HomeMy Public PortalAbout9667 WOODRUFF AVE_Electrical__ 76A663 DBS 5A 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN
DISTRICT NO. GROUP ZONE PERMIT NO.
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-' �. I �.
ELECTRICIAN Walton Elentrin r0. RECEIVED BY READY FOR DATE ISSUED
ADDRESS 2454 No Rosemead Blvd.D FIRST INSPECTION'
CITY El Monte TEL.No.FO $5679
&L=
COUNTY LICENSE NO. 1104 EXPIRES BUILDING 9667 Woodruff
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY Temple City
LIGHT OUTLETS 12 NEAREST
RECEPTACLES -114]. CROSS BT.
WALL SWITCHES OWNER Creative Builders Inco
TOTAL OUTLETS 39 5C MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 12 5 60 1 HEREBY ACKNOWLEDGE THAT 1 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 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEw MVD. NP OVER 1 INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
B LESS $ .25 SIGNATURE OF
I/2 2 .50 PERMITTEE
2 S 1.110 INSPECTION RECORD
S 16 1.50 I
15 50 2.50
50 200 5.00
200 500 10.011 00 �r7 :)�/}r l."v :; 'd�2 J
5110 1000 15.00 Q
OVER 1000 20.011 ED
M.G. SET/FREQ. CHANGER-HP
J WELDERS,AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% or DRIB-)
MOVED MOTORS (75% DF DRIB.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
N0. ND.LAMPS
FOR EACH PERMIT, DATE INSPECTORrB NAME
WIRING $1.00 1 00 CONDUIT
FIXTURES $1.00 1 00 WIRING ✓llr!i .�'�� �' '/-'��
SUPPLEMENTARY .50 FIXTURES
4 80 POWER
TOTAL FEE $+ UTILITY CO.NOTIFIED I
FINAL - �
76A663 DBS SA 7-61 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY 19=BOOM In
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICTNO. GROUP I ZONE PERMIT NO.
ELECTRICIAN Walton Elect. Co. 3
RECEIVED BY READY FOR DATE ISSUED
ADDRESS `A.% N. Rosemead Blvd., FIRST INSPECTION
CITY El Monte TEL.NO. FO 55679 '3''S��
COUNTY LICENSE NO. 1104 EXPIRES BUILDING
PERMIT FEES , ADDRESS 9667 Woodruff
NUMBER EACH FEE LOCALITY Temple City
LIGHT OUTLETS NEAREST
RECEPTACLES 2CROSS ST.
WALL SWITCHES OWNER Creative Bldrs. _
TOTAL OUTLETS 2 5. B 3.0 MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS 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 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR '1 AM THE LEGAL OWNER
NEw MvD. HP OVER INC. EACH OF THE RESIDENTIAL PROP DESCRIBED ABOVE.
%2 A LESS 0 .25 SIGNATURE OF
%2 2 .50 PERMITTEE
2 5 1.130 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5.00
200 500 10.00 J
500 1000 15.00 Z
OVER 1000 20.00
M.G. BET/FREQ. CHANGER-HP m
WELDERS'AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF DRIB.)
MOVED MOTORS (75% OF ORIS.)
MISC.
SIGNS
NC. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING TeM2. Powere 81.00 1 OO CONDUIT
FIXTURES 91,00 WIRING
SUPPLEMENTARY .50 FIXTURES
1 10 POWER
TOTAL FEE sa UTILITY CO.NOTIFIED
FINAL L,�` •;I $ �.�
W( KERS'COMPENSATION DECLARATION 11 za°°igoPw3is� APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent}rb self le .7CE
insure, or a certificate of Workers'Com ensation Insurance, COUNTY OF LOS ANGELES I DEPT. OF PUBLIC WORKS
or a certified copy thereof(Sec. 3800, Lapb. C.) 1 •
Policy No., Company FOR APPLICANT TO FILL IN I JOB G i
r_1 Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE I ADDRESS
�.� `� c•'T
Certified copy is filed with the county. LOCALITY building inspec- 1 &2-Family, Sq. Ft. $ _ $ I l
tion department. Multifamily Sq. Ft. NEAREST
It CROSS ST.
Date
Residential Swimming Pools OWNER OR
Applicant may, t✓� �/
I FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec-l—LightMAIL
COMPENSATION INSURANCE ght97
a ADDRESS
his section need hot be completed If the work involved b a First 20 CITY T., Tel. No. ''
P Y Total No, Additional i �idl 3 F2
the permit is for one hundred dollars(6100)or less.) i PLAN CHECK
51
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 ' Lighting Fixtures First 20 ADDRESS
so as to become subject to the War s' mpensatio ows. 9 9
Additional I.
- �-• Total No. CITY Tel. No.
Date Applicant Fixed Appliances Not Over 1 HP I PERMIT
NOTICE TO APPLICANT: If, after akin is Certificate of '
9 APPLICATION y
Exemption, you should become.subject to the Workers' Range— Heater—D.W. —
Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS �S Z/ �f r 44-4/4,4'.-z)
with comply with such provisions or this permit shall be Top — FAU —W.H. — / v
deemed revoked. CITY 4,ja � 4 Tel. o.— �JO
LICENSED CONTRACTORS DECLARATION Hood — Fan —.Other.
LICENSE Z
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. I REG.NUMBER Class. C-/41f,
(commencing with Section 7.000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. R . ESSED-BY d
and Professions Code,and my license is in full force and effect.
�/p Size&Type HP, KW, KVA, or KVAR ��� ���._.�. O
License Number /✓v o ;� Li Class 41r_140 �� Up to 1 Incl. AFINAL L)
Contractor e ate �' -7, Over 1 to 10 Inc'1: DATE —2� VALIDATION O
❑ Over 10 to 50 Incl. FINAL F-
I am exempt under Sec. Over 50 to 100 Inc. j BY W
B.&P.C. for this reason i Over 100 d
Services, Swbd., MCC&Ponelbo I Z
Z
8
Date: II 0-200 Amp. Under 600
Signature 201 - 1000 Amp. Under 600
IDExemption for Reg. Moint. Elect. Over 1000 Amp. or Over 600 V
SINGLE FAMILY 0
HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances
I hereby affirm.that I am exempt from the Contractor's License Sign with One Branch Circuit y:::3 e a
Law for the following-reason (Section 7031.5, Business and i' Additional Sign Branch Circuits _
Professions Code):. ��{�'/ T't=o a'_
❑ I, as owner of the property, will do the work and the
Misc. Conduits&Conductors
structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)_ ----.:
Business and Professions Code). ,
j 1311 f;L_ 40®7 IFD'
CONSTRUCTION LENDING AGENCY ':iL •1'> Ph e f C
I hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total)
(Sec. 3097, Civ. C.).
PLAN CHECKING FEE
.ru J.s ..i11 i f_i ,s
Lender's Name PERMIT ISSUING FEE
ov
1
Lender's Address' 77511
AN 3 11`
1 certify that I have read this application and state that the TOTAL FEE �o
above information is correct. I agree to comply with all County '
ordinances and State laws regulating Electrical wiring, and ;
hereby authorize representatives of this County to enter upon
the q. ove-me tioned op for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
., Z r�_. i
Si6nature 6 Permittee Date I ®S
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ECTRICAL PERMI
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS L-8568-9710070032
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
L E P G
TR: 6561 LT: 117
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CA 91780201'
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5385-018-013 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 13.00 OUT 25.35
TENANT: G2 LIGHTING FIXTURES 3.00 LGT 5.85 ISSUED ON: PROCESSED BY: PLAN Y: EXPIRES ON:
H7 RES EXHAUST FANS 1.00 EX 10.80 10/07/97 UT 10/07/98
TOTAL FEES 69.75
OWNER: TEL. NO: FINAL DATE FINAL BY' CODE:
KOO WEI Z;JENNY X - A Q
9667 WOODRUFF AV -1,5- /�1 &�(
TEMP 917802017 D5SCRIPTIUN OF WOR
ELECTRICAL FOR ADDITION
APPLICANT: EL. NO:
AMERICAN TECH CONSTRUCTION (213) 222-8929-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: _ �` s APPROVALS DATE INSPECTOR SIGNATURE
AMERICAN TECH CONSTRUCTION (213) 222-8929-
N
130 E. AVE 32 LIC. NO % ���* y P RAR 0 R POLE
LOS ANGELES, CA 90031 013107 UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. 0: ,/ �9/j ! `� ;_r•�f I ---'� \�\� FER GROUND
LIC. NO: ��I it-I--] j �� �t P _;- : ` ! ROUGH CONDUIT
ROUGH WIRING
11�"t,���r� MAIN WATER LINE '"-(
7 �_'� PLASTIC Y/N METAL Y/N
UTILIT comp-A-my-wanyrED
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* ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BSO5O8