HomeMy Public PortalAbout5527 WELLAND AVE_Electrical__ 76AG63-CEBOG 5-69
AP-PLICATION FOR ELECTRICAL PERMIT
COUNTYzOF LOS ANGELES
DEIDARTMENT OF COUNTY ENGINEER FADRE
/
BUILDING AND SAFETY DIVISION _ ��7 /(/ (/v Q l(/�s
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING r'P W_ C/
FOR APPLICANT TO FILL IN . _ 0.//U 'F S
NO. EACH FEE
$ $ OWNER `P �/��� A
RECEIPT. MAIL / Jl �q
�AA �FdR Z7 � 4- .4 -41'
LIGHT TOTAL FIRST 20 .20 V"
'P �/L TEL.N0. 7 %SSS
SWITCH OVER 20 .10 PLAN CHECK
LIGHTING TOTAL FIRST 20 ,P0 APPLICANT
FIXTURES } OVER 20 .10 ADDRESS
RANGE_DRYER_WTR. HTR. CITY ,pTEL.NO.
STA. COOK_DISP._F.A.U. CONTRACTOR
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH._DISHWASH. .. CITY TEL.NO.
FAN_OTHER 1.00 LICENSE NO.. CLASS.
MOTORS.TRANSFORMERS RATING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND .STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1..00 IHEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES -COUNTY AND STATE OF
1 - 10 3.00 CALIFORNIA OR THAT 1 AM THE LEGAL OWNE OF. AND INTEND TO
RESIDE IN, THE ABOVE DESC BED RESIDEN L OPERT c
10 — 50 .5.00 (`
SIGNATURE O
50 — 100 1000 OF PERMITTEE C
100 - 500 15.00 DISTRICT NO. GROUP ZONE 1p
SSE (+
LL
SIGNGAS SIGN AND ONE CIRCUIT 3.00 O
TUB , OR
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES, . ,04-
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
TEMPI POWER POLE
UNDER LAB WORK
ROUGH CONDUIT
WIRIN
PERMIT FEE (SUB TOTAL) FIXT RES
:e_ER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE JOSEPH C. RO N
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.o. CASH
I
A.r,3 9 5 79 KAR 5 2 Q 2.4 Q^' cq
1,SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
7GA663-CE806 3-69
-145
APPLICATION FOR ELECTRICAL
ERMIT
COUHTrOF LOS ANGELES
DEP)►RTM'kNT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS S� a Q` Alid
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY 'e /�� CiT
NEAREST !
FOR APPLICANT TO FILL IN CROSS SI Cj
NO. EACH FEE
RECEIPT. $ $ OWNER c•QN�fAl, e
yIL
ADDRESS 7 �/�7 /� vv� ��/(/J[/ v
LIGHT W TOTAL FIRST 20 .20 CITY C/ TEL.NO.4 •3�7
SWITCH Z3f OVER 20 .10 PLAN CHECK
LIGHTING TOTAL FIRST 20 PO APPLICANT
FIXTURES } OVER 20 ,10 ADDRESS
RANGE_DRYER_WTR. 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 NO. CLASS.
MOTORS,TRANSFORMERS RATING IS
ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1'00 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICEN5EDAS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO a
RESIDE IN, THE ABOVE D CRIBED RESID TI PROPER T C
10 - SO 5.001 1L
SIGNATURE / IN
C
50 - 100 10A0 OF PERMITTEE
H
100 - 500 15.00 -DISTRICT NO. GROUP 2bIPROES LL
SIGNGAS SIGN AND ONE CIRCUIT 3.00 �' v
TUB , OR Z
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
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
WIRING -7,(9 A
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 et UTILITY CO.NOTIFIED
let Q v
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEEJOS PH C. ROOHAN
/ SUPERVISING ELECTR ENGINEER
PLAN CHECK VALIDATION CK. M(0. CASH PERMIT VALIDATION CK. M.O. CASH
.40-SL 4r, 2 5 a 4:o KIN 6 2 D 7.40-
SEE
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
76AG$3-CEB08 11-71 �i
a APPLICATION FOR ELECTRICAL PERMIT
' '=^*:pdf;iTY OF LOS ANGELES BUILDING / ,, /
/DEPARTMENT'JOF COUNTY ENGINEER ADDRESS �'S2 s Q / I�u-e
BUILDING AND SAFETY DIVISION 7�
LOCALITY $ ii7 /w G / / v .
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. �'t°-S
OUTLETS N0. EACH FEE
OWNER c
RECEPT.f $ $ MAIL
` ADDRESS SSM' ' Gds' /�-� A v Q-
FI RST 20 25 'I
LIGHT . TOTAL CITY G TEL. N0.7 y 3--73S'
SWITCH 1:3_ OVER 20 .10 PLAN CHECK
LIGHTINGFIRST 20 .25 APPLICANT
FIXTURES
TOTAL
OVER 20 ADDRESS
.10
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE-DRYER-
ANGEDRYER_WT�R. HTR. APPLICANT
STA. COOK DISPI F.A.U.T ADDRESS
SPACE HTR. AIR COND.. , CITY TEL. NO.
CLOT2OTHERf1.00
/CSH. DISHWASH. LICENSE NO. CLASS.
FAN 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
1HEREBY CERTIFY THAT 1 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 O
1 - tO 3.00 RESIDE IN, WE
VE DESCRIBED ES NTIA PROPERTY.
V
SIGNATURE t
10 - 50 5.00 OF PERMITT 0
SO'- 100 10.00 Lu
DISTRICT NO. CLASS ZONEW
PROCESSED BY
Cm
�
100 - SOO 15.00 r0 r .002
,3 a
?
z
][SIGN SIGN, GAS D ONE CIRCUIT BAD NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS IAO
SERVICENOTOVER 600 VOLTS OR 200AMP 3.00
SERVICE OVER 600 VOLTS OR 200 AMP \ 10,00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK
ROUGH CONDIUT
WIRING ?! j
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL '� W
PERMIT ISSUING FEE 3.00• ocr) i&oor
TOTAL FEE 12
PLAN CHECK VALIDATION CK. M.0. `CASH PERMIT VALIDATIOCK.0. CASH
—LALo a 3 2 a N OCT 19, 2 D 7.2 5 M
-SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE