HomeMy Public PortalAbout9016 BROADWAY_Electrical__ 7"6A663-CE806.,1,]p APPLICATION FOR ELECTRICAL ICAL PERMI�
Lr� COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT, TO FILL-IN CROSS ST.
OUTLETS NO. EACH FEE
5 5 OWNER
RECEPT.�� �� MAIL p
FIRST 20 -ADDRESS / �� ZNO /t pe
LIGHT_ TOTAL .25
SWITCH OVER 20 .Ip
!� CITY TEL. N0.
�v1 C�®/�
PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES JO
OVER 20 ADDRESS
APPLIANCES n7Y TEL. NO.
PERMIT AO y� /r-
RANGE_pRVERWTR. HTR._ APPLICANT�-�!) [�/
STA. COOK_D ISP._F.A.U._ ADDRESS
SPACE HTR. AIR CONO. CITY TEL. NO. ZC-.S 1_ '
CLOTHES WASH. DISHWASH._ LICENSE N0. 26 Z S�2 CLASS,6'��
FAN_OTHER 1.00 I 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.
SIZE & TTPE OVER TO
'I HEREBY. CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1 W LICENSED AS REQUIRED By LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT AM T LEGAL OWNER OF, AND INTEND TO }
1 - IO 3.00 RESIDE IN, THE ABOVE SCP ED RESJPENTIAL PROPERTY, C_
10 - 50 100 OF PERMSIGNATURITTE ��
50 - 100 10.00 O
OISTPICTN ASS jDN RO SED BY H
100 - 500 1500
z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEMP.SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
LPLERTMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED ,
N CHECK FEE
MIT ISUFEE 3.00 OO FINAL/� JO EPH C. ROOHANAL FEE r. 2S SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. ' CASH PERMIT VALIDATION CK. M.D. cRSH
�r 1 1 6 3JUN 30 2 A 425- Oc
4 BEE BACK OF APPLICATION FOR COMPLETE SCHEDULE