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Home My Public Portal About5555 WELLAND AVE_Electrical__ 6X688-CEBOS 10-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING y BUILDING AND SAFETY DIVISION ADDRESS JOHN•A. LAMBIE, COUNTY ENGINEER 1 WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT TOTAL NO. EACH FEE OUTLETS FIRST 20 $.20 $ OWNER LIGHT MAIL swlre � ADO�L ,:1 ADDRESS OVER 2O .tO CJ /' �f / LIGHTIN l TOTAL FIRST 2O 20 ,...y CITY TELNO.'�j Q ` FIXTURES } 2� ADO'L .10 d ELECTRI IAN ---�- O VER 20 RANGES CLO.DRYERS WTR.JHTRS. 1.00 ADDRESS GARB.DISP. STA. CITY . EL.NO. � DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(VY H.P.MAX • / .50 6� LICENSE NO. (7 MOTORS: OVER NOT OVER H.P. DISTRICT NO. IGROUPI ZONE P ESS�j'D BY O 1 11.00 /_� I ig:�— 1 s 1.50 INSPECTION RECORD c. a 6 2.00 O 6 is 2.50 0 e: 15 50 5.00 O s0 foo 5.00 IVrL NO.TRANS. ✓�' 1/ SIGNS: NO.LAMPS L SERVICE 0-60OV-NOT OVER 200A 1.00 SERVICE 0-60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 ^� SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE d 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS (PPL TION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT A WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �1 ELECTRICAL WIRING. WIRING ��•P' I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR �1 LICENSED AS REQUIRED PLLOS ANGELES COUNTY AND STA E OF FIXTURES CALIFORNIA OR THAT AM T E LEGA OWNER F E BOVE DESCRIBED RESIDENTI P POWER SIGNATURE UTILITY CO.NOTIFIED 6Z= �2vzv/) FINAL - VALIDATION ARTHUR C. VEIT / CKJ MO CASH SUPERVISING ELECTRICAL ENGINEER LAW 3482% SEP 3 2 D 29.50- � a FGAGGS-CESOG 10-62 APPLICATION FOR ELECTRI ALER P `& . • COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. REcEPT. TOTAL NO. EACH FEE LIGHT OUTLETS FIRST 20 $.20 III OWNER ADD-L MAIL /) SWITCH. OVER 20 .10 ADDRESS TOTAL C17Y TEL.N LIGHTING FIRST 20 .20 FIXTURES ADD'L OVER 20 .10 ELECTRIC N RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK / CITY TEL.NO. DISHWASH. AUTO.-WASH. STATE 1-7 SPACE HTRS. STA.APP.(Va H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP NE I PRESSED BY 0 1 1.00 '5% O C�a-- 1 s 1.50 INSPECTION RECORD s 8 - 2.00 8 is 2.50 ;v{ 1s so 3.00 so 100s.00 n. SIGNS: NO.TRANS. NO.LAMPS SERVICE O-SOOV-Nor OVER 200A 1.00 %ee— 6 „ SERVICE O.SOOV-OVER 200 A. 2.00 SERVICE OVER SOOV 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 NAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED PLL ANGELES UNITY AN S TE OF FIXTURES CALIFORNIA OR THAT AM THE LEGAL WNE OF ABOVE DESCRIBED RESIDENTI PR POWER SIGNATURE UTILITY CO.NOTIFIED ~J 'G 4p �. OF PERMITTEE FINAL �� J V (DATION ARTHUR C. VETT CK MO CASH SUPERVISING ELECTRICAL ENGINEER LAC0 2 1 9 0 0 AUG 4 2 D 3.4 0cQ 76A669-CEBOQIG,74 APPLICATION FOR ELECAL PERMIT �9' COUNTY OF LOS ANGELES jF DEPARTMENT OF COUNTY ENGINEER ADDRESS Z BUILDING AND SAFETY DIVISION LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH 11 FEE OWNER OR FIRM NAME RECEPT._ S $ MAIL LIGHT TOTAL FIRST 20 25 ADDRESS SWITCH_ OVER 20 ip CITY TEL. NO. PLAN CHECK LIGHTINGTOTAL FIRST 20 .25 APPLICANT FIXTURES OVER 20 .10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR: AIR COND. CITY TEL. NO.tf Wr-Cv III CLOTHES WASH. DISHWASH. REG.NUMBER Z CLASS.C_I FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 1 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 =14i o - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY A D STATE OF }, �� CALIFORNIA OR THAI I AM THE LEGAL OWNER O THE ABOVE C3 1 - 10 1 3.002/ 370 DESCRIBED RESIDE AL OPERTY. C7 A / 10 - 50 5.00 PERMITEE ,fit;(`G C3 SIGNATURE ��,��tl11 50 - 100 1090 DISTRICT NO. [PROCESOD BY y loo — Soo 15.00 SIGN, GASSIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 UNDERSLAB WORK SERVICEOVER600 VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES; NP- — PLAN CHECK FEE 0-3 J'jb --f•-� PERMIT ISSUING FEE 3.001 1 TOTAL FEE PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH 3 9 i XFFB 6 2 L �1 U.5 &z SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 6A668 CE-606(6/781 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB c New Residential Bldgs.&Pools EACH NO. FEE ADDRESS St , 1 &2.Family,Sq.Ft. $ .025 — $ LOCALITY Multi-family Sq.Ft. .02 — NEAREST CROSS ST. 4 44 Residential Swimming Pool's 25.00 OWNER OR FIRM NAME Outlets:Rec Light Sw. MAIL- First 20 .50 ADDRESS �. f Total No. Additional .30 CITY Tel.No. PLAN CHECK APPLICANT Lighting Fixtures First 20 •50 ADDRESS Additional .30 Total No. CITY Tel,.No. , Fixed Appliances Not Over 1 HP PERMIT / Range—Heater—D.W._ ' APPLICANT A? Oven_Dryer_W.M. ADDRESS ro VC Top _FAU _W.H._ CITY c,v Tel.No. Hood—Fan —Other_ LICENS OR Disp.—Room Air Cond: 2.50 REG..NUMBER 2 Class. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLiCA,. Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP,KW,KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWNS 2.50 REGULATING ELECTRICAL WIRING. Up to 1 Incl. 1 HEREBY CERTIFY THAjoqM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. 5.00 b LICENSED AS REQUIRED BY O ANGELES OUNT D STATE OF Over 10 to 50lncl. 12.50 CALIFORNIA OR THAT 1 HE LEG N T ABOVE Over 50 to 100 Inc. 25.00 DESCRIBED RESIDENTIA ERTYEE . Over 100 40.00 SIGN TATU SIGNURE Services DISTRICT NO. PROCESSED BY 0-200 Amp.Under 600 V 12.50 201.1000 Amp. Under 600 V 25.00 elf, 71 Over 1000 Amp.or Over 600 V 50:00 Z O Temp.Power Pole&Appurtenances 1.0.00 Q 'Sign with One Branch Circuit 1.0.00 0 Additional Sign Branch Circuits 2.00 INSPECTION > INFORMATION u -0 3 2 3 2 A Misc.Conduits&Conductors 10.00 ON REVERSE s Other(See Complete Fee Schedule) SIDE u # 0 0 0 0 o 2 Z IL2 - - 120C 0 .0 0 1 2-aCv PERMIT FEE (Sub-Total) PLAN CHECKING FEE (One-Fourth Permit Feel O 1 &'-7 9 PERMIT ISSUING FEE $7.0021m0 a TOTAL FEE / > r INSPECTION FINALED 0/1/'1_ /1 lu date: 116 75A663 SA 25M BETS 7-48 - • -. . A*yp**/rAj�AwT �� p7�1� DEPARTMENT OF BUHMG AIV- SA�'L'1'Y APrL CATIO t-I�Nir'iii. Co of jos A E ELECTRIC- W J. FOX CHIEF ENGINEER � ` NAME DISTRIGY NO. G ,QUP Z(ON tE PERMIT NO. ADDRESS CITY TEL-,KO, VED BY READY FOR DATE ISSUNIS COUNTY FIRST INSPECTION L 151 LICENSE NO. EXPIRES APPLICANT"FILL IN HEAVILY OUTLINED PORTION ONLY IDESCRIPTION OF WORE ADDRESS 3 d►�.sL� �� NUMBER OF OUTLETS ON CIRCUITS LOCALITY -,P/�•v i LOCATION BY ROOMS N REST LIGHT OUTLETS SW. PLUGS F17fT EA CROSS ST. ' C112CUIT A�jr 13 C "D E F G H S NAME T �.' ADDRE O " CITY . �. TEL.NO. ®. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. 1 AM THE LEGAL OF THE PROPERTY DESC IBED� ABOVE 3 COONS c7 TOTAL NO. OF OUTLETS ffi /. APPROVALS NO. OF FIXTURES / 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 f POWER PERMIT FEE _ ffi. % UTILITY CO.NOTIFIED TOT FEE 7 FINAL WORKER S'COMPENSATION DECLARATION CE-806G (2-80) APPLICATION FOR EdECTRICAL PERMIT • CE-806 I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELESBUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or /P 'fl. a certified copy thereof(Sec.38RP,Lab.C.) FOR APPLICANT TO FILL IN JOB VIV Policy N p ompany �0 J Ar New Residential Bldgs.&Pools EACH NO. FEE ADDRESS �, Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY �� °L �� Multi-family Sq. Ft. — NEAREST Certified copy is filed with the county building inspection CROSS ST department. w�I/ Residential Swimming Pools OWNER OR Date _— Applicant__ FIRM NAME W Outlets: Rec._Light Sw. ADDRESS �/Nf First 20, CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY A=0?% 1 C V, el No. COMPENSATION INSURANCE PLAN HECK' APPLICANT 0 (This section need not be completed if the work involved Lighting Fixtures , First 20 U Total No. ADDRESS by the permit is for one hundred dollars ($100) or less.) Additional O el No. 0 Fixed Appliances Not Over 1 HP permit is issued, I shall not employ any person in any manner PERMIT / �r /e V so as to become subject to the Workers'Compensation Laws. Range_Heater D.W. _ APPLICANT / �MC,. pw, Oven _ Dryer_W.M._ ADDRESS 1 ® e LL Date Applicant Top _ FAU _W.H.._ Hood _ Fan —Other CITY f0 Tel No NOTICE TO APPLICANT: If, after making this Certificate of Disp. -_Room Air Condom LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER /s't Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRI O. P C SED BY with comply with such provisions or this permit shall be deemed revoked. /e& Type HP,KW,KV or KVAR - t, oc Up to 1 Incl.1. _ Over 1.to 10 Incl. FINAL DATE —l�; /� VALIDATION LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. 1 _ I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINALBY 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 •' (��-�` ness and Professions Code, and my license is in full force and effect. Services r�'� JAl Lic.Class P -' 0-200 Amp.Under 600 V 1-C 0 / l•le, t-g p n® License Numbe ° 201-1000 Amp.Under 600 V Contractor r Data ` 7� ! Over 1000 Amp.or Over 600'V, HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances i I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): 377 7 3 Misc.Conduits&Conductors 1, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— structure is not intended or offered for sale (Section o o' o o e. 2 7044,Business and Profeskions Code). - 0 0 1 2 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) 0 0 0 1 L,0 C i issued(Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 01, 14-8 1 Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE 0-0 above information is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring, and, hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. B SEE'REVERSE FOR EXPLANATORY LANGUAGE Signature of ermit e - Datg