HomeMy Public PortalAbout9120 BROADWAY_Electrical__ 76A663-CE606 II/TO AP®11 I1` ,(� 1 IOk FOR ELECTRICAL
E 'I RI p11 PERMIT
COUNTY OF LLSOYSUAANGYELES IIS bISbV Y tl` �i/i1LS Y Y�9Y� YY
DEPARTMENT OF COUNTY ENGINEER BW LDING
BUILDING AND SAFETY DIVISION ADDRESS
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY�4
NEAREST
FOR APPLICANT TO FILL'IN CROSS ST.
OUTLETS NO. EACHI FEE
$ $ OWNER
LIGHT T. � MAIL
FIRST 20 25 ADDRESS LIGHT_ TOTAL
OVER 20 CITY TEL. N0.
SWITCH .10 PLAN CHECK
LIGHTING
TOTAL FIRST 20 25 APPLICANT
I
FXTURES .10
OVER 20 ADDRESS
I
APPLIANCES CITY TEL. NO.
PERMIT
RANGE_ORYER_WTR. HTR._ APPLICANT.
STA. COOK_DISP�._F.A.U._ ADDRESS
SPACE HTR. AI�ONp )) CITY TEL. NO.
CLOTHES WASH.=DISHWASH._ LICENSE NO: CLASS.
FAN_OTHER 1.00 J. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
CJ ANO STATE THAT THE.ABOVE IS 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 & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
0 - I 1 001 LICENSED AS REO 0IRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 300 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. d
O
10 - 50 500 OF PERMITTEE
50
•.li V
OC
$0 - 100 10.00 DISTRIC/lT/NO, LASS ZO PflOCE SE T O
100 - 500 1500 s V W
D_
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: h
Z
TUBE. OR I -
MARQUEE ADOITIONAL CIRCUITS 1:00
SERVICE NOT OVER 600 VOLTS OR 200AMP 3.00 11
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEMPSERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CON DIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO. NOTIFIED C
PLAN CHECK FEE
PERMIT ISSUING FEE 300 .60
FINAL
JOSC. ROOHAN ,
TOTAL FEE j 1 p6 SUP RV SING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION
CK. M.O. CASH PERMIT VAL TION 1 cK. M.G. CASH
(A[;p;6 1 5 6:4 XM 19 0 4.0 0,` e
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
]6A663-CE80611/]0 APPLICATION FOR ELECTRICAL PERMIT IJ
COUNTY'OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDISS
NG
BUILDING AND SAFETY DIVISION 11 ADDRECL
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITYI T L
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS N0. EACH I
OWNER
RECEPS S
LIGHT T.=� O - MAIL -
FIRST 20 25
ADDRESS
LIGHT_ TOTAL C) 3Y9
OVER 20 CITY TEL. N
SWITCH 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES .10
OVER 20 ADDRESS
- '
APPLIANCES CITY TEL. NO.
PERMIT
RpNGEDRYER_WTR. HTR._ APPLICANT tiJ G
STA. COOK_DISP._F.A.U._ ADDRESS �� I
SPACE HTR. FAIR CO .)_/_ - CITY TEL. NO.
CLOTHES WASH.- DISHWASH._ - LICEH E NO. CLASS. .
FAN__OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ TH15 APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY.
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. RVA. ELECTRICAL WIRING.
SI
Z
E B TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 1 001 LICENSED AS REDUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO r
1 — 10 3.00 RESIDE IN, THE ABOVE DESCRIBED
DDE�ESCRRIIBED RESIDENTIAL PRO PE,RTTY`. CL
10 — 50 500 OF PERMSIGNATURITF,/ L"�'V �-'/L+•�
50 — 100 1000 DISTRICT NO. CLASS E q P ESS ED O
100 — 500 1500 .�
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: �� LUZ, Z
TUBE, OR _
MARQUEE ADOI TONAL CIRCUITS 100
SERVI CE NOT OVER 600 VOLTS OR 200 AM P 3.00 [/
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AM P 10.00
TEMP.POWER POLE
TEMP SERVI CE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CON DIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED �-
PLAN CHECK FEE
,a, FINAL
PERMIT ISSUING FEE 3.0 t_
J 5 PH C. ROOHAN
TOTAL FEE O SU RVI�ING ELEC. ICAL ENGINEER,
PLAN CHECK VALIDATION 'CK. 'M.o. - CASH PERMIL T�V I TIDN crc. M.G. CASH
6080 MA915. 2 0 7.00- Q
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE