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HomeMy Public PortalAbout9336 BROADWAY_Electrical__ DDEPARTMENT OF• BUH.DING AND SAFEPY APPLICATION FOR PERMIT r COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER NAME f 4 DISTRICT NO. GROUP ZONE PERMIT NO. V ADDRESS , O' SS E p RECEIVED BY READY FOR _DATE ISSUED r CITY �j� TEL.NO. P-JG�d9 FIRST INSPECTION /` j COUNTY N CERT.NO. EXPIRES ' - /" �- APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY - J DESCRIPTION OF WORK ADDRESS G/ fIYOHd tt1C�Y NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS Sw-i- if CROSS ST. CIRCUIT A B C D Em NAME. d 1' Z MAIL .= ADDRESS ° cln TEL.No. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOB ANGELES COUNTY CERTIFIC T OF.GI)/�LIFICATION... V ELECTRICIAN. / 1 AM THE LEGAL'OWNER OF-THE PROPERTY DESCRIBED / Y ABOVE .... y - OWNER. CORRECTIONS A.0 i a z c� 0 TOTAL NO. OF OUTLETS A $ 3 .Tl� APPROVALS NO. OF FIXTURES /.� $ I DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT .� NO. OF SIGNS TRANS. ` � $ WIRING X66 sx7 ei;_ v NO. OF RANGES O EATER y $ �Q FIXTURES MISCELLANEOUS ? $ POWER 6 PERMIT FEE J $ ?--.:1-771 UTILITY CO.NOTIFIED TOTAL FEE FINAL DEPARTMENT OF RUILDMG AND SAFETY APPLICATION'FOR PERMIT .COUNTY OF LOS ANGELES' ELEC'T'RIC WM. J. FOX CHIEF ENGINEER f Q NAME �,'�, .4 dtJ/'9�/p6 ,✓,,,t=CTIDISTRICTNO. GROUP ZONE PERMIT NO. 1�1-- ADDRESS LO\ Cs(JC SS•" Ed ^� / Z7376 UW CITY n5� PJ..0 TEL.NO. RECEIVED BY READY FOR E ISSUED FIRST INSPECTION SAT J COUNTY 9aa /, EXPIRES j,� / W CERT.NO. 1 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY 93 DESCRIPTION OF WORK AooREss '.I�'v,�l /� 6TAw2 NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS ",IT CROSS ST. CIRCUIT A B C D E F G H N NAME J_lel w Z IMAIL ADDRESS O CITY TEL.NO. ' 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE-OF QUALIFICATION.. ELE=RICIAN . = CTRI . I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS J Q Z_ L9 TOTAL NO. OF OUTLETS ,2 $ /O APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. - $ WIRING NO. OF RANGES OR HEATERSn S FIXTURES MISCELLANEOUS �)•�//,O- S POWER PERMIT FEE / / O $ / G UTILITYCO.NOTIFIED S` r � V 901 TOTAL FEE SWo I FINAL / N / . 76A663-CE806 12-65 APPLICATION FOR, ELECTRI AL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY.EN GI N EER BUILDING -33/ �O:PZ �BUILDING,AND.SAFETY DIVISION ADDRESS (ooJOHN A. LAMBIE•.COUNTY ENGINEERCOLEMAN W. JENKINS, SUPERINTENDEN TOF BUtLDING, LOCALITYNEARESTFOR APPLICANT TO FILL IN CROSS STRECEPT, 1 TOTAL NO. IEACH FEyJyUTLETS FI� 20 $ ZO� OWNERJ ,. 1�+ ADD'L 10 AD LE58 'CCWIT —� OVER 20FIRST 20 .20 CITY L � NO ADD'L .10CONTRAC OR OVER 20RANGES .DRYERS. WTR.HTRS, 1.00 ADDRESSGARB.DISP. STA.'COOKCITY DISHWASH. AUTO.-WASHSTATE SPACE HTRS. STA. APPL. .50 LICENSE NO. MoioRs: ovER \ NorovER n.P. 'DISTTf�0.. G$ E PRO 9'S D BY O 1 _ 1'.Oo / �j -1- 3 - 1.501 - INSPECTION RECORD' a O3 8 2.00 - S - 15 2.501 - O H IS 50 1 3.00 W 50 100 5.00 0 Z SIGNS: 'NO.TRANS- NO. LAMPS SERVICE 0.60OV.NOT OVER 200A 1.001 SERVICE 0.60OV-OVER 200 A. 2.00�� SERVICE OVER 600V 5.00 - - OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 .APPROVALS DATE. INSPECTOR'S SIGNATURE TOTAL FEE $ 1 HEREBY,ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION UNDERSLAB WORK /61 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY- ROUGH CONDUIT / WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING y' ELECTRICAL WIRING. - WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGIFIXTURES. _ LICENSED AS REQUIRED BY LOS ANGELES"COUNTWAND ATE:OF" - -- - - 'CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AN INTEND POWER RESIDE IN.THE.ABOVE OESCRIBEO REBI DEN PRO TY. // SIGNATU T ,L!/ UTILITY CO.NOTIFI�ESD"Y /�i /FP. /.J J/ r OF FINAL VALIDAT� JOSEPH C. ROOHAN CK MO' CASH SUPERVISING ELECTRICAL ENGINEER Q LilL41-96:' AL'S17` 2 DD 5.60"' APPLICATION FOR ELECTRIC PERMIT" �. De5.5A 355�� DIVISION OF BUILDING AND SAFETY �Doportment of County Engineer - - County of Los Angelos •BU I LOING 3 L WM.J. FOX. COUNTY ENGINEER ADDRESS J fo - CASSATT D. GRIFFIN..SUF'T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. dl �v- NUMBER EACH- FEE . OWNER _ LI .LIGHT OUTLETS RECEPTACLES MAIL ADDRESS WALLSWITCHES , TOTAL OUTLETS I Y' SR CITY TEL O. ELECT RANGES 25. ELECTRICIAN S _ELEC. HEATERS 25 ADDRE KW EA CITYTEL.NO. FIXTURES 5 _ LICENSE NO. �/ S NUMBER OF LIGHT CIRCUITS lwmm .DISTRICT NO. GROUP ZONE,II READY FOR INSPECTION NUMBER OF. RECEPTACLE CIRCUITS I � I l _ MOTORS / /9999 NUMBER HORSEPOWER FEE INSPECTION RECORD NEW .MVD. HP ' OVER INC. EACH V3 Bi LESS S .25 _ 112 2 .50 2 5 .1.00. _ 5 15 1.50 15 50' 2150 50 200 5.00 MISC. NO. SIGNS NO.TRANS. - , NO.SIGNS NO.LAMPS I. FOR.EACH PERMIT: WIRING S1.00 � FIXTURES . .31.00 SUPPLEMENTARY -.50 APPROVALS _ TOTAL FEE Ig Y�7_ DATE I NSPECTOR'S SIGNATURE 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIONS CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYWITH .. ELECTRICAL ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELEC ' TRICAL WIRING. _ WIRING _ I HEREBY CERTIFY THAT-1 AM PROPERLY -REGISTERED AND/OR FIXTURES - - - LICENSED AS REOUIRED,BY.LOS ANGELES COUNTY AND STATE.OF CALIFORNIA OR .THAT I. AM THE LEGAL OWNER OF THE 'ABOVE POWER DESCRIBED RESIDENTIAERT -- SIGNATURE UTILITY CO. NOTIFIED A /1 OF PERMITT C I . FINAL'. 't 0. 4 SS / WILLIAM J. FOX, COUNTY ENGINEER VALIDATION A. C. VEIT.CHIEF ELECT. INSPECTOR ACo7 0 0 7'S AUG23 2 2.7 5 In o ixGi��no'�Y•L WORKERS' COMPENSATION DECLARATION z6oW DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT O Thereby"affine that have a certificate o4 consent fo self CE.Boza insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec. 3800, Lab, C.) Policy No. - Company FOR APPLICANT TO FILL IN JOB - ❑Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS Fj $ _ $ LOCALITY tion department. Multi-family$q. 7= Certified copy i�:..fWd ^h the county building inspec- 18 2-Family, Sq. Ft. _ EAH. CNEO SRESTi. eS A/.l. r Residential Swimming Pools OWNER OR Date Applicant FIRM NAME 6n. Q (J S h L"JU h CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec—Light_Sw.— MAIL COMPENSATION INSURANCE First 20 ADDRESS U w i4 (This section need not be completed if the work involved by Total No. Additional CITY 6` Tel. No.' _1 3SQ 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 n Additional. Z/� (J �US�711Qf' Total No. CITY Tel. No. Date Applicant NOTICE/TOAPPLICANT: If, after making this Certificate of fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers Range— Heater—D.W. _ APPLICATION 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. P CE ED BY, Y and Professions Code,and my license is in full force and effect. p 13- Size8 Type HP, KW, KVA, or KVAR UU 0, License Number Lic. Class- - Up to 1 Incl. FINAL V Contractor Date Over 1 to 10 Ind. DATE Id VALIDATION 0 ❑ Over 10 to 50 Incl. U _ F_ FINAL L) I am exempt under Sec. Over 50 to 100 Inc. By IFIV W B.BP.C. for this reason Over 100 - D. Services, Swbd., MCC 8 Ponelboards - Z Date: z . 0-200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V Q _. Over 1000 Amp. or Over 600 V Exemption for Reg. Moint. Elect. SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Temp. Power Pole 8 Appurtenance Sign with One Branch I hereby affirm that I am exemphrancCircuit from the Contractor's License Additional Si Low for the following reason (Section 7031.5, Business and ,gn ranchBranch Circuits Professions Code): �I, as owner of the property, will o the work and the Misc. Conduits 8 Conductors c 0 4 9, 0 A Other (SClete Fee Schedule)_ , structure f # • • e e • 2 not intended or offered for sale(Section eeomp n 7044, Business and Professions Code). I� CONSTRUCTION LENDING AGENCY - ',:( e e 255,10 1 hereby affirm that there is a construction lending agency for - e • e '� S'rj the performance of the work for which this permit is Issued' PERMIT FEE (Sub-Total) - t (Sec. 3097, Civ. C.). 0 8.1.9'-8 8 PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Q Lender's Address - - I certify that t have read this application and state that the TOTAL FEE above information is correct. I agree to comply with all County ' ordinances and State laws 'regulating Electrical wiring, and hereby authorize represents es of I is County to enter upon the above-mention prop r for i peclion purposes. - SEE REVERSE FOR EXPLANATORY LANGUAGE Signature at Permits e ( Date Os COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0201220019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 _ PHONE: (626)-285-0488 EXT: -. . LEGA S PAID BUILDING ADDRESS: ON FILE - 9336 BROADWAY FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802403 ASSESSOR INFORMATION NUMBER: - . NEAREST CROSS STREET: ENCINITA/CLOVERLY - 8588-030-042 - Al PERMITISSUANCEFEE 27.75 THOMAS PAGE: 596 -_ GRID: J4: LOCALITY: TEMPLE:CITY' , G1 OUTLETS-LGT,SW,RECP 21'.00 OUT 40.35 - TENANT: - LB 200 AMP PANELS, MCC. 1.00 PAN 38.85 ISSUED PROCESSED BY: PLA B S ON: TOTAL FEES 106.95 01/22/02 JK 07/21/02- OWNER: TEL. NO: FINAL DATK FINAL BY: CODE: LASALA; OSCAR (626) 287-1827- 9336 BROADWAY TEMP 917802403 DESCRIPTION " . .,: LIF, .iii - ELECTRICAL FOR ADDITION, UPGRADE ELECTRICAL PANEL APPLICANT: TEL. NO: - SAME AS OWNER - - - _ - SPECIAL CONDITIONS: . CONTRACTOR: TEL. NO: SAME AS OWNER APPROVALS DATE INSPECTOR SIGNATURE - �_ LIC. NO •� TEMPORARY POWER .POLE _ - �% UNDERGROUND CONDUIT - K.w , Y, t ARCHITECTOR R: TEL. 0: / ; i �� A_ t�.'� R GROUND . LIC. NO �) _ _j: ROUGH CONDUIT ROUGH WIRING {/L MAIN WATER LINE _ PLASTIC Y/N METAL Y/N - >.-. UTILITY COMPANY NOTI i REPORTI ID !DPR265 ROUTE TO:.BS0508 - - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0610270010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-04BB ERT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE - 9336 BROADWAY FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802403 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ALESANDRO 8588-030-042 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.85 TENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 37.50 10/27/06 SK 04/25/07 OWNER: TEL. N0: FINAL DATE BY:OWNER:, LOURDES (626( 590-3603- O`` ((( 9336 BROADWAY TEMP 917802403 DESCRIPTION OF WORK 2 OUTLETS, 1 SWITCH, 2 LIGHT FIXTURES APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROU3H CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: SS0508