HomeMy Public PortalAbout5728AGNES AVE_Electrical (3) 76A663 06B SA 11 SO APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICyYNO GROUP ZONE PERMIT NO
ELECTRICIAN 6se'✓ I / D' V� L d� REvxIvJD BY READY FOR DATE ISSUED
ADORES 0 /¢2 4tl
t=:- FIRST INSPECTION f 7
CITY Al /,�`/i TEL. NO T :3 �Jr /
COUNTY LICENSE EXPIRES ADDRESS 572 ,�y. �(��a-f /7whr
PERMIT FEESULDING
FEE
NUMBER EACH LOCALITY ['//�
LIGHT OUTLETS NEAREST
CROSS ST ��//y.11J
RECEPTACLES �J_
WALL SWITCHES OWNER le11�/[�/�( ffL r
TOTAL OUTLETS 5C $ /MAIL I� / /
ELEC RANGES 255 ADDRESS t�//'/ /l/i /!2 —/vv-/(�
ELEC HEATERS 25 (,/CITY //1"�� /�EL NO
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC APPLICATION AND STATE THAT THE ABOVE 18 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 LIC NBE OR 1 AM THE LEGAL OWNER
FEE
NEW MVD HP ovtR 1Nc EACH OF THE RE9IDENTIA OPERTY DESCRIBED ABOVE
%2 6 LESS $ 25SIGNATURE OF4
%2 2 50 PERMITT rz
41
2 s 1 Do INSP TION REC
5 1s 1 sD
1 s so 250
50 200 500
zoo SOG 1 o Oo
500 1000 1500 Q
OVER 11300 2000 y Vr
M G BET/FREq CHANGER HP it
WELDERS AC KVA O
GENERATORS KW
TRANSFORMERS KVA
TEMP MOTORS (75% OF DRIG)
MOVED MOTORS (75% OF ORIO)
M190
SIGNS
NO NO TRANS APPROVALS
NO NO LAMPS
DATE INSPECTOR 9 NAME
FOR EACH PERMIT
_WIRING $1130 Q CONDUIT
FIXTURES $1 00 WIRING
SUPPLEMENTARY 50 FIXTURES
TFII
OWER
TOTAL FEE $ / ILITY CO NOTIFIED
NAL