HomeMy Public PortalAbout5041 BALDWIN AVE_Electrical__ (2) 4663 CE806 5 62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT
UILD NG AND SAFETY DIV S ONER E
ADDRSS
B50l N BALDWIN
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY TEMPLE CITY
ST
FOR APPLICANT TO FILL IN CROSS ST LA ROSA
RECEPT TOTALNO EACH FEE
OUTLETS FIRST 20 $ 20 $ OWNER NOEL BALDWIN
LIGHT i MAIL
ADD i0 ADDRESS
SWITCH OVER 20
LIGHTING TOTAL �.lvll
ST 20 20 CITY TEL NO
FIXTURES DD L ,o ELECTRICIAN CONLEE & SON ELECTRIC
R 2O
RANGES CLO DRYERS WTR HTRB 1100 ADDRESS 103 0 N. GRANDVIEW AVE.
GARB DISP STA COOK CITYSO. SAN GABRIEfEL NOAT,0-200
DISHWASH AUTO WASH STATE
CENSE NO 137567 C-10
SPACE HTRB STA APP ('/,H P MAX ) 50
MOTORS OVER NOT OVER H P DISTRICT NOGROUP ZONE P ESSED BY
O 1 � 100
3 ti Iso INSPECTION RECORD
3 a 200
8 is 250 0:
O
15 50 300-r- - V
DC
SO 100 5 00 O
SIGNS NO TRANS
NO LAMPS 0.
YY
�1 a
SERVICE O 600V NOT OVER 200A 1 loo 1 O _Z
SERVICE O 600V OVER 200 A 200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE (�
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT I I�,J
ELECTRICAL WIRING r
WIRING ��/ �
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ♦ '�
LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT L P OPE Y POWER
SIGNATURE 7\'� UTILITY CO NOTIFIED n � s i�
OF PERMITTEE 1 FINAL iYAv,h-.4 R♦r2T
CK
0AMO CASH IDATION ARTHUR C VEIT ~
SUPERVISING ELECTRICAL ENGINEER
L%o 2 0 2 b.-3 14 2 0 3 0 0 -
76AGG3 DBS SA s as ® -� APPLICATION FOR PERM
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
� ��
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN
DISTRICT NO GROUP ZONE PERMIT NO
�
ELECTRICIAN ® �Pi _ _
r RECEIVED BY READY FOR DATE ISSUED
ADDRESS o i I�r(.. c� I 1100010/ FIR§T INSPECTION
CITY d"$ TEL
COUNTY LICENSE NO EXPIRES BUILDING �® ' ,•,�,�� A
PERMIT FEES I ADDRESS
FEE
NUMBER OUTLETS EACH � LOCALITY r
LIGHTS 5c I$ NEAREST
a I
RECEPTACLES 5 CROSS ST a-
FIXTURES 5 I ) OWNER
WALL SWITCHES 5 MAIL
ELEC RANGES 25 ADDRESS
ELEC HEATERS 25 CITY Cqr TEL NO
MISC
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING
NUMBER HORSEPOWER I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
FEE
NEW MVO HP OVER INC EACH ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
�
OF THE RESIDENTIAL PROPERTY DESCRIBED rBOVE
@ LESS $ 25
t -
I/2 2 50 SIGNATURE OF A
PERMITTE �I
2 5 1 00
5 15 1 so UNSPECTION RECORD
15 50 2 50
50 200 5 00
200 500 10 00
Soo 1000 is 00 .J
Q
OVER 1000 20 00 _Z
M G SET/FREQ CHANGER HP
WELDERS AC KVA rxO
GENERATORS KW
TRANSFORMERS KVA
TEMP MOTORS (75% OF ORIG )
MOVED MOTORS 75% OF ORIG )
MISC
SIGNS
TYPE NO TRANS
TYPE NO LAMPS
APPROVALS
FOR EACH PERMIT DATE INSPECTOR S NAME
WIRING $1 00 CONDUIT /k/ly olv /5- COY blot/
FIXTURES $1 00 � WIRING
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE $ UTILITY CO NOTIFIED
G! FINAL
r1
76Ad63 CE806 1 68 APPLICATION FOR ELECTRICAL ERMIT
r COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER `
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST /
CROSS ST (�.[,L (ACW U ,I—
NO EACH FEE
J $ $ OWNER
RECEPT L
MAIL aa!!
LIGHT TOTAL FIRST 20 20 ('f ADDRESS D"Y'��
SWITCH 0 OVER 20 10 CIT
PLAN C CK
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES OVER 20 10 ADDRESS
RANGE DRYER WTR HTR — CITY TEL NC,0W 32,5
STA COOK_DISP F A U _ CQ,,TRAC T'OR
SPACE HTR AIR COND
ADDRESS CA
CLOTHES WASH DISHWASH CITY TEL NO
FAN
OTHER 1 00 LICENSE IJO 2..V,?oe>$pe CLASS
MOTORS TRANSFORMERS RATING
IND HEATERS ETC HP KW KVA I HEREBI ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 — 1 1 00
I HEREBYCERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 — 10 3 00 C- LICENSED AS REOUIR ED BY LOS ANGELES COUNTY AND STATE OF r
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
10 — 50 5 00 RESIDE IN THE ABOVE OESrRIFED RESIDENTIAL PROPERTY O
50 — 100 10 00 SIGNATURE
OF PERMITTEE ix
100 — 500 15 00
DIr$TRIICCT NO I GROUP ONEP OCESSED BY
SIGN GAS SIGN AND ONE CIRCUIT 3 00 J �� p Gv1t)
TUBE OR (, p.
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES / / ze, r Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTOR SSIGNATURE
TEMP POWER POLE 6/]
UNDERSLAB WORK
r ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2 00 UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL Y
TOTAL FEE JOSEPH C ROOHAN
SUPERVISING ELEC ICAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0' CASH
( 4984 &N7 2 D 580- q
_
;EE BACK BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE