HomeMy Public PortalAbout9563 BROADWAY_Electrical__ ]6P663-[E806 9-64 <
APPLICATION f OR ELEC RVCAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING .3
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER t
COLEMAN W. JENKINS, SUP'T. OF BUILDING LOCALITY
NEAREST
I
FOR APPLICANT TO FILL IN CROSS ST.RECEPT. TOTAL NO. EACN OUTLETS FIRST 20�// �S 2O 6 OWNER
LIGHT . ,I MAIL
ADD'L 10 ADDRESS
SWITCH
OVER 20
GHTING
LFIRST 201 .20 TOTAL CITY TE . NO.
I
FIXTURES _ ADD'L 10 ELECTRICIAN
Dv R 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 1 . --F— ADDRESS /,/6
(J (A
GARB.DISP. STA.COOK
V/
CITY' �////�q Lf d TEL. NO. 46
DISHWASH. AUTO..WASM. STATE ,l
SPACE HTRS. STA.APP.('/i H.P.MAX.) ,50 LICENSE NO. Z I. L
MOTORS: OVER HOT OVER H.P. DISTR)CT NO. GRO P Z NE P ESSED BY
o t 1.00 c'L>4
t — 3 1 1.50 INSPECTION RECORD
a
9 B 12.00 O
a 15 2.50 U
15 50 3.00
50 100 5.00 O
V
w
SIGNS: NO.TRANS. N
NO. LAMPS
I_
SERVICE 0-60OV.NOT OVER 200A 1.00
SERV ICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2,00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 6
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
HEREBY .CER TIF XAT I LY REGIST ERE' ANO/OR FIXTURES
LICENSE. AS RE LES COVNTY ANO STATE OF
CALIFORNIA OR M L AL OW ER OF. ANO INTEND TO
RESIDE IN, TH A T DESC IBE. ESIDEN 1♦ PNOPERTY. POWER -
BIGNATUR t UTILITY CO.NOTIFIED
OF PERMITTEE �-
FINAL
l �LI JOSEPH C. ROOHAN
CK MOO CAS CASH SUPERVISING ELECTRICAL ENGINEER
t
LAW 1 91 3" rlAY 21 2 0 3.80-
s
i
76A663-EE606 9-64
APPLICATION FOR kECTRICAL PERMIT .p
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FAREST.
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUP'T. OF BUILDING
FOR APPLICANT TO FILL IN /
RECEP1NO. EACH FEE
LIGHT TOTAL
LIGHT 1311IIr OUTLETS FIRST 20 If $.20 OWNER / /
MAIL I
A 'L ADDRESS �/ �' C •'firy�
SWITCH�O 111 ,3n OVER 20 �[/ .f0 1
TOTAL , CITY TEL. NO.
LIGHTING FSR ST 20I .20 /
FIXTURES l 3y_ ADD'L
ER 20 Y, x/ 10 / L1ELECTRICIAN G
OV _
RANGES //'. CLO.DRYERS WTR.HTRS. 1.00 ADDRESS D�
GARB.OISP.W STA.COOK M•T.. L �^p('
OISHWpSH.G AUTO.-WASH. .{ STATE I /
SPACE HTRS. 'Z STA.APP.(4z H.P.MA%.) p( ,50 / LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIST ICT NO. GR UP ONE PROCESSED Y
O 1 1.00 670 1�
+ 3 1.50 ,[ gQpf/ pp INSPECTION'RECORD
'p/,.{� �,I�
3 B 2.00 7d~/IVN r �•l VC✓1+ F-A
B — Is 2.50 y u
is 50 3.00 y
O
50 100 5.00 u
W
SIGNS: NO.TRANS. y
NO.LAMPS
Z_
SERVICE 0.60OV-NOT OVER 200A f 1.00
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 6
ION
I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LICA APPROVALS DATE INSPECTOR'S SIGNATURE
AN
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT ,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _ _
ELECTRICAL WIRING. WIRING
HEREBY .CERTIFY T LV REGISTERED+ AND/OR FI%TURES
LICENSED AS REOU O Y L ES C U Y AND STATE OF
CALIFORNIA OR T T L L OW R OF. AND INTEND TO
RESIDE IN, THE DAM EOA ESI. AL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMI EE y• v
CcKAFINAL
(DATION JOSEPH C. ROOHAN
MO CASH SUPERVISING ELECTRICAL ENGINEER
_A04 19 2 D 9 7.4 0
76A663-CE606 8_62 . APPLICATION FOR EL 4RpCPERM IT -�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESSW 0.
JOHN A. LAMBIE. COUNTY ENGINEER /.. /-
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY C. E:
r, Tzl
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. E Cl (!L
RECEPT. TOTAL _NO. EACX FEE
1 OUTLETS (FIRST 20 $2O5 OWNER CI ���(
LIGHT I II MAIL /
ADO'L ADDRESS
SWITCH. _ OVEfl 20 .10 /
TOTAL 'A CITY ( TEL. NO. Y G�
LIGHTING FIRST 201 .20 W
FIXTURES } //^� av DRHL I Q +O ELECTRICIAN i /
RANGES CLO.DRYERS WTq.HTRS. 1.00 ADDRESS
GARB.OISP. SIA.COOK
CITY
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.('A H.P.MAX.) .50 LICENSE NO. � (/ Q
MOTORS: OVER NOT OVER H.P. DIST
RJ,GTON GRO P ZONE PR CD Y
O 1 1.00 ��
+ 3 Iso 1 INSPECTION RECORD
3 82.00
8 16 2.501
15 s0 3.00 )•
0
50 100 5.00 - O
SIGNS: NO.TRANS-
NO.LAMPE O
SERVICE O.600V-NOT OVER 200A 1.00 V
W
SERVICE 0-60ON-Oven 200 A. 2.00 - d
N
SERVICE OVER 600V 5.001 ?
MISC.
PERMIT ISSUING FEE 2.001
SUPPLEMENTARY PERMIT ISSUING FEE 1.601 1
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S BIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 THE LEGAL O R OF THE ABOVE
DESCRIBED RESIOENTIA' PERT'.P POWER / 1
SIGNATURE �� t UTILITY CO.NOTIFIED I:A QM
OF PERMITT I
FINAL I I
,�LIDATION ARTHUR C. VETT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER -
.a Yw L&O 8 6'3 RJAN 7 2 D 2 0.0, 0 a
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