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Home My Public Portal About9069 RANCHO REAL RD_Electrical_1956-10-05 78ae8s .i FB3.5a I�j.ss APPLICATION FOR ELECTRIC PERMIT DMSION OF BUILDING AND SAFETY Department of County Engineer BUILDING Z County of LOB Angeles ADDRESS 9069 Rancho _Rdo JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN.SUP'T OF BUILDING LOCALITY Temple City FOR APPLICANT TO FILL IN Coss sT. Rosemead PMUCT FEES NUMBER OWNER 0. La Roque LIGHT OUTLETS MAIL RECEPTACLES ADDRESS 9069 Rancho deal Rd. WALL SWITCHES FEE CITY Temple CityTEL.NO. TOTAL OUTLETS ® so $ ELECTRICIAN X lilunyon ELEC.RANGES 26 ADDRESS 2995 Sheffield Rd. ELEC.HEATERS 26 w /� 760 KW EA STATE CITY San NE.ri no TEL.NOf+ 0 LICENSE C-0-2900 FIXTURES 8 ' MOTORS DISTRICT NO. GROUP ZONE READY FOR INSPECTION NUMBER HORSEPOWER FEE NEW MVD. HP OVER INC. EACH l Yz a LESS $ .2s INSPECTION ORD 14 2 .s0 2 S 1.00 s 18 LBO i6 so 2.80 ` 50 200 6.00 MISC. 1 NO.SIGNS NO.TRANS. NO.SIGNS NO. LAMPS FOR EACH PERMIT: WIRING $1.00 FIXTURES $1.00 SUPPLEMENTARY .s0 APPROVALS TOTAL FEE $ ATE INSACTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION A I� �= AND STATE THAT THE ABOVE IS CORRECT AND AGREE 70 COMPLY CONDUIT u�l _ LOl 11 4.L).y Alm-, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING V 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 AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED EESIDEN AL PROPERLY. SIGNATURE 4l.Cl UTi1:ITY CO.NOTIFIED OF PERM ITTE$ FINAL 'OHN A.LAMBIE.COUNTY ENGINEER ATION ARTHUR C.�VEIT,CHIEF ELECT.INSPECTORLAC6 _ • M CASH OCT -5 2 2 A O a 7SA863 APPLICATION FOR ELECTRIC RIC PERMIT D8S•8A 11.88 DrMON OF BUILDING AND SAFETY ' Departatent of County Engineer r, BUILDING County of Los Angeles ADDRESS / JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY Q FOR APPLICANT TO FILL IN FENEAREST PEMW ES NUMBER OWNER l LIGHT OUTLETS MAIL RECEPTACLES ADDRESS WALL SWITCHES FEE CITY TEL.N0. TOTAL OUTLETS 0 B¢ $• � ELECTRICIAN I n Q i ELEC.RANGES 25 ADDRESS . ELEC.HEATERS 28 - CITY R/'y TEL.NO. KW EA STATE - FIXTURES S �J LICENSE NO. ®� MOTORS DISTRICT,P. GRf P NEREADY FOR INSPECTION NUMBER HORSEPOWER FEE 16 I •I I - NEW MVD. HP OVER INC. EACH LEBB $ .25 INSPECTION RECORD Yz 2 .50 2 B 1.00 5 1S i,SO 18 SO 2.50 50 200 5.00 MISC. NO.SIGNS NO.TRANS. NO.SIGNS NO. LAMPS FOR EACH PERMIT: WIRING 81.00 FIXTURES / $1.00 SUPPLEMENTARY ! .SO 0 . APPROVALS TOTAL FEE $ 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 ELECTRICAL WIRING. _ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS.REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT-I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED REBID PROPERTY. • UTILITY CO.NOTiP1ED SIGNATURE OF P€RMITTE � � FINAL IIIIIIIIIIN 1—mm OHN A.LAMBIE.COUNTY ENGINEER VALIDA ARTHUR C.VETT,CHIEF ELECT.INSPECTOR CK MO CAs ! 1 O 'QCt 1.7 2 .�J ' WpRKERS COMPENSATION DECLARATION 70A663 10/81 Rl ti by..affJsm that.I have'a certificate of consent to self insure, CE-6066 APPLICATION FOR"ELECTRICAL PERMIT A& a certltcate of Workers' Compensation Insurance,.or.a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab,C:) Policy No. Company FOR APPLICANT TO FILL IN 'JOBADD ItlD sf Certified copy is hereby furnished. EACH NO. FEE ADDRES New Residential Bldgs.&Pools 1 &2-Family, Ft. $ — $ LOCALITY 0 Certified copy is filed With t county'building inspection i _ NEAREST department. Multi-family Sq.Ft. CROSS ST Z Date An ant Residential Swimming,Pools OWNER OR `M !/ ° FIRM NAME CERTIFICATE OF EMPTION.FROM WORKERS' Outlets:Re c Light. Sw. + MAIL / COM NSATION INSURANCE ADDRESS (This.'section need be.completed if the-work involved by the First 20 'CITY permif.is for one hundred dollars($100)be less.) Total No. Additional I certify that in the.performance of the work for which this permit PLAN CHECK is issued, I shall not em to a APPLICANT p y ny.person in any,:manner so as to become subject to the Workers'Compensation La Lighting Fixtures First 20 ADDRESS v Total No. Additional CITY Tel.No. Da. Applicant r, NOTICE TO APPLICANT: If, after making tFixed Appliances Not Over 1 HP PERMIT his Certificate f ..APPLICANT 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 provisions or this permit shall be deemed revoked. Top — FAU W.H. LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ CITY Tel.No. I hereby affirm'that I am licensed under provisions of Chapter 9 LICENSE OR Disp. -'Room Air Cond. REG.NUMBER Class. (commencing with Section-7000)of Division 3 of the Business and - Pr.ofessions Cdde,and.my license is in full forceZandeff Power AppaFatus&Large Appliances DISTRICT NO: ...1 PROCESSESize&Type HP,KW,KVA,or•KVARLicense Number LicI, Up to 1 Incl. FINAL U Over 1 to 10 Incl. DATE Contractor ate '� VAL ION 0 ❑ Over 10 to 50 Incl. FI. ],am exempt under Sec. Over 50 to 900 Inc. W B.&P.C.for this reason mover 1 f�Tll) •^ ad Cl) Services,Swb .,• (, &Panelboards e Z a .Date: , 0'-200 Amp.Under 600 V l Signature 201 : 1'000 Amp.Under 600 V Exemption for Reg.MaiM.Elect. Over 1000 Amp.or Over 600 V a 0 3 1,4 A SINGLE FAMILY Temp.Power Pole&Appurtenances Ao.o 0 0 0 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit l hereby affirm that 1 am exempt from the Contractor's•License Law for the following reason(Section 7031.5,Business.and Professions. Additional.Sign Branch Circuits ;� o 0 54.75 Code): '. Misc.Conduits&Conductors I,as owner of the property,Will do the work and the structure Other(See Complete Fee Schedule) is not intended or offered for sale (Section 7044; Business. Q 7.2 9.•, e. and Professions Code). 8 8 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.). PLAN CHECKING FEE ; Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the above TOTAL FEE information is correct.I agreec e mply with all County ordinances and State laws regula' g ct' firing, and hereby authorize '. C ' representatives oft ty r upon the above-mentioned property for ins n oses SEE REVERSE FOR EXPLANATORY LANGUAGE Sigr1lK 115f Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 l.E ICAL ljM DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9 09100035 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAIDUdkD AG—AO .REAL.R TR: 11218 LT: 20 BL: 8 9 FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803031 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: SULTANA 5388-002-020 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 26.00 OUT 47.10 TENANT: G2 LIGHTING FIXTURES 18.00 LGT 35.10 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: HA FAU LESS 3HP 1.00 FAU 10.80 09/11/96 TC 09/10/97 H2 RES GRBG DISP LT 3HP 1.00 DIS 10.80 OWNER: TEL. NO: H3 RES DISHWASHR LT 3HP 1.00 DIS 10.80 FINAL DATE FINAL BY: CODE: WONG KIM H;WING S (818) 286-4036- H4 RES RANGE HDS LT 3HP 1.00 H00 10.80 9069 RANCHO REAL RD H5 RES WASH MACH LT 3HP 1.00 WAS 10.80 Z"Q 1"'qq 1�7 TEMP 917803031 JX MOTORS, LT 3 HP 1.00 MOT 15.45 DESCRIPTION OF WORK ' TOTAL FEES 179.40 NEW ADDITION AND ALTERATION APPLICANT: TEL. NO: SAME AS OWNERIL E- SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: � APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO y; y� �waTEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: EL. NO: �4��/, / 1�+�%fir-�j., �, `, FER GROUND LIC. N0: ,' { �' i i r� l+ i f ++�+ ROUGH CONDUIT ROUGH IRING ,� MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED t_ ,�t,'\'• '�1. ` �i/' ., ;� 1' -`•Iii:_= r''�.9 ` _`_-- � ..• `,ice REPORT ID: DPR265 ROUTE TO: BS0508