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Home My Public Portal About9741 WOOLLEY ST_Electrical__ 7BA663-CESOG-7.56 APPLICATION FOR ELECTRIC PERMIT ], , BUILDING AND SAFETY DIVISION Department of County Engineer BUILDING County of Los Angeles ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER CASSATT D.GRIFFIN. SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEARS ST. PERMIT FEES T. NUMBER OWNER �to LIGHT OUTLETS MAIL ADDRESS RECEPTACLES WALL SWITCHES FEE CITY TEL.NO I TOTAL OUTLETS @ 50 S ELECTRICIAN ELEC. RANGES 25 ADDRESS //�� ELEC. HEATERS 25 CITY ° TEL.N-O-dX-40/4 KW EA STATE 0 FIXTURES 5 LICENSE NO. y MOTORS •DISTRICT NO. I�ROU I ZONE READY FOR INSPECTION NUMBER HORSEPOWER FEE NEW MVD. HP OVER INC. EACH I/z a LESS $ .25 INSPECTION RECORD R ]6 2 .50 e 2 5 1.00 5 1.5. 1.50 15 so 2.50 r 50 200 5.00 !PLUG-/2U)"L47r' or40poe p Re7a?In oA/ Morn M1sc. AJACH• L-6 f'l�i?®, J/z: ?-� r,,O ,e ,fi r " NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: 3'a d �S� e N►�t D WIRING PERMIT $1.00 "� //��JJ /� FIXTURE PERMIT $1.00 L�-%-S7 /-i .) of flp, M0 J0,-r- SUPPLEMENTARY 50 APPROVALS R TOTAL FEE t DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ'THIS•APPL CAi CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. FIXTURES I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AHD/0R _ t ? LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT I AM THE LEGA OWNE OFT BOVE _ 66 DESCRIBED RESIDENTI PROPERTT. S UTILITY CO.NOTIFIED OF PERM TTEE FINAL JOHN A.LAMB DATION SU HUR C. ELECTRICAL COUNTY ENGIN SUPERVISING ELECTRICAL ENGINEER CK MO GASH 3692 DEC26 2 8.45 ,n 76A863-CE809-6-57 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING ,. BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE.COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILOINr. LOCALITY X FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES' LIGHTS RECEPTACLES SWITCHES OWNER NUMBER ITEM EACH FEE MAIL ,.. '�•-.•^ ADDRESS { f Z _ TOTAL.OUTLETS $ .10 $ �J� ' G' ,�• f _/ ELEC. RANGES, WATER HAAMERS, CITY ..(ak.-4:{if '1!tLr jam'+•' TEL.NO:1 ` . 1s CLOTHES DRYERS .SO - ELEC. SPACE HEATERS,STAT'Y. COOK- ELECTRICIAN ING UNITS, GARBAGE DISPOSERS, !ADDRESS _ AUTO WASHERS, DISHWASHER .25- LIGHTING FIXTURES .10 CITY TEL.NO. F �`. MOTORS STATE LICENSE NO. ~,HORSEPow6R H'.P:I OVER -INC. DISTRICT NO. UP ZOIC- READY FOR INSPECTION !/z Sc LESS .25 1/2 — . 2 .50 INSPECTION RECORD 2 5 1.00 5 15 1.SC'l 15 SO 2.50 SO — 200 S:oo r MIsC. SIGNS I NO.TRANS NO.'LAMPS SERVICE O-600V 1.00 SERVICE OVER 600V 5.00 WIRING PERMIT 1.00 �.. FIXTURE PERMIT 1.00 S6JPPelEMENTARY PERMIT So -APPROVALS TOTAL FEE S e - DATE INSPECTOR'S, SIGNATURE ti I HEREBY�ICXNOWLEOGE THAT I HAVE READ THISAP. Li N -'ANO'.STATE THAT THE ABOVE IS.CORRECT AND AGREE TO COMPLY CONDUIT •: ,�ABRe APPLICATION FOR ELECTRIC PERMIT 1 DMSION OF BUII.MG AND SAFETY DeParhwnt Of Countr Engine! BUILDING Caunt}yy Of Los Angeles ADDRESS JOHN A.LANIBIE,COUNTY ENGINEER CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY FPOAPPLICANT TO FILL IN NEAREST C OSS ST. NUMBER OWNER LIGHT OUTLETS MAIL RECEPTACLES ADDRESS WALL SWITCHES FEE CITY L.NO TOTAL OUTLETS @ s¢ $ 1/10 ELECTRICIAN ZELEC.RANGES 25 .ADDRESS ELEC.HEATERS 25 KW CITY / TEL.NO. d ATE- FIXTURES 5 LICENSE NO. MOTORS •DISTRIC=140.• GROUP ZONEAD RRY FOR INSPECTION NUMees HORSEPOWER FEE I I NEW. MVD. HIS OVER INC. EACH`.16 - g LESS $ .zs II�iSPECTION RECORD - ]� 2 .50 2 s 1.00 5 15 1.50 15 50 2.So so 200 5.00 MISC. NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT' WIRING $1.00 !/R+ FIXTURES $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ 10 . DATE INSPECTOR'B SIGNATURE AND STATNE THATTHE EAB VEDGE RS CORRECT AND AGREE TO COMPLAT I HAVE READ THIS Y CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING /GJ ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA ORI I 1 AM THE LEG OWN OF TH ABOVE POWER ' DESCRIBED RESIDE L PROPERTY. UTILITY CO.NOTIFIED,/�./ f -r• SOF PZRMITTEE , FINAL JOHN A.LAM7,..COUNTY ENGINE AT'ON ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR CK MO CASH 24sa'uo-t MOV19 2 1.10 � i WORKERS'that COMPENSATION DECLARATION 76A"3 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT O I hereby affirm that I have a certificate of consent to self I ce�a insure, qr a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS °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 TT El Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALI tion department. Multi-family Sq. Ft. NEAREST'-' Residential Swimming Pools CROSS ST. Date Applicant CERTIFICATE OF EXEMPTION FROM WORKERS' � FIRM NAME COMPENSATION INSURANCE Outlets: Rec Light Sw.4— 2 ADDRESS J (This section need not be completed if the work involved by I First 20 Cl l`Y the permit is for one hundred dollars($100)or less.) Total No. Additional I I certify that in the performance of the work for which this q PLICCAHNTK permit is issued, I shall not employ any person in any manner ` Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'Compensation Laws. Additional i Date Applicant Total No. CITY Tel. No. Fixed Appliances Not Over 1 HP PMIT NOTICE TO APPLICANT: If, after making this Certificate of E Exemption, you should become subject to the Workers' I Range— Heater—D.W. — APPLICATION 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. IHood — Fan —Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICj NSE OR — I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER Class. (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DI ITRICT NO. P ESSED BY and Professions Code,and my license is in full force and effect. �D !+' U Size&Type HP, KW, KVA, or KVAR J License Number Lic.Class I Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE ' " Z�_q VALIDATION cc Contractor Date Over 10 to 50 Incl. U ❑ FINAL I am exempt under Sec. Over 50 to 100 Inc. BY LL1 B.&P.C, for this reason Over 100 1 D- ® Services, Swbd.,MCC& Ponelboards Z Date: 0-200 Amp. Under 600 V Z I — Signature 201 - 1000 Amp. Under 600 V Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY I Temp. Power Pole&Appurtenances I " 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 Additional Sign Branch Circuits I '1=': °r. Professions Code): i I, as owner of the property, will do the work and the Misc. Conduits&Conductors r Tl- structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)_ Business and Professions Code). ® ti TA L A 485' _ :r CONSTRUCTION LENDING AGENCY I r 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) ',.;'liyNGE l; (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name "JD-1_+•-_ltl'D PERMIT ISSUING FEE �lp Lender's Address I certify that I have read this application and state that the TOTAL FEE t'm ' 14 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 ab e-mentioned properf for'inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE r d- - � i Signature of Permittee Date i COUNTY OF LAS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1403180059 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ON FILE I 9741 WOOLLEY ST IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917801446 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 15383-016-019 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY CAI I IFI 120V, 15/20A BR CKTS 2.00 BR 34.60 I I TENANT: IF2 208, 277V LGT BR CKT 2.00 BR 54.60 ISSUED ON: PROCESSED BY: PLAN BY: 1 IG1 OUTLETS-LGT,SW,RECP 1.00 OUT 2.00 03/18/14 SR IG2 LIGHTING FIXTURES 9.00 LGT 18.00 I I (OWNER: TEL. NO: 1 TOTAL FEES 137.00IF AL FI BY: CODE: 1 ILIN, JIMMY (323) 683-8839- I I I 19741 WOOLLEY ST I I I ITEMP 917801446 I IDESCRIPTI N OF WORK I1 I 12 BRANCH CIRUITS, 2 BRANCH CIRCUITS LIGHT, OUTLET AND 9 1 ILIGHT FIXTURES 1 (APPLICANT: TEL. NO: I I I ISAME AS OWNER ISPECIAL CONDITIONS: I ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER LIC. NO i TEMPORARY POWER POLE I I I I (UNDERGROUND CONDUIT I I I � I I (ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I I IFU, WALLACE (626) 279-7971- 1 1 I I I 14424 SANTA ANITA AVE LIC. NO: i ROUGH CONDUIT i I (SUITE 205 C26061 1EL MONTE CA 91731 i ROUGH WIRING I I IMAIN WATER LINE 1 I 1 (PLASTIC YIN METAL YIN I I I I 1UTILITY COMPANY NOTIFIEDI I I I I I I I I I 1 I I I I i I I I I I I I I I I I REPORT ID: DPR265 ROUTE TO: BS0508 I I I