HomeMy Public PortalAbout5415 WELLAND AVE_Electrical__ 8,04tQ%S SA 11-su APPLICATION FOR PERMIT �.
DEPARTMENT OF BUILDING AND. SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUPZONE PERMIT NO.
ELECTRICIAN 1 J _`11� 1 I � 4;L?s
RE
ADDRESS /' ..J�IV BY FIRST 1 READY
SPECFOR
DATE ISSUED
N
CITY TEL. NO.
COUNTY LICENSE ` EXPIRES ADDDDRESSG
PERMIT. FEES t
FEE
NUMBER I EACH LOCALITY
r r /
LIGHT OUTLETS JNEAREST
RECEPTACLES CROSS ST. �LZ'i[/y.•'G� ! l
,,..__ JJ__,, ^�yy •.�� �,., [/ g
WALL SWITCHES OWNERL+P'GW+f� /
TOTAL OUTLETS / 5c S MAIL,(/�
ELEC. RANGES 2S ADDRESS Q '7
ELEC. HEATERS 25 CITY i✓InTEL. NO. 61
FIXTURES S. 2 1 HEREBY A/CKNOWLEDGE 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 1 POSSESS THE ABOVE ,VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
REE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
NEW MVD. HP OVER INC. EACH
1/2 9 LESS $ .25 SIGNATURE OF
1/2 2 .50 PERMITTEE' �
2 5 1.00 �J-
INSPECTION RECORD
5 is 1.50
is so 2.50.
SO 1. 200 5.00
200 Soo 10.00 J
Soo 1000 i5.00 Z
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%OF ORIG.)
MOVED MOTORS (75%OFORIC.)
MISC.
SIGNS
NO. NO.TRANS. I I APPROVALS
NO. NO. LAMPS
DATE INSPEECTOWS NAME
FOR EACH PERMIT: CONDUIT
WIRING $1.00 -
FIXTURES $1.00 WIRING
SUPPLEMENTARY ,S0 FIXTURES
POWER
TOTAL FEE $ 0 UTILITY CO. NOTIFIED
® I FINAL
DaD "PLICATION FOR PERM
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX CHIEF ENGINEER
B NAME DISTRICT NO. GROUP ZONE PERMIT NO.
U
ADDRESS —
t�- RECEIVED BY READY FOR DATE ISSUED
U CITY TEL.NO. FIRST INSPECTION
III COUNTY
w CERT.NO. EXPIRES . .
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF FORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW. PLUGS FIXT CROSS ST.
CIRCUIT A c B C D E F G H It w l NAME — —
Z MAIL
Z ADDRESS
O
_ CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
AtdGELSS COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AN THE ILEGA.L OWNER OF THE PROPERTY DESCPJBED
ABOVE
OWNER.
y CORRECTIONS
z
TOTAL
NO. OF OUTLETS 5 I APPROVALS
NO. OF FIXTURES _ffi ! DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS ffi FIXTURES _
MISCELLANEOUS $ POWER
PERMIT FEE ,— UTILITYCO.NOTIFIED!
�Ai Irtvv 3 ( FINAL
GA668-CEBOO 10.62 APPLICATION .F R ELECT CAL P I
w�� s�s
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING - 7e
BUILDING AND SAFETY DIVISION ADDRESS 6P/
JOHN A. LAMBIE. COUNTY ENGINEER •
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY �' 1
4 NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE -
OUTLETS FIRST 20 20 $ Q OWNER
LIGHT v MAIL
SWITCH. VER ADDRESS
OVER ZO .fO
TOTAL CITY TEL.NO.
LIGHTING FIRST 20 .20
FIXTURES •f0 ELECTRICIAN
OVVERER ZO
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK CITY
EG X> C TEL.N
DISHWASH. AUTO.-WASH. STATE ) J�
SPACE HTRS. STA.APP.(V.H.P.MAX.) ,50 LICENSE NO. /
MOTORSt OVER NOT OVER H.P. DIS T GR�JP WNE PR BY
O 1 1.00
1 8 1.50 INSPECTION RECORD
S S 2.00 0
s is 2.50 V
99
15 50 8.00 O
S0 1005.00
- a
SIGNSt NO.TRANS. y
NO.LAMPS Z
SERVICE 0.600V-Nor OVER 200A 1.00
SERVICE O.60OV-0VER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APP ICAT].N
APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMCONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS 'REGULATr / r ° p
ELECTRICAL WIRING. WIRING I Ml1 Z 6 J
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND
LICENSED AS REQUIRED BY LOS ANGELES COUN Y AND STATEFIXTURESlJ CALIFORNIAOR THAT 1 AM T LEGA WN OF THE AB
DESCRIBED RESIDENTIAL PROP POWER
SI NATURTPERMIJ E �� UTILITY CO.NOTIFIED
FINAL ✓ i! f
—VALIDATION ARTHU C. VEIT
JCK
MO CASH SUPERVISING ELECTRICAL'ENGINEER.
i
L:I;u A 1 0 7.^., JUL 2 9 2 D 7.80 �.
76A663CY CE806E 12/75 APPLICATION FOR ELECTRICAL PERMIT
BUIL.DI AND LrTyD SION
FOR APPLICANT TO RILL IN ,JOB '
New Residential Bldgs.&Pools
EACH NO. FEE ADDRESS
1 &2 Finally Sq. Ft. $ — $ LOCALITY
Multi-family Sq. Ft. — NEAREST
CROSS ST.
Residential Swimming Pools OWNER OR ��v:1�yp�r�+ �
FIRM NAME H1� EMEU
Outlets: Light,Switch&Receptacle MAI L S ,'
First 20 ADDRESS
Additibnal CITY TR43IIE QTY 1 sxn&No, —2279
PLAN:CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional CITY Tel.No.
Fixed Appliances Not Over 1 HP APPLICANT TM H.C.Q.
Range_ Heater_ D.W. ADDRESS
Oven _ Dryer.— W.M.
.Top _ FAU W.H. CITY S. Tel.No. 579-7982In-
Hood Fan LICENSEEMBER 265094 Class.0-10
D'isp. A.C. �
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
Power Apparatus&Large Appliances WITH ALL, COUNTY ORDINANCES AND STATE LAWS REGULATING Lal
Size&Type HP,KW,KVA,or KVAR ELECTRICAL WIRING. H
� OZ a
Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
�LOer 1 to 1O InCI. LICENSED AS REQUIRED BY LOS.ANGELES COUNTY AND STATE OF
CALIP;ORNIA OR THAT 1 AM THE LEGAL OWNER OP THE 'ABOVE
Over 10 to 50 Incl. DESCRIBED RESIDENT[ PRO RTY.
Over 50 to 100 Incl. PERMITEE
Over 100' SIGNATURE
g4ts -w
Services
DISTRLCT N RO E EDB
./ �-
X 0-200 Amp. Under 600 V - 0
201 -1000 Amp. Under 600 VAPPROVALS DATE INS CTOR'S
Over 1000 Amp.or Over 600 V
NATURE
TEMP.POWER POLE
Temp.Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circyuit ROUG'H CONDUIT
Additional Sign Branch Circuits
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTI LITYCO.NOTI.FIED cc��
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL 46-lf,0
PERMIT ISSUING FEE X7. `7
NOTES
TOTAL FEE
KLIANICFIEC.K;VA.LIDA�TION;,f:I(-CK?\;%,:JIy,(.0.Ut)rGASH PERMIT VALIDATIONCK.' M.O. CASH
POLICY HOLDER: � �.� ?;2�JUL 19 2 0 2 7.0 0
L �U/1r 0 v G 60 7(.�-
Pn3 .drii �1[!P.!)R�po ril I,e'-XD