HomeMy Public PortalAbout9671 WEDGEWOOD ST_Electrical__ 76AS63C- C66066 I3/75 APPLICATION FOR ELECTRICAL PERMIT
BUILDI ANDSSAFETY DIVISION
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs.&Pools
EACH NO. FEE ADDRESS '16"7dC d DO
1 &2 Finaily Sq. Ft. $ — $ LOCALITY
Multi-family Sq..Ft. — NEAREST
CROSS
ST. Q Cj
Residential Swimming Pools OWNER OR
FIRM NAME
Outlets: Light,Switch&Receptacle MAI L
First 20 ADDRESS
Additibnal CITY Tel..No.
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional CITY Tel. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range_ Heater_ D.W. _ ADDRESS
Oven _ Dryer _ W.M.
Top _ FAU W.H. _ CITY Tel'.No.
Hood Fan LICENSE OR a
REG. NUMBER Class. O
Disp. .A.C. c2
1 HEREBY ACKNOWLEDGE THAT 1 HAVE:READ THIS APPLICATION cd
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CD
Power Apparatus&Large Appliances WITH. ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I-
Size&Type HP,KW,KVA,or KVAR ELECTRICAL WIRING. LLI
n_
UP to 1 Incl. rn
1 HEREBY. CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND S TE OF
CALIFORNIA OR THA 1 THE LEGAL D�F T 'ABOVE
Over 10 to 60 Incl. DESCRIBED RESID PERTY.
Over 60 to 100 Incl. PERMITEE
Over 100 SIGNATUR
DISTRICT NO. P SEDB
Services p
0-200 Amp. Under 600 Vo v
201 -1000 Amp.Under 600 V APPROVALS DATE I. ECT
OR
Over 1000 Amp.or Over 600 V
TEMP.POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additionallign Branch Circuits ROUGH CONDUIT
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (OnwFourth Permit Fee) FINAL
PERMIT ISSUING FEE GO
TOTAL FEE NOTES�o�
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
9.(
9. 0 o 10 DEC 24 2' D `
M i
DBSSAf1.SB - APPLICATION FOR ELECTRIC PERMIT 1
D1 ,N OF BUMDMG AND SAFETY
Deposmnent of County Engineer BUILDING1 ,��
County Of Los, Angeles ADDRESS (� //P
JOHN A.LAMBIE.COUNTY ENGINEER
CA TT D.GRIFFIN.SUPT OF BUILDING LO OCA Pc e-
FOR APPLICANT TO FILL IN c NEAREST s .� l
PERM FEES
NUMBER I
L 7 LIGHT OUTLETS OWNER L E
MAIL
3dO RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEL.NO.
TOTAL OUTLETS 0 5¢ $ I V' O
ELEC.RANGES 26 ELECTRICIAN
ADDRES .
ELEC.HEATERS 2s
KW EA CITY 4.ITEL.NO.ATZ
T
2-71 FIXTURES 5 LCE SE NO. CLy
MOTORS DISTRICT NO. GROUP ZONE READY FOR INSPECTION
NUMBER HORSEPOWER FEEI / I
NEW MVD. HP OVER �INC. EACH I -
-
(!L4 , g 1-- $ 25 ?d II�iSPECTION BECORD
Yi 2 .50 Sp
25 1.00 t e-, A ' : e .
5 1s 1.So
15 s0 2.50 rA
s0 200 5.00 ��� �
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING
FIXTURES $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE Is S'12-0 DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. i
I HEREBY CERTIFY THAT 'I AM PROPERLY REGISTERED AHD/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL W E OF T OVE POWER
DESCRIBED RESIDENT PERTY. UTILITY CO'.NOTIFIED 'Z Q�M►O��
SIGNATURE
OF PERMITTEE FINAL
JOHN A.LAMBIE.COUNTY ENGINEER VALIDATION ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR _
CK MO CASH _
2-.,0 18 my 5 2 82 0 in