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BASBH-CEBDB_B_B7 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY'DIVISION ADDRESS
JOHN A.LAMBIE.COUNTY ENGINEER O
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES
ITEM NUM13FRI EACH FEE OWNER
OUTLETS: S S MAIL /
LIGHTS RECEPT. SW.14 10 ADDRESS dw
LIGHTING FIXTURES .10 CITY TEL.NO
ELEC.RANGES 'CLO:DRYERS ELECTRICIA
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
GARBAGE DISPOSERS AUTO.- CITY TEL.NO.
WASHERS STA.COOKING UNITS .25 STATE
LICENSE NO.
MOTORS: OVER INC. H.P.
O— I%a .2S DIS RIC.T IVO. GR UP ZODNE READY FOR INSPECTION
I/a— 2 .50
IN- PECTION RECORD
2 — 5 1.00
a — 15 1.50
Is — So 2.50 Q!r /
SO— 200 5.00 U ✓ YU
SIGNS: NO.TRANS.
NO.LAMPS t4l)AMf /!l0 T 7-ll ZZML .
SERVICE 0-GOON 1.00
SERVICE OVER GOON 5.00 F EVE
MISC. /a,/ ,/
WIRING PERMIT 1.00
FIXTURE PERMIT r 1.00 Ov /.5 b A Y 1A !r' R.
SUPPLEMENTARY PERMIT 50' 0 'TAN br,A--) I:� _170 -if It
TOTAL FEE $ APPROVALS ffO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 /
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF v _ _
CALIFORNIA OR THAT I AM THE LEGA OWNER OF THE ABOVE POWER
DESCRIBED RESIDEML
SIGNATURE UTILITY CO.NOTIFIED f
OF PERMITTEE. FINAL '
VALIDA N ARTHUR C.VEIT.
SUPERVISING ELECTRICAL ENGINEER
CK NO
LT026240R APR 4 2 A 2.50 �
76A668 DBS SA 11-30 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN .500' /SO
RECEIVED BY READY FOR DATE ISSUED
ADDRESS 5134 NAcacia ���„-w FIRST INSPECTION O /✓
CITY San Gab, TEL. No.AT 68583 fvNl/MY p` I
COUNTY LICENSE NO. 1104 EXPIRESBUILDING
PERMIT FEES ADDRESS 9552 Wendon St.
NUMBER I EACH FEE LOCALITY Temple City
LIGHT OUTLETS 15 NEAREST
RECEPTACLES 24 CROSS BT.
WALL SWITCHES 19 OWNER Meeker
TOTAL OUTLETS 58 sc $ 2 90 MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 1 25 25 CITY TEL. NO.
FIXTURES 15 5 75 1 HEREBY ACKNOWLEDGE -THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBERHORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
NEW MVD. EACN
HP OVER INC.
I 1A 1/z a LESS $ .29 125 SIGNATURE OF
1/2 2 .50 PERM ITTE
2 s 1.00 INSPECTION RECORD
s 1s 1.50
15 s0 2.50
50 200 5.00
200 BOO 10.00
SOO 1000 1S.00
Z
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%OF ORIG.)
MOVED MOTORS (75%OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
DATE
R� INSPECTOR'S NAME
FOR EACH PERMIT: CONDUIT L/[.) ( ,•al j,
WIRING $1.00 1 00V ,
FIXTURES $1.00 1 00 WIRING
SUPPLEMENTARY .50 FIXTURES
6 I 155 POWER n
TOTAL FEE $ UTILITY CO. NOTIFIED /
10 FINAL W V
WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-97) APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self insure, 78A863
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(Sec.(3800 ab.C.) i
Policy No. "� CompanyS�06 t.",V FOR APPLICANT TO FILL IN JOB ADDRESS a t QV.. OO/d �e
❑ Certified copy is hefeby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY���
1 &2-Family,Sq.Ft. $ �
$ -
Certified copy is filed with the county building inspection _ NEAREST /
department. �-` ��,_ Multi-family Sq.Ft. CROSS ST. `Oe�
Date C Applicants 9— Residential Swimming Pools ASSESSOR11
MAP BOOK PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Light Sw. OWFlRM NAME OR
COMPENSATION INSURANCE _
First 20 MAIL -
s
(kt
(This section need not be completed If the work Involved by the Total No. Additional' ADDRESS J OL �
permit Is for one hundred dollars($100)or less.)
I certify that in the performance of the work for which this permit CITY � Q Tel.No.
is issued, I shall not employ any person in any manner so as to PLAN CHECK•
become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT
Total No. Additional
ADDRESS
Date Applicant RESIDENTIAL APPLIANCES'NOT OVER 3 HP.
NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No.
Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. PERT -
IT
provisions of the Labor Code, you must forthwith comply with such power Apparatus&Large Appliances APPLICANT
provisions or this permit shall be deemed revoked. `
LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS
I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. l
Te.
�p -��
(commencing with Section 7000)of Division 3 of the Business and CITY
Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE OR �cL�/e (. }
_ Over 50 t0 100 InCI. REG.NUMBER 5 T�'C"% Cless' �L(� a
R ( y Over 100 DISTRICT NO. PR ED BY 0
License Number � l���� Lic.Class `�'`y ()
\ Services,Swb oard . v�
ph �„\�kti� 0-399 Amp.Under 600 FINAL p
Contractor ate DATE
❑ 400-1000 Amp.Under 600 V � ~
I am exempt under Sec.
Over 1000 Amp.or Over 600 V FINAL VALIDATION W
0.
B.&P.C.for this reason BRANCH CIRCUIT FEES BY W
Date: 15A,or 20A,120V,,Lighting or Recept. Z_
1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits
❑ 41 Or More Branch Circuits
Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits
SINGLE FAMILY2
Temp.Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION /,/�/�•
I hereby affirm that I am exempt from the Contractor's License Law e V
Sign with One Branch Circuit ACCTA
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits
Code): 3307- l
01065
❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors 1 ITEMS
Is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule)
TOTAL 4S I o 65
and Professions Code).
CONSTRUCTION LENDING AGENCY 1 CHECK 61.65
1 hereby affirm that there is a construction lending agency for the CHANE n00
performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total)
Civ.C.)
' j PLAN CHECKING FEE
Lender's Name 0000-0001 3/ 3/93
i PERMIT ISSUING FEE 8463 1 AN $04$
Lender's Address •
I certify that I have read this application and under penalty of purjury state TOTAL FEE l 1p
that the above information is correct. I agree to comply with all County X.3
ordinances and State laws regulating Electrical wiring,and hereby authorize
representati es of his Co ty to enter.upon the above-mentioned property
for insp on p SEE REVERSE FOR EXPLANATORY LANGUAGE
03-���3
SIGNATURE DATE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0108150002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: S PAID BUILDINGS:TR: 17179 LT: 34 9552 WENDON ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801617
ASSESSOR INFOR14ATION NUMBER: NEAREST CROSS STREET: PRIMROSE
5385-009-014 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 32.00 OUT 55.20
TENANT: G2 LIGHTING FIXTURES 8.00 LGT 15.60 ISSUED ON: PROCESSED P R S ON:
HA FAU LESS 3HP 1.00 FAU 10.95 08/15/01 UT 02/11/02
H5 RES WASH MACH LT 3HP 1.00 WAS 10.95
OWNER: TEL. 0: TOTAL FEES 120.45 FINAL DATE F NAL BY: CODE:
TAI TAI-CHYANG (626) 303-1822-
9552 WENDON ST 3 d �
TEMP 917801617 DESCRIPTION OF WORK'
ROOM ADDITION AND GARAGE ADDITION (1ST FLOOR 302SQ.FT., 2ND
PN
FLOOR 690SQ.FT., GARAGE 124SQ.FT.0
O:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEE. N0: `i APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: G
SUNSHINE DESIGN ASSOCIATES (626) 289-6300-
301 N. ROSEMONT BLVD LIC. NO: ROUGH CONDUIT
SAN GABRIEL CA 91775 46379 RE
ROUGHR NG
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY O I
REPORT ID: DPR265 ROUTE TO: BS0508