HomeMy Public PortalAbout9222 BROADWAY_Electrical__ .76.663.CE866 9-64 APPLICATION FOR ELECTRI L PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING n
BUILDING AND SAFETY DIVISION ADDRESS l% '
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
NEAREST
1FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. I TOTAL L� EACH FEE OWNER
LIGHT IVIS OUTLETS FIRST 20 S.2O S OWNER
� '�JJ MAIL
ADO'L 7 /� ADDRESS
Swli<N. -` OVER 20 .1O jJ.{f
TOTAL . CITU TE NO
LIGHTING l = FIRST 20 .20
FIXTURES 1f ADO'L 10ELECTRIC N
VER 20 I
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL. NO.
pISHWASH! AUTO.-WASN. STATE
SPACE HTRS. STA.
APR.(w H.P. t12.50
.50 LICENSE NO.
MOTORS: OVER NOTOVER DISTRICT GR P P D
O 11.00
1 — s1.50 INSPECTION RECORD
�v/il >
5 B2.00 /. / l O-.Y 30 0
B Is 4u
w_
15 50 3.00 {� K
O
50 too 5.00 ~
V
w
SIGNS: NO.TRANS- 0-
NO.LAMPS Z
SERVICE O.600V-NoT OVER 200A 1.00
SERVICE O.6OOV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 6
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT _-A-I
WITH ALL 'COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING 9LGS
HEREBY .CERTIFY THAT 1 L PROPERLY RE0157ERED ANO/OR FIXTURES /G
LICENSED AS REQUIRED BY LOSMANGEIES COVN Y NO STATE OF
CA LI FO RNID OR TMA' M THE LEG L OWN NO INTEND TO F" -
RESIDE IN. THE ABOVE S BED R IOENT ERTY. POWER [ I _ •l
SIGNATURE UTILITY CO.NOTIFIED !', �ES ✓J /
OF PERMITTEE
FINAL
(DATION JOSEPH C. ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
L&.0 9 9 & 9 NAR 2 9 2 D 1 8.2 0- d
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76AE63-CEOOB I0.52 APPLICATION FOR ELECTRICAL PERMIT -
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION +' ADDRESS -
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN. SUPT OF BUILDING LOCALITY
-
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
ucNr III OUTLETS FIRST 20 :� $20 $ OWNER /
1, MAIL
swlrc x. ADD'L ADDRESS
OVER 20 AID
LITOTAL CITY EL. N n
GHTING FIRST 20 .20
FIXTURES ADD-L
OVER 20 .10 ELECTRI I/AJN
RANGES CLO.DRYERS WTR.HTR9. 1.00 ADDRESS (J
GARB.DISP. STA.COOK
CITY EL. NOI
DISH WASH. AVTO.-WASH. STATE
SPACE HTRS. STA.APP.(yz H.P.MAXI) ..50 LICENSE NO. 6 iJ
MOTORS: OVER NOT OVER H.P. DISTRICT O. _ GROUP ZONE P O ESSED BY
0 1 1.00 (J J ot,gf�lz.
I 3 1.50 - INSPECTION RECORD - >
3 6 2.00 O
Bis- 2.50 - V
K
15 50 3.001 0
50 100 5.00
a
SIGNS: NO.TRANS. - Y
'NO. LAMPS z
SERVICE O.60OV-NOT OVER 200A �'—
SERVICEO-60OV-OVER 200.A. _ 2.00 -
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 _./-
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 "
TOTAL FEE $�
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDIOR
.'LICENSED AB REQUIRED BY LOSNGELEB COUNTY AND SJATE.OF- FIXTURES
CALIFORNIA OR THAT 1 M THE LEG OWN OF T Y ABOVE
DESCRIBED RESIDENT)A R Y. - POWER'
SIGNATURE A UTILITY CO.NOTIFIED 'Y /
OF PERMITTEE-41. n^�f�FINAL i�� IR�FY
GL IDATION ARTHUR C. VEIT bTj�
CK MO CASH. SUPERVISING ELECTRICAL ENGINEER.
L lad
y
80 5� FEB2.4 2 D 3.40.
• - �:'l�C�-err/
COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0807070016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: - FEES PAID BUILDING ADDRESS:
ITR: 19341 LT: 3 BL: .001 ON: .002 9222 BROADWAY
I ]FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917802401
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ENCINITA
18588-030-047 IA1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
I ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 1 1
(TENANT: TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
107/07/08 SR 01/03/09 1
(OWNER: TEL. NO: IFINAL DATE FIN Y. CODE:
LARA, ADRIAN (626) 485-9842-
19222
85-9842-19222 BROADWAY
TEMP 917802401
DE37CRIPTION OF WORK
UPGRADE SERVICE PANEL FROM 100 AMP TO 200 AMP
IAPPLICANT: TEL. NO:
(SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE '
(SAME AS OWNER
LIC. NO TEMPORARY POWER POLE
(UNDERGROUND CONDUIT
� I I
(ARCHITECT OR ENGINEER: TEL. NO: UFEP,�GROUND i L
LIC. NO: 1ROUGH-CONDUI 1 -1
IROUGH WIRING
I I I
MAIN,WATER LINE
TI
(PLASC YIN METAL YIN
� I I II I 1
1UTILITY COMPANY NOTIFIED
�1 II II II 11 11
I I I I I
I I I
IREPORT ID: DPR265 ROUTE TO: BS0508