HomeMy Public PortalAbout9543 BROADWAY_Electrical__ 76A663-CE806 9-69 h APPLICATION' FOR ELE TRICAL PERMIT ll'
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS T Ltt.L
'JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUP'T. OF BUILDING LOCALITY C
NEAREST
FOR APPLICANT TO FILL IN .CROSS ST.
PEC EPT TOTAL NO. EACH FEE - J
1I1 OUTLETS. (IFIRST 20 �$ 20 $ 'U' OWNER
LIGHT ) (' 1 K"V MAIL
W 11 AOD'L ADDRESS
SITC H.2 —I,(_c��, OVER 2O� 10
5(J:IJ0
,Li GHTING TOTAL F1RSi 20�20 .201 V V CITY Z TEL. NO.
FIXTURES -VFR'20�y to ` Q-6 ELECTRICIAN �
RANGES CLO.DRYERS WTR.HTRS, 1,00 ADDRESS C/
GARB. SP. STA.COOK I r
.MZ CITY �(�V/� TEL. NO.
OISHWASH..g AUTO.-WASH. STATE
SPACE HTR../
STA.APP., N.�(4% ) _ ,50 LICENSE NO.
MOTORS: EVER NOT OVER H.P. -DIST ICT NO: GRO P NE 'P ESSED: Y `
O I 1.00 J� (� PSL _
1 a tso INSPECTION RECORD
jl Y
B e z.00 flf Gr _.on. ll Bs 1
B 15 2.501 / Pl ,(/_ O
15 50 3.001 �a�-may' C
50 100 5.001 A / D- A O
SIGNS: NO TRANS
NO.LAMPS .Y 9' .K
Z
SERVICE 0-60OV-NOT OVER.200A 1.00
SERVICE O-60OV.OVER 200 A. - 2.00)
SERVICE OVER 600V. 5.00 yy,11�e�y/��/f � C h r ^I/,A�.&!5+Z /1
MISC. �f/ef/T/0'7(,µj(�^`�ri(�'1 //r�/��� ��n:y
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 V 1
TOTAL FEE. ® 2
1HEREBY ACKNOWLEDGETHATI HAVE READ THIS APPLICATION APPROVALS •DATE INSPECTOR'S SIGNATURE
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY .CONDUIT I _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING 7/ V(�LN /TWA�Q I
LIHEREBY .CERTIFY THA R lV REGISTEfl EO AND/OR ` V F
CENSED A REQUIREO,a LOAM ELE coVNTY AND STATE OF FIXTURES
CALIFORNIA AS
THAT L " ND TO .POWER ..
RESIDE THE PB OA C /}D NT AL AERTY�?E [[.
SIGNATURE
RE / �� UTI LiTY:CO.NOTIFIED tt /e ./N�A A 1AiA�l/✓1
OF PERMITT '/ FINAL /J.'(1, rr ••-• j
LIDATION JOSEPH C. ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER'
'�o 7 9'4-. UG19 -<2 p 1 2 2.0 0-
°BAEBD DE°°" EE APPLICATION FOR ELECTi?61 PO
COUNTY OF LOS ANGELES ..
DEPARTMENT OF COUNTY ENGINEER BUI Lo'NG
BUILDING AND SAFETY DIVISION ADDRESS S / &ae CVQC
JOHN.A. LAMBIE,.COUNTY ENGINEER
COLEMAN.W. JENKINS. SUPT. OF BUILDING LOCALITY41 C! /
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. F 1-r LL[.
RECEPTACLE TOTAL NO. EACH FEE
OUTLETS FIRST 20 15.20 $
OWNER C, t.,1LIGHT 1 l fJl ���I�`If•
SWITCH ( OVER 20 11 .f0 IL
AD-DL ADDRESS �Ilo Q Q1 L271H ..{
TOTAL FIRST 20 2011 .20 I CITY 4,C ON TEL. NO.
LIGHTING 1y FI URES { /71a
96
FIXTURES J / r0 ADD L
OVER 20 Q .10 o CONTRACTOR ( Q E�C�/�j��/r. G
RANGES CLO.ORTERS wTR.HTRs. 1.0_O ADDRESS -E ON /�^ '
GARB.OIEP. ETA.COOS CITY Q- SAN 6u br�t#EL. NO. Q�Q,f 3d
DISHWASH. AUTO.-WASH. STATE ^J
SPACE HTRS. BTA.APP.(l/.H.P.MAX:) .50 _LICENSE NO. 2 �J O 7Q
MOTORS: OVER NOT OVER H.P. DIS:Fi1CT N GROUP ZQNE P OC ED BY
O 1 1.00
1 s 1.50 INSPECTION RECORD
9 8 2.00
8 15 112.50
d
11
IS 50 3.00 O
50 100 1 5.0011 I .. V
SIGNS: NO.TRANS, I O
NO. LAMPS
SERVICE 0.600V-NOT OVER 200A 11.00 D.
SERVICE 0-SOON-OVER 200 A. 112.001
Z
SERVICE OVER 600V 15.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 12.00 2 100
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ L 00 APPROVALS DATE INSPECTOR'S SIGNATURE
1 HIO HEREBY ACKNOWLEDGE THAT 1 HAVE READ TAPPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING
ELECTRICAL WIRING.
WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OW FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _
CAL IFORNIA OR THAT I AM HE LEGAL OWNER OF. AND INTEND TO POWER
REST DE IN.THE ABOVE 'BED RESID NTI OPERTY. /
SIGNATURE UTILITY CO.NOTIFIED — /
OF PEI RMITT — v—
/ FINAL J
�LI JOSEPH C. ROOHAN
CK MOO CAS CASH SUPERVISING ELECTRICAL ENGINEER '
LA(i0 8 7 4-- JAN 1 3 2 D 20-00-