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Home My Public Portal About9845 BROADWAY_Electrical__ DOS-5A 12.54 APPLICATION FORELECTRIC PERMIT A 663 DO DIVISION OF BUILDING AND SAFETY_ Dep=tment o3-County Engineer ei - En - Coss O of Los Angeles BUILDING �nnAf.WM. J. FOX. COUNTY ENGINEER ADDRESS /w VCASSATT D. GRIFFIN, SMP'T of BuACING---—-Y �'J l/FOR APPLICANT TO FILL IN LOCALITY jPERMIT £EES NEAREST .ROSSST: DFEE NUMBER EACHLIGHT OUTLETSOWNERRECEPTACLES MAIL ADDRESS WALL SWITCHESTOTAL OUTLETS s! S CITY L. NO.ELEC. RANGES ! 25 _2,� ELECTRICIAN a .rlE/1 xA4ELEC. HEATERS 25 ESS / .E L.. CKW EA WCITY Ery �O✓o, TEL NO jeD zYkla FIXTURES S LICENSENO. / NUMBER OF LIGHT CIRCUITS DISTRICT NO. GROUP I ZONE READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS .yam jj: //– MOTORS -% N-000 NUMBER HORSEPOWER FEE INSPECTION RECORD NEW M'/O. HP OVER INC. EACH -- S a I/1 B LESS $ .25 _ — h 2 .50 �'11 TItg LiLVe2� "tz��tLruern lc'r- 5 is 1.50 I y� 1.L[� cn)f'm IID fA.{Y 15 so 2.50 50 200 - 5.00 ' MISC. — NO. SIGNS NO. TRANS. NO. SIGNS NO. LAMPS FOR EACH PERMIT: WIRING $I.00 FIXTURES $1.00 T__ SUPPLEMENTARY -.50 APPROVALS TOTAL FEE $ / DATE - INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUITAD LOA ```` WNTTO COMLY HSALLE THAT COUNTYH ORDINANCESE ABOVE IS OANDE CORRECTAND ED LAWSE REGULATING WIRING 5 9'IS S- i.L OA u--.-.—� ELECTRICAL WIRING. ' 1 HEREBY CERTIFY THAT I' AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF. POWER CALIFORNIA OR THAT I AM THE GAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPE Y. S' .UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE FINAL R WILLIAM J. FOX, COUNTN&UGr EER. - VALIDATION 2 125 312 2 �`� WR29 - BY WORKERS' CO�j,;FNSAAON DECLARATION 201 DPW 31e7 APPLICATION pp�IFr� ® �p I� ELECTRICAL q�®p I�I�f�(�p O hereby affirm that 1 Faye a certificate of consent to self C 3DR3 PLIC" 'TION FOR EILECTRIC `IL Ir ELI' MIT igsure, or'a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec. 3800, Lob. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB Certified co is hereby furnished. EACH NO. FEE ADDRESS 0 v 4 PY Y New Residential Bldgs. 8 Pools ❑Certified co is filed with the count building inspec- 1 8 2-Family, S FL LOCALITY y PY Y 9 P Y. . $ $ NEAREST �y� L" tion department. Multi-family Sq. Ft. CROSSST, jJL(,1 (,(JIVE 601d CPC "51- Date—Applicant 51DateApplicant Residential Swimming Pools OWNER OR ,T—) /' l FIRM NAME �{ -f� („7f. ,2 k1 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec_LightSw.— MAIL COMPENSATION FJt" [a. COMPENSATION INSURANCE ADDRESS C (This section need not be completed if the work involved by First 20Total No. Additional CIT 1e Tel. No. X50 this permit is For one hundred dollars (5100)or less.) , I certify that in the performance of the work for which this PLAN CHECK permit is issued, I shall not employ APPLICANT p y an p y 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. Dote 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. 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. Hood — Fan —Other_ CITY Tel, No. 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 8 Large Appliances DISTRICT NO. PR SSED BY Y and Professions Code,and my license is in full force and effect. v d Size 8 Type HP, KW, KVA, or KVAR �a �4&,-snn /„moi Q License Number Lic. Class / V Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE Z Contractor Date VALIDATION` / O OOver 10 to 50 Incl. FINAL,.../77 p am exempt under Sec. Over 50 to 100 Inc. BY V 7 'ry[�(�-� LU B.BP.C. for this reason Over 100 V !� a Dote: Services, Swbd., MCC 8 Ponelboords D 0- 200 Amp. Under 600 V � D Z Signature 201 - 1000 Amp. Under 600 V ❑ I - Over 1000 Amp, or Over 600 V Exemption for Reg. Moint. Elect. SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Temp. Power Pole 8 Appurtenances hereby affirm that Sin with One Branch Circuit 0am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits Professions'Code): „(,E, ;1,pJl! ® I, as owner of the property, will do the work and the Misc. Conduits &Conductors 1 !F E IS structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)— TiD ( Business and Professions Code). 71 = 00 CONSTRUCTION LENDING AGENCY L:HE K -74.1-11-1 I hereby affirm that there is a construction lending agency for `.� lL .= ; the performance of the work for which this Permit is issued PERMIT FEE (Sub-Totol) 00 (Sec. 3097, Civ. C.). PLAN CHECKING FEE \Lender's Name i_':i]I0—x;11111 411 ?y j PERMIT ISSUING,FEE j t>•O 1. Lender's Address �ic+: ? 13! .�i`=FF4 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 the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 11174 Sigrithstuffe of Permittee I Date ®s COUNTY OF LOS ANGELES TEMPLE CITY # 0508 !ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS - SEL 0508 9702120053 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID - BUILDING ADDRESS: TR: 13805 LT: 14 9845 BROADWAY FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802634 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8588-015-014 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 13.00 OUT 25.35 TENANT: G2 LIGHTING FIXTURES 4.00 LGT 7.80 ISSUED 0PROCESSED BY: PLAN BY: EXPIRES ON: HA FAU LESS 3HP 1.00 FAU 10.80 02/12/97 TC 02/12/98 H7 RES EXHAUST FANS 1.00 EX 10.80 OWNER: TEL. NO: JB AC UNITS +3-10HP 1.00 AC 19.65 FINAL DATE FINAL ODE: GUSTIN PAULINE M TR GUSTIN TRUST - TOTAL FEES 102.15 // 9845 BROADWAY (p'<<-l7 7 r TEMP 917802634 D SCRIPTION OF WORK ELECTRICAL FOR ADDITION AND N W HEAT/A/C SYSTEM APPLICANT: TEL. NO: MISSION BUILDERS (619) 244-4442- 'EqSSPECIAL CONDITIONS: CONTRACTOR: TEL. NO: �O APPROVALS DATE INSPECTOR SIGNATURE MISSION BUILDERS (619) 244-4442- O 17537 MAIN ST. LIC. NO �� \ ��{JpTEMPORARY POWER POLE HESPERIA, LA 92345 19767.5 O G UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: UFER GROUND LIC. NO: )i -,�, � � �� ROUGH CONDUIT Y i j ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIEff �v d �0cS REPORT ID: DPR265 ROUTE TO: BS0508