HomeMy Public PortalAbout9715 BROADWAY_Electrical__ LN
7.A863 APPLICATION FOR ;ELECTRIC PERMIT
Des.5R I2.sn
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
WM. J. FOX, COUNTY ENGINEER ADDRESS 9715 Alzer�ckw~
CASSATT D. GRIFFIN. SUPT OF BUILDING (,
"=j
FOR APPLICANT TO FILL IN LOCALITY
PERMIT FEES NEAREST
CROSS ST.
FEE
NUMB/ER EACH
LIGHT OUTLETS � OWNER
RECEPTACLES -T~— MAIL
ADDRESS
WALL SWITCHES "
TOTAL OUTLETS �Lle Sd S CITY TEL'.
ELEC. RANGES '25 ELECTRICIAN
ELEC. HEATERS 25 ADDRESSP. p
KW EA J CITY TEL. 16.
�G
_ FIXTURES / 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS DISTRICT NO. GROUP ZONEJREADY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS T
MOTORS 1
NUMBER HORSEPOWER FEE INSPECTIONHE=BD
NEW MVO. HP OVER INC. EACH
I{1&LESS $ .25 --
_ 2 .50
__2_ 5 1.00
_ 5' '15 1.50 '___
_ IS 50 2.50
50 200 5.00
MISC.
NO. SIGNS NO. TRANS.
NO. SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $I.00 �_
FIXTURES $1.00
SUPPLEMENTARY .50 -
APPROVALS
TOTAL FEE $ y � DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LIGATION CONDUIT r
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING 3
ELECTRICAL WIRING. '
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES n
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE,OF POWER l\
CALIFORNIADESCRI ROR ENTI I PRO RE LEC L 0 ER OF THE A OVE S _
UTILITY CO. NOTIFIED I�'b
SIGNATURE riQ FINAL —T .
OF PERMITTEE
WILLIAM J. FOX,COUNTY ENGINwW VALIDATION
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0912170009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID BUILDING ADDRESS: 1
ON FILE 1 9715 BROADWAY
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917803213
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET:
16588-010-023 1A1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
I 1LA 100 AMP PANELS, MCC 1.00 PAN 38.85 1 1
TENANT: TOTAL FEES 66.60 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
112/17/09 SR 12/17/10
OWNER: TEL. NO: (FINAL DAT FINAI-BY: CODE:
1NHAN, KATHY
/� ---GJJJ/IIVAIy)
9719 BROADWAY
TEMPLE CITY CA 91780 CESCRIPTION OF WORK
(UPGRADE METER 100 AMP
11APPLICANT: TEL. NO: I I I
ID & T ELECTRIC CO. (626) 523-1561- 1 1 1
11426 EUCLID AVE. ISPECIAL CONDITIONS:
SAN GABRIEL CA 91776
11 CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
D AND T ELECTRIC CO. (626) 523-1561- 1
11426 EUCLID AVENUE LIC. NO iTEMFORARY POWER POLE
SAN GABRIEL, CA 91776 547182 C10
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. N0: i UFER GROUND �" 1
LIC. NO: IROUGH CONDUIT '
TROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
(UTILITY COMPANY NOTIFIEDI'�/�
I
� I 11111 i I I
I f I 11 111 1111
1 111 I I 111 111
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1 111 I I I 1111
REPORT ID: DPA265 ROUTE T0: BSO508
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