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Home My Public Portal About9559 LAS TUNAS DR_Electrical__ DB B-A 4-46 IoM APPEICATION. FOR PERMIT.- DEPARTMENT ERIVIIT:-DEPARTMENT OF BUILDING AND -SAFETY COUNTY OE' Y.OS ANGELES ' ELECTRIC '.-' WM. J:-.FOX',•CHIEF ENGINEER.",.., •r :. ... q. NAT OF INSTALLATION• p� DISTRICT NO GROUP' ' ZONE PERMIT N .W,JRING., FIXTURES :SERVICE - _ RECEIVED BY READY FOR ' DATE ISSUED -RANGE HEATER- POWER (j(/� FIRST INSPECTION t-!yy SIGNS '.MISCELL'ANEOUS,- 1 /`-- L �• �w- `r -'.::.APPLANT,FILL;IN HEAVILY OUTLINED, PORTION ONLY JOB" 1 Q NAME- / - i ADDRESS .. .. it' 'ADDRESS p { '� t LOCALITY :.'F. I Pd', ''S.,..' `:f ,I" .• U H' ��y NEAREST t W -~'CITY':. d .TEL NO. Gf .•, CROSS ST. _ R. _ . J.. -COUNTY _ -j • . j �y �� 'CERT::NO. '`. f �� :-EXPIRES'slAU(k, R"O+, K •'` �a _ NAME DESCRIPTION OF WORK f MAIL q .ADDRESS .•'?`�`''1 0. 4- .�" ;. , .NUMBER,OF-OUTLETS'ON CIRCUITS _ - - - >` .. - . •L OCATION>BY ROOMS ..'... ,:. O` CITY -: I A.-.,LIGHT C ILD I•EETS 7, SW.i F ILG'PLUGS' iFlx7. L P E VE; LOS ' A CIRCUIT.`` ANGELES COUNTY'LEGAL Q�UFICATION 'LIVING ROOM __ : $O.ECTRICIAN I AM THE'LEGAL OWNER'OF THE�PROPERTY DESCRIBED ' p DINING ROOM ABOVE ' BRFST. RM. L r OWNER BATH - CORRECTIONS '. HALL NO - •-. ,-':. 1. FRONT PORCH .,.,. OUTSIDE . ..- • •:. ,. .. . -KITCHEN ,' T J SERV: PCH'. �r ' BDRM.. NO: - .� CLOSET _ e r 1 r TOTAL 0 NO: OF•-`OUTLETS !O._ $.. I S'; :APPROYALS NO. c. .$ FIXTURES . .. :_. DATE . INSPECTOR'S NAME OF NO OF MOTORS " H P. • $ CONDUIT OF SIGNSTRANS.` .-^ $ WIRING .._. NO'. .OF RANGES OR HEATERS J". - FIXTURES"', -.-. _MISCELLANEOUS `-a ,..• •..: -. -.$ _•.t,' 'POW,ERr. PERMIT FEE;' {"`.'.` �$ UTILITY CO..NOTIFIED � - _ ..: TOTAL FEE ,$ •�.� L,S� FINAL �76A663-CE806 1/70 APPLICATIC'4 FOR ELECI`RICAL PERM T COUNTY OF•LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS ii ✓J JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING ° NEAREST FOR APPLICANT TO FILL IN CROSS ST, . OUTLETS NO. EACH I FEE OWNER . RECEPT. $ $_ .� -- MAIL ' ' - � LIGHT TOTAL' FIRST�20 .20 ADDRESS CITY -TEL. NO.. SWITCH OVER 20 .10 _ PLAN CHECK - - - - -- LIGHTING � FIRST 20 ,20 APPLICANT , TOTAL ADDRESS FIXTURES OVER 20 1p APPLIANCES clrY TEL. No. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK 'DISP. F.A.U. ADDRESS , SPACE HTR.. AIR COND.- CI TY t,(/ TEL.. NO.3 -y Z CLOTHES,WASH. DISHWASH. LICENSE NO. CLASS. FAN OTHER 1.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS,,TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND .STATE LAWS REGULATING IND. HEATERS, ETC. ."HP.'KW. KVA. ELECTRICAL WIRING. SIZE & TYPE, OVER TO - - I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0' -.1 L00 LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGA .OW F, AND INTEND TO 1. - 10 3.00 RESIDE IN, THE A SCI RESI NTfAL PROPERTY. SIGNATURE ti d 1'0 -"50 5.0.0 OF PERMITTEE 0. 50'— 100 10.00 DIST ICTNO' CLASS GROUP ONE PROCESS Yy O 1 00 = 500 15.00 Q t� ' H U SIGN, GAS -. SIGN AND ONE CIRCUIT 3.00 NOTES: LU IL a TUBE, OR - N MARQUEE' ADDITIONAL CIRCUITS 1.00 z SERVICENOTOVER60OVOLTSOR20OAMP ! 2.00 O o APPROVALS DATE INSPECTOR'S SIGNATURE SERVICED VER 600 VOLTS OR 200 AMP . 5.00 .. TEMP.POWER POLE . TEMP SERVICE,POLE, &APPURTENANCES 8.00 UNOERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT W I RING' PERMIT FEE (SUB FIXTURES TOTAL). POWER AUTHORIZED-- PLAN CHECK FEE (50%PERMIT FEE)- - UTILITY CO. NOTIFIED PERMIT ISSUING FEE - 2.00 Q l FINAL 3 / SUPPLEMENTARY PERMIT-ISSUING FEE I.0 JO EPH [AN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M:O. cnS Af, 8 9 LS 3L�- ,MAR 3 z o 4 p 'SEE BACK OF.APPLICATION-FOR COMPLETE"SCHEDULE .j7� CEBQ °B APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FADDRESS BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEERCASSATT D,,ti FFf , SUP OF BUILDING FOR APPLICANT TO FILL IN NEAREST PERNIIT FEES CROSS ST. I T E M NUMSERJ EACH FEE OWNER I �: O UTLETS: $ $ MAIL LIGHTS RECEPT. SW. .10 ADDRESS LIGHTING FIXTURES .10 CITY a' .v ~TEL. NO. 1 ELEC. RANGES CLO. DRYERS ..kn - ELECTRICIAN W A T E R HEATERS ,5O f ELEC.SPACE HTRS. DIS44ASHERS ADDRESS GARBAGE DISPOSERS ~'AUTO.- � CITY TEL. NO. + STATE " WASHERS STA. COOKINQ..;UNITS .25 LICENSE NO. Morons: OVER INC. H.P. DISTRICT NO. GROUP ZONE Zo ESS Y o— +/2 .2 s 1/2—>, .50 INS N RECORD 2--rS 1.00 ------------- 5— 1s 1.50 1s— so 2.50 50-200 5.00 SIGNS: NO. TRANS. NO. LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPf-LEMENTARY PERMIT 50 TOTAL FEE a APPROVALS IH ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR- LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL r- VALIDATION, ARTHUR C. VETT, CK Mo B/HJ'j SUPERVISING ELECTRICAL ENGINEER 6A663-CE806 12-58 APPLICATION FOR .E L E C TR I CPERMIT 1 COUNTY OF LOS ANGELES MUM DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE.COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY C' FOR APPLICANT TO FILL IN NEAREST CROSS ST. _ .Lf PERMT FEES OWNER I TE M NUMBER $EACH FEE MAIL UTLET $ 0-0 e.2 ADDRESSGI CET -_ led LIGHTING FIXTURES E.J .10 (O-� CITY Sae,4C (� G' TEL.NO. 901 ELEC.RANGES CLO:DRYERS - ELECTRICIAN WATER H EATERS .50 - ADDRESS U24D !� ELEC.SPACE HTRS.. DISHWASHERS - ' 1, - CITYP TEL.NO: GARBAGE DISPOSERS AUTO.- STATE G - WASHERS STA.COOKING UNITS .25 LICENSE NO. F: MOTORS OVER INC. H.P. DISTRICT NO. IGROUPI ZONE I PROCESSED BY O— 1/2 C C;9;:f 1/2= 2 .50 INSPECTIOP/I RECORD 2— 5 ! 1.00 r 5— 15 1.50 15— 50 2.50 - 50—200 5.00 ' SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 V SUPPLEMENTARY PERMIT - .50 TOTAL FEE $ APPROVALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION .DATE INSPECTOR'S SIGNATURE- AND STATE THAT THE ABOVE IS CORRECT.AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ...�'7 ELECTRICAL WIRING. WIRING 1 /- i HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR � - LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES _ CALIFORNIA OR THAT 1 AM THE LEGAL.OWNER OF- THE ABOVE - - DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE• Q! FINAL f ®" VALIDATI� ART R VETT. CK �Mo `cnsH SUPERVISING ELECTRICAL ENGINEER r AACo`535 �. J ?J 2. A 5.60 . ..- •. •I�'✓��/'LL's'"`i 76A888-CE8067-5 B APPLICATION FOR ELECTRIC PERMIT 1 A COUNTY OF LOS ANGELES DEPARTMENT OF.COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS v� JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D: GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMT FEES CROSS ST. 1 T EM NUMBER1 EACH FEE OWNER TA oi_ OUTLETS: $ -$ MAIL ,c �e .h LIGHTS RECEPT. SW. :10 ADDRESS ..V C LIGHTING FIXTURES Ao CITY TEL. NO. ELEC. RANGES CLO. DRYERS ELECTRICIAN C WATER H E A T.E R.S .SO - ADDRESS ELEC..SPACE HTRS. DISHWASHERS "�i' GARBAGE DISPOSERS CITY TEL. NO.AUTO:- ' STATE WASHERS STA. COOKING UNITS '.25 LICENSE NO. MOTORS: OVER INC. H.P. WE DISTRjQT NO. GROU zONE P Y 0— '/z - .25 1/2— 2„ .50 INSPECTION RECORD 2= 5 1.00 5— 15 1.50 15— 50 2.50 . .50-200 5.00 NO. TRANS. SIGNS:-( NO. LAMPS SERVICE 0-600V 1.00 . SERVICE OVER 600V 5.00 _ MISC. WIRING PERMIT 1.00 .FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE I $�2_— O—C) APPROVALS , 1 HEREBY ACKNOWLEDGE THAT1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR - LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER ./I DESCRIBED RESIDENT/IAL PROPERTY. SIGNATUREPERMITTEE'�"✓ ®� UTILITY CO.NOTIFIED E FINAL • VALIDATPKI A H R C. V EIT, cK mo' cws SUPERVISING ELECTRICAL ENGINEER LACO S'3 4 9 u 'kf t1 :? a . 2 A 2 .00 M ..D8. S-A 4-40 10M- - APPLICATION FOR PERMIT DEPARTMENT_ OF BUILDING'ANDSAFETY' COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATI®N DISTRICT'NO, GROUP I,ZONE PERMIT N /`� WIRING- FIXTURES - SERVICE' �� w b�7� RANGE.: HEATER POWER' RECEIVED BY READY FOR FIRST INSPECTION DATE ISSUED . SIGNS '' MISCELLANEOUS APPLICANT. FILL IN HEAVILY OUTLINED •PORTION. ONLY JOB Z; NAME - Yf � +° ADDRESS a •'Q.^ ADDRESS / (l U �` _ /F'[ "� LOCALITY' . U a' ,yqg� cam" NEAREST " CITY ': TEL„� CROSS ST. yl. '. COUNTY CERT..NO. EXPIRES / 95` - - DESCRII'TION OF WORK Z NAME NUMBER OF OUTLETS ON CIRCUITS ,3 ADDRESS - O LOCATION BY ROOMS - CITY - TEL No: .LIGHT OUTLETS 1,SW.I PLUGS IFIXT. ' 1 AM THE LEGAL. POSSESSOR OF THE ABOVE LOS - CIRCUIT. . I - ANGELES COUNTY CERTIFICATE�OFa+QUALIFICATION., _ I A I B C I D I E h I F � G H I �/ LIVING ROOM —� EL CTRICIAN. I.AM THE LEGAL OWNER OF TE HPROPERTY E DESCRIBD DINING ROOM a _ _ _—�-�I�-- ABOVE... - ,BRFST...RM. l;z BATH. OWNER. I � r-- CORRECTIONS - ENT. HALL- HALL.,NO.. FRONT PORCH - OUTSIDE., �'"`', ` ..• --- - - .. KITCHEN i M'.. `�. SERV. PCH. . - r�_.. — a BDRM-. NO.. Api� Z CLOSET. . BDRM. NO. CLOSET L—— .. TOTAL - NO-. .OF OUTLETS.. �' , A - PPROVALS - _ No. 'OF.:FIXTURES - $ L+ _ •DATE INSPECTOR'S,NAME NO.'.OF MOTORS H. P. $ CONDUIT /.�� "]�• &lfi7,: - L NO..','OF'SIGNS, TRANS.' � � ,.. $� WIRING- .NO. SOF RANGES .OR HEATERS. $ `FIXTURE6 ' MISCELLANEOUS� ,. $ .POWER_. .. IPERMIT FEE' $, �a UTILITYrCO. NOTIFIED 9` B . TOTAL FEE .: - $ -/ FINAL / �'/ " P 76A663-CE80610/72 APPLICAT10 F ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER gooREss 9559 Las Tunas Drive BUILDING AND SAFETY DIVISION LOCALITY Temple City,, California FOR APPLICANT TO FILL IN NEAREST CROSS OUTLETS N0. EACH FEE OWNER OR / $ $ FIRM NAMETem 1 Cit 'Camera Shop RECEPT._ MAIL FIRST 20 �1 5 ADDRESS 9559 Las Tunas Drive LIGHT TOTAL .25 1., 75 CITY Temple Cit. TEL. NO. .286-717 SWITCH OVER 20 ip PLAN CHECK - LIGHTING 1 TOTAL FIRST 20 .25 4e 25 APPLICANT 1} FIXTURES 17 OVER 20 -10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. RANGE DRYER_WTR. HTR._ PERMLIICANT CALECTRIC COMPANY APP STA. COOK DISP. F.A.U. ADDRESS 233 So. Azusa Avenue SPACE HTR. AIR COND. CITY Azusa, Cal. TEL. NO. 334-2014 CLOTHES WASH. DISHWASH. RITC N UMBER 258436 CLASS. FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY. MOTORS, TRANSFORMERS RATI NG WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICALS WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY)"R S ERED AND 0 —,1 . 100 LICENSED AS REQUIRED/,'Y�LOS ANGELES COU Y AND STATE OF CALIFORNIA OR THAI M�7 HE 'L EGAL OW E OF THE ABOVE 1 — 1O 3.00 DES CRISED RESIDE NTA L PROPERTY. O U PERMITEE 10 - 50 5.00 SIGNATURE p H- 50 - 100 10.00 c.D DISTRICT NO. ROC SED BY W r� C4.. 100 - 500 15 P .00 �� :9aa ri z SIGN, GAS A[SIGND ONE CIRCUIT 5.00 APPROVALS DATE INSPE OR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK SERVICEOVER600VOLTS OR200AMP 10:00 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING -f i f TEMP LIGHT OR RECEPT. SYSTEM _ 3.00 FIXTURES POWER AUTHORIZED - UTILITY CO. NOTIFIED FINAL ••��" 7 i4'I fAp,�Js-U PERMIT FEE - (SUB TOTAL) 6. O0 NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE 9. 00 r_ PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK: M.O. CASH 8 51442NAY 7 .2 ,D P,Q 0 A 'SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE -7GA663 DBS SA 5-4914) APPLICATION''FOR PERMIT DEPARTMENT,.OF BUILDINd AND SAFETY. ' ±, COUNTY.OF-.LOS ANGELES ELECT WILLIAM J. FOX, CHIEF"rENGINEER -DISTRICT NO. GROUP ZONE P RMIT'NO. r' FOR APPLICANT TO FILL IN ELECTRICIAN C;jfg lea 1T% Yti CO. .:.� RECEIVED BY READY FOR ,DATE ISSUED'. ADDRESS �'jtyr .�,' i��..nt1dA-7 a, -J. •��. FIRST INSPECTION TEL. NO.Y..E�7•'+G J CITY ii••�� t COUNTY LICENSE NO;,7 ;aQj + EXPIRES+ - BUILDING _ ,fas✓ $ ADDRESS ? £" -- PERMIT FEES I S FEEL'r,� NUMBER - '.OUTLETS EACH LOCALITY —'�• - - .LIGHTS.' 5c I$ NEAREST • CROSS ST. •wii-.-cn:-tCy V RECEPTACLES 5. �FI7CTURES'. .. . 5 I - .OWNER X1' 2 7 � `�•.. . I WALL'.SWITCHES - 5 .I - y, E.LEC..RANGES 25 ADDRESS '. «.K3) � -•� ' .-'�fyq® y4',r/rt I' -ELEC. HEATERS 25 I CITY j2�J)rL !t-- ()tlt TEL. NO 1 HEREBY ACKNOWLEDGE TF'i.�T I 'HAVE .READ' THIS NUMBER OF CIRCUITS_INSTALLED: - APPLICATION •AND STATE THAT THE �PBOVE IS CORRECT' LIGHTS RECEPTACLES I AND AGREE TO COMPLY WITH -ALL COUNTY ORDINANCES' MOTORS'i AND STATE .LAWS REGULATING ELECTRICAL,-WIRING.' 'NUMBER .. •HORSEPOWER FEE I 1' CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS - % EACH ANGELES COUNTY LICENSE, OR l AM THE,�LEGAL OWNER NEW MVD. % HP OVER. INC. ' OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. LESS $ .25 2 .50 SIGNATURE OF - {='2, r• 5 1..00 PERMITTEE s 1,5 1.50 INSPECTION RECORD 15 •50 2.50 7 50 200 5.00 - - �5,;.,,r- 200 -I 500 10.00•' '.•. : - 500 - -1000 I 15.00 . . - .I. -" 'I•.p.. OVER, 1000 I 20.00 Z M.G. SET/FREQ.'CHANGER-HP - WELDERS: AC,..KVA GENERATORS kW TRANSFORMERS - KVA - �• - • TEMP':.,MOTORS-(75% OF ORIGI) -•MOVED MOTORS (75% OF'ORIG.)' SIGNS ' TYPE: Nk:;, "+!# f'��. -N—NO. TkANS:` - "TYPE: NO. LAMPS APPROVALS" `J �f - - DATE: •).-•. INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 � -� CONDUIT -'I �• .:' �.A,� - -. T .FIXURES $1.00' WIRING SUPPLEMENTARY. tI .50� FIXTURES - _ POWER - - TOTAL ,FEE • ' ;, - - $. UTILITY CO. NOTIFIED' - i - '• FINAL'...- .. � � •I (i.jdl. WORKERS' COMPENSATION DECLARATION 10L81 APPLICATION FOR ELECTRICAL PERMIT. I hereby affirm that I have a certificate of consent To self �CE-806G - insure, or a certificate of Workers' Compensation InsuCE-806rance, 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 F Certified co is hereby furnished? EACH NO. FEE ADDRESS 5 l PY Y New Residential Bldgs.,& Pools. Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ — $' LOCALITY A?- t tion department. Multi-family Sq. Ft. — NEAREST Residential Swimming'Pools CROSS ST. Date Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM'WORKERS' MAIL COMPENSATION INSURANCE outlets: Rec�Light� SH — -ADDRESS 46- First 20 (This section need not be completed if the work involved by Total No� Additional d CITY T I. No. the permit is•for,one hundred dollars ($100)or less.) 963 16 I certifythat in the erformance of the work for which this PLAN CHECK eP . APPLICANT permit is issued, I'shall not employ any person in anymanner so as to become subject to the Workers'Compensation taws. 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 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. a� deemed revoked. = Hood Fan` _Other_ CITY jel. No. LICENSED CONTRACTORS DECLARATION IL 17C O I hereby affirm'that lam licensed under provisions of Chapter9 Disp. = Room Air Cond. Class: REG: NUMBER (commencing with Section 7000) of Division 3 of the Business DISTRICT NO.:,,r PROCESS BY and Professions Code and my license is in full force and effect. Power Apparatus& Large Appliances_ } Size &Type HP, KW, KVA, or'KVAR' 0 License Number / Lic.•Class_ Up to I'Incl. FINAL V Over.1 to 10•Incl. DATE Contractor r_I C ate / (J VALIDATION ElOver 10 to 50 Incl. FINAL �� /' V' I am exempt under Sec. Over 50t6 100 Inc. BY us Over 100 d B.&P.C. for this reason , N - Services, Swbd., MCC& Panelboords Z 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 HOMEOWNER-BUILDER DECLARATION" Temp..Power,Pole 8 Appurtenances Sign with One Branch Circuit I hereby-affirm that I am exempt•from the Contractor's License Additional'Sign Branch Circuits •3 O O.3 Law for the following reason (Section 7031.5, Business and Professions Code): ' Mist.,Conduits&Conductors #:o o;o 0 o 2 El .1, as owner of the property, will do the work and the structure is not intended or offered for sale (Section- Other (See Complete Fee Schedule)— 7044, Business and Professions Code). ' CONSTRUCTION LENDING AGENCY, ;off,°_;° 1 55 v I hereby affirm that there is a construction lending agency for 07 2 6-8.4 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 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 resentatives of this County to enter upon the o e ned petty-fgr_i ection pur oses. 'SEE REVERSE,FOR EXPLANATORY LANGUAGE Signature of Permittee Date 1 • r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1308260040 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 _ - PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: 1 ITR: 6561 LT: 241 9559 LAS TUNAS DR I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802107 ASSESSOR INFORMATION NUMBER: I 'v -. I NEAREST CROSS STREET: TEMPLE CITY 1 18587-014-014 - IA1 PERMIT ISSUANCE•-FEE 27.80 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY CAI I IG1 OUTLETS-LGT,SW,RECP 2.00 OUT 4.00 I 1 ITENANT: - IG2 LIGHTING FIXTURES 2.00 .LGT 4.00 (ISSUED ON:. PROCESSED BY: PLAN BY: 1 ITEMPLE CITY CAMERA I TOTAL FEES 35.80 108/26/13 SR 1 (OWNER: TEL. NO: I ]FINAL DAT FINAL B CODE: I ITEMPLE CITY CAMERA 19559 LAS TUNAS DR 1 1 D i h3 ITEMP 917602107 1 IDES IP ION dP OORK - I 1 12 LIGHT FIXTURES AND 2 OUTLETS I I I I I 1APPLICANT: TEL. NO: I I 1 IERSTAD ENGINEERING (818) 249-8400- I I 13463 OCEAN VIEW BLVD 1 ISPECIAL CONDITIONS: I GLENDALE CA 91208 I I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 (AMERICAN TECHNOLOGIES INC. (818) 700-5060- 1210 W. BAYWOOD LIC. NO 1 ITEMPORARY POWER POLE IORANGE,CA 92865 571784 I I 1UNDERGROUND CONDUIT - I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I 1ERSTAD ENGINEERING (818) 249-8400- I 13463 OCEAN VIEW BLVD LIC. NO: 1 IROUGH CONDUIT IGLENDALE CA 91208 NONE I I 1 1 - -IROUGH WIRING I 1 IMAIN WATER LINE 1 I IPLASTIC Y/N METAL Y/N 1 1UTILITY 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 II 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 I I I I I I I I I I 1 IREPORT ID: DPR265 ROUTE TO: BS0508