HomeMy Public PortalAbout9332 BROADWAY_Electrical__ 76A663-00612/75APPLICATION FOR ELECTRICAL PERMIT
�. COUNTY OF LOS ANGELES ANEAE DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
FOR PP F IN
New Residential Bldgs & Pools EACH NO.. FEE /
1 & 2-Family, Sq. Ft. $ .025 — $
G�
Multi-family Sq. Ft. .02 —
Residential Swimming Pools 20.00
Outlets: Light,Switch & Receptacle CITY Tel.NO.,"_7
First 20 .50 PLAN CHECK
Additional .30 APPLICANT
ADDRESS
Lighting Fixtures
First 20 - .50 CITY Tel.No.
Additional .30 PERMIT r
APPLICANT
Fixed Appliances,Not Over 1 HP ADDRESS
Range—Heater_D.W._ CIT Tel.N _
Oven_Dryer_W.M._ LICENSE OR
Top — FAU _W,H._ REG.NUMBER Class. e-14
Hood— Fan
,2.00 XENEBT ACKNOWLEDGE ABOVE
THAT CORR'HAVEECT
READ THIS APPLICATION
Dlsp._A.C. ANO STATE THAT THE ABOVE IS COOPECT AHO AGREE TOG
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LgTING
EL[CTR ICAL WIRING.
Power Apparatus& Large Appliances
.512Q pppType HP, KW, KVA, Dr KVAR HEREBY CERTIFY THAT 1 AM PROPERLY REGIB TER EO AND/CR.� LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE Or IL
Up t0 1 Incl. on CALIFORNIA OR THAI 1 AM TME EG pL OWNER OF THE gBOVE d
OE54PICE0 RESIDENTIAL PROPE TT. O
Over 1 to 10 Incl. �0 ' i> // —2r. U
Over 10 t0 50 Incl. 10.00 'FERMITEE !JK
SIGNATURE N
Over 50 to 100 Incl 20.00 cl:
Over 100 301.00 DISTRICT NO. OCES ED BY Q
Services `/ .'O 8 G U
\ W
0- 200 Amp. Under 600 V 3'&160 INSP TOR'S Q-
201-1000 Amp. Under 600 V 25.00 APPROVALS DATE SIGNATURE N
Z
Over 1000 Amp. or Over 600 V 50.00 TEMP.POWER POLE
UNDERSLAB WORK
Temp. Power Pole & Appurtenances 10.00
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2.00 WIRING
(Otherl
FIXTURES
POWER.AUTHORIZED n
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE 4&00-
TOTAL FEE D
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION cK. MD. CASH
t 6 0 O�DEC 2-. 2 D1 5.4 0 A c
I
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES _
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 40��
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING
LOCALITY / � 1
.FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
ITEM NUMBER EACH FEE OWNER C� 19
OUTLE 4711 ` $ $ MAIL
PMO/ ADDRESS
LIGHT RECE SW. .10
LIGHTING FIXTURES 10 CITY TEL.NO. _
ELEC.RANGES CLO.DRYERS
WATER HEATERS .50 ADDRESS
__ ��2J
ELEC.SPACEHTRS. DISHWASHERS CITY IVIGLt_ i TEL.
BAGS DISPOSERS AUTO. f:-
_ STATE
WASHERS STA.COOKING UNITr�/ �
LICENSE NO. � —F
I
MOTORS: OVER INC. H.P. DISTRICT NO. I
( UII Z )N�]E I PR CESS 6 I
..1/ 0— I/z � .25 O _#
v:— 2 So INSPECTION RECORD
2— 5 1.00
5— 15 1.50
15— 50 2.50
50-200 5.00
NO.TRANS.
SIGNS: NO.LAMPS A1,6 T K•'O',Ff 77= 1
SERVICE 0-600V
SERVICE OVER 600V 5.00
MISC.
WIRINGPERMIT 1.00 �-
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE slo
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICgT10N APPROVALS DATE INSPECTOR'S SIGNATURE
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY /-
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT y(
ELECTRICAL WIRING. WIRING -Z.O�O .�Jl �!llll���
1 HEREBY CERTIFY THAT 1 AM PROPS V REGISTERED AND/OR I'
LICENSED AS REOU ED BY LOS ANGELS COUNTY AND STATE OF FIXTURES IXn /,T
CALIFORNIA OR ITH T I AM THE LEG /OWNER OF THE ABOVE
DESCRIBED RESIDE IAL AROPERTY./ / / POWER
SIGNATURE U- /� UTILITYCO.NOTIFIED
f
OF PERMITTE 73- FINAL
®.. / A $
MO CAIIH U ERVISING ELECTRICAL ENGINEER
CK CASH
-9-498 a APA 19 2 A 1 0.3 0