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Home My Public Portal About9641 BROADWAY_Electrical__ TEMPLE CITY 76A663-CE606 9-64 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEBUIILDING AND SAFETY DIVISION NT OF COUNTY ER rDRess G 1 E. BroadwaJOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENRINS, SUP'T. OF BUILDING CALITY Temple City NEAREST FOR APPLICANT TO FILL IN I CROSS ST. RECEPT. TOTAL NO. EACH FEE_ OUTLETS FIRST 20 $20 S OWNER LIGHT I MAIL A 0D'L 10 ADDRESS SWITCH. OVER 20 TOTAL CITY TEL, NO. LIGHTING FIRST 20 .20 FIXTURES — ADD'Lv R 20 10 ELECTRICIAN tL o RANGES CLO.DRYERS WTR.HTR9. 1.00 ADDRESS GARB.DISP. STA.COON CITY TEL. NO. pISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.('/.H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE PROCESSED BY O — 1 1.00 .08 I RI Roush 1 3 1.So INSPECTION RECORD r 3 a 2.00 a - O 8 15 2.50 u 15 50 I 3.00 w 50 100 5.00 0 SIGNS: I`O.TRANB, Tin rnrrp(-.t a NO.LAMPS Fermi N SERVICE 0.60OV-NoT OVER 200A 1.Oo Z SERVICE 0.60OV-OV ER 200 A. 2.001 1 SERVICE OVER 600V 5.00 MISC. I PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING HEREBY _CERTI FY THAT I AM PROPERLY REGISTERED PND/OR FIXTURES LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF LI FORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATUREUTILITY CO.NOTIFIED OF PERMITTEE FINAL /V7gLIDATION JOSEPH C. ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER Lrlo4 8 2 9', AUG 20 2 D .50� 70A663-CEBO63-64 APPLICATION FOR ELECTRICAL ,PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDI N6O,. BUILDING AND SAFETY DIVISION• ADORESS:R- B{ID JOHN A. LAMBIE. COUNTY ENGINEER �• ,WILLIAM A, JENSEN. SUPT OF BUILDING LOCALITY NEAREST 1FOR APPLICANT TO FILL IN CROSS ST. f REC SPT„JI TOTAL NO. EACH FEE -LIGHT llll5 OUTLETS, FIRST 20 8 2O B MAIL ER 1 SWITCH-ld OVER 20 .10 ADDRESS TOTAL CITY TEL. NO. OV R " LIGHTING FIRST 20 .20 FIXTURES 1�.�. ADD'U 1O ELECTRICIAN 20 i "NOES CLO.ORYERB MITE.HTRB. 1.00 ADDRESS OARS DISP BTA.COON CITYTEL. NO. ]BMW qq UTO-WASSTATE ` PACE HTRB. BTA.APP.(Ih'X.P•MAX.) .DO LICENSE NO. e. OVER . NOT OVER H,P. DIST CT NO. GROUP JTNE P ESSED B O f 1.00 t 1 — s 1.50 INSPECTION RECORD } — B 2.00 O B ID 2.80 O 1n eo 3.00 ~// lI �1,j,1�At9` SO 100 8.00 _ /' //�6Jw�N SIGNS, NO.TRANS. NO.LAMPS SERVICE 0-60OV-NoT OVER 200A 1.00 SERVICE 0.600V-OVBR 200 A. 2:00 SERVICE OVER 600V 8.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE B 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPL C.1 N APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WiRIN G. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES L 21i/U) CALIFORNIA OR THAT I AM THE EGAL OWNER OF THE ABOVE - - DESCRIBED REBIDENTIA OPE POWER1 �. SIGNATURE UTILITY CO.NOTIFIED /0 G OF PERMITTEE X�11,�4H T i FINAL 0 VALIDATION ARTFfUR'C. VEIT . MO CASH SUPERVISING ELECTRICAL ENGINEER Lf o4 8 2 5'. AUG2 0 2 D 1 920- . TION WORKERS'GI hove g7IONcate of corse OF 863 ID,BI APPLICATION FOR ELECTRICAL PERMIT I hergby affirm that I have-a certificate of consent to self OF806G insure, cs 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 Q Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO, FEE ADDRESS u ❑ Certified copy is filed with the county building inspec- 18 2-Family, Sq. Ft. $ — S LOCALITY tion department. Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST. Date Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec�Light Q Sw.� MAIL COMPENSATION INSURANCE ADDRESS This section need not be completed if the work involved b �/� First 20 ( P Y Total No. /(/ Additional CITY Tel. No. the permit is For one hundred dollars ($100)or less.) PIAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner so as to became subject to the Workers' pensation Lows. Lighting Fixtures First 20 ADDRESS 1-1� 7-�-� Total No.. 3 Additional CITY Tel. No. Date Applicant NOTICE TO APPLICANT: If, after m ing Certif Cate of Fixed Appliances Not Over I HP PERMIT Exemption, you should become ubject to the Workers' Range— Heater—D.W. — APPLICANT Compensation provisions of the Labor Code, you must forth- Oven — Dryer _W.M.— ADDRESS 1 with comply with such provisions or this permit shall be Top _ FAU _W.H. — deemed revoked. Hood _ Fan _Other_ CITY Tel, No. LICENSED CONTRACTORS DECLARATION LICENSEOR I hereby affirm?hot I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER Class. (commencingwith Section 7000 of Division 3 of the Business CL ) Power Apparatus 8 Large Appliances DISTRICT NO. PROCESS BY 0 CL and Professions Code,and my license is in full force and effect. � � y O r1 _ Sire 8 Type HP, KW, KVA, or KVAR [ �f License Number2�Lic. Class Up to 1 Incl. FINAL O Over 1 to 10 Incl. DATED ✓2U yALID ION (— Contractor Dale❑ Over 10 to 50 Ind. V FI NA W I am exempt under Sec. Over 50 to 100 Inc. BY D- 6.8P.C. for this reason Over 100 fnz Dote: Services, Swbd., MCC 8 Panelboords 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V F-1r Over 1000 Amp. or Over 600 V 5 0 6 0 A Exemption for eq. Mainz. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances ! e e e e 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's Licenseadditional Sign Branch Circuits ( • • 2 Q 2 5Law for the following reason (Section 7031.5, Business and Professions Code): e - - 2(1255 ❑ 1, as owner of the property, will do the work and the Misc. Conduits 8 Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , 0 7. 1 8 t 8 6 7044, Business 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 PERMIT FEE (Sub-Totol) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that 1 have read this application and state that the TOTAL FEE 7 5 above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representotives of this County to enter upon the ob ve-m n Toned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sig m al e of Perittee � COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1309300019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 9641 BROADWAY ,BE DESCRIPTION: QUANTITY: DOM: AMOUNT: I TEMP CA 919803211 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BARELA 1 18588-009-018 IA1 PERMIT ISSUANCE FEE _ 27.80 THOMAS PAGE: 599 GRID A3 LOCALITY: TEMPLE CITY CAI I ILA 100 AMP PANELS, MCC 1.00 PAN 38.90 I 1 I TENANT: IP2 PC RES PV<IOKW 153.90 (ISSUED ON: PROCESSED BY: PLAN BY: 123 INVRTR RES PVlI0KW 27.90 109/30/13 SR I TOTAL FEES 248.50 1 By TOWNER: TEL. NO: 1 IFINAL DATE FIN--/ -vCODE: ICHUA ELVIS C;ELEANOR G - 19641 BROADWAY 1 Z ITEMP 917003211 DESCR3PTI TF WORK (INSTALL SOLAR SYSTEM 6.37 KW 26 MODULES 1 INVERTER AND (UPGRADE SERVICE PANEL 125 AMP (APPLICANT: TEL. NO: CARRERA, CARLOS (805) 410-0494- 15244 TOWNSEND AVE (SPECIAL CONDITIONS: I ILOS ANGELES 90041 1 I 1C0NTRACT0A: TEL. NO: I IAP PROVALS DATE INSPECTOR SIGNATURE I VEGA, CARLOS (805) 410-0494- 15244 TOWNSEND AVENUE LIC. NO 1TEMPORARY POWER POLE LOS ANGELES CA 90041 873768 (UNDERGROUND CONDUIT I ARCHITECT OR ENGINEER: TEL. NO. 1 DEER GROUND I modr LIC. NO: ROUGH CONDUIT I 1 - IROUGH WIRING I I 1 (MAIN WATER LINE 1 PLAS'CIC Y/N METAL Y/N I 1 I UTIli TY COMPANY NOTIFIED( 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 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 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 I I I I I I I I I I I 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 1 - (REPORT ID: pPR265 ROUTE TO: BS 0508 I I I I I