HomeMy Public PortalAbout5409 WELLAND AVE_Electrical__ 76A663 DBS SA 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �������
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN �/
ADDRESS 112�'I RECEIVED BY READY FORFIRST INSPECTION DATEISSUE
19SUE
CITY TEL. NO.
COUNTY LICENSE NO. 4Z 77 EXPIRES BUILDING
PERMIT FEES ADDRESS 1
NUMBER FEE EACH LOCALITY
LIGHT OUTLETS NEAREST
/
RECEPTACLES Af
CROSS ST.
WALL SWITCHES I� OWNER
TOTAL OUTLETS 5c S MAIL
-•ELEC. RANGES P5 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS . AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
1/2 a LESS S .25 SIGNATURE OF
1/2 2 .50 PERMITTE
lEr
2 5 1.00 INSPtgfrION RECORD
5 15 1.50 ,a
15 50 2.50
50 200 s oo
200 Boo 10.00 Ole /g 9f ApI//YDg;0
Boo i Woo 15.00 a
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP p C'
WELDERS:AC-KVA 0 R 2- N u
GENERATORS-KW 1 e G
TRANSFORMERS-KVA 0 6 IeOPf
TEMP. MOTORS (7S%OF ORIG.)
MOVED MOTORS (7S%OF ORIG.) 1P C °d 09 c3 it Z�
MISC. SL mrA
SIGNS -3 s �6 Fe e.
Fly"."L y y."
NO. NO.TRANS. _ I
NO. NAPPROVALS
O. LAMPS
FOR EACH PERMIT:' DATE INSPECTOR'S NAME
WIRING51.00 CONDUIT
FIXTURES $1.00 ArIRING I
SUPPLEMENTARY .50
FIXTURES t A. '9�h't7
,/ POWER
TOTAL FEE r S S UTILITY CO. NOTIFIED
® I FINAL
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department Of CD Engineer ELECTRIC 1
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN
DISTRICT NO. GRDI,JP ZONE PERMIT N �O.
ELECTRICIAN .�' I(I// r �
RECEIVED BY READY FORF DATE 1 VED
ADDRESS C FIRST INSPECTION _
0
CITY �'• TEL.NO. �J// �rr� L1 /A '�^) �r
COUNTY LIC SE NO. EXPIRES ADDRESS -/(/ 1 l�L�� A V '
PERMIT FEES /--
1
NUMBER EACH FEE LOCALITY 4=
LIGHT OUTLETS NEAREST. I / ��V�_1 1✓ /\
RECEPTACLES
WALL SWITCHES OWNER t dI�1 r!!��� �r 1/,r/)
TOTAL OUTLETS 5C 9 AMAIL DDRESS S 7 /'V� V {� !/ NX UG
ELEC. RANGES 25
ELEC. HEATERS 25
FIXTURES � � S , CITY� � TEL. NO.-r/f 6 J
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL P�ZOPERTY DE89DED ABOVE.
%2 a LESS $ SIGNATURE OF
.25 sJ//
r'� ► / \ � t. ems.-[_ .��. a
_ %2 a .SD PERMITTEE —�
a 5 1.130 INSPECTION RECORD
5 1S 1.50
15 50 2.50
50 200 5.00
200 5OD 10.00 J
500 1000 15.00 Z
OVER 1000 20.00 M
M.G. BET/FREQ. CHANGER-HP O;
WELDERS:AC-KVA D
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF CRIB.)
MOVED MOTORS (75% OF DRIB.)
MISC.
SIGNS
NO. N0.TRANS.
NO. ND.LAMPS APPROVALS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $$1.00 CONDUIT
FIXTURES FIXTUREB��$1.OD Cd WIRING F + - /7t1 LI -i5,
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE 9 UTILITY CO.NOTIFIED
FINAL
76A663 DBS#5A 2-53 �,4`