HomeMy Public PortalAbout9945 BROADWAY_Electrical__ ass
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"'-5A APPLICATION FOR ELECTRIC PERMIT Z
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DIVISION OF BUILDING AND SAFETY
Department of County Engineer �y
County of Los Angeles BUILDING / J G'- t
WM.J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST P
PERMIT FEES CROSS sr.
I NUN18ER EACH FEE
LIGHT OUTLETS � OWNER .0
RECEPTACLES \\ MAI
ADDRESS .ti✓
WALL SWITCHES ffJJ
TOTALOUTLETS 5Q S CITY TEL. NO.
ELEC. RANGES 25 ELECTRICIAN
_ELEC. HEATERS 25 ADDRESS�
KW EA CITY G♦•,.l .� ` TEL.NO. J
FIXTURES 5 LICENSENO.
NUMBER OF LIGHT CIRCUITS DISTRICT NO. GROUP ZONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS / I
NUMBER HORSILA
POER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. I EACH
Y2&LESS S ,25
Y 2 .50
2 5 1.00
5 15 1.50
15 50 2.50
gr 50 200 5.00
NO. SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT: _
WIRING $1.00 z7
FIXTURES 51.00
SUPPLEMENTARY .50 / APPROVALS
TOTAL FEE I s J I� DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE UTILITY CO.NOTIFIED
OF PERM ITTEE / L.L.c. ! FINAL
WILLIAM J. FOX.COUNTY ENGINEER VALIDATION A. C.VEIT,CHIEF ELECT. INSPECTOR
�LjCI9 oru30 2 1 .2 5
COUNTY OF LOS ANGELES • 'TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9812100061
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 13805 LT: 5 9945 BROADWAY
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802635
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN
8588-015-005 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 30.00 OUT 52.50
TENANT: G2 LIGHTING FIXTURES 7.00 LOT 13.65 ITSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
H5 RES WASH MACH LT 3HP 1.00 WAS 10.80 12/10/98 UT 12/1 /99
_ H7 RES EXHAUST FANS 2.00 EX 21.60
OWNER: TEL. N0: LA 100 AMP PANELS, MCC 1.00 PAN 38.85 FINAL DATE FINAL BY: CODE:
CHENG CHI A - TOTAL FEES 165.15
9945 BROADWAY -q
TEMP 91780 DESCRIPTI01 OF WORK
ELECTRICAL-MASTER BEDROOM, FULL BATH AND DEN, SOME MINOR
INTERIOR REMODEL AND STORAGE AREA ATTACHED TO GARAGE
APPLICANT: TEL. NO:
JASON THAI (626) 300-8355-
973 RIDGESIDE DR. _ SPECIAL CONDITIONS:
MONTEREY PARK, CA -
CONTRACTOR: TEL. NO: j// ` �� �'• APPROVALS DATE INSPECTOR SIGNATURE
JASON THAI (626) /300-8355- / \!J
973 RIDGESIDE LIC. NO -r �>? 1? V� TEMPORARY POWER POLE
MONTEREY PARK, CA 91754 731603 CIO
;4 �� \ �� UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. N0: �� ER GROUND
LIC. NO: r---'��� r ROUGH CONDUIT
ROUGH WIRING
-- ' � MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY CO PA NYt�
REPORT ID: DPR265 ROUTE TO: 850508