HomeMy Public PortalAbout5004AGNES AVE_Electrical (3) COUNTY OF LOS ANGELES APPLICATION FOR PERMIT '
Department of County Engineer
IVISION OF BUILDING & SAFETY
WILLIAM J FOX County Engineer ELECTRIC 1
FOR APPLICANT TO FILL IN DISTRICT O GROUP ZONE PERMIT NO
P 11-1 6.3eq
ELECTRICIAN /-,L/ --
` RECEIVED BY READY FOR DATE ISSUED
ADDRESS I / / _ 5— I FIRST INSPECTION
CITY I TEL. NO e 7,G t(J)�,C,e/QLL
COUNTY LICENSE NO EXPIRES X34 ;.��[ BUILDING
PERMIT FEES ADDRE89�JQ 2 � s
r
�L
NUMBER EACH FEE LOCALITY_
LIGHT OUTLETS NEAREST ^ �J
RECEPTACLES CROSS ST /7 /
WALL SWITCHES OWNER ,5L G'
h R/2) e—
TOTAL OUTLETS sc 11 U.S'
MAIL
ELEC RANGES 2g ADDRESS
ELEC HEATERS 25
CITY TEL. NO
FIXTURES 5
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCEB
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
NEW MVD HP OVER IHC EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
I I/ St 2 fi 1299 !$ 2S '�"� SIGNATURE PERMITTEF 1
/2 SO - -
2 s 1 00 INSPECTION RECORD
s 15 1 so
15 so 250
so 200 s o0
200 SOo 1000 .J
soo 1000 1500
Z
i 1
OVER 1000 2000
M G SET/FREQ CHANGER HP
WELDERS AC KVA ❑
GENERATORS KW
TRANSFORMERS - KVA
TEMP MOTORS (75% or DRIB)
MOVED MOTORS (75% of ORIo)
MISC
SIGNS
NO NO TRANS APPROVALS
NO NO LAMPS
FOR EACH PERMIT DATE INSPECTOR 9 NAME
WIRING $1 00 CONDUIT
FIXTURES $100 WIRING
SUPPLEMENTARY s0 FIXTURES
POWER _
TOTAL FEE 19 J UiTILITY CO NOTIFIED
FINAL
76A663 DBS#5A 2 53