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HomeMy Public PortalAbout9743 VAL ST_Electrical__ Te Aea3A-CES06A 4/72 APPLICATION �F& ELECTRICAL PERMIT L.1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING BUILDING AND SAFETY DIVISION ADDRESS LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST O OUTLETS NO EACH FE OWNER A RECEPT S S ` MAIL LIGHT� TOTAL FIRST 20 ADDR 5 S WITCH,LOVER 20 CITY TEL N ,` PLAN HECK LIGHTING 1 TOTAL FIRST 20 APPLICANT )y FI%TURES OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO PERMIT RANGE DRYER WTR HTR APPLICANT STA COOKDISP F A U ADORES SPACE HTR AIR COND Cl Ty TEL NO IF CLOTHES WASH DISHWASH LICENSE NO FANOTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE I! CORRECT AND AGREE TO COMPLY O MOTOR! TRANSFORMERS RATING WITH ALL COUNTY ORDINANCE! ANO !TATE LAWS REGULATING CJ IND HEATER! CTC XP KW KVA ELECTRICAL WIRING SIZE ! TYPE OVER TO 02 HERESY CERTIFY THAT I AM PROPERLY RE913TEREO ANOA)R 02 F 0 — 1 LICENSED AS RESY G! ANGELES COUNTY AND STATETE OF CALIFORNIA OR THAT H1T I E LE04L OWNER ❑ NO TO I — 10 RESIDE IN THE A OESCRIE S A x 10 — 50 SIGNATURE ` OF PERMITTEE 50 — 100 DIlrR cT NO cLAes 20KE RO eaaE ev 100 — 500 Cc4T SIGN GAS I SIGN AND ONE CIRCUIT NOTES TUBE OR MARQUEE ADDITIONAL CIRCUITS SERVICE NOTOVER 600 VOLTS OR 200AMP APPROVALS DATE INSPECl01Y!SIGINIDRE SERVI CE OVER 600 VOLTS OR 200 AMP TEMP POWER POLE TEMP SERVICE,POLE 8 APPURTENANCES UNDERSLAB WORK TEMP LIGHT OR RECEPT SYSTEM ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO NOTIFIED PLAN CHECK FEE 77'� .�\ FINAL PERMIT ISSUING FEE V TOTAL FEE � PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION cK M o CASH 8 3 6nNOV 20 2 D 1 1.7 0 enc r� 7eAeee4 .ae)anal APPLICATION FOR ELECTRICAL PERMIT` _ COUNTY OF LOS ANGELESQp BUILDING AND SAFETY FOR APPLICANTTO FILL IN ADDRESS New Residential Bldgs &Pools EACH NO FEE 1 &2 Family Sq Ft E 025 — S LOCALITY Multi family Sq Ft 02 — NEARS T Residential Swimming Pools WN R R + 2500 Outlets Rec Light�Sw i, FIRM NAM MAIL First 20 50 ADDRESS Total No Additional 30 CITY If Tel No PLANCHK APPLI AN Lighting Fixtures First 20 50 ADDRESS Additional 30 _ Total No CITY Tel No Fixed Appliances Not Over 1 HP / APPLICANT Range—Heater. D W ADDRESS Qps Oven_Dryer_W M— r Top FAU —W H CITY Tel No HoodFan —Other— LICENSE OR Drsp Room Air Cond 250 _ REG NUMBER Zl'G C-/ ClassG�Q I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO Size&Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS 2 50 REGULATING ELECTRICAL WIRING Up to 1 Incl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl 5 00 LICENSED AS REOUI RED Y LOS ANGELES COUNTY AND STATE OF V Over 10 to 50 Ind 1250 CALIFORNIA OR TH AM THE EGAL OW ER F THE ABOVE V8 Over 50 to 100 Inc 25 00 DESCRIBED RE51 E L PROPS 40 00 PERMITEE Over 100 SIGNATU Services DISTRICT NO •- ED B 0 200 Amp Under 600V 1250 a Q_ 201 1000 Amp Under 600 V 2500 O Over 1000 Amp or Over 600 V 5000 t /� Temp Power Pole&Appurtenances 1000 i Sign with One Branch Circuit 1000 Additional Sign Branch Circuits 200 INSPECTION ��4[ Mnc Conduits&Conductors 1000 INFORMATION tL' Other ISee Complete Fee Schedule)_ ON REVERSE SIDE _ 22960A q . . . . . 2 PERMIT FEE (Sub Totall # ° ° ° ° ° 2 PLAN CHECKING FEE IOne Fourth Permit Fee) O 2° ° 2 Q 0 0 F PERMIT ISSUING FEE $7 00 70 ° ° - 2 Q 005 TOTAL FEE �2d Q > 02 2.7—7 9 INSPECTION///FFFINALED date :/ / By 7QQQ eQ"5�' ®s COIINTT OF LOS ANGEM APPLICATION FOR PEnIIT D N OF COMM Er DISIOO BUILDING 6 SAFY WUIMM 1. FOX SRGINEM ELECTRIC 1 FOR APPLICANT TO FILL-IN DISTRICT NOGROUP ZONEJA MIT NO ELECTRICIAN d ADDRESS RECEIVED BY READY FOR FIRST INSPECTION �� CITY TEL NO COUNTY LI N R SUI%%NGVol I FM ADDRESS FEE NUMBER EACH LOCALITY LIGHT OUTLETS Z RECEPTACLxs 4 /N WALL SWITCHES OWNER TOTAL OUTLETS M MAIL 6LHC RANGES IIO ADORERS I ^, ELEC NEATSRS IIB CITY15F ' _ TEL NO 0 ID FIXTURES 3 S MSC 1 HEREBY ACKNOWLS THAT 1 HAVE READ THIS NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINAN NUMBER AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID Nu xORSEPOWER FEE ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWN NRW Mvo HP, 0Y111 INa m" OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE _ F:500 1 IIS SIGNATURE OF va SO PERM s 1 00 INSPECTION RECORD S 1 SO 1S 1 BO SO S o0 100 1000 J 500 1500 z OVER 1000 20 00 M O 8irr/FRKQ CHANOSR-HP a' WIELDERS AC-KVA 0 GENERATORS-KW TRANSFORMERS-KVA TAMP Y 7 of oma MOVED MOTORS 7 of omo SC SIGNS NO NO TRANS AMOVALS FOR CX PERMIT. DATE INSPECTOR'S NAME WIRING 111 00 CONDUIT FIXTURES $100 O WIRING SUPPLEMENTARY SO FIXTURES POWER TOTAL FEE S 3 UTILITY CO NOTIFIED -r� l TRA RA a M 4111 s •- • WORKERS COMPENSATION DECLARATION 7aAae3 10/81 I heraby affirm that I him a certificate of consent to self CE G APPLICATION FOR ELECTRICAL PERMIT or a certificate of Workers Compensation hmurence or a cartded COUNTY OF LOS ANGELES BUILDING AND SAFETY w1ry thereof(Sec 3800 Lab C) Policy No Company 8/1476 C FOR APPLICANT TO FaL IN JOB ❑ Certified copy Is hereby fumIshed New Residential Bklpa d Pods EACH NO FEE ADDNESS Cf 7113 VA Certified copy Is filed vwth the county building inspection 1 8 2-Famiy So Ft S — S LOCA M E L g, C 1 r department Muth-famly Sq Ft Date Residential Swimming Pods O L fl 6^� 1.t�6 AODtic�t FIRM NAA% SER 4-ro CERTIFICATE OF EXEMPRON FROM WORKERS Q ktAl COMPENSATION INSURANCE Outlets Res L7--- Light Sw �faf A�� 7 (This secten need not be completed If the work Imrdhed by the First 20 W permh In for oro hundred dollars($700)pT baa) Total No Additional CTS 6 AI Tel No I certify that In the performance of the work for which this permit PLAN CHECK e Issued I $hall not employ arty person in any mariner so as to APPUCFNT becorre sublet to the Workers Corrpereatgn Laws Lghtirg Fixtures First 20 ADDRESS Date Applicant Taal No _26— Additional CfTV Tel No NOTICE TO APPLICANT If after maknp the Certificate of Fused Appliances Not Ower 1 HP PERAQT Fsempton You Should become subject to the Workers Compensation Range_ Heater_ DW _ APPLICANT �^•��y CONST prowaione of the LBbor Cade you moat forthwith comply, with such Cu9n _ Dryer _ W M _ ADDRESS 8b provisens or this permit shall be deemed revoked Top _ FAU _ WH LICENSED CONTRACTORS DECLARATION Flood — Fen _ Other_ CITY O$ N AD Tel Nc3W6q3rC I hereby affirm that I am kcaread under proeienrn of Chapter 8 Dtsp _ Flom Air Cord LICENSE OR (commencing Yeth Section 7000)of DNIsnn 3 of the Business and REG NUMBER Cw$$ Professors,Code and my license is m full force and effect Wier Apparel=d Large Appliances DISTRICT NOPROCESSED BY Size 8 Type FfP KW KVA,or KVAR [ I-icense Nianbar36 0O L 7 L,c Class�J'� (((}}} Up to , Incl � � t /"J� /T_ o'.er 1 m 10 Ind Con rncro(w-+f I w�f/tT Data.-.I 46Z Over 10 to 50 Ind ❑ I am exempt uncor Sec Over 50 to 100 Inc BY BV 86PC for this reason Over 100 iut p icy N ;91d tp_200 Arra Under 600 VV Sioriature >c d 201 - 1000 Amp Under 600 V Cher 1000 Amp or Over 600 v 1,• • 3 0 0 0 ❑ Exemplon forRep Maim Elect 1 • • *3 (1000 SINGLE FAMLY Temp Waver Pte d HOME OWNER-BUILDER DECLARA11ON h Cwcuxucud rarcae Sign with Ore Branch Z 1 2-8 8 I hereby affirm that I am exempt from the Cmtraclors License Law for the Worming reason(Section 7031 5 Busnass and Profession Adtldiomal Sign Branch Circuits ' Coda) Mac Conduits s Conductors I as owner of the property mildo the work and the structure Other(See Complete Fee Schedule) a rot intended or offered far eels (Becton 7044 Biaup$$ ► and Professions Coda) CONS-MUCTION LEN024G AGENCY I hereby affirm that there IS a constnncticn lending agency, for the performance of the work for which this permit M Issued(Sec 3087 CN C) PERMR FEE - (Sub-Total) PLAN CHECKING FEE Lenders Name PERMIT ISSUING FEE Lenders Address I certify that I him read this application and sate that the above TOTAL FEE ' information Is correct I agree to comply with all County ordinances and State laws regulating Electrical winrg, and hereby authorize repraaenlatnes of the County to enter upon the abohe-mentioned property for Inspection purposes Q, ? /� ��•� SEE REVERSE FOR EXPLANATORY LANGUAGE I-ClIghature of W see pate WfMn that Ihave COMPENSATION DECLARATION toofconsent �toWw3,� APPLICATION FOR ELECTRICAL PERMIT O I hereby of(Mn shot I have a certificate of consem to self �� ,Ttsure or a certificate of Workers Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS ur a certified copy thereof (Sec 3800, Lob C ) Poli No ffCom n �,,77)�a PMO ,,s Polity Pa Y FOR APPLICANT 70 FILL C ADDRESS 7(1 V/`L ❑Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ®Certified copy is filed with the county building inspec- 1 8 2-Family Sq Ft $ — $ LOCALITY T" tion department J_- Mulls-family Sq Ft — NEAREST Dote. 1.2-11s-91 RUs"ell $ K" Residential Swimming Pools CROSSST v61clrw Applicant VS CV114ERO {'' 7 FIRM NAME M RS t Ie L,16 CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec Ltghtg'4-Sw(z� MAIL COMPENSATION INSURANCE �9 First 20 O ADDRESS tss tr (This saidlon need not be completed If the work Involved by Total No J_ Additional CITY Tel No the permit Is for one hundred dollars ($100)or Ins) PIAN CHECK I certify that in he performance of the work for which this L' PLAN A E permit is issued I shall not employ any person in any manner J so as to become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS Total No Additional CITY Tel No Date—Applicant Fixed Appliances Not Over I HP PERMIT the Wo NOTICE TO APPLICANT If, after making ilia to of Range— Heater—DW _ APPLICATION you should become subject to the Workers' 9 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 W H — deemed revoked Hood — Fon —Other �a_, CITY Tel No LICENSED CONTRACTORS DECLARATION D,sp — Room 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 Power Apparatus 8 Large Appliances DISTRI1,JO �/ SSED Y >_and Professions Code,and my license is in full force and effect 5 L/ 0. License Number .S31 L�8 Uc Class Size 8 Type HP, KW KVA or KVAR o 0 Up to I Incl FINAL 0 R�Ss6N1 s Kalaus II Over 1 to 10 Ind Contractor Date Over 10 to 50 Incl GATE \ VALIDATION 0 ❑ I am exempt under Sec Over 50 to 100 Inc BYE LU B 8P C for this reason Over 100 X L 0. Dote Services Swbd, MCC 8 Panelboardsr � 00 00 Z 0-2(10 Amp Under 600 V V Signature 201 - ]ODD Amp Under 600 V ❑ Exemption for Reg MoOver 1000 Amp or Over 600 V Moms Elect SINGLE FAMILY Temp Power Pole 8 Appurtenances 2 HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit ACCT.A Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits 63.50 Professions Code) ❑ I, as owner of theproperty, will do the work and the Mix Conduits 8 Conductors 1 ITEMS Other See Complete Fee Schedule Pilo structure a not intended or offered for sole(Section 704A, ( P )— TOTAL 63.50 Business and Professions Coda) CONSTRUCTION LENDING AGENCY UECK 63.50 I hereby affirm that there a a construction lending agency for OVINE .00 (Sac performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) Lender's Name PLAN CHECKING FEE ODDD-0001 DJI II89 PERMIT ISSUING FEE 7406 1 AM 8:57 Lenders Address 5 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 abo�ve m�e�n�tioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ab Signature of Permittee Date ms COUNTY OF LOS ANGELES TEMPLE CITY k 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0001060017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID BUILDING ADDRESS TR 100000011783 LT 001 9743 VAL ST FEE DESCRIPTION QUANTITY LION AMOUNT TEMP CA 91780 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET GOLDEN WEST Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE GRID LOCALITY TEMPLECITY G1 OUTLETS-LGT,SW,RECP 14 00 OUT 27 30 TENANT G2 LIGHTING FIXTURES 5 00 LGT 9 75 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON H2 RES GRBG DISP LT 3HP 2 00 DIS 21 90 01/06/00 UT 07/04/00 TOTAL FEES 86 70 OWNER TEL NO TrUF DA BY CODE SERUTO, NANCY (626) 447-5910- 9743 VAL STREET TEMPLE CITY, CA DESCRIPTION OF WORK UPGRADE KITCHEN ELECTRICAL OUTLETS/SWITCHES/LIGHTS APPLICANT- TEL NO SAME AS OWNER - SPECIAL CONDITIONS CONTRACTORSOS PNGELES Co APPROVALS DATE INSnTTM-flT0T9ffE— SAME AS OWNER - LIC NO TEMPORARY POWER POLE UNDERGROUND MMUrr— LIC NO/� '1111111ROIJGH CONDUIT "`)))x...111'---'����... ,� ROUGH WIRING PMAIN WATER LINE LASTIC Y/N METAL Y/N 0 t Service Tha REPORT ID DPR265 ROUTE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9708260024 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA DUPLICATE PHONE (818) 285-0488 EXT. LEGAL ID: FEES PAID BUILDTNG ADDRESS: BK 16867 PG PC- 9743 VAL ST FEE DESCRIPTION QUANTITY UOM: AMOUNT- TEMP CA 91780 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET: Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE GRID LOCALITY TEMPLE G1 OUTLETS-LGT,SW,RECP 14.00 OUT 27 30 TENANT G2 LIGHTING FIXTURES 5 00 LGT 9.75 . TOTAL FEES 64 80 08/26/97 UT 08/26/98 OIAER TEL NO FINAL DATE CODE SERUTO NANCY L (626) BORED- 9743 UL ST TEMPLE CITY, CA DESCRIPTION OF WORK UPGRADE ELECTRICAL FOR EXISTING GARAGE APPLICANT No SAME AS OWNER - SPECIAL CONDITIONS CONTRACTOR TEL NO APPROVALS ____UTE &ELES CoCi SAME AS OWNER - LIC NO {/ ATEMPORARY POWER POLE ARCHITECT OR ENGINEER TEL NO UFER GROUND LIC NO ROUGH CONDUIT '( n � PUBLIC WORKS -29 PLASTIC Y/N METAL Y/N D UTILITY COMPANY NOTI I i� co REPORT 10 DPR265 ROUTE T0: BSD508