HomeMy Public PortalAbout5803AGNES AVE_Electrical (3) COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engmeer
DIVISION OF BUILDING & SAFETY
WILLIAM J FOX County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
ELECTRICIAN /"7 "1 & T � I
ADDRESS / I/V S RECEIVED BY FIRST INSPECTION DY FOR DATE ISSUED
CITY Pg:S/apF,✓el� TEL NO SYA-,I5d lk I
COUNTY LICENSE NO 3 G EXPIRES BUILDING
PERMIT FEES ADDRESS Jr-�0 3 G Sn.
FEE
NUMBER EACH LOCALITY M /p XC Y
i
LIGHT OUTLETS NEAREST
CROBB BT
RECEPTACLES
WALL SWITCHES I _ OWNER AAT ✓ T.L&/Z
TOTAL OUTLETS 5c MAIL
ELEC RANGES 25 ADDRESS ,J�gt�0 , '? /
CT/�'
ELEC HEATERS 25 CITY m Al.6 (�J'7\ TEL NO _
FIXTURES 5 1 HEREBY ACKNOWLEDGE/THAT I HAVE READ THIS
MISC APPLICATION AND STATE THAT THE ABOVE IS 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 HORSEPOWER FEE ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
NEW MVD HP OVER INC EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
I/ a LESS $ 25
SIGNATURE OF ' ? D
I/2 2 50 PERMITTE[�/fA Wa.<lp -
8 511 2 s 1 DO INSPECTION RECORD
s is 1 so
is 50 2501
50 200 500
200 500 1000 J
500 1000 1500 Q
Z
OVER 1000 2000
M G SET/FREQ CHANGER HP
WELDERS AC KVA O
GENERA70RS KW
TRANSFORMERS KVA
TEMP MOTORS (75% OF DRID)
MOVED MOTORS (75% OF ORIG)
MISC
SIGNS
NO NO TRANS
APPROVALS
NO NO LAMPS
FOR EACH PERMIT DATE INSPECTOR'S NAME
WIRING $1 O0 0 CONDUIT
FIXTURES $1 00 WIRING
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE / 30 UTILITY CO NOTIFIED
FINAL a
76A668 DBS $5A 4 52
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