HomeMy Public PortalAbout9709 BROADWAY_Electrical__ D995A FS...TS 1-40 APPLICATION
FOR PAJRWr �
DEPARTMENT OF BUILDING, AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
WM. FOE, ctlizE F&G ER
Q NAME Adrj & / ,YGDISTRICT NO. GROUP ZONE P
ERMIT NO.
U ADDRESS nJUS G , /�/ i. adW
RECEIVED BY BY READY FOR DATE ISSUED
1y�1 CITY / 1e 7n k, I g ram.NO. A ao ""�� L FIRST INSPECTION /I 4
.� COUNTY J[
W CERT.NO. SIIPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS y 3 / , 13 U a-[i Y✓ d
.NUMBER OF OUTLETS ON CIRCUITS LOCALITY / le 777,+ �'e if
LOCATION BY ROOMS
NEAREST ,It
-LIGHT OUTLETS SW. PLUGS FRIT CR
OSS ST. Jn L7
CIRCUIT A B C D E qFG H X NAME d . H d Y C 7" $,'n
-G. Ill
;
ADDRESS 2 3 � YDldW at/
CITY -t 2�( J g/TEL.ND. d G 46
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
1 AM THE"CAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
(�oVW� � 61�l1'!'✓�Mv
OWNER.
CORRECTIONS
A
Q
Z
G
TOTAL
D
NO. OF OUTLETS a /O APPROVALS
NO. OF FIXTURES a DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. a CONDUIT
NO. OF SIGNS TRANS. a WIRING
NO. OF RANGE 9 OR HEATERS a FIXTURES
AN a POWER p p
't. PERMIT FEE a / �� UTILITY CO.NOTIFIED
II t_ FEE
INA 7/ Ir _
DES
D9APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY .
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX CHIEF ENGINEER
NAME n DISTRICTNO. GROUP ZONE PERMIT NO.
U ADDRESS �l r'fAY� .� �- l �v ��
K
U CITY � TEL.NO. RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTIONCOUNTY
N G RT.NO. l EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK 'A°ODDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST C v
LIGHT OUTLETS JSW. PLUGS I FIXT CROSS ST. /V�x
CIRCUIT A B C D I E F IG lH I rc I NAME (�/ 1A .P1WtC
3 S 3 w
z ADDRESS P�'�..
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
1 AM THE I-EGAL OWNER OF THE,PROPERTYfDESCRIEED
ABOVE y� /ol
7 O' nny I.)rtNER. xa a VV
OWNER.
CORRECTIONS
Z
E3
f �
O
TOTAL /
NO. OF OUTLETS l $ , J APPROVALS
I NO. OP FIXTURES 13, $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT f/// ��/�
NO. OF SIGNS TRANS. $ WIRING "7= II-C16 //(/�' , / T
NO. OF RANGES OR HEATERS- $ FIXTURES
' U
MISCELLANEOUS $ POWER
i
FPERMITFEE $ / 4Y. J UTILITYCO.NOTIFIED
TOTAL FEE / J FINAL
76A663 DB56A 11-5D APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELE%'O;'hgr0 I
- WILLIAM J. FOX, CHIEF ENGINEER
I DISTRICT NO. GROUP ZONE PERMIT NO.
1. FOR APPLICANT TO FILL/IN p,,
ELECTRICIAN L ,eye /� /� � '"
`' ot
�0i�RECEIVED BY READY FOR DATE ISSUED
CDDR E99 O �` 'y N O. o-, PIR9T 11{B�ECTION
COUNTY LICENSE NO. EXPIRES U� BUI 0IN (/ O 1@/ IV�VQ{�® � IL
PERMIT FEES 7r/� p1, � O rY
Fee
NUMBER EACH LOCALITY
LIGHT OUTLETS o _,r NEAREST '
RECEPTACLES 6r
/, ! D CR099 9T. 66 L d ,�/rr
WALL SWITCHES O� �0 OWNER AAe �14tiI
TOTAL OUTLETS Sc $ '.S MAIL
ELEC. RANGES ley CITY ADDRESS //JJQ
ELEC. HEATERS 25 / �j IPr'�e 07Y
TEL NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 P099E9B THE AVE VALID LOB
NUMBER HORSEPOWER ANGELES COUNTY LICENSE OR 1 Am T'H LEGAL OWNER
NEW MVD. HP
FEE OF THE RESIDENT�t O RTY DE C A3 D ABOVE.
OVER INC EACH (/
I/7 s LED. .25 SIGNATURE OF
I/2 2 .50 PERMITTE
2 5 1.00 INSPECTION RECORD
5 15 1.50 I`
_l5 50 - 2.SO
50 =0 5.00
200 500 10.00 -J
_ Soo loco 15.00 Z
DYET2 1000 20.00 p
M.G. SET/FREQ. CHANOCR-HP Q'
WELDERBI AC-KVA D
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% D• CREW.)
MOVED MOTORS (75 CF DRIDJ _
MISC.
SIGNS
NO, NO.TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING - $1.00 CONDUIT / IA _ I
FIXTURES $1,00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE 'y y,7 $ UTILITY CO.NOTIFIED ''/ �. 4e
l� FINAL ✓/, -