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Home My Public Portal About9622 VAL ST_Electrical__ 76AG53-CES05 3-89 047 e i. APPLICATION FYR ELECTRICAL PERMIT 9 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS ocz JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST NO EACH FEE CROSS ST III f OWNER 63-1 41P. RECEIPT MAIL LIGHT_ TOTAL FIRST 20 20 ADDRESS SWITCH- OVER 20 10 CPLAITYN CHECK TEL NO10, a LIGHTING 1 TOTAL FIRST 20 20 APPLICANT FIXTURES )} OVER 20 10 ADDRESS RANGE_DRYER_WTR HTR CITY TEL NO CONTRACTOR STA COOK_DISP _F A U E SPACE HTR —AIR COND ADDRESS CLOTHES WASH _DISRWASH CITzdo TEL FAN_OTHER 1 00 LICENSE NO CLA MOTORS TRANSFORMERS RATING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION IND HEATERS ETC HP KW KVA AND STATE THAT THE ABOVE le CORRECT AND AGREE TO COMPLY SIZE A TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING D — 1 1 DD 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AHO/OR _IC[Ne[O AS REQUIRED BY LOS ANGELES COUNTY AND STAT[OF I — 10 3 OD CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO R[SIO[ IN THE ABOVE O CRIB[O RCBIO[NT11L ROP[RTY O 10 - 50 S 00 V SIGNATURE oC 50 - 100 10.00 OF PERMITTEE O 100 - SOO ISDO DISTRrAPWOVAL5 1CT NO GROUP zON[ ..ED eV SIGN,GAS SIGN AND ONE CIRCUIT 3 00 -� H6/> TUBE, OR ? MARpUEEADDITIONAL CIRCUITS 1 00 SERVICE NOT OVER 600 VOLTS OR 200 AAP 2 DO SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE POLE, &APPURTENANCES 3 00 DATE rePECTaR'E eFGNATwE SE ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE 2 00 UTILITY CO NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE0O JOSEPH C RODMAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M'0 CASH PERMIT VALIDATION cK M o GASH - 3- -- I Ar,6 5 1 i R AUG27 20 5.00- SEE 5.00~SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE TION WORKERS CIjhave a TIONcate of corse cE963 ,a,s, APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self �B06C insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or1aa certified copy thereof Sec 38DO, Lob C ) y� . P❑ollCy IVa V 11 ompony rfle 1 FOR APPLICANT TO Flu IN JOB � r� Certified copy is hereby furnished New Residential Bldgs 8 Pools EA04 NO FEE ADDRESS ciC— L U Ste' — LOCALITY Certified copy a filed with the county bmldm mspec 18 2 Family Sq Ft f — s I! non departM ultiMulti family Sq Ft NEAREST 'r C G W S� u Residential Swimming Paola CROSS OWNER TDate I¢ant OWNER OR CERTIFICEXEMFnO ROM WORKERS ��y 1,+ FIRM NAME COMPENSATION I URANCE Outlets RecJTLighl�5w V SS 4 stolon need not I�completed R the work Inwhed First 20 _ � P � Total No nnf CIN Tel No '0755 the permit is for ono hundred dollars ($100)or less ) Additional I certify that in the performance of the work for which this AP 1CCA permit is issued, 1 shall not employ any person in any manner 6 /' so as to become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS E z a4*Jr(AZ—T-&.l DW— Total No� Additional Dote Applicant CITY �1 /sOs Tel No �J4. NOTICE TO APPLICANT If after making this Cernficote of Fixed Appliances Not Over 1 HP gpp%L IIGW �E Exemption you should become subject to the Workers Range v Heaterla D W Compensation provisions of the Labor Code, you must forth Oven (Z Dryer W M C�-' ADDRESS with comply with such provisions or this permit shall be Top FAU W H O /�/y7y deemed revoked Hood Fan Other— — CITY Tel No 7 T Zq LICENSED CONTRACTORS DECLARATION p L0ENN MBER �J /CJ!! I hereby affirm that I am licensed under provisions of Chapter 9 Du Room Au Cond �. (J!! Class (commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO crO PROCESSED Y and Professions Code and m license is in full force and effect VV 4��!III Size &Type HP KW KVA or KVAR Q Licceen�njjs''ee__Number J Lic Class -_/ Up to I Incl FINAL V Cbnfracto'rz"�1 t,0 A) 1,ZAJ L Over 1 to IO Incl DATE 9 VALID ON Q ❑ Over 10 to 50 Incl G FINAL I am exempt under Sec Over 50 to 100 Inc BY su 6 B 8P C for this reason Over IOD Z Dote Services Swbd , MCC 8 Ponelboards ► 0 -200 Amp Under 600 V Signature 201 1000 Amp Under 600 V ❑ Exemption for Reg MaOver 1000 Amp or Over 600 V mt Elect :22031 {+ SINGLE FAMILY Tamp Power Pole&Appurtenancese e e e e HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit # 2 I hereby affirm that I am exempt from the Contractor s License Additional Sign Branch Circuits '1 • 959.00 Law for the following reason (Section 7031 5, Business and Professions Code) ❑ I as owner of the property will do the work and the Mist Conduits 8 Conductors • e - 59,005 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , 0 5 1 4—8 5 70" Business 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 PERMIT FEE (Sub Total) (Sec 3097 Cw C ) PLAN CHECKING FEE Lender s Name �l PERMIT ISSUING FEE U Lender s Address ''tt 1 certify that I have read this application and state that the TOTAL FEE 51,Vi) 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 aboa mentioned pro try for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE S-tr-4r Sigrwture of PermT"Ve Perm" Date • COUNTY OF LOS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0006020011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285.0488 EXT LEGAL ID: FEES PAID BUILDING ADDRESS TR 09285 LT 01 9622 VAL ST E FEE DESCRIPTION QUANTITY LEN AMOUNT TEMP CA 917W ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET TEMPLE CITY 5383-014-005 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE GRID LOCALITY TEMPLE CITY JA HEAT PUMPS +3-10HP 1 00 HT 19 65 TENANTwA dP 7,,Kju�6 TOTAL FEES 47 40 issuEo ON PROCESSED BY PLAN BY EXPIRES ON 06/02/00 UT 11/ 0 OWNER --7n--WF- FINAL DATE -7T"r-ly VARIA, VINCENT (626) 447-5548- CODE 9622 VAL ST Lam/' TEMPLE CITY, CA l ELECTRICAL FOR NEW HVAC SYSTEM APPLICANT --TEE- NO CONNOR AIR CONDITIONING (626) 286-3157- 4937 NORTH ENCINITA SPECIAL CONDITIONS TEMPLE CITY, CA CONTRACTOR --rn—w6— °S PNGELES COotiTyAPPROVALS CONNOR AIR CONDITIONING (626) 286-3157- 4931 ENCINITA AVE LIC N TEMPORARY POWER POLE TEMPLE CITY, CA 91780 403735 C20/ � UNDERGROUND EMMUT ARCHITECT OR ENGINEER TEL NO UFER GROUND � LIC NO 1111111ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE u l] L�(o T\jO C U PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFI 0 O 0 0 �c Service That REPORT ID DPR265 ROUTE TO BS0508