HomeMy Public PortalAbout10524 DAINES DR_Electrical_12/14/2000_144406 OUTLET AND FIXTURES 76A663 D69 SA 3-50 ; APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY, ��
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
`/n -s--ELECTRICIAN M r .tom ! �����
ADDRESS,
�J, �},. y�/ fir/ RECEIVED BY FIRSREADY FORDATEDATE/� ISSUED
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CITY y,d'�v�,Ypj�1_yls _ cc•,� TEL. N O.Al-
�J II �v
COUNTY LICENSEE NO. 11.7 EXPIRES S / BUILDI
FEE NG D `jLa1�. d',� .iS/f�
ADDRESS _ r��l WWW
PERMIT FEES
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES
CROSS BY.
WALL SWITCHES / OWNER `lam
TOTAL OUTLETS l y / Sc $ MAIL
ELEC RANGES 25 ADDRESS v
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES " S 10 1 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 ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS - /' / , ^ AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS / �r I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
F
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
New MvD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DEBCRISED ABOVE.
I/ 6 LESS $ .25 SIGNATURE OF
2 .50 PERMITTEE
—
2 5 1.130 INSPECTION RECORD
S 15 1.50
is s0 2.50
s0 200 5.00
200 . 600 10.00 J
s00 1000 15.00 - Z
OVER 1000 20.00 Q
M G. BET/FREQ. CHANGER-HP R'
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF DRIG.)
MOVED MOTORS (75% OF DRID.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS _
NO. NO LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 Q� CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY ,50 FIXTURES
POWER
TOTAL FEE $� —r—'UTILITYCO. NOTIFIED
FINAL