HomeMy Public PortalAbout9634 BROADWAY_Electrical__ 7GA663 Das SA 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �� 1
.•� WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. LGRE]UPNE PERMIT NO.
ELECTRICIANRECEIVED BY R GATE ISSUED
,/1 /� TION
CITY/�/� /ii �i//A TEL. NO.✓/)-/ IV�I `=♦ �hJ ��/
COUNTY LICENSE NO. I EXPIRESL "Z.I��-1! AallILDING
DDRE5 ' l`�VN
PERMIT FEES
NUMBER EACH FEE ♦
LOCALITY -1AV-'oA' AA V
LIGHT ❑ NEAREST
RECEPTACLES
CRD999T.
WALL SWITCHES OWNER C- a .n �1.nOJ B
TOTAL OUTLETS 5C $ �. MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES _L 5 �0 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
M19C. APPLICATION AND STATE THAT THE ABOVE IS 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 1 POSSESS THE ABOVE VALID LOB
NUMBER HORSEPOWERANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
FEE
NEW MVG. HP GVCR INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I/E s LCss $ .25 SIGNATURE OF )-J�� �/7
I/p 2 .50 PERMITTE ./I
/ a
2 s 1.00 SPECTION RECORD
s is 1.50 ..
_ is so z.sG _
_ 50 200 6.00 _
_ 2O0 500 10.00 1
_ Soo 1000 IS.GD Z
OVER IOOO 20.00
M.G. SET/FRED. CHANGER-HP Q'
WELDERS: AC-KVA
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% CF PRIG.)
MOVED MOTORS (75% GF GPIG.) _
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
No. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 ( �Q CONDUIT /
FIXTURES $1.00 (♦L,.e WIRING !",A iJ leA)
'V
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ UTILITY CO. NOTIFIED
FINAL
COUNTY OF LOS ANGELES TEMPLE CITY W 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0']09250031
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING,ADDRESS...
ON FILE 1 9634 BROADWAY
1FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917803204
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET:
18588-023-032 JAI PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
G1 OUTLETS-LGT,SW,RECP 15.00 OUT 29.25 I I
TENANT: 1G2 LIGHTING FIXTURES 3.00 LGT 5.85 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
1LB 200 AMP PANELS, MCC 1.00 PAN 38.85 109/25/07 SR 03/23/08
TOTAL FEES 101.70 1
OWNER: IFICDA
�T]E�/ FIN Y: CODE:
1 9634 BROADWAY I U
TEMP 917003204 IDESCRIPTIO14 OF WORK
ELECTRICAL FOR ADDITION AND UPGRADE SERVICE PANEL TO 200
IMP
APPLICANT: TEL. NO:
1E. A LINE DESIGN (818) 402-3906-
15337 "D" COLDWATER (SPECIAL CONDITIONS:
SHERMAN OAKS 91401 1
111 CONTRACTOR: TEL NUR
O: APPROVALS DATE INSPECTOR SIGNATURE
EXCEL CONSTRUCTION E REMODELING (888) 568-2525-
114416 HAMLIN STREET $208 LIC. NO ITEMPORARY POWER ROLE
VAN NUYS, CA 91401 894819 H
1 1 1UNDERGROUND CONDUIT 1 1 1
(ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND
JE. A LINE DESIGN (888) 402-3906- 1 1
1
15337 "D" COLDWATER CANYON AVE LIC. NO: 1 IROUGH CONDUIT
SHERMAN OAK, CA 91401 NONE
ROUGH WIRING /
1 1 11MAIN WATER LINE 1 I 1
PLASTIC Y/N METAL Y/N
1 IUTILIIY COMPANY NOTIFIEI�h .
I I 1 1 1 I
I I I I I 1111
111 1 i i i 11111
1111 1 1 11 I 11
11111 11111 I 11 I 11111
I1 I1 I I 111 111
I1 1 11 II 111 111
1 1REPORT ID: DPR265 ROUTE TO: BS050S 1 1
I
`e COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0912130014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 'EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
9634 BROADWAY
1 ON FILE IFEE DESCRIPTION: QUANTITY DOM: AMOUNT I TEMP CA 917803204
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET: T
18588-023-032 IA1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
H2 1 OR 2 FAMILY DWELL 896.00 SQ 94.08 I III
(TENANT: I TOTAL FEES 121.83 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
112/13/07 SR 06/10/08
TOWNER: TEL N0: IFINAL DATEI Az7TL BY: CODE:
DAMS MARIA H —
19634 BROADWAY I 1-f�
ITEMP 917803204 1 IDESCRIPTION OF WORK 1
IRE—WIRE ENTIRE HOUSE 1
1APPLICANT: TEL. N0: 1 1
IS A LINE DESIGN (818) 402-3906-
15337 "D" COLDWATER 1SPECIAL CONDITIONS:
]SHERMAN OAKS 91401
CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
IEXCEL CONSTRUCTION AND REMODELING (888) 568-2525— 1
114416 HAMLIN STREET #208 LIC. NO (TEMPORAR( POWER POLE
VAN NUYS, CA 91401 894819 B
(UNDERGROUND CONDUIT
I I I
ARCHITECT OR ENGINEER: TEL. NO: TOFER GROUND
E. A LINE DESIGN 1888) 402-3906—
I5337 "D" COLDWATER CANYON AVE LSC. NO: ROUGH CONDUI'
SHERMAN OAK, CA 91401 NONE
ROUGH WIRING II-
IMAIN WATER LINE
IPLASTIC Y/N METAL Y/N
1 1UTILITY COMPANY NOTIFIED(
1 � 1 I I I
1 (III I I VIII
I I I I I I
III II 11 11 II I
1 II II I
I (III III I I I
T I II
I I I
REPORT ID DPR265 ROUTE TO: SS0508
I I I I I I