HomeMy Public PortalAbout5432 WELLAND AVE_Electrical__ SA663-CEB0610-60 APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER- BUILDING
BUILDING AND SAFETY DIVISION - ADDRES s�
JOHN A. LAMBIE• COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. -
PERMIT FEES OWNER c�.�
I T E M NUMBERI EACH I FEE MAIL
OUTLET : 1 $ $ ADDRESS V
LIGHTS RECEPT SW. /, .10 10 CITY TEL. NOAi
LIGHTING FIXTURES
ELEC.RANGES CLO.DRYERS 1O. o ELECTRICIAN
W A T HEATERS .So ADDRESS
LEC.SPACE HTRS. DISHWASHERS _g J Q sl
CITY TEL N J O OL
GARBAGE DISPOSERS AUTO.- rSTATE ,e1
WASHERS STA.COOKING UNITS I .2S. �`S^ LICENSE NO. r✓w h'���
MOTORS: OVER INC. H.P. DISTRIC NO. GROf 1P ZONE I PROCESSED BY
O— 1/2 .25 o ,�+ dGlaZ
y2- 2 50 INSPECTION RECORD
�L
� ,� may. �.:• �-
2— 5 1.00 A A-14;
T � .rf
5- 15 1.50 , ..,.�I' .�Rsa� -h ' �:n_y r' u.
Is— SO 2.50 4 •- •• r, GC
BO— 200 5.00
NO TRANS. �J
SIGNS: NO.LAMPS
Z
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
M ISC.
WIRING PERMIT 1.00 /.
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT ,S0
TOTAL FEE' S
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ' THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT • 3
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ..
ELECTRICAL WIRING. �f
WIRING
I HEREBY CERTIFY'THAT I AM PROPERLY REGISTERED AND/OR �. '.• v
LICENSED AS REQUIRED B LOS ANGELES COU AND STATE OF .FIXTURES
CALIFORNIA OR THAT 1 THE LEGAL OW OF THE ABOVE
DESCRIBED RESIDENT: OPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIEDill
IL
OF PERMITTE FINAL !L tF'
VALIDATI ARTHUR C. VEITY
CK MO CASH SUPERVISING ELECTRICAL ENGINEER'.
APR 2 2 0.,' 3.6 5
7GA663-CES06 468 APPLICATION FOR EIECTRICALIPERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY.ENGINEER 7NEARES'T
G ` l
BUILDING AND SAFETY DIVISION' � YV
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUPERINTENDENT OF BUILDINGY G
FOR APPLICANT TO FILL IN .
NO. EACH FEE
RECEPT._
3 S OWNER
MAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS
SWITCH_ OVER 20 .10 CITY TEL. NO.
PLAN CHECK
LIGHTING JTOTALIFIRST 20 .20 APPLICANT
FIXTURES __ //OVER 20 .10 ADDRESS
RANGE_DRYER-L.*TR.HTR._ CITY TEL. NO.
STA.COOK_DISP.-F.A.U._ CONTRACTOR
Ss�
,SPACE HTR. AIR COND.— ADDRES Olp
CLOTHES WASH._DISHWASH._ I CITYpp�� TEL. NO, s
FAN—OTHER / 1.00 LICENSE IJO. �`T� CLASS.
G-
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY OROINANCES AND STATE LAWS REGULATING
0 - 1.00
ELECTRICAL WIRING.
' 1
i HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AHD/OR
1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
XALI FORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
10 - 50 5.00 RESIDE I N, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
50 - 100 10.00 SIGNATURE IL
OF PERMITTEE O
100 - 500 115.00
C3
SIGN,GAS DIST I T O. P ZONE P ED c
TUBE, OR SIGN AND ONE CIRCUIT 3.00 V
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: IL
H
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 Z
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED AI
PERMIT ISSUING FEE 2.00 ! UTI LI TY CO.NOT]FI ED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE JO R ROOHAN
S ERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT ALIDATIONM.O. CASH
CK.
9 Q9- r'uIR 9 2 0 6.00- e
C
iE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE f��
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76A663-CE8� I_8'3� ^ APPLICATION OR EL�'CTRICAL PERMIT
4f COUNTY OF LOS ANGELES 'fl
^�
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS v`J .1rJGa�-T�" �t
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
RECEPT._
$ $ OWNER
MAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS
SWITCH_ OVER 20 .10 CITY TEL. NO. — Y
PLAN CHECK
LIGHTING ITOTAL FIRST 20 .20 APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE_DRYER fWTR.HTR.— CITY TEL. NO.
STA.COOK_DISP.-F.A.U._ CONTRACTOR
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH._DISHWASH._ CITY TEL. NO.
FAN_OTHER / 1.00 LICENSE IJO. CLASS.
MOTORS,TRANSFORMERS .RATING
IND. HEATERS, ETC. HP. KW. KVA. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE 8: TYPE OVER TO AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
//�� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
.v� 0 - 1 1.00 ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF }
CALIFORNIA OR THAT I AM THE GAL OWNER OF, AND INTEND TO d
10 - 50 5.00 RESIDE IN, THE ABOVE D C IBED R IDENTIAL PROPERTY. O
SIGNATURE V
50 - 100 10.00 O'F PERMITTEE D:
100 - 500 15.00 DIST IC-T O. G P ZO PR CE D O
TUBE,OR [SIGN AND ONE CIRCUIT 3.00 0 G
MARQUEE DDITIONAL CIRCUITS 1.00 NOTES: Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00 - T
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTI LI TY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELEC^TRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH
8 5 5 14AR :� 2 D 16.0 ON Q
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE