HomeMy Public PortalAbout9828 BROADWAY_Electrical__ 76A663-CEB06 3.69
~ APPLICATION FOR ELECTRICAlf PERMIT
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS BUILDING /J
790itVA
JOHN A. COUNTY ENGINEER O
COLEMAN W. JEN KI KINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
NO. EACH FEE CR05S ST. ,
S S OWNER
REC EIPT.z - MAIL
ADDRESS
LIGHT TOTAL FIRST 20 .20 ,V10
SWITCH s/ �((/ CITY TEL.NO.
OVER 20 .10 PLANCHECK
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LIGHTING TOTAL FIRST 20 ,20 APPLICANT
FIXTURES }� OVER 20 .10 ADDRESS
RANGE_DRYER_WTR. HTR. CITY TEL.NO..
STA. COOK_DISP. _F.A.U. CONTRACTOR
SPACE HTR.—AIR GOND. ADDRESS
CLOTHES WASH._DISHWASH. CITY /nqI¢J///J TEL.NO.3
FAN OTHER 1.00 LICENSE NO. y-A� /�- CLASS. �0
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE OCAO THIS APPLICATION
N p. HEATERS, ETC. HP. KW. KVA. AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/O
-ICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO STATE }
I - 10 3.00 CALIFORNIA OR THAT I AM THE GAL OWNEfl O ANO IN TEN
RESIDE IN, THE ABOVE DEEC O flEBIOENTIA PROP Y O
10 - 50 5.00 U
SIGNATURE
50 - 100 10A0 OF PERMITTEE Q
0
100 - 500 15.00 DISTRICT NO, GROUP ZON
h W
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 v O h
TUBE, OA Z
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 O
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES G1i G
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
�O
SUPPLEMENTARY PERMIT ISSUING FEE 1,00 FINAL « ��
TOTAL FEE T JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECKVALIDATION CK. M.O. CK.CASH PERMIT VALIDATION M.o. CASH
_ iA3061 o DEC 12 2 0 8.00-
SEE BACK OF APPLICATION FOR COMPLFTF EEE SCHFOULE JJ/1
76Afi89-CE806-IO.S6
APPLICATION FOR ELECTRIC PERMIT
BUILDING AND SAFETY DMSION
Department of County Engineer eUILDING
County of Los Angeles ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT 0. GRIFFIN. SUPT OF BUILDING LOCALITY /�s✓�-/L�
a
NEAREST
FOR APPLICANT TO FILL IN Ross sr
PERMIT FEES
OWNER
LIGHTS RECEPTACLES SWITCHES
NUMBER 1 T E M EACH PEE MAIL
ADDRESS
TOTAL OUTLETS S .10 It
( ELEC. RANGES, WATER HEATERS, ] CITY „TEL NO
/ CLOTHES DRYERS .$O J
ELEC. SPACE HEATERS, STAT Y. COOK- ELECTRICIAN
ING UNITS, GARBAGE DISPOSERS, ADDRESS
AUTO WASHERS, DISHWASHER .25
LIGHTING FIXTURES .10 CITY ❑ TEL. NOJr —�
MOTORS SATE
LICENSE NO. /. J 3
HORSEPOWER
H.P. I OVER INC. DISTRICT NO. GROUP ZONE I READY FOR INSPECTION
%z &LESS .25
- 2 .50 INSPECTION RECORD
2 5 1.00
5 15 1.50
15 50 2.50
50 200 5.00
MISC.
SIGNS I NO.TRANS
NO.LAMPS
SERVICE 0-600V 1.00 t70
SERVICE OVER 600V 5.00
WIRING PERMIT
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50 - APPROVALS
TOTAL FEE S < - DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING 3 S�
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT i AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY. _
SIGNATURE Ji /� UTILITY CO. NOTIFIED !.
OF PERMITTEE !
.., FINAL
JOHN A. LAMBIE:- VALIDATION ARTHUR C.VEIT,
COUNTY ENGINEER CK MO GASH SUPERVISING ELECTRICAL ENGINEER
1Co'l s
b7— MAR 3 2 a 2.5 0