HomeMy Public PortalAbout9909 BROADWAY_Electrical__ 76A663-CESOG fO/,A
APPLICATION H ELECTRICAL PERMIT LLL
COUNTY OF LOS ANGELES _
•DEPARTMENT OF COUNTY ENGINEER JOB
MUILDING AND SAFETY DIVISION ADDRESS
LOCALITY Temple Citi
NEAREST TT������
FOR APPLICANT TO FILL IN CROSS ST. Bal
OUTLETS NO. EACH PEE FIRM NAMOF
E y rat(� (�Q
Vjjje
RECEPT._ 5 5 AMAIL
DDRESS 99C9 Broadwa
LIGHT_ TOTAL FIRST 20 Zg ,
SWITCH OVER 20 ,ip CITY Temple City TEL, NO- 286-1790
PLAN CHECK
FIRST 20 25 APPLICANT
FLIGHTINGI%TURES .10 TOTAL
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANG E_DRYERWTR. HTR._ APPLICANT p T�/
STA. COOK DISP. F.A,U. ADDRESS 88 Mission Drive
SPACE HTR. AIR CORD. CITY Rossemead9 TEL. No.280- 260
CLOTHES WASH. DISHWASH._ REG. NUMBER N 22 62 S CLASS. `�
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
S12E 6 TYPE OVER TO
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF y
C NIA OR THAI AM THE LEGAL OWNER OF THE ABOVE a
1__ton 1 - 1D 3.00 UESCRESCR IBP.ED RESIDENTIAL
PERMITEER71.. Y._...
10 - 50 500 SIGNATURE 'may' "( �✓—T��/ G��� ED
U
50 - 100 1000 DISTRICT NO. OCE D BY y
100 - 500 15.00 V r (✓(9 Z
SIGN, GAS SIGN AND ONE CIRCUIT 5,00 APPROVALS n TE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVICENOTOVER 600 VOLTS OR 200AMP l 3.00 50 UNDERSLAB WORK
SERVICEOVER600 VOLTS OR 200AMP 1000 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 ][FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL O
PERMIT FEE (SUB TOTAL) NOTES: A/lea AHOY M,MC -A/ C•+iLs 1Ll'r
PLAN CHECK FEE �j�(� —�t CCA'""
.
PERMIT ISSUING FEE 3.00
TOTAL FEE JW50
H
<K. M.O. CASCK.
PLAN CHECK VALIDATION � PERMIT VALIDATION M.O. CASH
6 5 2'r:�tJL/ i3 2 1 3.5 0 Ao
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE -
7GA663 SA 35M SETS 7-48 APPLICATION FOR PER3l1Y
DEPARTMENT OFF LOS AG AND SAFETY EIEC IC
. . r-. COUNTY OF LOS ANGELES 1
M. J. FO CHI ENGINEER
NAME /'l DISTRICT NO. GROUP /Zp�ONE PER[�M/IIT NO.
yU ADDRESS r/ X.0 C3 e Y // Jl /T% 5e
WCITY TEL.NO. 'JJ RECEIVED BY FIRST INSPECTION READY FOR DATE ISSUED
W LICENSE NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK JAODDRESs J,9y42
NUMBER OF OUTLETS ON CIRCUITS LOCALITY '
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS SW. PLUGS FIxT CROSS ST.
CIRCUIT A B C D E F G H E NAMEL((
Z MAIL
3 ADDR
O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIMTIE}� QU;LI ICAT O ..
SSS///`� /•/,•(ELECTRICIAN.
I AM THU LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
Q
Z
19
D
U
'TOTAL I i 1/61 1
NO. OF OUTLETS - ffi ' SAPPROVALS
NO. OF FIXTURES S Wo DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. ffi CONDUIT
NO. OF SIGNS TRANS. ffi WIRING LA_ fX I
NV-OE. UR HEATERS B- ry.� FIXTURES "
MISCELLANEOUS $ POWER
PERMIT FEE s UTILITYCO.NOTIFIED
TOTAL FEE 25 FINAL
l COUNTY OF LOS ANGELES APPLICATION
FOR PERMIT
` t DEPARTMENT OF COUNTY ENGINEER ELECTRIC �
DMSIBUILDING 6 SAFETY
WILLIAMAM J.. FOX. COUNTY ENGINEE[t
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN 1 I I
RECEIVED BY READY FOR DATE ISSUED
ADDRESS FIR ST INSPECTION d
CITYafZ TEL. NO.>;Y,2 � ,C>" eJ ln4-/ Ig\sT
COUNTY LICENSE NO. EXPIRES BUILDING
PERM FEES ADDRESS D /� �
rr+aLLVYi FEE ^F✓// '
NUMBER EACH LOCALITY .II 1. I
LIGHT OUTLETS 7
NEAREST
vi
RECEPTACLES CROSS ST,
WALL SWITCHES OWNER
TOTAL OUTLETS 5C .$ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25
CITU TEL. NO.
FIXTURES 6
M 19C. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF LIG&f CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT
- AND AGREE TO COMPLY WITHALLCOUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMMR HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
Nsw MvO. HP OVER 1Rc. EACH OF THE RESIDENTIAL PROPERTY DESCR ED ABOV
114- y e LE88 $ .25 SIGNATURE OF / / / I i
V. 2 .50 PERMITTEEVVV���///
off
2 5 1.00 INSPECTION RECORD
S. 15 1.50
15 s0 2.50
s0 200 5.00 '4 _— yea
zoo- Boo 10.00Y �� J
5202, 1000 15.00 / 4
_ OVER 1000 20.00 - (�
M.G. HET/FRED. CHANGER-HPG T '1.. IK
WELDERS': AC-KVA - ..
GENERATORS - KW -
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (7S% OF ORI..)
MISC.
SIGNS
NO. N0. TRANS. APPROVALS
NO, NO. LAMPS DATE
FOR EACH PERMIT: DATTEE
INSPECTOR'S NAME
WIRING $t.00 L co CONDUIT
GI FIXTU RE6 $1.00 WIRING
v
SUPPLEMENTARY. .50 FIXTURES l
POWER
�.I TOTAL FE . $ 1 Z.S' UT
EILITY CO. NOTIFIED c Sf�
FINAL A L ,
Ifl
76A 663 OB8V} 8A. 4.8E
76Tfi63CEBO6 7-96 APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DMSION
Departgy F77
ment of County Engineer. BUILDING
County of Los Angeles ADOREs5
JOHN A. LAMISIE. COUNTY ENGINEER
CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS ST. �d
PERMIT FEES
NUMBER OWNER
LIGHT OUTLETS MAIL
[ADDRESS
RECEPTACLES
WALL SWITCHES FEE CITY , TEL. NO.
TOTAL OUTLETS @ 5a S ELECTRICI N a
ELEC. RANGES 25 ADDRESS W _
ELEC. HEATERS 25 CITY TEL. NO
KW EA STATE
LICENSE NO. 7
FIXTURES - 5
MOTORS DISTRICT NO ROUP NE aCADY FOR INSPECTION
NUMBER HORSEPOWER FEE / a
NEW MVe. HP OVER INC. EACH I
k WLEss S .25 INSPECTION RECORD
2 .50
2 5 1.00
OnA AT " r
5 15 1.50 -
15 50 2.50 �`•-^ i1 bt Y.•s,^t' �'f•�^d".`^
50 200 5.00
' MISC.
NO. SIGNS NO. TRANS.'
NO. SIGNS NO. LAMPS
FOR EACH PERMIT'
WIRING PERMIT 51.00
FIXTURE PERMIT $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE S DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT [_HAVE READ THIS APPLICATTCN CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/DR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAL F AM JHE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDEN P RTY. UTILITY CO.NOTIFIED
SIGNATURE
OF RERMITT FINAL
JOHN A. LA VALID ON ' ARTHUR C. VEIT.
COUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER •
CK MO CASH
lAC 7 1 5 F. APR 15 2 2.2 5 In
COUNTY OF LOS ANGELES TEMPLE CITY N 0506 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1210010003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT: -
ILEGAL I0: FEES PAID BUILDING ADDRESS:
ITR: 13805 LT: 11 1 9909 BROADWAY
I IEEE DESCRIPTION: QUANTITY: HUM: AMOUNT: 1 TEMP CA 917802635
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BALDWIN
18588-015-011 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE. 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
G1 OUTLETS-LGT,SW,RECP 17.00 OUT 34.00 1
TENANT: _ IG2 LIGHTING FIXTURES 11.00 LGT 22.00 (ISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 83.80 110/01/12 SR
OWNER: TEL N0: FINAL DATE FINAL Y: CODE:
YAP, HAMIDJAYA (626) 285-2727-
19909 BROADWAY 1 _1
ITEMP 917802635 1 ID _CRIPTION OF WORK
I I IADD 17 OUTLETS AND 11 LIGHT FIXTURES FOR THE NEW ADDITION
(APPLICANT: TEL. NO:
1YAP, HAMIDJAYA (626) 285-2727-
19909 BROADWAY I ISPECIAL CONDITIONS:
ITEMPLE CITY CA 91780 1
I
I I
I
CONTRACTOR: TEL. NO I (APPROVALS DATE INSPECTOR SIGNATDRE
HAMIDJAYA YAP (626) 285-2727-
19909 BROADWAY LIC. NO I ITEMPOBAR Y POWER POLE
ITEMPLE CITY, CA 91780 NONE
UNDERGROUND CONDUIT
I
11 ARCHITECT OR ENGINEER: TEL. NO: 1 1UFER GROUND 1I I
II
I LIC. NO: 1I IROUGH CONDUIT
I I IROUGH WIRING
MAIN WATER LINE U
PLASTIC YIN METAL YIN
I I
(UTILITY COMPANY NOTIFIED(
I I I I I I
I I
11 II II II I1 1I
I I I I I I
I 11111 I I I 111
I I I I I I
1111 111 1111 111
IREPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0706260003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: 1 FEES PAID BUILDING ADDRESS:
JTR: 13805 LT: 11 9909 BROADWAY
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802635
(ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET: BALDWIN
18566-015-011 1A1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 8.00 OUT 15.60
(TENANT: IG2 LIGHTING FIXTURES 3.00 LGT 5.85 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 49.20 106/26/07 SR 12/23/07
TOWNER:
TEL. N0: (FINAL DNTEY: CODE:
(YAP, HAMIDJAYA (626) 285-2727-
19909 BROADWAY
(TEMP 917802635 IDESCRIPTION OF WORK
(ELECTRICAL FOR ADDITION
(APPLICANT: TEL. NO:
YAP (626) 285-2727-
19909 BROADWAY
SPECIAL CONDITIONS
(TEMPLE CITY CA 91780 ( :
I
I I
I
CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
IHAMIDJAYA YAP (626) 285-2727- 1
19909 BROADWAY LIC. NO ITEMPORARY POWER POLE
TEMPLE CITY, CA 91780 NONE
(UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND
I I I
LIC. NO: ROUGH CONDUIT
IROUGH WIRING
MAIN WATER LINE
(PLASTIC Y/N METAL Y/N
I
(UTILITY COMPANY NOTIFIED(
I II I I
II � I II I I
II I I I II I
�I I II I II I
I I II I I I
I I I I I I
I I I I I I
1 1 I II I I
(REPORT ID: DPR265 ROUTE T0: BS 0508
I I I