HomeMy Public PortalAbout4927 ARDEN DR_Electrical__ 76A663 DBS SA 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY 11=10
l
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUPZONE PERMIT NO.
ELECTRICIAN _
RECEIVED BY READY FOR DATE ISSUED
ADDRESS C FIRST INSPECTION
S
CITY ,TEL. NO.
COUNTY LICENSE NO. a EXPIRES ABD LL EISNSG
PERMIT FE S
FEE
NUMBER EACH LOCALITY /
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST. '
WALL SWITCHES OWNER D
TOTAL OUTLETS 5C $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FISC. 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. rlL APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUI AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVO. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRI ED ABOVE.
_ I'12 & LESS $ .25
SIGNATURE OF
_ I�z 2 .50 PERMITTEE.
2 S 1.00INSPECTION RECORD
5 15 1.50
_ 1 B 511 2.50
_ 613_ 200 5.00 _
_ 200_ 500 _ 10.00 J
500 1 Doo 15.00 Q
Z
---- OVER 10013 20.00 E9
M.G. SET/FREE). CHANGER-HP It
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA _
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS. I APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ ,- UTILITY CO.NOTIFIED
FINAL