HomeMy Public PortalAbout5442 WELLAND AVE_Electrical__ 76A663-CE806 1-.68 A LI` /TION FOR ELECTRICAL PERMIT
COUNTY O LOS �NGELES
DEPARTMENT +++++ COU �TY ENGINEER BUILDING �e
BUILDING AND SAF 'TY DIVISION ADDRESS- •� d-�' �r t yx.
JOHN AS-LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY I
NEAREST 4
FOR APPLICANT T_O..FILL IN CROSS ST. A
` NO. EACH FEE
S 5 OWNER
I� RECEPT._ MAIL
�+J LIGHT TOTAL FIRST 20 .20 ADDRESS
�I
SWITCH_ OVER 20 .10 CITY TEL. NO.
�. PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE—DRYER—WTR.HTR.— CITY TEL
STA.COOK_DISP.—F.A.U._ CONTRACTOR v CC
SPACE HTR. AIR C.ONDD ADDRESS J ! •���
CLOTHES WASH.—DISHWASH._ CITY y ! TEL. O. •�
FAN—OTHER 1.00 LICENSE 1-40. CLASS.
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 ORDINANCES AND STATE LAWS REGULATING
0 - 1 1.00 ELECTRICAL WIRING.
�Gi I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 _P R! LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNE AND INTEND TO a
10 - 50 5.00 RESIDE IN, THE ABOVE DESCRIBED R IDENTI..AL /OPERTY. O
SIGNATURE
w� t
50 - 100 10.00 OF PERM TTEE c1,61"��'� U
100 - 500 15.00 0
DIST CT NO. GROUP ONE P O �SSED BY �
TUBE, OR SIGN AND ONE CIRCUIT 3.00 .SIGN,GASL W
OL
MARQUEE ADDITIONAL CIRCUITS 1.00 yy NOTES: Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP. 2.00
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
PERMIT ISSUING FEE 2.00 �� UTILITYCO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE �+1� JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION 5:_�M.O. CASH
LA O.4 7 7 6Q8 14AY22 2 A 7.0O-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
'aam.0=°aB-°. APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION .ADDRESS
UGHN A. LAMBIE, COUNTY ENGINEER
CABSATT D.GRIFFIN,SUPT OF BUILDING "LOCALITY
MMMM=
'j
FOR APPLICANT TO FILLS IN NEAREST
PER= ���r CROSS ST.
ir+r+�7
IT E M NUMBER EACH .FEE OWNER
OUTLET � $ MAIL
LIGHTS RECEPT SW. .IO d `ADDRESS
LIGHTING FIXTURES .10 CITY TEL.NO.
EIEC-RANGES CLO-DRYERS _ ELECTRICIAN/ -
WATER HEATERS .$0 ADDRESS
ELM SPACE HTRS. DISHWASHERS .C17Y TEL NO. y.
GARBAG DISPOSERS AUTO.- STATE , �� D
WASHERS STA.COOKING UNITS .Z$ LICENSE NO.
MOTORS: OVER INC H.P. DISTRICT NO. GROUP ZONE P OCESSE BY
0— v$ :2$ S I A-
I/$— 2 .$0 �L INSPECTION BECORD
z- $ 1.00
$- 1$ 1.$0
i$— $O 2.$0
50-200 $.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER GOOV $.00
MISC.
WIRING PERMIT 1.00 (�
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .$0
TOTAL FEE S
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI TION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT CC
ELEC'T'RICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR � _
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 2 '2 "�C �•`�`"'�,i
CALIFORNIA OR THAT I AM TH LEGALR OF THE ABOVE
DESCRIBED RESIDENTIA ROP POWER 11
SIGNATURE UTILITY CO..NOTIFIED - -�
OF PERMITTES pi
FINAL --
9p /VA-IMATION ARTHUR C.VEIT,
CK MO CASH SUPERVISING ELECTRICAL ENGINEER,
T,8 4 3 5 n PFC 3 2 A 9.6