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Home My Public Portal About9651 BROADWAY_Electrical__ 76.663 CE 606. 10/77. APPLICATION FOR ELECTRICAL PERMIT- -mid;< "-� COUNTY OF LOS ANGELES _ DEPARTMENT OF COUNTY ENGINEER JOB men f3UILll AND SAFETY DIVISION ADDRESS �� c FOR APPLIOANTTO FILL IN LOCALITY "G . New Residential Bldgs.&Pools EACH NO. FEE CROSS ST. C I &2 Family,Sq. Ft. $ .025 — $ Multifamily Sq-R. '02 — OWNEROR FIRM NAME A Residential Swimming Pools 25.00 MAIL yam() ADDRESS Outlets: RecLight__1Sw. S+ CITY Tel. No. n First20 50.. 2,0Q C® PLANCHECK Total No2/� Additional .30 "'+ O APPLICANT ADDRESS / Lighting Fixtures First 20 .50 7 13 S-6 CITY Tel. No. Additional .30 PERMIT Total No. APPLICAN Fixed Applionces Not Over l HP - ADDRESS Range_Heater D.W._ CITY ri L. �+j / ;2-T41.No Oven—Dryer X W.M:—]— LICENSE OR Top —FAU —W.H._ REG.NUMBER J'3' Cloz Hood— Fan _L Other_ O 250 HEREBY ACKNOWLEDGE THATI HAVE READ APPLICATION AND STATE Disc. ROOM Air Cond. . THAT THE ISR AND AGREE COMPLY LY WITH ALL COUNTY ORDIN ANCES AND STATE LAWS WS REGEG ULATING ELECTRICAL WIRING. Power Apparatus&'Large Appliances 1. Size&Type HIP, KW, KVA,Or KVAR I HEREBY CERTIFY THAT PROPERLY RE ISl EKED AND/OR LICE ED AS REQUIRED By LOS ANGELE NTY AND ST CA OR T I AM Y Up tai Ind 2'50 ME IFGAIOWNER OF TH VE DESCRIBE ESI N RID ER Y. 0 Over 1 to 10 Incl 5.00 6..) Over 10 to 501nc1. 12.50 PERMITTEE - Over 50 to 100 Inc. 25.00 SIGNATURE - Over 100 40.00 DISTRICT NO PROCES ED BY y Services '�� Z 0-200 Amp. Under 600 V 12.50 d INSPECTOR'S 201 1000 Amp.Under 600 V 25.00 APPROVALS DATE SIGNATURE Over 1000 Amp.or Over 600 V 50.00 TEMP, POWER POLE UNDERSLAB WORK Temp. Power Pole&Appurtenances 10.00 �h Sign with One Branch Circu70.00 ROUGH CONDUIT Circuit 10,00 Additional Sign Branch Circuits 2.00 WIRING, ry ` MISC.Conduits&Conductors 1 10.00 FI%TURES Other(See Complete Fee Schedule) POWER AUTHORIZED _ UTILITY CO.NOTIFIED p FINAL PERMIT FEE (Sub Toroll NOTES PLAN CHECKING FEE (One Fourth Permit Fee, PERMIT ISSUING FEE $7.00 / 6 TOTAL FEE /. Or' . . CASH PERMIT VALIDATION `CK' M.O. CASH . 4 2;O` AY 12 . 2 D 1.1 U e POLICY'HOLDE�RI, S�KL¢E(C*'N BER;FOR COMPLETE SCHEDULES'','. 76ASSS-CEBOS-I1-"iAPPLICATiON FOR -ELEC'T'RIC PERMIT COUNTY OF LOS ANGELES - eu1LDINc r DEPARTMENT OF COUNTY ENGINEER aooREss O V D way BUILDING AND SAFETY DIVISION iiOEIi A. LA6IRIE. County PmgIoeer —Y-- CISSSATT D. GRUT111.SLPI of BuUtm LOCALITY / C NEAREsL 6p ST i/ FOR APPLICANT TO FILL IN caoss �i V h. PERMIT FEES OWNER f F 0 ITEM NUMBER EACH FEE OUTLET $ $I1 /1 MAIL LIGHTS RECEPT SW. .10 YJ4 {I ADDRESS LIGHTING FIXTURES .1 0 0: CITY TEL. NO. �` ELEC.RANGES CLO.D ERs ELECTRICIAN RJWAI (p C LB EATERS .50 C .SPACE HTR DISHWASHERS ADDRES (O GARBAGE DISPOBERS AUTO. rO CITY TEL.NO. WASHERS STA.COOKING UNITS ,25 STATE LICENSE NO. MOTORS: OVER INC. M.P. - DIS I.RIC O. GROUP Z N O — .25 READY FOR INSPECTION Vz ' - - 2 2 — s .. 1.00 - INSPECTION RECORD 5 — 15 1450 15 — 50 2.50 50— 200 5.00 SIGNS: NO.TRANS. i NO.LAMPS SERVICE 0.600V / 1.00 f 00 _ - SERVICE OVER 600V - 5.00 MISC. WIRING PERMIT ]01 QFIXTURE PERMIT - . DOSUPPLEMENTARY PERMIT TOTALFEE APPROVALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READLIGATION DATE JNSPECTOR'S SIGNATUREAND STATE THAT THE ABOVE IS CORRECT ANDO COMPLY CONDUITWITH qLL COUNTY ORDINANCES AND STATEGULATING ELECTRICAL WIRING. WIRING1 HEREBY CERTIFY TH$411 AM PROPERL p /OR FIXTURESLICENSED AS REpU1RED/BC LOS ANGELES CO ST E OFCALIFORNIA OR THAT !I AM THE LE 0 H ABOVE POWERDESCRIBED RES NTIA OPERTY.SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE .. ,. ._ n.- -o... ,. FINAL P ATION ARTHUR EL T. I Mo' DASH SUPERVISING SING ELECTRICAL ENGINEER �n�6959r NOV 25 2 A 650 .�° DEC TION WORKERS'that tIhave a COMPENSATION cafe of corse 20W19 DPW APPLICATION FOR ELECTRICAL PERMIT O I hereby affirm that I have a certificate of consent to self ce eoaa insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certifi co th o (Sec. PolicCompany FOR APPLICANT TO FILL IN JOB - ❑Certified co is hereby furnished. EACH NO. FEE ADDRESS PY Y � New Residential Bldgs. 8 Pools ertified copy is filed withthe county building inspec- I & 2-Family, Sq. Ft. $ — $ LOCALITY Ll department. Multi-family Sq. Ft. — NEAREST CROSS ST. Date r�n+��"71 Applicant Residential Swimming Pools OWNEROR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Re��Light�Sw.� MAIL COMPENSATION INSURANCE Q ' ADDRESS (This section need not be completed if the work inv)ve by Total No. AdditionalFirst ` CITY _ Tel. N S/,.�%ythe permit is for one hundred dollars ($100)or less:) PLAN CHECK certify that in the performance of the work for which this APPLICANT Permit is issued, I shall not employ anyperson in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional CITY Tel. Na. - Total No. Additional - _ Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION Exemption,' you should become.subject to the Workers' Range— Heater—D.W. _- sL� Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS 6 with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. CITY Tel. No.. Hood — Fan —Other, 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& Large Appliances DISTRICT NO. PROCESSED BY d and Professions Code and my license is in full force'and ffed. a Size&Type HP; KW, KVA,'or KVAR a �Nt Q License Number s I is Class Up to 1 Ind. FINAL _ii V � � //. 4DATP :4V VALIDATION 0O Cf Over 1 to 101nd. Conhacto —Date- Over 10 to 50 Incl. FINAL ~ ❑. I am exempt under Sec. Over 50 to 100 Inc. BY f) W B.&P.C. for this reason Over 100 01. Date: Services, Swbd., MCC& Ponelboords D - Z 0- 200 Amp. Under 600 V — Signature 201 - MOD Amp. Under 600 V ❑ Exemption for Reg. MainOver 1000 Amp. or Over 600 V L Elect. SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Temp. Power Pole &Appurtenances hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit A_?.i a Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): - '"I i7 .i lli ❑ I, as owner of.the property, will do the work and the Misc. Conduits& Conductors - 1 j EH.c" structure is not intended or offered for sale1�( e . Section 7044, Other (See Complete Fee Schedule)— TIN Business and,Professions Code). iI- CONSTRUCTION LENDING AGENCY t-HECK .4 If I hereby affirm that there is a construction lending agency for !..NH�'flSt ,11?_I the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, PLAN CHECKINGFEE Civ. C.). ' , Lender's Name �.IE_If I_I-SII I[{j Vii' ji''ji PERMIT ISSUING FEE0 _ -7 7, j fief._,= Lender's Address I certify that I have read this application and state that the TOTAL FEE �0 above information is correct. I agree to comply with all County t ordinances and State laws regulating Electrical wiring, and hereby v orize representatives of this County to enter upon thethe a�mentione property for inspecti n. urposesproperty for inspecti n. urposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date OOs COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9803060003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: ES PAID BUILDING ADDRESS: - ON FILE 9651 BROADWAY FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803211 _ ASSESSORINFORMATION NUMBER: NEAREST CROSS STREET: + 8588-009-032 Al PERMIT ISSUANCE FEE 27.75 THOMAS 'PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 8.00 OUT 15.60 TENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED ON: PROCESSED BY: PLAN BY: EX RE ON: TOTAL FEES 47.25 03/06/98 UT 03/06/99 OWNER: TEL. NO: F �- I ) FINAL DATE FINAL BY: CODE: SILVERTHORN CAROLYN R;ROGERS JAMES (626) 292-1715- �/y ,,f7 ,�y j/�J 9651 BROADWAY — • — IYf h�' )I ILyn�('0 TEMP 917803211 DESC IP WOK ELECTRICAL FOR INTERIOR REMODEL APPLICANT: L. NO: WESTEC CONSTRUCTION (818) 760-8530- SPECIAL CONDITIONS: O GELES CO CONTRACTOR: TEL. N0: ��T APPROVALS DATE INSPECTOR SIGNATURE S WESTEC CONSTRUCTION (818) 760-8530- V 6207 BABCOCK LIC. NO 1-2 TEMPORARY POWER POLE NORTH HOLLYWOOD, CA 6682608 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: {{ \ UFER GROUND LIC. NO: M I - — x`1117177 tIn ROUGH CONDUIT ROUGH WIRING2.ih �A MAIN WATER l[NE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED V/� � A-i �✓moi '+ REPORT ID: DPR265 ROUTE TO: BS0508