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Home My Public Portal About9427 BROADWAY_Electrical__ DBS 5A 25M SETS 9-49 ' APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ' . COUNTY OF LOS ANGELES �'�Ei C WM. FOl(X�� CHIEF ENGINEER q NAME /./ OkE YAC DISTRICT NO. GROUP ZOONE PERMIT/NO. ADDRESS // 6 0 of U CITY<:5: TEL.NO. m&J O RECEIVED BY FIRST INSPECTION j COUNTY N CERT.NO. EXPIRES APP CANT FILL. IN HEAVILY OUTLINED PORTION ONLY 1/)� DESCRIPTION OF WORK ADDRESS /� /YYP NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS n* CROS6 ST. CIRCUIT A I B C D E F G H WNAME Z MAIL (� B O 3 ADDRESS I -� oQ/T � �., //z L/ 0' M I O CITYTTivM/RL6G &6lA TEL-NO. V 1 AM THE L06AL PDS9I- OR OF THE ABOVE LOS L / ,ANGELES COUPTY CRFM9IICATE OF IFI ;TI N:. ,41 if IY] d x✓^ CTRICIAN. . I AM THE LEGAL OWNER OF THE PRO Y DESCRIBED S ABOVE 01 it O O DINNER. CORREGrIONS P f J Q. Z O tt O TOTAL NO. OF OUTLETS O S O O APPROVALS ' NO. OF FIXTURES S DATE INSPECTOR'S NAME NO. OF MOTORS H.P. S CONDUIT NO. OF SIGNS TRANS. S WIRING NO. OF RANGES OR HEATERS S FIXTURES MISCELLANEOUS S / POWER 2 PERMIT FEE S UTILITYCO.NOTIFIED TOTAL FEE FINAL ti 76AS63 DBS SA 7-51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ( �1 COUNTY OF LOS ANGELES Exam"; FOR WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILLN DISTRICT NO. GROUP ZONE - PERMIT NO. //I'' ELECTRICIAN7� 1 l.CLf / - /� T EI lJ� RECEIVED BY READY FOR GATE ISSUED ADDRESS ✓ (/ - �'f FIRST INSPECT ION 6 !` CITY /.j1i`+.re.a/.:. TEL. ND. 0UILDIN7Y31t_4 - `y - `-��/�'7- COUNTY LICENSE NO. EXPIRES AODRE89G / / PERMIT FEES T NUMBER EACH FEE LOCALITY _J_�/z LIGHT OUTLETS NEAREST AV CROSS ST. RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS 1 Sc $ O MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 23 CITY TEL. NO. FIXTURES 4- 5 I +HEREBY _ACKNOWLEDGE THAT I HAVE READ TkIIS MISC. APPLICATION AND *STATE THAT THE ABOVE 19 CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS A NuweEa HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER New Mvo. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. 1/a a LEss $ .25 SIGNATURE OFZ 1/i 2 .50 PERMITTEE LJ 2 9 1.00 INSPECTION RECORD 5 15 IlSo is so 2.50 so 200 5.00 200 Sao 10.00 Boo 1000 15.00 Q Z OVER 1000 20.00 5 M.G. SET/FRED. CHANGER-HP WELDERS: AC-KVA __ D GENERATORS - KW TRANSFORMERS - KVA _ TEMP. MOTORS (75% of ORIG.) MOVED MOTORS (75% OF O910.) _ MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: __ DATE INSPECTOR'S NAME WIRING 51.00 1(50 CONDUIT FIXTURES $1.00 0. WIRING 2Q Sso SUPPLEMENTARY .SO FIXTURES to POWER TOTAL FEE ® UTILITY CO. NOTIFIED �t✓ FINAL 'R "� /`'-l/ 76AS6 SA 25M SETS 7-49 APPLICATION FOR PERM DEPARTMENT OF BUILDING AND SAFETY ��C COUNTY OF LOS ANGELES wm. J. FO/SX HI F E (NEER N �� 9 ,2 - 7 /^� NAME U 7Z-O-NF-7PERMIT NO. ADDRE6�.J/11J,0 7�J��/J � tee[/ ,1_ D/.RI�G�'IJO. G._[- P �`/ / G.j 7 READY FOR 4.U11 CITY A ,104 O 19 TEL.NO.1// /J Z/n� �R/JE�CJE/�IVED BY FIRSTCOUNTY INSPECTION DATEISSUED �1 L CENSE NO. ��/M EXPIRE. �o Dfl/✓'1 G/W///1 i �✓ `l APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY /67 rr JOB DESCRIPTION OF WORK ADDRESS //// l/(/I/�4✓ NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST S _ LIGHT OUTLETSSW. PLUGS FIiT CROSS 8T. CIRCUPT A B C D E F Jr. JH R NAME / W n O ADDRESS V `Y Y 9/ / A /1R-o6J CITY AfA A. 1,6 edTEL NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE-OF QUALIFICATION:. ELECTRICIAN. I AM Tfi6{:EGAL, OWNC'Rlbo—Rt PROPERTY DESCRIBED - Aeove OWNER. CORRECTIONS - p-- — _mss---- _ A/o-e A/o %{ / m �„ o< 5 S Q y — xf—C/ z co 4/ N E ' a TOTAL NO. OF OUTLETS APPROVALS NO. OF FIXTURES S DATE INSPECTOR'S NAME NO. OF MOTORS H.P. S CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OFRANG OR HEATERS FIXTURES MISCELLANEOUS S ii POWER PERMIT FEE UTILITY CO.NOTIFIED TOT FEE ) FINAL -Y ��vA A/ V WORKERS'COMPENSATION DECLARATION CE-B06 IO/BI APPLICATION PP ICA TION FOR ELECTRICAL Ir IG11 R IT i hereby affirm that I have a certificate of consent to self CE-8066 P91�I�IL 'bi"i Iltl 9N9 insure, ar 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 ❑ 9 Certified copy is hereby furnished. New Residential Bldgs, 8 Pools EACH NO. FEE ADDRESS ^ ❑ 1'8 2-Family, LOCALITY 7' 1 Certified copy is filed with the county building inspec- y. Sq. Ft. $ — $ �f..:' tion department. Multi-family Sq Ft. NEAREST CROSS ST. 0LIC– /Z G/am• 1 Dote Applicant Residential Swimming Pools OWNER OR �(,1 -( FIRM NAME �IIN T- 'CERTIFICATE OF EXEMPTION FROM WORKERS'INSURANCE ADDRESS OutlMAIL ets: Rec_Light_$w._ n COMPENSATION .0 C 1Q041 t{//iY (This section need not be completed if the work involved by First 20 the permit is for one hundred dollars ($100)or less.) Total No. Additional CITY L'`7 f Tel. No BG-07� certify that in the performance of the work for which this PLAN CHECK APPLICANT permit is issued, I shall not emF on in a anner so as to'bec m subject to the al' n Lo s. Lighting Fixtures First 20 ADDRESS (� �0�,� t Total No. Additional CITY J�'� LC � I, t Tel. No. �,S ��Date ApplicaFixed Appliances Not Over I HP PERMITNOTICE TO PPLICANT: If, this Certificate of APPLICANTExemption, you should ecto the Workers' Range— Heater_D.W.Compensation provisions f te, you must forth- Oven _ Dryer _ W.M.— ADDRESS 4— L(J with comply with such provisions or this permit shall be Top _ FAU —W.H. — � deemed revoked. Hood _ Fan _ Other_ CITY'�^� 4e-el -t Tel. 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. PROCESSED BY } and Professions Code, and my license is in full force and effect. Size 8 Type HP, KW, KVA, or KVAR' r O License Number Lic. Class Up to I Incl. FINAL V Contractor Date Over I to 10 Incl. DATE /LY VALIDATION ❑ Over 10 to 50 Incl (/ am exempt under Sec. FINAL Over 50 to 100 Inc. BY LVis r B.BP.C. for this reason Over 100 h Date: Services, Swbd., MCC 8 Ponelboards D Z 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V - 1 O a 9A ❑ , Exemption for Reg. Mainz. Elect. Over 1000 Amp, or Over 600 V # SINGLE FAMILY Temp. Power Pole B Appurtenances + HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ,2�°,° 2,5,,5 0 1 hereby affirm that I am exempt from the Contractor's license Low for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits 2 a 5 09 Professions Code): • i . ❑ I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors - '015, 5 O 9,—E.Q. structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ D 7044, Business and Professions Code). ' CONSTRUCTION LENDING AGENCY - I hereby affirm that there is o construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) - - (Sec. 3097, Civ. C.). PLAN CHECKING FEE - Lender's Name - PERMIT ISSUING FEE V/ Lender's Address _ I certify that I have read this application and state that the TOTAL FEE C above information is correct. I agree to comply with all County , ordinances and State laws regulating Electrical wiring, and eby au Itorize top�5gmotives of this County to enter upon th abov me ti dd Fogerty E r ' spection p t S V SEE REVERSE FOR EXPLANATORY LANGUAGE tgnoture of Permittee Date J DEC TION 76A66 WORKERS'that t I have a certificate cafe of corse CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-8066 insure, or o certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES T7 G. v BUILDING AND SAFETY or a certified copy thereof (Sec. 3800,.Lab. C.) rn _Y Policy No.Jg (_°om pony�„/ £- �1 TDMA FOR APPLICANT TO FILL IN JOB ''1 Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS r sy ® Certified copy is filed with the county building inspec- 18 2-Family, Sq. Ft. $ — S LOCALITY Clrg` tion department. Multi-family Sq. Ft. — 'NEAREST -_CROSS ST. Date`+ FI Applimn r Residential Swimming Pools OWNER OR FIRM NAME JIF �f CERTIFICATE OF EXEMPTION FROM.WORKERS' Outlets: RecLighMAIL tSw._ l COMPENSATION INSURANCE ADDRESS 69 (This section need not be completed if the work involved by First 20 the permit-is for one hundred dollars ($100) or less.) Total No. Additional CITY jr/% 1tr?r Tel. 1\12.7f-.1-1772-7 I certify CHECity that in the performance of the work for which this APPLICANT so is issued, shall not employ any person in satto anner Laws. sa os to become subject tothe Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS - Total No. Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT _ /7 NOTICE APPLICANT: If, after making this Certificate of APPLICANT Exemption, you should become subject to the Workers' Ronge_ Heater—D.W. _ Compensationprovisions of the Labor Code, you must forth, Oven _ DryerM.— ADDRESS 7?z.7 �l C/! hCUl7 with comply with such provisions or this permit shall be Top — FAU ;_;�_w.H. — deemed revoked. Hood Fon _Other_ CITY LICENSED CONTRACTORS DECLARATION LICENSE OR � �p p I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. REG. NUMBEuxp F 0 �� Class.C z (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCESS 8Y and Professions Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances Y 0. n G p,T / Size 8 Type HP, KW, KVA, or KVAR' �l �U� Q License NumberIX a�a 0 h- Lic Class C_ZCT Up to I Ind. FINALV DATE �/o �.QdC�(M�7b Over 1 to 10Incl.. DATE VALIDATION K Contractor / P/E�7XLC.J��/A',�e �� f - -�' O ❑ Over 10 to 50 Inc[. H FINAL am exempt under Sec Over 50 to 100 Inc. BY G� w B.BP.C. for this reason Over 100 W Date: Services, Swbd., MCC 8 Ponelboards D ? 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp, Under 600 V ❑ - Exemption for Reg. Mainz. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY .Temp. Power Pole 8'Sign with One Branch Circuit eZ Appurtenances - ) `3 6 3A HOME OWNER-BUILDER DECLARATION n # oo'o a I hereby affirm that I am exempt from the Contractor's License Sigwith Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Cade): ❑ _I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors ro o1B � (L�� structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)— D 7044, Business and Professions Code). O S 2 ) -8 Q 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) 3 (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name - PERMIT ISSUING FEE (� Lender's Address I certify that I 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 representatives of this County to enter upon - the/ob�ove-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE D to Signature o Permittee COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1107200044 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 265-0488 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: I ON FILE — 9427 BROADWAY I IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917802446 1 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET: 18588-003-021 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 9.00 OUT 17.50 (TENANT: IG2 LIGHTING FIXTURES 1.00 LOT 1.90 (ISSUED ON: PROCESSED BY: PLAN BY: IH2 RES GRBG DISP LT 3HP 1.00 DIS 10.90 107/20/11 SR IH3 RES DISHWASHR LT 3HP . 1.00 DIS 10.90 TOWNER: TEL. N0: IH4 RES RANGE HDS LT 3HP 1.00 HOO 10.90 1FINALDATEFIaAL BY: - CODE: PEEBLES, VZVIAN - TOTAL FEES 79.90 �/�� ' L/�� 9427 BROADWAY (` _V �,J ITEMP 917802446 NrCRIPTION OF WORK 141 ELECTRICAL FOR KITCHEN REMODEL (APPLICANT: TEL. NO I IMOCK ON WOOD CONSTRUCTION (626) 376-2516- 1125 E. SANTA CLARA ISPECIAL CONDITIONS: ARCADIA, CA 91006 I I CONTRACTOR: - TEL. N0: JAPPROVALS DATE INSPECTOR SIGNATURE 1KNOCK ON WOOD CONSTRUCTION, INC. (626) 376-2516- - 1 1125 E SANTA CLARA AVE. 418 LIC. NO ITEMPORARY POWER POLE I ARCADIA CA 91006 719486B IUNVERGROUND CONDUIT I I I I I (ARCHITECT OR ENGINEER: TEL. N0: 1 1UFER GROUND I I � - _ I LIC. NO: I IROUGH CONDUIT I I I IROUGH WIRING - (MAIN WATER LINE - (PLASTIC YIN METAL YIN 11 11 I - (UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I I I I I I I I I - (REPORT ID: DPR265 ROUTE T0: 850508 I I I I I I