HomeMy Public PortalAbout9542 BISBY ST_Electrical__ 76A663 DBS$A II-SO APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
• WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN
DISTRICT NO. GROUP ZONE PERMIT NO.ELECTRICIAN T y�`p
a
R EIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION r
CITY TEL.TEL. NO. 4 5}�.
COUNTY LICENSE NO. ! �� EXPIRES BUILDING
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
ROSS ST.
RECEPTACLES C
WALL SWITCHES OWNER
TOTAL OUTLETS 5c $ I MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5
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 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL ROPERTY DESCRIBED ABOVE.
NEW MVD. HP OVER INC. EACH �
I/z &LESS $ .25 SIGNATURE OF &/
I/z 2 .50 PERMITTEE LJd CCS'
2 5 1.oo INSPECTION RECORD
5 15 I 1.50
15 50 2.50
50 200 5.00
200 500 10.00 ..I
so o 1000 15.00 Q
Z
OVER 1000 20.00 G
M. G. SET/FREQ. CHANGER-HP Fr
WELDERS: AC-KVA I 0
GENERATORSKW
TRANSFORMER--
KVA
TEMP. MOTORS (75%OF ORIG.)
MOVED MOTORS (75%OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. ( APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT:
DATE INSPECTOR'S NAME
WIRING $1.001 I CONDUIT
FIXTURES $1.00 �— WIRING
SUPPLEMENTARY 50 I FIXTURES
POWER
TOTAL FEE $/ UTILITY CO. NOTIFIED
® FINAL