HomeMy Public PortalAbout9265 WEDGEWOOD ST_Electrical__ DB 5-A 15-48 55M APPLICATION FOR PERIUr
DEPARTMENT OF BI7I AND SAFETY ELECTRICjJ
' COUNTY OF LOSS ANGELES
WM. J. FOX CHIEF ENGINEER
• NAME l710 i{' /t='Grt' ;p'Cre -r11dP DISTRICT NO. GROUP ZONE PERMIT NO.
ADDRESS .`�`� �:;. !`�� lfl•1 �F_� L� Y i 1
CITY �� c C� TEL NO. RECEIVED or READY FOR VATIC ISSUED
fJ �1 FIRST INSPECTION
COUNTYCERT.NO. Frl ' `a EXPIRES ` 7���1 'At�/
APPLICANT FILL IN HEAVILY OUTLINED/PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS 1 1 •7 � `� i'I��y��f'�`+'� P. �+I
NUMBER OF OUTLETS ON CIRCUITS LOCALITY qtr r .F J C-1 7 Y
LOCATION BY ROOMS z
LIGHT OUTLETS SW. PLUGS FDIT CROSS NEARESTT I ! r-' CS s..II J} C)
CIRCUIT A B C D E F G H 0: NAME
�y W ry nn
3
ADDRESS C' lam✓Aj i.
O
CITY TEL NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGKLR8 COUNTY CERTIFICATIV OF QUALIFICATION..
ELECTRICIAN.
1 AM THU IEf3AL OWNER OF THE PROPF,RTY DESCRIBED
ABOVIS
OWNER.
CORRECTIONS
J
Q
_Z
8
d'
O
TOTAL
NO. OF OUTLETS / ��y s pelf F� APPROVALS
' NO. OF FIXTURES '/ S a�f DATE INSPECTOR'S NAME
NO. OR MOTORS H.P. CONDUIT 7,f
NO. OF SIGNS TRANS. S WIRING .G- / r ,= I
NO. OF RANGES OR HEATERS FIXTURES
MISCELLANEOUS S I POWER
PERMIT FEE 8; ! �• UTILITY CO.NOTIFIED
TOTAL FEE ��i FINAL
76A683-CEBO61-68 APPLICATION FOR ELECTRIC PERMIT
r _ COUNTY OF LOS ANGELES
DEPARTMENT OFtCOUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION- ADDRESS add G!J
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGLOCALITY
]NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
$ $ OWNER
RECEPT._ MAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS
r
SWITCH_ OVER 20 .10 CITY TEL. NO.
PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE—DRYER—WTR.HTR.— CITY TEL. tAO.
STA..COOK_DI$P.—F.A.U._ CONTRACTOR ^
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH. ISHWA H._ CITY T I NO -
FAN_OTHER Kel, 1.00 DO ;LICENSE NO. CLASS.
MOTORS,TRANSFORMERS R TING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE-THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 — 1 1.00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 — 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
10 — 50 5.00 RESIDE IN, THE AB DESCRI ED RESIDENTIAL. PROPERTY. .O
-
50 - 100 10.00 SIGNATURE U
]FIXTURES
F PERMITTE ad
100 - 500 15.00 DISTC GR P E EDB �jdSIGN AND ONE CIRCUIT 3.00ADDITIONAL CIRCUITS 1.00 NOTES: Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS. DATE INSPECTORS'SIGNATURE
TEMP. POWER POLE
U.NDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) ,
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED •
PERMIT ISSUING FEE 2.00 .0 b .UTILITYCO.NOTIFIED
r
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE Oa JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.D. CASH
4.. 943 JUN 6 .2 0 3r .+ N a
-E BACK of APPLICATION FOR COMPLETE FEE SCHEDULE