HomeMy Public PortalAbout9716 WOOLLEY ST_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
• DEPARTMENT OF COUNTY ENGIN= ELECTRIC
IL
DIVISION OF BOQ IMG& SAFETY
WILLIAM I. IM Comm ENGnm
FOR APPLICANT TO FILL IN DiSTRI T NO. GROOYP ONE PERMIT NO.
ELECTRICIAN ��R,ti .'9 o 1 , '2 MI
of-
Q' p �� n VED BY READY FOR DATE ISSUED
ADDRESS ai /( q Ai T A eP: '� FIRST INSPECTION
CITY Jil d TEL. NO. � /of
/
COUNTY LICENSE NO. '� EXPIRES BUILDING(/p �J�� �� R -,
PEeNIT FEF ADDRESS '�9 »4 t f%!
w
�:::]
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS
NEAREST .,
RECEPTACLES 12. 4E• CROSS ST
WALL SWITCHES ,,,��•/J 0
`11� -L1r1 OWNER ���� 1,�� ' �i�,,.G�: » ./'+ rG
TOTAL OUTLETS 6.- 11 sc S MAIL
ELEC. RANGES 25 ADDRESS ,f
ELEC. HEATERS 25 �� gf' ✓
FIXTURES 8 CITY G.'Aa! L' 1 R ;/C-/TEL. NO./if/
misc. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT
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 HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
N6w MVD. HP OVER I INC. EACH OF THE RESIDENTIAL PROP TY DESCRIBED SOME.
81.698 S .25 `
SIGNATURE O
V2 2 .50 PERMIT
2 5 1.00 INSPECTION RECORD
s is 1.50
is so 2.50 �, . ..._ �• ,,, r..F L . /i►�`-r.�c-��
so 200 5.00 - �n '61,„ Y .&,--
200 Boo 10.00
Soo I 1000 I 15.00
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP a
WELDERS: AC-KVA 0
GENERATORS-KW ,
TRANSFORMERS-KVA
TEMP. MOTORS (75% of oRIG.)
MOVED MOTORS (75% OR ORIG.)
MISC. 6-
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMITt DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT �'/Z� •'rr
FIXTURES $1.00 I WIRING f!' L w
SUPPLEMENTARY .50 FIXTURES 1.O `F'75
/ POWER p
TOTAL FEE S /„ UTILITY CO. NOTIFIED I
FINAL
76A 668 DB9# 8A. 4-92
76AGW CE6O6 e-ii 'APPLICATION FOR ELECTRICAL ,PER'M'IT r
` :�.r'rCOUNTY OF LOS ANGELES
DEPARTMENT
BUIL NG AND SAFETY ENGINEER
ADDLRF-88 7/ O S
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREl3T'
FOR APPLICANT TO FILL IN - CROSS ST.
RECEPT. TOTAL NO. EACH FEE II
LIGHT ` OUTLETS FIRST 20 / $.20 C OWNER Tp U71(U _T1.
ADD'L. MAIL -116..
/ Il c
SWITCH. I7. OVER 2'0 .f0 ADDR•E�SS 7.(p.. 0 o� ,
LIGHTING TOTAL FIRST 20 .20 CITY / 12;121
, l TE .NO. �`'6' a34
FIXTURES I
ADD'L .1O ELECTRIC& N e_ -fo LoA'nc C v%
DV9R 20
1 1
RANGES CLO.DRYERS WTI.HTRS. 1 1.00 ADDRESS '7714 W OQ `
GARB.DISP. STA.COOK
CITY" T NO i
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.AFP..(+%$H.P.MAX.).' ,50 LICENSE NO.
MOTORS3 OVER NOT OVER H.P. DIST ICT 0.. GROUPE P ESSED Y
0 1 1.00 j
1 a 1.50 INSPECTION RECORD
s S 2.00
8 Is 2.50
15 50 5.00 i d
50 100 5.00 s J •_ I_ u
SIGNS, NO.TRANS-NO.LAMPS I J ( V
SERVICE 0.60OV-NOT OVER 200A 1.00' W
SERVICE 0-60OV-OVER 200 A. 2.00 I N
SERVICE OVER 600V • 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00 .mss
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 _
TOTAL FEE SVA
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE. INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL-COUNTY 'ORDINANCES'AND STATE LAWS REGULATING `,, /� /
ELECTRICAL_WIRING: •W,IRING .[d' A (j&'�
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPE POWER •,
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE. - `
FINAL
VALIDATION, ARTHUR C. VETT
- CK MO Y-CASH SUPERVISING ELECTRICAL ENGINEER
LAW 5 4 2 4 L, IfihY 2 9 2 D 4.60-
R
COUNTY OF LAS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0702200040
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
9716 WOOLLEY ST I
ON FILE IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917801445 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: TEMPLE CITY I
15383-017-021 IA1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY, Cl
I TF1 120V, 15/20A BR CKTS 2.00 BR 34.50 I I
ITENANT: IG2 LIGHTING FIXTURES 17.00 LGT 33.15 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
1 ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 102/21/07 JK 08/20/07 I
1 1 TOTAL FEES 134.25 1 I
[OWNER: TEL. NO: 1 IFINAL DATEEM
CODE: [
IHOWLETT ROBERT S;MARGO E (818) 447-7385- 1 1
19716 WOOLLEY ST 1 [ Mn
D-
ITEMP 917801445 [ (DESCRIPTION OF WORK I
(INSTALL NEW 200 AMP PANEL. INSTALL NEW RECESS CANS (17). 1
(INCLUDES (3) FLOUSENTS INS KITCHEN INSTALS, (2) NEW CIRCUITS [
(APPLICANT: TEL. NO: 1 I 1
(OCEAN DEVELOPMENT CO. (626) 254-9954-
19722 WOOLEY ST. 1 [SPECIAL CONDITIONS:
ITEMPLE CITY CA 91780 1 I
� 1 I
[CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE
(OCEAN DEVELOPMENT COMPANY (626) 254-9954- 1 I I
19722 WOOLLEY ST. LIC. NO 1 ITEMPORARY POWER POLE I [ [
ITEMPLE CITY, CA 91780 727569 B 1 I I I 1
(UNDERGROUND CONDUIT [ [ I
1ARCHITECT OR ENGINEER: TEL. NO: [ IUFER GROUND 1 1 I
LIC. NO: 1 TROUGH CONDUIT I I I
I I I
(ROUGH WIRING ] l I I
IMAIN WATER LINE I 1 I
[PLASTIC Y/N METAL Y/N [ I
I [
[IITLTITY COMPANY NOTIFIED[ I
[ I [ I I I
I I I I
I I I
I
I
[ [ I I I I
[ IREPORT ID: DPR265 ROUTE TO: BS0508
I I
WORKERS'COMPENSATION DECLARATION 76A663 10/81 p� /� �®
I hereto affirm thgf I have 16L certificate oft consent to self CE-8066 �PPI�IC/�+�TI®6� OR ELECTRICAL PERMIT
insure, ora certificate of Workers'Compensation.Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified cop thereof (Sec. 3800, Lob. C.)
Policy No C Compam� . FOR APPLICANT TO FILL IN JOB❑ /ADDRESS '9716 t Qd GLIC �^
Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE
❑ Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY
tion department. Multi-family Sq. Ft. — NEAREST
��
�2� Residential Swimming Pools CRO ST.
Date Applicant OR
�cc��//�� FIRM NAME
CERTIFICATE OF EXE MPTI FR ORKERS' Outlets: Rec Light S.Q26 qq�� �- MAIL /- �0
COMPENSATION INSURA CE �i� First 20 oGv/ S ADDRESS C l�
(This section need not be completed If the work involved by Total N0. Additional CITY�� Tel. N
the permit is for one hundred dollars($100)or less.)
I certify that in the performance of the work for which this PLAN CHECK Bey
permit is issued, I shall not employ any persoo_in any manner iAPPLICANT
so as to become subject to the Workers'Compensation Laws. Lighting Fixture First 20 ADDRESS 06 v o
Total No. Additional
CITY Tel. No.
Date /►pplicant Fixed Appliances Not Over 1 HP
NOTICE TO APPLICANT: If, after making this Certificate of PERMIT
Exemption, you should become subject to the Workers' Range_ Heater_D.W. APPLICANT
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. —
deemed revoked. CITY Tel. No.
LICENSED CONTRACTORS DECLARATION Hood Fan Other_
'r ��
I hereby affirm that I am licensed under provisions of Chapterp' Room Air Cond. LICENSE OR
REG.NUMBER . (J Class.�`
(commencing with Section of Division 3 of the Businesss Dis Power Apparatus&Large Appliances DISTRICT NO. PROCESS BY 0}_
and Professions Code,and myy license is in full force and effect, � r' U
07 � 1 r Size&Type HP, KW, KVA, or KVAR J , U b
License Number 7 Lic. Class _ Up to 1 Incl. FINAL 1%
��ll eJ !r a�,�/ Over 1 to l0 Incl. DATE/�� 0 yA DATIOP! �
ContractoR ate Over 10 to 50 Incl. FIN T W
❑ I am exempt under Sec. Over 50 to 100 Inc. BY '�iC�✓ fn
B.&P.C. for this reason Over 100 Z
Date: Ser ' ards
�1000
AAppUnMr600
Signature 2V 6 4 0.3 A
❑ Over 1000 Amp. or Over 600 V
Exemption for eg. Maint. ect. # 0 0 0 0 0 2
SINGLE FAMILY Temp. Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuito - 87.00
I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits
Law for the following reason (Section 7031.5, Business and o 0 0 8 7, Q
Professions Code): 25
❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors
structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ ® o 1,2 6'-8 7
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 �)
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 ove-mentioned property for' spection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
nature P i tee Date