HomeMy Public PortalAbout9200 BROADWAY_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER p' '
DIVISION OF BUILDING 1S SAFETY ELECTRIC 1
WILLIAM 1. FOS, COUNTY ENGINEER
FORA PLICANT TO F L IN - + DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN - - Arl 7908'.5
ADDRESS RE 61VED BY- READY FOR DATE ISSUED-
FIRST INSPECTION �f _
CITY' TEL: �'] GNO. a �� /- O J
COUNTY LICENSE NO. EXPIRES. BUILDING
PERM FM FEE ADDRESS
`
NUMBER EACH � LOCALITY G
LIGHT OUTLETS - NEAREST
RECEPTACLES CROSS ST. LCI C�l7 �3
WALL SWITCHES OWNER _
TOTAL OUTLETS Sc '$
MAIL
' ELEC. RANGES 25 ADDRESS '
ELEC. HEATERS 25
CITY 'TEL. NO:
FIXTURES 8
MIBC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF LIGHT CIRCUITSAPPLICATION AND STATE THAT THE ABOVE 15 CORRECT
.
- AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES .
NUMBER OF RECEPTACLE CIRCUIT .AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS ,THE ABOVE VALID LOB --
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEw MVO. Hp OVER I INC. EACH OF THE RESIDENTIAL P OPERTY DESCRIS ABOVE.
1 Vz 1 L6ss $ .25
- SIGNATURE OF
'A 2 .SO PERMITT
z 5 1.00 INSPECTION RECORD
s - 15- 1.50
.15 so 2.50
so 200 5.00
zoo • Soo 10.00 . .J
500 1 1000 15.00 Q
Z
OVER 1000 20.00
M.G. BET/FRED. CHANGER-HP C
WELDERS: AC-KVA O
GENERATORS -KW.
TRANSFORMERS-KVA
TEMP.. MOTORS (75% OF ORIG.)
MOVED MOTORS (]5% OF ORIG.)
MIBC. -
SIGNS
No. •., NO. TRANS: APPROVALS
NO. NO. LAMPS' `
FOR EACH PERMIT: DATle INSPECTOR'S NAME
WIRING $1.00 CONDUIT I "
FIXTURES $1.00 1I WIRING -
SUPPLEMENTARY .60 FIXTURES '
POWER
'TOTAL 'FEE $/ UTILITY CO, NOTIFIED
.J FINAL
�1A G.3 ORBIT EA. 4-11 Ij -
1' -APPLICATION' FOR-PERMIT
DEPARTMENT OF 'BUILDING AND SAFE'IR ;
COUNTY OF LOS ANGELES
ELECTRIC .
WM. J. FOX CHIEF ENGINEER �':
,. ,Q NAME J DISTRICT NO. GROUP "ZONE PERMIT NO.R ADDRESS
U CITY - O - ,� RECEIVED BY READYFORDATE ISSUED
FIRST'INSPECTION
m CERT.NO.
EXPIRES; +COUNTY
APPLICANT FILL INHEAVILY OUTLINED PORTION ONLY- -
DESCRIPTION OF WORK 'i 11RESS. ��V FiQ AARJ�+
NUMBER OF OUTLETS ON CIRCUITS
!LOCALITY
LOCATION BY ROOMS "NEAREST
LIGHT OUTLETS I lsw.I PLUGS IFIfy 'CROSS ST.
CIRCUIT A B C D E F G H .K. NAME �AJ • /� Asa/
Y N MAIL
�Z ADDRESS
0
.
O
CITY /.✓L✓l�I/ TEL.NO -
dl' 1 AM THE LjkGAL 'POSSE89OR OF THE ABOVE, LOB
1 ANGELES COUNTY. CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
'I AAI"THE LEGAL OWNER OF THE PROPERTY DESCRIBED _
ABOVE - -
_ F OWNER.
CORRECTIONS
/ Q
Z
0
.L. 0,
TOTAL r // i'
NO. OF OUTLETS' p S APPROVALS '
. NO. OF FIXTURES A $ I/ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
{ NO. OF SIGNS TRANS. "$ 'WIRING ��y�4 �V` /.✓ Q'h,S "
NO. OF RANGES OR'HEATERS $ I FIXTURES
MISCELLANEOUS $ POWER
'PERMITTEE' $ w J �UTILITYCO.NOTIFIED
'TOTAL FEEFINAL
09 S-A 19.43 25M I APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
WM. J. FOX CHIEF ENGINEER
NAME _ DISTRICT NO. GROUP ZONE PERMIT NO.NO.
U ADDRESS /.
(. I U /`�
G CITY �/ V �/rE NO. RECEIVED BY FIRST INSPECTREAD RION DATE ISSUED
j COUNTY ��
W CERT.NO. EXPIRES LC
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
�
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST Y
LIGHT OUTLETS lsw. PLUG9 IFIfT CROSS ST. r
CIRCUIT A B C D I E F G H I "VI-8 1 G"
Z MAIL / fS•A- y T{1
ADDREBB7 V /
O CITY tlp r-30:4-w-- TEL.NO. /
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELEc RICIAN.
1 AM THE[-EOq(.OWNER O'THE IPT{OPP,Ii ���
ABOVE
C /OWNER.
CORRECTIONS
J
/ Q
Z
19
TOTAL
NO. OF OUTLETS $ APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER / d
PERMIT FEE $ [/^^ d UTILITYCO.NOTIFIEDy
TOTAL FEE /r(IT FINAL 4 _`
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0406020013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL - - FEES PAID BUILDING-ADDRESS: -
BK: 207 PG: 76 PC: 1 9200 BROADWAY
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802401
ASSESSOR INFORMATION N MBER: _ __ _ NEAREST CROSS STREET: ENCINITA
8588-030-056 Al PERMIT ISSUANCE FEE - 27.75 THOMAS PAGE: 596 GRID:�J4 LOCALITY: TEMPLE CITY, C
LA 100 AMP PANELS, MCC 1.00 PAN 38.85
TENANT: - TOTAL FEES .56.60 ISSUED ON: PROCESSED BY: PLAN EXPIRES ON:
06/02/04 VG 11/29/04
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
HOUDE ROSE E TRUSTEE (626) 287-3245-
9200 BROADWAY !� l
TEMP 917802401DESCR PTIO OF WORK
UPGRADE ELECTRIC SERVICE TO 100 AMP
APPLICANT: EL" NO: "
GUSTAVO LOPEZ PLUMBING & ELECTRIC (626) 359-2454-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGMA URE
GUSTAVO LOPEZ PLUMBING & ELECTRIC (626) 359-2454--
835 FRANCITA AVE. LIC. NO TEMPORARY OWER POLE
DUARTE, CA 91010 546736 C10
UNDERGROUND CONDUIT -ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGROUG Wf -
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
_
UTILITY COMPAN NOTIFIED
REPORT ID: DPR265. ROUTE TO: BS0508
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