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Home My Public Portal About9170 BROADWAY_Electrical__ 70A663.CEBOS- IO-56 APPLICATION FOR ELECTRIC ,PERMIT BUILDING AND SAFETY DIVISION Department of County Engineer BUILDING n County of Los Angeles ADDRESS / Q - -Yll�.n✓ JOHN A. LAMBIE. COUNTY ENGINEER CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. �i✓�-<�.�v.�_�1 PERMIT FEES `nn OWNER LIGHTS RECEPTACLES SWITCHES NUMBERNUMBERI ITEM EACH FEE MAIL ADDRESS TOTAL OUTLETS S .10 S O ELEC. RANGES, WATER HEATERS, CITY TEL-NO. CLOTHES DRYERS - '50 ELECTRICIAN (< 6 A ELEC. SPACE HEATERS, STAT-Y. COOK 1\ ING UNITS, GARBAGE DISPOSERS, ADDRESS VQ. l INV AUTO WASHERS, DISHWASHER .25 ,n LIGHTING FIXTURES ,10 CITY �/L� -L " TEL. NO. ; l MOTORS STATE LICENSE NO. C-1 n HORSEPOWER M.P. I OVER INC. DISTRICT NO. I GROUP ZONE READY FOR INSPECTION '/y H LESS .24 2 .50 INSPECTION RECORD z 5 1.00 4 IS 1.50 15 50 2.50 40 200 5.00 MISC. SIGNS I NO,TRANS NO. LAMPS SERVICE O-DOOV 1.00 SERVICE OVER SOOV 5.001 1 WIRING PERMIT 1.00 (� FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 APPROVALS TOTAL FEE S / x/0 DATE INSPECTORS SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT ,G. 4).(-PM WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING / I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR A LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT IMAM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE rwG UTILITY CO. NOTIFIED / , OF PERMITTEE _ FINAL JOHN A. LAMBIE. VgaLIDATION A THUR C.VEIT. COUNTY ENGINEER �✓ _ MO IO . SUPERVISING ELECTRICAL ENGINEER �:c o1 C0:7 41R t-W 2'0 ...2 A' 1 .'4 Q ODs E.A '24. APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES FOX. CHIEF ENGINEER ' z NAME _ pi SD �J DISTRICT NO. GROUP I {A{ZONE PERMIT NO. U ADDRESS Fd �jTSS W CITY -' Q p, TEL.NAL: Z / RELIEIVEo BY READS FOR DATE ISSUED FIRST INSPECTION J COUNTY W CERT.NO. ., EXPIRES APPLICANT FILL IN HEAVILY OUTLINE PORTION ONLY, JOB DESCRIPTION OF WORK ADDRESS Z EJ(' NUMBER OF OUTLETS ON CIRCUITS LOCALITY it M /Il�� LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW.I PLUGS IF, T CROSS ST. A I" CIRCUIT A B C D E IF IG IH I w NAME = IMAIL ADDRESS I O CITY .TEL NO. I AM THE LEGAL POSSE 6f;R OF THE ABOVE LOS ANGELES COUNTY CERTIFI P U PICATION.. ELECTRICIAN. I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS Q Z 17 d' D t TOTAL NO. OF OUTLETS $ BO'S^ APPROVALS I NO. OF FIXTURES 5 x (/ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. 8 WIRING NO. OF RANGES OR HEATERS 8 FIXTURES MISCELLANEOUS 8 POWER PERMIT FEES 5-01 UTILITY CO.NOTIFIED TOTAL FEE / 41 .3 FINAL DBS s-A Iz-aa APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC ��'�� VVM. J. FOX CHIEF ENGINEER Z y ,� ,/_ DISTRICT NO. GROUP ZONE PERMIT NO. E NAME Il/ C./ P.��-U'Y4/./• _ ADDRES j9atelt /! .� 1" I RECEIVED BY READY FOR DATEISSUED U CITY / ` TEL.N 8B VY I FIRST INSPECTION COUNTYW CERT.O. J EXPI PER ,3/� l • V, If. == APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLYJOB 1AI DESCRIPTION OF WORK ADDRESS Y t - �6YL aAli�w-a I NUMBER OF OUTLETS ON CIRCUITS ..Z� �f � LOCALITY I8+19L LOCATION BY ROOMS HE LIGHT OUTLETS SW.1111 UGS I FdT CROSS 6T. CGS CIRCUIT A B C D E F G H K NAME J 2 MAIL ADDRESS /�SO+•�1•�.� CITY ( TEL.NO. I AM OF THE ABOVE LOS J ANGELESTHE COUNTYACERTIFICATEROF QU LIFICATION.. 1•r1fY! � � I '�'1-� ELECTRICIAN. I AM THE[LEGAL OWNER OF THE PROP TY DESCRIBED ABOVE y / / OWNER. CORRECTIONS I( l I Ale J Q Z_ !7 E D TOTAL 1 / NO. OF OUTLETS $ APPROVALS I NO. OF FIXTURES $ DATE I/N�SPEC.T1OWS NAME NO. OF MOTORS H.P. $ CONDUIT At /1 I III NO. OF SIGNS TRANS. $ WIRING NO. O RANGES HEATE $ 1 7r FIXTURES MISCELLANEOUS - $ POWER PERMIT FEE //6 $ / O -UTILITYCO.NOTIFIED i TOTAL FEE /a .40 V FINAL 'P- ]BAB _DEBDBI/'D APPLICATION FOR ELECTRICAL PES "f'oUNTY OF LOS ANGELES DEPARTMENT OF BUILDING COUNTY ENGINEER BUILDING �' I.7 Y BUILDING AND SAFETY DIVISION /JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING Vn e NEAREST FOR APPLICANT TO FILL IN CROSS ST. CN CI vu OUTLETS NO, EACH FEE S S OWNER I LAG � YV S' YJ RECEP T._ ' MAIL LIGHT_ TOTAL FIRST 20 20 ADDRESS FI-'15'01J�• OVER 20 CITY /_ TEL. NO. SWITCH_ .10 PLAN CHECK LIGHTING TOTAL FIRST 20 20 APPLICANT FIXTURES OVER 20 10 ADDRESS APPLIANCES CITY TEL. NO. PERMIT RANGE_ORYER_WTR. HTR._ APPLICANT STA. COOK_DISP._F.A.U._ ADDRESS SPACE HTR.Z AIR COND. CITY TEL. NO. CLOTHES WASH._DI SHWASH._ LICENSE NO. CLASS. FAN_OTHER 100 / O 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 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. NW. KVA. ELECTRICAL WIRING. SIZE B TYPE OVER TO HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O - 1 100 LICENSED AS RE BY L09 ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT HATI AM THE LEGAL OWNER OF, AND INTEND T. 1 - 10 3.00 RESIDE IN. THE ABOVE DESCPIP.ED RESIDENTIAL PROPERTY. T a 10 - 50 5.00 SIGNATURE OF PERMITTEE y 50 - 100 10.00 w DISTRICT NO. CLASS GROUP SON_ / PROCESSED BY O 100 - 500 1500 SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: N TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 ? SERVICENOTOVER600VOLTSOR200AMP 2.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CEOVER 600 VOLTS OR 200 AMP 5.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 3.00 UNDERSLAS WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING '� r FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) UTILITY CO. NOTIFIED PERMIT ISSUING FEE _g00 L FINAL 7A`5 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 - JCkS`EPFr C. ROOHAN TOTAL FEE '00 SUPERVISING EGTRICAL ENGINEER. PLAN CHECK VALIDATION CK. M.G. CASH PERMIT VALIDATIO CK 1 M.D. CASH 3ML� 4.00^ a - SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE Xljlcr'� >4A683;CEBC6 YD. APPLICATION FOR ELAV6 A d P Il COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDIss NG BUILDING AND SAFETY DIVISION - ADDR E -1 �Y'LOO.CQw COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY `l Vvt I L FOR APPLICANT TO FILL IN NEAREST CROSS ST. I'll,1>^ 1:4,us.. OUTLETS NO. EACHI FEE OWNER �o a REC EPT� S S ��••IIf MAIL GET TOT FIRST 20 / zS, ADDRESS VI"lO W\ CN N SWITCHL OVER 20 CITY 1 Q ivN Q T TEL. N0. dPs6 7 AD PLAN CHECK LIGHTING 1 TOTAL FIRST 20 23 APPLICANT FIXTURES J} OVER 20 ADDRESS .10 APPLIANCES CITY _ TEL. NO. PERMIT E''+ RANGEDRYER_WTR. HTR._ APPLICANT e- \ STA. COOK_OISP. F.A.U._ ADDRESS SPACE HTR. AIR CORD. CITY - TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. " FAN_OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. NP. KW. KVA. ELECTRICAL WIRING. SIZE S TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS gEOUIq ED BT LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND IN TO >- 1 1 - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY, d SIGNATURE OlJ 10 - 50 500 OF PERMITTEE JJ K 50 - 100 1000 pISTRICT NOI ASS RE P SEED Y O r 100 - 500 1500 F W SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 V APPROVALS aE WIRING INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR 200AMP 10.00 TEMP.POWER POLE TEMP SERVICE, POL E. &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT FIXTURES POWER AUTHORIZED f 22 PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE NAL R� PERMIT ISSUING FEE - 3.00 JOSEPH C. ROOHAN TOTAL FEE l SUPERVISING ELECT ,AL ENGINEER. PLAN CHECK VALIDATION CK. M.D. cgsx PERMIT VALIDATION cK. -M.O. CASH I SC 1 2 7 o C JUL 7 2 D 1 1 .0,0- SEE .0.0-SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 1 I