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Home My Public Portal About9214 BROADWAY_Electrical__ 76A663 DBS 5A 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN D� i C c S `,G l I l 7 ADDRESS . SSC—OY 5 ./. tka 5 r— RECEIVED BY FIRSTINSPECTION READY FOR DATE ISSUED CITY TEL NO. VAlr l—� COUNTY LICENSE NO. EXPIRES L B BUILDING /p�O E �..3rOai stib PERMIT FEESADDRESS / r— �,.� NUMBER EACH FEE LOCALITY 1 LIGHT OUTLETS / NEAREST �Lz`S RECEPTACLES CROSS ST. 70 WALL SWITCHES OWNER i r TOTAL OUTLETS 5c MAIL ELEC. RANGES 25 ADDRESS ;6 Y S.0,400 aA. 50 ELEC. HEATERS 25 CITY gz MaSlf TEL NO. FIXTURES 0 5 G 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS S`QC, misc. APPLICATION AND STATE THAT THE ABOVE IS CORRECT Z� NUMBER OF LIGHT CIRCUITS / 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 LOS NUN8 R HORSEPOWERPEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw MVD. HP SIVE I.C. EACH OF THE RESIDENTIAL ^�PROPERTY DE82RI13ED ABOVE. SIGNATURE OF I/s 2 .50 PERMITTED E2 s 1.00 INSPECTION RECORD a is 1.50 la so 2.50 Eso 200 5.00 ZOO a I 10.00 A 500 loco 15.00 Z OVER 1000 20.00 0 M.G. SET/FRES. CHANGER-HP Q' WELDERS•AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF DRIB.) MOVED MOTORS (75% DF DRIB.) MIBC. SIGNS NO. NO.TRANS. APPROVALS No. NO. LAMPS FOR EACH PERMITS DATE INSPECTOR'S NAME WIRING aI.DD 0 o CONDUIT FIXTURE9 lBI.00 �(f WIRING SUPPLEMENTARY ,g0 FIXTURES POWER / TOTAL FEE III �• UTILITY Co. NOTIFIED "5//'KyStI� FINAL / r 76A663-CE906 9-64 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES �( DEPARTMENT BUILDING BUIILDING ANDD SAFETY DIVISION F COUNTY ER ADDRESS 9214 BROADWAY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY SAN GABRIEL NEAREST FOR APPLICANT TO FILL IN CROSS ST. R6SEMEAD RECEPT4 TOTAL ( NO. EACH FEE OUTLETS FIRST 20 8 p $.20 $ OWNER WAYNE MOON LIGHTMAIL SwITCH3 8 / ADD'L �' ADDRESS 9214 BROADWAY OVER 20 .10 LIGHTING TOTAL j (FIRST 1 .20 20 CITY S TEL. NO. FIXTURES — ADD'L t0 ELECTRICIAN CONLEE Sc $ ELECTRIC OVER 20 2 RANGES CLO.DRYERS R.HTR9. 2 1,00 2,010_ ADDRESSlaS17 E GARD.DISP.1 BTA.COON CITY P.T. MONTE TEL. No. 2.Rp_9p07 OISHWASH.1 AVTO-WASH. STATE SPACE HTR9. 1 8TA.ARE-(K-H.P.m—) 3 ,50 1 O LICENSE NO. 137567 MOTORS: OVER NOT OVER H.P. DIS T�RICVO. GROUP ZONE P ESSED Y O 1 1.00 S d 1 — 3 1.50 INSPECTION RECORD s e a,00 D. O 6 15 zso u 15 50 —+- 3.00 OG 50 1005.00 0 W SIGNS: NO.TRANS. NO.LAMPS _Z SERVICE O-600V-NOT OVER 200A 1 1.00 .100 SERVICE 0-600 V-OVER 200 A. 2.00 SERVICE OVER 60OV-L 5.00 MISC. I PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 6 8 30 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING L:CHEREBY .CERTIFY THAT I A PROPERLY REGISTERED AND/OR FIXTURES M ENSEO AS REQUIRED OSANGELES COUNTY AND STATE OF CALIFORNIA OT THAT AM T LEGAL OWNER OF. ANO 1 END TO RESIDE N, TME ABOV ESCRI ED RESIDENT( +PAOP ERT POWER SIGNATURE ) UTILITY CO.NOTIFIED OF PERMITTEE FINAL s Q DATION EIROOHAN CK O CASH SU ' SUPERR VISISI NG ELECTRICAL ENGINEER X7'9 3 0DEC 9 2 D 8.30 COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Enpineer FOR APPLIC�NT TO FILL�N� DISTRICT NO. GROUP ZONE PE(R/EMIT NO. ELECTRICIAN I r�Awwitjid ADDRESS S/ � RECEIVED BY READY FOR DATE ISSUED J/ �� FIRST INSPECTION I n� O '�� CITY .%i TES�L N0. J JG � L 'ZMt/ !•_/ COUNTY LICENSE NO. - //),LlE%PIRE9 BUILDINGO PERMIT FEES ADReee /y NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST G RECEPTACLES CROSS 97. WALL SWITCHES OWNER TOTAL OUTLETS ScEE�g - MAIL _,Ii: t L / ELEC. RANGES 25 ADDRESS f� �f L y y. ELEC. HEATERS 25 CITY / .� TEL NO� 7GC FIXTURES 5 -- I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. i 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 1 CERTIFY THAT I POSSESS THE ABOVE VALID LDS NuMeER, HORSEPOWER FEC ANGELES -COUNTY LICENSEp OR I AM THE LEGAL OWNER New MVD. HP oven IHC, EACH OF THE RESIDENTIAL PROPERTY DEHgED ABOVE.' -. I/t a Lesa_ B .25 SIGNATURE OF /�pf/iJ✓-/O�!/.7��r1'V///j N/\)/yam///A/�/ I/2 2 _5o PERMITTE[ _ _ 2 5 1.0o INSPECTION RECORD 5 15 1.50 _ is so 2.50 "�( so 200 5.00 _ 200 soo iD.DO -J soo 1000 1s.00 Z OVER 1000 20.00 z M.O. BET/FRED. CHAMBER-HP EDa WELDERS:AC-KVA O ` GENERATORS - KW TRANSFORMERS - KVA TEMP..MOTORS (75% of DRIB.) MOVED_'MOTORS (75% or DRIB.) MISC. SIGNS NO. NO.TRANS. No. NO. LAMPS APPROVALS FOR EACH PERMITS DATE INSPE TORTS NAME WIRING g1.00 CONDUIT / FIXTURES 81.00 WIRING -- /(y��Y ' VL_/+.//l e_ ,t _�.•` SUPPLEMENTARY .50 FIXTURES f POWER U TOTAL FEE s/ i UTILITY CO.NOTIFIED "FINAL ,u, b'r' a N 7GA663 DBS#5A 4-52 / i J 76P663-CE806 9-64 APPLICATION FOR ELECTRIC L PERMITvI/' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER eulLOmc BUILDING AND SAFETY DIVISION ADDREfis 9214 Brcadwa JOHN A. LAMBIE. COUNTY ENGINEER /t COLEMAN W. JENNINS, SUP'T. OF BUILDING LOCALITYTemple Cit NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL NO. EACH FEE_ ouTLETs FIR9Tzo 10 6.20 $ 2 00 OwNERMr. Moon LIGHT / 'MAIL ADD'L 10 ADDRESS SWITCH. � 10 OVER 20 - 1 GHTING LTOTAL Ftflsr 20 2 .20 1 CITY TEL. NO. II 4O FIXTURES Ij 2 — OVER 'L 2 IO ELECTRICIAICOnlee & SOn.. Electric OVER RANGES CLO.DRYER9 WTR.MITRE. 1.00 ADDRESS 1030 N. Grandview GARB.DISP. STA.COOK CITYC . San Gabriel TEL. No.280-2007 DISHWASH, AUTO..WASH.1 STATE p/ SPACE HTRS.1 STA.APP.1'/v H.P.MAX.) 2 ,SO 1 00 LICENSE NO. 137567 V 7 MOTORS: OVER NOT OVER H.P. DISTRICT�QGRO Z PR D Fly ZE O 1 1.00 1 3 1.50 INSPECTION RE ORD 3 8 2.00 d 0 8 15 2.50 U 15 50 3.00 K 50 100 5.00 L7 SIGNS: NO.TRANB- a NO.LAMPB N SERVICE 0.60OV-NoT OVER 200A 1.001 SERVICE 0-60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 2 00 SUPPLEMENTARY PERMIT ISSUING FEE 1.001 1 TOTAL FEE ® Cj 0 IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT 1 WITH ALL 'COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING / F G XEREBV .CENTI FY THAT AM PROPERLY REGISTERED ANO/OF FIXTURES ' + LICENSED AS REO VIfl ED BY L05 ANGELES COUNTY AND ST E OF CALIFORNIA OR THAT THE LEGAL OWNER OF. AND INT 0 TO RESIDE IN. THE ABG, ESC IBED RESIDENTIAL RpFEfl TY. POWER SIGNATURE / UTILITY CO.NOTIFIED OF PERMITTEE FINAL i IDATION JOSEPH C. ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER LAW 8 6 5 0 JAN 10 2 D cj.4 0 a -WORKER 'GI have ATION DECLARATION C"06 10/8I -. APPLICATION It P ICA TION FOR ELECTRICAL PERMIT .moi heretiy affirm That I have o certificate of consent to self CE-BObG {'tL lr Ir IL i'Y E insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. - Company FOR APPLICANT TO FILL IN JOB J Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS Certified copy is filed with the county building inspec- 1 8 2-Family, Sq. Ff. $ — $ LOCALITY e Ape— tion dep rI ent. Multi-fomily Sq. Ft. — NEAREST - e // Residential Swimming Pools CROSS ST. Date '(' ' b7 Applicant �' Q' 14ARydY CotJST: �a 9 OWNER OR //LL.�� FIRM NAME /'r/Z5 (� ER IFICATE OF EXEMPTION FROM WORKERS' - (� ` 'MAIL Outlets: Rec_Light�Sw.y ) �j - COMPENSATION INSURANCE //�� '' First 20 ZO �� ADDRESS �i Z � 6Q0 (This section need not be completed if the work Involved by Total No.QS.`! Additional CITY 12Y✓I K GI Tel. o. ZSS-9d the permit is For one hundred dollars($100)or less.) 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. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over I HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT L• �• 1'�AR uf- Y f Co Exemption, you should'become subject to the Workers' Range_ Heater—D.W. — Compensation provisions of the Labor Code, you must forth- Oven _ Dryer _ W.M.— ADDRESSL J6—S MANZ,+Nl;-Ti QfiL with comply with such provisions �or this permit shall be Top — FAU —W.H. — CITY t S J deemed revoked. S FP(b Mft01LQ Tel. No. Zo ? LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other— LICENSE OR "� / I hereby affirm that I am licensed under provisions of Chapter 9 Other— Dista. _ Room Air Cond. REG. NUMBER -T71 BIS Class. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. SSED BY and Professions Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances 0. �1 18..t is Size 8 Type HP, KW, KVA, or KVAR O License Number. 1 Lic Class I FINAL Up to 1 Incl. DATE /, 9 3�•0 A0 b• g7 Over 1 to 101nc1. !/ VAUDAT>Ipjie a e,e O Contractor Date Over 10 to 50 Incl. - ZH ❑ FINAL I am exempt under Sec . Over 50 to 100 Inc BY W 8.8P.C. for this reason Over 100 Services, Swbd., MCC Pane lboards Z D Z Date: 0 - 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V _ 73 9,' Exemption for Reg. Mainz. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances •I °'O 3 3 7 5 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit. I hereby affirm that I am exempt from the Contractor's License 3.3 7 5 5 Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): 6 3 0'.•-8 7 ❑ 1, as owner of the property, will do the work and the Misc. Conduits 8 Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ D ` '�3 9 c\b 7044, Business and Professions Code). O k I G 3, 5 CONSTRUCTION LENDING AGENCY 1 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) (Sec. 3097, Civ. C.). #.°'O �° 2 PLAN CHECKING FEE .`b,( e S Lender's Name PERMIT ISSUING FEE t1 S� e Z b•]•5 v Lender's Address I certify that have read this application and state that the TOTAL FEE above information is correct. I agree to comply with all County `3 0 8 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 nature of Permittee ateg,