HomeMy Public PortalAbout5415 BALDWIN AVE_Electrical__ (2) 76A663 CE806 10/74 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY
EARET
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE O RM NAOR
ME !� l/
RECEPT $ $ MAIL
LIGHT TOTAL
FIRST 20 _ {f ADDRESS VVL
OVER 20 CITY 1-L (f_-, TEL NO
SWITCH_ 10 PLAN CHECK
LIGHTINGTOTAL FIRST 20 25 APPLICANT
,
FIXTURES
OVER 20 10 - ADDRESS
, \ \
RESIDENTIAL APPLIANCES _ CITY TEL NO
PERMIT
RANGE DRYER-�_WTR HTR_ D APPLICANT
STA COOK DISP F A U ADDRESS
SPACE HTR AIR COND CITY TEL NO
CLOTHES WASH DISHWASH LICENSE OR
REG NUMBER CLASS
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE, OVER TO
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
O - 1 100 LICENSED AS RED IRED BY L09 ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF HE ABOVE
1 - 10 300 OESCRIPED RESIDENTIAL PROPERTY CD
U
10 - 50 500 PERMITEE
SIGNATURE 1/"L� '� O
H-
50 - 100 1000 c-')
DISTRICT NO PROCESSED BY LLJ
1
13-
100
100 - sool 1500
\6-1 0
SIGN GASSIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR 9 SIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 y� TEMP POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP ` 3 D / V UNDERSLAB WORK
SERVICEOVER600VOLTS OR200AMP 1000 ROUGH CONDUIT l
TEMPSERVICE POLE &APPURTENANCES 5 D WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL G� -?
PERMIT FEE (SUB TOTAL) NOTESp�--
PLAN CHECK FEE e4.bd L.>7cK v A7'5U&P M
PERMIT ISSUING FEE 300 5 v fps
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 CASH
8 0 6 hk1$Y lv 2 U 1 U U
0 y t
V'u,d �y
SEE BACK OF APPLICATION/FOR COMPLETE SCHEDULE