0019DPW(12-91)
76A663 APPL�ICATQ®IIV' FOR EL ECTMCAL� PERNT
- u
I hereby;affirm that'i''have a certificate cif consent to self insure,
or a ce,,4ficate of'Wiirker's Compensation Insurance, ora certified COUNTY*OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy thereof(Sec. 38000LLab.�.C.):
Policy NO7 ' 11Company 1 6✓r � E. -�UrIJ 0 FOR APPLICANTTO FILL IN• -
JOB o VlPADDRESS
Certified copy is hereby furnished'. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY
1&2-.Family,Sq.Ft. — $ $
Certified copy,is filed with the county building-inspection — NEAREST
t departmennt/t..' i Multi-family Sq.Ft. CROSS Sr. A�(� Avi:,
Date �O(':lY,1 Applicant- Residential Swimming Pools MAP BOOK
_ 'PAGE p'v PARCEL D�
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec.A Light 2- SW. /� FFIIRM NAME
COMPENSATION INSURANCE
. L L
First 20 MAIL
(This section need.not be completed`if the work involved by the �/ r (, ADDRESS t' A i
permit is for one hundred dollars($100)or less:)` Total No. ss Additional
I 'certify that in the'perfoimance of the work for which this permit CITY G Tei.No.
a w
is issued, I shall not employ any'pers&h in'any manner so as-to PLAN CHECK
become subject to,the Workersn
'Compensation Laws. Lighting Fixtures First 20 APPLICANT
Total No.. b7— Additional
ADDRESS
Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP.
NOTICE TO APPLICANT:If, after making this 'Certificate of CITY- - Tel.No.
Exemptlon,.you should become subject to the'Workers'Compensation, OTHER APPLIANCES NOT OVER 3`HP.
rovision; of'the Labor Code; you must..fbrthwitfi complywith Such PERMIT
p Power'Apparatus&Large Appliances APPLICANT
provisions or this permit shall be deemed revoked'" "
LICENSED CONTRACTORS DECLARATION" Size&Type HP,KW,kVA,or KVAR ADDRESS
I hereby affirm'that�l am'Iicensed'under provisions of Chapter 9 Over3to'10Inc.L p ,�
(commencing with Section 7000) of Divisioo.3 of-the Business and CITY T r ' Tel.- o. V/�7
Professions Code, and,my license is in full force and effect. Over 10 to 50 Incl.
Over 50 to 100 IDCI. RIEG NNUM ERSE OR Class. - a
Over 100 DISTRICT NO. R -ESSED BY O
License Number Lic.Class — Q V
Services, �w.b�d�.,MCC&Panelboards
_1 �T4 .I Services,
Under 600 V
Contractor �/ / Date DATE O
❑ 400-1000 Amp.Under 600 V 22 VALIDATION U
I am exempt under Sec. LL!
Over 1000 Amp.or Over 600 V FINAL
B.&P,C.for-this reason BRANCH CIRCUIT FEES BY
Date: 15A,or 20A,120V,Lighting or Recept. Z
- 1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits'
EJ Exemption
Or More Branch Circuits
Exemption for'Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Be.Circuits i
SINGLE FAMILY Temp. Power Pole&Appurtenancesj�E $ °9�
HOME OWNER-BUILDER DECLARATION ( .
'I hereby affirm that) am exempt from the Contractor's License Law
Sign with One Branch Circuit TOTAL x.54�9--
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits
Code):
CHECK _ 154.95
❑ I, as owner of the property,will do the work and the structure Misc.Conduits&Conductors i� t 1!'
is not intended or offered for sale (Section 7044, Business 'Other(See Complete Fee Schedule) CHANGE °00
and Professions Code).
CONSTRUCTION LENDING AGENCY ttn !q
I hereby affirm that there is a construction lending agency for the y UU �� 1 wFl
j t
performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Q 1633 1 ACI1 "0
Civ. C.)
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE a�
Lender's Address
I certify that I have read this application and under penalty of purjury state TOTAL FEE
that the 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-mentioned property
for Insp purpo SEE REVERSE FOR EXPLANATORY LANGUAGE
SI U E OF PE E �— DATE -
VJ09K�qR'SCOMPENSATION DECLARATION 20-0019 DPW(12-91) AI�L���./A��®IIV' FOR EL�L51So�•U1 ICAPERM T
�J
I hereby affirm that I I+avela'cer`tificate li°
•� '� 76A663 �I IL-� u�u of consent to self insure,
or a certificate of Worker's Compensation Insurance. or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy therebf(Seecc.33800� � �3 ELab. C.) p, .
P❑olPolicy*NO7734 'L-/�/ COmpany _ TW20_ FOR APPLICANT TO FILL IN JOB
ADDRESS
Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE
$ $ LOCALITY
trL��q 1 &2-Family,Sq.Ft. '
T Certified copy is filed with the county building inspection _ NEAREST
,department.
]] Multi-family Sq.Ft. CROSS ST. ayt�.) A vi
Date(p /Y Applicant L(���% Residential Swimming Pools ASSESSOR
MAP BOOK =&rlf! PAGE PARCEL I
CERTIFICATE OF EXEMPTION FROM WORKERS' OFO
Outlets:Rec._Light Sw. IRM NAME n n
ER
COMPENSATION INSURANCE a; 6d wcL-_
First 20 MAIL r
(This section need not be completed if the work involved by the ADDRESS
permit is for one hundred dollars($100)or less.) Total No. Additional l.3
I certify that in the performance of the work for which this permit CITY �� TeI.No.k
c
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 APPLIICANTK
Total No. Additional
ADDRESS
Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP.
NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No.
Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP.
provisions of the Labor Code, you must forthwith comply with such PERMIT
provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT
22 k4
LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESSe'
I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl.
(commencing with Section 7000) of Division 3 of the Business and CITY .T� Tel.Noze Z7
REG.NUMBER Professions Code,and my license is in full force and effect. Over 10 to 50 Incl.
Over 50 to 100 Incl. LICENSE I/j •�.� Class.
� a
License Number ' Lic.Class Over 100 DISTRICT NO. ` P O SSED BY O
Services,Swbd.,MCC&Panelboards f O =� �/ U
cr
Contractor Date 0-399 Amp.Under 600 V on7=
'� [ — 2 /
❑ I am exempt under Sec. 400-1000 Amp.Under 600 V `1/ ~
VALIDATION U
Over 1000 Amp.or-Over 600 V FINAL W
B.&P.C.for this reasonBRANCH CIRCUIT FEES BY CD
Date: 15A,or 20A 120V,Lig e z
Signature it/V 1 r� Cir ui /'�� / ry
( Circuits !rT a
❑ 41 Or More Branch Circuits ACCLT
i�T
Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits 3303 152.80
SINGLE FAMILY Temp.Power Pole&Appurtenances ITEMS rt t�+
HOME OWNER-BUILDER DECLARATION 1 ITL`to
I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits TOTAL :1522 191 830
Code): CHECK 152.90
❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors Ht�1�11E ar11t
00
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) CHANGE D
and Professions Code). f�+t
CONSTRUCTION LENDING AGENCY 0000-0001 1/171 7Ct
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) 4292 1 AM 9:48
Civ. C.)
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE
Lender's Address p(,
I certify that I have read this application and under penalty of purjury state TOTAL FEE �, 8
that the 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-mentioned property
for ins ef urpos SEE REVERSE FOR EXPLANATORY LANGUAGE
S4NAMRE OF PE E DATE
�) COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0811130001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
.PHONE: (626) 285-0488 EXT:
(LEGAL ID: i FEES PAID 1 BUILDING ADDRESS: 1
ITR: 6755 LT: 18 9933 HOWLAND DR
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803235 I
(ASSESSOR INFORMATION NUMBER: I - I NEAREST CROSS STREET: 1
18589-005-014 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 25.00 OUT 45.75
(TENANT: IG2 LIGHTING FIXTURES 11.00 LGT 21.45 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
1 IH5 RES WASH MACH LT 3HP 1.00 WAS 10.95 111/13/08 SR 05/12/09 1
1 1 TOTAL FEES 105.90 1
1OWNER: TEL. NO: I IFINAL DATE FIN L Y: CODE: 1
IMARKIS, TED/MARIA
19933 HOWLAND DR
(TEMP 917803235 1 (DESCRIPTION F WORK 1
1 1ELECTRICAL FOR ADDITION 1
1APPLICANT: TEL. NO: 1 1 I
ILUIZ R. NUNEZ ASSOC. (626) 284-0055- 1 1 I
1324 LOS HIGOS ST. 1 (SPECIAL CONDITIONS: 1
1ALHAMBRA, CA 91801 1
ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
IRON OWENS (626) 285-7725- 1 1
15924 N. RENO AVENUE LIC. NO 1 (TEMPORARY POWER POLE I I I
(TEMPLE CITY, CA 91780 276346 1 1 1 1 I
I i 1UNDERGROUND CONDUIT I 1 I
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1ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I I I
I LIC. NO: 1 (ROUGH CONDUIT 1 1 I
IROUGH WIRING
IMAIN WATER LINE I I
IPLASTIC Y/N METAL Y/N I
I 1UTILITY COMPANY NOTIFIEDI I I
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I (REPORT ID: DPR265 ROUTE TO: BS0508 1 1 1 1
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