HomeMy Public PortalAbout9264 WEDGEWOOD ST_Electrical__ 76AG63C-CEfiOiB 12/75 APPLICATION FOR ELECTRICAL PERMIT
BUILD[ AND SAFET IVISION
FOR APPLICANT TO FILL IN _
New Residential Bldgs.&Pools !
EACH NO. FEE ADDRESS' 26'�i �Uoo
� 1
1 &2 Finally Sq. Ft. $ — $ LOCALITY ,e C((I
Multi-family Sq. Ft.• CROSS ST. s7dF f}
Residential Swimming Pools OWNER T. pA�y
FIRM NAME �$fi P
Outlets: Light,Switch&Receptacle ADDRESS
First 20
Additional CITY Tel. No.
PLAN.CHECK
Lighting Fixtures
APPLICANT
First 20 ADDRESS
Additional rT.
CITY Tel.No.
PERMIT (/j
Fixed Appliances Not Over 1 HP APPLICANT C,
Range_ Heater_ D.W. — ADDRESS 4*6 11-v: 14/14) Ave—
Oven
_ Dryer _ W.M. _ .
Top _ FAU _ W.H. _ CITY d//Q Tel.No. 75-7,5'6 _ >.
Hood Fan R ICENSE G. NUMBER -JZ � Class. �m C.7
Disp. _ A.C.
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 0
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
Power Apparatus&Large Appliances WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING W
Size&Type HP,KW,KVA,or KVAR ELECTRICAL WIRING. Q
Up to 1 Incl.
1 NfiREBY CERTIFY THAI 1 AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 .AM THE LEGAL G I1N ER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED RESIDENT L PROPERT
Over 50 to 100 Incl. PERMITEE
Over 1.00 SIGNATURE
Services
DISTRICT NO. r P 2eegSED BY
0-200 Amp. Under 600 V ! V
201 -1000 Amp.Under 600 V APPROVALS DATE INSPECSIGNATORS
Over 1000 Amp.or Over 600 V
TEMP'. POWER POLE
Temp.Power Pole&Appurtenances UN.DERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT a9 ?` vM%_A
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTI LI'TY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) ♦ �y
FINAL j�"'! f �,O'0-(5,,,�_.
PERMIT ISSUING FEE � a
TOTAL FEE NOTES. 3 C /,V5;,0!/1C0 !evw%e
Q �JardnA'L'- Q.DNC�
PLAN CHECK VALIDATION CK. M.O. dASH PERMIT VALIDATION CK. M.O. CASH
93 UTA
76A663-CE806 1-68 APPLICATION_JOR ELECT CAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING e1
BUILDING AND SAFETY DIVISION ADDRESS C�
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
RECEPT._
$ $ OWNER
MAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS
SWITCH_ OVER 20 .10 CITY TEL. NO.
PLAN CHECK
LIGHTING �TOTALIFIRST 20 .20 APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RA NGE_DRYER—WTR.HTR._ CITY T . NO.
STA.COOK_D1SP._F.A.U._ CONTRACTPR_
SPACE HTR. AIR COND. ADDRESS `e 1
CLOTHES WASH._DISHWASH._
CITY. E TEL. NO.
FAN-OTHER 1.00 LICENSE IJO. ,� CLASS.
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 — 1 1.00
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 — 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF r
CALIFORNIA OR THAT I AM THE LEGAL 0 ER OF, AND INTEND TO O.
10 — 50 5.00 RESIDE IN, THE E f SCRIBE R SIDENT I% PROPERTY. O
50 - 100 10.00 SIGNATURE VOF PERMITTEE ag
100 — soo 15.00 DIST.w O. GR P E P BY O
TUBE, A [SIGN AND ONE CIRCUIT 3.00 /d• aMARQUEE DDITIONAL CIRCUITS 1.00 11 NOTES: ,Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 l v
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 Off. ( ®v UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE / �® JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGGIIN''EEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.. . CASF1
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE yGf�cEw ^ .
SyoB N �
76A688-CE808 4.65 APPLICATION FOR ECTRICAL PERMIT-
COUNTY
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 9Z WC',D e&xJ ob
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN.W. JENKINS. SUPT. OF BUILDING LOCALITY T,C,
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPTACLE TOTAL NO. EACH FEE „
LIGHT OUTLETS FIRST 20 P.20 S OWNER g���
MAIL
SWITCH ADD'L 10 ADDRESS WeD
^ e ug�
`7`.
OVER 20
l TOTAL FI
LIGHTING FIXTURES RST 20 .20 CITY ^C. TEL.NO. AT(o33�pa
1,
FIXTURES J ADD'L 1O CONTRACTOR A C_ IJ Y
OVER 20 p �e
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS O 7ZO ICS D
GARB.DISP. STA.COOK _r y
CITY ` ,C. TEL.NO.
DISHWASH. AUTO.-WASH. STATE p.(�
SPACE HTRS. ,J p_ STA.APP.(Va H.P.MAX.) .50 LICENSE NO. -y— 8
MOTORS: OVER NOT OVER H.P.- DIST ICT NO. GR UP ZC�fE PROCESSED BY
O 1 1.00 g3 I
fC
1 s 1.50 INSPECTION RECORD
s S 2.00
8 is 2.50
to s0 O
s0 100 5.00 V
m
SIGNS: NO.TRANS. O
NO.LAMPS G
SERVICE O.800V-Nor OVER 200A1.00 I A
SERVICE 0.800V-OVER 200 A. 2.00 NZ
SERVICE OVER 800V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00 ZOO
SUPPLEMENTAIlY PERMIT ISSUING FEE 1.00
TOTAL FEE Z d APPROVALS DATE IN8PECTOR'B SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK
AND.STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH'CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTER AND�OR FIXTURES ♦ !P
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND TATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND IN ND TO 'POWER nV
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. �^
SIGNATURE UTILITY CO.NOTIFIED !
OF PERMITTEE v
FINAL
LIDATION JOSEPH C. ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
Lftu0 4 2 2 9 AUG 18 2 D 2.4 0.N