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Home My Public Portal About9647 VAL ST_Electrical__ 741 [ a=" 11-+v APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY ELECTRIC S COUNTY OFF LOS LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT T13 FILL IN DISTRIqr-NO. OR�I.IP I Z �7R �/ O ELECTRICIAN O ✓ �Jf,_ , REQFIVED BY READY FOR DAT[ ISSUED ADDRESS L FIRST INSPEQTION 61TY L q TCL NO ya — $ T COUNTY LICENSE NO Q I— "PINES MIT ADDRESS L �i• G UILDINCI PERFEES 7 6 7 FEE LODALITY 7 NUMBER CUTLETS EACH LIGHT So S 1761NEAREST CROBB ST RECEPTACLES e FIXTURES S OWNER WALL SWITCHES a MAIL ELEP RANGES ;S ADDRESS ELEC HEATERS ]S CITY TEL NO C I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS NUMBER OF CIRCUITS INSTALLED TOTAL— APPLICATION AND STATE THAT THE ABOVE IB CORRECT LIGHTS RECEPTACIEQ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING Nuwe[a HORSCP13WER I CERTIFY THAT 1 POSBESS THE ABOVE VALID LOB FEE NEW Mw HP11 INC EACH ANGELES COUNTY lIC[NBL. OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY D CRISED ABOVE a A "as B 96 I Z SO SIGNATURE 0��/V S S 1 00 PERMITTEE 1 L� 1 S 1 B ISO INSPECTION RECORD 16 SO 250 e0 =0 S OO 200 000 1000 S00 1010 1500 J OVER 1000 70 GO Z M O stT/rREQ CHANGER-HP ['J WIELDERS.AO-KVA Q GENERATORS - KW O TRANSFORMERS - KVA TEMP MOTORS (73 of GEIe) MOVED MOTORS (75% OP URIC) MISC BIONS TYPE NG.TRANS TYPE NO LAMPS APPROVALS JOR EACH PERMIT DATE INSPEOTOR'B NAM[ WIRING 1.CD 1100 CONDUIT FIXTURES Sl OO 00 WIRING SUPPLEMENTARY BO FIXTURES POWER TOTAL FEE R I UTILITYDD NOTIFIED FINAL WORK COMPENSATION DECLARATION 6AM DPW(12 9„ APPLICATION FOR ELECTRICAL PERMIT IJ I hereby affirm that I havehave fl certificate of consent t0 sell insure 7D-001 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 isec 380TI-ab C) , Policy No 1'x}4 3� CIXrfpan WB A"UCANT TO FILL IN _ JOB �/ ADDRESS `� �l CMlihisd copy is hereby furnished New Residential Bilge 8 Poole NO EACH FEE — S S NO ESTY E] 17 Certified copy is bled with the county building Ina n 182 Family Sq Ft _ NFAAEST ,71 d elft • Muhl family Set FI CROSS ST I. Date /9� Applicant 7A� Residential Swimming Pools ASSESson MAP BOON PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Ree _Light_SwPgraER COMPENSATION INSURANCE /I Z le of n U OL (This motion need not be completed If the work Involved by the FirstMAIL / l /� S4 r permit le for dollarshundretl tlolls (3100)or lees) Total No AdddKmal ADORE8S (oN d I certify that m the performance of the work for which this permit CITU lk CI'{r TN NP /p is inued I shall not employ any person In any manner so as to PLAN CHECKOr become Subject to the Workers Compensation Laws Lighting Fixtures First 20 APPLICANT Total No Addahonal ADDRESS Dewe APpl1carm RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If alter making this Certificate o/ CITU Tel No Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code you must forthwith comply with such _ PERMrr x provisions or this permit shell be deemed revoked Power Apparatus 8 Large Appliances APPUCANr p� ph /' LICENSED CONTRACTORS DECLARATION Sue&Type HP KW KVA or KVAR ADDRESS S / 1 �-0 n I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to t0lncl CITY J •TN C (commencing with Section 7000) of Division 3 of the Business and Professions Code and my license Is In full force and effect Over 10 to 50 Incl _ Y LICENSE ORL _ Over 60 to 100 Incl REG NUMBER GO"MLAJ C1°t° C- 20 O License Number LJc Class L;P—,.90 Over 100 DISTRICT NO ��O ESSm BY Services Swed MCC 8 Penelboerde CanVect Date 0 309 Amp Under 800 V RNA p 0 ❑ I em exempt nder Sec 400 11100 Amp Under600 V ��l0 —Q VALIDATION W Over 1000 Amp or Over 800 V FINAL d B 8P C for this reasonBY BRANCH CIRCUIT FEES Z Date zz� �� 15A or 20A 120V Lighting or Recept 1 To 10 Branch Circuits '-�Slgnature 11 To 40 Branch Omits ❑ 41 Or More Branch ClrculU Exemption for Reg Mani Elect ISA 2DA 20 VV To 277V Lghung Br Cucuim SINGLE FAMILY Temp Power Pole 3 Appurtenances L y HOME OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law Sign wah One Branch Circuit L� c for the following reason (Section 7031 5 Business and Professions AdtlNanal Sign Branch Circuits ��VO k'!c.1! Code) i 1 � ❑ I as owner of the property will do the work and the structure Mise Conduits d Conductors is not Intended or offered for sale (Section 7044 Business Omer(See Complete Fee Schedule) 101 AL 45 . 15 and Professions Code) CHECK 45,15 CONSTRUCTION LENDING AGENCY CHAfaVE .00I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3087 PERMIT FEE (Sub-Total) Ctv C) PLAN CHECKING FEE (;(1[j[I—[I{JIJ1 11/17)7� Landera Name PERMIT ISSUING FEE 7771 1 F1112�29 Lenders Address , I comfy mat I have read this appl",on and under penahy,of pugury,state TOTAL FEE l that the above Information Is correct 1 agree to comply with all County ordmanoes and State laws regulating Electrical wiring and hereby euthorae representatives of this County to enter upon the above+nemtoned property for Inspection pure ee SEE REVERSE FOR EXPLANATORY LANGUAGE 9aNATtiRE OF PER W TIES GATE COUNTY OF LOS ANGELES TEMPLE CITY M 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0412060023 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT- LEGAL ID- FEES PAID BUILDING ADDRESS TR 16867 LT- 6 9647 VAL ST FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917800000 ASSESSOR INFORMATION NUMER NEAREST CROSS STREET TEMPLE CITY BLVD 5383-013-006 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID LOCALITY TEMPLE CITY, C F1 120V 15/20A BR CKTS 4.00 BR 69 00 TENANT Gl OUTLkTS-LGT,SW,RECP 19 00 OUT 37.05 iSsUED ON- PROCESSED BY PLAN BY EXMWErZF— G2 LIGHTING FIXTURES 8.00 LGT 15 60 12/06/04 JK 06/04/05 HA FAU LESS 3HP 1.00 FAU 10 95 OWNER TOTAL FEES 160.35 FINAL DATE FINAL BY CODE: VALENZUELA MANUEL A,GUkDALUPE (626) 447-9680- 9647 VALLEY ST IH7-< G TEMP 917800000 DESCRIPTION OF WORK ELECTRICAL FOR THE ADDITION APPLICANT --ML. NO DREAM HOME CONSTRUCTION (626) 677.7069- SPECIAL CONDITIONS CONTRACTOR: TEE—Tir— APP 'ALS DATE INSPECTOR MW70WE-- DREAM HOME CONSTRUCTION (626) 285-4421- 6323 LIVIA AVE. LIC NO TEMPORARY TEMPLE CITY, CA 91780 7448548 UNDERGROUND CONDUIT ARCHITECT OR ENCTUM.- -- LIFER GROUND LIC NO ROUGH CONDUIT ROUGH WIRINGMAIN WATER LIVEl PLASTIC Y/N METAL Y/N • ADDITIONAL DATA ON FILE REPORT ID DPR265 ROUTE TO SS0508 COUNTY OF LOS ANGELES TEMPLE CITY N 0508 - ELECTRICAL-PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9905140004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 f PHONE (626) 285-0488 EXT- LEGAL ID FEES PAID BUILDING ADDRESS TR. 16867 LT 6 9647 VAL'ST FEE DESCRIPTION QUANTITY LOM AMOUNT TEMP-CA 917800000 ASSESSOR INFORMATT5FIMBER. NEAREST CROSS STREET TEMPLE CITY BLVD. 5383-013-DO6 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE GRID LOCALITY T@IPLE CITY, C G1 OUTLETS-LGT,SW RECP 10 00 OUT 19 50 TENANT G2 LIGHTING FIXT6AES 4 00 LGT 7 80 ISSUED ON' PROCESSED BY PLAN BY EXPIRES ON H5 RES WASH MACH LT 3HP 1 00 WAS 10 80 05/14/99 VG 11/ 0/99 H7 RES EXHAUST FANS 1 00 EX 10 80 OWNER TEL NO H9 RES ADPL LT 3HP 1.00 RES 10 80 FINAL DATE CODE VVAAL'ENVA LLA MANUEL A,GUADALUPE (626) 447-9680- TOTAL FEES 87 45 EY ST /J�I/,/J TEMP 917MOODO l l'UN UF W ORK ELECTRICAL FOR REMODEL APPLICANT. —TEL NO DREAM HOME CONSTRUCTION (626) 285-4421- SPECIAL CONDITIONS. CONTRACTOR TEL NO5 P�IGELES CO APPROVALS DATE INSPECTOR SIMiXT0ffr__ DREAM HOME CONSTRUCTION (626) 285-4421- 5720 CLOVERLY AVE LIC NO TEMPORARY POWER POLE TEMPLE CITY, CA 91780 676624 B UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL NO UFER GROUND LIC. NO lI, ROUGH CONDUIT ROUGH WIRING AA,/T (1 (� (7 /� //�� n 1 1 T111/1J11 ��i C �II II `B'GI 11 \11I\11/ 0 �K( S PLASTIC T/N METALmaw Y/N O 0 [t Ir-. p o . y a Service ThaIt REPORT ID DPR265 ROUTE TO- BS0508