The URL can be used to link to this page

Home My Public Portal About9423 BROADWAY_Electrical__ 76A563-CE806 9-54 APPLICATION FO •ELECTRICAL PERMIT • � COUNTY OFLOS ANGELES DEPARTMENT OF COUNTY ENG INEER F o1rvG BUILDING AND,SAFET4Y DIVISION REBB 2 a�• Y JOHN A. LA_MBIE, COUNTY ENGINEER WILLIAM A. JENSEN,SOP'T OF BwLDING ALITYREST'-APPLICANT TO FILL IN SS ST. RECEPT. 1I TOTAL NO. EACH FEE - / l 1 - 2l 1 OUTLETS (FIRST 20 $.20 S �" OWNER- LIGHT III ` MAIL A o o'L ADDRESS SWITCH: 1 OVER 20 - LIGHTING I TOTAL FIRST 20 .20 CITY TEL. NO. - .FIXTURES I , ADO'L 10 ELECTRICIAN C A, Ov R 20 (1 RANGER, CLO/DRYERS WTRI HTR6: 1.00 ADDRESS CARD.DISP. BTA.COOK ^ y�� CITY Ci TEL.NO. DISHWABH. AUTO.-WASH. - STATE SPACE HTRS. RFA.APP'.(''M.P.MA%.) ,50 LICENSE NO. ,MOTORS: OVER NOT OVER HIP. - DISTRIC f�D� GROUP ZONE P CESSED BY O f 1.00 + Y a 3 1.50 INSPECTION RECORD 2.00 •8 15 2.50 (P I _ - ! "�./�.5.4}�/ OC 13 50 3.00 - G �- O .50 .100 5.00 y N SIGNS: NO.TRANS. - Z_ NO.LAMPS ' SERVICE O.6OOV-NOT OVER 200A 1:00 SERVICE 0.60OV-OVER 200 A. - 2:00 , SERVICE OVER 600V 5.00 - MISC. r PERMIT ISSUING FEE 2.001 2 10 BUPPLEMENTAgY PERMIT ISSUING FEE I ' TOTAL FEE O I HEREBY ACKNOWLEDGE'THAT'ICHAVE READ ATIO APPROVALS_ 'DATE INSPECTOR'S SIGNATURE AN O.STATE THAT THE ABOVE IB CORRECT AND OMPLY '.CONDUIT WITH ALL-COUNTY ORDINANCES AND STATE LLATING - EIECFRICAL.WIRINc. - WIRING. IWIF— id, -azt .11/IA/Y I HEREBY, CERTIFY THAT I AM PROPERLY RENO/OR I •/( - - LICENSED AS:REQUIRED_ BY LOS ANGELES COUNATE OF ,FIXTURES' CALIFORNIA OR THAT 1 AM THE LEGAL OWNABOVE I DESCRIBED RESIDENTIALROPEIRY. <IROWER` SIGNATURES - UTILITY CO.NOTIFIED OF PERMITTEE o JJ FINAL •� 3 !� (VAJ.I DATION - ARTHUR C. VEIT K/ MO CASH SUPERVISING ELECTRICAL ENGINEER' 5 7 9 5 1 ItOV ; Lk,,, _ 12 2 D 3.4 0, TGA66BCE9OG-T-56 APPLICATION FOR ELECTRIC PERMIT BVILDING AND SAFETY DMSION Department of County Engineer + BUILDING County of Los Angeles ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER /r CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY y "711- NEAREST T TIN FOR APPLICANT FILL cRoss sr. (� PFJWT FEES O rvu OWNER LIGHT OUTLETS MAIL ' ADDRESS RECEPTACLES WALL SWITCHES FEE TYNO. CI TOTAL OUTLETS ® 5Q 8 ELECTRICIAN I _EG 4-2 ELEC. RANGES 25 / ADDRESS (/pCSI✓' pT ELEC. HEATERS 25 ..7 CITY ' TEL. NO. 11440 KW EA STATE / LICENSE NO. FIXTU R ES 5 MOTORS DISTRICT NO. GROU Z E READY FOR INSPECTION NUMBER HORSEPOWER FEE S II NEW MVD. HP I OVEP INC. EACH / e LE55 s .z5 INSPECTION RECORD �(a Ik 2 .50 2 5 1.00 5 15 1— Ce�10��"2 a �SVAQ.Ca eaTtLLP Cat 15 50 2.50 50 200 5.00 misc.' NO. SIGNS NO. TRANS. NO. SIGNS NO. LAMPS FOR EACH PERMIT: WIRING PERMIT 51.00 FIXTURE PERMIT $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE 5 DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. n _ �� FIXTURES ti I HEREBY CERTIFY THAT AM PROPERL GIS RED,AN R LICENSED AS REQUIRED BY LOS ANGEL NTy AND,ST SOF POWER CALIFORNIA OR THAT I M THE LEG NER OF THE BOVE DESCRIBED RES]Dpqll PERTH. P UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE FINAL JOHN A. LAM VALIDATION AR SUR C. VETT. COUNTY ENGIN �y SUPERVISING ELECTRICAL ENGINEER CJ MO CASH 9 3 C S u J0 T R` 2 6.2 0 L� . 7sA683CEe.�1 ,;.Os APPLICATION '.FOR ELECTRIC- PE'RVIT' ], BUILDING AND. SAFETY DIVISION ; • Department of County,Engineer BUIioI NG �•' ' County of Les Angeles •1 ADDRESS �3I JOH NSA. LAMBI E. COUNTY ENGINEER •'"' rrJ - •CASSATT D. GRIFFIN:SUPT OF BUILD'.. - .LOCALITY �/•!'Y�O�� 'NEAREST - - FOR'APPLICANT TO FILL IN., .CROSS ST.. PERMIT FEES NUMBER OWNER O LIGHT OUTLETS MAIL - ADDRESS -j— RECEPTACLES'RECEPTACLES' ' WALL SWITCHES FEE CITY --`C - TEL. NO T-7 TOTAL OUTLETS @' 5¢ -:S ELECTRICIAN .� C ELEC. RANGES- '25 '.ADDRESS' g - ELEC. HEATERS ` CI . TEL'. NO.'H ` V J Jg KW EA STATE .FIXTURES 5 - LIC ENSE NO. MOTORS -DISTRICTN GREADY,FOH INSGECTION NUM eERHORSEPOWER FEE NEW MVO HE (OVER .INC. EACH h A LE55 .S .1 i5 INSPECTION RECORD_ _ .60 2 5 1.00 _ 151 15 50 2.50 _ A . 50 200 -5.00 misc. NO. SIGNS .•.NO-TRANS:' ' NO. SIGNS' NO. LAMPS - , FOR�EACH�PERMIT: - - WIRING PERMIT ' SLOO d ' FIXTURE PERMIT - 41.00 'SUPPLEMENTARY '.50 _ APPROVALS_ 'TOTAL FEE' - S -DATE INSPECTOR'S SIGNATURE ` I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT ANO STATE'THAT THE ABOVEJSCORRECT AND'AGREE TO COMPLY , - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING ' FI%TURES I HEREBY' CERTIFY'THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS'REOUIREO A LOS LEGAL E AL :COUNTY AND POWER. ' - 'CALIFORNIA AS' R THAT I A S ANGE E OWNER . A T TAT DESCRIBED,RESIOENT1 0 UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE FINAL .. JOHN A. LAMBIE { ATION 'A THUR C. VE COUNTYENGINE - 'SUPERVISING ELECTRICAu ENGINEER . CK MO CASH' • - LA�o <4 9 ,1 'mAY 2 4. . "1 E WORKER'S I hveacertificate COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT 20-01 I hereby affirm That I have a certificate of consent to sell insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab. C.) � ey No<�=Company 1� �'v L'Y�� FOR APPLICANT TO FILL IN JOB �[n�j Aa Certified copy is hereby furnished. New Residential Bldgs.8 Pools NO. EACH. FEE E3 ADDRESS TTE3 mo(' � z� �q�/�A I � " -1 /I� Certified copy is tiled with the county building inspection 1&2-Family,Sq.FI. $ $ LOCALITY / NEAREST /lp� department. Multi-family Sq.Ft. NCROSSEAREST ST. 11 - - ��7 pp } Residential SwimmingPools Date Applicant ' 1 �C� "' �'� ASSESSOR MAP BOOK yPAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec.J Light I Sw._ ORMN NAME COMPENSATION INSURANCE ' (This section need not be completed it the work involved by the First 20 MAILTotal No. Additional ADDRESS permit Is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY OZ7011,f0/40In Tol.No.� .. is issued, I shall not employ any person in any manner s0 as to PLAN CHECK become subject to,the Workers'Compensation Laws. Lighting Fixtures First 20APPLICANT Total No. Additional ADDRESS Data Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT /- Power Apparatus&Large Appliances APPLICANT )rte provisions or this permit shall be deemed revoked. nvg LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS /9 I hereby affirm that I am licensed under provisions of Chapter 9 3 P Over 3 to 101nd. (commencing with Section 7000) of Division 3 of the Business and / CITY N �i- �'Tel.No.3S_S Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. >D } Over 50 f0 100 Incl. LICENSE OBER R r;^n.��y Class.[1 a i� a REG.NUMG� 6 2 L+.� G Over 100 DISTRICT NO. P SSED BY O License Number Lic.Class ` V /,yJ �T x Services,Swbtl.,MCC&Panelboards p •�� J�-�GI�[� Contractor_�r'V 7v+`' Z��Date f�- `J/—� ®� 0-399 Amp.Under 600 V O &D FINAL O ❑ GATE 400-1000 Amp. Under 600 V J� am exempt under Sec. Over 1000 Amp.or Over 600 V FINAL ( / VALIDATION W B.BP.C.for this reason BRANCH CIRCUIT FEES BY U) Date: 15A,or 20A, 1201 Lighting or Recep. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Main.Elect. 15A,20A,208V To 277V Lighting Br.Circuits 2 SINGLE FAMILY Temp.Power Pole&Appurtenances ACCT.a HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law n for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits 3303 189.00 Code): 1 ITEMS ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors TOTAL 89 - 00 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) D and Professions Code). CHECK 89.00 CONSTRUCTION LENDING AGENCY CHANGE .00 I hereby affirm that there is a construction lending agency for the performance.of the work for which this permit is issued (Sec. 3097, PERMIT FEE _ (Sub-Total) 6 D Civ. C.) 0000-0001 4/29/96 PLAN CHECKING FEE Lender's Name . 6069 1 P11 4;gg PERMIT ISSUING FEE 7 Lender's Address Fti I certify that I have read this application and under penalty of purjury state TOTAL FEE _ that the above information is correct. I agree to comply with all County ordinances and Slate laws regulating Electrical wiring,and hereby authorize representatives of this County to enter upon the above-mentioned property spectOn pure ses. t� SEE REVERSE FOR EXPLANATORY LANGUAGE �/\ 51 ANRE OF PERMITTEE DATE ' COUNTY OF LOS ANGELES TEMPLE CITY W 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0709170002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID BUILDING ADDRESS: ON FILE 9423 BROADWAY IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802446 ASSESSOR INFORMATION N'UMBER I INEAREST CROSS STREET: CLOVERLY 18588-003-020 IA1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 8.00 OUT 15.60 11 TENANT: IG2 LIGHTING FIXTURES 4.00 LGT 7.80 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: IH7 RES EXHAUST FANS 1.00 EX 10.95 109/17/07 SR 03/15/08 TOTAL FEES 62.10 1 OWNER: TEL. NO: IFINAL ATE //��1' FIN L BY: CODE: 1MARY L (626) 309-0005- 1Y� 194239423 BROADWAY ITEMP 917802446 ID SCRIPTION OF WORK V (ELECTRICAL FOR BATHROOM REMODEL (APPLICANT: TEL. NO: [ L & W KITCHENS & BATHS (626) 287-1131- 18812 LAS TUNAS 1 ISPECIAL CONDITIONS: SAN GABRIEL CA 91776 I I ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE [ 1L AND W KITCHEN AND BATHS (626( 287-1131- 1 1 1 18812 LAS TUNAS DR. LIC. NO I [TEMPORARY POWER POLE SAN GABRIEL, CA 91776 2053448 1 (UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I I I I I I LIC. NO: IROUGH CONDUIT I IROUGH WIRING 'v MAIN WATER LINE lUv [ IPLASTIC YIN METAL YIN (UTILITY COMPANY NOTIFIED( I I I I I I I I I I I I II I I I I I I I I I I I I I I I I (REPORT ID: DPR265 ROUTE TO: BS 0508 1 I I I I I