HomeMy Public PortalAbout9102 BROADWAY_Electrical__ 76A663-CE806 3-69 ,
APPLICATION FOR ELECTRICA PERMIT
COUNTY,OF LOS ANGELES
OtfPARYMENT OF COUNTY ENGINEER BUILD ING�
BUILDING AND SAFETY DIVISION ADDRESS V K
JOHN A. LAMBIE, COUNTY ENGINEER -
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NO. EACH FEE p
$ $ OWNER _4? f a. -
RECEIPT. MAIL 11
LIGHT �, T TAL FIRST 20 ,20 ADDRESS ,
SWITCH 11 OVER 20 ,ip CITY [� TEL.NO. �v
PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 ' O -APPLICANT
FIXTURES �3 OVER 20 ,10 ADDRESS
RANGE_DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK_DISP. F.A.U. CONTRACTOR
SPACE HTR. AIR COND._L ADDRESS
CLOTHES WASH. DISHWASH. ^ CITY TEL.NO.
FAN_OTHER 1.00 ,,/ 0V LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING _ \ v` I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT A AGREE TO COMPLY
SIZE 6 TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATELAWSREGULATING
ELECTRICAL WIRING.
D - 1 1.00 1 HEREBY CERTIFY THAT 1 • PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF }
I - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 0L
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O
10 — 50 5.00 U
SIGNATURE CIA
50 — 100 10-00 OF PERMITTE Q
H-
100 — 500 15.00 B1sTfT/ONO. cRo zON PRoc D w
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 Q'
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: _
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE WSPECTOR•5 SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT y 11
WIRING
PERMIT FEE (SUB TOT LI FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (SO% PERMIT FEE)
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTR L ENGINEER
PLAN CHECK VALIDATION EK. M.O. CASH PERMIT VALIDATIONcK. M.o: CASH:
ly6fY2 3.4 3 NGV 24 2 0 7.20 '
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE '-
76A663-CE806 9-64 APPLICATION .FOR ELECTRICAL PERMIT l.I
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BuILOING O R W a
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER e E
COLEMAN W. JENKINS, SUP'T. OF BUILDING LOif
CALITY (� .1 / �1
FOR APPLICANT TO FILL IN CROSS ST. 3 UL7 ON
RECEPT'. TOTAL N_ EACH FEE /
LIGHT• _NZ _OUTLETS, FIRST 20L
20 $ O OWNER ��(,/ AOD'L ADDRESSMAIL
SWrrc ovER20ITOTAL . CITY TEL. NO.LIGHTING FIRST 20 . -rr20
FIXTURES I nER 2 1O ELECTRICIAN S
OV R 2O
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESSSaMe AS O e
GARB.DISP. STA.COOK
CITY '!i TEL.NO. i1
DISH WASH. AUTO.-WASH- STATE
SPACE HTRS. STA.APP.(1/.H.P.MAX.) ,50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. I DTICy'l G P 'Z
6-
9U
PR
1 1.00 _�
I - 3 1.50 INSPECTION R CORD
3 8 2.00 d
8 15 2.50 { 0
15 50 3.00
50 100 5.00
V
NO.TRANS- - W
SIGNS: NO. LAMPS 4 N
SERVICE 0.600V.NOT OVER 200A. 1.00 ?
SERVICE 0-600V OVER 200 A. 2.00
SERVICE OVER 60OV 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATI N APPROVALS DATE INSPECTOR'BSIGNATURB
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT 1
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. _ _ WIRING
HEREBY .CER TIFY. THAT I AM PROPERLY REGISTERED ANO/OR FIXTURES
LIC ENS.. AS REOUIRED BY LOS AND E LES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, ANDINTEND TO
RESIDE IN, THE ABOVE DESCRIBED ESIOE POWER
SIGNATURE {/T/,� UTILITY CO.NOTIFIED
OF PERMITT
FINAL
1
CK cIDATION JOSEPH C. ROOHAN
MO CASH SUPERVISING ELECTRICAL ENGINEER,
Ao3 6 4 1 0 JUL 21 2 D 55.70- c