HomeMy Public PortalAbout5423 BALDWIN AVE_Electrical__ (2) '6A663 CES06 10 61 APPLICATION F R ELECTRI t AL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY r
NEAREST
FOR APPLICANT TO FILL IN CROSS ST �I
I T E M NO I EACH FEE j
OUTLETS (FIRST 20) q p g 2O $ oD OWNER
LIGHTS RECEPT �/" SW MAIL
OUTLETS (ADD L UNITS) 10 .+, ADDRESS
LIGHTS RECEPT SW /i'
LIGHTING FIXTURES (FIRST 20) 20 h CITY TEL NO
LIGHTING FIXTURES (ADDITIONAL) 10 Lr ELECTRICIAN
RANGES CLO DRYERS WTR HTRS too ADDRESS
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GARB STA COOK ` 3
CITY TEL NOAT �t� 7
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STATE
SPACE HTR9 3TlS.,APP 50 0
LICENSE NO
MOTORS OVER NOT OVER HP DIST ICT NO � GR�IJI? P ESSE❑ B�(
O 1 100 V �(7jSl� C�1►��" ��(2
1 3 ISO INSPECTION RECORD
a.
a
3 8 200 O
8 15 250 U
Ix
15 50 3 00 �0
50 100 500 W
IL
SIGNS NO TRANS U)
NO LAMPS Z
SERVICE O 600V NOT OVER 200A too
SERVICE O 600V OVER 200 A 200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE too
TOTAL FEE $
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATI N 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 —/
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR f
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES p�
CALIFORNIA OR THAT AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED
RE
PROPERTY POWER /
SIGNATURE • UTILITY CO NOTIFIED
OF PERMITTEE O
FINAL f
�LIDATION URC VETT
SU
MO CASH SUPERVISING ELECTRICAL ENGINEER
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76A663-CEB0610-81 APPLICATION FOR M TRICAL PER IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS X
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
I T E M CROSS ST.
OUTLETS: (FIRST 2O) NO. EACH FEE
LIGHTS RECEPT. SW $.20 $ OWNER
OUTLETS: (ADD'L UNITS) MAIL
LIGHTS RECEPT. Sw. 10 ADDRESS
LIGHTING FIXTURES: (FIRST 20) .20 CITY TEL. NO. -.
LIGHTING FIXTURES: (ADDITIONAL) ,10 ELECTRICIANRichardso 1 Ele6t.Co.Inc
GES O.DRYERS -•_ ; 1.
GARB.DISP. STA.COOK
•
DISHWASH. AUTO.-WASH. _ L. NO. —0539
SPACE HTR9. STA.APP.( ��•
MOTORS. OVER NOS - N.P. I
1.00 BY
- s 1.50 INSPECTION RECORD
3 B 2.00
1s 2.50 f x
15 50 3.00
`a U
50 100 5.00
V
SIGNS: NO.TRANS. .._ LU
0.
NO.LAMPS l7
SERVICE 0-600V•Nor OVER 200A 1,00 z D ,
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC..
PERMIT ISSUING FEE 2.00
SUPPLEMENTAgY PERMIT ISSUING FEE 1.00
TOTAL FEE $
I D HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS GATE INSPECTOR'S SIGNATURE
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR WIRING .�` .) ;;3
LICENSED AS REQUIRED LOS ANGELESCOU AN "STATE OF FIXTURES
CALIFORNIA THAT 1 THE LEGAL ER O H BOVE
DESCRIBED SID TIA OPERTY� f^ POWER
SIGNATOR
OF PERMIUTILITY CO.NOTIFIE
TT �,y
4. �MLIDATION ARTHUR C. VEIT
CK/ MO CASH SUPERVISING ELECTRICAL ENGINEER
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