HomeMy Public PortalAbout9444 BROADWAY_Electrical__ 76A�,3-CEBOL 12-65 APPLICATION FOR ELECTRIC PERRA9'V
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING I
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY T
NEAREST
_ FOR APPLICANT TO FILL IN CROSS 6T.
RECEPT. TOTAL NO. EACH FEE
OUTLE FIRST 2 $.20 $ LtZ
OWNER
LIGHT
SWITCH _ VER2ADD L 10 ADDRESS
OVER 20
TOTAL FIRST
LGHTING 201 .20 CIT F TEL. NO.
1 FI%TURES
FIIXTURES )( ADD'L 10 CONTRA OR
OVER 20
RANGES DRYERS R.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL. NO.
DISMWASH. AUTO.-WASH. STATE
SPACE HTRS. STA. ADPL. ,$O LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRIC GR P E P ED
O 1 1.00
a
1 3 Iso )NSP CTION R CORD O
3 8 2.00 V
8 Is 2.50 +0`1
15 50 3.00 W
d
50 100 5.00 Ul
z
SIGNS: NO.TRANS Z
NO.LAMPS
SERVICE 0.60OV-NOT OVER 200A 1.00
SERVICE O-60OV-OVER 200 A. 2.001
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 12.001 Im
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATDRC
TOTAL FEE
is vm, -
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDER$LAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT �(
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR J� r-
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR TH'M T E LEGAL OWNER OF, AN INTEND TO POWER
RESIDE IN.THE AB _qES )BED ESI DENTI PR RTY.
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITT
FINAL 1�4 --
-V-ALI O CASH ON JOSEPH C. ROOHAN
MO CAS
SUPERVISING ELECTRICAL ENGINEER
C
LAL:e 6 2 9 9 Z DEC 9 2 0 8.00" q
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76A663-CE806 1-66 Aly®11 Ip ATI®���g& IERMI4
COUNTY-OF LOS ANGELES Y II ILS IL Y�
DEPARTMENT OF COUNTY ENGINEERIL
UD
BUILDING AND SAFETY DIVISION BADDREISSNG
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BU ILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
5 S OWNER
RECEPT. MAIL
LIGHT TOTAL FIRST 20 .20 .ADORE Ls
i /
SWITCHI OVER 20 .10 CITY L. NO. f9
PLANT CHECW
LIGHTING lTOTAL FIRST 20 .20 APPLICANT
FIXTURES /( OVER 20 .10 ADDRESS
RANGE—DRYER—WTR.HTR.— CITY TEL. NO.
STA.COOK_DISP. F.A.U.— CONTRACFOR
SPACE HTR.—AIR COND.
ADDRESS
CLOTHES WASH. DISHWASH. CITY TEL. NO.
FAN_OTHER 1.00 LICENSE IND. CLASS.
MOTORS,TRANSFORMERS RATING
[NO: HEATERS, ETC. HP. KW. KVA. II HEREBY ACKNOWLEDGE THAT I HAVE READ Tn15 APPLICATION
SIZE & TYPE OVER TO
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - I 1.00
r I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
TAA, 1 - 10 3,00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
1 CALIFORNIA OR THAT I M E LEGAL OWNER OF, AND INTEND TO
10 - 50 $.00 RESIDE IN, THE ABOVE 5CRIRED ESIDENTIAL P PER O
SIGNATURE / V
50 - 100 10.00 OF PERMITTEE' y.
100 - 500 115.00 - Q
DIST ICT'NO. GROUP ZONE P O E BY
T.
OR SIGN AND ONE CIRCUIT 3.00 // /� //�)
MARQUEEGN CA S AODI TIONAL CIRCUITS 1 .00 NOTES I L�.TAb %U Z
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 INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES -
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTI CITY CO.NOTI FIED
��. SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL, l• 11 (.�
TOTAL FEE JOSEPH C. ROOHAN
- SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION LK. M.D. CASH PERMIT VALIDATION LK. M.O. cases
Lt O 7 1 7G AUG 1 D 5:0'0^'
REE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE //%a
1BA883-CEBOe_Bs'�APPLICATION FOR ELECTRIC PERMIT �-
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING t
t
BUILDING AND SAFETY DIVISON AODREss
JOHN A. LAMBIE.Cou NTY ENGINEER
CASSATT D!GRIFFIN.SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS ST. C ��t
PERMIT FEES /�yy
ITEM NUMBER EACH .FEE OWNER Z9P
{� VI
UTL
MAIL
OLIOHTET � RECEFT. sW t .10 $ AODRESS JJ��}'t
LIGHTING FIXTURES .10 0 CITY - An -00 . TEL.NO. /� /
ELEC.RANGES CLO.DRYERS ' ELECTRICIANS
WATER HEATERS .50
ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
✓ ^
GARBAGE DISPOSERS CITY TEL.N0.
AUTO.. e%
WASHERS STA.COOKING UNITS r .25 3V STATE
LICENSE NO.
MOTORS: OVER INC. H.P.
0 — V. 25 OISTRIC GR UP L NE I READY FOR INSPECTION
y — 2 .50 S IV
INSPECTION RECORD
2 — 5 1.00
5 — 15 1.50
15 — 50 2.50
50— 200 5.00
SIGNS: NO.TRAN5.
NO.LAMPS
^ SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50 11.
TOTALFEE g 00 , APPROVALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. d WIRING /-Sr g_
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE a POWER
- DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE ' UTILITY CO. NOTIFIED .4 //�
OF PERMITTEF FINAL v
pj{yIDAlin ARTHURNGELECTRICAL
CK MO GSH SUPERVISING ELECTRICAL ENGINEER .•
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