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Home My Public Portal About9658-9660 LAS TUNAS DR_Electrical__ ��/ - - i 76A663A-CE806A 4/72 APPLICATION OR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESSLOCALITY C� NEAREST FOR APPLICANT TO FILL IN CROSS ST. [,. OUTLETS N0. EACH FEE 4 OWNER - RECEPT.p /7 $0- $ MAIL i66 LIGHT TOTAL FIRST 20 ADDRESS f? CITY TEL. NO. SWITCH_ OVER 20 PLAN CHECK LIGHTING TOTAL FIRST 20 APPLICANT FIXTURES OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT / RANGE DRYER WTR. HTR._ APPLICANT STA. COOK DISP. F.A.U. ADDRESS 96S, ZZ,f3 SPACE HTR. AIR COND. CITY ( P TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. lor CLASS. FAN OTHER r IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION C- ANE STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY OC) MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO O I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR U 0 — 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF W CALIFORNIA OR THAT I AM THE LEGA OWNER OF, AND INTEND TO CL 1 — 10 RESIDE N, THE ABOVE DESCRIP RESIDENTIAL PROPERTY. Z SIGNATURE 10 - 50 OF PERMITTEE ^ J 50 — 100 DIST ICT NO. CLASS ZONE CES � BY 100 — 500 SIGN, GAS=S, ONE CIRCUIT NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS SERVICENOT OVER 600 VOLTS OR 200 AMP SERVI CEOVER 600 VOLTS OR 200 AMP APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVI CE,POLE, &APPURTENANCES TEMP LIGHT OR RECEPT. SYSTEM UNDERSLAB WORK / ROUGH CONDIUT �,.'�f�s�7(j �^• --C_ WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE ` FINAL � PERMIT ISSUING FEE S® TOTAL FEE Jj PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. m.o. CASH e 5 v: 14 e, U 1 1.3 C) I '76A663-CE806 11-71 "1"1 � �/ ( A PPLICA IrI N FOR ELENICA L -PEgMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING/�cj 5� BUILDING AND SAFETY DIVISION ADDRESS`( --co L.� ✓�, LOCALITY' NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER RECEPT._ $ S MAIL ^LIGHT TOTAL FIRST 20 25 ADDRESS CITY TEL. NO. SWITCH_ OVER 20 .10. PLAN CHECK LIGHTINGTOTAL IFIRST 20 •25 APPLICANT . FIXTURES 10 OVER 20 1 1 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO, PERMIT �A / RANGE DRYER_WTR. HTR. APPLICANT (/ STA. COOK DISP. F.A.U. ADDRESS, 6.2,3b SPACE HTR. AIR COND. CITY TeL. N0. ,9 ? CLOTHES WASH. DISHWASH. LICENSE NO. �jC ` 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 RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO 1 I HERESY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR J N 0 - 1 1,00 , �d LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 - 10 3.00 RESIDE N, THE ABOVE DESCRIBED R IDENTI L PR RTY. SIGNATURELuj 10 - 50 5.00 OF PERMITTEE O 1 I.. 50 - 100 10.00 DISTRICT NO. CLASS ZO E PROC ED BY W 15.00 100 - 500 N SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: ? TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 SERVICEOVER 600 VOLTS OR 200AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE,IN APPURTENANCES 5.00 • UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE VL %FINAL Zj PERMIT ISSUING FEE 9.00 TOTAL FEE I PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDI CK. M.O. CASH L4y./I:I " 8 Q 5 N .SEP 6 2 D 5,W~ 4 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE C- 1-1 "% - 1 �4 11-- 1))j)L-e- ( I-T Y 76A663-C APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER `}— WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY / NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTALNO. EACH FEE OUTLETS FIRST 20 S.20 $ OWNER LIGHT MAIL ADD'L .10 ADDRESS SWITCH. OVER 20 LIGHTING TOTAL CITY TEL.NO. I FIRST ZO .2O FIXTURES ADO'L1O ELECTRICIAN !J 1_5 OVFR 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARS.DISP. STA.COOK CITY C. � TEL.NO. l 9_-C O DISHWASH. AUTO.-WASH. STATE !PACE HTRS. BTA.APP.(ya N.P.MAX.) .50 LICENSE NO. MOTORSI OVER NOT OVER H.P. DISTRICT NO. I G_QOUP zQN �CESSED BY O 1 1.00 n. 1 9 1.50 INSPECTION RECORD >_ D_ a a 2.00 O U 8 15 2.50 O: 15 50 3.00 0 U 50 too 5.00 w 0- V) SI Na NO.TRANS Z NO.LAMPS SERVICE 0.500V-NOT OVER 200A 1.00 SERVICE 0.800V-OVER 200 A. 2.00 SERVICE OVER 500V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE IS 6 c 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORI ND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE BOVE DESCRIBED RESIDE ROPERTY. POWER SIGNATURE ��L� UTILITY CO.NOTIFIED OF PERMITTEE FINAL 6CKALIDATION ARTHUR C. VEIT MO CASH SUPERVISING ELECTRICAL ENGINEER 6. UO 3 6 In JUL 21 2 b 4.0 0~ �' • C L `` 76A663-CE806 9-67 APPLICATION FOR ELECTRICAL PERMIT •COLiNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST BUILDING AND SAFETY DIVISION �i JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING FOR APPLICANT TO FILL IN NO. EACH FEE $ OWNER 14 RECEPT.90 MAIL LIGHT/ TOTAL FIRST 20 .20 0 ADDRESS SWITCH OVER 20 .10 CITY TEL. NO. LIGHTING FIRST 20 % .20 CONTRALTO FIXTURES �TOTALI � OVER20 .10 ADDRESS RANGE—DRYER—WTR.HTR._ CITY -7 TEL. NO l STA.COOK DISP. F.A.U._ LICENSE NO,',-7 / � /� Z-Co SPACE HTR. AI COND. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH. DISHWAS H._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. FAN_OTHER 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSF MERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO IND. HEATERS ETC. HP. KW. KVA. RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIZE & T PE OVER TO SIGNATURE 0 - 1 1.00 OF PERMITTEE JF Off. O 1 — 10 _//'r`3,00 0,0 DISTRICT NO, GROUP ZQNE E 0 - 50 5.00 - O 50 - 100 10.00 NOTES: vt o W 100 - 500 15.00 d � h SIGN,GAS SIGN AND ONE CIRCUIT 3.00 We &Y,, TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT ISSUING FEE 2.00 WIRING.Z DC7 FIXTURES SUPPLEMENTARY ISSUING FEE 1.00 POWER AUTHORIZED PERMIT FEE UTILITY CO.NOTIFIED PLAN CHECK FEE (50% PERMIT FEE) FINAL JOSEPH C. ROOHAN TOTAL FEE SUPERVISING ELEC AL ENGINEER N CK. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIOM.O. CASH cl Ltt 1 9 e 5,o P1iuJ 3 Q 2 D 7.4-0- -E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE y 76A663 DBS SA 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC Z WILLIAM J. FOX, CHIEF ENGINEER FOR APPLIC T TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN (ov RECEIVED BY READY FOR DATE ISSUED ADDRES FIRST INSPECTION [CITY Jr TEL. NO. �+n COUNTY LICENSE N . 7 It; EXPIRES BUILDING14 A X PERMIT FEES ADDRESS JVVV N MBER 11 EACH FEE LOCALITY _LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. M WALL SWITCHES �i OWNER FVV TOTAL OUTLETS 5C $ t��_ MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL.-NO. FIXTURES 5 'Q M1SC. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS f APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO CONIPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I 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 , II 1/2 &LESS $ .25 SIGNATURE OF1 �• _.j'�►�.�+�"F- 1/2 2 .50 PERMITTEE 2 5 1.00 INSPECTION RECORD s 15 1.50 15 s0 2.50 50 200 5.00200 500 500 10.00 J 500 1000 15.00 OVER 1000 20.00 M. G. SET/FREQ. CHANGER-HP 'Q WELDERS: AC-KVA 0 GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%of ORIG.) r' MOVED MOTORS (75%OF ORIG.) MISC. SIGNS NO. NO. TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 I CONDUIT FIXTURES $1.00 �- WIRING SUPPLEMENTARY 50 F- FIXTURES POWER TOTAL FEE $ UTILITYCO. NOTIFIED FINAL +' 7tA"3"Det 5A 7-5, APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICI I —T RECEIVED BY READY FOR DA=E 19BUED ADDRESS ` 'G-; a� FIRST N�ECTION CITY TEL. NO. — y COUNTY LICENSE NO. EXPIRES BUILDING,-,r ADDRESS W V PERMIT FEES 4—.r NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST, RECEPTACLES CROBB ST. WALL SWITCHES OWNER TOTAL OUTLETS Sc $ MAIL _T ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 _ CITY TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE 19 CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER FEE NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. U2 a LESS $ _25 SIGNATURE OF a ,+ - I/2 2 .50 PERMITTEE--------------- - '--- _- 2 5 1.00 INSPECTION RECORD 5 1s 1.50 15 50 2.50 50 200 5.00 —r SOO 10.00' J 500 1000 15.00 Z OVER lOO❑ 20.00 13 _ M.G. SET/FREQ. CHANGER-HP Ir WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) _ MOVED MOTORS (75% GF ORIG.)tt MISC. 1 SIGty NO. NO.TRA APPROVALS NO. NO. LAMPS FOR EACH PERMIT: -._____ DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT _ FIXTURES $1,00 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ d UTILITY CO.NOTIFIED FINAL I - �- VFV563 A 3.55 APPLICATION FOR ELECTRIC PERMIT Z DIVISION OF BUILDING AND SAFETY Deportment of County Engineer R County of Los Angeles BUILDING WM.J. FOX, COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN,SUPT OF BUILDING ki- LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. NUMBER EACH FEE JIV OWNER LIGHT OUTLETS RECEPTACLES MAIL ADDRESS WALL SWITCHES TOTAL OUTLETS 54 $ CITY=j TEL. N . ELEC.RANGES 25 ELECTRICIAN ELEC. HEATERS 25 ADDRESS KW EA CITY TEL.NO. FIXTURES 5 LICENSE NO. 11 O NUMBER OF LIGHT CIRCUITS - DISTRICT IjIO. PI ZONE I READY FOR INSP_C'ION NUMBER OF RECEPTACLE CIRCUITS ��.� MOTORS NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD. HP OVER INC. EACH M $ .25 .50 1.00 I 1.50 r 2.50 1 5.00 r G s Q MISC. NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: _WIRING $1.00 L FIXTURES $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE g Cc DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING 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 M THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIA OPERTY. SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL 11 f 7. WILLIAM J. FOX,COJIINTY ENGINEER VALIDATION A. C.VEIT.CHIEF ELECT. INSPECTOR IL 0 9 1 9 5 DEC 15 . 2 2.00 WORKER'S COMPENSATION DECLARATION 20A663 DPW 9/89 APP L�'. CATION FOR ELECTRICAL PERNT u I Sierepy 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. Company FOR APPLICANT TO FILL IN JOB ADDRESS Certified copy Is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE LOCALI 1 &..2-Family,Sq.Ft. $ _ $ E 1 e 64 Certified copy is filed with the county building inspection NEAREST C f �� g}U.�$ !� department. - Multi-family Sq..Ft. CROSS ST. Date Applicant r Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL . CERTIFICATE OF EXEMPTION FROM WORKERS' : Outlets:Rec Light Sw. FIRM N OR COMPENSATION INSURANCE FIRM NAME First 20 MAIL f (This settlor need not be completed the work involved by the Total NocG Additional 'ADDRESS 6� , � V iS il VQ permit Is for one hundred dollars($1000 .)or less.) p7 I certify that in the performance of the.work for which this permit -CITY �� ' Tel.No: 5=c�33Z Is 'issued, I shall not employ any person in any mannerso as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT yy r Total No. Additional Date/ : Applicant la//1Z G/r lraY CA ADDRESS 15 O 20A.120V BRANCH CIRCUITS S� �' �� NOTICE TO APPLICANT: If, after making,this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation 1 TO 10 INCLUSIVE EACH provisions of the Labor Code,you must forthwith comply with such 11 TO 40 INCLUSIVE EACH PERMIT provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH } LICENSED CONTRACTORS DECLARATION ADDRESSS FTQ�N 0- I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A;208V TO 2M LIGHTING EACH O (commencing with Section 7000)of Division 3'of the Business and CITY0644611ra-C PR N-335—.®o V Professions Code,and my license is In full force and effect. RESIDENTIAL APPLIANCES UP TO 9HP LICENSE OR Qr! Clv cc Q Power Apparatus&Large Appliances REG.NUMBER p b CIS' �O O License Number I-MO/ U Lid:Class G 1 Size&Type HP;KW,KVA,or KVAR DISTRICT NO. �q PROCEs U. Up to 3 Incl. ®�/' W !/ Over 3 t0 10 Incl. FINAL d Contractor, [tJ 6 56Date DATE Over 10 to 50 Incl. c Z I am exempt under Sec.74 6 e lct'IC� Over 50 to 100 Incl. Z I--! Z VALIDATION AL B.&P.C.for this reason Over 100 9YAL _��.(;� Services,.Swbd.,MCC&Panelboards ate. r 0:200 Amp.Under 600 V Stgnatu Y - 9 201-1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power-Pole&Appurtenancesir HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law , Sign with One Branch Circuit :�;R �; x.•-. for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits m, •rirr Code): ( p� I,as owner of the.property,will do the work and the structure I Misc.Conduits&Conductors ,';;y1_7r- 135 •. Is not.Intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) 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(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.) ;i-'..~' ..i/2 e,17 4 PLAN CHECKING FEE _ Lender's Name .1. '�a .4 PERMIT ISSUING FEE Z Lender's Address TOTAL FEE D I certify that I have read this application and state 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 inspec gLpurposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF APPLICANT OR ENT' DATE JRKERS'COMPENSATION DECLARATION 7bA663 10%81 "APPLICATION FOR ELECTRICAL PERMIT •firm th.(.1-I)havera certificate of consent to self CE-8066 ".ore, ora certificare'of`Wbrk9r;'.Compensation Insurance,. COUNTY OF LOS ANGELES BUILDING AND SAFETI? or'a certified copy thereof(Sec. 0800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ry Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS Q ❑ Certified copy is filed with the county building inspec- 1 &2-Family, S q. Ft. $ — $ LOCALITY�� — tion department. Multi-family Sq. Ft. NEAREST CROSS ST. ys-ed*4110 Applicant Residential Swimming Pools OWFIRM NER OR r/ CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL COMPENSATION INSURANCE ADDRESS [ S S (This section need not be completed if the work involved by Total No: AddiFirst tional CITY %� Tel.No. the permit Is for one hundred dollars(;100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Work mp ation ws. Lighting Fixtures -First 20 ADDRESS Additional ��..�� Total No. q_ — CITY Tel. No. Date Z'��ppLApplicant 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 �.e• with comply with such provisions or this permit shall be Top _ FAU W.H. — deemed revoked. Hood _ Fan _Other_ CITY 25 Tel. N__119W S LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER IP/ '� ClassC°/Q (commencing with Section 7000)of Division 3 of the Business I DISTRICT NQ— and PR SED BY and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances Q� Size&Type HP, KW, KVA, or KVAR' i L License Number LO ®�-3 Lic. Class ` Up to 1 Incl. FINAL bY►PR? S Date�`� Over 1 to 10 Incl. i DATE VALID ON Contractor Over 10 to 50 Incl. ❑ FIN I am exempt under Sec. Over 50 to 100 Inc. I BY B.&P.C. for this reason Over 100 Services, Swbd., MCC&Ponelboards �j 7 Date: `— 0 -200 Amp. Under 600 V v r�� L _ 1 3-a2 A Signature 201 - 1000 Amp. Under 600 V Over 1000 Amp. or Over 600 V # 0 0 0 0 0 2 ❑ Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ° 0 2 8'5 Q I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits o 0 0 = Law for the following reason (Section 7031.5, Business and, 2 a 5 0 53 Professions Code): ❑ 1, as owner of the property, will do the work and the Misc. Conduits&Conductors o 1. 18-85 structure is not intended or offered for sale (Section, Other(See Complete Fee Schedule)_ - 7044,.Business and Professions Code.). q 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 /t PERMIT ISSUING FEE U Lender's Address 010 I certify that I have read this application and state that the TOTAL FEE q�v above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize re senta'tives of this County to enter upon the rop ty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1306100008 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: 526 BL: .001 I I 9658 LAS TUNAS DR I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT-1 TEMP CA 917802139 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 18587-021-015 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI I IK1 SIGNS, OUTLINE LGT 1.00 SIG 38.90 1 ITENANT: I TOTAL FEES 66.70 (ISSUED ON: PROCESSED BY: PLAN BY: ICOLOR NAILS �I 106/10/13 SR I 1OWNER: TEL. N0: I IFINAL DATE FINAL BY: CODE: ICOLOR NAILS (626) 309-0397- I I 19658 LAS TUNAS DR ;I I ITEMPLE CITY CA 91780 1 IDESCRIPTION OF WORK I (ONE SET INTERNAL ILLUMINATED CHANNEL LETTER WALL SIGN (APPLICANT: TEL. NO: 1 I 1 IYU, ALLISON (626) 336-1616- 1 I 116354 VALLEY BLVD 1 (SPECIAL CONDITIONS: ILA PUENTE CA 91744 1 1 ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 IFIRST SIGN CO. (626) 336-1616- 1 E ®® E ^ (TEMPORARY POWER POLE 116354 VALLEY BLVD LIC. NO I ?y�� f `� I LA PUENTE, CA 91744 605688 * C /( (��II(..//!!u I (UNDERGROUND CONDUIT I I (ARCHITECT OR ENGINEER: TEL. NO: 1 �[ -10 Y JUFER.GROUND I I I LIC. NO: I IROUGH CONDUIT I I I i IROUGH WIRING I I I I (MAIN WATER LINE I I I IPLASTIC Y/N METAL Y/N i I 1 (UTILITY COMPANY NOTIFIED I I I I 1 I I I I I I I I I I I I I I I I I I• I I I I 1 I I I I I I* ADDITIONAL DATA ON FILE I IREPORT ID: DPR265 ROUTE TO: BS0508 4� COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT r DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1104110018 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID BUILDING ADDRESS: ITR: 6561 LT: 526 BL: .001 [ 9660 LAS TUNAS DR I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] TEMP CA 917802139 [ (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: I 18587-021-015 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl I Kl SIGNS, OUTLINE LGT 1.00 SIG 38.80 1 1 (TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: ] ITAIWAN ANGEL HAIR 104/11/11 SR I ]OWNER: TEL. NO: [FINAL DATE FINAL BY: CODE: ITAIWAN ANGEL HAIR - [ 19660 LAS TUNAS DR. I ] [ [TEMPLE CITY CA 91780 IDESCRIPTION OF WORK [ I ICHANNEL LETTER ILLUMINATED ]APPLICANT: TEL. NO: [ [ 188 SIGN CORP. (626) 442-8033- [ [ 11906 DOREEN AVE I [SPECIAL CONDITIONS: ISO. EL MONTE 91733 ] I I ICONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE 188 SIGN CORP. (626) 442-8033- 1 [ 11906 DOREEN AVE LIC. NO [ ITEMPORARY POWER POLE I [ I IS. EL MONTE, CA 91733 702474 C10 [, I [ I I I [UNDERGROUND CONDUIT [ I I (ARCHITECT OR ENGINEER: TEL. NO: �UFER GROUND I I [ _ � I 1 I LIC. NO: [I IROUGH CONDUIT [ I I IROUGH WIRING I I I MAIN WATER LINE I IPLASTIC Y/N METAL Y/N I � � I [UTILITY COMPANY NOTIFIEDI I [ I I I I I I I I I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I [ I I I I