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Home My Public Portal About9103 LAS TUNAS DR_Electrical__ DBS 5A 25M BETS 7-47 IDEPARTMENI° ®F I;UII.DII�tG AND SAFET9t H.It:ATd®1� 4�R I'�R19 ' COUNTY OF LOS ANGELES ELECTRIC 'r W FOX CHIEF ENGINEER a NAME j DISTRICT NO. G�{gRy--OUP ZONE PERMIT NO. U ADDRESS I" �� RECEIVED BY READY FOR DATE ISSUED CITY TEL.NO. ^� FIRST INSPECTION sfi� J COUNTY N CERT.NO. XP Q EIRES c/ APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB (DESCRIPTION OF WORK ADDRESS i NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS ca NEAREST LIGHT OUTLETS lsw. PLUGS I FI?T C Ss ST. t CIRCUIT A B C I D I E F G H 1 m NAME Zr MAIL 3 ADDRESS 2— 3o ! CITY TEL.No. 1 AM THE LEGAL POffSEf R OF THE ABOVE .LOS >v ANGELES COUNTY CERTtgf*f, Ff,, �LIFICATION.. ELECTRICIAN. I AM THE LXGAL OWNER OF THE PROPFJM DESCRIBED ABOVE OWNER. f CORMCTIONS J Q _Z t7 d' D TOTAL NO. OF OUTLETS I c $ /�0 APPROVALS NO. OF FIXTURES $ 'T DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRINGf Z 3 flf4wf � r NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ ,9 POWER 0 G jl PERMIT FEE $ ! � UTILITY CO.NOTIFIED TOTAL FE .FINAL • WORKER;S COMPENSATION DECLARATION 20-0019 DPW(12-91) CATI®N FOR ELECTRICAL PERMIT • 76A663 .�. .Ikereby-affirm t�*I,have a certificate 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. copythrreof(Sec,�3800 Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB X❑ ADDRESS Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE ❑ _ $ $ LOCALITY l/ Certified copy is tiled with the county building inspection 1 &2-Family,Sq.Ft. NEAREST department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASS gSOR PAG ARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Li ht Sw. OWNER OR " COMPENSATION INSURANCE g FIRM NAME First (This section need.not be completed if the work involved by the Total No. Additional ADDRESS ADDRESS permit is for one hundred dollars )o ess.) I certify that in the performance of the work for which this permit CITY Tel.N _,.J/ay is issued, I shall not employ a y person in ny manner so as to PLAN CHECK become.subject to the Workers'Compensation Laves. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS /Date Applicant R I L IA ES NO R 3 HP. NOTICE O PPLICANT: If, after mak' is Certificate of CITY Tel.No. Exemption, you should become subject to t Workers'Compensation T CES NOT ER 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 LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS Nile- 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 �,i� Tel. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. OR Over 50 t0 100 Incl. "RIEG.NUMBER Class. /O a Y— Over 100 DISTRICT NO. P O SSED BY o License Number �/ (� Lia Class CV Services,Swbd.,MCC&Panelboards �,�J e IY FINAL Contractor J— Date 6 v 0-399 Amp.Under 600 V DATE ❑ 400-1000 Amp.Under 600 V• I am exempt under Sec. / VALIDATION LU Over 1000 Amp.or Over 600 V FINAL d 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 ❑ 41 Or More Branch Circuits Exemption for Reg.r Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits 2 SINGLE FAMILY Temp.Power Pole&Appurtenancesfir s HOME OWNER-BUILDER DECLARATION A�•C .Ir I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit 111.20 i i for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits '3111 03 .20 Code): 1 ITEMS ❑ I, as owner of the property,will do the work and the structure Misc.Conduits&Conductors TOTAL 11 � m °20 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) 1. _ and Professions Code). , CHECK 111.20 CONSTRUCTION LENDING AGENCY CHANGE on 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) O Civ.C.) PLAN CHECKING FEE 0000-0001 5/ 6/96 Lender's Name O 6245 1 PM 5:27 PERMIT ISSUING FEE Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE , t that the ab m rmation is correct. I agree to comply with all County ordinanc and St a laws regulating Electrical wiring,and hereby authorize represe tatives his Gaounty to enter upon the above-mentioned property for insp ction p es. 6 SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF P �11 EE DATE 9t I � WORKER'S COMPENSATION DECLARATION 20.0019 DPW(12-9t) I hereby affirm that I have a certificate of consent to self insure, 76A663 APPLICATION FOR ELECTRICAL PERMIT or a 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 JOB O� ADDRESS Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY _ F-1 $ $ Certified copy is filed with the county building inspection 1&2-Family,Sq.Ft. NEAREST department. Multi-family Sq.Ft. — CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR PA PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. OWNER OR COMPENSATION INSURANCE FIRM NAME (This section need not be completed It the work Involved by the First 20 MAILTotal No. Additional ADDRESS permit Is for one hundred dollars($100)or less.) certify that in the performance of the work for which this permit CITY r:. ! T.I.No. is issued, 1 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 rr Total No. Additional ADDRESS I Date , J `' Applicant NOTICE TO APPLICANT: If, after making this Certificate of RESIDENTIAL APPLIANCES NOTA VER 3 HP. CITY 7e1.No. f 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 PERMITPower Apparatus&Large Appliances APPLICANT provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I b I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. T.I.No.i4, it ?, (commencing with Section 7000) of Division 3 of the Business and CITY d Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICESE OR O Over 50 to 100 Incl. REGNNUM ER '< Class. V Over 100 DISTRICT NO. PROCESSED BY LLI License Number Lic.Class J Services,Swbd.,MCC&Panelboards LL 0-399 Amp.Under 600 V FINAL Contractor ; Date !� C f DATE ❑ 400-1000 Amp.Under 600 V Q I am exempt under Sec. VALIDATION d Over 1000 Amp.or Over 600 V FINAL 8.&P.C.for this reasonBRANCH CIRCUIT FEES By d Date: 15A,or 20A, 120V,Lighting or Recept. 2 1 To 10 Branch Circuits LV Signature 11 To 40 Branch Circuits ~ F] 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances r HOME OWNER-BUILDER DECLARATIONi= 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 iJk! Code): I I 1T ❑ 1,as owner of the property,will do the work and the structure Misc.Conduits&Conductors # is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) , ♦ and Professions Code). r1� 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(Sec. 3097, PERMIT FEE (Sub-Total) t Civ.C.) [ S/ r- P. Lender's Name �� PLAN CHECKING FEE ry� A PERMIT ISSUING FEE 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 inspection e purpo s. �. � SEE REVERSE FOR EXPLANATORY LANGUAGE i SIGNATURE OF PERMITTEE DATE WORKERS'COMPENSATION DECLARATION 76A663 CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or. a ce ti c t er of(Sec. 3800,Lab.C.) l9 Ins. CO. FOR APPLICANT'TO FILL IN JOB Policy No. Company ADDRESS 9103 Las Tunas O @ WestNew Residential Bldgs.&Pools EACH NO. FEE Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. — NEAREST Certified copy is filed with the county building inspection CROSS ST Hart ® department. Residential Swimming Pools OWNER OR 1{-6-81 Edwards Electric FIRM NAME Date Applicant Outlets: Rec.—Light Sw. MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No. COMPENSATION INSURANCE } PLAN CHECK d APPLICANT Q (This section need not be completed if the work involved Lighting Fixtures First 20 V by the permit is for one hundred dollars ($100) or less.) ADDRESS � Total.No. Q I certify that in the performance of the work for which,this Fixed Appliances Not Over 1 HP CITY Tel No. permit is issued, I shall not employ any person in any manner PERMIT so as to become subject to the Workers' Compensation Laws. Range_Heater_D.W. APPLICANT LU W CL Oven _ Dryer_W.M._ ADDRESS 2535 S. 3rd Ave. FAU _W.H.. Date Applicant Top Hood — Fan _OtherCITY Arcadia Tel No' 447-5096 — NOTICE TO APPLICANT: If, after making'this Certificate of Disp. _ Room Air Cond.-- LICENSE OR C-10 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 NP. PROCESSED BY with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or KVAR deemed revoked. Up to 1 Incl Over 1 to 10 Incl. FINALDATE LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. F/'11g VALIDATION , I hereby affirm that 1 am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 BY ness and Professions.Code, and my license is-in full force and effect. Services License Number 257191 Lic.Class C-10 0-200 Amp. Under 600 V Edwards Electgi c July 1992 201-1000 amp. under soo v Contractor' a e Over 1,000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): Misc.Conduits&Conductors ;2474,5A ❑ I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— structure is not intended or offered for sale (Section # o o o o•o 2 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY o 00'0 0 0 .o I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) 4 4-8 issued (Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE 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 State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the,above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 4-6-81 Signature of Permittee Date { r WORKERS'COMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT CE-806G I liere�i� affirm that I have a certificate of consent to self '(insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES._ BUILDING AND SAFETY 'or a certified copy thereof (Sec. 3800, Lab. C.)C_ P�t Poly_ icy No. �_CompaS�iA ny .�1� _ FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS 8, �- ,s a 1 & 2-Family, S Ft. $ — $ LOCALITY 7c,r i`L C 1 11- Certified copy is filed with the county building in spec- Y. q tion department. Multi-family Sq. Ft. NEAREST CROSS ST. (+�O Residential Swimming Pools A/ y, T Date �_ �� Applicant A•1J-C' -S• E:At OWNER OR y ' FIRM NAME A P -J,A M 1 C,G 1. CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL COMPENSATION INSURANCE Outlets: Rec Light Sw. ADDRESS 9/cb3 L A As T, s section neenot be completed if the work involved b First 20 (Thitid p Y Total No. Additional CITY--C_w Z.q,� Q!r i Tel. No. �•�Py the permit is for one hundred dollars ($100)or less.) I certifythat in the performance of the work for which this PLAN CHECK P 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 20 ADDRESS Total No. Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT A i3. C• S G C �' 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* c, 4S- �� Ca p with comply with such provisions or this permit shall be Top FAU —W.H. — deemed revoked. CITY Hood _ Fan _ Other_ )3A,f 4 1.j;.m 40AJt, Tel. No.!6c (-,ELI,,) LICENSED CONTRACTORS DECLARATION o LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER 35-5s SS- Class.C_it3 (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCE D Y and Professions Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances 0S _ Size &Type HP, KW, KVA, or KVAR' L O License Number 3's grS' F Lic. Class �` �`� Up to 1 Incl. FINAL - V Over 1 to 10 Incl. DATE �� Contractor A•G•c• S•61.7 Co Date ' � C� VALI ATION ❑ Over 10 to 50 Incl. FINA b I am exempt under Sec. Over 50 to 100 Inc. BY B.&P.C. for this reason Over 100 N Services, Swbd., MCC& Ponelboards Date: 0 -200 Amp. Under 600 V 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 DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits 6 30.7 p Law for the following reason (Section 7031.5, Business and Professions Code): # o o o o o 2 ❑ 1, as owner of the property, will do the work and the Misc. Conduits &Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ ► I •° o 2 5 5 0 7044, Business and Professions Code). 0 0 0 2 5 5CONSTRUCTION LENDING AGENCY 0 61 I hereby affirm that there is a construction lending agency for o 1, 08-87 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (See. 3097,_Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE [to 5Z Lender's Address I certify that I have read this application and state that the TOTAL FEE 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 ithLbove-mentionedd property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 9-7 Signature of Permittee Date WORKERS' COMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm tha?l have a certificate of consent to self insure, CE-806G ora certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy therel(Sec.3800,Lab.C.) Policy No. Company�� FOR APPLICANT TO FILL IN JOB ADDRESS Certified copy is hereby furnished. New Residential Bldgs.& Pools EACH NO. FEE /Certified copy is filed with t co my building inspection 1 & 2-Family,Sq.Ft. I $ _ $ LOCALITY' department. Multi-family Sq.Ft NEAREST. "s CROSSST. ' f( Date Applican Residential Swimming Pools 'OWNER OR /1 -• FIRM NAME ' CERTIFICATE'OF EXEMPTION .OM WORKERS'.• Outlets:Rec—r Light. Sw.� MAIL COMPENSATION INSURANCE ADDRESS This section need not be completed if.the work involved b the First 20 ( Y CITY Tel.No. permit is for one hundred dollars ($100):or less.) Total No. +. t Additional . PLAN CHECK I certify,that'in the performance of the work.for which this permit APPLICANT 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: ADDRESS Additional Total No. CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT .- NOTICE TO APPLICANT: If, after making •this Certificate of APPLICANT ' d '� Exemption,you should become subject to:the Workers'Compensation Range_ Heater_, D.W. provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M. ADDRESS �b S E x1A -v4% provisions or this permit shall be deemed revoked. Top FAU _ W.H. CITY l �1 Tel.No e )—}a C� LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ I hereby affirm that F am licensed under. provisions of Chapter 9 LICENSE OR Disp. — Room'Air'Cond. -� REG.NUMBER . Classy- (commencing with Section 7000)of Division'3 of the Business and Professions Code,and my license is in full force and effect. Power•Apparatus& Large Appliances DISTRICT NO. PR ED BY f I C 10 Size&Type HP,KW;KVA,orKVAR � p License Number �l Cf Lic.Class Up to 1 Inc,. FINAL Over.11 to 10,lncl. DATE VALIDATION O �7� � L >9J Contractor ate Over 10 to 50 Incl. FINAL U ❑ I am exempt under Sec. Over 50 to 100 Inc. BY LL BAP.C. for this reason Over 100 to Services,Swbd.,MCC&Panelboards Z Date: LL 0- 200 Amp.Under 600 V 011. Signature 201 - 1000 Amp.Under'600'V _ F-1 ' Over..1000 Amp.or Over 600 V Exemption for Reg Maint.Elect.' SINGLE FAMILY .Temp.Power Pole& Appurtenances qq� ��p HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ACCT.0 I hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5,Business and Professions'•" Additional Sign-Branch Circuits � 41.30 .7.9 Code): . . 1ITEf�S ❑ Misc.Conduits & Conductors R t� I,as owner of the property,will do the work and the.structure Other(See Complete Fee Schedule) TCITRL � is not intended or offered for sale (Section 7044, Business a and Professions Code). CHECK ' 41.30 CONSTRUCTION LENDING AGENCY r�' I hereby'affirm that there is a construction lending agency for the MISE ISE oQ performance of the work for which this.permit is issued(Sec.3097, PERMIT FEE'=: "(Sub-Total) Civ. C.). PLAN CHECKING FEE 0000-0001 11/ 2/95 Lender's Name 73114 1 - AH10b 14 PERMIT ISSUING-FEE � • Lender's Address I certify that I.have,read this application and state that the above TOTAL FEE � Zl information is correct. I agree to comply with all County ordinances and Stat laws regulating Electrical wiring, and hereby authorize represent ivea-of this County to enter upon.the above-mentioned property f r inspection purposes. ✓ SEE REVERSE FOR EXPLANATORY LANGUAGE Signat f e Date WORKERS' COMPENSATION DECLARATION 6 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I hoCE-80 hove o certificate of consent to self CE-806G -insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Policy No." Company FOR APPLICANT TO FILL IN JOB -y►� Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS Q L f9 1 u K3 s I & 2-Family, S Ft. $ — $ LOCALITY F-1 Certified copy is filed with the county building inspec- Y. q NEAREST tion department. Multi-family Sq. Ft CROSS ST. 2--r Residential Swimming Pools OWNER OR Date Applicant f`v c L i FIRM NAME CERTIFICATE OF EXEMPTION.FROM WORKERS' L MAIL Outlets: Rec Light Sw. � COMPENSATION INSURANCE �� ADDRESS gIoq (0t4 AGS •�e This section need not be completed if the work involved b Aidi20 t`� ( p y Total No. Additional CITY � V L � `T Tel. No. t, 8Y the permit is for one hundred dollars ($100)or less.) 1 certifythat in the performance of the work for which this PLAN CHECK P permit is issued, I shall not employ any person in any manner APPLICANT so as to become subject to the Workers'CjtVompensation Laws. Lighting Fixtures First 20 ADDRESS Additional A Total No. CITY o. Date to �; pplicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLI ANT: If, after making this Certific44 of t APPLICANT Exemption, you should become subject to the W ers' Range_ Heater_D.W. Compensation provisions of the Labor Code, you musorth- 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. CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. -1-- 1 REG. NUMBER Class. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCESSED and Professions Code, and my license is in full force and effect. Power Apparatus& Large Appliances v Size &Type HP, KW, KVA, or KVAR' +\J U/V1 License Number Lic. Class Up to 1 Incl. FINAL 0' Over 1 to 10 Incl. DATE ;�� _ 00 Contractor Date VALIDATI N W ❑ Over 10 to 50 Incl. FINA I am exempt under Sec. Over 50 to 100 Inc. BY Q- B.&P.C. for this reason Over 100 1 Date: Services, Swbd., MCC & Panelboards 0 -200 Amp. Under 600 V 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 DECLARATION J 2 5'6 A Sign with One Branch Circuit .oto'o'o I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits #'o 2 Law for the following reason (Section 7031.5, Business and Professions Code): o a' 1, as owner of the property, will do the work and the OthMisc. Conduits&Conductors er See.Com lete Fee Schedule 1 structure is not intended or offered for sale (Section ( P, )— 2 3 8 5� a 7044, 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 Q Lender's Address I certify that I have read this application and state that the TOTAL FEE A6 12 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 bo ee�ed property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ,ignature of Permittee D to COUNTY OF LOS ANGELES TEMPLE CITY #0508 ELECTRICAL PERMIT - DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0507290033 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 5905 LT: 28 9103 LAS TUNAS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801904 ASSESSOR INFORMATION NUMBER: - NEAREST CROSS STREET: 5387-016-024 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 20.00 OUT 39.00 TENANT: G2 LIGHTING FIXTURES 14.00 LGT 27.30 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: SYMPHONY BAKERY, INC. LB 200 AMP PANELS, MCC 1.00 PAN 38.85 07/29/05 JK 01/25/06 TOTAL FEES 132.90 OWNER: TEL. NO: FINAL DAVE FINAL BY: CODE: KUO, MELODY (626) 353-0715- !/ 9103 LAS TUNAS DR TEMP 917801904 DESCRIPT ON F WORK ELECTRICAL OR TENANT IMPROVEMENT & UPGRADE SERVICE TO 200 AMP APPLICANT: TEL. NO: KUO _ (626) 353-0715- 9103 LAS TUNAS DR SPECIAL CONDITIONS: TEMPLE CITY CA 91780 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ALEX TAO AND ASSOCIATES, INC. (626) 458-8302- 317 W. LAS TUNAS DR., #208 LIC. NO TEMPORARY POWER POLE SAN GABRIEL, CA 91776 744151B UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND - LIC. NO: ROUGH CONDUIT ROUGH WIRING � MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0912070022 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID I BUILDING ADDRESS: ITR: 5905 LT: 28 1 1 9103 LAS TUNAS DR I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917801904 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 15387-016-024 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 45.00 OUT - 72.75 1 (TENANT: JG2 LIGHTING FIXTURES 44.00 LGT 71.40 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 I JHA FAU LESS 3HP 1.00 FAU 10.95 112/07/09 SR 12/07/10 1 J`B AC UNITS +3-10HP 1.00 AC 19.65 1 ILEE, TEL. N0: I TOTAL FEES 202.50 1FINL� FI Y: CODE: 1 1LEE, MICHAEL (626) 202-7249- J 1 l T 1 1375 POCO WAY I I E) 1 IMONTEREY PARK 91754 1 I SCRIPTION OF WORK J I I ITENANT IMPROVEMENT - ELECTRICAL I I I I JAPPLICANT: TEL. NO: I I IMARIA ARIAS (626) 442-4637- J I I 111818 RIO HONDHO PWY I ISPECIAL CONDITIONS: I JEL MONTE CA 91732 I I I I I I I I I I I (CONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE I ID C GENERAL CONTRACTOR (562) 693-1324- 1 - 1 I 18662 OCEAN VIEW LIC. NO (TEMPORARY POWER POLE I I I 1WHITTIER, CA 90605 570165 C33 *I I I I I JUNDERGROUND CONDUIT I I I I I I I JARCHITECT OR ENGINEER: TEL. NO: JUFER GROUND I I I 1 LIC. NO: IROUGH CONDUIT I I TROUGH WIRING I 1 I 1 IMAIN WATER LINE I I I 1 I IPLASTIC Y/N METAL Y/N 1 I UTILITY COMPANY NOTIFIED( I I I I I I I I I I I I I I I I I I I I I I I I I i I I I I I I I I J I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I* ADDITIONAL DATA ON FILE I 1 1 I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I 1 I I I I I I