The URL can be used to link to this page

Home My Public Portal About9701 BROADWAY_Electrical__ D895A 25M SET9 1-98 ' APPLICATION FOR PERMIT DEPARTMENT OFF LOS AG AND SAFE I'Y �L�Ai�� COUNTY OF LOS ANGELES W J FOX. CHIEF ENGINEER - a NAME DISTRICT NO. 0ROUP ZONE PERMIT NO. FADDRESS `� - u CITY TB4 NO �RECEIVED9Y READYFOR DATEISSUED � FIRST INSPECTION J COUNTY W CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORK ADDRESS TC3' O p �/S1$O R D uJA� NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST CS,-J �S fu LIGHT OUTLETS SW. PLUGS rdr CROSS 9T. C� F CIRCUIT A B C D E F 6 I H I rcW NAME Z MAIL ADDRESS //��l / O CITY TEL.NO.ryTo4DH?6 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGEL95 COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. I AM THE LE6Al.ONR o THE PRo76RTY DESCRIBED I 1 aeoye owrueR. .1 CORRECTIONS i o ii 0 D NO. OF OUTLETS s APPROVALS NO. OF FIXTURES 8 DATE INSPECTOR'S NAME NO. OF MOTORS H.P. 9 CONDUIT - NO. OP SIGNS TRANS. B WIRING NO. OF RANGES OR HEATERS S FIXTURES L N U POWER PERMIT FEE B aelinUTILITY CO.NOT!FIED FINAL 09S 5A 25M SETS 1-96 f AgSfy'J/�ARRIAgT T111p y1y�11fq;t�R1 _ DEPARTMENT OFOFIWS TAG APED 3ATETY {SLE 1E11C1YT1'1RA CIGCR1�111 COUNTY OF'LOS ANGELES M. J. PDX. CHIgFENGINEUR ' 7� NAME - DISTRICT NO. GROUP ,Z/ONE (�PERMIT /N(OJ. ADDRESS ClRECEIVED BY READY FOR DATE ISSUED ,ry ��✓ TEL,NO. FIRST INSPECTION J COUNTY I Ole, 5 tl 0 V W CURT.NO. EXPI APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK ADDRESS �/� NUMBER OF OUTLETS ON CIRCUITS LOCALITY / '-C LOCATION BY ROOMS NEAREST /� LIGHT OUTLETS SW. PLUGS PSiT C 8 I� O l CIRCUIT An B C D E F G H 5; NAME ` �l MAIL ; ADDRESS I() to (� O CITY TEL.NO. 1 AM THE LEGAL• POSSESSOR OF THE ABOVE LOS ANGLES COUNTY CERTIFICATE OF QUALIFICATION.. L/QJ ELECTRICIAN. IAM THE faEGAI.OWNER OF THE PROPERTY DESCRIBED Aeove L(fQ / OWNER. lr j CORRECTIONS S"50 ` S � G J Q 4 (o z itD IN / 0 ' NO. OF OUTLETS to G $ "� !/j6 APPROVALS NO. OF FIXTURES $ / Q DATE INSPECTOR'S NAME NO. OF MOTORS H.F. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING O NO. OF RANGIS OR HEATERS tu FIXTURES MISCE1 N US POWER PERMIT FEE UTILITY CO.NOTIFIED ,Gr �•A //. TOTAL FINAL ION 20 wothat IS have a certificate of consent to 76A663 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT !J 760663 I hereby affirm that I'have a certificate of consent to self 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.) - FOR APPLICANT TO.FILL IN JOB Policy No. Company ADDREss E u Certified-copy is hereby furnished. New Residential Bldgs.&Pools NO. $ EACH $ FEE LOCALITY v ./•� /•' ❑•, i 1 &2-Faintly,Sq.Ft. Certified copy is filed,wilh the county building inspection -NEAREST department. Multi-family Sq.Ft. CROSS ST. _ Residential Swimming Pools -ASSESSOR Date - Applicant MAP BOOK �� pgGE PARCEL OWNER OR I CERTIFICATE OF EXEMPTION UROM,WORKERS'.,. Outlets:Rec. Light Sw. - / /O , FIam NAnnE .j// �l/ COMPENSATION INSURANCE ✓ / Firs[io MAIL ,7±� (This section need not be completed H the work involved by the Total No./ Additional ADDRESS. [U,( YO permit is for one hundred dollars(5100)or less.) �7 I certify that in the performance of the work for which this permit ... CITY � ',Ll c Tel.No. 6 l is issued, I shall not employ any person in any manner sc as to - A(J 'PLAN CHECK become,subject to the Workers'Compensation.Laws. Lighting Fixtures ' First 20 APPLICANT Total No. Additional ' . ADDRESS Date, ApplicantRESIDENTIAL 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. rovisions of the Labor Code,,you must forthwith comply with such _ PERMIT c. p.. -visions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT APPLICANT pro - LICENSED CONTRACTORS DECLARATION Siie&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirmthat I am licensed under provisions of Chapter 9 Over 3 to 10 Ind.(commencing with Section 7000) of Division 3 of the Business and CITY T.I.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl.'' LICENSE OR Over 50 to 100 Incl. REG.NUMBER Ciass. a Over 100 DISTRICT NO. ( P��yyy,,,,..��c�c��aa,,SED BY Q License Number Lia Class LCGLLe cc Services,Swbd.,MCC'&Panelboartls Contractor Date 0-399 Amp,Under 600 V DATE 0 ❑400-1000 Amp.Under 600 V I am exempt under Sec. VALIDATION U Over 1000 Amp.or Over 600 V FINAL - d B.&P.C.for this-reason. - BRANCH CIRCUIT FEES By (n Date: 15A,or 20A. 12OV,Lighting or Recent. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits El - _ _ 41 Cr More Branch Circuits Exemption for Reg. Maint. Elects 15A,20A,206V To 277V Lighting Br.Circuits _ SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit jia`il l I hereby affirm that I am exempt from the Contractor's License Law - _y;•L1 _. for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits _�.i Code): _ ... i € 3 ti 1C I,as owner of the property,will do the work and the structure — Misa Conduits&Conductors 1 ® "u`o P P Y. Til '�" is not intended or offered for sale (Section 7,044, Business Other(See Complete Fee Schedule) and Professions Code). D (_ EL.},. CONSTRUCTION LENDING AGENCY _ 1_{'jfsj*�']E =1=1= 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) PLAN CHECKING FEE Lender's Name O %r;a li_ 1 'h? PERMIT ISSUING FEE. Lender's Address A ` I certify that I have read this application and underpenalty of purjury state TOTAL FEE that the above information is correct. I agree to comply with all County - - ordinances and State laws regulating Electrical waJag,and herebyeuthoriae representatives of this County to enter upon the above-mentioned property to spection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATUB OF PEFMITTEE ' DATE • 4, COUNTY OF LOS ANGELES _ 'TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0312050008 Siii L.DNC AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: - ' iL-';5L _G: - - - - FEES PAID BUILDING ADDRESS: . ' ) -C. ON FILE - 9701 -BROADWAY ! ` FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803213 IASSESSOR. INFORRATION NUMBER NEAREST CROSS STREET:.BARELA 8588-010-032 Al PERMIT ISSUANCE FEE .. . 27.75 THOMAS PAGE. 597 GRID: A3. _ LOCALITY:`_TEMPLE CITY G1, OUTLETS-LGT,SW,RECP, . .,40.00 OUT. :. - 66.00' ` TENANT: G2 LIGHTING FIXTURES 12.00'LGT - 23.40 ISSUED.ON: PROCESSED BY: PLAN BY: EXPIRES ON: H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 12/15/03 JK 06/12/04 H7 RES EXHAUST FANS 1.00 EX i - 10.95 OWNER: TEL. NO: TOTAL-FEES' . -- 139.05 FINAL DATE FINAL BY: C GANNON ROBERT $;GANNON KATHERINE I ,�j�1 9701 BROADWAY - ,,: /' �rjj TEMP'9117803213 VESCRIPTION OF WORK ELECTRICAL FORADDITION APPLICANT: TEL. NO: TOM O'LEARY - 5823 AGNES AVENUE SPECIAL CONDITIONS: TEMPLE CITY 91780 CONTRACTOR: - TEL. NO: - APPROVALS DATE INSPECTOR SIGNATURE ?OM O'LEARY CONSTRUCTION (626) 287-0927- 15823 AGNES AVENUE LIC. NO TEMPORARY POWER POLE TEMPLE CITY, CA 91780 489354 B-.i . UNDERGROUND CONDUIT - ARCHITECT OR ENGINEER: TEL. NO: - UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING r- MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED - - I REPORT ID:.DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 -ELECTRICAL—PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS -EL4508'9901290002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 9701-BROADWAY-- FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: -TEMP-CA-917803213 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GOLDEN WEST 8588-010-032 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY LB 200 AMP PANELS, MCC 1.00 PAN 38.85 TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXP ES ON: 01/29/99 UT 01 9/00 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: GANNON ROBERT S;GANNON KATHERINE 1 (626) 286-2372- 9701 BROADWAY TEMP 917803213 DESCRIPTIO OF WoRr ELECTRICAL FOR NEW 200 AMP SERVICE PANEL UPGRADE APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: PNGELES CO CONTRACTOR: TEL. NO: SGS �//yAPPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER POLE / UNDE RGROU D CONDUIT ARCHITECT OR ENGINEER: TEL. N0: / - U R GROUND LIC. NO:� ll�llll ROUGH CONDUIT ROUGH WIRING Ir�(1 f11�j (1 �/�i (\ ry� ll®I�(j/J C� MAIN-WATER LINE {Uys Il1`JII II,"CJ-.ILIA 11`vJ \I`V'll\\VI/ IlltKl ll,,7 NS PLASTIC Y/N METAL Y/N f UTILITY COMPANY NOTIFIED 7 Servj e -Tha`�o�� REPORT ID: DPR265 ROUTE TO: SS0508 COUNTY OF LOS ANGELES - TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9809300003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: _ ON FILE 9701 BROADWAY FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803213 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GOLDEN WEST 8588-010-032 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY HA FAU LESS 3HP 1.00 FAU 10.80 TENANT: JB AC UNITS +3-10HP 1.00 AC 19.80 ISSUED ON: PROCESSED BY: PLA BY: EXPIREXON: TOTAL FEES 58.3509/30/98 UT 09799 OWNER: iEL. NO- FINAL DATE FINAL BY: CODE: GANNON ROBERT S;GANNON KATHERINE 1 (626) 286-2372- 3 A^ 9701 BROADWAY T- 3-D TEMP 917803213 DESCRIPTION OF WORK ELECTRICAL FOR NEW HVAC SYSTEM APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: O GELES CO CONTRACTOR: TEL. NNT APPROVALS DATE INSPECTOR SIGNATURE S SAME AS OWNER LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: / UFER GROUND LIC. NO: lllllll ROUGH CONDUIT ROUGH WIRING 'P n v��L C' W0�(� S MAIN WATER LINE W v u� PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED 0 0 71 O G ServOalbat of REPORT ID: DPR265 ROUTE TO: BSO508