HomeMy Public PortalAbout5518 WELLAND AVE_Electrical__ 76A663 DBB 5A 7-51 APPLICATION FOR PERMIT
F!I T OF BUILDING AND SAFETY'
COUNTY OF LOS ANGELES _C
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT No.
ELECTRICIAN
RECEIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION
CITY TEL.NO
COUNTY LICENSE EXPIRES BUILDING
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
w� CROSS ST.
RECEPTACLES J N
WALL SWITCHES OWNER
TOTAL OUTLETS — 5C MAIL
ELEC. RANGES 85 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. 1 APPLICATION AND STATE THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS ! y AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1• CERTIFY THAT 1 POSSESS THE ABOVE VALID ,LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE
NEW MVD. HP OVER I INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
%2 a LESS $ .25 SIGNATURE OF
%2 2 .50 PERMITTED --
2 5 1.00 INSPECTION RECORD
5 1'5 1.50
15 50 2.50
5O 200 5.00
200 1300 10.00 J
500 loom 15.00 Z
OVER 1000 20.00 @J
' M.G. SET/FREQ. CHANGER-HP `0!
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% DF DRIB-)
MOVED MOTORS (75% DF CRIB.)
MISC.
SIGNS
NO. NO.TRANS
APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME_
WIRING $1.00llo -177617
CONDUIT _
FIXTURES $1.00 WIRIN
SUPPLEMENTARY .60 FIXTURE
POWER
TOTAL FEE UTILITY CO.NOTIFIED &A
/ FINAL '
l..+,A663TEB061/70 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS. SUPERINTENDENT OF BUILDING _ �2
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. L ,
OUTLETS NO. EACH FEE
OWNER
RECEPT., $ $ MAIL
LIGHT TOTAL f FIRST 20 A6 ADDRESS
CITY TEL. NO.
SWITCHJ—L OVER 20 .10 PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 APPLICANT
FIXTURES -L_ OVER 20 10 ADDRESS
APPLIANCES CITY TEL. N0.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS fZ
SPACE HTR. AIR COND. CITYTEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO CLASS.
FAN OTHER1.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
d
10 - 50 5.00 OF PERMITTEEG V
50 - 100 10.00
DISTRICT NO. ICLASS JGR U ZONE I PR SEED Y O
100 — 500 15.00 23 G
SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: W
C
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600 VOLTS OR 200 AMP 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CEOVER 600 VOLTS OR 200 AMP 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 3.00
UNDERSLAB WORK'
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDI UT
WIRING
PERMIT FEE (SUB TO FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50%. PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 300
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL 7
JOSEPH C. ROOHAN
TOTAL FEE SUPERVISING ELEC [CAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION eK. M.O. CASH
Ice
_ACO 2 1 7 1 .I UG 31 20 D 4.0'0~
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE