HomeMy Public PortalAbout4823 BALDWIN AVE_Electrical__ 76A663
DHS-5A 12.54 APPLICATION FOR ELECTRIC PERMIT
SA �-
DIVISION OF BUILDING AND SAFETY
' Department of County Engineer
County of Los Angeles BUILDING II �C�t (/ L7 A I b'�� /N A 'L
WM. J. FOX, COUNTY ENGINEER ADDRESS ^Y D U/t I ` VV /3 /
CASSATT D. GRIFFIN, SUPT of BUILDING T— (( //
FOR APPLICANT TO FILL IN LOCALITY �F—AY/
PERMIT FEES CCROSS ST.j :
FEE
LIGHT OUTLETS NUMBER EACH OWNER W Y' Aj LA /l
T
RECEPTACLES - MAIL a / �j( J�1) WIN
, Ir
ADDRESS
WALL SWITCHES ' ^�' [/ n( `�`.�/'
TOTAL OUTLETS Z Be S CITY1 Gly) 1'/JF. 'el Jr / TEL. NO. ^p-
ELEC. RANGES 25 _ELECTRICIAN �(��,�'Tr 4 �_ b C / Ile C-0
ELEC. HEATERS 25 ADDRESS( {� l 0 r�
KW EA CITY P—lu /N.L''/�I/7'/�. TEIP�-1'1 I
FIXTURES - �'It' S LICENSE NO. V
NUMBER OF LIGHT CIRCUITS
DISTRICT NO. GROUP ZONE I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS T 'wv
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH q
Z _ 112&LESS $ .25 y s
1f2 2 .50 l�O'
2 5 1.00
5 15 1.50
I5 50 2.50
50 200 5.00
misc.
NO. SIGNS NO. TRANS.
NO. SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING 51.00
FIXTURES S1 00
SUPPLEMENTARY 50
APPROVALS
TOTAL FEE s !3 3 1 DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY C
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING 'h�7
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF jy
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER ,,I -
DESCRIBED RESIDENTIAL/^PROPERTY
. UTILITY CO.NOTIFIED
SIGNATURE �°' .V /
OF PERMITTEE FINAL .9o {db-
�b+YR
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION
—To 3 9 3y 7MAY 1j 9 2 3.3 0 in
O - DEPUT`(i/
76A663-CES0610-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
`9 BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY M- 1.
NEARESTe B
FOR APPLICANT TO FILL IN cRoss ST. -
RECEPT. TOTAL NO. EACH FEE
n OUTLETS FIRST 20 $2O $ / OWNE
%
LIGHT CD MAIL
SWITCH. OVER ADD'L .10 AD0RESS�-f
4
LIGHTING TOTAL FIRST 20 .20 CIT Y�f „� i�y TEL. NO. S ��
FIXTURES ADD-L � t
OVER 20 .to ELECTRICIAN
RANGES CLO.DRYERS WTR.HTRS. 1.00
ADDRE$Shl a��,� Lam✓ .-,.y2�� n.i
GARB.DISP. STA.COOK
CIT9Y` � TEL. NO.��J
DISH WASH. AUTO.-WASH. STATE ✓ y /
SPACE HTRS. STA.APP.(+/z H.P.MAX.) ,50 LICENSE NO.<_�y�_ 6 f"�
MOTORS: OVER NOT OVER H.P. DISTRICT NO GROUP ZyO�NE PR CESSED BY
O 1 r 1.00 S-.
1 3 1.50 INSPECTION RECORD
3 8 2.00
8 15 2.50
15 50 3.00
50 100 5.00
SIGNS: NO.TRANS.
d
NO.LAMPS .
SERVICE 0.60OV-NOT OVER 200A 1.00
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 '
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1HEREBY ACKNOWLEDGE THAT 1 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
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM
PROPERLY REGISTERED AND/OR t+ r�'' �,�� v_4�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURE ./ (,�
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE -• � r •- .
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE ' UTILITY CO.NOTIFIEDVe ,I
OF PERMITTEE -e�. UPJ`✓ ^
FINAL
V LIDATION ARTHUR C. VEIT-
CK MO CASH
SUPERVISING ELECTRICAL ENGINEER
/
( 2 3_:0 4Za` AUG 6 2 0 3.80-