HomeMy Public PortalAbout5422 BALDWIN AVE_Electrical__ a
76A669-CE806 10.59
APPLICATION FOR ELE�PrRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS V
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING mi LOCALITYa�
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES y� r
ITEM NUMBER EACH FEE OWNER U �\ (�
OUTLET �a $ 1O $ ,00 Af
MAIL
ADDRESS
LIGHTS RECEPT. SW.
LIGHTING FIXTURES C 10 �� CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN -I �+'
WATER HEATERS .50 ADDRESS 8977 E.
Pro ,]
�-�- tYL�L 'Ltt�Ti
ELEC.SPACE HTRS. DISHWASHERS
TEL. NO.
GARBAGE DISPOSERS AtlTo STATE
7 0539
WA HERS-' STA.COOKIS .25 �.� LICENSE NO.
TORS: OVER INC. H.P. `DISTRICT NO. (G--R—�O^'UP I ZONE I P CESSED Y
0- 1/2 .25 1 ' .
1/2- 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
15— 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMI � ,M .50
TOTAL FEE. $�
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
I HEREBY CERTIFY THA I AM PROPERLY REGIS RED AND/OR WIRING
LICENSED AS REQUIRED LOS ANGELES COUNTY D TE OF FIXTURES
CALIFORNIA OR THAT I THE LEG' NE T E ABOVE
DESCRIBED REBID NTIA ROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERM ITT
FINAL
®F A DATION ARTHUR C.VEIT,
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
78A888;:E806 1089 APPLICATION FO ELEC RIC PERMIT 1
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 /e/77 p�P
FOR APPLICANT TO FILL IN NEAREST
PERM FEES CROSS ST / &
ITEM NUMBER I EACH FEE OWNER ,{. t r0/(/
OUTLET �/ p $ $ �O MAIL
LIGHTS RECEPT (i SW 7 10 ADDRESS c�
LIGHTING FIXTURES 6 10 G d CITY TEL NO r
ELEC RANGES CLO DRYERS /n ELECTRICIAN C y, GQ�PfE
WATER HEATERS w 50 / O`er/) ADDRESS /DUL ePi /y 2'
ELEC SPACE HTRS DISHWASHERS CITY /IJTG,�JTEL NO
GARBAGE DISPOSERS / AUTO i STATE
WASHERS STA COOKING UNITS J 25 / v L CE NO 1v,3
M!MrO RS OVER INC HP y DISTRICTNO IGROUP ZONE 1PROCESSEDBY —a
—XAAKSj O I/2 25 .[J� V/r V
1/2— 2 so INSPECTION RECORD
t
2— 5 100 /
lv «/Ge
is— 15 ISO
15— 50 250 r
50-200 Soo
SIGNS NO TRANS ct) _
NO LAMPS
SERVICE O 600V 100 vQ Qt 7" S�. �A� 11 4_ 1-25,ts4n'v8;/IZ
SERVICE OVER 600V 500
MISC
L#+ r
o`L 'n,-pc,I
WIRING PERMIT 100 /
FIXTURE PERMIT 1 00 Q
SUPPLEMENTARY PERMIT 50
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT 11 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 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OE ABOVE
DESCRIBED RESIDENTIAL OPERTY POWER
SIGNATURE UTILITYCO NOTIFIED
OF PERMITTE
FINA
®F VALID ARTHUR C VEIT
CK M
SUPERVISING ELECTRICAL ENGINEER
GASH
x_022899 JA 15 2D 1275
. I
76A663 CE-806(11 /78) APPLIC 10 OR ELECT ' PERMIT
COUNTY OF LOS ANGELE BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB 5422. Baldwin Avenue
New Resideritiol Bld"gs..&Pools EACH NO. FEE ADDRESS
1 &2.Family,Sq. Ft. $ .025 — $ LOCALITY Temple Gityw
Multi-family Sq. Ft. .02 — NEAREST
25.00 CROSS ST.
Residential Swimming.Pools OWNER OR
FIRM NAME Mi . Al Henderson
Outlets: Rec Light Sw. MAIL 5422 Baldwin Avenue-
First 20 50 ADDRESS
Total No. Additional .30 CITY Tei..No.Mam
.
PLAN C
APPLICANT
Lighting Fixtures First 20 .50 ADDRESS
"Additional .30
Total No. CITY Tel. No.
Fixed Appliances Not Over 1 HP PERMIT
Range_Heater_D.W. _ APPLICANT AAA Conditioned Air
Oven_Dryer_W.M. -ADDRESS
Top —FAU —W.H._ CITY El Monte- lel. Nc579_1800
Hood_Fan _Other_ LICENSE OR
50
Disp.—Room Air Cond. 2. REG.NUMBER 29352,-,9.. gloss-rq
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS :P.Size&Type HP, KW, KVA,or KVAR REGULATING ELECTRICAL WIRING.
Up to )'Incl. 2'50 I HEREBY CERTIFY THAT'I AM PROPERLY REGISTERED AND/OR Ij
Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Incl. 12.50' CALIFORNIA OR H T I AM THE,LEGAL OWNER OF THE ABOVE, _
25.00 DESCRIBED RESID NTI PROP`ERT C=
Over 50 to 100 Inc. p'
40.00 PERMITEE
Over 100 SIGNATURE r✓ !yD
FE
Services - DISTRICJ�16"'� ,,l PR D' o
0-200 Amp. Under 600 V 12.50
//11 Oy
201-1000 Amp.'Under 600 V 25.00,
Over 1000 Amp.or Over 600 V 50.00 Z
0
Temp. Power Pole&Appurtenances 10.00 Q
Sign with One Branch Circuit 10.00
Additional Sign Branch Circuits 2'00 INSPECTION - >.
INFORAAATIOK
Misc.Conduits&Conductors 10,00 ON REVERSE i
Other(See Complete Fee Schedule) SIDE a {: o o' o c o
Z
CL 00�.
O o O 1 ?y U 0
PERMIT FEE (Sub-Totoll '
PLAN CHECKING FEE One-Fourth Permit Feel O
PERMIT ISSUING FEE $7.00 G
J
Q
TOTAL FEE >
r
INSPECTION FI LED a
W
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date: �!1 By, OS