HomeMy Public PortalAbout9318 1/2 BROADWAY_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0506 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 SL 0508 1201230015
PHONE: (626) 285-0488 EXT:
(LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 9318 1/2 BROADWAY
(STRUCTURE: 22 V-B TEMP CA 917802403 I
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ROSEMEAD
18588-030-039 1 1 - THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
ITENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
IEXIST OCC GRP: 101/23/12 SR 1
IOWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFIINAL DATE' FINAL BY:
CODE:
19318 XEN1/2 RICK (626) 201-6578- 1 6,700 11 ` ' I`
9318 1/2 BROADWAY
ITEMP 917802403 FEES PAID IDESCRIPTION OF WORK
ITEAR OFF EXISTING ROOF INSTALL 1 LAYER 30# FELT PAPER
IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (INSTALL OWENS CORNING 30 YR COMPOSITION SHINGLE ON HOUSE/
(APPLICANT: TEL. NO: I (GARAGE I
IREDI-ROOF (909) 985-1265- IAA BLDG PERMIT ISSUANCE 27.80
11326 N. STANFORD AVE IAB STATE GREEN BLDG FEE 6700.00 VAI, 1.00 (SPECIAL CONDITIONS:
(UPLAND, CA 91786 IAC STRONG MOTION RESID 6700.00 VAT, 0.70
ID2 PERMIT W/O EN-HC 6700.00 VAI, 166.60
TOTAL FEES 196.10
(CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
IREDI-ROOF (909) 985-1265-
1326 STANFORD AVE LIC. NO ILOCATION AND SETBACKS
1UPLAND CA 91786 641947-C39 'I .
(SOILS ENGINEER APPROVAL I .I
(ARCHITECT OR ENGINEER: TEL. N0: (FOUNDATION/TRENCH FORMS I _
_.
LIC. NO: (SLAB/UNDER FLOOR
I 1
RAISED FLOOR FRAMING
I I
I I
(MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: cM.P: I (UNDERFLOOR INSULATION
I147H265 3 0011-1—
I I
(FLOOR SHEATHING
ING. OFFAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS I I
1 f 61-
0 NO 21 1 IROOF SHEATHING /
SCHOOL WITHIN HAZARDOUS (SHEAR PANELS
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO (FRAME INSPECTION
I I 1FTRE SPRINKLER HANGERS
I I
I I (INSULATION/WEATHER STRIP( I I
I I (INTERIOR LATH/DRYWALL I
E%TERIOR LATH
I I I I I I
(RATED FLOOR/CEIL ASSEM.
I (RATED WALL ASSEMBLIES
I I (RATED SHAFTS/OPENINGS -
IT-BAR CEILINGS
I I' ADDITIONAL DATA ON FILE I I I
LOT DRAINAGE
(REPORT ID: DPR261 ROUTE TO: 850508
I I I I I I
76A663-CEBOS 10-62 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 CaosS sT. ..
RECEPT. 1 TOTAL NO. EACH FEE -
111 OUTSETS FIRST 20 Q 5.20 $ Ou OWNER
ucNr `f`/� MAIL
swlr< ADD't� / ADDRESS
X. / OVER LO .10 �6O -
TOTAL CITY TEL, NO,
LIGHTING FIRST 20 .20
FIXTURES 1O ELECTRICIAN
—L-IL oven 20 I _
RANGES CLO.ORYERS WT 1.00 ADDRESS
GARB.DISP. STA.COOK -m
CITY TEL NO. - V
DISH WASH. AUTO,-W �p//+��.. STATE
SPACE HTRS. STA.APP.(IGiP.MAX.) _5O LICENSE NO.
MOTORS: Ov R NOT OVER H.P. DIST--LCT O. GROUP PR CESSE BY
0 1 tido U _L
1 3 1.50 - INSPECTION RECORD r
3 8 2.00 O_
O
8 15 2.50 V
Dc
15 50 3.00 ,O
50 too 5.00 IIIIrLLJJ
a
SIGNS: NO.TRANS. '
NO. LAMPSL
SERVICE 0-60OV-NOT OVER 200A 1.00
SERVICE 0-600V-OVER200A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2001. o-a '
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 5
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE I INSPECTOR'g SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY - CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING'
ELECTRICAL WIRING. WIRING
1HEREBY CERTIFY THAT 1 AM PROPERLY.REGISTEREDANO/OR - A
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES II
CALIFORNIA OR THAT 1 A THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P EST
V 'POWER
SIGNATURE UTILITY CO.NOTIFIED
OF
PERM
- FINAL
VALIDATION ARTHUR C. VEIT
CK MO 'CASH
SUPERVISING ELECTRICAL ENGINEER
'
(p 1 5 5 G OCT 8 2 D 13.50-
Q
CORKERS'COMPENSATIONDECLARATION 76-663 10/91 APPLICATION FOR ELECTRICAL PERMIT
{�
( .1 t. that I have a certificate of consent to self insure, CE-806G r� LJ
ora tificate of Workers'Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy the (Sec.3BODl C.) ,
Policy NO. Company FOR APPLICANT TO FILL IN - JOB
❑ Certified copy is he furnished. New Residential.Bldgs.&Pools EACH NO. FEE -
ADDRESS
❑ 1 8 2-Family.Sq.FL $ — $ LOCALITY v -
Certified copy is filed with county building inspection NEAREST
department. Multi-family Sq.Ft. —
Residential Swimming-Pools >9-: "w r GROSS ST.
Date Applicant
" _ •OWNER OR
FIRM NAME
.CERTIFICATE OF EXEMPTION FROM WORKERS'- ,S .
Outlets:Rec— Light SW MAIL
y - - COMPENSATION INSURANCE . i. �,. I - , ADDRESS
(This section need not be completed if the work involved by the First 20 �, -
Total No. Additional CITY T 1
.permit is for one hundred dollars($100) or less.) .. S
I certify that in the performance of the work for which this permit PLAN CHECK
is issued, I Shall not employ any person in.any manner so as to - APPLICANT" "
become subject to the Workers'Com nsaho Laws.- Lighting Fixtures first 20 -ADDRESS
NO.
Additional
Date Applicant
CIT,
Tel.No.
Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: II, aft making this Certificate of P
_
' Exemption,you should become subject to the Workers'Compensation HeaterDW n —
APPLICANT
provisions,of the Labor Code, you must forthwith comply with Such Oven _ Dryer _ W.M._ ADDRESS
provisions or this permit shall be deemed revoked. Top _ FAU _ W.H. _
CITY
LICENSED CONTRACTORS DECLARATION - Hood — Fan _Other_ Tel.No.
I hereby affirm that I am licensed under provisions Of Chapter 9 LICENSE OR /
(commencing ) t DiSp. Room Air Gond. REG.NUMBER Class. C
commencin with Section 7000 of Division 3 of the Business and
Professions Code,and my license is in full force and effect. - DISTRICT•NO. /� PROCES BY
Power Apparatus&Large Appliances �-^V r O
' // '}``99 Size& Type HP,KW,KVA,or KVAR r.\J
License Number,?630/1 Lie.Class C 'Up to 1'Incl. FINAL U
C r �R� Over / to 10 In '] DATE .i ALIDATION _
iLC Date v '1 Aver 10 to 50 Incl. - - / � 0
F {{--
❑ I am exempt under Sec. Over 50 to 100 Inc: y - tU
B.&P.C. for this reason--. Over 100 N
Date: Services,SWbd:,MCC & Panelboards - - .i, - Z
'0- 200 Amp.Under 600 V (J c^
Signature- 201:- 1000 Amp,Under 600 V _ -
❑
Exemption for Reg.Maint.Elect.. Over 1000 Amp.or Over 600 V
SINGLE FAMILY' _ Temp.Power Pole& Appurtenances
HOME OWNER-BUILDER DECLARATION Signwith One Branch Circuit - - `9 6 5 4 A
I hereby affirm that I am exempt from the Contractor's License Law
for the following.reason (Section 703 1.5, Business and.Professions .Additional Sign Branch Circuits' # 0.0,- a o 2
Cede):
El - Misc.Conduits & Conductors
I,as owner of the property,will do the work and the structure
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) — D - 'e e e 3 2 5 0 2i
and Professions Code).
CONSTRUCTION LENDING AGENCY _ Q 5 2 3' 88
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued(Sec.3097, PERMITrFEE (Sub-Total).
Civ.C.). , _ ..
fill
PLAN CHECKING FEE
Lender's Name lqs�
PERMITISSUING FEE
Lender's Address '
I certify that I-have read this application and state that the above TOTAL FEE
. information is correct. I agree tocomply with all County ordinances '
and State laws regulating Electrical wiring, and hereby authorize
representatives of this County o enter upon the above-mentioned _ - -
erty for inspection ur s
' SEE REVERSE FOR EXPLANATORY LANGUAGE
ignature o' itwe ._ : _