HomeMy Public PortalAbout9218 BLACKLEY ST_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
DISTRICT NO. GROUP ZONE PERMIT NO.
FOR APPLICANT TO.FILL IN
ELECTRICIAN '
RECEIVED BY READY FOR DATE IMBUED
ADORES H Q - FIRST INSPECTION _
CITY TEL.
COUNTY LICENSE NO. D EXPIRES 5 '4 ; BUILDING I)
PERMIT FEES ADDRESS
FEE T � ����
NUMBER EACH LOCALITY �+ e '
LIGHT OUTLETS NEAREST /
RECEPTACLES CROSS ST. -
WALL SWITCHES OWNER �-
TOTAL OUTLETS 5c !0 170
MAIL
ELEC. RANGES _ _ _ _ ,2-5—_
ELEC. HEATERS 26
CITY *-� /�//Cr //yEL. NO.
FIXTURES 5 Z--42
1 HEREBY A NOWLEDOE HAT 1 HAVE READ THIN
M15C. Lt pc: eN 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 i AM THE LEGAL OWNER
FEE
NEw MVD. HP OYER' INC- EACH OF THE RESIDENTI ROPERTY DESCRIS A ROVE.
%2 s LESS $ .25 BIGNATURE OF• •'
V2 2 .SO
PERMITTE
2 5 1'00 INSPEclriON RECORb
5 - 15 1.50 -
15 50 2.50 �2� /-
_ 50 200 - 5.00
200 500 10.00 ®� Q ysel A-) J
SOD
1000 15.130 Z
OVER 1006 20.00
M.O. HET/FREQ. CHANGER-HP a
WELDERS:AC-KVA
O
GENERATORS - KW '
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF DRIB.)
MOVED MOTORS (75% OF,ORIG.)
M ISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS - ,
DATE INSPE OR'H NAME
FOR EACH PERMIT:
WIRING lB1.DO CONDUIT
FIXTURES $1.00 Q 0 WIRING
SUPPLEMENTARY ,50 FIXTURES '
POWER
TOTAL FEE Q'� UTILITY CO. NOTIFIED
/ FINAL �► fl 7 F I s^.,
75A553 DBS#5A 2-53
DBS SA 25M SETS 2-47 A4yP11CATION 21V�R PERDIM,
DEPARTMENT OF BUHDING ARTA SAFETY, E3� f11H9�E11 1V TVJH3 �Il11�11Y
- ,' COUNTY
®PIDiJ OSS ANGELES
SAFETY,
Y ELECTRIC.
WM. J. FOX CHIEF ENGINEER
Q
NAME
DISTRICT NO. GROUP ZONE PERMIT NO.
ADDRESS --l �i
. ?TEL.NO. �p RECEIVEDBy- READY FOR DATE ISSUED
WCOUNTY FIRST INSPECTION
CERT.NO. V H PIRES
APPLICAkr FELL IN HEAVILY OUTLINED PORTION ONLY
JOB
A DESCRIPTION OF WORK —ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST 1 °
LIGHT OUTLETS lsw.IPLUGS IFIXT CROSS ST. dd_
CIRCUIT A B C I D I E I F G H 19 NAME
Z MAIL
,r .= ADDRESS r "�
O CI _TE NO.
I AM THE LROAL POSSESSQR OFVTHE ABOVE LOS,
ANC-91 COUNTY CERTIFICATi/OF QUALIFICATION..
ELECTRICIAN.
1 AM THE LEGAL OWNER OF THB PROPERTY DESCRIBED
ABOVE
OWNER.
9 COPAECT101NS
J
Q
Z
P
O
r
u
L
NO. OF OUTLETS z APPROVALS
I NO. OF FIXTURES $ DATE INSPECTOR'S NAME
-NO. OF MOTORS H.P. $ CONDUIT
L
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ UTILITY CO.NOTIFIED -�� Y&