HomeMy Public PortalAbout9527 BROADWAY_Electrical__ 98ASOAXEB08-e-57 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS ✓ /S /7!i
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT of BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS ST.
PEPMT FEES
OWNER
LIGHTS RECEPTACLES SWITCHES
NUMBER ITEM E M EACH FEE MAIL
ADDRESS
TOTAL OUTLETS f .10 f
ELEC. RANGES, WATER HEATERS. CITY TEL. NO.
CLOTHES DRYERS .50
ELEC, SPACE HEATERS, STAT'T. COOK- ELECTRICIAN y�
ING UNITS, GARSAGE DISPOSERS, ADDRESS iyC ,
AUTO WASHERS, DISHWASHER .25
LIGHTING FIXTURES ,10 CITY TEL.NO. Z541FS
MOTORS STATE
LICENSE NO. _
HORSEPOWER DISTRICT NO. GROUP NE READY FOR INSPECTION
OVER nn INC. A
s; /g I1A R LESS .25 ZS A
'/ — z .50 INSPECTION RECORD
2 5 1.00
5 15 iso.
15 50 2.50
50 200 5.00
MISC.
SIGNS NO.TRANS
NO,LAMPS
SERVICE 0-500V 1.00
SERVICE OVER 500V 5.00
a WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50 - APPROVALS
TOTAL FEE f
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP{ICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY CONDUIT
COUNTYWITH ALL ORDINANCES AND STATE LAWS REGULATING
ELECTRICALWIRING, WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR , FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEG OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPE
SIGNATURE / O UTILITY CO.NOTIFIED IST let 1, K---d�-
OF PERMITTE F _ _ FINAL �- rT/.Y—��
JOHN A. LAMBIE. VALIDATION ARTHUR C.VEIT.
CoU Y ENGINEER CK Mo- gH SUPERVISING ELECTRICAL ENGINEER
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APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION . _
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS N0, EACHI FEE OWNER OR
$ $ FIRM NAME I'J
RECEPT._ MAIL -_ -
FIRST 20 ADDRESS
LIGHT TOTAL 25
CITY TEL NO.
SWITCH_} OVER 20 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FI%TURES OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE—DRYER WTR. HTR._ APPLICANT
STA. COOK DISP. F.A,U.
ADDRESS
SPACE HTR. AIR GOND. CITY TEL. NO. -
CLOTHES WASH. DI SHWASH. LICENSE OR
REG. NUMBER CLASS.
FAN_OTHER 100 I HEHEBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
No STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
MOTORS. TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC, HP, KW. MVA. ELECTRICAL WIRING.
SIZE 8 TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND OR Y
0 — I 100 ` LICENSED AS gEOUIREO BY L05 ANGELES COUNTY AND STATE OF d
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE O
I — 10 300 OES"If ED RESIDENTIAL PROPERTY. V
W
PERMITEE --�
10 — SO 5.00 SIGNATURE
Y
SO — 100 10.00 DISTRICT NO. PROC. SSED BY
100 - S00 10.00 A w o
SIGN, GAS �
SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECIOR•S SIGNATURE H
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVICENOTOVER600 VOLTS OR 200AMP 300 UNDERSLAB WORK
SERVt CE OVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT
TEMP SERVICE, POLE, &APPURTENANCES 5.00IFIXTURES
TEMP LIGHT OR RECEPT. SYSTEM 3.00
UTHORIZEDCO. NOTIFIED
PERMIT FEE )SUB TOTAL)PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 ( J
TOTAL FEE
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. M.O. CASH
a
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
]EAEBE-CEaOB-B_EO APPLICATION FOR ELECTRIC PERMIT ,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDREss a-jl t%L/�
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. G
PERM FEES
OWNER Al —7 4F
LIGHTS RECEPTACLES SWITCHES
NUMEER ITEM EACH FEE MAIL
ADDRESS
TOTAL OUTLETS $ .10 s
ELEC. RANGES. WATER HEATERS, CITY TEL.NO.
CLOTHES ORTERS .50
ELEC. SPACE HEATERS, STAT-Y. COOK- ELECTRICIAN
ING YNITS, GARBAGE DISPOSERS, /� ADDRESS C
AUTO WASHERS. "SHWAS HER .25 Jc
LIGHTING FIXTURES .10 (/ CITY TEL.NO /
MOTORS STATE
LICENSE NO.
HORSEPOWER
OVER INC. DISTRICT O. GRO P ONE READY FOR INSPECTION
—�/ 9 W LESS .25 T
v: - 2 .50 INSPECTION RECORD
2 5 1.00
5 15 1.50
15 — 50 2.50 'Ca R dtn
50 200 5.00
MISC.
SIGNS I NO'TRANE
NO.LAMPS
SERVICE O-SOOV 1.00 Igo
SERVICE OVER 600V 5.00 qnn
WIRING PERMIT 1.00 vo
FIXTURE PERMIT 1.001 Wo
SUPPLEMENTARY PERMIT ,50 APPROVALS
TOTAL FEE E DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE THIS APPLICATION A
AND STATE THAT THE ABOVE IS CORRECT AND AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _
ELECTRICAL WIRING. - WIRING I ^-
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AN THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL
SIGNATURE UTILITY
OF PERMITTE1'��4'�
c r
.,. FINAL or/Y/ iRoF
JOHNA.LAMBIE. �jtTALIDATION ARTHUR C.VETT.
COUNTY ENGINEER /�cK//Mo CASH
SUPERVISING ELECTRICAL ENGINEER
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