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HomeMy Public PortalAbout9844 BROADWAY_Electrical__ I =MMm %,.*fl n y ' n 76ABS3-CE80610.61 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST . ILDING C! �I pO�yv._/ BUILDING AND SAFETY DIVISION DRESS / /1 �'f/ JOHN A. LAMBIE, COUNTY ENGINEER ✓I 7 c WILLIAM A.JENSEN, SUPT OF BUILDING CALITY �� / /L L T L FOR APPLICANT TO FILL IN O55 srA/ I T E M NO. I EACH FEE ?I- p OUTLET (FIRST 20) $20 S OWNER [//• K // OUTL RECEPT. ) SW MAIL OUTL 6: (AD EC UNITS) ADDRESS / �/ / LIGHTS RECEPT. BW. .10 LIGHTING FIXTURES: (FIRST 20) .20 CITY 7-,� "goZ,01F /TLdTEL�.a NO.CA-r 7- (p LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN tD RANGES CLO.DRYERS WTR,HTRS. Lp /OO ADDRESS O / ¢¢ � ,OGT GARB.OISP. SLA.cooK CITY C �M��G // TEL. NO. T— OG 1r DISHWASH. AUTO.,WASH, STATE SPACE HTRS. BTA.APP.I'/a IN P.MAX 1 ,50 LICENSE NO, MOTORS: OVER HOT OVER H,P. DISTRICT NO. G OUP NE P CESSED BY 0 , 1.00 , — 3 1.50 I INSPECTION RECORD s s 2.00 O B is 2.50 y I K ,s — so s.00 7�� 111tH.! . �T':.m. .E'.e,✓ .,� i<.•T� GOG 50 100 5.00 SIGNS: NO.TRANS. N NAMPS O.L '1 1 ' A LL/Z SERVICE O.6OOV.NOT OVER 200A 1.00 SERVICE 0-60OV OVER 200 A. 2.00 �� ?. Oif% �1>~l:� 11� Ill IbJ1�L. >•J SERVICE OVER 600V 5.00 J ' MISC. PERMIT ISSUING FEE 2.00zr 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 15 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING / ELECTRICAL WIRING. WIRING I 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO(OR - ' LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER _ SIGNATURE UTILITY CO.NOTIFIED /� I ,� OF PERMITTEE '/ � l FINAL 7 OCKLIDATION ARTHUR C. VEIT " MO CASH SUPERVISING ELECTRICAL ENGINEER CK MO CASH V;,�3 1 3 2 fl KAY 28 2 D 5 .80 " EMPLS CITY APPLICATION FOR ELECTRICAL PERMIT RMI4 76A863-CE80610-61 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 77 77 JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. 1 T E M NO. EgCM FEE ^ OUTLETS: (FIRST 20) SW. g S 2O S OWNER LIGXTS RECEPT. J -MAIL OUTLETS: (ADD'L UNIT ) ADDRESS LIGHTS RECEPT. SW. .10 o / LIGHTING FIXTURES: (FIRST 20) 20 CITY` qA TELL. NO. LIGHTINGFIXTURES: (ADDITIONAL) .10 ELECTRICIAN l . Gam✓ RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRES GARB.OIBP BTA.COOK //�L CITY LIJL TEL.NO. 7;OD DISHWASH. AUTO.-WASH. -/1 STATE SPACE HTRS. SFA.APP.(1/.H.P.MAX.) .50 L/�� LICENSE NO. MOTORS: OVER NOT OVER H.P. DIS�T/RICTp NO. G UP Z PR E/$�$��D I 3 1.sol INSPECTION RE ORD e' 1 r 3 B 2.00 a — 15 2.50 m 15 50 3.00 .O 50 100 5.00 1y a SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-60OV-NOT OVER 200A 1.00 SERVICE 0-60OV-OVER 200 A. 12.00 e SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE IS 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 /• I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED /J OF PERMITTE /^ FINAL Y VALIDATION ARTHUR C. VEIT /K /MO CASH SUPERVISING ELECTRICAL ENGINEER C LA[1o4-1 a .i-� SEP 11 2 0 _ 5.20- v APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING pU� - E 6Rd�OG(/�y BUILDING AND SAFETY DIVISION ADDR Ess O / , JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY TEMPLE C l Ty FRAN OR APPLICANT TO FILL IN NEAREST CROSS ST. PERMIT FEES OWNER ITEM NUMBER EACH FEE �[ C v "91 1�gcff-4�5e : 5 S ZQ 'ADDRESS �/ /. /ZO// W RECEPT. SW. .10 FIXTURES .10 .�Q CITY [ TEL.NO. GES CLO:DRYERS ELECTRICIAN A/ TER HEATERS .50 ADDRESS CE HTRS. DISHWASHERS_ CITY TEL.NO. DISPOSERS AUTO.- STATE STA.COOKING UNITS .25 LICENSE NO. : OVER INC. H.F. DISTRICT NO. GR�O,,U� ZONEPROCFSSED BY 0— I�� .zs .� U q v L �`� e. v:— z so 5'Q INSPECTION RECORD 2 5 1.00 5— 15 1.50 15— 50 2.50 50-200 5.00 SIGNS: NO.TRANS. NO. LAMPS SERVICE 0-600V 1.00 '�,0 ?S r/ �3f✓ZIP �'�� ��LYF_/d SERVICE OVER 600V 5.00 L ����M�L) ✓ �Q �n I- / MISC. G /V WIRING PERMIT 1.00 0 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 !\ TOTAL FEE S y p APPROVALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY l CONDUIT -rte O lPi.e * nn WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING / li. // N ELECTRICAL WIRING. W '� ' (/({/Y✓K•w`v✓ WIRING l HEREBY CERTIFY THAT 1 S PROPERLY REGISTERED ATE OF l �i�.ffb -ZeY LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES -711 .S% ISN IA,IIAIX CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE • - - DESCRIB ED RESIDENTIAL PROPERTY. POWER SIGNATURE O UTILITY CO.NOTIFIED OF PERMITTE _ FINAL 7i]i1 -I '%I Uv3)APXD.YV ©` / TON ARTHUR C. VETT. ( ca- /MO MO CASION SUPERVISING ELECTRICAL ENGINEER Z .8 L LD 3 D u a , -ur., 2 A Q0 F WORKERS COMPENSATION DECLARATION 76-663 - 10/91 APPLICATION FOR ELECTRICAL PERMIT - {� I hereby affirm that I have a.certificate of consent to self insure,� CE-806G u or a*certificate of Workers Compensation Insurance, or fwd COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) - Policy No 'Comp2n - FOR APPLICANT TO FILL IN, - JOB El ' _ EACH NO. FEE ADDRESS Certified copy is here �nisM1ed. New Residential Bldgs.& Pools ❑ " 1 & 2-Family,.Sq. Fl.' $ — $ LOCALITY, Certified c0 is filed with the county building inspection NEAREST .depart - Multi-family Sq.Ft. CROSS ST. ' Residential Swimming Pools OWNER OR Date Applicant FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS- lets: MAIL .;COMPENSATION INSURANCE Out Rec_ Light Sw. _ ADDRESS (This,sectiom need not be completed if the work involved by the First ion _ _ P 'CITV � Tel.No. permit is for one hundred dollars($100) or less.) Total No. Additional - I certify that,in the performance of the,work for which this.,permit PLAN CHECK APPLICANT • 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 Additional Total No. - CITY Tel.No. Da Afap i6 Fixed Appliances Not Over 1 HP _ PERMIT A NOTICE T APPLICANT: ,If, after, making this Certificate of - '' APPLICANT„ Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. provisions of the Labor Code,you must forthwith comply with such Oven _ Dryer _ W.M. ADDRESS 1 ' UAX G � �. provisions or this permit shall be deemed revoked. Top —.FAU W.H. CITY - Tel.N%`�S=G LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ I hereby affirm that,I am licensed under;provisions of Chapter 9LICENSE OR (commencing with Section 7000) of Division 3 of,the Business antl. Disp..— .Room Air Cond. REG:NUMBEgZ �, -•Class- Professions Code,and my license.is in full force and effect. Power Apparatus& Large Appliances o. PROLE 0 By DISTRICT N . y� ,y-/ Or Size& Type HP,KW,KVA,or KVAR ,J caQ U License'Number_;t4z�i- ) Lia Class`/'/�-� Up to 1 1nc1. FINAL `� war 1 to 10 Ind. DATE //i �.�_. IDATION 0 Contra L DatdJz Over 10 to 50 Incl. FIN ` U El lam exempt under Sec. Over 50 to 100 Inc. - gyA LLI B.&P.C.for this reason 1 - Over 100 / e . Services,Swbd.,MCC& Panelboards - - - - Z_ Date: 0- 200 Amp.Under-600 V r Signature 201 - 1000 Amp.under 600 V —. ;2 S 1 0 6 A ❑ _ Over 1000 Amp,or Over 600 V Exemption for Reg.Maint Elect. I ore b o,0 2 SINGLE FAMILY - Temp.,Power Pole&.Appurtenances HOME OWNER-BUILDER CLARATION Sign with One Branch Circuit -•° " 32,5.0 I hereby affirm that I am exempt fro the Contractor's License Law - (or'the following reason (Section 31.5,Business and Professions Additional Sign Branch Circuits- 'o • 32505 Code): - Miss.Conduits & Conductors " A 0 1 4':'8 7 -. I,as owner of the party,will do the work-and the.structure isnot intended offered For sale (Section 7044, Business Qther•(See Complete Fee Schedule) Dantl Pmfessio Code). NSTRUCTION LENDING AGENCY I hereby off that there is a construction tending agency for the perfornia a of the work for which this permit is issued(Sec.3097, - PERMIT FEE - - (Sub-Total) Civ.C.) PLAN CHECKING FEE - - Lend'er's Name • , - PERMIT ISSUING FEE' Lender's.Address - - I cerfifyr that Lhave read this application and state that the above TOTAL FEE' information is correct. I agree to comply with all County ordinances - and State laws regulating Electrical wiring, and hereby authorize 2' b - representatives-of=this'County to-enter-upon:the-above-mentioned - .- - - - - - - - - - - -- Prop Y f r insPec n Pur ores. ., _ SEE REVERSE FOR EXPLANATORY LANGUAGE - -7 F STnature all Permittee Defte 'WORKER'S COMPENSATION DECLARATION 760 0019 A663 DPW(12 9 ) APPLICATION FOR ELECTRICAL PERMIT 11 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. cop r thereo((Sec.3800 Lab. C.) _ Policy No. Company FOR APPLICANT TO FILL IN J09 98 !J rOA ADDRESS ❑ •Certified co is tiereb furnished. NO. -EACH FEE LOCALITY PY�� Y -New Residential Bldgs.BPocls ` ❑` Certified copy is fired with the county building inspection ,1&2-Family,Sq.Ft. $ $ T'e✓Ml I department.. Multi-family 9 S Ft. NEAREST CROSS ST. Dale Applicant Residential Swimming Pools c MAPEBOOK PAGE ��� PARCEL e0e� •, CERTIFICATE OF EXEMPTION FROM,WORKERS' S Outlets:Rea 10 Light `J Sw. 5 r 0IP.M NAME - COMPENSATION INSURANCE First 20 MAIL ' (This section need not be completed if the work involved by the Total No. ;.a Additional90 6ADDRESS ��� permit is for one hundred dollars($100)or less.) I'certify that in Nie performance of the work for which this permit CITY Tel N. z IS issued, I shall not employ any person in any manner so as to PLAN CHEOK become subject to the Workers' Compensation Laws., Lighting Fixtures First 20 APPLICANT G' L Total No. Additional ADDRESS Date ZS 1�._ 'Applican; � RESIDENTIAL APPLIANCES NOT OVER 3 HP.f NOTICE TO APPLICANT: If, after m king this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power'Apparatus&Large Appliances APPLICANT j�•a �• LICENSED CONTRACTORS DECLARATIONSize&Type HP,KW,KVA,or KVAR ADDRESS •yy M,,fli r hereby-affirm that I am licensed000) under provisions Chapter 9 Over 3 to tO Incl. (commencing with Section 7000) of Division 3 of the Business siness and CITY G ' �d ✓ Tel.No. /$ .y ,7o Professions Code,and my license is in full force and effect. Over 10 to SO Incl. ' / `-/-71 y 8 o CENSE OR class. L- i b d Over 50 t0 100 Incl. RIEG.Nu BER License Number y 7/E S Lic.Class G ' O over 100 DISTRICT No. PROC BED ev O -' / Services,S.IaI MCC'&'Panelboards Contractor �///_ ,1 ` Date 0-,399 Amp.Under 600 V FINAL /474'+ 92 �.E:�C� cJ".�•_�• aj•5 Dnre ❑ 1 am exempt under Sec. 400-1000 Amp.Under 600 V � A VALIDATION U Over 1000 Amp.or Over 600 V FINAL W -B.&P.C.for this reason - BY d BRANCH CIRCUIT FEES z 1���Z (n Date: 15A,or 20A, 12OV,Lighting or Recept. / Z - 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Main.Elect. 15A.20A•208V To 2T7V Oghoug;8r.Circuits .1 SINGLE FAMILY Temp.Power Pole&Appurtenances Y HOME OWNER-BUILDER DECLARATION :"` a . t , 1 hereby affirm that exempt from the Contractor's License Law Sign with One BranchCircuit for the following reasonon (Section 7031.5, Business and Professions Additional Sign Branch Circuits �i.j;�41 a Code): _I I!� ❑ Misu.Conduits&Conductors t .1 f L I,as owner of the property,will do the work and the structure is not intended.or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) TFtTj;_ 83 1 e 7 j and Professions Code). .:NFC; c--J.-7 CONSTRUCTION LENDING AGENCY _ (. I hereby affirm that there is a construction lending agency for the L {'fin�1.7F II' performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE _ (Sub-Total) �J - Civ. C.) - PLAN CHECKING FEET _ Lender's Name PERMIT ISSUING FEE pS(p yL 14421j Ari fs=4i Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above information is correct. I agree to comply with all County - ordinancesandStatelawsregulating Electrical wiring,and herebyauthorize representatives of this County to enter upon the above-mentioned property forSEE REVERSE FOR.EXPLANATORY LANGUAGE ms coon purposes C$-,ts- 9j UTUREOFPERMINISE DATE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT 'DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0106140044 'BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: EES PAID BUILDING ADDRESS: TR: 13805 LT: 33 9848 BROADWAY FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802633 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GOLDEN WEST 8588-016-008 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 ISSUE ON: PROCESSED BY: PLAN BY: EXPIRES ON: 06/14/01 UT 12/11/01 OWNER: TEL. NO: FINALATE F 8Y• CODE: CHIOU, SYOU D (626) 285-9815- '�1�-7 O' 0 9848 BROADWAY TEMP 917802633 ULSLAFF11UN OF �� RELOCATE SERVICE PANEL ` APPLICANT: TEL. NO: SAME AS OWNER - _ _ SPECIAL CONDITIONS: •'- IG�L�S -� CONTRACTOR: TEL. N0: ` APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - , LIC. NO /`�' ��� �,.-- � A`•'. TEMPORARY POWER POLE UNDERGROUND CONDUIT i I ARCHITECT OR ENGINEER: TEL. NO: �, '� -- 7 ,--\ .�� UFER GROUND LIC. NOi� ' -_�� r� �� ROUGH CONDUIT _�. . I �. •) - - ROUGH WIRING MAIN WATER LINE PLASTIC YIN METAL YIN - - -- UTILITY COMPANY NOTIFIED e;! Service aha, REPORT ID: DPR265 ROUTE TO: BS0508