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Home My Public Portal About9630 VAL ST_Electrical__ """' " 11"" '°'" • APPLICATION FOR ELECTRICAL PERMIT ' COUNTY OF LOS ANGELES Jpg }� DEPARTMENT OF COUNTY ENGINEER �DDRE55 30 BUILDING AND F DIVISION FOR APFLICANT TO FILL IN LOCALITY �— New ResldenNol Bldgs &Pools EACH NO FEE NEAREST 1 &2 Family Sq Fr E 025 CROSSST WNE R Muhl family$q Ft 02 — FIRM NAME ResldemoI Swim g Pools 2500 MAIL , ADDRESS Outlets Rec lghtr-5w >/ CITY Tel No First 20 50 PLAN CHECK Total No�_ Additional 30 APPLICANT ADDRESS Lighting Fixtures First 20 50 CITY Tel No Additional 30 PERMIT Total No APPLICANT Fixed Appliances Not Over I HP ADDRESS Range—Hearer—D W CITY el No 33,f—,bs/ Oven_Dryer_W M_ LICENSE OR Top —FAU —WH — REG NUMBER Gloss Hood L Fan Other_ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLKATION AND STATE Disp 1 Room Au Cond 2 THAT THE ABOVE 15 CORRECT AND AGREE TO COMRY WITH ALL COUNTY ORDIN ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING Power Apparatus&Large Appliances Size&Type HP KW KVA or KVAR 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS Up to2 50 REOUIRED BY LOS ANGELES COON D STATE OF CALIFORMA OR THAT I AM Over I t DCI THE LEGAL OWNER THE ABOV ESC BED NT1Al PROPERTY 19 Over 1 to 10 Ind 5� Over 10 to 50 Incl12 50 PERMITTE C Over 50 to 100 Inc 25 DO SIGNATURE Over 100 40 OO DISTRICT NE BY a Services S— O �NS$pp�E{CT� J i 0 200 Amp Under 600 V 12 APPROVALS D E ISIGNATOORE 201 1000 Amp Under 600 V 2500 Over 1000 Amp or Over 600 V 50 00 TEMP POWER POLE UNDERSLAB WORK Temp Power Pole&Appurtenorces 1000 Sign with One Branch Circuit ROUGH CONDUIT rcuit 2 00 Additional Sign Branch Circuits WIRING Mist Conduits&Conductors 1000 FIXTURES Other(See Complete Fee Schedule) POWER AUTHORIZED UTILITY CO NOTIFIED T FINAL S� PERMIT FEE (Sub Totoll NOTES PLAN CHECKING FEE (One Fourth Permit Feei PERMIT ISSUING FEE $7 00 TOTAL FEE PLAN CHECK VALIDATION CK M 0 CASH PB1WT VALIDATION CK M O CASH �' zc,r `� t r'e ✓ 5 5 wta 9 2 0 1 9.0 Aso „ SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE TGAGGG-"GGG 10"4 • APPLICATION FOR ELECTRICAL PERMIT ' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY BUILDING AND SAFETY DIVISIONER i%%RESS L S'T, LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST OUTLETS OWNER OR S FIRM NAME RECEPT_ MAIL LIGHT_ TOTAL F10.8T 20 Zy ADDRESS SWITCH OVER 20 CITY TEL NO 10 PLAN CHECK LIGHTING TOTAL FIRST 20 L• APPLICANT FIXTURES 10 OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO PERMIT RANGE_DRYER_WTR HTR— APPLICANT ��Aq STA COOK_DISP_F A U _ ADDRESS SPACE HTR AIR COND 1C,I�TEYHS pp TEL NO CLOTHES WASH _DISHWASN_ FI:G NUMBER �� d CLASS �� Q FAN OTHER 100 1 H[RE$Y ACKNOWL[DOL THAT I IAV[ MCAD THIS APPLICATION AND STAT[ THAT THE ABOVE 13 CORRECT AND AOR[[ TO COMPLY MOTOR$ TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAW[ REGULATING IND HEATERS, ETC HP RW KVA ELECTRICAL WIRING $IEE a TYPE OVER TO 1 N[R[SY CERTIFY THAT 1 A PROPERLY R[OI$T[RED AND/OR O - 1 100 LICLNSLD AS R[OUIRLD $Y f A OLL[S COVNTY ANO STAT[ 01 j. CALIFORNIA OR THAI I A R OI TME ABOVE y 1 - 10 700 DLSCRISED RESI NT OP Y O PERMI Ci 10 - SO 000 SIGNATURE O SO - 100 IOAO DISTRICT Hilt -5 r PROCESS 0 BY 100 - SOO 1500 J F _ \ SIGN, GAS SIGN AND ONE CIRCUIT S00 APPROVAL/ OATI7 IRO[CTaPf$IUATUR[ TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE ' SERVI CE NOTOVER BOO VOLTS OR 200 AMP UNDERSLAB WORK SERVICEOVER 600VOLTS OR 200AMP 1000 ROUGH CONDUIT T EM P S ERV I CE,POL E, B APPU RTENAN CES 500 WIRING TEMP LIGHT OR RECEPT SYSTEM 700 FIXTURES POWER AUTHORIZED UTILITY CO NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE TOTAL FEE O , PLAN CHECK CVJA6Ip/� t ,SA-rfON M 0 CASH PERMIT VALIDATION D M 0 CASH WORKERS .�Ml �I�V( POLICY HOLDERS 6 5 1AUG 24 2 0 1 9.5$19 SAM Q . �POLICYFNUMBER2FoR�aLVCN ^ WORKERS COMPENSATION DECLARATION 61 10i81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate 8te of consent to self CE 8066 insure, or a certificate of Workers Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or o certified copy thereof (Sec 3800 Lab C ) PolPolicy No Compony FOR AM TO RLL IN JO PKIC/LB � al 0 / C Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE 's'�REV ❑ Certified copy is filed with the county building inspec 1 & 2 Family Sq Ft $ — $ LOCALITY_C,- , /.� (f/ hon department Multi-family$q Ft — NEAREST /� CROSS ST T G_/l Lv� Residential Swimming Pools Dote Applicant /I,, FlR , NpE f11'Pj/e U/( CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec_ZLLight�Sw MAIL COMPENSATION INSURANCE q 7 First 20 ADDRESS (This section need not be completed If the work Involved by Total No� AdditionalCITY Tel No the permit Is for one hundred dollars ($180)or less) I certify that in PLAN CHECK the performance of the work for which this APPLICANT permit is issued I shall not employ any parson in any manner so as to become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS Total No T Addmonal CITY Tel No Date pIf, an Fixed Appliances Not Over I HP PERMIT NOTICE O APPLICANT If, after subject 11 s Cerirfic k 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 with comply with such provisions or this permit shall be Top _ FAU _WH _ deemed revoked Hood — Fan _Other_ CITY Tel No LICENSED CONTRACTORS DECLARATION Docs _ Ran Air Cond — LICENSE OR Class I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER (commencing with Section 7000)of Division 3 of the Business pApparatus 8 LAlDISTRICT NO BY T and Professions Code and my license is in full force and effect Power Large Y d Size&Type HP KW KVA, or KVAR �/ O O License Number L¢ Class V Up to 1 Incl FINAL Over 1 to 10 Ind Contractor Date A VAL TION O ❑ Over 10 to 50 Incl FIN l(�� I am exempt under Sec Over 50 to 100 Inc BY W B&P C fee this reason Over 100 = Dote Services Swbd MCC& Panelboards 0 -200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V Exemption for Reg Mainz Elect Over 1000 Amp or Over 600 V :12 2 3 8 A ❑ • • e e e SINGLE FAMILY Temp Power Pole&Appurtenances # 'z HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ( • - 31,00 hereby th efo that I g r exempt from the Connector s ss License Additional Sign Branch Circuits • • • 31. 005 Law for the following reason (Section 7031 5 Business and Professions Code) ❑ 1, as owner of the property, will do the work and the Muc Conduits& Conductors 0 b; 1 —85 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)— , 7044 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 3D97 Civ C ) PLAN CHECKING FEE Lender s Name PERMIT ISSUING FEE 10 Lender's Address O I certify that I have read this application and state that the TOTAL FEE above information is correct I agree to comply with all County ordinances and State jaws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above mentioned property for inspection put ores SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of P��e7 Date COUNTY OF LOS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0207250009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PRONE (626) 285-0488 ENT LEGAL ID; MtU PAID BUILDING ADDRESS ON FILE 9630 VAL ST FEE DESCRIPTION QUANTITY W1• AMOUNT TEMP CA 917800000 ASSESSOR INFORKA LON NUMBER: NEAREST CROSS STREET TEMPLE CITY BLVD. 5383-014-006 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE GRID LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGTSW RECP 17 00 OUT 33 15 TENANT G2 LIGHTING FIiKAES 10 00 LGT 19 50 ISSUED ON PROCESSED BY PLAN BY. EXPIRES ON- TOTAL FEES 80 40 07/26/02 JK 01/22/03 OWNER TEL NO FINAL DATE FINAL BY CODE: KUANG, HUI LIN (626) 353-1685- 9630 VAL ST /./- /3 �o-L.- TEMPLE vTEMPLE CITY 91780 ELECTRICAL FOR ADDITION APPLICANT: TEL NO- SAME AS OWNERCONTRACTOR -Tn--Wr - SPECIAL CONDITIONS yAPPROVALS DATE !NSPECTOR SIGNATURE` SAME AS OWMER - - LIC. NO TEMPORARY POWER POLE ARCHITECT OR ENGINEER TEL NO DEER GROUND LIC NO' ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTITM REPORT ID DPR265 ROUTE TO BS0508