HomeMy Public PortalAbout9238 BROADWAY_Electrical__ .p89 SA 25M SETS ,-<a I
APPLICATION FOR PERM
,`DEPARTbIENS OF BUILDING AND SAFETY ��������
C COUNTY OF LOS ANGELES
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NAME v r�r�t .�r nf� /I�3 �% L� ,r DISTRICT NO. . GROUP ZONE PERMITNO.
ADDRE CITY / �.. TEL.NO. RECEIV[D SY READY FOR DATE ISSUED
////� PIRBTINSPECTION5 CWNTY� /YvaCERT.NO. EXPI
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS U
C
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
N[AREBT
LIGHT OUTLETS BW. PlUOB RJiT ST, /
CIRCUIT A B 1 C I D I E F G H ¢ NAME
M MAIL
3 A, EBB
O /CITY TEL NO.
1 AM TN LE46AL POSSRRBOR OF THE ABOVE LOB
ANG&JIS COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AN THE LEGAL.CWNER.OF THE PROPERTY DESCRIBED
ABOVE p y p
"IY�SiF-fit�l'/l iRs 2i
' OWNEft.
CORRECTIONS
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APPROVALS
NO. OF FIXTURES I $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT /
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS B FIXTURES G/
MISCELLANEOpfl POWER
PERMIT FEE $ Yr• UTILITYCO.NOTIFIED
TOTAL FEE FINAL
76.66= DBB 5A 11-49 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
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WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FI IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN .
r l 4-1
RECEIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION
CITU TEL NO.
COUNTY LICENSE—NO. EXPIRES BUILDING
PERMIT FEES ADDRESS EAGRmAd11.jAv
FEE —
NUMBER OUTLETS EACH '1. {i LOCALITY
NEAREST
LIGHT Sc $ CROSS ST. .,A,•s
RECEPTACLES 5 AV
FIXTURES 5 /0(l OWNER
O"/`�'.`.�_/"I`}_��{���`1/G(/L�//�'•/
WALL SWITCHES 5 ,S` MAIL
ELEC. RANGES 25 ADDRESS u
ELEC. HEATERS 25 CITY / {'TAI NO. ,
MISC. I HEREBY /ACKNOWLEDGE y�HAT 1 HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED:
IOTA APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
Numssa HORSEPOWER FEE I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NEW MVD. HP OVER IND. EAC. ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
6 LESS .25
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I/p $.
I/7 2 .50 SIGNATURE OF (JY^�
_ 2 S 1.00
PERMITTEE : �1
S is 1.so INSPECTION RECORD
is SO 2.50
50 200 5.00 _
_
=Do 500 10.00
61000 15.00 J
Q
1000 20.00 Z
E
M.G. SET/FREQ. CHANGER-HP [J
WELDERS:AC-KVA R
GENERATORS - KW O
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF GRIG.)
MOVED MOTORS (75% GF GRIG.)
MIBC.
SIGNS
TYPE: NO.TRANS.
TYPE: ND. LAMPS APPROVALS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 0 CONDUIT
FIXTURES $1.00 / OU WIRING
A V
SUPPLEMENTARY .50 FIXTURES _
POWER
TOTAL FEE $ r
UTILITY CO. NOTIFIED
FINAL /�I ./
i D.D.B.SA 25MRETS 10-97 A/DffilCATPON.FOR PERMIT
]DEPARTMENT OF RUILMG AND SAFETM ��������
COUNTY OF LOS ANGELES
WM. J. FOX CHIEF ENGINEER
A Z �/'I DISTRICT NO. GROUP ZONE PERMIT NO.
NAME 4!99 LI�e� /'!/�
ADDRESS /9 Y lAl1
�_ RECQ'IVED'BY ;READY FOR ' DATE ISSUED
.Wj COUNTYCITY TEL NO. ///J/ FIRST INSPECTION
W. ' CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLYJod
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY ,
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS JSW. . PLUGS I FIXT CROSS 3T. /.��1�+�//✓/� /� v✓ y
CIRCUIT A B C D E 1 ,F) G H m NAME
AIL
\' v ; AO RESS J-0 Q AA �Ll
O CITY ( TEL NO. (
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
\ d ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
i 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE 'M6
OWNER.
If CORRECTIONS
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TOTAL
NO. OF OUTLETS Z S APPROVALS
NO. OF FIXTURES S DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ 1 CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE S / V� UTILITY CO.NOTIFIED s
TOTAL FEE 0