HomeMy Public PortalAbout9465 WOODRUFF AVE_Electrical__ *BS-GA 12.54 APPLICATION FOR ELECTR-IC PER IT' ],
OBS-6A
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County Of Los Angeles BUILDING• �l
WM.J. FOX', COUNTY ENGINEER ADDRESS !/
CASSATT D.GRIFFIN.SUPT OF BUILDING r
APPLICANT TO FILL_ IN LOCALITY le-
FOR '
PEB M[IT FEES NEAREST
CROSS'ST.
NUMBER EACH FEE
LIGHT OUTLETS OWNER �/ //y •
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES
TOTAL OUTLETS A 5d $ 0 CITY TEL.NO.
ELEC. RANGES 23
ELECTRICIAN BEZAIRF•ELEGTRIG
ELEC.M154'PERS /+�I/�/SI -!_ 25 ADDRESS 7719 E. GARVEY
KW EA CITY SOUTH SAN GABRIEL TEL.NO. AT. 0-6441
FIXTURES 5 LICENSE NO. 70249
NUMBER OF LIGHT CIRCUITS
NUMBER ODISTRICT NO. GROUP ZONE READY FOR INSPECTION
F RECEPTACLE CIRCUITS . I
MOTORS .y �z,
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW 'MVD. HP OVER INC. - EACH
j2&LESS $ .25 '
2 2 .50
2 5 1.00 -
5. 15 1.50
15 50 2.50 rf jzp
30 200 5.00
. d
MISC.
-r _,4 `I% JYr/J
a
NO. SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00
SUPPLEMENTARY 50.
2 APPROVALS
TOTAL FEE $ ✓ DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYrr
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING EFIXTUE
1c ' 17 sQr
ELECTRICAL WIRING. / /
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR !/�t7 rm 80 lt'?A
LICENSED AS REQUIRED Y LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT AM THE LE OWNE OF HE ABOVE.DESCRIBED RESIDENT RORER 1 . .a N E[DG'so
SIGNATURE OF PERMITTEE I �
4
WILLIAM J. FOX.COUNTY ENGINEER VALIDATION 'Z o9 II)
668PIS hug 16
J
1 BY
® a DEPUTY
L�7
76A663-C�806 „-7, APPLICATION FOR ELECTRICAL ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS C� "' /_;t,,/J —'Li
LOCALITY
FOR APPLICANT TO FILL IN NEAREST CROSS ST. ( _oL
OUTLETS N0. EACH FEE
r $ $ OWNER
RECEPT. ./ MAIL
_j FIRST 20 ,Zg ADDRESS ,L
LIGHT �- TOTAL _ �t s
CITY`-;�L7 i�F'_e7[/TEL. N0.
SWITCH �— OVER 20 .10 PLAN CH9CX o'
LIGHTING 1 ADDRESS TOTAL FIRST 20 .Zg APPLICANT r
1(
FIXTURES OVER 20 .10 � �
RESIDENTIAL APPLIANCES CITY��—� /� TEL. NO ' -'ALF
PERIT
RANGE DRYER_WTR. HTR. APPLICANT�_ Ff ,e5F <:2-
STA.
STA. COOK DISP. F.A.U. ADDRESS L•lb_,
SPACE HTR. AIR COND. CITY ^� TEL. N0. /
CLOTHES WASH. DISHWASH. LICENSE NO. ' L_ CLASS.e,/L-)�
FAN OTHER 1.00 1 HEREBY ACKNOWLE//DGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 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
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF O.
ff
I
CALIFORNA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 — 10 3.00 RESIDE N, THE ABOVE DES RISED RESIDENTIAL PROPERTY. Q
SIGNATURE
10 - 50 5.00 OF PERMITTEE l 'e< (� /� ..-/�� 0
SO — 100 10.00 DIsS T�RICT NO. CLASS ZONE P OC SS BY
100 - 500 15.00 U)
i/Y
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.001
SERVICENOTOVER600VOLTS OR200AMP 3.00 nay
SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP.POWER POLE
TEM P S ERVI CE,POL E,IN APPU RTENAN CES 5.00
TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK
ROUGH CONDIUT
WIRING ,
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL L
PERMIT ISSUING FEE 3.00 jelo
TOTAL FEE 7
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATI , CK. M.O. CASH
Lh(;o 7 - 0 n N AUG 2 3 2 D- 1 0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE