HomeMy Public PortalAbout5417 WELLAND AVE_Electrical__ c
7SA668_CE9D6 9_e4 APPLICATION AO�REGRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER •yL
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY AloxFo e
FOR APPLICANT TO FILL IN CROSSS T.
RE: EPT. TOTAL NO. EACH FEE '
LIGHT OUTLETS FIRST 20 b S.20 S OWNER
ADD'L ADDRESS
SWITCH.O 2— OVER 20 .10 �0
TOTAL CITY TEL.NO.
LIGHTING FIRST 20 .20
FIXTURESl ADD'L 6 OVER 20 ELECTRICIAN
]'y r
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS a (/
GARB.DISP. STA.COOKA
' CITY Ct: Q b^A TEL.NO y
DISHWASH. AUTO.-WASH. STATE
SPACE HTRB. STA.APP.(A H.P.MAX.) .SO LICENSE NO.
MOTORS+ OVER NOT OVER H.P. DISTR CT NO. I GRggP 7.QNE P ESSED BY
O 1 1.00
1 s 1.50 f INSPECTION RECORD
s a 2.00
8
is 2.50
Y l s)�t 'st+du O
1s s0 3.00 f
s0 100 SAO UJ
a
0)
SIGNSs NO.TRANS. Z
NO.LAMPS
SERVICE O-SOOV•NOT OVER 200A 1.00 a
SERVICE 0-600V-OVER 200 A. 2:00
SERVICE OVER GOOV 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PL CATI N APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTER F�D AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANTS STATE OF FIXTURES II .7 F7� T"i'�P•.°'fi��ir
CALIFORNIA OR THAT i AM THE LEGAL- OWNER OF THE ABOVE
DESCRIBED RESIDENTI -PRO POWER
SIG111AT11RE rw� UTILITY CO.NOTIFIED tS�ryi/t�3��J✓�7' 4 ��` .may
OF PERMITTEE FINAL
VA DATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
l_RCO 5 0 3 7` PION 2 7 2 D 18.40-
`�
76A663 APPLICATION
P®A I _�y -ION FOR ELECTRIC TRIC ■ ERMIT 1
DBS.SA 9.. @"'11 Y tlm `09 P9 II
iA ISION OF BUtDING AND SAFETY
Deportment of County Engineer UILDI
County of Los Angoles ADDRESS
WM.J. FOX+COUNTY ENGINEER
CASSATT D.GRIFFIN.SUPT OF BUILDING
:.,_. LOCALITY c'
FOR APPLICANT TO FILL IN NEAREST ,4 r I
PERMIT FEES CROSS ST. 4FAS
NUMBER EACH FEE r',r
r OWNERi
LIGHT OUTLETSMAIL
RECEPTACLES ADDRESS
WALL SWITCHES ��QQ �SII
TOTAL OUTLETS 5¢ $ CITY 0YfL -T* NO. 9
r
ELEC.RANGES 25 ELECTRICIA 1
ELEC. HEATERS 25 ADDRESS
b, KW EA CITY li TEL.NO. '
FIXTURES 5 LICENSE O. 1+1
1•
NUMBER OF LIGHT CIRCUITS
I - DIST ICT NO. G�tOUP ZONE EADY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS S I;�''f; 109=1.—'
MOTORS -+rr hr 0 f
r NUMBER HORSEPOWER FEE IPECT\ION RECORD
�y
Y NEW MVD. HP OVER INC. EACH - h-ry'e-
3 1fd&LESS 8 .25 r 1
I/2 2 .50 l ;•i _ 1
2 5 1.00
5 15 1.50
15 50 2.50 e� �L
¢ 50 200 5.00 ('�� t
e ,'` tri C•' !�._t I
MISC.
+
NO.SIGNS NO.TRANS. ..v
NO.SIGNS NO.LAMPS 1 `• �� • r�l r4
FOR EACH PERMIT: `rye �j, I+
WIRING $1.00
FIXTURES 51.00 —t
SUPPLEMENTARY .50 APPRQVA,*
E!}
TOTAL FEE S p� /�� ` 16AT1.IN§PECTOR'SSIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT y , �S� 1 )e •�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WIRING
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. ) i
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES /
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 1f
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTI ROPERTY.
SIGNATURE UTILITY CO.NOTIFIED
OF PERM ITTE .�Y FINAL p
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION A.C.VEIT,CHIEF ELECT.INSPECTOR
kC06679�
AUG 2 2.80