HomeMy Public PortalAbout9031 BROADWAY_Electrical__ OEAEG3-DEDDS_S_gT APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES - -
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUMDING AND SAFETY DIVISION ADDRESS 7 / �F�o 9=�ay.q 7
JOHN A.LAMBIE.COUNTY ENGINEER t.
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS ST. 1< a"r ( Vn _ F-a d_
PERMIT FEES ' _
J} /� OWNER 1HIP4 d-A'J klo ia'rc/j Own.
LIGHTS / RECEPTACLES % SWITCHES V
< NIIMBEH ITEM EACH FEE MAIL (�� I,ADDRESS
-+ L
`r;-•7/ TOTAL OUTLETS 6 .10 $ Z .ZP -
ELECp RANGES, WATER HEATERS, CITY TEL.NO.
CLOTHES DRYERS .50
ELEC. SPACE HEATERS, STAT-Y. COOK- ELECTRICIAN)J C,A(( G, (,} / C•-pCf1G• G ✓
ING UNITS. GARBAGE OISP05ERS, ADDRESS 1.0 1 �( /T
AUTO WASHERS, DISH WASHE0. .25 r
LIGHTING FIXTURES .10 / D CITY 6 "` /
.•�/'fy TEL.NO.�T + �'Py l�
SATE
MOTORS LICENSE NO. / J rd L G ! a
HORSEPOWER
H.P. OVER INC. DISTRICT NO. IlGRuu
/A+TO( READY FOR INSPECTION
h a LES9 .25
2 .50 INSPECTION RECORD
2 — 5 1.00
5 15 1.50 / •513 '-
15 — 50 2.50
50 — 200 5.00
I / �-QQ• / 11 �
NO,TRANS
SIGNS NO.LAMPS
SERVICED-600V 1.00 _ �
t
SERVICE OVER SOON 5,00
WIRING PERMIT1,00 I d
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT ,50 _ APPROVALS
TOTAL FEE S U DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT C—�A
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING 'C.
1 HEREBY CERTIFY THAT I AM .PROPERLY REGISTERED AND/OR FIXTURES �•" '
LICENSED AS REQUIRED BY LOS ANGELES COUNTYTAND STATE OF _
CALIFORNIA OR THAT-1-4M THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY. 1
SIGNATURE /j(� UTILITY CO.NOTIFIED
OF PERMITTER FINAL
JOHN A.LAMBIE. v VALIDATION ARTHUR
COUNTY ENGINEER CK MO CASH SUPERVISING ELECTRICAL ENGINEER
5 2 a 5.90
APPLICATION
{� I�In1^I1tirs (_����7-(y// PER IT�JW{�,,ISI I�1C/��� O
7BA663-CESOB 3-64 A PLICATIO V FOR IVl/lYb�`♦CTVI j,IS ER VIO Y
COUNTY OF LOS ANGELES I� �j ELECTVI�iP9 II�
DEPARTMENT OF COUNTY ENGINEER BUILDING n ,r7
BUILDING AND SAFETY DIVISION ADDRESS V /C
JOHN A. LAMBIE. COUNTY ENGINEER T� T
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICAN TO FILL IN CRosB sr. r
RECEPT. TOTAL NO. EACH FEE / 40 /�
OUTLETS FIRST 20 3 9,206 .214,6 OWNER U p `/
SWITLIGHCH.
ADD-L .t0 ADDRESS O� lQoADu/H r
SWITCH. �� .L� OVER 20
GHTING
LITOTAL F1RBr 20� .20 O CITY TEL. NO.
I '
AD
FXTURES OVER
2 10 ELECTRICIAN
l -L
aR
RANGES CLO.DRYERS WTR,HTRB. 1.00 ADDRESS I V
GARB.DISP. / STA.COOK
CITY TEL.NO.
DISNWASN. AUTO,-WARN. STATE
SPACE HTRS. BTA.APP.II/.H.P.MAX.) / .50 3U LICENSE NO.
MOTORS OVER NOT OVER H.P. DISTICTNO. GZP OCESSE BY
O 1 1.00 400 , O N
I — 3 1.50 r INSPECTION RECORD }
3 — 8 2.00 )I // u i /,r/n 6 fel. G. O
V
e to 2.e0 it/j/iw/ I.,- or
to — so 3.00 v � O
��/L V
VI
GIGNS� NO.TRANS. z
NO.LAMPS
SERVICE O•SOOV•Nm OVER 200A 1.00 Qp
SERVICE O- O
e00V. v[0.200 A. 2100SV tel/ n F
SERVICE OVER BOOV 0.00
misc. be -7 y�.':^ /A21/�n; .4�LL ✓] Jt'slb ��/pF
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 9 s
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THS ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING T,S
1 HEREBY CE REIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOG ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED REBIDENTIAL,PROPE"Y. POWER ,,TT ''rr
SIGNATURE ` UTILITY CO.NOTIFIED Mr?.�U) 'J�n J, .l'
OF PERMITTEE N/E�i^
n 1 P
FINAL AF
VALIDATION ARTHUR C. VEIT /
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LAUo 5 9 0 2 b NOV 16 2 D 7,55 0-
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECIRICAL PERMIT:
DEPARTMENT OF-PUBLIC WORKS 9701 LAS TUNAS EL CS09 04080)0029
BUILDING AND SAFETY /LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: .(626) 285-04:2 EXT: -
LEGAL ID: •- - - - -FEES PATD - SUILDING ADDRESS:
ON FILE - . . ._
9031 BROADWAY
FEE DESCRi PTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802311
ASSESSOR INFORMATION N MB R: - - NEAREST CROSS STREET: ROSEME_AD
5387-027-"u 16 Al PERMIT ISSUANCE FEE .- " 27;75 - THOMAS PAGE:,596 -�GRID:'-Li. LOCALITY: TEMPLE CITY, C
LA 100-AMPPANELS; MCC 1:00 PAN 38.85
ENANT: - Yss!
TOTAL FEES 66.60 ED ON: PROCESSED B LAN 81 EXPIRES ON:
08/09,04 JK 02/05/05
OWNEP.: TEL, N0: Ft L — FIN. CODE:
WONG KIT S;CHAN TAT MAN - I '
9037 SP,OADWAY
TEMP 917802311 Cc3C,.i PTI ON F WORK --
UPGP.AUE SERVI E TO 100 AMPS
APPLI�- TEL. N0: I -
MA QUAN CHIEU (626) 589-5359-
3715 STRANG AVE. SPECIAL GONUITIONS:
ROSEMEAD CA 91770 -
CONTkAC.TOR: TF1 NG: I'^ "-'—c - -
QUAN CHIEU MA (626) 589-5359- - nrfnn"GVA L_ DATE INSPECTOR SIGNATURE
SSTRANG AVENUE LIC
ROE . NO I - - T'cMvGXARY POWER POLE -__
ROSMEJ.D, ..A 91770 00000 * I
�ND PP.GRCUI CONDUIT
AP,C` 1T��0 XPi G1 NEER
LIC- NO: �TU 0 U I T
MIR
- - li•�ii.'7,HAT Ek _INE,
PLA
STT YIN METAL Y/N -
UT-111 _(7MPANY NOTIFIED[
ADDIIIGNALDATA ON FILE
REPORT ID.: DPR265 ROUTE TO: BS0508