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Home My Public Portal About9831 VAL ST_Electrical__ 76606 -CEsoE-IT.,WAPPLICATION FOR ELECTRIC PERMIT Z COUNTY OF LOS ANfIELR.B BUILDING DEPARTblENT OF COUNTY KINGDOMBUILDINa QGDOM BU]MDING yARNDD SAFETY DIVMON _ (.H68RD. fiHffP1II LOCALITr / FOR APPLICANT TO FILL IN CROSSB a/I 17x��✓ Vf _57 PE WT PEES I cM mumiNtni Ew PES OWNERAl L cd C OIG S RECD! GW s 1 ID ADDRESS ✓T�✓/ LIGHTING FIXTURES 10 CITY TEL NO ELeG RANGES CLO DRYERS ELECTRICIAN WATER HBATERS 5O ADDRESS S ELEC SPACE HTRS DIIHWAYHERS GARBAGE DISPOeQ+Y AUTO- CITY-S TEL NO 1301 WXIHI N IFTA COOKING UNITS O STATE LICENSE NO KI O MOTORS OVER INC H P DISTHI READY POR IMNROTIOM o— v. za IA. — z 50 2 — a 100 INSPECTION RECORD a — to ISO 1a — so 250 30— zoo 500 SIGNS NO TRANS NO lANPB SERVICE O-000V 100 SERVICE OVER GOOV 500 MISC. WIRING PERMIT 100 �Q FIXTURE PERMIT 100 QO SUPPLEMENTARY PERMIT DO TOTALFEE a APPROVAIS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIOR DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING 1 HEREBY CERTIFY THAT 1 M PROPERLY REGISTERED AND/OR LICENSED AS REOUI RED B LE9 UNTT AND STATE OF FIXTURES 7- CALIFORNIA OR THAT I M THfi HER OF THE ABOVE POWER DESCRIBED RESIDENTIA P P .�/ SIGNATURE UTILITY CO NOTIFIED �R mad OF PERMITT! FINAL ATION ARTHUR VEIT cac O GSH SUPE RVIMINO EL1fa.MCAL 6NGINUM _ _ (&5 O 4 4 0t JM 21 2 A 2.6 5 5i <�DRK t I haveCOMPENSATION DECLARATION ,;DPW(12 9„ APPLICATION FOR ELECTRICAL PERMIT I ho.aby Alli m that I have a certificate of consent to eel/ Insure or a cerbbcale of Worker s Compensation Insurance or a certdfed COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C) Policy No Company FOR APPLICANT TO RLL IN AOOftESS Certified is here furnished NO EACH FEE copy q' New ReeMential Bldgs 8 Poole LOCALITY ❑ Cemhed copy is filed with the county building mspechon 1 S 2 Family Sol Ft _ S $ NEAREST departmentMulti family Sq FI CROSS ST Date Applicant Residential Swimming Pods MI K PAPE PARLFI CERTIFICATE OF EXEMPTfON FROM WORKERS Outlets Roc Light—SW OWNER OR COMPENSATION INSURANCE riRM NPIAE (This section need not be completed If the work Involved by the First 20 ML Is for one hundred dollars(1100)or leu) Total No Addibonal ADDRESS 1 certify that in the performance of the work for which this permit CITY Tai W is issued I shall not employ any person In any manner so as to PUN CHECK Uf become subject to the Workers Compensabo Laws Lighting Fxturea First 20 APPLICANT )� yx.� Total No Additional ADDRESS Date 16-01— L—"�O't alwam RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT It a eI making this Certificate of CITY TO No Exemption you should became subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code you must forthwith comply with such PAPEPiI ANi provisions or this permit shell be deemed revoked Power Apparatus 6 Large Appliances LICENSED CONTRACTORS DECLARATION Sue 8 Type HP KW KVA or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to t0 incl (commencing with Section 7000) of Division 3 of the Business and CITYT.I No _ Professions Code and my license is in full force and effect Over 10 to 50 Ind } CENSE R /� Over 5010 100 trial MG NUMBB E nsR Ckee Il licee Numberk W-, Le Uc Class `'f�`B�LOver 100 DISTRICT NO PROLE BY 0 Sam esrDDZOAPp a Pandbcards Contractor J ) e Bate ' �—��CJ `W Amp Under 600 V FINAL .1 � ❑ I am exempt under Sec 400 Under SOD V 2'q W Over 1000 Amp or Over 600 V FwAL ACG d B 8P C /p this reasgtBRANCH CIRCUIT FEES BY TSTl 65.60—W JJIIJ J IXJZ Date ISA or 20A 120V Lighting or Recept 1 ITEM 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits CHECK 455 . 60(� ❑ Circunts Exemption for Reg Maim Elect 15A 2DA 20BV To 277VLi MOfe Qrcicta AyTECtK EW.60 SINGLE FAMILY Tamp Power Poled Appurtenances Cfi .00 HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that 1 am exempt from the Contractors License Law ��H'1�L for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits 0000-0001 4/29/96 Code) tlto F1 air owner of the property .11 do the work and the structure Msec Conduits a Canductors 6096 1 PI eY1 t 5123 is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) ' and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction )ending agency for the performance of the work far which this permit is issued (Sec 3097 PERMIT FEE (Sub TOtaQ Civ C) PLAN CHECKING FEE Lender s Name PERMIT ISSUING FEE /-1 D Lender a Address I certify that I have reed this application and under penalty of purlury state TOTAL FEE that the above information m comect I agree to comply with all County ordinances end!State laws regulating Electrical wiring and hereby authonza representatives of this County to enter upon the above mentioned property Iw inspection rposae SEE REVERSE FOR EXPLANATORY LANGUAGE n COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9704170002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA r PHONE (818) 285-0488 EXT: LEGAL ID FEES PAID BUILDING ADDRESS. ON FILE 9831 VAL ST FEE DESCRIPTION QUANTITY. LION: AMOUNT TEMP G 91780 ASSESSOR INFORMATION NLPMER: NEAREST CROSS STREET GOLDEN WEST Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID LOGLITY. TEMPLE CITY G1 OUTLETS-LGT,SW RECP 5.00 OUT 9.75 TENANT G2 LIGHTING FIXTURES 2 DO LGT 3 90 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON TOTAL FEES 41 40 04/17/97 TC 04/17/98 OWNER TEL NO FINAL DAT FINAL BY CODE PERNG, TONG-MIN (818) 447-4545- I 7 9831 VAL ST r may/ TEMPLE CITY, CA DESCRIPTION r AF�< ELECTRICAL FOR NEW ADDITION AND 4TH BEDROOM CREATED IN EXISTING SO FOOTAGE APPLICANT TEL NO SAME AS OWNER SPECIAL CONDITIONS CONTRACTOR TEL NO �� go APPROVALS INSPECTOR SIGNATURE SAME AS OWNER - LIC NOTEMPORARY POWER POLE ARCHITECT OR ENGINEER TEL. NO LIFER ff5affF— LIC NO I _ _— — ROUGH CONDUIT -fZ MAIN WATER LINE tl UB L I VV II U V E3 PLASTIC Y/N METAL Y/N eivice REPORT 10 DPR265 ROUTE TO BS0508