The URL can be used to link to this page

Home My Public Portal About9114 BROADWAY_Electrical__ J6A663-CE8'610/74 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES J DEPARTMENT OF COUNTY ENGINEERZFEEO s BUILDING AND SAFETY DIVISION Aac - - TY ST M POR APPLICANT TO FILL INCROSS ST.OUTLETS N0. EACH ORMERECEPT.13 S S FIRST 20 SSLI GHT� TOTAL^^�� OVER 20 TEL. N0. SWITCH iL..G HEC APPLICANT TOTAL LIGHTING FIRST 20 �' FIXTURES OVER 20 .10 D ADDRESS RESIDENTIAL APPLIANCES clTv 'TEL. No. PERMIT RANGE_DRYER_WTR. HTR._ APPLICANT t.1 STA. COOK_DISR_F.A.U._ ADDRESS b� SPACE HTR. AIR GOND. CITY Ahs +f_� TEL. N0. CLOTHES WASH. DISHWASH._ LICENSEOR nn REG. NUMBER CLASS�y FAN_OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATETHAT THE AOOVE 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. SIZE B TYPE OVER TO HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR O - 1 L00 LICENSED AS REOU IRED BY LOS ANGELES COUNTY AND STATE OF y CALIFORNIA OR TH I AM THE LEGAL OWNER OF THE ABOVE [L • - 1 - 10 3.00 DESCRICP.ED RE51 N AL PR OP/E�RTPER 10 - 50 5.00 SIGNATURE EE - ",, 1) d I4SIG.�W 0 SIGNATURE !f/E.fY.X ,y �Q/- p-. U 50 - 100 1000 LU DISTRICT NO. P OCESSEOi9h 100 - 500 15,00SIGN, GASSIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPEC TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE L SERVI CE NOT OVER 600 VOLTS OR 200 AMP UNDERSLAB WORK SERVI CE OVER 600 VOLTS OR 200 AM P 10.00- ROUGH CONDUIT y TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING .LI�,'rs An TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES V POWER AUTHORIZED UTILITY CO. NOTIFIED S FINAL #r .A`/ v � PERMIT FEE (SUB TOTAL) NOTES ']��/ PLAN CHECK FEE Y/ �/ PERMIT ISSUING FEE JD /r TOTAL FEE 1 V PLAN CHECK VALIDATION CK. ;t M.O. CASH/ PERMIT VALIDATION • cK. M.O. CASH 511 2�osu 5 2 0 2 13 5 as SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A 663C- CES06B r2/76 AP LICATIOM FOR ELECTMAL PERMT BUILDING AND SAFETY DIVISION Ill..11l' FOR APPLICANT TO FILL IN ,/. EACH NO. FEE ADDRESS New Residential Bldgs.& Pools G 1 &2 Finaily Sq. Ft. $ — $ T LOCALITY TE/KI PL/i ('/7-/ Multifamily Sq. Ft. — NEAREST p Residential Swimming Pools CROSS ST. FOIRM NAME �('�O IC/�/f��L Outlets: Light, Switch& Receptacle MAIL First 20 - ADDRESS Additional CITY Tel. No. PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel. No.PER ,,� Fixed Appliances Not Over 1 HP APP LII ICANT;V,�B204)_,#eC� 06*11 Range_ Heater_ D.W. ./ 54XI1 l AAj�(r� Oven Dryer _ VV.M. ADDRESS 4 FYI l/7 '�1-' /'-r Top FAU W.H. CITY R��/�/� TeL No. 4111r,1 76I Hood Fan LICENSE OR Dl6p. A.C. �J pp REG. NUMBER;Zr / �'� Class.I HISR513Y ACKNOWLEDGE THAT I EA�. PER.1.TA APPLICATION f7 � AND STATE THAT THE ^ROSE IS CORRECT AND AGREE TO COMPLY z Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Size&Type HP, KW, KVA,or KVAR ELECTRICAL"""'"`. w a UP to 1 InclHEREBYCERTIFYTHATnolo" rn REGISTEREDZ Over 1 to 10 Incl. — Over 10 to 601ncl. CALIFORNIA OR S RED DEAR InL P L e oF�o HE TE ._ED Over 60 to 100 Incl. PERMITEE" S l9Jl,� R YL�I /Y/1/may'/ Over 100 SIGNATUR ^"l.6-!/�www'9J DISTRICT NO. - P CES BY Services �.. O r? l 0-200 Amp. Under 600 V (l 201 - 1000 Amp. Under 600 V APPROVALS I E INSPECTOR'S Over 1000 Amp.or Over 600 V SIGNATURE TEMP. POWER POLE Temp. Power Pole& Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits _ ROUGH CONDUIT (Other) WIRING FIXTURES POWER AUTHORIZED PER MIT FEE (Sub-Total) UTILITY CO.NOTIFIED ?? PLAN CHECKING FEE (One-Fourth Permit Feel FINAL 'V / PERMIT ISSUING FEE NOTES TOTAL FEE 9, ro PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH . 412 0�,MAR..30 2 A .9.0 0.n5; APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY RllC COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE I PERMIT NO. ELECTRICIAN .� •Y Eh /� ' �/• RECEIVED BY READY FOR •DATE ISSUED ADDRESS )�/� / e� FIRST INSPECTION �J �f CITY f:/IeS TEL. NO. .4 /& /y�Jy�,,� -/• 6_ // S'y COUNTY LICENSE NO. L Z EXPIRES' BUILD ADDRR E155 / L Oma/ PERMIT FEES FEE NUMBER I EACH. LOCALITY a 4 LIGHT OUTLETS - NEARET S ,, RECEPTACLES CROSS ST. e,5, pi),- / .�/) _ GR,y3 - f '� WALL SWITCHES - OWNER /�/ /T. e-V TOTAL OUTLETS SC $ MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 2s' CITY ' TEL. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS { MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING.ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMpHORSPOW ER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER ER i NEW MVO. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. '/z A LESS S .25 SIGNATURE OF V. 2 .50 PERMITTEE 2 s 1.00 INSPECTION RECORD 5 15 1.50 1s 50 2.50 so 200 5,00 f 200 500 10.00 J 500 1000 15.00 Z OVER 1000 20.00 M. G. SET/FRED. CHANGER-HP WELDERS: AC-KVA O GENERATORS-KW TRANSFO TEMP. MOTORSTORS (T5%S%oF ORIG.) MOVED MOTORS (75%OF ORIG.) MISC. SIGNS NO. NO. TRANS. I APPROVALS NO. NO. LAMPS FOR EACH PERMIT: - DATE INSPECTOR'S NAME $1.00 WIRING CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .&O FIXTURE$ POWER l TOTAL FEE $ UTI LITVCO. NOTIFIED FINAL I WORKERS'COMPENSATIONDECLARATION CE-806G (280) APPLICATION 'FOR ELECTRICAL PERMIT CE-806G 1, I hereby affirm that t have a certificate of consent to self COUNTY OF LOS ANGELES - BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,,Lab. C.) Policy No. CompanFOR APPLICANT TO FILL IN - JOB y EACH NO. FEE ADDRESS New Residential Bldgs.&Pools _ Certified copy is'hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY y is filed with the count building p Multi-family Sq. Ft. CROSS ST — NEAREST Certified copy y gins inspection department. Residential Swimming Pools OWNER OR FIRM NAME Date Applicant Outlets: Reck—Light-0- Sve. MAIL First 20 — ADDRESS CERTIFICATE'OF EXEMPTION FROM WORKERS' Total No. Additional COMPENSATION INSURANCE '. CITY Tel No. } PLAN CHECK 1 (This section need not be completed if the.work involved Lighting Fixtures First 20 r" APPLICANT U by the permit is for one hundred.dollars ($100) or less.) ' ADDRESS Total No. Additional O I certify that in the performance of the work for which this Fixed Appliances Not Overt HP CITY Tel No. I.., permit is issued, I shall not employ any person in any manner PERMITj _ W so as to become subject to the Workers' Compensation Laws. Range_ Heater—D.W. _ APPLICANT 6,&r-x— a / � Oven _ Dryer_W.M._ ADDRESS �� r Z Date 'L7—e Applicant !io"9"L Top — FAU _W.H.._ Hood _ Fan _Other_ CITY f CIL TeI No. dNOTICE TO APPLICANT: If, aft making this Certificate of Disp. _ Room Air Cond.— LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCESSED BY • with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW, KVA,or KVAR Up to 1 Incl. Over 1 to 10 Ind. FINAL , LICENSED CONTRACTORS DECLARATION DATE VALIDATION Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 BY a.. . nes's and Professions.Code, and my license is in full force and effect. Services License NumberLic.Class 0-200 Amp. Under 600 V 201-1000 Amp. Under 600 V Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances 1 hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit-- - r License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): z 3 7 9.3 A Misc.Conduits&Conductors ❑ 1, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— to o e e e 2 structure is not intended or offered for sale (Section 7044, Business and Professions Code). e,o CONSTRUCTION LENDING AGENCY U'2 5 1 hereby affirm that there is a construction lending agency - 0 -'6 T 4,25 6 I for the performance of the work for which this permit is PERMIT FEE (Sub-Total) I issued (Sec. 3097,Civ.C.). Lender's Name 0827-84 . - PLAN CHECKING FEE (One-Fourth Permit Feel Lender's Address PERMIT ISSUING FEE - - .1 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 above-mentioned property for inspection purposes. - SEE REVERSE FOR.EXPLANATORY,LANGUAGE Signa re;f Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0105160012 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL .FEES PAID BUILDING ADDRESS: TR: 11218 LT: 8 BL: B 9114 BROADWAY FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: TEMP CA 917802304 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOMA AVENUE 5388-002-008 Al PERMIT ISSUANCE FEE 27,75 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY LB 200 AMP PANELS, MCC 1.00 PAN 38.85 TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 05/16/01 UT 11/12/01 OWNER: TEL. NO: FINALD TE FI CODE: KOK, KENNY (626) 285-3204- 9114 BROADWAY `_ 3) I J TEMP 917802304 Vhtii;XlPl IUN OF WUKK UP-GRADE PANEL FRO 10 TO 200 AMP PANEL APPLICANT: TEL. NO: SAME AS OWNER - �_ SPECIAL CONDITIONS: C CONTRACTOR: TEL. NO: @�1GLt$ APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - �j V� I LIC. NO A,Z L ARCHITECT OR ENGI ER: \ TEMPORARY P P �yl I � UNDERGROUND CONDUIT L. NO: ! { 1 \\� UFR GROUND LIC. NO- �__. �L ,; - 1\, ROUGH CONDUIT ' . I _ .. -L.J 1 , LJ_� �' �_ ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N - - -- -- --- - - - - UTILITY COMPANY NOTIFIED service Thi/ REPORT ID: DPR265 ROUTE TO: SS0508