HomeMy Public PortalAbout5531 WELLAND AVE_Electrical__ 76A663-CE810/72 APPLICATIO FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS e/ea7�% K/L�GG+�R/� ✓C
LOCALITY ��►�� C/ '7'
NEAREST TT
FOR APPLICANT TO FILL IN CROSS
OUTLETS No. EACHI EACHFEE -FIRM NAME
RECEPT.a S $ MAIL „r_
LIGHT TOTAL FIRST 20 25 �� ADDRESS
SWITCH / OVER 20 CITY TEL. NO.
.10 PLAN CHECK
LIGHTING 1 FIRST 20 .25
FIXTURES APPLICANT
)} TOTAL
OVER 20 ADDRESS
.10
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERRANGE DRYER_WTR. HTR. APPILICANT 6e;'f`�Z GC
STA. COOK DISP. F.A.U. ADDRESS _q�p0cl LaCalef-2-` 4&14c-.
SPACE HTR. AIR COND. CITY 2. 4" TEL. NO.
04
CLOTHES WASH. DISHWASH. LICENSE OR
REG. NUMBER ,3 ,S�^Z
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATIN6 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW.KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - I 100 LICENSED AS R QUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR HAI I AM THE LEGAL OWNER OF THE ABOVE y
- 1O 900 DESCRIBED RESI ENTIAL PROPERTY. 3
O
PE E C.2
10 - 50 5.00 SI`6NATUREI=
O
50 - 100 10A0 DISTRI ROC SED BY
W
100 - 500 15.00 —5, 'p Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTO SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 UNDERSLAB WORK
SERVICE'OVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,IN APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED �7
FINAL
PERMIT FEE (SUB TOTAL) NOTES: J 0 6
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 b®
TOTAL FEEos'(?
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATIOb - M.O. CASH
7 9 8 cZN0V 19 2 D 5.5 G ow
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER
DIVISION OF BUILDING;&:SAFETY ELECTRIC 1
WILLIAM 1. FO$ COUNTY MGM=
FOR APPLICANT TO';FILL IN DISTRICT IVO. GROUP I ZTE PERMIT NO.
ELECTRICIAN McROBG S ®a (D A I
ADDRESS L.. RECEIVED BY READY FOR DATE ISSUED
6De 76 FIRST INSPECTION
CITY TEL NO. / �C
COUNTY LICENSE NO. pIRE$ BUILDING
PERM FEES ADDRESS
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES AT OSS Err.
WALL SWITCHESf0fOWNER
TOTAL OUTLETS sc 5 MAIL
ELEC.. RANGES 25 ADDRESS .
ELEC. HEATERS 29 .
FIXTURES s Q CITY TEL. NO.
MISC. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF LIGHT CIRCUITS 3' v J APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
I AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITSAND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY TH/�Pp�OPERTY)10YSCRIBRD
SSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY , OR I AM THE LEGAL NER
NEW MVD HP VER tNFi. RACH OF THE RESIDENTIABOVE.
a 5 .25 %J
SIGNAT JRE OF
4soo �/a .50 PERMI
s 1.00 INSPECTION RECORD
s 1s I I.-SO
Is so 2.50
so 200 5.00
200 goo. ' 10.00 J
Soo . loco 15.00 a
Z
OVER 1000 f 20.00 ,
M.G: SET/FREQ. CHANGER-HP a
WELDERS: AC-KVA O
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS. (79% OF oRta.)
MOVED MOTORS (750/a OF citta.)
MISC. 1-7
SIGNS.
NO, NO.TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: I DATE INSPECTOR'S NAME
WIRING 81.00 Ajw CONDUIT tw cy
FIXTURES $1.00 WIRING'
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE 5 #'—UTILITY CO, NOTIFIED
FINAL
76A 868 0138# 6A. 4-E2 ` t. r