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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. .:� -' �. 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 `�, • � .;` .,i; fly Ice y la * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BSO5O8