HomeMy Public PortalAbout5609 WELLAND AVE_Electrical__ 7BAS63 OBS SA 11-50 APPLICATION FOR PERM
DEPARMIENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES L CT R I 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL 1N DISTRICT.00. GROUP ZONE A. PERMIT NO.
ELECTRICIAN k&-AA tt., A A
EIVED BYEAADY FOR DATE ISSUED
ADDRESS ,, FIRST INSPECTION s,
CITY TEL. NO.
COUNTY LICENSE NO. EXPIRES BUILDING
PEANUT FEES ADDRESS
FEE ° -
NUMBER EACH LOCALITY 1-7/;? Z-1,
LIGHT OUTLETS L NEAREST .�s 1� A r�
RECEPTACLES CROSS ST.
WALL SWITCHES ) OWNERS
+ TOTAL OUTLETS / Sc $ MAIL
ELEC. RANGES 25 ADDRESS .�
ELEC. HEATERS 23 / 1r+f
FIXTURES s (� CITY '' `=•).-� TEL. NO. r',z F:
I HEREBY ACKNOWLEDGE THAT I 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 HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
.
NEW MVDHP OVER INC. EACH
tf n
1/2&LESS $ .25 SIGNATURE OF ,1 f ) « 5 n
1/2 2 .SO PERMITTEE - ^ -- �0 �.I� •,+: �r��i
(17 c.
z s 1.00 INSPECTION RECORD
s 1s 1.30
is 50 2.50
so 200 5.00
Poo Boo 10.00 �/�{d�'d� ° ® 2 6 , c +2 s ° a
soo f000 15.00 E'°Q T d OW C',2pw v. 0CPA Z
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA F, L�C°� Tog P tI'�tF�/rJ�ala O
GENERATORS-KW &T"-1 'Pap c,
TRANSFORMERS-KVA
TEMP. MOTORS (75%OFORIG.) II C
MOVED MOTORS (75%OFORIG.)
MISC.
SIGNS
NO. NO.TRANS. I APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT-
WIRING $1.00 d CONDUIT
FIXTURES $1.00 i O WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ ATILITY CO. NOTIFIED
® / FINAL 17 Z 7a.4'L 4
pq� pT pq� pa� RKY PERMIT Rp��p�p
D9S•SA 3-95,,1fAPPLICATION
, iVISION OF BUMDMG AND SAFETY -
4 Depo:tment of County Engineer r ,�/ +
County of Los Angeles BUILDING
e���/y `!/ d/.Q �7
WM.J:FOX,COUNTY ENGINEER
CASSATT D.GRIFFIN.SUPT OF BUILDING /
LOCALITY r C ( jg v I /
FOR APPLICANT TO FILL IN NEAREST
.PERIM FEES CROSS ST.
NUMBER EACH FEE OWNER k• VO pS
MAIL
FRECEPTACLES
S ��/j�� s
ADDRESS 5&// A r /P/ �l
HES
TOTAL OUTLETS 5¢ $ CITY && TEL.NO.
ELEC.RANGES' 25 ELECTRICIAN -5/h/04
ELEC. HEATERS 1 25 ADDRESS
KW EA CITY ® TEL.-AW-9.0
FIXTURES 5 LICENSE NO:. / >
NUMBER OF LIGHT CIRCUITS - DISTRIC I GROUP N READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS fT
MOTORS
NUMBER HORSEPOWER FEE ® SPECTION RECORD
NEW MVD. -HP OVER INC. EACHf'`
&LESS $ .25
1/2 2 .50
j:::25 1.00
5 15 1.50 n r�
i5 50 2.50
50 200 5.00
`( `t { � �b'1•� L7 -'. /Y G"4-fir �.
M ISC.
h / 61.
p
L
IGNS NO.•TRANS.
IGNS NO.LAMPS
EACH PERMIT•
NG $1.00
URES $1.00
LEMENTARY .50 APPROVALS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
EREBY ACKNOWLEDGE'THATA HAVE READ THIS APPLICATION CONDUIT
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY �i i ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRINGTRICAL WIRING.
EREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
NSED ASREQUIRED BY LOS ANGELES COUNTY AND STATE OFFORNIA OR THAT i AM THE LEGAL OWNER OF THE ABOVE POWER
RIBED RESIDEN P OPERTY UTILITY CO.NOTIFIED 0-ATURE PERMITTEE FINAL /'q //`r� r� ./ /J�/' i/✓
Am
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR
: ! G2.3 1 1 ZR JAN3 0 2 3.15 �'