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Home My Public Portal About9303 BROADWAY_Electrical__ �SS.5A 11.55 APPLICATION FOR..ELECTRIC PERMIT DMSION OF BUILDING AND SAFETY DepI ent of County EngineBT BUILDING O 7 County Of LOS Angeles ADDRESS J Q(JLI�J JOHN A. LAMBIE. COUNTY ENGINEER /l CABSATT D. GRIFFIN, SUP'T OF BulLDINO LOCALITY (//, FOR APPLICANT TO FILL IN NEAREST ' PERMIT FEES CROSS ST. NUMBER OWNER /" ✓L LIGHT OUTLETS MAIL RECEPTACLES ADDRESS WALL SWITCHES FEE CITY T L. NO. TOTAL OUTLETS ® 50 S ELECTRICIAN P. C ELEC. RANGES 25 ADDRESS ELEC. HEATERS 23 CITY41 4 TEL.NO 3.2[fe KW EA STATE FIXTURES 5 LICENSE NO. D MOTORS DISTRICT NO. I'GROUP I ZONE I READY FOR INSPECTION NUMBERHORSEPOWER FEE NEW MVO. HP OVER INC. EACH ` Yz R LESS S .25 G�INSPECTION 1RECORD h 2 .50 2 5 1.00 S' 15 1.50 .�1 l .$CSI 15 50 2.50 — v 50 200 5.00 MISC. NO. SIGNS NO.TRANS. NO. SIGNS NO. LAMPS FOR EACH PERMIT: ' WIRING 51.00 FIXTURES 51.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE S DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING 6 ELECTRICAL WIRING. I HEREBY CERTIFY THAT 1 AM OF Y EGISTERED AND/OR ( FIXTURES LICENSED AS REQUIRED N S 'IT AN STATE OF CALIFORNIA OR THA A T GAL HER OF HE ABOVE POWER DESCRIBED RESIDE N A P AA SIGNATURE UTILITY CO.NOTIFIED if OF PERMITTEE FINAL a JOHN A. LAMBIE.COUNTY ENGINEER YATUDATION . ARTHUR C.VEIT,CHIEF ELECT. INSPECTOR C K% MO CABH it 9 2 5 2'�-"- f.i;G 15 2 2.65 E' TEM- FLE CHTIF. reAeea-ceece a-eo 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 FOR APPLICANT TO FILL IN NEAREST CROSS ST C PERMIT FEES OWNER ITEM NUMBER EACH FEE MAIL OUTLETS: $ S ADDRESS LIGHTS RECEPT. SW. .IO - _ LIGHTING FIXTURES 10 CITYTEL N ELEC.RANGES CLO. DRYERS ELECTRICIANJ, jj / M WATER HEATERS .50 ADDRESS J YJ .eFBe ELEC.SPACE HTRS. DISHWASHERS CITY r/EL..NO. J J&S J GARBAGE DISPOSERS AUTO: STATE WASHERS TA.COOKING UNITS .2g LICE NSE NO. G/ MOTORS: OVER INC. H.P. D15TRIC NO. GROUP ^R( E P CESSED BY 0 — V. 25 V. — 2 50 INSPECTION RECORD 2 — 5 1.00 y 5 — 15 1.50 O V 15 — 50 2.50 w O 50 200 5.00 ~ W SIGNS: NO TRANS. 6 NO. LAMPS N Z SERVICE O-SOOV 1.00 OO SERVICE OVER SOOV 5.00 MISC. WIRING PERMIT 1,00 0 a ` FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND WITH STATE ALLTHAT COUNTYE ABOVE 15 ORDINANCESORRECT AND AND TATE LAWS TO COI REGULATING CONDUIT ��/ ELECTRICAL WIRING. WIRING 7 /0-A / N YIN/ / 1 HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR LICEN5E0 AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE UTILITY CO. NOTIFIED `Z` O lo� V/K i1LG7CPI OF PERMITTEE FINAL Z aI VALIDA ARTHURC.VEIL CK MD (CAs�x SUPERVISING ELECTRICAL ENGINEER O 2 2 4 8 zV F 3 g 2 D 2.0 0 ��rJ affirm that DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT 'I Hereby affirm that I hcd,'e a.certifiwtE of consent to self CE-806G 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 ADDRESS 0 'rG W Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE Certified copy is filed with the county building inspec- 18 2-Family, Sq. Ft. $ — b LOCALITY 10, \ tion department. Multi-family Sq. Ft. \ — NEAREST Residential Swimming Pools ` \ _ t CROSS ST. 1^' Date Applicant OWNER OR \ 1 , Y' t �t `FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' 3Light r_ ..`cT .MAIL Outlets: Rec� —Sw. I1 COMPENSATION INSURANCE ( UD ADDRESS (This section need not be completed if the work involved by 21t., First 20 3 the permit is for one hundred dollars (31100)or less.) Tocol No. Additional CITY �ayv�vfJ Tel. No i I certify that in the performance of the work for which this PIAN CHECK 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 Q ADDRESS JO //-f � ^`s ' Total Nli Additional Date i A lica T. CITY el. No. PIf Fixed Appliances Not Over 1 HE PERMIT I WL NOTICE n, APPLICANT: If, after making this Certificate of APPLICANT 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._ ADDRESS with comply with such provisions or this permit shall be Top — FAU —W.H. deemed revoked. Hood Fan Other_ CITY Tel. No. _ LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER Class. (commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. _ PROCE SE BY D}.,' and Professions Code,and my license is in full force and effect. �f Q' Size 8 Type HP, KW, KVA, or KVAR' L L/ V License Number Lic. Class Up to 1 Incl. FINAL 0= Over I to 10 Incl DATE Vp ATICIN Contractor Date Over 10 to 50 Ind. ❑ FINAL W am exempt under Sec. Over 50 to 100 Inc. BY a B.BP.C. for this reason Over 100 toZ Date: Services, Swbd., MCC 8 Ponelboards D 0 - 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Moint. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances " HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 231 2 1 A ; I hereby affirm that I am exempt from the Contractor's License additional Sign Bran Circuits # e e e e e '2 Law for theacu ' following reason (Section 7031.5, Business and •,).e e 3 is 2 ...,��Professions Code): I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors o e 0 3 do p U structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ D ( a1 1 y8Jr 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I 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) 2- 7 (Sec. 3097, Ci, C.). PLAN CHECKING FEE Lender's Name ll Lender's Address PERMIT ISSUING FEE U V I certify that I have read this application and state that the TOTAL FEE t00 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. (/� � AA �la T y / c SEE REVERSE FOR EXPLANATORY LANGUAGE �YCJL7,lJ( ��CCCbbb/1---.1---X� - Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY R 0508 ELECTRICAL PERMIT DEPARTMENT OF er�ILIC WORKS 9901 LAS TUNAS EL 0508 1404150053 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 12410 LT: 7 9303 BROADWAY IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( TEMP CA 917802404 ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 18588-002-007 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: S4 LOCALITY: TEMPLE CITY, C 1E1 TEMP SERV POWER POLE 1.00 TMP 43.70 (TENANT: TOTAL FEES 71.50 (ISSUED ON: PROCESSED BY: PLAN BY: 104/15/14 SR IOWNER: TEL. N0: FINAL DATE FINAL 6Y: CODE: 19303 BR CARLOS (626) 617-9324- �� !/-\/(^yA/'/) 9303 BROADWAY TEMP 917802404 EMSCAIPTION OF WORK TEEM/P�ORARY POWER POLE APPLI CAN?: TEL. N0: IA//� SAME AS OWNER - /C SPECIAL CONDITIONS: I I I I I I I (CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO ITEMPORARY POWER POLE UNDERGROUND CONDUIT (ARCHITECT OR ENGINEER: TEL, NO: IUFER GROUND I LIC. NO: IROUGH CONDUIT IROUGH WIRING I I I (MAIN WATER LINE IPLASTIC YIN METAL YIN (UTILITY COMPANY NOTIFIED I I I II I II I 1 I I I I I I I I I I II 1 I II II I I I I I I I I I II I I (REPORT ID: DPR265 ROUTE TO: BS0508