HomeMy Public PortalAbout4938 BALDWIN AVE_Electrical__ (2) 76A663 CEB06 4 65 APPLICATION FOR ELECTR CAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 13DIN
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
[NEAREST
7RECEPTACLEJ
FOR APPLICANT TO FILL IN CROSS STTOTALNO EACH FEEOUTLETS FIRST 20 $ 20 ,� OWNER
MAIL
ADD L 1O .� ADDRESS
OVER 20
TOTAL FIRST 20 20 ZO CITY TEL NO.
LIGHTING FIXTURES
FIXTURES j ADD L CONTRACTOR r
OVER 20 10
RANGES CLO DRYERS WTR HTRS 1 00 ADDRESS
GARB D19P r STA COOK �
CITY TEL NO 1O
DISHWASH AUTO WASH I aN 2 STATE
SPACE HTRS STA APP (/ H P MAX ) 50 LICENSE NO
MOTORS OVER NOT OVER HP DISTRICT NO GROUP Z NE PRO SSED BY
O 1 100 r Q
1 3 150 INSPECTION RECORD
3 8 200
8 15 250
15 50 300 a
O
SO 100 500 V
Im
SIGNS NO TRANS O
NO LAMPS
SERVICE O 600V NOT OVER 200A 100 1 Aba
N
SERVICE O 600V OVER 200 A 200 Z
SERVICE OVER 600V Soo
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 1 00
TOTAL FEE $/ -11, APPROVALS DATE INSPECTOR 9 SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK Af
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �-A'���"
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORfFINAL
IXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TOpWER
RESIDE IN THE ABOVE e�ZDESCR D RES ENTIAL PROPERTY
SIGNATURE TILITY CO NOTIFIED
OF PERMITTEE
owl
V IDATION JOSEPH C ROOHAN
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
Ao 1 6 5 61-0 SPR 2 9 2 D 14 50-
4
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76A663 CE806 4 65 APPLICATION FOR ELECTRICA P RNlIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING AF
BUILDING AND SAFETY DIVISION ADDRESS41
'v
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPTACLE 1 TOTAL No EACH FEE
OUTLETS FIRST 20 $20 $ OWNER
LIGHT J} ADD MAIL
SWITCH OVER 20 10 ADDRESS
_
�__TOTAL IRST 20 20 CITY TEL NOLIGHTING FIXTURESFIXTURES ADD OVER 20 10 CONTRACTOR
j
RANGES CLO DRYERS WTR HTR3 100 ADDRESS /
GARB DISP STA COOK q
CITY TEL NO 41
TY 7
DISHWASH AUTO WASH STATE
31
SPACE HTRS STA APP (yi H P MAX ) 50 LICENSE NO
MOTORS OVER NOT OVER H P DISTRICT NO GROUP ZO E PRO SSED
O 1 ' 100
1 3 150 INSPECTION RECORD
3 8 200
8 15 250
15 50 300 O
50 100 500 V
CC
SIGNS NO TRANS O
NO LAMPS Fi
W
SERVICE O 600V NOT OVER 200A 100 O.
N
SERVICE 0 600V OVER 200 A 200 Z
SERVICE OVER 600V 500
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE 0,1Y APPROVALS OATE INSPECTOR S SIGNATURE
LEEBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUITL COUNTY ORDINANCES AND STATE LAWS REGULATING
CAL WIRING WIRING
EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORFIXTUREB
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO POWER
IN THE AB VE DESCRIB RE DENTIAL PROPERTY
URE UTILITY CO NOTIFIED
MITTEE
jA FINAL
OMO
IDATION JOSEPH C ROOHANSUPERVISING ELECTRICAL ENGINEER
CASH
LAW 12671 APR 14 2 D 340