HomeMy Public PortalAbout4943 BALDWIN AVE_Electrical__ (2) 76A663-CE806 8-62 APPLICATION FOR ELECTRIC L PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING - ti
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY C
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. y TOTAL NO. EACH FEE
OUTLETS FIRST 20 $20 $ OWNER
LIGHT l2e MAIL
ADD'L .10 Jy ADDRESS
SWITCH. OVER 2O La
TOTAL TEL.
LIGHTING FIRST 20 .20 CITY NO.
FIXTURES / OVER
2
OV R 20 10 ELECTRICIA � L�
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS /6 r-
GARB.DISP. STA.COOK /
CITY _� TEL. NO. �R
DISHWASH. AUTO.-WASH. STATE r
SPACE HTRS. STA.APP.(1/.H.P.MAX.) � .50
LICENSE NO. -74
MOTORS: OVER NOT OVER H . DISTRJ.CT T/V GROUP ZONE P CESSED BY
O 1 1.00 ,JT� /1 ✓
1 3 1.50 INSPECTION RECORD
3 8 2.00
8 15 2.50
15 50 3.00 }
CL
50 100 5.00 0
SIGNS: NO.TRANS- DL
NO.LAMPS O
H
SERVICE 0-60OV-NOT OVER 200A 1.00 w
a
SERVICE 0.600V-OVER 200 A. 2.00 N
Z
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE CJS
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
WIRING
I HEREBY CERTIFY THAT I AM PROPERLYGISTERED AND/OR
LICENSED AS RE ED BY LOS ANGELES CO NTY AND STATE OF FIXTURES
CALIFORNIA OR TH T I AM THE LEGAL O NER THE ABOVE
DESCRIBED RE
E IAL OPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED �/' ✓ ,,'�7�
OF PERMITT
FINAL
/ Y�ALIDATION ARTHUR C. VEIT
SUPERVISING ELECTRICAL ENGINEER
CK 1D CASH
I�
76A663 CE806 9 66 APPLICATION F01 ELECTRIgAl. PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS o
JOHN A LAMBIE COUNTY ENGINEER t
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
7RECEPT TOTAL NO EACH FEE cam,,,OUTLETS FIRST 20 $ 20 $ OWNERL�I,-�+r MAIL
ADD L 10 ADDRESS
OVER 20
TOTAL FIRST 20 20 CITY TEL NO
LIGHTING FIXTURES
FIXTURES ADD L OVER 20 10 CONTRACTOR
RANGES DRYERS WTR HTRS too ADDRESS
GARB DISP STA COOK
CITY TEL NO
DISHWASH AUTO WASH STATE
SPACE HTRS STA APPL , 50 cc) LICENSE NO
MOTORS OVER NOT OVER H P DISTRICT? GROUP Z6NE D BY
O 1 100 !�
1 3 ISO f Ir INSPECTION RECORD
9 8 200 A Uo2
8 15 250
15 50 1 1300 d
O
50 100 500 V
NO TRANS OL
SIGNS NO LAMPS O
SERVICE O 600V NOT OVER 200A 100 a
SERVICED 600V OVER 200A 200 N
Z
SERVICE OVER 600V 500
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2 00 OQ
SUPPLEMENTARY PERMIT ISSUING FEE 1100 APPROVALS DATE INSPECTOR S SIGNATURK
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE L AL OWNER OF AND INTEND TO POWER
RESIDE IN THE ABOVE ESCRIB RES NTI L PROPERTY
SIGNATUREUTILITY CO NOTIFIED
OF PERMITTEE
FINAL
&-v-ALIDATION
JOS R S ROOAAN
CASH SUPERVISING ELECTRICAL ENGINEER
LAW 9 U 0 21 JUN 9 2 D 4 0 J- Cl