HomeMy Public PortalAbout10828 ARROWOOD ST_Electrical__ 76AG63. Des BA- 8-49 APPLICATION- APPLICATION'FOR PERMIT-
'DEPARTb ENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRI7_Nl, GR UP ZONE PERMIT NO. .
FOR APPLICANT TO FILL IN J(
ELECTRICIAN a L(_ RECEIVE 'BF
Y. ' READY� OR� DATE ISSUED
ADDRESS r .'�. �_ "+'- ¢e P.Y A w _. - FIRST INSPECTION- -
CITY TEL. NO.
COUNTY LICENSE NO. EXPIRES BUILDING (-
PADDRESS ?.2
PERMIT ERMIT FEES
FEE
NUMBER OUTLETS EACH. LOCALITY z, _mA AV '
LIGHTS 5c $ I � NEAREST
1 CROSS ST.
• I. RECEPTACLES � 5 I��� .�'
FIXTURES 5 I� OWNER
WALL SWITCHES 5 MAIL
ELEC. RANGES 25 ADDRESS _ .
ELEC. HEATERS 25. CITY A's jigh ` TEL.. NO, 1
MISC. I -
I HEREBY ACKNOWLEDG THAT 1 HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED:
APPLICATION AND STATE THAT THE ABOVE".IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES.
• - 'MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER, HORSEPOWER 1 CERTIFY THAT 1_ POSSESS THE ABOVE VALID LOS:
FEE
NEW MVD. HP OVER INC. EACH ANGELES COUNTY LICENSE, OR I 'AM THE LEGAL OWNER
I
OF THERESIDENTIALPROPERTY DESCRIBED ABOVE.
_ y&LESS $ .25 ,
'2 .50 SIGNATURE OF
2 S 1.00 .PERMITTEE fs A/dJ C� 'Ss /I4.A1
n
5- Is 1.50 'INSPECTION RECORD -
15 50 2.50 -
' 50 200 5.00
200 500 10.00 -
500 1000 15.00 - "I
OVER 1000 20.00 _ Z
M:G. SET/FREQ. CHANGER-HP .. - - 0
WELDERS: AC-KVA
0
GENERATORS -'KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% of ORIG.)
MOVED MOTORS 750% OF ORIG.)
. ' MISC. .. ..
SIGNS
TYPE: NO. TRANS. -
TYPE: NO, LAMPS APPROVALS
DATEINS ECTOR'S NAME
FOR EACH PERMIT- /
WIRING CONDUIT -Z
$1.00
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES' -
w. POWER '
TOTAL FEE: $ �/ b 01 UTILITY CO. NOTIFIED, _'
FINAL
i
76A663 SA 25M SETS 7-48 APPLICATION FOR PESIWW
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC �
COUNTY OF LOS ANGELES
M. J. FOX. CHIEF ENGINEER
Q NAME DISTRICT NO. GROUP ZONE PERMIT NO.
U
ADDRESS
1" RECEIVED BY READY FOR DATE ISSUED
CITY TEL.NO. FIRST INSPECTION
A COUNTY
W LICENSE NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIP'T'ION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLET^. JSW. PLUGS I FIXT CROSS ST.
CIRCUIT A B C D E F G H ofN AME'
-- w
Z MAIL
ADDRESS
O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
1 AM THE APAL OWNER OF THE OPERTY DESCRIBED
ABOVEe
/J•y — —
ow
CORRECTIONS
f
J �
— — Q
Z_
L7
O
I
TOTAL
NO. OF OUTLETS $
APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
L
ISCELLANEOUS $ POWER +
ERMIT�FE
EE $ UTILITYCO.NOTIFIED
OT E FINAL
I _