HomeMy Public PortalAbout9619 BROADWAY_Electrical__ 77REM LE CITY
reuee.ceeoe w ee '
APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION pODRESS
JOHN A.LAMBIE, COUNTY ENGINEER „
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY67
FOR APPLICANT TO FILL IN NEAREST
CROSS S , c
PERMIT FEES
OWNER
ITEM NUMBEq EACH FEE MAIL L
OUTLETSI .k S S 'S ADDRESS p O
LIGHTS RECEPT� 6W. II'' S.
uC
LIGHTING FIXTURES ,ip
CIT L NO
ELEC. RANGES CLO. DRYERS ELECTRICIAN
WATER H EATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO.
GARBAGE DISPOSERS AUTO.. STATE
WASHERS BTA. COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DIS RIF NO. GRaWP ZONE PRRESSED0 — V2 .29 va'V — 2 50 INSPECTION RECORD
2 5 1.005 — I5 1.50
75 50 2.50 w
0
50 200 5.00 ~
U
IL
SIGNS: NO TRANS. IL
w
NO. LAMPS N
Z
SERVICE O.ROOV 1.00
SERVICE OVER 600V 5,00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1,00
SUPPLEMENTARY PERMIT ,gp
TOTAL FEE S
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICLFIXTURES
PPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO C
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULUIT I
ELECTRICAL WIRING. G '
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED A
LICENSED AS REQUIRED BY LOS ANGELES COUN AND STARESDESCRIBEDCALIFORNIAOR THAT I AM THE RESIENTIALPROPERTYLEGAL OWNETRSIGNATURE TY CO. NOTIFIED OF PERMITTE 12"I �v I"�• �V✓
VALIDAT194J� ARTHUR CIG Eki,'
CK MO (�gN SUPERVISING ELECTRICAL ENGINEER
�JJ200 9 9 0 - AUG 2 2 D 1 .2 0
�i?t�I2LLrITJ
TRUPAPLIE COW
APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS G
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN. SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
PERMIT FEES OWNER
ITEM NUMBER EACH FEE MAIL --TT
OUTLETS• 3 3 ADDRESS ;
LIGHTB RECEPT.-✓ BW. .l0
A CITY
LIGHTING FIXTURES ,10 //!
L NO
ELEC. RANGES CLO. DRYERS ELECTRICIAN
WATER HEATERS .s0 TE
ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO.
GARBAGE DISPOSERS AUTO.. STATE
WASHERS BTA. COOKING UNITS ,25 LICENSE NO.
MOTORS: OVER INC. H.P. DIST IGTN G P ZONE P ESSED BY
O — %2 .25
V. — 2sp INS SECTION RE RD
2 — 5 1.00 y
5 — is 1.50
U
z
15 50 2.50 0
50 — 200 5.00 ~
V
W
SIGNS: NO TRANS. 11
NO. LAMPS Z
SERVICE 0-$OOV 1,00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1,00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT ,50
TOTAL FEE 3
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ HIS APPLICATION APPROVAL$ DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT p. /A I
ELECTRICAL WIRING. WIRING /. Y Inl YJ I ln\AIs_.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES LINTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LRgAL O NER OF THE ABOVE
DESCRIBED RES NTIAL PROPERTY. POWER
SIGNATURE UTILITY CO. NOTIFIED
OF PERMITTE FINAL — �I n1/i��� iAKI
VALID T ARTHURIC.VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
a2606 - SEP13 2 D 70
Lh �J2607 � SEP 13 2 D 1 .60 ° r
L�
2. 6 0 8 SEP 13 2 D
DES SA'9M SETS 2.47 APPLICATION FOR PE9iA.S9A'1 f,
.-DEPARTMENT OF BUILDING AND SAFETY APPLICATION LII[fHl 1� d ilY\ 1\1Y111
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX CHIEF ENGINEER
Q NAME )I*--YY)I 9 l�F/J �'f! I .DISTRICT NO. GROUP ZONE PERJ.MIT NO.
ADDRESS Z. 3 9. "/ 1. D`/Y// T ! d{T.A{N I • _
U CITY f I .i• TEL.NO,[_f� .~�^S�I, a CEIV D BY READY FOR DATE ISSUED
JN COUNTY FIRST INSPECTION
hl CERT.NO. % EXPIRES
APPLICANT FILL. IN HEAVILVOUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS
p P< l
NUMBER OF OUTLETS ON CIRCUITS LOCALITY ]lt;--`.�/l
LOCATION BY ROOMS
_ NEAREST //�� qq
11
LIGHT OUTLETS SW. PLUGS FIXi CR O65 ST. C�.CJsI.� �Is'ef
CIRCUIT A I B C D E F G H W NAME 1//c'll� .! .� t �4. " !� I►/
Z MAIL sq p
3 ADDRESS
O �9 dYy e
I CITY / ���<'.� {N•�.•%. a� TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.,
EIECTRIC1Ali.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE 1
OWNER.
CORRECTIONS
V
J
Q
Z
D
Z
D
TOTAL
NO. OF OUTLETS $ APPROVALS
NO. OF FIXTURES •� $ w DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT CC
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER u p
PERMIT FEE $ UTILITY CO.NOTIFIED
TOTAL FEE 0 FINAL "