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HomeMy Public PortalAbout9082 BROADWAY_Electrical__ 7BA663i-.C EB O6)1/>0 APPLICATION PLI pTION FOR ELECTRICAL EEq „I Ad ,.�PERMIT COUfVTYOF LOS ANGELES ' 'DEPARTMENT OF COUNTY ENGINEERPARESNING �jBUILDING AND SAFETY DIVISION SS /COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDIITY STFOR APPLICANT TO FILL IN ST.OUTLETS NO, EACH FERRECEPT.�LIGHT TOTAL FIRST 20 l ,25, SS TEL. N0. SWITCH OVER 20 .10CHECKLIGHTING 1 FIRST 20 3 25ICANTJTOTALOVER 20SS FIXTURES �_ .10 APPLIANCES CITY TEL. N0. ' PERMIT RANGE_DRYER_WTR. HTR._ APPLICANT l.✓ STA. COOK_DISP. F.A.U._ ADDRESS 3,9-L- A.,I Lz SPACE HTR. AIR GOND. CITY TEL. N0.`>GO CLOTHES WASH.'_DISHWASH. l LICENSE NO.` © 7 CLASS. �' Q r)e FAN OTHER ,T2]I\vim IDO h I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION V ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS. TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS. ETC. HP. KW. KVA. ELECTRICAL WIRING, 1 SIZE S TYPE OVER TO 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO >- I I - 10 300 RESIDE IN, THE ABO SCRIBED RES) IAL PROPERTY. CL SIGNATURE ! O 10 - 50 5.00 OF PERMITTE 1 SO - 100 10.00 O DISTRICT NO. CLASSED q.YF � 100 - 500 1sZON 00 �� D Gam. a SIGN, GAS SIGN AND ONE CIRCUIT 5,00 NOTES: h TUBE, OR ? MARQUEE ADDITIONAL CIRCUITS 100 SERVICENOTOVER 600 VOLTS OR 200 AMP 300 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR 200AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT 1 �{ t WIRING /� ff ?i FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 (17 JO$ PH C. ROOHAN TOTAL FEE / F.V o SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK, ' -M.O. CASH PERMIT VALIDATIONCK. M.D. CASH LiLo � -77 7-1 ECU 2. 0 2 0 1 2..00y/,�//Q 2 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE r COUNTY OF.LOS ANGELES APPLICATION FOR PERMIT Departmenf;of County Engineer DIVISION OF BUILDING & SAFETY EWE�Ir99 g WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN. DISTRICT NO. GROUP ZONE I PERMIT NO. ELECTRICIAN ce���ju�/1Jf-R�J ♦ /� /-A S�---T- ADORMIS r,�p L [�yr Al) AY _ RECEIVED BY READY FOR OAT[ ISSUED 4 /fJ J� -a FIRST INSPECTION �_ I CITY C CrTEL NO. VI DDRESS + �) COUNTY LICENSE NO. '�— EXPIRES "� BUILD'No PERMIT FEES 1 yl nl/iv♦ `/�t�2 �- l�RdADWA'f - NUMBER EACH FEE LOCALITY 1 �= M P L{- C CI-Y LIGHT OUTLETS NEAREST RECEPTACLES F "9 CROSS ST. � PWALra L SWITCHESOWNER /1TOTAL OUTLETS 5C S Ab /�ELEC. RANGES 25 ADDRESS (� J/ E• A/ ))ELEC. HEATERS 25 CITY `TEAMPLL CIT( TEL. NO.AT 6-5-Jj4- FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IB CORRECT NUMBER OF LIGHT CIRCUITS 'Jy1 O 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 LOB NU.SER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEw MVO. HP Ovew INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/y s 'Ea. 5 .25 SIGNATURE OF I/2 2 .50 PERMITTEE /��' --- 11 2 5 1.00 6aaLL4" INSPECTION RECORD _ 5 15 1.50 ' is 50 2.50 0, Z,17A lS sr, Zvej`/Vu'/ -- 56 2CO 5.00 -N ,(.A46r Ei.QtluJiO"' � 200 BOO 113.00 500 1000 15.00 Z OVER 1000 20.00 M.G. HET/FRED. ANGER-HP WELDERS:AC-KVA O GENERATORS . KW _ TRANSFORMERS - KVA _ TEMP. MOTOR9 l75'ye [IF aRIR. _ MOVED MOTORS (75% OF CRIG.) MISC. SIGNS NO. NCI. NO. NO. LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME_ WIRING 1.00 6 CONDUIT $ FIXTURES $/.D0 / 0 n WIRING 6 Y � SUPPLEMENTARY .50 FIXTURES / T / A POWER TOTAL FEE 8J JQ UTILITYCO.NOTIFIEDI / f_ FINAL ' L!r 76A663 DIISjj 5A 4.52 v WORKERS' COMPENSATION DECLARATION76AO3 DPW 3187 APPLICATION FOR [ELECTRICAL PERMIT O I hereby affirm that I hove a certificate of consent to self :CEA insure, ora certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS ar,�t cerl ifled copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ❑Certified copy is hereby furnished. New R 'dentia) Idgs. 8 Pools EACH NO. FEE ADDRESS g _ $ LOCALITY — ❑Certified copy is filed with the county building inspec- 1 & 2-Fa . Sci Ft. _ . tion department. Muti.fa y Ft. NEAREST CROSS ST, Dale Applicant Reside Fal Swiimcming Pools OF OR ✓�2aQ.J•�VL FIRM NAME r n 'z `T CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec_t3_Li ht � MAR g �—SW. ADDRESS COMPENSATION INSURANCE � � �Q Q � r tThis section need not be completed if the work Involved b ,^ First 20 CITY pp,� Tel. No. f he permit is for one hundred dollars ($100)or less.) Y Total No. Additional �1K C `'' —'L°0-� PLAN CHECK I certify that in the performance of the work for which This APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. LiVn — First ADDRESS A itional 0 710 CITY Tel. No. Date Applicant Fs Not O r I HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION � W rveQ Exemption, you should become subject to the Workers' e r D.W. Compensation provisions of the Labor Code, you must forth- ye W.M.— ADDRESS with comply with such provisions or this permit shall be W.H. — deemed revoked. n er— CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR Disp: Room Air Cond. — REG. NUMBER Class. I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business I p er Apparatus 8 Large Appliances DISTRICT NO. P $SED BY d and Professions Code,and my license is in full force and effect. Q Size Type HP, KW, KVA, r KVAR �Qa O License Number Lic. Class X FINAL O DATE 0 Incl. �.� �•� - VALIDATION O Contractor Date 50 Incl. FINAL V ❑ 1 am exempt under Sec. 100 Inc. BY R LU B.&P.C. far this reason _.4<!-"' D- Services, bd., MCC Panelboards D s - r W Z Date: 0- 200 A U der 600 V r ,,i Signature 201 - 1000 Am nder 6D0 V ❑ Over 1000 A p. or ver 600 V Exemption for Reg. Moint. Elect. SINGLE FAMILY Temp. Power P &Appurtenances HOME OWNER-BUILDER DECLARATION hereby affirm that exempt from the Contractor's License ranch Circuit �`-u'I •T Law for the followingg r reason (Section 7031.5, Business and Sign with Additional Ygn BrFanch Circuits Professions Code): vt_17 Misc. Conduits& Conductors I, as owner of the property, will do the work and the structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ D .f CI TAL �� ti Business and Professions Code). L' a CONSTRUCTION LENDING AGENCY f_Ri V4% ,.._.Jif I hereby affirm that there is a construction lending agency for the performance of the ork for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). 11 `` PLAN CHECKING FEE Lender's Name Q1Vr PERMIT ISSUING FEE Lender's Address - A., G1ftl� _ Flh[11,I;TQ I certify that I have read this application and state that the TOTAL FEE 92X3a above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and . hereby authorize represents sof this County to enter upon the bo a-me ion d pro a/ 'for inspection purposes. C y SEE REVERSE FOR EXPLANATORY LANGUAGE 2La 7-IE3-J1 Signature of rm ttee ...• Date Os COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0109140025 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGALD: FEES PAID BUTLUINGADDRESS: TR: 11218 LT: 5 BL: 8 9082 BROADWAY FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917802313 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ENCINITA 5388-002-005 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY LB 200 AMP PANELS, MCC 1.00 PAN 38.85 TOTAL FEES 66.60 ISSUED ON: P N BY: EXPIRES ON: 09/14/01 JK 03/13/02 OWNER: TEL. NO: FINAL' DATE FINAL BY: CODE: QUACH; ALEX (626) 286-1430- 9082 BROADWAY / TEMP 917802313 UtSCRI ON'OF WORK NEW ELECTRICAL SERVICE PANEL APPLICANT: L. SAME AS OWNER - ----_ SPECIAL CONDITIONS: r_ CONTRACTOR: TEL. NO: Ij/ti�� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - \, LIC. NO / � -� � ,\ TEMPORARY POWER POLE ,J UNDERGROUND CONDUIT ARCHITECT OR ENGIgn TEL. 0: / Jam, - .R,GRO ND LIC NO!,/f I- - u�l ��. 1 ROUGH CONDUIT - - - - ROUGH WIRING MAIN WATER UNE PLASTIC Y/N METAL Y/N UT I L I TY COMPANYOTI \_Ser bice REPORT ID: DPR265 ROUTE TO: BS0508