HomeMy Public PortalAbout9628 BROADWAY_Electrical__ 75A569.CE806-7-56 APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DIVISION
Department of County Engineer BUILDING
County of Los Angeles ADDRESS
JOHN A. LAMBIE, COUNTY'ENGINEER _C
CASSATT D. GRIFFIN, Sur••T OF BU I LE.
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. I[J Y
PERMIT FEES �•r
Nu ER OWNER R
LIGHT OUTLETS MAIL
ADDRESS
RECEPTACLES
WALL SWITCHES FEE CITY TEL. NO.
TOTAL OUTLETS @ S4 $ / ELECTRICIAN G C
ELEC. RANGES 25 �. ADDRESS //r/ � >� ST
ELEC. HEATERS 25 CITY SX- TEL.
KW EA STATE
FIXTURES 5 U LICENSE NO.
17
MOTORS DISTRICT NO. GROUP ZONE I READY roe INSPECTION
NUMBER HORSEPOWER FEE I �/
NEW I MVD. HP OVER INC. EACH
Ih a LESS IS .25 7 INSPECTION RECORD
V2 2 s0
2 5 1.00
5 15 1.50
15 50 2.50
50 200 5.00
MISO.
NO. SIGNS NO. TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING PERMIT $1.00 I
FIXTURE PERMIT $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE $ Z 7 iJ DATE INSPECTOR'S SIGNATURE
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPL CA� CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY RE ISTERED AND/OR
LICENSED AS REQUIRED &A LOS ANGELE CO Y ST TE OF POWER
CALIFORNIA OR THAT I THE LEG 0 N R F TH ABOVE
DESCRIBED RESID TIA OPERTY. UTILITY CO, NOTIFIED All
SIGNATURE
OF PERMIT TE FINAL lot 1 4
JOHN A. LAMV,�.LIDATION 'ARTHUR C. VEIT.
COUNTY ENGI R MO CASH SUPERVISING ELECTRICAL ENGINEER
K
ILkCo6 4 9 fi-� MAR 27 2 5;40 In
�re�c els .
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS EL 0508 0710260011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91760
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
ON FILE I 1 9628 BROADWAY
IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803205
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: TEMPLE CITY
18588-023-014 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
I IF1 120V, 15/20A BR CKTS 1.00 BR 17.25 1
1 TENANT: IF2 208, 277V LOT SR CKT 1.00 BR 27.30 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
I IG1 OUTLETS-LGT,SW,RECP 10.00 OUT 19.50 110/26/07 SR 04/23/08
IG2 LIGHTING FIXTURES 1.00 LOT 1.95
IOWNER: TEL. N0: I TOTAL FEES 93.75 F.I{y-]AL D^A�TE�^� FINAL Y: CODE:
BROWN DAVID A;SUSAN L TRUSTEES (626) 288-2091- 1 (1�[ 1
11646 HAZEL AV •�J�/�•��+(�
IROSM 917704314 IDESCRIPTION OF WORK
IREPAIR ELECTRICAL WIRING I-SMEDROOM PLUGS, SWITCH LIGHT I
FIXTURES
APPLICANT: TEL. NO:
CARE CONSTRUCTION SERVICES INC- (562) 404-7444-
13610 IMPERIAL HWY SPECIAL CONDITIONS:
(SANTA FE SPRINGS
I I I
CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
(CARE CONSTRUCTION SERVICES (562) 404-7444-
113610 IMPERIAL HWY STE 2 LIC. NO TEMPORARY POWER POLE
SANTA FE SPRINGS CA 90670 B/L 33799
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
I
I Lm. No: I 1Roocx CONDUIT I
IROUGH WIRING
MAIN WATER LINE
IPLASTIC YIN METAL YIN 1
(UTILITY COMPANY NOTIFIED(
1 111 III I I ��
I I I I I
II i III II 111 III
� III I I I I
I I III I (III II
* ADDITIONAL DATA ON FILE
I 11 I I I I
I IREPORT ID: DPR265 ROUTE TO: BS0508