HomeMy Public PortalAbout9173 WOOLLEY ST_Electrical__ 76A663-CES0611-71 .APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER A REII
SS 7,3 �. d�o011eY
BUILDING AND SAFETY DIVISION
LOCALITY 4emtoto, `fir-y
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
7RECEPT.7/ 7
TS N0. EACH FEE
OWNER /�;"� [OG✓•C�S
$ $ � AI L
ADDRESSr� `TOTAL FIRST 20 25 CITY 'r�®1e_ G'jTEL. kg 6
OVER 20 ,10 j
PLAN CHECK
LIGHTING 1 TOTAL FIRST 20 .25 APPLICANT
FIXTURES .f0
)}
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
L PERMIT �!� d /�7`
RANGE DRYER WTR. HTR. APPLICANT /Y ( 'I
STA. COOK DISP. F.A.U. ADDRESS,73377
QpN�
SPACE HTR. AIR COND. I CITYS Co Ah4 de TEL& O,Yd
CLOTHES WASH. I DISHWASH. LICENSE NO. 76 CLASS.C_1 4)
, r
FAN OTHER1.00 m 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE-THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 1O 9.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. 0
10 - 50 5.00 SIGNATURE E:�ov
OF PERMITTE O
50- 100 10.00b
DISTRICT NO. CLASS ZONE PROCESSED BY ICI
100 - 500 15.00 o h
SIGN, GASSIGN AND ONE CIRCUIT 5.00 NOTES: ?
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.001 .
SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 O
SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP.POWER POLE
TEMP SERVI CE,POLE,&APPU RTENANCES 5.00
TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK
ROUGH CONDIUT
WIRING
1 FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
�
UTILITY CO. NOTIFIED
PLAN CHECK FEE
PERMIT ISSUING FEE9.00• PL' �. Q FINAL Q 7t--
TOTAL FEE
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VAL�DATION CK. M.O. CASH
cc
L" 9074-4 OCT 3 2D 9.2 5
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
8Aj63 CE-4106 NF 6/76 APPLICATION FOR ELECTRICAL PERMIT
1f COUNTY OF LOS ANGELES ( = 9 BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB � `
New Residential Bldgs.&Pools EACH NO. FEE ADDRESS
1 &2-Family,Sq.Ft. $� — $ LOCALITY Y,. IE.VZG1UrJA
Multi-family Sq.Ft. — NEAREST
CROSS ST.
Residential Swimming Pools OWNER O
FIRMNAME�j 10VUL C.+ e--•
Outlets:Reds_LightA�w2.0S� '� A9 ADDRESS
Total No. AdditionalCIT r c Tel.No.TO7—
PLAN
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 ADDRESS
Total No. Additional CITY Tel.No.
Fixed Appliances Not Over 1.HP PERMIT
Range_Heater_D.W.— APPLICANT �01EI
Oven_Dryer_W.M.— ADDRESS-SqEO 4 01AI ,
Top _FAU W.H._ CIT e Tel.No.2$7-
Hood—Fan
-Hood_Fan Y Other_ 1 LICENSE OR.
Disp.'—Room Air Cond. ce ` c REG.NUMBER C 7tG�� Class. C
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&T' a HP,KW,KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
Yp REGULATING ELECTRICAL WIRING.
Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSE QUIRED BY LOS ANGELES COUNTY AND STATE OF
CALI RNIA OR AM.THE LE13AL OWN H BOVE
Over 10 to 50 Incl. DESC BED RESID TIAL PERTY.
Over 50 to 100 Inc.
Over 100 PERMITE
SIGNATURE v
Services DISTRICT NO. P
0.200-Amp.Under 600 V
201.1000 Amp. Under 660 V
Over 1000 Amp.or Over 600 V Z
(Temp.Power Pole&Appurtenances
Sign with One Branch Circuit
Additional Sign Branch Circuits INSPECTION
INFORMATIONa ;1,2 6 6 3 A
Misc..Conduits&'ConductorsW
Other!See Complete Fee Schedule) ON REVERSE u # a o o o o 2
SIDE Z
5 2 - o21,0.0
IL
PERMIT FEE (Sub-Total)
Z 10, 17-80 a 7_8C
PLAN CHECKING FEE (One-Fourth Permit Fee) O
PERMIT ISSUING FEE o
TOTAL FEE >
INSPECTI N FINALED ` W
date: `7 ��l By ® ° as
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0904070007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
I ON FILE 1 9073 WOOLLEY ST I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801348 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
15382-019-030 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 8.00 OUT 15.60 1 1
1TENANT: G2 LIGHTING FIXTURES 4.00 LGT 7.80 TISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
I I TOTAL FEES 51.15 104/07/09 SR 10/04/09
(OWNER: TEL. NO: I 1FINAL DATE FIlr BY: CODE: 1
IWEAL GEORGE L;JOANNE M (626) 285-3796- I U� I
19073 WOOLLEY ST 1 J(�
ITEMP 917801348 [ 1CRIP ON OF WORK I
I I (ELECTRICAL FOR 2 BATHROOMS REMODEL 1
I I I I
(APPLICANT: TEL. NO: I I I
IHOME CARE & DESIGN (888) 580-5557- 1 I
110680 W. PICO BLVD. I [SPECIAL CONDITIONS: 1
(LOS ANGELES CA 90064
[CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE 1
IHOME CARE AND DESIGN (888) 580-5557- 1 1
110680 W PICO BLVD LIC. NO 1 ITEMPORARY POWER POLE I I
[LOS ANGELES/CA/90064 820230 1 I I
I I UNDERGROUND CONDUIT
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I
I LIC. NO: I IROUGH CONDUIT 1 I 1
I I I I I
I IRDIIGH WIRING I I
I I IMAIN WATER LINE I 1 1
I I IPLASTIC YIN METAL YIN I 1
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
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(REPORT ID: DPR265 ROUTE TO: BS0508 I I I I