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HomeMy Public PortalAbout9637 BROADWAY_Electrical__ ]BABOS-CESOO t2-98 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE.COUNTY ENGINEER CASGATT D.GRIFFIN,SUPT OF BUILDING LOCALITY f FOR APPLICANT TO FILL IN CROSST / PERMIT FEES �r ITEM NUMBER EACH FEE OWNER OUTLETS: S S MAIL LIGHTS RECEPT. SW. Z`� �- .1G a ADDRESS a LIGHTING FIXTURES .10 !v CITY l TEL ELEC.RANGES CLO,DRYERS ELETRICIAN WATER HEATERS .50 AD SS 70 14y, ELEC.SPACE HTRS. DISHWASHERS NO.� GARBAGE DISPOSERS AUTO.- CI TEL.STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. DISTRjCT N G OUP ZONE P SSED BY 0— V. .25 y A ,— 2 so INSPECTION RECORD 2— 5 1.00 5— 15 1.50 15— 50 2.50 7 50-200 5.00 - ��/ -� SIGNS: NO'TRANS. NO,LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRINGPERMIT 1.00 1 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE JCOMP�y APPROVALS HEREBY HAT THE ABO THAT 1 HAVE READ TATION DATE INSPECTOR'S 91GNATURE ANDSTATE THAT THE ABOVE IS CORRECT ANO AMPLY CONDUITWITH ALL COUNTY ORDINANCES AND STATE LATINGELECTRICAL WIRING. WIRING1 HEREBY CERTIFY TH T 1 AM PROP LY EGD/ORLICENSED A5 R IR D Y LOS ANGE 5 NTE OF FIXTURES ALIFORNIA 9R THA / qM THE L AL N RBOVEDESCRIBED �SIDEN PR ERTY. / POWER SIOF PERMI2UTILITY CO.NOTIFIED FINAL .'L/ O VYLUfAG(J ®T /VALIDATION ARTHUR C. VETT. cK Mo IOCASH SUPERVISING ELECTRICAL ENGINEER L'&3 4 8 2 JUL 12 2 D 3 .0 0 no WORKER'S COMPENSATION PENSATIONDECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT 0-001 I hereby affirm that I have a certificate of consent to self insure, or's certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. cc*thereof(Sec,3800 Lab, C.) Policy No. Company FOR APPLICANT TO FILL IN JOB i(p Certified'copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE ADDRESS 3 $ LOCALITY El Combed copy is filed with the county building inspection 1 &2-Family,Sq.Ft. NEAREST department. Multifamily Sq. Ft. CROSS ST. Date - Applicant Residential Swimming Pools ASSESSOR MAP BOOK pgGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Red._Light—L Sw._ gpryNj NnME COMPENSATION INSURANCE / First 20 MAIL J, (This section need not be completed If the work Involved by the 1 ADDRESS G lv permit is for one hundred dollars(3100)or less.) Total No. Additional 1 I certify that in the performance of the work for which this permit CITY 6 Tel.No. is issued, I shall not employ any person In any manner so a5 to PLAN CHECK 17 become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT ' , _ Total No. Additional ADDRESS Date� -� _-Applicant ::s` ._ ` NOTICE TO APPLICANT: If, after making this Ce tificate of RESIDENTIAL APPLIANCES NOT OVER 3 HP. CITY Tel.ND. Exemption,you should become subject to the WorkersCitimpensation OTHER APPLIANCES NOT OVER 3 HP, provisions of the Labor Code, you must forthwith comply with such PERMIT e provisions or this permit shall be deemed revoked. Power Apparatus 8 Large Appliances APPLICANT —c�c 0/ LICENSED CONTRACTORS DECLARATION' Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 over 310 101nc1. / 6 G�-yGJ (commencing with Section 7000) of Division 3 of the Business and CITY G Tel.No. Professions Code, and my license is in full force and effect. Over 10 to 501nc1. Over SO to 100 Ind. REG .NUMBER ��796� - Cl...Clasae CENSE OR >_7 License Number �.� / ! (o Le.Class r.� Over 100 DISTRICT NO. SSED BY 0 / ervices,�$�,wbdd.., MC &Pan boards Contractor, '-Date r I!� 1 °-Ss9 .. n er 600 V 7 .5 FINAL 0 DATE F- ❑ I am exempt under S c. 400-1000 Amp.Under 600 V _ :��(� T VALIDATION V ( Over 1000 Amp.or Over 600 VFINALd B .&P.C.for this reason By BRANCH CIRCUIT FEES U) Date: 15A,or 20A, 120V,Lighting or Recept. Z_ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits F1 - 41 Or More Branch Circuitst Exemption for Reg.Maim.Elect. 15A,20A,206V To 277V Lighting Br.Circuits SINGLE FAMILY Temp. Power Pole&Appurtenances HOMEOWNER UILDER exempt DECLARATION -�- O! •(`j I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit .j,;;i , �fi=�•. for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits `h�: Code): i ' ❑ 3 J�'l e 0 I, as owner of the property,will do the work and the structure Misc.Conduits 8 Conductors 144jr?� cv--=- is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) (,yEl.Ls and Professions Code). _ 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 (Sec. 3097, PERMIT FEE (Sub-Total) Q n.n t r .�st-1 yO; Civ. C.) COW-4001 .: -F PLAN CHECKING FEE Lender's Name 0,44"q PERMIT ISSUING FEELender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE 9 that the 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 toent r upon the above-mentioned property for ins�pej on purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTEE `d-ATE /-I�� '°"°°'`°°°°'°° Ef=E APPLICATION FOR CTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER /.., _ CASSATT D. GRIFFIN.SUPT OF BUILDING LOCALITYfJ/�//�{; (�� / FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. OWNER ' C F_ T / ly ITEM NUMBER EACH FEE MAIL OUTLETS: $ $ ADDRESS LIGHTS RECEPI'. SW. .1OLIGHTING FIXTURES 10 CITY T .NO. ELEG RANGES CLO.DRYERS ELECTRICIANWATER HEATERS .50 ADDRESS ELEG.SPACE HTRS. DISHWASHERSLl CITYTEL.GARBAGE DISPOSERS AUTO. STATEWASHERS STA.COOKING UNITS .25 LICENSE NO.MOTORS: OVER Inc. x.P. DISTRICT NOG OUPZONE P SES O— Vz .25 L ;[ 1/E— 2 .50 INSPECTION RECOIWf 2— 5 1.00 5— I5 1.50 15— 50 2.50 50-200 5.00 SIGNS: ?�/�n 2/ l NpG/Gf NO.TRANS. /� OEC N /C D J No.LAMPS iJ ,FiJ' 7NF/,/ /I T FiAPII771&`./J SERVICE 0-500V 1.00 Cl ) SERVICE OVER 500V 5.00 MISC. /7 ns /n/✓n /r Ls Er?V /ELOS) Ca//T'lfiNS ONLY WIRING PERMIT 1.00 OPPE.Y 70REI Fok RFFR/6F2A1/T FIXTURE PERMIT 1.00 C/R / A716AI. SUPPLEMENTARY PERMIT .50 /TN ZOAIMAI TOTAL FEE le fl I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. // ���ry✓v�aaw'.✓ 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES U Y ANO STATE OF FIXTURES CALIFORNIA OR THAT 1 AM L L OF THE ABOVE OESCRI BED RESIDENTIAL PRIERTT. POWER SIGNATURE UTILITY CO.NOTIFIED ��y1-7 i OF PERM ITTEP FINAL 'IL'IOD LXn' lL/ 7,JhL:� Or XAYADATIONARTHUR C.VEIT, MO CASH SUPERVISING ELECTRICAL ENGINEER CK 4 n.,. 1 7 AUG 3 2 D 3 .0 0 v. �G`'12��'�✓ra� '°A°"-Ce061O5p APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISON ADDRESS �67 �20.°2/XAJR Il JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN,S'UP'T OF BUILDING LOCALITY 7U�- FOR APPLICANT TO FILL IN NEAREST/l PERMIT FEES CROSS ST. ITEM NUMBER EACH FEE OWNER OUTLET / 5 $ MAIL - LIGHTs .e1 RECEPG . sW. .10 ADDRESS LIGHTING FIXTURES 10 CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIIA5 Tr WATER HEATERS .50 ADDRESS -6106 ELEC.SPACE HTRS. DISHWASHERS CITY Or TEL. N0..-_'X___2S U AR EDISPOSERS AUTO.- �. STATE N_>t�/, WAS ERS — ETA.COOKING UNITS / .25 LICENSE NO. CI/ / C� CJ MOTORS: OVER INC. H.P. DISTRICT NO. I GRQUP ZO E I PR SSED BY O- 'A .25 �" -.JH_'^ v�- 2 .50 INSPECTION RE ORD 2— 5 1.00 5— 15 1.50 15— 50 2.50 50-200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-500V 1.00 l— SERVICE OVER BOOV 5.00 MISC. WIRINGPERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE $10; 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLO ICAT N APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING i I/(L(d��.E$//(fAy LICENSED AS REO /RED BY LOS ANGELES COUNTY AND STATE OF FIXTURES i (-�// L[iA!All CALIFORNIA OR'T AT I AM THE LEGA OWNER OF THE ABOVE DESCRIBED RESIDE TIAL PROPERTY. POWER SIGNATURE } UTILITYCO.NOTIFIED OF DATION G VETT. ®1 XA ARTHUR CK MO CASH SUPERVISING ELECTRICAL ENGINEER r"i,062132 FED 8 2 A 10.8 0 . WORKERS'COMPENSATIONDECLARATION 76A663 (2 80) APPLICATION FOR ELECTRICAL PERMIT �. 1 hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES /. BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy-thereof(Sec. 3800,Lab..C.) , Policy No. CompanSeF W urP FOR APPLICANT TO FILL IN J0B 3 zlro New Residential Bldgs.&Pools EACH NO. FEE ADDRESS Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY' Er Multi-family Sq. Ft. NEAREST Certified copy is filed with the county building inspection CROSS ST v depa [ment, r^ Residential Swimming Pools OWNER OR �,\�J/ FIRM NAME Date Applican Outlets: Rec.—Light Sw._ MAIL First 20 ADDRESS /� CERTIFICATE OF EX -PN FROM WORKE Total No. Additional CITY Tel No.Ot S-Rv COMPENSATION INSURANCE IL PLAN CHECK d L)(This section need not be completed if the work involved APPLICANT Lighting Fixtures First 20 by the permit is for one hundred dollars ($100) or less.) g g ADDRESS � Additional I certifythat in the Total No. ,- performance of the work in which this CITY Tel No. permit is issued, 1 shall not employ any person in any manner Fixed Appliances Not Over 1 HP PERMIT L) so as to become subject to the Workers' Compensation Laws. Range_ Heater—D.W. APPLICANT d y ' Oven _ Dryer_W.M._ ADDRESS Ci � � Q� Z Date Applicant Top _ FAU —W.H.. Hood _ Fan _Other_ CITY ,1' e t fl Tel No. (1i ?076 NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Roo Air Cond. 3 LICENSE OR /-� Exemption, you should become subject to the Workers' Zl f REG. NUMBE 11 Class Compensation provisions of the Labor Code, you must forth- o er A aratua& Large ppliances DISTRICT NO. PROCE ED BY with comply with such provisions or this permit shall be Size& ype HP, KW, K A,or KVAR �� deemed revoked. J Up to 1 Incl. FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE - VALIDATION Over 10 to 50 Incl. I herebyaffirm that I am licensed under FINAL / provisions Chapter Over 50 to 100 Inc. 9 (commencing with Section Division 3 the Busi- Over 100 BY ness and Professions.Cod e, andd my my license is in full force and { ox effect. lam/ r� Services r, V License Number�l I A Lic.Class � ' v 0-200 Amp. Under 600 V 201-1000 Amp. Under 600 V r Contractor ' Date� Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.,Power Pole&Appurtenances �Y I ` ,Ul� 2183 3 A 1VV' I hereby for that [ am exempt from the Contractor's Sign with One Branch Circuit # o d e oro 'Z License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits t, I ness and Professions Code): � �ro o 1 A Q Q Misc.Conduits& Conductors t s EJI, as owner of the property, will do the work and they y ,' 0 0 0 1�� p 0 structure not intended noffered for sale (Section Other(See Complete Fee Schedule)— V � 7044, Business and Professionss Code). � 1 ,043 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency l for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) Sec. 7097,Civ.C.). f IWY, Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE I certify that 1 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 above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sign Lure of Permitte Date z WQRKER'S COMPENSATION DECLARATION 2 9 DPW(191) 76A663 APPLICATION FOR ELECTRICAL PERMIT 6A66 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.) ��}�n -J_ `' 'Policy N04+^V / / ✓O COmpanyVC= / y`v� FOR APPLICANT TO FILL IN gDDRESS Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY f IJ✓ Certified $ $ d copy is filed with the county building inspection 1&2-Family,Sq. Ft. NEAREST �L department, , Multi-family Sq.Ft. CROSS ST. Residential Swimmin Pools &t7�U Date Applicant L ( � CP,0_r./ g ASSESSOR (' MAP BOOK ���ga PAGE fU PARCELP0 CERTIFICATE OF COMPENSATIONI INSURANCEFROM WORKERS' Outlets:Rea L Light Suv. /�%Q &V FIRM NAME V Q'ir c/ 4,11 iP First io MAIL (This section need not be completed(Sl O the work involved by the ss Total No.� Additional r� ADDRESS permit Is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit., ;/0 7Z CITY /-�Tf �L< G[ Tel.No. IS issued, I shall not employ any person In any manner so as t PLAN CHECK become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 O APPLICANT Total No. Additional I ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this.Certificate of CITY TeI.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 provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT *J;"5 LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS Z73, III l l.,-L,PCAfJ A-If-r I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Ind ^DIrJ (commencing with Section 7000) of Division 3 of the Business and CITY n DA/ C TeI.No Professions Code,and my license is in full force and effect. Over 10 to 50 Ind. �• LICENSE OR ,,//�� Class Over 50 to 100 Ind. REG.NUMBER V V a � Over 100 DISTRICT NO. P SED BY O License Number � Litt.Class ` p C) Services,Swbd.,MCC&Panelboards Contractor L�'.�i A- L6%�. Date �``�`���`Y FINAL C�c� 0 0-399 Amp.Under 600 V ` / ❑ am exempt under Sec. 400-1000 Amp.Under 600 V DATE/�` 2 v O Over 1000 Amp.or Over 600 V FINAL Over lL Q. B.&P.C.for this reason BY BRANCH CIRCUIT FEES Z Date: 15A,or 20A, 120V,Lighting or Recept.' _ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ' 41 Or More Branch Circuits F-1Exemptionfor Reg.Maint.Elect. 15A,20A,208V To 2TN Lighting Br.Circuits it SINGLE FAMILY Temp. Power Pole&Appurtenances _ HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): - --- - ❑ ; . r....rc. I, as owner of the property,will do the work and the structure Misc.Conduits&Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) Poo. f _ 60 and Professions Code). CONSTRUCTION LENDING AGENCY C ?i Dt'_,!I r.i F 'N' 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) Q Civ. C) PLAN CHECKING FEE Sj"t 1'�LI—:,rj[i�i� cjrq`t.: Lender's Name / PERMIT ISSUING FEE 56}, Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE IOV that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of thi unty to enter upon the above-mentioned property for' specty urp a SEE REVERSE FOR EXPLANATORY LANGUAGE sl NATUFE OF PEFMITTEE DATE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0606010033 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: _ ON FILE 9637 BROADWAY" FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917803211 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8588-009-020 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C GI OUTLETS-LGT,SW,RECP 3.00 OUT 5.85 ' TENANT: G2 LIGHTING FIXTURES 9.00 LGT 17.55 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: H2 RES GREG DISP LT 3HP 1.00 DIS 10.95 06/01/06 OK 11/20/06 R3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 OWNER: TEL. NO: TOTAL FEES 73.05 FIN Dp'FE PINAL HY: CODE: INDA EDUARDO A;MONICA M (626) 285-0180- ^,'/r,}/I - 9637 BROADWAY TEMP 917003211 DESCRIPTION OF WORK KITCHEN REMODELING 12) GPI, (1) SWITCH, (9) REC. LIGHTS, DISHWASHER , GARAGE DISPOSAL APPLICANT: TEL. NO: MORAD (818) 519-7706- 1234B MAGNOLIA BL. SPECIAL CONDITIONS: VALLEY VILLAGE 91607 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE RIGH STAR CONSTRUCTION (888) 272-6868- 18375 VENTURA BLVD. #206 LIC. NO TEMPORARY POWER POLE TARZANA, CA 91356 877520 B UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508