HomeMy Public PortalAbout5013 BALDWIN AVE_Electrical__ (2) 76AS63,CE806 10 62 APPLICATION FOR ELECTRIC L PERMIT (�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY emalia
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
FAH
TOTAL NO EACH FEE
OUTLETS FIRST 20 $20 $ OWNER I
, MAIL
�2i} ADD L ADDRESS
OVER L 10
ING TOTAL FIRST 20 20 CITY TEL NO
ES ADD L 10 ELECTRICIAN
OVER 2O
S CLO DRYERS WTR NTR9 100 ADDRESS I ,
P STA COOK
CI STEL NO AT- 06-2007
H AUTO WASH STATE
RS STA APP (y■H P MAX) 50 LICENSE NO /OVER NOT OVER H P DIST�IC N G P Z N C SSED Y -
O 1 100 '5, q
1 3 150 INSPECTION RECORD
s s 200 >.
CL
s is 250 O
U
15 50 300 99
50 100 Soo O
SIGNS NO TRANS G.
NO LAMPS
N
z
SERVICE O 600V NOT OVER 200A 100
SERVICE O 600V OVER 200 A __200
SERVICE OVER 600V 500
MISC
Pavmm -11
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE $
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 8 SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING /
ELECTRICAL WIRING WIRING y
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR J
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY POWER /�.
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE
FINAL !f
VALIDATIO ARTHUR C VEIT
CK MO ASH SUPERVISING ELECTRICAL ENGINEER
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TEMPLE CUTY
76A663 CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAREST
G
BUILDING AND SAFETY DIVISION W
JOHN A LAMBIE COUNTY ENGINEER ry +
WILLIAM A JENSEN SUP T OF BUILDING TEMPLE CITY
FOR APPLICANT TO FILL IN
RECEPT 14 TOTAL NO EACH FEE
OUTLETS FIRST 20 $20 $ OWNER BALDWIN
LIGHT13 MAIL
SWITCH 13 0 ADD L 10 ADDRESS
OVER 20
ELIOVrli
20LIGHTING FlasT 20 CITY TEL NO
FIXTURES ADD L10 ELECTRICIAN CON= & SON ELECTRIC
RANGES CLO DRYERS WTR HTRS 100 ADDRESS 0 0 Nm GRANDVIEW AVE
GARB DISP STA COOK CITISO SAN GABRIEIrEL NAT.0-2007
DISHWASH 1 AUTO WASH 1 'T STATE
SPACE HTRS STA APP (+/a H P MA-1 50 2 0r LICENSE NO 137567 C-10
MOTORS OVER NOT OVER HP DIST ICT GROUP ZONE PRO ES D Y
O 1 1 00
1 3 150 INSPECTION RECORD
3 8 200
B is 250
15 50 300 ` >'
IL
50 100 Soo 0
SIGNS NO TRANS lY
NO LAMPS O
SERVICE 0 600V NOT OVER 200A 1 1 00 1 0 U
w
IL
SERVICE 0 600V OVER 200 A 200 to
SERVICE OVER 600V 500 ?
MISC
PERMIT ISSUING FEE 200 2 0
SUPPLEMENTARY PERMIT ISSUING FEE 11001 _
TOTAL FEE s 7.14 6
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 8 SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT j �,.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
LICENSED ABCERTIFY PROPERLYTHAT—! AM
REQUIRED BY LOS ANGELESCOUNTY REGISTERED AND/OR` '
AND STATE FIXTURES ,
CALIFORNIA OR THAT/1 AM ITHEI"LEGA OWNER OF THE ABOVE
DESCRIBED REBIDENTIALRPERT ` POWER
SIGNATURE ^ UTILITY CO NOTIFIED
OF PERMITTEE_\ ` a
FINAL
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CK MOO CAS CASH SUPERVISING ELECTRICAL ENGINEER
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