HomeMy Public PortalAbout9575 BROADWAY_Electrical__ 76AO63-CE806 9-64 APPLICATION I FOR LECT RICAf PERMIT
COUNTY OF LOS ANGELES
,DEPARTMENT OF COUNTY ENGINEER BUILDING }-
BUILDING AND SAFETY DIVISION ADDRESS J
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL . NO, EACH FEE
OUTLETS FIRST 20^ S2OS OWNER
LIGHT / MAIL
A DD'L
SWITCH. 10 ADDRESS
OVEfl 20
,
LIGHTING FIRST 201 CITY TEL. NO.
.20
FIXTURES I ADD'L
I
TOTAL—
OVER 20 ,fo ELECTRICIAN
RANGES CLO.DRYERS VTR.HTRS. 1,00 ADDRESS �v
GARB.DISP. STA.COOK
' CITY TEL.
OISHWASH. AUTO.-WASH. STATE Tz 1 O / f f
SPACE HTRS. STA,APR.ph H.P.MAXI .50 LICENSE NO. � I '�{ I
MOTORS: OVER NOT OVER H.P. DISTIR)CT NO. G UP 1.4DV I PROUCESSED BY
0 1 1.00 r l9 fc _
1 3 1.50 I INSPECTION RECORD
}
s e 2.00-1-
0
.00 O
8 15 2.50 V
18 50 3.001 1 d.
50 100 5.00
V
NO.TRANS- W
SIGNS: NO.LAMPS y
Z_
SERVICE 0-600V-Noi OVER 200A LOO Imo'
SERVICE 0-60OV-OVER 200 A. 2.001 1
SERVICE OVER 600V 5.00 -
MISC.
PERMIT ISSUING FEE 2.00 1
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 8
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
HEREBY ,CE ME
AM PROPERLY REGISTERED ANO/OR FIXTURES
LICENSED 'S R9 A S COUNTY AND STATE OF
CALIFORNIA OR D NER O ANO INpOWER
FES'OEIN, TH 81GNATUR UTILITY CO.NOTIFIED
OF PEV
FINAL
�LI ' JOSEPH C. ROGHAN
CK MOO CAS CASH SUPERVISING ELECTRICAL ENGINEER
LAGO 1 9 1 4:O MAY 21 2 D 3.8 0- Q
76A663-CE806 9-E4�) APPLICATION FOR ELEC4RICXPERMIT / Fa Avd IJ
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILD]Nf�`
BUILDING AND SAFETY DIVISION ADDRESS S
JOHN A. LAMBIE. COUNTY ENGINEER Y
COLEMAN W. JENKINS,_ SUP'T. OF BUILDING LOCALITY
-6111 job'
NEAREST ,. / iL Id G /J_
FOR APPLICANT TO FILL IN CROSS 5T. CL
2 3 Z TOTAL NO. EACH FEE
R EC EPT.y jI FIRST 20 OWNER
LIGHT /•�CI y-O/UTLETS $.20 $ MAIL
�G&�
cfSWITCH..)) 1I 11 OVER 2 .10 A ADD'LADDRESS L
LIGHTING TOTAL , IFIRST 201 .20 .1 1•L 15 CITY V� TEL. NO.
FIXTURES (,'O_ ADO'L 10 ELECTRICIAN N(�
OV R20 (�y^�
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS lDlel \
GARB.D19P. BTA.COOK / CITY TEL. NO.
DISHWASH. _ AUTO.-WASH. STATE
/ LICENSE NO. Z pG
SPACE HTR9./C/J BTA.APP.(qy H.P.MAX.) .50 ��
MOTORS: OVER NOT OVER H.P. DISTRIC O. GI FESSED BJH'
O 1 IS1.00 �Q tL1t�`l
1 — 3 1.50 INSPECTION RECORD-
3 H 2.00
8 15 2.50 I c-A'
15 50 3.00 �� "�� •\ K
50 100 5.00
h W
SIGNS:
NO.TRANS. ^^/f�/^� Pte% f •� a
NO.LAMPS �iSG:h'�H�r �tA/•!Lt ty /�� T ..�tr.�"`^St F �N
SERVICE O.6OOV-NOT OVER)ODA 1.001 I ✓ n fA LE'1 t.
SERVICE O-6OOV-OVER 200 A. 2.001 •`$ .3 GIJ / L�G� ..Ls'�l ^•:L
SERVICE OVER 600V 5.00 r P
PERMIT ISSUING FEE 2.001 'LA ICeLA AJ:.AwQi45 1Yl""A41e..w1y
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR-9 SIGNATUBE
AN
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCE STATE LAWS REGULATING /
ELECTRICAL WIRING. _ WIRING
HEREBY C FY THAT E LY REGISTERED ANO/OR FIXTURES
LICENSED AS EOUIRED G LE COUNTY AND STATE OF
CALIFORNIA R THA TH y- AL O ER OF, D INTEND TO
RESIDE IN, HE A E D CR /ISI. UL F O�/J��'_�I POWER
SIGNATOR ` �/� UTILITY CO.NOTIFIED n T G
OF PERM / FINAL 7 v
-VA LI JOSEPH C. ROOHAN
CK MOO CAS CASH SUPERVISING ELECTRICAL ENGINEER
L
04 12 3,� JUL 2 9 2 0 1 1 5.8 U" o
76A663-CES06 9-66 APPLICATION FOR ELCAL ER
ECTRIMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESSjq
JOHN A. LAMBIE. COUNTY ENGINEER I� �Y
COLEMAN W. JENKIN5, SUPT. OF BUILDING LOCALITY 1. j
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. t (( '
RECEPT. TOTAL HO, IS. FEE t
OUTLETS FIRST 20 S 20 S OWNER L L /+�� - I J
LIGHT I l MAIL
A 0U'L 10 ADDRESS (7 /
SWITCH. OVER 2O C
LIGHTING TOTAL F1R5T 20 .20 CITY G TEL. NO.
FIXTURES , �F7C/— Dvca 2010 D ELECTRICIAN
RANGES CLO.DRYERS WTR.HTRS. 1 1.00 ADDRESS EOQAI L'
GARB.DISP. STA.COON
CITY TEL. NO. �O
DISHWASH, AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(9s H.P.MAS.) .50 LICENSE NO. ��O
MOTORS: OVER NOT OVER H.P. DISTRICT NO(,/,/ GR P / E P ED BY
o 1 1.00 Q p
1 s 1.50 INSPECTION RECORD
a
s e 2.00�— O
8 15 12.50 V
_ K
15 503.00 O
-F
F
50 100 5.00 - U
W
a
SIGNS: No.iaaN6- y
ND.LAMPS Z
SERVICE 0.60OV-NOT OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 6OOV 5.00
MISC.
PERMIT ISSUING FEE 12.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 h
TOTAL FEEB 2L"�bD
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS I DATE INSPECTOR'S SIGNATURE
'.AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
HEREBY -CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES r�
LIC ENSEO AS REQUIRED BY LOS ANGELES COUNTY AND
STATE OF
CALIFORNIA OR TX4T THEHE
GAL OWN OF, ND INTEND TO /
RESIDE N, THE ABOVE RIBED R DE A PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED I' / !S AAAA.f/�
OF PERMITTEE �// /uj v•
FINAL
/ A JOSEPH C. ROOHAN
/\ CK,KMOO CAS CASH SUPERVISING ELECTRICAL ENGINEER
LA 00-
7:3 JAN 7 2 D 2 O,f30- Q
APPLICATIC _'I� ELECT L PERMIT
_76A663-CEBOG 4.65
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS �✓`�J6' /€'O./rc' Com.Aa
JOHN A. LAMBIE_COUNTY ENGINEER
COLEMAN.W. JENKINS. SUPT. OF BUILDING LOCALITY �O
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPTACLE TOTAL NO. EACH FEE � � /
I
OUTLETS FIRST 20 5,20 $ OWNER /L/yi��L�/
LIGHT /�Z oZO OO 'MAIL ��
SWITCH OVER 20 SS .10 •S ADD PES$ y0 ./
l TOTAL CITY TEL. NO.
LIGHTING l FIXTURES FIRST 20 .20 Q
FIXTURES J( ADD'L (� CONTRACTO
OVER 201 .10 7
RANGES CLO.DRYERS WiR.HTRS. 1.0
0 ADDRESS
GARB.DISP. STA.COOK
CITY , TEL.
OISHWASN. AUTO.-WASH. STATE �T
SPACE HTRS. STA.APP.('/.H.P.MAX.) .50 LICENSE NO. 3E/ Vey
MOTORS: OVER NOT OVER H.P. DIITRRICT NO. GR UP ZONE P ESSED �Y
0 1 1.00 y {J ,�j�j(
1 a 1 1.50 INSPECTION RECORD
3 6 12.00 C 6
B 15 12.501
15 50 3.001 O
50 100 5.001 I V
SIGNS: NO.TRANS. O
NO. LAMPS F
V
W
SERVICE 0-600V.Noi OVER 200A 1.00 � (, 4•
H
SERVICE 0-600V-Ovea 200 A. 12.00 2
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
I
L • AI
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 -
TOTAL FEE 6 APPROVALS DAM INSPECTOWS SIGNATUNE
1 S
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERLAB WORK �I I 7 /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
LICENSED AS REOVIREO BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF. AND INTEND TO POWER
RESIDE IN,THE ABOVE OE C EO RESIDENTIAL PR Y.
SIGNATURE !7 UTILITY CO:NOTIFIED
OF PERMITTEE
FINAL G
\/ALIDATION JOSEPH C. ROOHAN
CK NO CASH SUPERVISING ELECTRICAL ENGINEER
LAC.p7 3 1,7—� NOV 12 . . 2 D 3 3.90IN
-
]fiP663{E806 4.65 APPLICATION FOR ELECTRICAL PERMI4LJ
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS $ /¢ CU.9,C
JOHN A. LAMBIE..COUNTY ENGINEER
COLEMAN.W. JENKINS. SUPT. OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. •-^ r �;
RECEPTACLE TOTAL No_I EACH FEE _ -
1 oU
J �J I$ S OWNER
LIGHT FIRST zo zo MAIL
SWITCH
CS
OVER 20 .10 1 ADDRESS
TOTAL FIRST 20 .20 VO 'CITY TEL. NO.
LIGHTING 1 FIXTURES - ,
FIXTURES 1 ADD'L 1O CONTRACTOR IGLU rP C .P(
OVER 20
RANGES CLO.DRYERS WTR.HTRS, 11.00 ADDRESS ,64C .CSO/✓
GARB.DIBP. STA.COOK
CITY TEL.NO.92& 3S�
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(y H.P.MAX.) / ,50 /� o LICENSE NO. 3D OTO �7
MOTORS: OVER NOTOVER H.P. DISTRICT N OU@ S PR BY
�R'` J
O 1 1.00
3 1.50 INSPECTION RECORD
3 8 2.00
8 15 2.50
15 50 3.00 0
SO 100 5.00 u
99
SIGNS: NO.TRANS
NO.LAMPS {LLOJ]]
SERVICE 0.600V.NOT OVER 200A 4 1.001
N
SERVICE 0.60OV-OVER 200 A. 2.00 Z
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEOU LE]
PERMIT ISSUING FEE 2,001
SUPPLEMENTASY PERMIT ISSUING FEE 1.001 - -
TOTAL FEE 6 o APPROVALS I DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK k I w
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT )F;/ /43
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO POWER
RESIDE IN.THE ABOVE DES B D RESIDENTIAL PRO TY.
SIGNATUREUTILITY CO.NOTIFIED -
OF PERMITTEE FINAL b
VADATION JOSEPH C. ROOHAN
CK ` O CASH SUPERVISING ELECTRICAL ENGINEER -
L L- 0 7 7'7"7 a DEC 3 2 D 8,60" v
- p =- 9® Sn7ac'TE �p
76A663-CE806 8.62 Ap ICA FO LSECTKICALSRM(
COUNTY OF LOS ANGELES _
DEPARTMENT OF COUNTY ENGINEER DUILD1NG —• -- �^
BUILDING AND SAFETY DIVISION ADDRESS L(
JOHN A. LAMBIE, COUNTY ENGINEER �}!
WILLIAM A. JENSEN, SOFT OF 6UILOING LOCALITY /
NEAREST C( , CLU '
FOR APPLICANT TO FILL IN CROSS sr. `tS/
RECEPT. TOTAL t NO. EACH FEII
E C- 1 (C lcf�
III OUTLETS (FIRST 201 i� S2O $ / _OWNER (j LAU j 1JU t((Lk
Y—OLLIGHT ( MAIL { r'
ADD'-
SWITCH. —f OVER 20 Ao p �•�
LIGHTING TOTAL FIRST 201 2 .20 CITY [V• 7/�-
2TEL. No. J-J //o
FIXTURES l 12 ADD'- 1O ELECTRICIAN
av R 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS.
GARB.OISP, STA.COOK //'' ��jj���n I-
CITY o5a Ir TEL. NO.Zflo W_?s
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS, BTA.APP.(V.H.P.MAX.) .50
LICENSE NO.
MOTORS: OVER NOT OVER H.P. I DIST 1TDN GROUP Z NE P OC ^QED BY
0 1 1.00
1 3 3 I.So INSPECTION RECORD, nn f{
9 8 2.00 h, le �A Q-r✓�r'S'{�Y1�/,
8
is 2.50
15 50 3.00
1
50 — 100 15.00 CI
V
SIGNS: NO.TRANS-
NO.LAMPS
rOr
SERVICEO.600V-NOT OVER 200A 1.001 W
SERVICE 0.60OV-OVER 200 A. 2-001 a
h
SERVICE OVER 600V 5.00 Z
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE' $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS OATC INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT .P1 _
WITH ALL 'COUNTY ORDINANCES AND STATE LAWS REGULATING y _ T
ELECTRICAL WIRING. WIRING `w
1 HEREBY CERTIFY THAT I.AM PROPERLY REGISTERED ANWOR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA SI THAT 1 A THE LEGAL NEq OF THE ABOVE 4w�DESCRIBED ROR TO AT O RTr. POWER
SIGNATURE UTILITY CO.NOTIFIED /
OF PERMITTEE / t,.
FINAL V
�VO CASH DATION ARTHUR C. VETT
SUPERVISING ELECTRICAL ENGINEER
( KIMO
53 0
WORKERS' COMPENSATION DECLARATION 76"663 '0r61 APPLICATION FOR ELECTRICAL PERMIT {�
I hpreby�m Ihave that have a certificate of consent to self insure, CE-6D6G �J
or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof(Sec. 3800.Lab.C.) -
Policy No. Company FOR APPLICANT TO FILL IN, JOB
❑ Certified copy is herebyfurnished. EACH NO. FEE ADDRESS
New Residential Bldgs.-& Pools
❑ 1 & 2-Family, Sq.Ft. $ — $ LOCALITY
Certified copy. is filed with the county building'inspection
department. Multi-family Sq. Ft. NEAREST,
7.
_ _ CROSS ST T
Date Applicant' –Residential Swimming Pools OWNER OR /
Light FIRM NAME �r
'CERTIFICATE OF EXEMPTION FROM WORKERS' f• (� MAIL
COMPENSATION INSURANCE Outlets:Rae Sw '� iyj' �'� ADDRESS
(This section neednot be completed if the work involved by the First 20
permit is for one hundred dollars ($100)or less.) Total No. Additional CITY Tel.No.
I certify that in the performance of the work for which this permit PLAN CHECK
APPLICANT
is issued, I shall not employ '
p y an y person in any manner.�so s to
become subject to thy Workers'Com at1 Laws. Lighting Fixtures First 20 a ADDRESS
Additional
R Total No. CITY Ti
Date v 70 I J Applic t Fixed Appliances Not Over 1 HP
NOTICE TO PLICANT: If making this Certificate of PERMIT
Exemption,you should becom ubject to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT
provisions of the Labor Code, you must forthwith comply with such Oven Dryer _ W.M. _ ADDRESS
provisions or this permit shall be deemed revoked. Top FAU _.W.H.
CITY / Tel.No. ? !i
LICENSED CONTRACTORS DECLARATION Hood Fan Other_
1 hereby affirm that Lam licensetl under. provisions of Chapter 9LICENSE OR
(commencing with Section 7000) of Division 3 of the Business and Disp. Room Air Cond. REG,NUMBER Class.
Professions Code.and my license is in full force and effect. O. P EBBED BY
Power Apparatus 8 Large Appliances DISTRICT NS [2L"
Size & Type HP, KW,KVA,or KVAR ��� 1Lst-4�✓
License N er / Lic.Class - Up to 1 Incl. FINAL - U
Over 1 to 10 Incl. DATE VALIDATION Q
'Con clot -ate Over 10 to 50 Incl. V
AL
FIN
exempt under Sec. Over 50 to 100 Inc. BY. _ W
B.&P.C.for this reason Over 100
•• Services,Swbd., MCC 8 Panelbdards , Z
Date: 0- 200 Amp.Under 600 V '
Signature 201'- 1000 Amp. Under'600 V -
❑ Over 1000 Amp. or Over 600 V
Exemption for Reg.Maint_Elect.
SINGLE FAMILY Temp.Power Pale & Appurtenances CCT.:
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby affirm that I am exempt from the Contractor's License Law
for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits v 30
49.
Code): } '�''� Ju
❑ Misc.Conduits& Conductors 1 ITEM
I,as owner of the property,will do the work and the structure
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ , TOTAL 49.30
and Professions Code). MICK49.30
.CONSTRUCTION LENDING AGENCY CWGE GGE - .o0
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) pJp2
Civ. O).
PLAN CHECKING.FEE 0000-0001 8/11/95
,Lender's Name
PERMIT ISSUING FEE _ ' 7. O 1814 1 AM10:10
Lender's Address
Icertify that I have read this application and state that the above TOTAL FEE
information is correct. I.agree to comply with all County ordinances
and State laws regulating Electrical wiring, and hereby authorize
represent�ir�ies of this C my to enter upon the above-mentioned'
er for inspection oses. SEE REVERSE FOR EXPLANATORY LANGUAGE '
ignature of Permittee ate