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Home My Public Portal About9136 WOOLLEY ST_Electrical__ CQUNTY OF,LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPIRTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1207160025 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: I ITR: 12115 IT: 14 I 1 9136 WOOLLEY ST I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917801349 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 15382-023-006 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 3.00 OUT 6.00 1 1 1TENANT: 1H2 RES GRBG DISP IT 3HP 1.00 DIS 11.00 (ISSUED ON: PROCESSED BY: PLAN BY: I IH3 RES DISHWASHR IT 3HP 1.00 DIS 11.00 107/16/12 SR IH4 RES RANGE HDS IT 3HP 1.00 HOO 11.00 1 (OWNER: TEL. NO: IH5 RES WASH MACH IT 3HP 1.00 WAS 11.00 JFTaAL DATE FIUATA BY: CODE: I IMA, PAI HON (626) 321-3551- 1 TOTAL FEES 77.80 ] 19136 WOOLLEY ST ITEMP 917801349 I IDES RIPTION 0£ WORK I I (ELECTRICAL FOR INTERIOR REMODEL 3 OUTLETS, GARBAGE DISPOSAL I IDISHWASHER, WASHING MACHINE AND RANGE HOOD (APPLICANT: TEL. NO: 1 1 SAME AS OWNER I i ISPECIAL CONDITIONS: I I I I I ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER _ I I ] LIC. NO i ITEMPORARY POWER POLE I I I 1UNDERGROUND CONDUIT I I I ARCHITECT OR ENGINEER: TEL. NO: - i IUFER GROUND I I I I I I LIC. NO: i TROUGH CONDUIT 1 I I ] I IROUGH WIRING Iw I IMAIN WATER LINE I I I I IPLASTIC Y/N METAL Y/N I I I (UTILITY COMPANY NOTIFIED] I I I I I I I I I I I I I I I ] I I I I I I I I I I I I I I I I ( I I I I I ] I I I I I I I 1 i I I 1 I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I I ] I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPFSRTMENT OF PUBLIC WORKS 9701 LAS TUNAS BIriLDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 EL 0508 1208060003 PHONE: (626) 285-0488 EXT: ILEGAL ID. I FEES PAID I BUILDING ADDRESS: 1 ITR: 12115 IT: 14 I 1 9136 WOOLLEY ST 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801349 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 15382-023-006 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl I 1G1 OUTLETS-LGT,SW,RECP 12.00 OUT 24.00 I I (TET: 1G2 LIGHTING FIXTURES 7.00 LGT 14.00 (ISSUED ON: PROCESSED BY: PLAN BY: I 1 I TOTAL FEES 65.80 108/06/12 SR I II I (OWNER: TEL. NO: 1 1FINAL DATE FINAL BY: CODE: 1 IMA, PAI HON (626) 321-3551- 19136 WOOLLEY ST 1 TEMP 917801349 1 IDESCRIPTION OF WORK 1 1 1112 OUTLETS AND 7 LIGHT FIXTURES I (APPLICANT: TEL. N0: ISAME AS OWNER _ 1 I I ISPECIAL CONDITIONS: I I I I ICONTRACTOR: TEL. NO: 1SAME AS OWNER _ 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 LIC. NO I ITEMPORARY POWER POLE 1 I I I I 1 1 1UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER: TEL. NO: 1 1UFER GROUND 1 _ I I 1 LIC. NO: I IROUGH CONDUIT I I 1 I 1ROUGH WIRING I I I 1 I IMAIN WATER LINE I I 1 1 IPLASTIC Y/N METAL Y/N I I I 1 1UTILITY COMPANY NOTIFIED( I I I I I I I I I 1 I I 1 I 1 I I I I I i I I I I I 1I I I I I I I I 1 1 1 I I I I I 1 I I 1 i 1 1 I 1REPORT ID: DPR265 ROUTE TO: HS0508 I 1 COUNTY OP LOS ANdELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1208150035 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FfifiS PAID BUILDING ADDRESS: JTR: 12115 LT: 14 9136 WOOLLEY ST FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917801349 ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 5382-023-006 JAI PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl JG1 OUTLETS-LGT,SW,RECP 1.00 OUT 2.00 (TENANT: JG2 LIGHTING FIXTURES 1.00 LGT 2.00 JISSUED ON: PROCESSED BY: PLAN BY: JHA FAD LESS 3HP 1.00 FAD 11.00 08/15/12 SR JJB AC UNITS +3-10HP 1.00 AC 19.70 OWNER: TEL. NO: [ TOTAL FEES 62.50 [FINAL Djjj��TE FI Y: CODE: IMA, PAI HON (626) 321-3551- I ��l 9136 WOOLLEY ST TEMP 917801349 DESCRIPTION OF WORK —i [ELECTRICAL FOR A/C AND FAU UNIT [ APPLICANT: TEL. NO: ICERDA, ISAIAS (562) 244-7119- [ i [SPECIAL CONDITIONS: [ CONTRACTOR: TEL. NO: I��AL�wDATE� INSPECTOR SIGNATURE AIR QUALITY SYSTEMS, INC. (562) 244-7119- 114024 FIDLER AVE. LIC. NO I [TEMPORARY POWER POLE BELLFLOWER, CA 90706 708908-C20 *� [ [ UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: JUFER GROUND LIC. NO: I IROUGH CONDUIT I [ [ [ROUGH WIRING Ji[ NE IPLASTICTER LI Y/NMETAL YIN [ [ UTILITY COMPANY NOTIFIED J* ADDITIONAL DATA ON FILE [ [ [ [REPORT ID: DPR265 ROUTE T0: BS0508 WORKERS'COMPENSATION DECLARATION 78-8 �10/81 APPLICATION FOR ELECTRICAL PERMIT 1 hereby affirm that I have a certificate of of consent to self insure, CE-806G or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES I BUILDING AND SAFETY coy y thereof(Sec.3800,Lab.C.) 'k0 No. Company FOR APPLICANT TO FILL IN JOB i EACH NO. FEE ADDRESS Certified copy is hereby furnished. ftJJ pp (�C New Residential Bldgs.&Pools ❑ 1 &4-Family,Sq.Ft. $ — $ LOCALITY Certified copy is filed with the county building inspection department. Multi4amily Sq.Ft. NEARESTCROSS ST. Date Applicant Residential Swimming Pools OWNER OR FIRM NAME f� CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL � Outlets:Iliac—Light_Sw.— (j C COMPENSATION INSURANCE I ADDj3ESS �O(/c.G r (This section need not be completed If the work Involved by the First 20y permit is for one hundred dollars($100)or less.) Total INo. Additional CITY — Tel.No' I certify that in the performance of the work for which this permit PLAN CHECK is issued, I shall not employ any person in any manner so as to I APPLICANT become subject to the Workers'CompegsLEI Lighting fixtures First 20 ADDRESS Additional Total o. CITY Tel.No. DateApplicant Fixed Appliances Not Over 1 HP NOTI*;, O PPLICANT: If, after making t�} Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation Rangb_ Heater_ D.W. _ APPLICANT provisions of the Labor Code,you must forthwith comply with such Oven _ Dryer_ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Topi— FAU _ W.H. CITY Tel.No. LICENSED CONTRACTORS DECLARATION Hoo — Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9 Disp.'— Room Air Cond. LICENSE OR Class. (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER Professions Code,and my license is in full force and effect. DISTRICT O. PR E ED BY Power Apparatus&Large Appliances 0 . > Size&Type HP,KW,KVA,or KVAR IL License Number Lic.Class 0 Up to 1 Incl. FINAL I Over 1 to 10 Incl. DATEaq 1 no Contractor Date i VALIDATION Over 10 to 50 Incl. FINAL 0 ❑ I am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C.for this reason Over 100 N Service,Swbd.,MCC&Panelboards Z Date: 0 L 200 Amp.Under 600 V r' Signature 201 - 1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 1 hereby affirm that I am exempt from the Contractor's License Law /�/�/�T d for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits ACC a9' Cod 1 M7 25.50 1,as owner of the property,will do the work and the structure Misc.Cgnduits&Conductors , r�r� is not intended or offered for sale (Section 7044, Business Other($ee Complete Fee Schedule) _ . 11�1t5 and Professions Code). ��rlL25.50 CONSTRUCTION LENDING AGENCY iASH ' ol I hereby affirm that there is a construction lending agency for the h performance of the work for which this permit is issued(Sec.3097, PERMITI FEE (Sub-Total) 4HANIf .00 Civ.C.). I. PLAN CHECKING FEE Lender's Name OM ' M1 9/28/89 PERMIT!ISSUING FEE Lender's Address i 5941 1 Ail $°o5j 1 certify that I have read this application and state that the above TOTAL FEES 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 above-mentioned ropert for' pec' ses. SEE REVERSE FOR EXPLANATORY LANGUAGE a2� O Signature of Pe Dae