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Home My Public Portal About9629 VAL ST_Electrical__ APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING / ,U BUILDING AND SAFETY DIVISION ADDRESS Cf JOHN A LAMBIE, Cow" ENGINES / CASSATT D GRIFFIN,auF of FAIILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST I P� F=S CROSS ST r ITEM RUMORRI EACH FEE OWNER AIL OUTLETS M LIGH're RECEPT BW 10 ADDREB t, LIGHTING FIXTURES 10 CITY , TEL NO ff R aw CLO DRYEISB ELECTRI N WATER HEATERS aO ADORESB =M SPACE HTRD DIBHWAEHERB CITY 14aZ TEL NO OARBAOE DI@'ODO16 AMTO BIC WwEHRD BTA coo KING UNTTB Ya LICENB NO MOTORS OVER IMG. HP I RICTNO IG O— VA Ya c '/E— z ao INSPECTION EMOHD z— a foo a— la l a0 Is— 50 200 so—zoo 2100 SIGNS NO TR & NO LAMFB SERVICE O-DOOV too SERVICE OVER SOOV goo MISC. WIRING PERMIT 100 FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT a0 TOTAL FEE Is I HEREBY ACRNOW Qll THAT 1 HAVE READ TRIR A ICATIOM APPROVALS DATE RMFECTOR Y WONATtIm ARD STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WR ALL COUNTY ORDINANCES AND STATE "" REOULATINO CONDUIT ^^�� ELECTRICAL WIRING I HEREBY CERTIFY THAT 1 AM FROFOB.Y REOISTIMED AWOR WIRING LICENSED M REOUIH[ED 0Y LOB ANOELU COUNTY AMD STATE OF FIXTURES 'LD CALIFORRIA OR THAT M THE LEGAL OWMEROF ABOVE DESCRIBED R[BEIQIT PEATY POWER SIGNATURE e UTILITY CO NOTIFIED OF PERM I C�RTHURVETT DX ND aAsx UPEiUR C FI vCTRICA4 ENGINEHR LA'03 6 5 10; OCT 7 2 A 2AO �.A..> Pd u I I ,• APPLICATION FOR PEILMT DEPARTMENT OFNG AND SAFETY ELECTRIC i COUNTY OFF LOS LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DIBTRIL O. GR�OUP I ZONE PERMIT NO. .- / ELECTRICIAN D RECEIVED BY READY FOR DAT[ ISSUED ADDRESS FI INSPECTION CITY TEL NO �6 -TD COUNTY LICENB[ NO EXPIRED BUILDIADDREBB J 1 1 PERIM FEES L (/ G Z NUMBER OUTLETS EACH FEE LOCALITY LIGHT So NEAREST _ CROSS BT RECEPTACLES S rIXTUREB B OWNER WALL SWITCHED B MAIL K"p RANGED 16 ADDRESS ELEC HEATERB IIB CITY TEL NO 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS NUMBER OF CIRCUITS INSTALLED TOTAL APPLICATION AND STATE THAT THE ABOVE IB CORRECT LIGHTS RECEPTACLES AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING NuN.[K HORSEPOWER FEE I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB NM MVI) HP OVER INC EACH ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE • L[aE a ZS I 7 SO SIGNATURE OF B S I DO PERM ITTE. /C/• � - S 1B 1 as INSPECTION RECORD is SO 250 BO 2013 Sao ZOO Soo 1 C OO SOD lam 15 OC Q OVER 1000 ED DD = M G SKT/FREQ CHANOER-HP WELDERS.AC-KVA C GENERATORS - KW O TRANSFORMERS - SIVA TEMP MOTORS (70 of oXIR) MOVED NOTORB (75% of oRlo) SIGNS TYPE NIL TRAM& TYPE MO LAMPS APPROVALS FOR EACH PERMITS DAT[ INBP[OTOR'S NAM[ WIRING $1.00 001CONDUIT FIXTURES 1 00 Q WIRING SUPPLEMENTARY 60 FIXTUR[B ckanz POWER TOTAL FEE • 7 UTILITY CG NOTIFIED. ✓ � FINAL WORKER COMPENSATION DECLARATION AO,a oPyy(12 9affirmhaveac I hereby affirm m tet I have a certificate m768� APPLICATION FOR ELECTRICAL PERMITllcate of consent to sell insure 78A or 9 CBltilicate of Worker s Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sao 3800 Lab C) Polity NO Company FOR APPLICAIIT To Flu IN JIM E] Certifiedcopy is hereby/umielletl New Residential Bldgs 8 Pools NO EACH FEE LOCALITY C_ AIDFtESS C:- I ❑ CerNiad .py Is filed with the county building mepecbon 1 6 2 Family Sq Ft $ $ NEIRE9T department Muth family Sq Ft CR098 sr Data Applicant Residential Swunming Pods �E� PAffE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS Outline Ric Light—SW FIRMNE AMMe e!57 I COMPENSATION INSURANCE Firer 20 (This section need not be completed If the work Involved by the ADDRESS permit Is for one hundred dollars($100)or lees) Total No Addtlonel I certify that in the performance of the work for which this permit CRV C G Ts, No Is Issued I shall not employ any person in any nner so as to PLAN CHEC become bl t tothe Workers Compensatl Le Lighting Fixtures First 20 APPUCA E Total NO Additional Applitent ADDRESS • G Ld DateRESIDENTIAL APPLIPNCES NOT OVER 3 HP NOTIC TAPPLICANT alter eke ng this Cercera of CITY G Tet No y Exemption you should becomea sub( to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP ir provisions of the Labor Code youfnuat fonhwlth comply with such I>Ew4n provisions or this permit shell be deemed revoked Power Apparatus d Large Appliances LICENSED CONTRACTORS DECLARATION Sae d Type;P KW Kyo,Os KV.�R -ADDRESS I hereby affirm that I em licensed under provisions of Chapter 9 $ Over3to 1 incl (commencing with Section 7000) of Division 3 of the Business and CITY TN No Professions Code and my license is in full force and effect Over 10 to 501nc1 Over 50 to 100 Ina R p NO OR Claim, 0- License License Number Lw Gass 45 Over IOD DISTRICT NO QQ PROLE Q Services SwDd MCC d Partelbcards O(J cc Contractor • Data 0 399 Amp Under 600 V pRgTE�� i ❑ I am exempt under Sec 400 1000 Amp Under 600 V / VALIDATION V Over 1000 Amp or Over 800 V RplgL W B 3P C for this reeaonBRANCH CIRCUIT FEES ev (d Date 15A or 20A 120V Lighting or Receipt Z 1 To 10 Branch Cswlts Signature 11 To 40 Branch Glcuda ❑ 41 Or More Branch CucuM Exemption for Reg Melnt Elect 1S 20A 2D3V To 27TV Lighting Br Circuits i SINGLE FAMILY Tertp Power Role a Appurtenances HOME OWNER BUILDER DECLARATION Sign win One Branch Clrcurt �_CT•i I hereby following that I on exempt from the Contractors License Lew for the following reason (Section 7031 5 Business and Professions Atldnanel Sign Branch Circuits 33EG �'tFj Code) .:ti ❑ I ee owner of the property will do the work and the structure Mlsc Conclude A Conductors 1 ITEM EM is not intended or offered for sale (Section 7044 Business Otter(See Complete Fee Schedule)— , TOTAL 4 r-e and Professions Code) CONSTRUCTION LENDING AGENCY CHECK t6.95 I hereby affirm that there is a construction lending agency for the CHpNISE performance of the work for which this permit is issued(Sac 3097 PERMIT FEE (Sub TotaQ Civ C) Lenders Name PLAN CHECKING FEE 131300-00131 8/ 1794 PERMIT ISSUING FEE Vol fi314 1 AN �:R, Lender a Address I certify that I have read this eppucetion and under penalty of purfuty,stele TOTAL FEE that the above Information Is correct I agree to comply with all County ordnlenceeand Stele M Mating Electrical wiring and hereby authanze Topreeenmitvae 0 rfCau to enter upon the above-menuaned property , for t tl n p oeee SEE REVERSE FOR EXPLANATORY LANGUAGE OF PFAM � / COUNTY OF LOS ANGELES TEMPLE CITY 9 0508ELECTRICAL P,ERMI,T!– DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EM050819813,100015_` BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (818) 285-0488 ENT LEGAL ID FEES PAID allILDING ADDRESS TR- 16867 096291VZ4� FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 91780 ASSESSUR INFORMATION NUMBER: NEAREST CROSS STREET TEMPLE CITY BLVD. Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE GRID LOCALITY TEMPLE CITY HA FAU LESS 3HP 1 00 FAU 70 80 TENANT JB AC LIMITS +3-10HP 1 00 AC 19 80 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON: LA 100 AMP PANELS, MCC 1 00 PAN 38 85 11/10/98 LIT /10/99 TOTAL FEES 97 20 OWNER TEL NO FINAL DATE CODE GILLILAND, SHARON (818) 446-2097- 9629 lZ�I [ ./ TEMPLE CITY, G 1 EL`ECTRIGLBFORINVAC ANt DrWEW_L701 TSERVICE!LPGRAD-_E'-- • APPLICANT TEL NO MELENDEZ ELECTRIC (818) 753-5108- 11575 FRIAR ST SPECIAL CONDITIONS N HOLLYWOOD, CA CONTRACTOR TEL 5 PNGELES Co APPROVALS DATE INsFECTM–§rQUTGffF— MELENDEZ ELECTRIC (818) 753-5108- 11575 FRIAR ST LIC. NO TEMPORARY POWER POLE N HOLLYWOOD, G 91606 677755 CID UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL. NO: LIC NO / 1111117ROUGH CONDUIT ROUGH WIRING 1 P U B L I C WORKS PLASTIC Y/N METAL Y/N }� 1 f p Ob/�c Service REPORT ID DPR265 ROUTE TO OS0508