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HomeMy Public PortalAbout9410 LAS TUNAS DR_Electrical__ DBS 5-A 12-44 APPLI/'/ernON FOR PE7� ~ DEPARTMENT OF EiUMDING AND SAFETY ELECTRI I YCOl�P11 fi COUNTY' OF LOS ANGELES M. J. FOX CHIEF EN IN ER DISTRICT NO. GROUP ZONE PERMIT NO. Q NAM // ///►►► ADDRESs(/Z f✓"� ���� H Ir N BY READY FOR DATE ISSUED W CITY TEL. - Z / FIRST INSPECTION hl CERT.N � �O EXPIRE � - Q APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORD ADDRESS 1 NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS lsw. PLUGS I FO(T CROSS S CIRCUIT A JB C D E F IG IH m NAM �� Z MAIL �k $ ADDRESS / o CI 4, w TEL. O 1 1 AM THE LEGAL POSS OR OF THE ABOVE LOS ANGELES COUNTY CERTIFI A QUALIFICATION.. L r ELECTRICIAN. I AM THE LEGAL O ER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS J - Q Z !Y a TOTAL ILI1 LE p� NO. OF OUTLETS $ V APPROVALS NO. OF FIXTURES $ Q� DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ UTILITY CO.NOTIFIED TOTAL FEE F!NAL - j 76A869 ' DBS-5A I1-55 APPLICATION FOR ELECTRIC PERMIT -1 DIVISION OF BUILDING AND SAFETY Department of County Engineer BUILDING County Of LOS Ang@1@S ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT of BUILD LOCALITY ,ff�" A �rO � FOR APPLICANT TO FILL IN NEAREST PERMT FEES cFj"S ST. NUMBER OWNER LIGHT OUTLETS MAIL RECEPTACLES ADDRESS rs *spot 00a WALL SWITCHES FEE CITY ' TEL.NO. TOTAL OUTLETS @ ELECTRICIAN ELEC. RANGES 25 ADDRESS f .40 y ELEC. HEATERS 25 /5 CITY 3*i�_-��fr -f1�'! ' TEL. KW EA STATEG FIXTURES 5 LICENSE NO. MOTORS DISTRIgT DISTRICTNO. GROUPZONE READY FOR INSPECTION NUMBER HORSEPOWER FEE ( S rc-tiI G- NEW MVD. •HP OVER INC. EACH INSPECTION RECORD 1/2&LESS $ .25 1/z 2 .50 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5.00 I M ISC. NO. sIGNS1 NO.TRANS. ' NO. SIGNS NO. LAMPS FOR EACH PERMIT: WIRING $1.00 FIXTURES $1.00 SUPPLEMENTARY .50 ^ �1 APPROVALS TOTAL FEE $ C/ ! DATE INSPECTORS SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING lZ Q ��-� ELECTRICAL WIRING. -` I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND.STATE OF CALIFORNIA OR THAT I AMv HVLEG L OWNER OF T E ABOVE POWER DESCRIBED RESIDENTIAL P SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE {v FINAL JOHN A.LAMBIE.COUNTY ENGINEER LIDATION ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR C MO CASH L,G131.1 oIEc 2 :;7'5 WORKERS' COMPENSATION DEC ARATION 76A663 10/81 hereby affirm that I have a certificate of consent to self CE-806G APPLICATION FOR ELECTRICAL PERMIT insurz;�r a,certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. CompanyFOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO, FEE ADDRESS 0 4,4S u fL O 1 & 2-Family, S Ft. $ _ $ LOCALITY m NEARE Certified copy is filed with the county building inspec- Y- q tion department. Multi-family Sq. Ft. CROSSSST. Date Applicant Residential Swimming Pools OWNER OR � e FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL !� COMPENSATION INSURANCE Outlets: RecVlight Sw. S /D 1A © ADDRESS - First 20 L (This section need not be completed if the work involved by Total No. Additional CITY �� t Tel. No. `7 the permit is for one hundred dollars ($100)or less.) that in the performance of the work for which this PIAN CHECK I certify p APPLICANT . permit is issued, I shall not employ any person in any manner so as to ber�rgqf�,�subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS �i•� Additional - / �/ " Total No. CITY Tel. No. Date (� Applicant /� s Cil? SSS/�Q/{/ Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this tertificate of APPLICANT �' L 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 t' with comply with such provisions or this permit shall be Top — FAU —W.H: deemed revoked. Hood _ Fan _Other_ CITY PMAr^ Tel. No.7 f 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 DISTRICT NO. P CES ED BY 0- Power Apparatus& Large Appliances and Professions Code,and my license is in full force and effect. �, f � A> Size&7yp\HP, KW, KVA, or KVAR' (/ License NumberA,9D�d Lic. ClasUp to 1 Incl FINAL 'J /J ,/� 2 _ Over 1 to 10 Incl. DATE VALIDATION O. Co tractor /�1g1kQJ X&IO eNte w Over 10 to 50 Incl. FINAL I am exempt under Sec. Over 50 to 100 Inc. BY U) T B.&P.C. for this reason Over 100 Services, Swbd., MCC& Panelboards , Date: 0 -200 Amp. Under 600 V Signaturer 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 Law for the following reason (Section 7031.5, Business and Professions Code): Misc. Conduits& Conductors _ I, as owner o Other (See Complete Fee Schedule)— )— pthe property, will do the work and the e structure is not intended or offered for sale (Section . � � 7 7044, Business and Professions Code). lag, :5 CF vJ CONSTRUCTION LENDING AGENCY y I hereby affirm4hat there is a construction lending agency for pp �Aq qq the`erformance of the work for which this ermit is issued p p PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.)., ',. PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE A0 ,T Lender's Address I certify that I have read this application and state that the TOTAL FEE C 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 inspectio rposes. �'. / SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of ittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT s DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1108150013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 6561 LT: 743 9410 LAS TUNAS DR (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802135 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 18587-006-015 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl I IK1 SIGNS, OUTLINE LGT 1.00 SIG 38.80 1 (TENANT: - I TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: 1 108/15/11 SR I I I I (OWNER: TEL. NO: IFINAL DATE FINAL BY: CODE: 1 IDESU NATION (626) 652-5329- I 19410 E. LAS TUNAS DR I ITEMPLE CITY CA 91780 IDESCRIPTION OF WORK I IONE SET INTERNAL ILLUMINATED LETTER WALL SIGN 1 I I I I 1APPLICANT: TEL. NO: 1 1 IYU, ALLISON - (626) 336-1616- 1 116354 VALLEY BLVD. 1 (SPECIAL CONDITIONS: I ILA PUENTE 1 I 1 I I I I (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 11ST SIGN CO (626) 336-1616- 1 1 116354 VALLEY BLVD LIC. NO IITEMPORARY POWER POLE 1 1 1 ILA PUENTE CA 91744 605688 C45 *1 1 I I (UNDERGROUND CONDUIT I I I I I I 1ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND 1 I I I I LIC. NO: IROUGH CONDUIT I I I I I i 1 IROUGH WIRING 1 I I I I I I IMAIN WATER LINE 1 1 (PLASTIC YIN METAL YIN I I I I I I (UTILITY COMPANY NOTIFIEDI 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 EXPIREL) 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 1z ADDITIONAL DATA ON FILE' I I I I I I I IREPORT ID: DPR265 ROUTE TO: 2S0508