HomeMy Public PortalAbout5545 WELLAND AVE_Electrical__ DB S-A 78-43'SSM APPUC TION FOR
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DEPARTMENT' OF BUILDING AND SAFETY°; I`ll �L'l�lY�LB
COUNTY OF LOS ANGELES
ELECTRIC1
M. J. FOX CHIEF ENGINEER
NAME a„ DIST TRIC-T NO. GROUP I ZONE PERMIT NO.
U ADDRESS Ulll.. �`5 /
fj RECEIVED BY READY FOR DATE ISSUED
CITY {L TEL.NO. FIRST INSPECTION
J
COUNTY-
CERT.
OUNTYCERT.NO. EXPIRES T
APPLICANT FILL IN HEAVILY OUTLINED PORTION/ONLY
(DESCRIPTION OF PORK
JOB DRESB G�� ��
NUMBER'OF OUTLETS ON CIRCUITS LOCALITY" -. � 9N1A1 7"�'
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS SW. PLUGS FIXT CROSS ST.
CIRCUIT 7A71!1 C D E F G H E NAMEld
3 ADDRESS
° CITY11�A+��ir�I/�Jl TEL No.I�I0 _��5 �
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGE" COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AM THE.r reser -OWNER OF THEE+PROPERTY DESCRIBED
ABOVE , Z
�/ ,/ Asa
v
• e!',' OWNER.
:COB.REMONS
_ - 4
— z
- o
OTAL n �
No. OF OUTLETS '� �t ffi .Q r APPROVALS
NO. OF FIXTURES
Z c7I.� DATE -INSPECTOR'S NAME
NO. OF MOTORS H.P. ffi CONDUIT
NO. OF SIGNS TRANS. ffi WIRING
NO. OF RANGES OR HEATERS ffi FIXTURES
MISCELLANEOUS ffi /- POWER
PERMIT FEE �!X/�/ _�.. ffi 2A�+ UTILITY CO.NOTIFIED
TOTAL FEE 7`� e' :S�� FINAL
76A668
APPLICATION FOR ELECTRIC PERMIT IT 1
DOSa
/DMSION OF BUMDMG AND SAFETY
Deportnumt of County Engineer
County of LOS Angeles BUADDRILDEINSSG S�Vr WAAAAWS
WM.J.FOX,COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING
LOCALITY �y
FOR APPLICANT TO.FILL IN NEAREST
PERMIT FEES CROSS ST.
NUMBER EACH FEE qg
LIGHT OUTLETS � OWNER _ AVES' f'/•f�Ff�>/
MAIL
RECEPTACLES ADDRESS
WALL SWITCHES c�
TOTAL OUTLETS 5¢ $ CITY TEL.NO.
ELEC.RANGES 25 ELECTRICIAN Styv
_ELEC.HEATERS 25 ADDRESS
KW EA CITY �� �(�sv � TEL.NO. &A, —c
FIXTURES5 41 LICENSE NO.
e
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. GROUP ZONE READY FOR INSPECTION
' NUMBER OF RECEPTACLE CIRCUITS � I I A�'P I
MOTORS
NUMBER HORSEPOWER FEE SPECTION RECORD
r
NEW MVD. HP OVER INC. EACH
14 a LESS $ .25
Yi 2 .50
2 5 1.00 ` •r.�.a�r:�l .y' � �f � ,
5 15 1.50 e
v v
15 50 2.50
50 200 5.00 `
r
Y
M ISC.
NO.SIGNS NO.TRANS..
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:.
WIRING $1.00
FIXTURES $1.00
SUPPLEMENTARY, .50 APPROVAI:S
TOTAL FEEg °� ci DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE. IS CORRECT AND AGREE TO COMPLY �+
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ' S' ����+` �!�••7'
ELECTRICAL WIRING. v-
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED-AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I E LE. OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIA 0RT
SIGNATURE � UTILITY CO.NOTIFIED _
OF PERMITTEE FINAL
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR
LALD2 5 .4 4%%pc FEB 6 2 3.6 0