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Home My Public Portal About9737 VAL ST_Electrical__ 7eAAAi Elea eA 7-el APPLICATION FOR PERMIT DEPARTMENT OF NG AND SAFETY ELECTRIC COUNTY OPF LOS LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN C 5 tEEI RECEIVED BY READY FOR DAT[ ISSUED —kLADDRESS FIRST INSPECTION CTEL NO Na ec- -4 -s4 CITY LICENBE NO EXPIRES BUILDING ADDRESS PERMIT FEES 7,37 NUMBER EACH FEE 1LOCALInK LIGHT OUTLETS NEAREST CROBB BT RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS So 0_ MAIL ELEC RANGES 25 ADDRESS ELEC HEATERS 25 CITY TEL NO FIXTURES S I HEREBY ACKNOWLEDGE THAT 1 HAVE RUO THIS mlac APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STAT[ LAWS REGULATING ELECTRICAL WIRING MOTORB I CERTIFY THAT 1 POSBESS THE ABOVE VALID LOS Nuweu HpRSEPOWERANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER FEE [wew OF THE RESID[NTI PROPERTY DESCRIBED ABOVE N[w MVEl MP Elva Iwe A L[sa Is 25 BIGNATU 9 60 _-- 2 n IDD INSPECTION RECORD 5 15 150 15 SO 250 _ SD ZOO Sao 200 BDO loan J BOO i 1000 15 00 = OO OVER IO 2000 O M O 5ET FRED CHANGER-HP G' WELDERS AC-KVA O GENERATORS - KW _ TRANSFORMERS - KVA TEMP MOTORS (75yq or oRlo q MOVED MOTORS (75% or oRle) ✓ Mlec - /II,oY D BIDNB A To pRtc. ho3l-fr i✓ NO NO TRANS. NO NO LAMPS RoPCRL1�APPROVALS_�rN�/b FOR EACH PERMIT DAT[ INGPECTOR•S NAME WIRING SI 00 CONDUIT �/... — _ FIXTURES mica WIRING i s "' I SUPPLEMENTARY O FIXTURES POWER TOTAL FEE D UTILITYCO NOTIFIED FINAL r WORKERS CI have COMPENSATIONDECLARATION of corse 'mwlvDPW sie7 APPLICATION FOR ELECTRICAL PERMIT r I hereby affirm that I have a certificate of consent to self �� insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec 3800 Lab C ) - N • P I Cy No Company FOR ARUCANT TO FILL IN 1 JOB �1 'l Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS / J �Cernfied copy is filed with the county budding inspec 1 8 2-Family, Sq Ft $ r — $ LOCALITY P Gf T y tion department Multi family Sq Ft NEAREST (�GS T CROSS ST Dote Apphcont Residential Swimming Pools OWNER OR )Jms�s r/ FIRM NAME I LLI A+'i S CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec�Lightl(LSw>A!r— MAIL � 3 � , //t,.� ?' COMPENSATION INSURANCE !' -'J ADDRESS V (This stolon nod riot be completed if the work Involved by first 20 CITY Tel �T(/ i the permit Is for one hundred dollars ($100)or less) Total No Oms� Additional PLAN CHECK Pt.�- G►ry No / /� I certify that in the performance of the work for which this APPLICANT permit is issued I shall not employ any person in any manner so as to became subject to the W kers Cam nsahon aws Lighting fixtures first 20 ADDRESS f Total No ( Additional CITY � Tel No Data Applicant NOTICE TO APPLICANT If after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption you should become sublect to the Workers' Range— Heater—DW — APPLICATION 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 CITY Tel No Hood — Fan —Other— LICENSED CONTRACTORS DECLARATION Disp — Room Air Cond — LICENSEEG OR Class I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO ESSED BY d and Professiono Cade and my license is in full force and effect • Size 8 Type HP KW KVA or KVAR Y O License Number—Lc ClassUp to 1 Incl _ FINAL ' U Over 1 to 10 Incl DA's 't' z2- VALIDATION 0 Contractor Date Over 10 to 50 Incl V ❑ FINAL I am exempt under Sec Over 50 to 100 Inc BY W B 8P C for this reason Over 100 Dote Services, Swbd , MCC 8 Ponelboords �Q , - - Z 0-200 Amp Under 600 V _ Signature 201 - 1000 Amp Under 600 V ' DExemption for Reg Maint Elect Over 1000 Amp or Over 600 V SINGLE FAMILY Temp Power Pole 8 Appurtenances L HOME OWNER-BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit ACCT.i Law for the following reason (Section 7031 5 Business and Additional Sign Branch Circuits Pref "ions Code) I 'U7 31.103as owner of the property, will do the work and the Misc Conduits 8 Conductors i ITEMS((( structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)— ' TI?T/'fL 0 1 40 Business and Professions Code) - V CONSTRUCTION LENDING AGENCY - CHECK 81.4U I hereby affirm that there is a construction lending agency for p CHANE .I�-� the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (0 O „ (Sec 3097, Civ C ) l 1 PLAN CHECKING FEE ODOCI-0001 J'/12/91 Lender's Name PERMIT ISSUING FEE �� Lenders Address / J2 i AM 31•43 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 laws regulating Elactnccl wiring and hereby autho ue representatives of this County to enter upon • - ve nh nCrty for inspection purposes - SEE REVERSE FOR EXPLANATORY LANGUAGE,cIm - Signature of Parmiaee Date ®r i WQkKERS COMPENSATION DECLARATION __ CEaO6 APPLICATION FOR ELECTRICAL PERMIT Ihei& a ` 7S 663 12 BQI LI by etflrm that I have a certificate of consent to Belt COUNTY OF LOS ANGELES j r,� ` BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance or . e certified copy thereof(Sec 3800,Lab C) FOR APPLICANT TO FILL IN JOB �� VA ��- Policy No Company EACH NO FEE ADDRESS Y New Rgidentiel Bldgs &Pools C3 Certified Copy o hereby furnished 1&2-Famdy,Sq Ft B — $ LOCALITY n Certified co Multi family Sq Ft CROSS ST Q copy u filed with the county building Inspection Residential Swimming Pooh department OWNER OR _ FIRM NAME I S tW Date Applicant Outlets Rec_Light Sw MAIL //��I A S —dint ADDRESS"1 1� V/TL /��l Q2 CERTIFICATE OF EXEMPTION FROM WORKERS Total No Additional CIT (�` T•I No 5 1'1• 1")� COMPENSATION INSURANCE i TY a PLAN CHE K ^ (Thu section treed not be completed If the work involved APPLICANT Ughting Fixtures First 20 ADDRESS by the Permit ss for one hu red QoOara (SI00) or lea) Additional ir 1 certify that in the performance of the work for which tho axedTotNo CITY T•l No U Fixed Appliances Not Over 1 HP panni[ u issued, 1 shell not employ any Gerson in any manner PERMIT so as to become subject to the Worken Compensation Laws Range_ Heater DWAPPLICANT ��y, ,''.I_-' Oven _ Dryer_W M _ ADDRESS ` Z Date''' Applicant I t AA44A—��4zk7��•� Top _ FAU _WH _ CITY Tel No Hood _ Fan _Other_ OTICE TO APPLICANT If after making this Certificate of Disia _ Room Air Cond_ C SOR Exemption you should become subject to the Workers' REO NUE MBER Class Compensation provisions of the Labor Code, you must forth Power Apparatus& Large Appliances DISTRICT NO PROLE ED BY- with comply with such provisions or this permit shall be deemed revoked Size&Type HP,KW,KVA,or KVA 0 t/ A Up to 1 Incl FINAL Over 1 to 10 Incl DATE „� ! VALIDATION LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl I hereby affirm that I am licensed under provolone of Chapter Over 50 to 100 Inc FINA 9 (commencing with Section 7000)of Division 3 of the Busi Over 100 BY ness and Professions Code, and my license ts in full force and - effect Services License Number Lic Class0 200 Amp Under 600 V 201 1000 Amp Under 600 V Contractor Date Over 1000 Amp or Over 600 V - I HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances I hereby affirm that I em exempt from the Contractors Sign with One Branch Circuit _9a09 6 A License Lew for the following reason (Section 7031 5, Busi Additional Sign Branch Circuits nes end Professions Coda) # • • 2 Mise Conduits&Conductors 1, As owner of the property will do the work and the Other(See Complete Fee Schedule)— structure is not intended or offered for sale (Section •'✓• 4 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 PERMIT FEE (Sub Total) issued (Sec 3097 Civ C ) + Lender's Name PLAN CHECKING FEE (One Fourth Permit Feel Lender's Address PERMIT ISSUING FEE I certify that I have read tha application and state that the TOTAL FEE above information it correct I Agree to comply with all County ordmarem and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above mentioned property for inspection purposes i ��T �� SEE REVERSE FOR EXPLANATORY LANGUAGE UAV HMs- '1-/I-flk Signature of Permit" Date COUNTY OF LOS ANGELES TEMPLE CITY # 0506 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1305200029 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS TR 12368 IT 15 9837 VAL ST IFEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917801442 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET GOLDEN NEST 15383-025-015 IAL PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID Al LOCALITY TEMPLE CITY CAI I TOTAL FEES 27 80 TENANT ISSUED ON PROCESSED BY PLAN BY 05/20/13 SR FI��AC(L.��D/tAT�rE9� FINAL Y CODE ILI/KUO MAURBEd/TAMES JOWNER TEL NO - �� 19837 VAL STREET TEMP 917801442 DtSCRIPTION OF FORK CHANGE CONTRACTOR SEE ALSO EL 1304030017 GFI OUTLET LIGHT FIXTURE FOR NEW 3/4 BATHROOM APPLICANT TEL NO AFSHARIAN, ANDRE (626) 383-0089- I 1 11605 E ELIZABETH ST SPECIAL CONDITIONS PASADENA CA 91104 CONTRACTOR TEL NO iAPPROVALS GATE INSPECTOR SIGNATURE (AFS HARIAN ENTERPRISES INC (626) 797-]1]7- 11605 E ELIZABETH ST #1009 LIC NO1 1TEMPORARY POWER POLE 1 1 (PASADENA CA 91104 965237 UNDERGROUND CONDUIT ]ARCHITECT OR ENGINEER TEL NO 1UFER GROUND I LIC NO I ROUGH CONDUIT 1 TROUGH WIRING T C I IMAZN WATER LINE PLASTIC Y/N METAL Y/N I DTILITY COMPANY NOTIFIEO I I I I I I I I I I 11 11 I I I I 1 I I I I I I I I 1 I I I I I I I ]REPORT ID DPR265 ROUTE TO BSOSOB I I • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1304030017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE f626) 285-0488 EXT LEGAL ID I FEES PAID BUILDING ADDRESS �TR 12368 LT 15 VAL ST IFEE DESCRIPTION QUANTITY DOM AMOUNT TBEMP CA 917801442 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET GOLDEN WEST 15383-025-015 jA1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID Al LOCALITY TEMPLE CITY CAl IG1 OUTLETS-LOT SW RECP 1 00 OUT 2 00 TENANT 02 LIGHTING FIXTURES 1 00 LGT 2 00 ISSUED ON PROCESSED BY PLAN BY 1 TOTAL FEES 31 80 04/03/13 SR OWNER TEL NO FINAL DATE FIN&L PY CODE jLI/RUO MAUREEN/JAMES - 19837 VAL STREET ITBT1P 917801442 DESCRIPTION OF WORX ' GFI OUTLET ACID LIGHT FIXTURE FOR NEW BATHROOM APPLICANT TEL NO SLOBLE, TOM (626) 253-2250- '1rW 1830 LOCUST STREET PASADENA CA 9110] SPE IAL NDITIONS ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE IMDTHER MAGNOLIA (626) 253-2250- 11830 LOCUST STREET LIC NO (TEMPORARY POWER POLE PASADENA CA 91107 ]9]463 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL NO UFER GROUND CAL CIVIC (626) 798-2828- 2160 PARNELL WAY LIC NO ROUGH CONDUIT ALTADENA CA 91001 NONE ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N IWILITY COMPANY NOTIFIED 1 (REPORT ID DPR265 ROUTE TO BS0509