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Home My Public Portal About9705 BROADWAY_Electrical__ "°°"°'° APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILD] p BUILDING AND SAFETY DIVISION ADDRESS 97 p L . OQgDA A Wi4 Y JOHN A. LAMBIE, COUNTY ENGINEER /� WILLIAM A.JENSEN.SUPTOF BUILDING ° LOCALITY (-(16[L ( /7� FOR APPLICANT TO FILL IN NEAREST PERMIT FEES 22.".ST. In <_ e S OWNER i T E M NUMBER EACH FEE MAIL OUTLETS: $ $ ADDRESS LIGHTS I RECEP. SW. vL .10 7.0 LIGHTING FIXTURES 10 Q CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN /c- /= —P-( WATER HEATERS .50 ADDRESS 3�.l ..J(5 (uAl:'(rf � �yl(G - ELEC.SPACE HTRS. DISHWASHERS 'Tt-y G 5r - CITY -� �' TEL. NO. . I J GARBAGE DISPOSERS AUTO- STATE f� /� WASHERS BTA.COOKING UNITS .25 LICENSE NO. �� L SIU `..- (U MOTORS: OVER INC. H.P. DISTRIC O. G UP I ZON% PROCESSED BY 0— Vz .25 — 2 t 50 INSPECTION RECORD G 2— 5 1.00 5— 15 1.50 is— 50 2.50 50-200 5.00 �.7.�1_l/JyS{�(�'c. `,•1 "" --/-K 1.""""�-` SIGNS: E NO.TRAN . NO.LAMPS SERVICE 0-500V 1.00 SERVICE OVER BOOV 5.00 MISC. WIRING PERMIT1.00 Jtj FIXTURE PERMIT I.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE $ 2- 0 t 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTORS 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 I AM PROPERLY REGISTERED ANO/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTI OPERTY. POWER SIGNATURE � � UTI LITY CO.NOT]FI ED OF PERMITTE FINAL In la' X ®vALII)RTIONRTHUR C.VETT. ( Ko CASH UPERVISING ELECTRICAL ENGINEER IC,DE � oao IvU , 6 2A 2 .8nl- i��Grrrlu�� 76A663-CES06 4-65 APPLICATION FOR ELECTR AL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS r a W JOHN A. LAMBIE,.COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING •• LOCALITY — i2 ^ '�' NEAREST �T FOR. APPLICANT TO FILL IN CROSS ST. OC-D U V�IVJ / U RECEPTACLEI TOTAL NO. EACH FEE - �\�` ,� ��, JI} OUTLETS FIRST 20 �S.20 S OWNER N LIGHT MAILt. SWITCX OVER 20 .10 ADDRTESS�n7� p �+v. TOTAL FIRST 20 .20 CITY IEI-`✓VC. 1r�7 TEL, NO. LIGHTING FIXTURES FIXTURESADD'L CONTRACTOR Z r l Z- OVER 20 .10 I RANGES CLO.DRYERS WTR.HTRS, 1.00 ADDRESS r GARB.DISP. STA.cook CITY 1 F C TEL. NO. DISHWASH. AUTO..WASH. STATELI PIAT' SPACE HTRS. STA.APP.(/2 H.P.MAX.) .50 'LICENSE NO. 16 JQ MOTORS: OVER NOT OVER H.P. D TRI T NO. GR UP NE P C SSE BY 0 1 1.00 I .O t 3 11.50 1 INSPECTION RECORD 3 B 12.00 8 15 12.50 r IS 50 13.00 O 50 too 5.00 u w SIGNS: NO.TRANS- NO. LAMPS O I W SERVICE 0-600V-NOT OVER 200A 11.001 1 0- SERVICE SERVICE 0-600V.OVER 200 A. 2.00 Z SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) I I PERMIT ISSUING FEE 12.00 �U SUPPLEMENTA13Y PERMIT ISSUING FEE 1.00 q - TOTAL FEE 6 Y.1 APPROVALS DATE INSPE OR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSEA@ WORK AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V 1 �. ELECTRICAL WIRING. WIRING IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOR FIXTURES ' LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND POWER �^ RESIDE IN,THEA D CRIBEO RESIDENTIAL PROPERTY, SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE--F= FINAL LIDATION JOSEPH C. ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER L&09434FEB 7 2 D 2.80- Q 981A 683-CE608 3-69 �',r ��`-� Lie. pppld For. •. APPLICATION OR ELE RICAL PEItAAIT • COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BU ILOING • BUILDING AND SAFETY DIVISION ADDRESS 9705 East Broadway JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING I LOCALITY Temple Cit FOR APPLICANT TO FILL IN NEAREST NO. EACH FEE CROSS ST. Temple C Blvd. City RECEIPT. 10 E S OWNER Edgar Renaerts ADDRESS 9705 East roadwa LIGHT 2 TOTAL FIRST 20 14 .20 2.80 SWITCH 2 14 OVER 20 1Q CITY Temple City TEL.NO. ? PLAN CHECK LIGHTING TOTAL FIRST 20 �C./ .20 APPLICANT FIXTURES �L OVER 20 ,10 ADDRESS RANGE_DRYER_WTR. HTR. CITY TEL N0. STA. COOK DISP. FwA.U. CONTRACTOR Warr Electric SPACE HTR.—AIR CONE. ADDRESS 15737 Old Valley iglyd CLOTHES WASH._DISHWASH. CITY Industry, Calif.TEL.NO. FAN OTHER1.00 LICENSE NO. 250843 CLASS MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. D - 1 1'00 HEREBY CERTIFY THAT 1 MPROPERLY REGISTERED ANO/ON LICE 5 ED AS REQUI REO BY LOS ANGELES COUNTY AND STATEOF r I - 10 3.00 CALIFORNIA OR THAT 1 A THE LEGAL OWNER OF, AND INTEND TO n RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PRO ER TY. O 10 - 50 5.00 - U SIGNATURE 50 - 100 10D0 OF PERMITTEE >.�� / �� w H 100 - 500 15.00 DISTVCHr.�. ✓ cR � zox� PRo � �� - - U SIGN,GAS SIGN AND ONE CIRCUIT 3.00 a TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: SERVICE NOT OVER 600 VOLTS OR 200 AMP 1 2.00 Z 00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTORS SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT \r• WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (60% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 Z 00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 r AL Cl TOTAL FEE �f� JOSEPH C. ROOHAN /✓^«— SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cx. M.O- CASH i Ar_ 3 7 0 01 FEB 1 g 2 D /7.20 R SEE BACK OF APPLICATION FOw COMPLFTF. FEE SF.H"ULK •'^ iFY�,F (� - COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY ECp � 7R0(C; WILLIAM J. FOX, County EnBlnw FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICI �+; U r� RECEIVED BY FIRST READY NSPECTION DAT[ ISSUED ADDRESS y/J �-'s rJ- //� 1 CITY G 1/A3 r{ TEL. NO. / y COUNTY LICENSE NO. EXPIRES BUILDING ADDRESS +/_Y/ PERMIT FEES T, FEE (NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES WNER TOTAL OUTLETS 5c 8 MAIL ELEC. RANGES 2S ADDRESS ELEC. HEATERS 25 - ITY TEL. NO. FIXTURES 8 - 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IB CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSE OV� VALID LOS NUMBER NHORSEPOWER FEE ANGELES COUNTY L.ICENS AM T EGAL OWNER ew Mvo. HP ovER INc. [wcR OF THE RESIDENTIAL P H ABOVE. I2 A LESS $ .25 SIGNATURE OF I/e 2 .50 PERMITTEE 2 s 1.00 INSPECTION RECORII _ 5 is 1.50 _ is 5D 2.50 _ SO 200 5.00 200 500 10.00 J _ 500 1000 15.00 Z OVER lOUO 20.00 M M.G. SET/FRED. CHANGER-HP M WELDERS: AC-KVA O GENERATORS - KW _ TRANSFORMERS - KVA _ TEMP. MOTORS (75% or ow a.) MOVED MOTORS (?S% OF ORIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS ND. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING 51,00 CONDUIT I w FIXTURES $1.00 WIRING '1-2,11 'E- SUPPLEMENTARY .50 FIXTURES / ►i-,Iin 11�n.....r--.. POWER t / TOTAL FEE B UTILITY CO. NOTIFIED FINAL ISA663 OBS.ry SA 2-53 TION WORKERS*COMPENSATIONI have a certificate of once ]M�3 IO/el APPLICATION FOR ELECTRICAL PERMIT -'affirrtY flat I have a certificate of consent to self CE-806G 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 ADDRESS 7U j E 6KO.�D4/lt Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO, FEE Certified copy is filed with the county building inspec- 18 2-Family, Sq. Ft. S —Is LOCALITY �r„s �� Izfcq tion department. Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST. 'OL EAS L.)Esr I / Date Applicant OWNER M y R 7L NWU/�7TT FIRM NAME L /' CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec 7 Light-5w.— MAIL n COMPENSATION INSURANCE � First 20 ADDRESS `51`7&`5-17-1 29 (This section need not be completed if the work involved by Total No. Additional CITY LjmQ�C (U L�t tel. No�O/��yj7 the permit is for one hundred dollars ($100)or less.) _ I certifythat in the performance of the work for which this PLAN CHECK P _APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Comports ion Laws. Lighting Fixtures First 20 1 ADDRESS Total No. Additional Date Applicant CITY Tel. No Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, afte king 's Certificate of APPLICANT Exemption, you should becom ubject o the Workers' Range_ Healer_D.W. Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — W.M.— ADDRESS with comply with such provisions or this permit shall be Top _ FAU —W.H, 141 — deemed revoked. CITY Tel. No. LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other— OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Roam Air Cond. REG.EG.LICENUMBER BER Class. (commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. a / PROCESSED BY Y and Professions Code,and my license is in full force and effect. o(/ d Size 8 Type HP, KW, KVA, or KVAR O License Number Lic. Class Up to I Incl. FINAL ^� V 7 F7Over 1 to 10 Incl. DATE Contractor Date y'z ��2 y DATION 0 ❑ Over 10 to 50 Incl. FIN 0 I am exempt under Sec. Over 50 to 100 Inc. BY uVi B.BP.C. for this reason Over 100 - S N Services, Swbd., MCC 8 Ponelboards Z Date: 0 - 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Mainz. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits 7 b 3 A Law for the following reason (Section 7031.5, Business and Professions Code): 12/ as owner of the property, will do the work and the Misc. Conduits 8 Conductors # e e e e e 2 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)— D ') e o 2,1,2 5 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY e e o 'z 1.2 5,0� 1 hereby affirm that there is a construction lending agency for 0 & 12 8 7 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I 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 rhe above-memio p erty f r inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Iature ermine DEC TION Worm that Ihave COMPENSATION cafe of corse N-0019 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT hereby affirm that have o certificate of consent to self CEJ Bo6G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ❑Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ — $ LOCALITY •- tion department. Multi-family Sq. Ft. NEAREST Residential Swimming Pools CROSS ST. OWNER OR Date —Applicant FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Recce—Light � Sw. _ MAIL COMPENSATION INSURANCE -�? ADDRESS First 20 (This section need not be completed IF $1 work involved by Total No. t 1 Additional - CITY - Tel. No. the 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 any person in any manner so as to become subject to the Workers'Compensation Laws. lighting Fixtures First 20 ADDRESS ie Additional Date C. -�' Applicant -) Z.C-,'T Total No. - CITY Tel. No. NOTICE,TO APPLICANT: If, after�iokmg this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Ranges Heater—D.W. APPLICATION Compensation provisions of the Labor Code, you must forth- Oven Dryer —W.M.— ADDRESS 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 Disp. _ Room Air Cond. a Class. I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER }a (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PROCESSED BY and Professions Code,and my license is in full force and effect. - C) Size&Type HP, KW, KVA, or KVAR - U License Number Lic. Class Up to 1 Incl. FINAL J Over 1 to 10 Ind. DATE VALIDATION IL Contractor Date❑ Over 10 to 50 Incl. >_FINAL < I am exempt under Sec. Over 50 to 100 Inc. BY Q B.&P.C. for this reason Over 100 cc 0 Date: Services, Swbd., MCC& Panelboards , 0-200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V - LU F-1 Exemption 1000 Amp. or Over 600 V � L.' Exemption for Reg. Mainz. Elect. f- SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Temp. Power Pole 8 Appurtenances + ° hereby affirm that j g r Additional Sign Sign with One Branch Circuit n Branch Circuits exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and • ° : Professions Cade): • ' ID Conduits&Conductors - I, owner of the property, will o the work and the Misc. structure for is not intended or offered for sole(Section 7044, Other (See Complete Fee Schedule)— , 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-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I 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 1 above-mentioned rope Hy for inspection purposes. Q�-- SEE REVERSE FOR EXPLANATORY LANGUAGE Sgnotur of Permittee Date Os WORKERS' COMPENSATION DECLARATION 76Ax53 DPW 3187 APPLICATION FOR ELECTRICAL PERMIT O ,, f„-Cby offiri that. I have a certificate of consent to self c emG 'msure, or a certificate of Workers' Compensation Insurance, \ COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or,a ceriif ep' copy thereof (Sec. 3800,,Lob. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ��II DS IT Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO, FEE ADDRESS _ Certified copy is filed with the county building inspec- 1 82-Family, Sq. FL LOCALITY.$ — $ tion department. Multi-family Sq. Ft. — NEAREST CROSS ST. pC/ 4J66 Date Applicant Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec/0__Light__.,/_Sw. MAIL p COMPENSATION INSURANCE First 20 ADDRESS d BXtO (This section need not be completed if the work involved by Total No._ �� Additional �' CITY 2,j L/J- Tel. No. 1p-18S.o45I the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ y person in any manner so as to become subject to the Wor s'Compen tion ows. Lighting Fixtures First 20 ADDRESS r T Additional Date"Applicant Total No. CITY el NOTICE TO APPLICANT: If, after Yoking is Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Range '�Heafer—D.W. lwf!�' APPLICATION Compensation provisions of the Labor Code, you must forth- Oven ✓ Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. CITY Tel. No. Hood Fan —Other— CITY Tel. No, LICENSED Other— LICENSED CONTRACTORS DECLARATION Disp. _ Room Air Cond. — ICENSE OR Class. I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. v x( PROC ED Y a and Professions Code,and my license is in full force and effect. (/() Size &Type HP, ON, KVA, or KVAR O License Number Lic. Class Up to 1 Incl. FINAL O Contractor Date Over 1 to 10 Ind. DATE ALIDATION Q ❑ Over 10 to 50 Incl. FINAL Q)am exempt under Sec Over 50 to 100 Inc. BY UJ B.&P.C. for this reason Over 100 VV � Services, Swbd., MCC & Panelboards /s GtJ Z Date: 0- 200 Amp. Under 600 V OD — Signature 201 - 1000 Amp. Under 600 V U 0 9 2 A F-1Exemption1000 Amp. or Over 600-V Exemption for Reg. Maint. Elect. #.e e e Ie • 'Z SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Temp. Power Pole &Appurtenances I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit -( ° ° 855.0 Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits e . . 8 5.5 0 Professions Code): mu I, as owner of the property, will do the work and the Misc. Conduits& Conductors 0 7,0 6 8 8 structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ D 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-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have rend this application and state that the TOTAL FEE above information is correct. I agree to comply with all County _ ordinances and State lows regulating Electrical wiring, and h 4bthorizrepresentatives of this County to enter upone nednspection purposes. SEE REVERSE FOR E%PLANATORY LANGUAGE —Permittee Date OOs � COUNTY OF LOS ANGELES TEMPLE CITY # 0508 'ELECTRICAL-PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508.9902080004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING.ADDRESS: ON FILE 9705 BROADWAY FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803213 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GOLDEN WEST 8588-010-031 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY JB AC UNITS +3-10HP 1.00 AC 19.80 TENANT: TOTAL FEES 47.55 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 02/08/99 UT 02/08/00 OWNER: TEL. NO: FINAL DATE FINAL BY CODE: ASHWORTH JERRY L (626) 309-1422- T/ 9705 BROADWAY 1 TEMP 917803213 DESCRIPTION OF W RI NEW CIRCUIT FOR A/C - WILL USE XSTING CIRCUIT FOR CHANGE OF HEATER- APPLICANT: EATER-APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: PNGELES CO CONTRACTOR: TEL. NO: 0 �/��, APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER V LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: /// UFER GROUND LIC. N'OI:y 1111111 ROUGH CONDUIT llN ROUGH WIRING F LJ(C W O LF-) PLASTIC Y/N METAL Y/N � MAIN WATER LINE O UTILITY COMPANY NOTIFIED Q ❑ ;, � 1 1 , 40�`� Service That REPORT ID: DPR265 ROUTE TO: BS0508