HomeMy Public PortalAbout5541 WELLAND AVE_Electrical__ 76ASgS DBB 6A 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��������
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN
RECEIVED BY FIRST FOR INSPECTION
DATE SSUED
ADDRESS Y.
CITY TEL.NO. -�S7
COUNTY LICENSE NO. EXPIRES -3 BDDREBB� �
PERMIT FEES
FEE LOCALITY
NUMBER EACH
LIGHT OUTLETS Q NEAREST
CROSS BT.
RECEPTACLES
WALL SWITCHES OWNER _C% LE►/L�tih'J�I��,/j�
TOTAL OUTLETS 5O $ N MAIL Q
ELEC. RANGES 85 ADDRESS
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES' d 5
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I/2 6 LESS $ .25 SIGNATURE OF
V2 .50 PERMITTEE
2 5 1.00 INSPECTION TWCORD
5 15 1.50
15 50 2.50
50 200 5.00
200 500 10.00 J
5013 1000 15.00 Z
OVER 1000 20.00 m
M.D. SET/FRE13. CHANGER-HP R
WELDERS,AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% Or CRIB-)
MOVED MOTORS (75% OF ORIG.)
MIS,.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT, DATE INSPECTOR'S NAME
WIRING $1.00 a CONDUIT
st
FIXTURES $1.00 Q WIRING
SUPPLEMENTARY .50
FIXTURES
'L ® POWER
TOTAL FEE UTILITY Co.NOTIFIED t'.$) �, rl , /i. i. MA
FINAL