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Home My Public Portal About9627, 9627 1/2 LAS TUNAS DR_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer ELECTRIC 1 DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN Walton Electric Co. r, RECEIVED BY READY FOR DATE ISSUED ADDRESS 26io So. Peck itoad FIRST INSPECTION , - CITY Monrovia TEL, NODo-6-21 1 r COUNTY LICENSE NO. EXPIRES BUILDING j �t,�.,,, ADDRESS -��_ As Tunas --__._---- PERMIT FEES --�� — NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES CRO89 ST. WALL SWITCHES �/� OWNER Steed &'others TOTAL OUTLETS 5C B _yyL, MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS _ 25 CITY TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE,CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL OPERTY DESCRIBED ABOVE. '/2 4 LESS 111 .25 SIGNATURE OF /2 2 .50 PERMIT 2 5 1.00 INSPECTION RECORD 5 15 1.50 15 50 2.50 50 200 5.00 200 500 10.00 ,J 500 1000 15.00 f t Q OVER 1000 20.00 " Vr M.G. SET/FREQ. CHANGER-HP .'L� ltd► ,�e e�, WELDERS:AC-KVA w r jc;E-4t,/;r'// O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% Or ORio.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS _ NO. NO. LAMPS FOR EACH PERMIT: DATE INBPECTOR'S NAME WIRING power pole $1.00 1 Q CONDUIT 4J FIXTURES $1.00 WIRING SUPPLEMENTARY ,50 FIXTURES POWER _ TOTAL FEE 5 1 10 _UTILITY CO.NOTIFIED FINAL ' p 76A663 DBS.#'5A 2-53 COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer ELECTRIC 1- FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. i C i _ELECTRICIAN D/ —/,p ? 7 �L7 ----- , ---- -- �J RECEIVED BY READY FOR DATE ISSUED _ADDRESS .Q Q ! I FIRST INSPECTION CITY Un /-p TEL NO. COUNTY LICENSE NO. EXPIRES BUILDING PERMIT FEES ADDRESS FEE NUMBER EACH __ LOC_A_LITY LIGHT OUTLETS NEAREST h RECEPTACLES CROSS ST„ WALL SWITCHES OWNER (,� J Bl-- TOTAL OUTLETS -� S. $ _ MAIL ELEC. RANGES 25 ADDRESS _ ELEC. HEATERS 25 �— CITY TEL. NO. FIXTURES 5 i HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOT13RS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP OVER 11 INC. EACH '\ OF THE RESIDENTIAL P ERTY,DESCRIBED ABOVE. . 1L I/2 Q LESS $ .25 _ (/ / / 810NATURE OF I/2 2 .50 PERMITTEE ----- 2 5 1.O0 INSPECTION RECORD _ 5 is 1.50 _ 15_ s0 2.50 50 200 5.00 200 s00 10.00 �L..��iL/SCJL• lguS�v%N1.9 'U Soo 1DDD 1s.00 L Q OVER 1000 M.O. SET/FREQ. CHANGER-HP Cr. WELDERS: AC-KVA y. y wee c 0 GENERATORS - KW TRANSFORMERS - KVA � �ya�, = R D• AT�S TEMP. MOTORS (75% OF ORIG•) •" /ts"S T,Q�L I-'+w � Q1D� MOVED MOTORS (75% OF ORIG.) / MISC. X A aAC ?X1A✓ ,l 0 �- SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE_ INSPECTOR'S NAME _WIRING $1.00 QQ CONDUIT __ FIXTURES $1.00 `O WIRING SUPPLEMENTARY ,50 FIXTURES - POWER z _ TOTAL FEE >P/J / UTILITY CO. NOTIFIED / S� FINAL 76A663 DBS#5A 2-53 76A663-CE806-11-57APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING jy 7R i BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, County Engineer CASSATT D. GRIFFIN, Sup't of Building LOCALITY4 NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERNIIT FEES OWNER I T E M NUMBER EACH FEE OUTLETS: $ $ MAIL LIGHTS RECEPT. SW. .10 ADDRESS L 2- 7 LIGHTING FIXTURES .10 CITY- - TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICI N I WATER HEATERS .50 .. ELEC.SPACE HTRS. DISHWASHERS ADDRESS_ L (/ GARBAGE DISPOSERS AUTO.- CITY TEL.NO. 16 i r C! L� WASHERS STA.COOKING UNITS .25 STATE LICENSE NO. MOTORS: OVER INC. H.P. O — 1/2 .25 DISTRICT NO. I G ZONE READY FOR INSPECTION 1/2 — 2 .50 2 — 5 1.00 INSPI&TION RECORD 5 — 15 1.50 15 — 50 2.50 50— 200 5.00 SIGNS: I NO.TRANS. 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 APPROVALS I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS A ICP�C ATION— 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 I 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. SIGNATUREL.LUTILITYCO. NOTIFIED OF PERMITTEE a–� �'-C7L�- FINAL _—YALIDATION ARTHUR C.VEIT. MG CASH SUPERVISING ELECTRICAL ENGINEER �jCK r^� ;��6 8 7 2 `0 141W / 0 N 76A663-CE80610/72 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES s DEPARTMENT OF COUNTY ENGINEER AooREss rt- d y2/l BUILDING AND SAFETY DIVISION LOCALIT �ij G NEAREST IJ FOR APPLICANT TO FILL IN CROSS ST. OUTLETS N0. EACH I FEE OWNER ORY r $ $ 1 FIRM NAME RECEPT._ AIL ADDRESS LIGHT TOTAL FIRST 20 .25 f CIT TEL. N0. SWITCH OVER 20 1p PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT FIXTURES OVER 20 f0 ADDRESS _ RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT �- c RANGE DRYERWTR. HTR._ APPLICANT STA. COOK DISP. F.A.U. ADDRESS - L SPACE HTR. AIR COND. CI TY'5_� dEL. NO. CLOTHES WASH. DISHWASH. LICENSE OR `- REG. NUMBER CLASS(',, FAN OTHER 1.00 IHEREBY 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. a SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER E ABOVE d 1 - 10 300 OESCRIP,ED NT RTE. O U PERMITE 10 - 50 5.00 SIGNATURE O 50 - 100 10.00 v DISTRIC NO. PROCESSED by W t a. 100 - 500 15.00 �) Z SIGN, GASSIGN AND ONE CIRCUIT 5.00 L1 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 3 TOTAL FEE 4 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO CK. M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CESO6-11-157 A P P L I C A T I O N FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESSJOHN CA SATTAD. GSIFFIEIN,Supt Engineer Suildina LOCALITY NEAREST f �; FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES ITEM NUMBER EACH FEE OWNER 6� OUTLETS: $ $ MAIL LIGHTS RECEPT. SW. .10 ADDRESS LIGHTING FIXTURES .10 CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRI IAN WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS GARBAGE DISPOSERS AUTO.- CITY TEL.NO. 46 !YO t WASHERS STA.COOKING UNITS 25 STATE ` / MOTORS: OVER INC. H.P. LICENSE NO. O — I/2 DISTRICT NO. GROUP E READY FOR INSPECTION .25 I/2 — 2 .50 2 — 5 1.00 INSPtCTION RECORD 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 SUPPLEMENTARY PERMIT .50 TOTAL FEE $ L) APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ,rr ELECTRICAL WIRING. WIRING r T I HEREBY CERTIFY THAT I 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 CK MQ (CASH ARTHUR C.VETT. l/.6�) SUPERVISING ELECTRICAL ENGINEER CK MO CASH ��_)6 6 1 2 `' t'01J 3 A .� : COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer �� DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN �f � CFCl ,T ADDRESS RECEIVED BY READY FOR FIRST(INSPECTION DATE ISSUED CITY / vzft,0 TEL. NO. COUNTY LICENSE NO. '-'I I EXPIRES BUILDING �� PERMIT FEES AODRE9 1 71 f}//. -------- FEE ,.. / NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES WALL SWITCHES _OWNER_ 01v TOTAL OUTLETS —_ Sc 9 MAIL [' ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 r 1°t TEL. NO. --- FIXTURES 5 CITY 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS _NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/2 6 LESS_ $ .25 SIGNATURE OF I/2 2 .50 PERMITTEE -all ._._ 2 5 1.00 INSPEC7tON RECORD _ 5 15 1.50 13 50 2.50 50 200 5.00 200 600 10.00 J 500 10110 15,1313 Q -- -- Z OVER 10170 20.00 IS _ M.G. SET/FREQ. CHANOER-HP D! WELDERS: AC-KVA _ 0 —GENERATORS - KW TRANSFORMERS - KVA _TEMP. MOTORS (75% OF ORIG.) _ MOVED MOTORS (75% OF ORIG.) _ MISC. SIGNS NO. NO.TRANS. ':) - - APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE _ INSPECTOR'S NAME WIRING 81.00 CONDUIT _ _ FIXTURES __ 91.00 WIRING �+'� ,!_.�c.. ._ SUPPLEMENTARY__ .50 FIXTURES POWER _ TOTAL FEE S v"�`' UTILITY CO.NOTIFIED r i FINAL ,'.^s �s.�,.,<-,�P' .moi . 76A663 DBS#5A 4-52 <( - 76A663-CES061-67-� APPLICATION FOR ELECTRIC4L PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �- BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST - FOR APPLICANT TO FILL IN CROSS ST. , 4 RECEPT, 1 TOTAL NO. FEACH FEE D I OUTLETS FIRST 20 $ OWNER LIGHT } MAIL SWITCH ADD'L ADDRESS "A— OVER 20TOTAL FIRST 20 CITY TEL.NO. LIGHTING 1FIXTURES /♦rFIXTURES )( ADD'L CONTRAC Ri"I Ce, OVER 20RANGES DRYERS WTR.HTRS. . ADDRESS GARB.DISP. STA.COOK CITY TEL. NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA. APPL. .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT O ROYP Z NE P O ED O 1 1.00 1 3 1.50 INSPE ION RECORD 3 S 2.00 8 15 2.50 15 50 3.00 } CL 50 100 5.00 0 SIGNS: NO.TRANS- 0 NO.LAMPS SERVICE 0.600V-Nor OVER 200A 1.00 W IL SERVICE 0.60OV-OVER 200 A. 2.00 Z SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE IN9PECTOR'{SIGNATURE TOTAL FEE B L, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSEAS WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 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 1 AM THE LEGAL OWNER OF,AND INTEND TO POWER RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE I 'O UTILITY CO.NOTIFIED OF PERMITTEE '�' e'L4_ FINAL t-11 LIDATION SUPERVISING C. G ELEC CK MO CASH SUPERVISING ELECTRICAL ENGINEER LALo 9 5 0 1:Q JL L 10 D 4.00- SA663-CE506-9-57 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER J t CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY NEAREST i FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES y �f ITEM NUMBER_ EACH FEE OWNER'" OUTLE / $ $ - MAIL LIGHTS RECEPT. 6 SW. �� .10 $L ADDRESS LIGHTING FIXTURES .10 �jG CITY TEL.N . ELEC.RANGES CLO.DRYERS ELECTRICIAN .-� WATER HEATERS .50 ' -� ' ELEC.SPACE HTRS. DISHWASHERS ADDRESS ` GARBAGE DISPOSERS AUTO.- CITY �71 1�1�;ll EL.NO. WASHERS STA.COOKING UNITS .25 STATE LICENSE NO. MOTORS: OVER INC. H.P. DISTRICTJGROUP� ONE READY FOR INSPECTION O - I/z �= 25 Z I/2 - 2 .50 C 2 - 5 f 1.00 INSPECTION RECORD 5 - 15 1.50 J 15 - 50 2.50 ' SC - 200 5.00 � SIGNS: NO.TRANS. C�� - ya. ' NO.LAMPS SERVICED-600V ` . 1.00 D v SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 Ja" SUPPLEMENTARY PERMIT .50 TOTAL FEE $ APPROVALS IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPE-QT.QFVS SI NATURE 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 I AM PROPERLY REGISTERED AND/OR FIXTURES r% LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THg ABOVE POWER DESCRIBED RESIDENTIAL�$OQ I SIGNATURE UTILITY CO.NOTIFIED �! OF PERMITTE FINAL I LIDATION ARTHUR C.VEIT. SUPERVISING ELECTRICAL ENGINEER CK MO CASH iro 5 3 5 9 DO SEP 3 0 2 A 2 85 0 ` . v(ORKER'S COMPENSATION DECLARATION 76A663 DPW(12 91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that 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. copy thdreof(Sec. 3800 Lab.C.) POIiC' Company IAZD FOR APPLICANT TO FILL IN JOB ADDRESS Certified copy is hereby furnished. New Residential Bldgs.&Pools NO.1 EACH FEE LOCALI ❑ 1 &2-Family,Sq.Ft. — $ $ Certified py is filed with my building ins _ NEAREST d artm t. Multi-family Sq.Ft. CROSS ST. Date Applic Residential Swimming Pools ASSESSOR MAP BOOK a PAGE PARCELD/-:5p CE IFICAtE OF EXEMPTION FROM WORKERS' Outlets:Rec�Light Sw. G 2, FFIIRM NAME COMPENSATION INSURANCE First 20 / (This section need not be completed if the work Involved by the Total No. AdditionalADDRESS 1 permit is for one hundred dollars($100)or less.) . / I certify that in the performance of the work for which this permit CI Tel.No. is issued, I shall not employ any person in any manner so as to �� PLAN&E&_ become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional O 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 p y 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 I am licensed under provisions of Chapter 9 _ Over 3 to 10 Incl. � Z r (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. 0 Professions Code, and my license is in full force and effect. Over 10 to 50 Incl. LICEN EOR Over 50 to 100 Incl. REG.NUMBER Class. a License Number _LIC.Class Over 100 DISTRICT NO. Q MRSSED BY Q Services,Swbd.,MCC&Panelboards cc Contract Date 0-399 Amp.Under 600 V J;70 DATE 4' FINAL 0 ❑ _ V I am exempt under Sec. 400-1000 Amp.Under 600 V VALIDATION Over 1000 Amp.or Over 600 V FINAL LV B.&P.C.for this reason BRANCH CIRCUIT FEES BY d 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.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits 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 Law for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits - Code): _ ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductorsril_ [t is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). CONSTRUCTION LENDING AGENCY y 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) Civ. C.) —.._.. .. — �� µ PLAN CHECKING FEE _ y y Lender's Name k(� / PERMIT ISSUING FEE (p Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE �p 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 u n the above-mentioned property or m ect' n purpose SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURf 05PERMITTEE WORKER'S COMPEddSATION DECLARATION 20-0019 DPW(12.91) 76A663 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that 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. copy thereof(Sec. 3800 Lab.C.) Policy No*-6qgwCompany FOR APPLICANT TO FILL IN JOB ADDRESS Certified NO. EACH copy is he by furnished. New Residential Bldgs.&Pools T 1 &2-Family,Sq.Ft. — $ $ FEE LOCALI /Certified copy is filed with the my building inspe _ NEAREST de artm t. % Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOKO PAGE PARCE CER IFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Light Sov.�_ OWNER OR COMPENSATION INSURANCE pG� FIRM NAME (This section need not be completed the work involved by the Total No.::7 First 20 C MAIL Additional ADDRESS permit is for one hundred dollars($1000)or less.) I certify that in the performance of the work for which this permit CIT Tel.No. is issued, I shall not employ any person in any manner so as to L) PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. 5—__ 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 P Y P Y provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESSLD 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 CITYOver 10 to 50 Incl. Tel.No. Professions Code,and my license is in full force and effect. } LICClass. Over 50 t0 100 Incl. REGENS.NUMBEREOR Q. Over 100 DISTRICT NO. P OC SS BY O License NumberLic.Class Services,Swbd.,MCC&PanelboardsL/� cc 0-399 Amp.Under 600 V FINAL 0 Contractor Date DATE ❑ 400-1000 Amp.Under 600 V /I V I am exempt under Sec. l''` VALIDATION LJJ Over 1000 Amp.or Over 600 V FINAL fl. B.&P.C.for this reason BRANCH CIRCUIT FEES BY CD Date: 15A,or 20rAT,120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION £ I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit .i•I os for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits ►i 3 _t■J)_ Code): F-1 1, 1 I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors ITEMS is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) ' TOTAL 64e 30 and Professions Code). _ CONSTRUCTION LENDING AGENCY "'HE','K 64 e I hereby affirm that there is a construction lending agency for the CHANGE al_Ii performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ. C.) �� ' PLAN CHECKING FEE 77 '1- Lender's Name 0t)�I}I—�j�;1 �f'yy%4'lt PERMIT ISSUING FEE 175 =4't 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 esentatives of this County to enter upon the above-mentioned property for insp tion Urposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 1 SIGNATURE CF PERMITTE D E COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1303140046 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: [ ITR: 6561 LT: 174 BL: .001 UN: .002 )[ 1 9627 LAS TUNAS DR I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802109 1 (ASSESSOR INFORMATION NUMBER: I I ; NEAREST CROSS STREET: [ 18587-019-036 IA1 PERMIT ISSUANCE FEE 27.80 I I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI I IIG2 LIGHTING FIXTURES 2.00 LGT 4.00 [ [ [TENANT: I TOTAL FEES 31.80 [ISSUED ON: PROCESSED BY: PLAN BY: [ [ 103/14/13 SR 1 (OWNER: TEL. NO: [ IFINAL DATE FINAL BY: CODE: [ ISAM (626) 292-1795- �[ [ [ 19627 LAS TUNAS DR I [ ITEMP 917801443 i [DESCRIPTION OF WORK 1 I [REMOVE EXISTINS FOAM FABRICATE & INSTALL ON SET OF NEW FOAM [ I [ LETTERS 2 LIGHT FIXTURES [ (APPLICANT: TEL. NO: [ I I 1KYI CHOW SHAR (626) 444-6027- 9868 KALE ST [ ISPECIAL CONDITIONS: i 1SOUTH EL MONTE 1 1 [CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE [ IKYI CHOW SHAR (626) 444-6027- [ I I 19868 KALE STREET LIC. NO I (TEMPORARY POWER POLE [ [ 1 SOUTH EL MONTE CA 91733 652665 * _ I EXPIRED 1UND AGROUND CONDUIT[ARCHITECT OR ENGINEER: TEL. NO: IUFE' GROUND [ i - I -��-� 7 1 i I I LIC. NO: 1 IROU H CONDUIT 1 [ 1 i 1G 1 1 I ROIIGH WIRING I I (MAIN WATER LINE I I I I I 1PLASTIC Y/N METAL Y/N I [ [ I 1 1UTILITY COMPANY NOTIFIEDI I [ I I i I I I 1 I I I I I I I I i I I i i • i-� i i i . I 1* ADDITIONAL DATA ON FILE I I I I i ROUTE TO: HS0508 IREPORT ID: DPR265 [ [ 1 I I I I I I I• ,