HomeMy Public PortalAbout9516 WEDGEWOOD ST_Electrical__ c IT y 6 'I UM ML ClT y .-
ye69 = Ea�B ,z,�s• APPLICATION FOR ELECTRICAL PERMIT
BUILDING AND SAFETY DIVISION
POR APPLICANT TO FILL IN ,JOB
New Residential Bldgs.&Pools
EACH NO. FEE ADDRESS
1 &2 Finally Sq. Ft. $ — $ LOCALITY
Multi-family Sq. Ft. — NEAREST
CROSS ST. r
ResidentialsSwimming Pools OWNER OR
FIRM NAME
Outlets: Light,Switch&Receptacle MAI L
First 20 ADDRESS
Additibnal CITY Tel. +
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional CITY Tel.No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT 7 m)VACS
u
Range_ Heater_ D.W.
ADDRESS y
Oven _ Dryer _ W.M.
Top _ FAU _ W.H. CITY 1.No.
Hood Fan LICENSE OR
DisA.C.
REG. NUMBER Class.
p. v
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND.STATE THA YTHE ABOVE IS CORRECT AND AGREE TO COMPLY
Power Apparatus&Large Appliances WITH ALL COUNTY ORDINANCES AND STATE. LAWS REGULATING
ELECTRICAL WIRING.
Size&Type.HP,KW,KVA,or KVAR LU
Up to 1 Incl. I HEREBY CERTIFY. THAT 1 AM PROPERLY REGISTERED AND/OR H
Over 1 to 10 InCI. LICENSED AS REOUIR ED BY LOS ANGELES COUNTY ANO STATE OR
CALIFORNIA OR THAT 1 'ATHE LEG L OWNER OF THE ABOVE '
Over 10 to 50 Incl. DESCRIBED RESID IAL P O RTY.
Over 50 to 100 Incl. PERMITEE /J
Over 100 SIGNATUR "�
Services
DISTRICT NO. PRO�BY
0-200 Amp. Under 600 V
201 1000 Amp.Under 600 VAPPROVAL$ DATE INSPECTOR'S
SIGNATURE
Over 1000 Amp,or Over 600 V
TEMP.POWER POLE
Temp.Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit ROUGH CONDUIT
Additional Sign Branch Circuits
(Other) WIRING
FIXTURES
POWE'R AUTHORIZED
PERMIT FEE (Sub-Total) 7 UT.ILITYCO.NOTIFIED
PLAN CHECKING FEE .(One-Fourth Permit Fee) �•���7
FINAL
PERMIT ISSUING FEE
- - NOTES
TOTAL FEE
PLAN CHECK VALIDATION C.K. M.O. CASH PERMIT VALIDATI K M.O. CASH
9 4 8 LZNQV 3 2 D 9.0 0 ,&--8
IGA663C_ CE8e6B 12/75 .APPLICATION FOR ELECTRICAL PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN JOB / L�-
EACH NO.. FEE ADDRESS Fi'Q0�
New Residential Bldgs.&Pools ,
1 &2 Finaily Sq. Ft. $ — $ LOCALITY
'ri L C T
Multi-family Sq.'Ft. NEASB ST . l/{.op
Residential Swimming Pools CROOWNER OR
F'1 R.M NAM E
Outlets: Light,Switch&Receptacle MAI L
First 20 ADDRESS!jq
Additional CITY 1 C/J Tel.No.
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional
CITY Tel.No.
Fixed Appliances Not Over 1 HP APPLICANT ^/
Range_ Heater_ D.W. - ADDRESS ('
Oven Dryer _ W.M. _
Top FAU _ W.H. _ CITY �J Tel. No. Q
Hood Fan LICENSE OR0 0
REG. NUMBER Class. C/ cl
Disp. A.C. �
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION Q
AND STATE•THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
Power Apparatus&Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING C-D
LU
Size&Type HP,KW,KVA,or KVAR ELECTRICAL WIRING. O.
Up to 1 Incl. I HEREBY CERTIFY THAT 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 OWNER OF THE ABOVE
Over 10 to 50 lncl. DESCRIBED RESIOENTIAL PROPERTY.
Over 50 to 100 Incl. PERMITEE
Over 100 SIGNATURE lot, 7
1
DISTRICT NO. OC ED BY
Services . I
0-200 Amp. Under 600 V O
57
201 -1000 Amp. Under 600 V APPROVALS TE INSPECTOR'S
Over 1000 Amp.-or Over 600 V SIGNATURE
TEMP.POWER POLE
Temp.Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WI'R'ING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTI LITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL
PERMIT ISSUING FEE
NOTES
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PE VA ATION . K. ASIS.