HomeMy Public PortalAbout5425 WELLAND AVE_Electrical__ 7GA663 DBS SA 3-30 ' APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES TAX uv
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICx NO. ORD UP ZONE PERMIT.NO.
F-LECTRICi N o ' I �' `f
RECEIVED BY READY FOR DATE ISSUED
ADDRESS d O FIRST INSPECTION r` q
CITY ' TEL N0. BkL- � r—
COUNTY LICENSE NO. EXPIRES BUILDING
PERMIT FEES ADDRESS
FEE LOCALITY/ i V:si
NUMBER EACH
LIGHT OUTLETS ® NEAREST
CROSS ST. �1 V�
RECEPTACLES �/J
WALL SWITCHES OWNER W CA 1 ✓ 1�
TOTAL OUTLETS 5c S //MAIL
ELEC. RANGES 25 lADORESS W ew
ELEC. HEATERS 25 CITY TEL N0. v
FIXTURES 5 �u`t 1 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 13 AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS - 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LIMENS OR 1 AM THE LEGAL OWNER
NEW Mvo. HP ovER INC. EACH OF THE RESIDENTIAL PR RTY DEBCR �m�ABOVE.
V2 a LESS $ .25 SIGNATURE OF
I2 2 .50 PERMITTEE
2 5 1.130 CORD RE RD
5 75 1.50
15 BO 2.50 P
50 200 5.00
ZOO 500 10.130 J
500 1000 15.00 g
OVER 1000 20.00
M.G. GET/FREQ. CHANGER-HP Ir•
WELDERBI AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF GRIo.)
MOVED MOTORS (75% OF BRIG.
M16C.
SIGNS
NO. NO.TRANS.
NO. NO.LAMPS APPROVALS
FOR EACH PERMIT: DATE INBPECTORIS NAME
WIRING $1.00 CONDUIT p
FIXTURES $1.00 . WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ �� UTILITY CM.NOTIFIED _
FINAL
i DBS SA"85M rB�EtT�9�8-47 MM
MION OR RDE
DEPARTMENT OF BU"]N(; MD SAMM
COUNrY OF LOS ANGELES ELECTRIC
M. J. FOX CHIEF ENGINEER
8 NAME DISTRICT NO. GROUP I
/ZONE PERMIT NO.
U
%_`
.ADDRESS
1 RECEIVED BY READY FOR DATE ISSUED
W CITY TEL.NO. v FIRST INSPECTION
d COUNTY
CERT.NO. EXPIRES
APPLICANT FILL Ii HEAVMY OUTLI1o1 W PORUON ONLY
JOB
DESCREMON OF WORK ADDRMS 3 SS —f.
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NREST
LIGHT OUTLETS SW. PLUGS R CROSS ST. bio "
CIRCUIT A113 C D E F G JH X NAME
r�
-2 MAIL �F
rr 3
ADDRESS-3151 C.
CITY TEL.NOS Q
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF_4 UAL,FICATION..
dLECTRICIAN.
I AM THE&EGAL OWNER OF THE PROPF,IITY YESCRIBED
ABOVE
OWNER.
COMEMONS
J
— Q
Z_
m
O
OFF'OF OUTLETS E APPROVALS
NO..OF FIXTURES G 7 5 DATE INSPEC WS NAME
NO. OF MOTORS H.P. S CONDUIT' �r _.•�
NO. OF SIGNS TRANS. ffi WIRING
NO. OF RANGES OR-G4gXTLPRS E J FIXTURES
M16CELLANEOUB / S POWER /
PERMIT FEE �d Z� UTILITY CO.NOTIFIED / !
TOTAL FE W F FINAL i f ✓ ���