HomeMy Public PortalAbout9228 BROADWAY_Electrical__ Z6A66�-CEBO6:1,>;D. APPLICATION FOR ELECTRICAL PMIT
•r COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING "
BUILDING AND SAFETY DIVISION ADDRESS 9yc yZ
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL-IN CROSS ST.
OUTLETS NO. EACH I FEE
``��//�� OWNER
RECEPT.� S S MAIL
LIGHT
/� TOTAL FIRST 20 ? 25 6_
ne' ADDRESS �/C.'�••/C yE ew
S W I TC'� OVER 20 Gid .10 CITY Gey,�l/j TEL.
� Y� PLAN CHECK
LIXTURES � OVER 20 ADDRESSGHTING 1 TOTAL e.FIRST 20 ./ 25 APPLICANT
FI
J} .10 '
AID LIANCES CITY TEL. N0.
!.// PERMIT .jam
RANGE_ORYER_WTR. HTR.— APPLICANT '( !A C S' -
STA. COOK V DISP. r •F.A.U. ADDRESS -
SPACE HTR, AIR COND. -AtW CITY TEL. NO.
CLOTHES WASH.- f/ DISHWASH. LICENSE NO. a' 8 & CLASS' -
FAN OTHER 1.00 -i 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
C ANO STATE THAT THE,ABOVE IS CORRECT AND AGREE TO COMPLY'
MOTORS, TRANSFORMERS RATING I - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. NW. KVA. ELECTRICAL WIRING.
SIZE B TYPE OVER TO
'I HEREBY CERTIFY THAT I AM PROPERLY 9EGI5AND/0R
Q - 1 100 LICENSED AS gBY LOS ANGELES COUNTY ANOND STATE OF
CA LIFOq NIq OP TNUATI AM THE LEGAL OWNER OF, qN INTEND TO }
T 1 - 10 3,00 /1T`. RESIDE IN, THE ABOVE DESCRIBED ESIDENT - PROPERTY. O
f SIGNATURE V
10 - 50 5.00 OF PERMITTEE
50 - 100 1000
DISTRICT NO. CLASS PPO SSED BY H
100 - 500 15.00 Q`J / .�24,� OL
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: H
Z
TUBE, OR -
MARQUEE ADDITIONAL CIRCUITS . 1.00
SERVICE NOT OVER 600 VOLTSOR 200AMP 3.00
SERVICE OVER 600 VOLTS OR 200 AMP 10.00 APPROVALS DATE INSPECTOR'S SIGHANRE
TEMP.POWER POLE
T EM P.S ERVI CE,POL E, &APPU RTENAN CES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM - 3.00
ROUGH CONOIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN.CHECK FEE
- FINAL f-W� 7L
PERMIT ISSUING FEE 3.00
JOS PH C. ROOHAN ,
TOTAL FEE i� SUPERVISING ELECT CAL ENGINEER,
PLAN.CHECK VALIDATION CK. M.D. CASH PER VALIDATION cK. M,O: CASH
-a1..
2 , 4 � NOY10 2 0 32.90- "
S EEIBACK OF APPLICATION FOR COMPLETE SCHEDULE
LAW
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76A663-CEBf 11/JO gppLICATlO� FO ELECTQAL P MIT
• COUNTY OF LOS ANGELES
�.
DEPARTMENT OF COUNTY ENGINEER Aooaess - �} •,� (L
BUILDING AND SAFETY DIVISION
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY �� -17
NEAREST
FOR APPLICANT TO FILL-IN CROSS ST. 100,
OUTLETS NO. EACH FEE'
S S OWNER
RECEPT._ MAIL �J -Y r^
A OO R ESS C ``// �/
40,
LIGHT_ TOTAL FIRST 20 25 CITY (,A TEL. NO.W6 �J y
SWITCH_ OVER 20 .10
- ` PLAN CHECK
LIGHTING 1 TOTAL FIRST 20 25 APPLICANT
FI%TURES .IO
l7
OVER 20 ADDRESS
'
APPLIANCES CITY TEL. NO.
PERM T
RANGE—DRYER WTR. HTR. / APPL
ICAN w ^ ��� -evxe '
STA. COOK_OISP:_F.A.U.—
ADDRESS-
SPACE HTR. AIR GOND, CITY O/YEAO 6// TEL. NO..J .T . 50AZS
CLOTHES WASH.'_DISHWASH._ LICENSE NO, pp 45� 614�; p CLASS.
FAN_OTHER 1.00q 1 HEREBY ACKNOWLEDGE THAT 1 HAVE HEAD THIS APPLICATION
d6 AND.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.
SIZE S TYPE OVER TO
HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
0 _ I I00 - LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, ANO TEND TO r
3.00 RESIDE IN, THE ABOVE DES ROBED E$IOENTI q ERT Y. D-
1 O
SIGNATURE V
10 - 50 5.00 OF PERMITTEE A
K�
50 - 100 ID00 ' DISTRICT NO. CLASS ZONE Pfl CESS ED By
0
_ U
100 - 500 - 1500 p�;v ., / A w
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: N.
Z
TUBE, OR _ -
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 1000
TEMP.POWER POLE
TEMP.SERVICE,POLE. &APPURTENANCES 5.00
UNOERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES -
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) ,
UTILITY CO. NOTIFIED
PLAN CHECK FEE _
FINAL
PERMIT ISSUING FEE 3.00 3 )
JO EP - ROOHAN',
TOTAL FEE Q U SUPERVISIN ECT CAL ENGINEER.
PLAN CHECK VALIDATION CK. 'M.O. CASSH1 PERMIT VAI IDATIO cK. M.O: CASH
jJ._C�cK s ti
L31JO s ' 0 N -APR 27 2 D 4,0 0- N -
. SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE j
COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1202270040
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID
ITR: 19341 LT: 80 BL: .001 T BUILDING ADDRESS:
9228 C91780
AO
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 91]802401
15INFORMATION NUMBER: T NEAREST CROSS STREET: ENCINITA
188508-03088-030-049 IP2 PC RES PV<1OKW 153.90 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
1A1 PERMIT ISSUANCE.FEE 27.80 1
(TENANT: IPJ INVRTR RES PV,IOKW27.90 (ISSUED ON: PROCESSED BY: PLAN BY:
T TOTAL FEES 209.60 103/19/12 SR
TOWNER: TEL. NO: 1
FZN DAT FINAL CODE:
CHANG, MARCELLO
I9228 BROADWAY
TEMP 917802401
. IDESICRIIIION OF WORK T
T TINSTALL ROOF MOUNTED 4 KW PHOTOVOLTAIC SYSTEM
APPLICANT: TEL. N0:
IHIRSCH, JAY A (310) 621-1728- f T
1563 31ST. ST. T SPECIAL CONDITIONS: T
MANHATTAN BEACH
� I
I
CONTRACTOR: TEL 50-j TAPPROVALS DATE INSPECTOR SIGNATURE
NEW ENERGY CONSTRUCTION, INC. (310) 621-1728- 1
1563 31ST ST LIC. NO (TEMPORARY POWER POLE
IMANHATTAN BEACH, CA 90266 90903IBC10 II T
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND T T
LIC. NO: TROUGH CONDUIT T
I
(ROUGH WIRING T
I I
T MAIN WATER LINE T
PLASTIC YIN METAL YIN T T
TUTILITY COMPANY NOTIFIEDI I I
T T •I I � I
T 1 I I I I
ADDITIONAL DATA ON FILE
I
REPORT ID: DPR265 ROUTE TO: BS0508 T
I I I I I