The URL can be used to link to this page

Home My Public Portal About9154 WOOLLEY ST_Electrical__ 76A669C Cg:�B 12/76 APPLICATION FOR ELECTRICAL PERMIT C aF _ffM9LCc c� BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN _ SOB JT+ /�KJ� EACH NO. FEE ADDRESS Y I OO LGC- New Residential Bldgs.&Pools 1 &2 Finaily Sq. Ft. $ — $ LOCALITY Multi-family Sq.Ft. — NEAREST. C ��n ITFl CROSS ST Residential Swimming Pools OWNER OR FIRM NAME Outlets: Light,Switch&Receptacle MAI L First 20 ADDRESS f� Additibnal CITY Tel. No. O ,Q-3130 PLAN CHECK APPLICANT Lighting Fixtures First 20 ADDRESS Additional y CITY Tel.No. Fixed Appliances Not Over 1 HP APPLICANT p RQS j Pj e lI A�LE7 1 p T E /7 Q � t Range_ Heater_ D.W. _ ADDRESS l0 'GO �� e_ Oven _ Dryer _ W.M. _ !� Top _ FAU _ W.H. _ CITY � lkf Tel.No. Hood Fan LICENSE OR n .. Disp. A.C. REG. NUMBER of Class. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION W AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY O Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE' LAWS REGULATING f. Size&Type HP,KW,KVA,or KVAR ELECTRICAL WIRING. W a Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR y Z Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF � CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE' Over 10 to 50 Incl, DESCRIBED RESIDENTIAL_PROPERTY. Over 50 to 100 Incl. PERMITEE Over 100 SIGNATURE �v ' DISTRICT NO. P CES D BY Services �. 85 ,._., a rL 0-200 Amp. Under 600 V 201 -1000 Amp. Under 600 V tFROUGH PROVALS A INSPECTOR'S SIGNATURE Over 1000 Amp.or Over 600 V WER POLE Temp. Power Pole&Appurtenances LAB WORK Sign with One Branch Circuit Additional Sign.Branch Circuits ONDUIT(Other) S UTHORIZED ` PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL fig �a ss� PERMIT ISSUING FEE NOTES TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. - M.O. CASH I 5 ,. 3 2-FEB�fEB 7 � � 6.0 0 m;;� 78A688C CE006H�18�75 APPLICATION FOR ELECTRICAL PERMIT - r � C ?fBU21LDgAND SAFETY D ISION FOR APPLICANT TO FILL IN _ JOB New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 1 &2 Finaily Sq. Ft. $ $ LOCALITY Multi-family Sq.Ft. — NEAREST CROSS ST. A)C 14 I J9 Residential Swimming Pools OWNER OR FIRM NAME es., Outlets: Light,Switch&Recepfacle MAIL .First 20 ADDRESS Additlbnal CITY a Tel. No- PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel. No. PERMIT t FixedAppliances Not Over 1 HP APPLICANT Range_ Heater_ D.W. ADDRESS Oven Dryer _ W.M. Top FAU _ W.H. CITY Tel.No. Hood Fan LICENSE OR REG. NUMBER Class. Disp: A.C. G7 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Q Power Apparatus&Large Appliances WITH ALL COUNTY ORDINANCES' AND STATE LAWS REGULATING i3ELECTRICAL WIRING. Size&Type HP, KW,KVA,or KVAR Uj Up to 1 Incl. I HEREBY CERTIPY THAT I AM PROPERLY REGISTERED AND/OR rA Z Over 1 to 10 Incl. LICENSED AS REO UI RED-BY LOS ANGELES COUNTY AND STATE OF �- CALIPORN.IA OR THAT 1 AM THE LEGAL OWNER. OR TINE ABOVE Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PROPERTY. Over 50 to 100 Incl. PERMITS Over 100 SIGNATOR FDRO. SED BY Services [y 0-200 Amp. Under 600 V _ L CJ 201 -1000 Amp.Under 600 V OVALS DATE INS CTOR'S Over 1000 Amp.or Over 600 V SI NATURE ER POLE Temp.Power Pole&Appurtenances B WORKSign with One Branch CircuitDUITAdditional Sign Branch Circuits(Other) HORIZED PERMIT FEE (Sub=Total) UTILITY CO.NOTIFIED .� PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL `7 -�c PERMIT ISSUING FEE 'Z TOTAL NOTES FEE �I PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK7 m.o.0 CASH 2 4 4Lt-_110V 6.1 0 0vs I hereby affirm WORKER'Sat I COMPENSATION ella cent elate oEconsent lOto self insure, 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT 76A683 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 Lab:C.) Policy No. Company FOR APPLICANT TO FILL.IN JOB ADDRESS Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE$1&2-Family,Sq.Ft. LOCALITY — $ Certified copy is filed with the county building inspection _ NEAREST department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK I PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' � OWNER OR COMPENSATION INSURANCE Outlets:Rec. Light Sw. FIRM NAME �V✓!r1 First 20 v MAIL (This section need not be completed the work Involved by the Total No. Additional ADDRESS permit Is for one hundred dollars($1000)or less.) I certify that in the performance of the work for which this permit CITY Tel.Na.eo is issued, I shall not employ any person in any manner so as to !! become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 PLAN CHECK J p 9 APPLICANT 0, Total No._� Additional a ADDRESS Date r��`3�� Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. ExemNOTlptionCE Tyou should becomO APPLICANT: e subject toTfothith orkers'Compensa OTHER APPLIANCES NOT OVER 3 HP. CITY ? Tel.No.Q � �� p. provisions of the Labor Code, you must comply with such PERMIT 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. (commencing with Section 7000)of Division 3 of the Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. Over 50 to 100 Ind. LICENSE Class. REG.NUMBER Q Over 100 DISTRICT NO. PROC a. D Y License Number Lic.Class aa�.� /`'�� V Services,Swbd.,MCC&Panelboards `/ •V Contractor Date 0-399 Amp.Under 600 V DATE 0 400-1000 Amp.Under 600 V VALIDATION W I am exempt under Sec. Over 1000 Amp.or Over 600 V Jl B.&P.C.for this reason BRANCH CIRCUIT FEES BY Z Date: 15A,or 20A,120V,Lighting or Recept. _ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits Al Or More Branch Circuits El Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances II HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): ; I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors •� l v Is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) ® 1 and Professions Code). CONSTRUCTION LENDING AGENCY a �> I hereby affirm that there is a construction lending agency for the n performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Z, C7 2, Civ.C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE 33 -30 that the 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 above-mentioned property for inspection urposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIG ATURE PE MI DATE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1301220048 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BIIILDING ADDRESS: 1 ITR: 12115 LT: 17 BL: .001 1 [ 9154 WOOLLEY ST IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801349 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 15382-023-009 IAl PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI I I TOTAL FEES 27.80 1 1 (TENANT: I 11SSUED ON: PROCESSED BY: PLAN BY: I 1 101/22/13 SR (OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE: 1 1 CHANG, LAH Ijam_ 19154 WOOLOLLEY ST I �•/� I ITEMP 917801349 1 ibjfScR:lP7kXeX OF WORK 1 I I IINSTALLATION OF 14 ROOF MOUNTED SOLAR PANELS CHANGE CONTRAC I I I ITOR SEE ALSO EL 130140012 1 1APPLICANT: TEL. NO: 1 I I 11VEZZY, MICHAEL (626) 965-4286- 1 1 I 13080 12TH ST I ISPECIAL CONDITIONS: 1 IRIVERSIDE CA 92506 I I I I I I ICONTRACTOR: TEL. NO: ] [APPROVALS DATE INSPECTOR SIGNATURE I IBURKE ELECTRIC (951) 368-4050- ] 1 119825 ROTERDAM LN LIC. NO 1 ITEMPORARY POWER POLE RIVERSIDE CA 92508 C10896796 I I I [ [ I i I ]UNDERGROUND CONDUIT I I I 1ARCHITECT OR ENGINEER: TEL. NO: - 1 1UFER GROUND 1 1 1 1 LIC. NO: 1 1ROUGH CONDUIT 1 I I I I 1ROUGH WIRING I I I I 1 IMAIN WATER LINE I 1 IPLASTIC YIN METAL YIN I I I I I I 1 1 ]UTILITY COMPANY NOTIFIED I I I I� � • �� `' la 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 1 1 1 1 IREPORT ID: DPR265 ROUTE TO: BS0508 ] ] [ I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1301040012 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID I BUILDING ADDRESS: I ITR: 12115 LT: 17 BL: .001 1 9154 WOOLLEY ST I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801349 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 15382-023-009 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI I 1P2 PC RES PV<IOKW 153.90 1 1 ITENANT: IP3 INVRTR RES PV<lOKW 27.90ISSUED ON: PROCESSED BY: PLAN BY: I I I TOTAL FEES 209.60 101/04/ 13 SR (OWNER: TEL. NO: 1 FI/Npy�HY: CODE: I CHANG, ANLAH 19154 WOOLLEY ST I Ilf ITEMP 917801349 I ID SCR PTION OF WORK 1` 1 I I IINSTALLATION OF 14 ROOF MOUNTED SOLAR PANELS (APPLICANT: TEL. NO: I I I 11VEZZY, MICHAEL (626) 965-4286- 1 I 1 13080 12TH ST I SPECIAL CONDITIONS: [RIVERSIDE CA 92506 1 1 I I 1 I ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE I (ELITE ELECTRIC (951) 681-5811- 1 1 I 19415 BELLEGRAVE AVE LIC. NO I ITEMPORARY POWER POLE I I I IRIVERSIDE CA 92509 418242 * I 1 I I 1 I I JUNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND _ I I I LIC. NO: i IROUGH CONDUIT I I I 1 I (ROUGH WIRING I I I I I IMAIN WATER LINE I I I I I IPLASTIC Y/N METAL Y/N I I I I [ (UTILITY COMPANY NOTIFIEDI I I I I I I I I I I 1 I 1 I I I 1 I 1 I I I I I I I I I I I 1 I I i I I 1 I I I I i I [ I* ADDITIONAL DATA ON FILE I I 1 [ I I I 1 1 I 1 IREPORT ID: DPR265 ROUTE TO: BS0508 I I 1 I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1302050035 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 12115 IT: 17 BL: .001 1 9154 WOOLLEY ST I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801349 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ENCINITA 15382-023-009 IA1 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI I ILB 200 AMP PANELS, MCC 1.00 PAN 38.90 ITENA T: TOTAL FEES 66.70 ISSUED ON: PROCESSED BY: PLAN 02/05/13 SR SR [ (OWNER: TEL. NO: [ FINAL DATE FINAL BY: CODE: ICHANG AN L;HUANG YEE-HUEI (626) 641-6160- 19154 WOOLLEY ST 1 TEMP 917801349 IDT3SC IPTIO OF WORK 1 [UPGRADE SERVICE PANEL TO 200 AMP [ APPLICANT: TEL. NO: 1 ILIANGCHI, ZHOU (626) 280-2875- 18920 GUESS STREET (SPECIAL CONDITIONS: ]ROSEMEAD CA 91770 ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 (BCT ELECTRIC INC (626) 319-4291- I I 1 18920 GUESS ST LIC. NO TEMPORARY POWER POLE IROSEMEAD CA 91770 917506 1 [ 1 UNDERGROUND CONDUIT 1 I 1 [ARCHITECT OR ENGINEER: TEL. NO: - [ [LIFER GROUND 1Y LIC. NO: i IROUGH CONDUIT v [ I I [ I TROUGH WIRING 1 [ 1 IMAIN WATER LINE 1 1 [PLASTIC Y/N METAL Y/N 1 1 1 1 [ [UTILITY COMPANY NOTIFIED��1 I I [ IrI I 1 I I I I I I I [ I I [ 1 I [ I I I I [ 1 I I [ I I 1 I I [ I [ I I I I I 1 IREPORT ID: DPR265 ROUTE TO: BS0508 I 1