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Home My Public Portal About9725 WOOLLEY ST_Electrical__ 76.0663-CEB06 111-4" T 1- 91*SNGELEST N F R ELECTR AL PERMIT COUNTY O DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS LOCALITY 1011111111110"NEAREST FOR APPLICANT TO FILL IN CROSS ST. An , OUTLETS N0. EACH FEE r OWNER RECEPT._ $ $ MAIL FIRST 20 25 ADDRESS LIGHT TOTAL OVER 20 CITY TEL. N0. � C SWITCH f0 l V PLAN CHECK LIGHTINGTOTAL FIRST 20 25 APPLICANT FIXTURES OVER 20 .f0 ADDRESS • RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT - RANGE PPA DRYER_WTR. HTR. APPLICANT 'Q STA. COOK DISP. F.A.U. A D D R q SS ^1 . SPACE HTR. AIR COND. CITY TEL. N0. 6 CLOTHES WASH. H. LICENSE NO A CLASS. SHW FAN OTHER 1.00 /�y� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION VV 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - I 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF >' - - CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO a' - 1O 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PRO RTY. V 10 - 50 5.00 SIGNATURE OF + O PERMITTEE— so - 100 10.00 F DISTRICT NO. ICLASS PROC 5 Y `V 100 — 500 15.00 AnQ ' SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: d'l%� �C ►Fr: , � Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICE OVER 600 VOLTS OR 200AMP - 10.00 - TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK i TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES ®� POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE PERMIT ISSUING FEE 9.00 TOTAL FEE Q PLAN CHECK VALIDATION ' CK. M.0. CASH PERMIT VALIDATIONCK. M.O. CASH 2 6 1 c`-4AAR 27 2 4.0 0 ,6`8 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 7A663 D:S-SA 9.58 FOR O • ELECTRICLECTRIC ■ ERMI ■ 1 S. DIVISION OF BUILDING AND SAFETY Department of County Engineer County Of LOB Angeles ADDILD RESNG S ti WM.J.FOX, COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY Z e Y-1- FOR APPLICANTTOFILL IN NEAREST ��C PERMIT FEES CROSS ST. �7 n NUMBER EACH FEE L LIGHT OUTLETS IN. OWNER RECEPTACLES � MAIL '�• ADDRESS WALL SWITCHES TOTAL OUTLETS 5¢ 5 � CITY TEL.NO. ELEC.RANGES 25 ELECTRICIAN / I I—Of �In/ _ELEC. HEATERS 25 ADDRESS KW EA CITY MZ& TEL.NO FIXTURES Z– 5 d LICENSE NUMBER OF LIGHT CIRCUITS y-- DISTRICT NO, I GROUP I ZONE�I READY FOR INSPECTION' NUMBER OF RECEPTACLE CIRCUITS �iy IF J�/s•'�'�7_/� MOTORS vv i NUMBER HORSEPOWER FEE INSPECTION RECORD .� NEV MVD. HP OVER INC. EACH gill 1/2&LESS 5 .25 1/2 2 .50 2 5 1.00 / 5 15 1.50 J/-- r ,7 L I"r&. F p �+ / n 15 50 2.50 14—i.,f',1 .)AI 50 200 5.00 MISC. I .0/-rro ALSO } Cns��R o n, MR�1L SGy'lriN NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS PrI�1Vh'U FL;�C T FOR EACH PERMIT: WIRING 51.00 ® ' FIXTURES 51.00 log + SUPPLEMENTARY .50 APPROVALS ' TOTAL FEE g x r—xv` DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION / CONDUIT l� [ .'.ll%4/1 .p AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY /� rr � •� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING Q ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE—LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PAOq UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE FINAL t ysrJl�� WILLIAM J.FOX.COON NGyIfEER VALIDATION A.C.VEIT,CHIEF ELECT.INSPECTOR IC0672OLn AUG 16 2 5.20 76AM-CE806.B-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING s� cam_ 1 BUILDING AND SAFETY DIVISION ADDRESS L!J JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN,SUP'T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL NO. EACH FEE •- OUTLETS FIRST 20 S.2O S , T� OWNER LIGHT' / MAIL SWITCH. OVER 2 .10 ADDRESS OVER 20 LIGHTING TOTAL FIRST 20 3 .20 O CITY TEL.NO.--,?Sr 3 AJ FIXTURES } 3 OVER 2O .10 ELECTRICIAN eF� OV R Q RANGES 'CLO.DRYERS WTR.HTRS. 1.00 ADDRESS !/ GARB.DISP. STA.COOK CITY TEL.NO. DISHWASH. AUTO.-WASH. STATE U SPACE HTRS. STA.APP.(Yj.H.P.MAX.) .SO LICENSE NO. CP MOTORS: OVER NOT OVER H.P. DIST rNs GRQUP ZONE P ESSED BY O f 1.00 oeAdo- 1 8 1.50 INS CTI REC RD s S 2.00 4<0 B 15 2.50 fJll .., -.�-:L.I`•i� I5 50 5.00 .ice...-�:rr i.G.�! ..!'{ �-(- �'• So100 5.00 l' O U SIGNSe NO.TRANS• O: NO.LAMPS 0 SERVICE 0.600V-NOT OVER 200A 1.00 (j.l' O. SERVICE 0-500V-OVER 200 A. 2.00 N Z SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 p7 D SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE S I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE IN ECT R-B SIGNATURE ^NO STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY CONDUIT A AA WITH ALL.COUNTY ORDINANCES.AND STATE LAWS REGULATING i� 4,4 ELECTRICAL WIRING. WIRING 1 HERESY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED.RESIDENTIAL ROPERTY. POWER SIGNATURE ,G� UTILITY CO.NOTIFIED n w.d OF PERMITTEE v' FINAL71 LIDATION ARTHUR C. VEIT CK MO CASHSUPERVISING ELECTRICAL ENGINEER I.L'#1 0 2'Z' 3 Ga SE 16 2 Q -- 5.00- 4 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0806160029 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: I ON FILE 9725 WOOLLEY ST (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917801446 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 15383-016-009 1A1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, Cl [G2 LIGHTING FIXTURES 8.00 LGT 15.60 ITS: I TOTAL FEES 43.35ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 106 /16/08 SR 12/13/08 1 (OWNER: TEL. NO: I IF AL DATE FIN CODE: 1 IFENG, JILL (626) 416-9690- [ I 19725 WOOLLEY ST I I ITEMP 917801446 1 1DD2SCRIPTION OF WORK 1 [ELECTRICAL FOR KITCHEN REMODEL 8 LIGHT FIXTURES 1 I I (APPLICANT: TEL. NO: I I I (SAME AS OWNER - ISPECIAL CONDITIONS: [ I 1 ICONTRA TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE [ SAME AS OWNER - I I LIC. NO I ITEMPORARY POWER POLE I [ I 1 I [UNDERGROUND CONDUIT I [ [ [ARCHITECT OR ENGINEER: TEL. NO: - 1 IUFER GROUND I [ I 1 LIC. NO: 1 [ROUGH CONDUIT [ [ [ 1 1 IROUGH WIRING I O [ I1 MAIN WATER LINE IPLASTIC Y/N METAL Y/N I I [ 1 I (UTILITY COMPANY NOTIFIED( I [ I 1 [ I I I I I 1 I I I I I 1 I I I 1 I I I I I I I I I I 1 1 I I I I [ [ 1 I I I [ IREPORT ID: DPR265 ROUTE TO: BS0508 1 1 I [ ° WORKER'S COMPENSATION DECLARATION �6G139 DPW 9/89 APPLICATION PPA IC w TION F®® ELECTRICAL PERMIT I hereby affirm that I have a certificate Of consent to self insure, i� /'1 i 11 Yl 11�1/� 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.) u Policy N7 COmpanv�#►il7�� PJ0 FOR APPLICANT TO FILL IN JOB ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools $EACH NO. $ FEE LOCALITY Certified copy is filed with the county building Inspection 1&2-Family,Sq.Ft. — NEAREST ��VVVlitepartmept. Multi-family Sq.Ft. CROSS ST. Date O Applicant leyy Residential Swimming Pools ASSESSOR UAMMAP BOOK ppG PARCEL OOrl CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Light MER NAME COMPENSATION INSURANCE (This section need not be completed If the work Involved by the ��yy First 20 `3� MAIL 91774 permit is for one hundred dollars($100)or less.) Total NO. �LL Additional ADDRESS I certify that In the performance of the work for which this permit CITY �c a Tel No is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures JJll'' First 20 PLAN CHECK Total No. Additional ADDRESS Date Applicant 15 OR 20A,120V BRANCH CIRCUITS NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation 1 TO 10 INCLUSIVE EACH provisions of the Labor Code,you must forthwith comply with such 11 TO 40 INCLUSIVE EACH pppUCpM"� ° provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH LICENSED CONTRACTORS DECLARATION ADDRESS > I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH C (commencing with Section 7000)of Division 3 of the Business and CITY C Tel.No. C. Professions Code,and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE ORix Power Apparatus&Large Appliances REG.NUMBER Close. C Lic.Class Size&Type HP,KW,KVA,or KVAR DISTRICT NO. P ESSED BY LL License Number � p Up to 3 Incl. �fl 6 19ML Over 3 to 10 Incl. FINAL V Contractor Over 10 to 50 Incl. DATE 9-1 ^ G ❑ I am exempt under Sec. Over 50 to 100 Incl. �J(1/ DATION FINAL B.&P.C.for this reason Over 100 BY Services,Swbd.,MCC&Panelboards Date: 0-200 Amp.Under 600 V 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 f CCUr HOME OWNER-BUILDER DECLARATION with One Branch Circuit d^ I hereby affirm that I am exempt from the Contractor's License Law Sign wcu9.3. for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): 1 ITM ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors _ TOTAL 8:3.66 Is not Intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) 4� and Professions Code). ® CECK 4O o 66 CONSTRUCTION LENDING AGENCY 00 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) o0 - Civ.C.) PLAN CHECKING FEE _ 1_ 9/ � Lender's Names ii11�Q1 PERMIT ISSUING FEE - Lender's Address I certify that I have read this application and state that the above TOTAL FEE Information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representative of this County to enter upon the above-mentioned pro nspec urp es. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF APPbMT OR AGENT — DATE