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Home My Public Portal About9647 WOOLLEY ST_Electrical__ D:S-3A 9.53 ll'1APPLIC0 ION FOR■ ELECTRIC PERMIT i DBS-SA DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles BUILDING WM.J.FOX.COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. NUMBER EACH FEE 8 p jF�%1—e—OEA— LIGHT OUTLETS OWNER o RECEPTACLES 1 I MAIL ADDRESS `7 WALL SWITCHES TOTAL OUTLETS g¢ S CITY T NO ELEC.RANGES 25 ELECTRICIAN _ELEC.HEATERS 25 ADDR S cc)Vvtqt KW EA CIT �tLsp'yJtifL TEL.NO FIXTURES 5 LICENSE NO. za— NUMBER OF LIGHT CIRCUITS DISTRICT NO. I GROUP IZONE I READY FOR INSPECTION • NUMBER OF RECEPTACLE CIRCUITS MOTORS NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD. HP OVER INC. EACH 0 16&LESS $ .25 � 2 .50 2 5 I.Oo •3J- �' 'e i'�!/fl.l�l��i4�'lEss 5 15 1.50 A/D L/� )=6 iP 25 50 2.50 P41) /* yN X419 ✓l. 50 200 5.00 �{.C�Q4617-1/--7- 46rf1f'7- MISC. /t? ti / a5><1G Y /�/ l/�/r e�_7//�"T /a'I�(r��/r Z2 R041af- 1 r 6" NO.SIGNS NO.TRANS, NO.SIGNS NO.LAMPSp� P�'r FOR EACH PERMIT: _ �j �rsld V LI FlAI � LEG r WIRING $1.00 FIXTURES $1.00 0 12 r�?ny SUPPLEMENTARY .50 ' APPROVALS TOTAL FEE S DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLIC ION CONDUIT ' 'Z` SIi+ �7`A.f'/llJ!.tp.4 ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY — WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING 7-S' %l ,t Z1, ELECTRICAL WIRING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT i AM TH LEGAL OWNER OF THE B VE POWER DESCRIBED RESIDENT P ER y �• SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL �,�� t P :*�►s�J WILLIAM J.FOX.COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR r41' 2025N AN18 2 5.95 m WORKERS'COMPENSATION DECLARATION I CE Bose 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure) or a certificate of Workers' Compensation Insurance, or a certified, COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) -Q� "fl Policy No. Company FOR APPLICANT TO FILL IN JOB f ❑ Certified copy is hereby furnished. EACH NO. FEE ADDRESS I New Residential Bldgs.&Pools — $ ❑ Certified copy is filed with the county building inspectio 1 &2-Family,Sq.Ft. $ LOCALITY department. Multi-family Sq.Ft. — NEAREST Residential Swimming Pools CROSS O Date Applicant FIRMER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL COMPENSATION INSURANCE Outlets:Rec—Light _Sw.— ADDRESS/ O-3 (This section need not be completed if the work Involved by the First 20 ' Total No. Additional CITY f Tel.No. permit is for one hundred dollars($100)or less.) � I certify that in the performance of the work for which this permit APPLLICCANT K 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 ADDRESS I I Additional Total No. CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT d 7- NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Exemption,you should become subject to the Workers'Compensation Range_ Heater D.W. provisions of the Labor Code,you must forthwith comply with such Oven _ Dryer_ W.M._ ADDRESS 10036 1%WV J45 ;9dr_ provisions or this permit shall be deemed revoked. Top — FAU _ W.H. _ CITY 4i vN - Tel.No. 3 LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR c�� c� ) Disp. — Room Air Cond. REG.NUMBER J l� 7/ Class. �O (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. I DISTRICT NO. PROCESSED BY Power Apparatus&Large Appliances ��55 / Size&Type HP,KW,KVA,or KVAR 1017 p License Numbe 'f ')//,��Lic.Class Up to 1 Incl. FINAL C9 )k Contractor. rI& lv" Date �� L C Over 1 to 101nc1. DAA ' `3� VALIDATION 0 I Over 10 to 50 Incl. I— /rt//j FINAL V ❑ I am 2xemp nder Sec. Over 50 to 100 Inc. BY W BAP.C.for this reason Over 100 i Servi�c sr6avbtl"ht C&Panelboards o Z Date: / _200 Am nder 600 V a 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 – I hereby affirm that I am exempt from the Contractor's License Law a for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits Code): :-1 0�--- El I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors s i T E M is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). ® 1 0❑)0 CONSTRUCTION LENDING AGENCY I I CHECK 31...1; I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). PLAN CHECKING FEE Lender's Name 120)3l�-00111 10/;�+/,L: PERMIT ISSUING FEE /� Lender's Address 35$3 I Ar, 9 o I certify hat I have d this ppl' ation an state that the above TOTAL FEE d� informifigh 1 corre t.I a e m with '11 County ordinances and s re lating 1 tr all firing, nd hereby authorize repre t s of t is nt n the above-mentioned P ro rt // f r inspa 1 purp O —/ SEE REVERSE FOR EXPLANATORY LANGUAGE P ` j Signature Permittee Date i a � r WORKERS'�COMPENSATION DECLARATION 76A663 10/81 1PP1OCATION FOR ELEC URICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-8066 ff,insure, of Jcertificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS O Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY tion department. Multi-family Sq. Ft. — NEAREST CROSS ST. Residential Swimming Pools Date Applicant WNER OR FFIIRM NAME OeAelo a A!Z CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec g MAIL COMPENSATION INSURANCE �LI ht S 0 ADDRESS /W� (.f/�� This section need not bo com letod If the work Involved b First 20 ' (This permit is for one hundred dollars($900)or less.) Y Total No. Additional CAN CHEC �, Tel. No/ �� PLA CHECK I certify that in the performance of the work for which this APPLICANTvj�'� permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensatio Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional Date � Applicant v� CITY Tel. No. Fixed Appliances Not Over I HP PERMIT NOTICE TO APPLICANT: If, after makin is Certificate of APPLICANT Exemption, you should become sub' ct to the Workers' Range_ Heater_D.W. — Compensation provisions of the Labor Code, you must forth- Oven —Dryer _W.M.— ADDRESS,? with comply with such provisions or this permit shall be Top — FAU —W.H. — �� j � ",e5, deemed revoked. CITY ETel. No.�Q, LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ Disp. _ Room Air Cond. �V LICENSE OR Class. I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO._�. j PROCIESSE0 BY and Professions Code,and my license is in full force and effect. Size 8 Type HP, KW, KVA, or KVAR aa O License Number Lic. Class , U FINAL kP Up to 1 Incl. Over 1 to 10 Incl. DATE VALID ION 22 Contractor Date❑ Over 10 to 50 Incl. t=FINAL U I am exempt under Sec. Over 50 to 100 Inc. BY Or B.&P.C. for this reason Over 100 ?A Date Services, Swbd., MCC 8 Panelboards 11 0 -200 Amp. Under 600 V J Signature 201 - 1000 Amp: Under 600 V ❑ Exemption for Reg. Mainf. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION 62-56A Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's LicenseAdditional Sign Branch Circuits ! o o o 0 0 2 Law for the following reason (Section 7031.5, Business and ) 0.0 1 1.50 Professions Code): A I, as owner of the property, will do the work and the Misc. Conduits&Conductors U structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY 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 Lender's Name PERMIT ISSUING FEE Lender's Address Li-so I certify that I have read this application. and state that the TOTAL FEE 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 purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signa ure of Dater COUNTY OF LOS ANGELES TEMPLE CITY # 0508 LECiRLL -PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL'-0508 9709290011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: -LEGAL S PAIDC_ DRS : ON FILE `�fi4�W80CLEY ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801444 ASSESSOR INFORMATION NEAREST CROSS STREET: BARELA 5383-013-025 C2 SPAS, HOT TUBS, OTHR 1.00 SPA 54.45 THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY TOTAL FEES 54.45 TENANT: S E ON: OC SS A EXPIRES 0 : 09/29/97 UT 09/29/98 OWNER: TEL. NO: FINAL DATEFINAL BY' CODE: SPIROV IVANCO;VERA 9647 WOOLLEY ST TEMP 917801444 DESCRIPTIUN UFWORK ELECTRICAL FOR SPA TUB (NEW BA ROOM) APPLICANT: 0: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY R L UNDERGROUND CONDUIT ARCHITECT OR- ENGINEER: TEL. N0: UFER GROUND VIGEN GHARIBIAN (818) 249-4017- P.O. BOX 11086 LIC. NO: ROUGH CONDUIT GLENDALE, CA 91226 2783 ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMP N 0 IFI D REPORT ID: DPR265 ROUTE TO: BS0508 . COUNTY OF LOS ANGELES TEMPLE CITY # 0508 �ELECTRTC MIS DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9 0. 2 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID r ON FILE 9647 WOOLLEY ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: EMP-6 -94-MO1-4�i4 SS SSOR INFORMATION NUMB R: NEAREST CROSS STREET: BARELA 5383-013-025 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 34.00 OUT 57.90 TE G2 LIGHTING FIXTURES 8.00 LGT 15.60 ISSUED ON: PROCESSED B LAN IR 0 : HA FAU LESS 3HP 1.00 FAU 10.80 05/13/97 TC 05 /98 JA HEAT PUMPS +3-10HP 1.00 HT 19.65 OWNER: TEL. NO: LB 200 AMP PANELS, MCC 1.00 PAN 38.85 FINAL DATE FINAL BY: CODE: SPIROV IVANCO;VERA - TOTAL FEES 170.55 Z _� 9647 WOOLLEY ST TEMP 917801444 ffffs-cWrp-TT-ON OF WORK ELECTRICAL FOR NEW ADDITION - NEW ELECTRICAL SERVICE PANEL APPLICANT: EL. N0: UPGRADE 200AMP SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR- TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARI POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: FER GROUND VIGEN GHARIBIAN (818) 249-4017- P.O. BOX 11086 LIC. NO: ROUGH. CONDUIT GLENDALE, CA 91226 2783 ROUGH-WIRING IN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY 0 D 'vy� REPORT ID: DPR265 ROUTE TO: BS0508