HomeMy Public PortalAbout9523 BLACKLEY ST_Electrical__ 7SA663 DBS 5A 3-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC I
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
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ELECTRICIAN A �: ..e.C.1J �
�� RECEIVED BY READY FOR DATE ISSUED
ADDREBS /0.3;k
t�� �� nn� /�=C�p FIRST INSPECTION �_�
CITY Sn._ - 7a.. TEL NO. 99
COUNTY LICENSE NO. EXPIRES 7�1� BUILDING L��9 1 .
ADDRESS v/ 6
PERMIT FEES
FEE
NUMBER EACH LOCALITY t✓V(/�I
LIGHT OUTLETS - NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS 5C $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS �- 25 CITY TEL. NO.
FIXTURES ` S I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIB
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 LOB
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
U 4 LESS $ .25 SIGNATURE OF Iro(are�i ,Tp
I2 2 50 PERMITTED
2 5 1.00 INSPECTION RECORDv
5 15 1.50
15 50 2.50
50 200 5.00 /Jy�
200 500 10.00 ' vL , Q
500 1000 15.00 Z
OVER 1000 20.00
M.O. HET/FREQ. CHANGER-HP
WELDERS:AC-KVA 17 C
GENERATORS - KWTRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG-)
MOVED MOTORS (75% OF ORIG.)
G v_
MISC.
SIGNS
NO. NO.TRANS.
NO. NO. LAMPS APPROVALS,,
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
CONDUIT
WIRING $1.00 Q a / _
r FIXTURES $1.00 Q� WIRING -
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ ® UTILITY CO.NOTIFIED
FINAL
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TEMPLE CITE'
,eA68941e00e APPLICATION FOR ELECTRICAL PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUP'TOF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS ST .
,PERMIT FEES
OWNER
ITEM NU B R EACH FEE MAIL
OUTLET s s ADDRESS �
LIGHTS RECEPT. SW. .10 -m �
LIGHTING FIXTURES 10 CITY TE6,NO, L4X
ELEC. RANGES CLO. DRYERS ELECTRICIAN `
W A T R H EATERS .50 ADDRESS
ELEC.S104CE HTRS. DISHWASHERS CITY TEL.•NO.
GARBAGE DISPOSERS AUTO.- ® STATE
OL%cJ�
WASHERS STA. COOKING UNITS .25 L'ICENSE.NO. "
MOTORS: OVER INC. H.P. DISTRICT O. GROUP Z N CESS_ED Y
O — %2 .25
lis — 2 .50' INSPECTION RECORD
2 5 1.00 >-
15
s — 1s 1.150 O
u
15 150 t 2.50 O
so Poo 5.00 U
W
SIGNS:
NO TRANS. /y
N
NO. LAMPS 7-
SERVICE
SERVICE 0.600V 1.001
SERVICE OVER 600V 5.00
misc.,
WIRING PERMIT 1.00 "
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE S
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT �7 h
ELECTRICAL WIRING. WIRING ,1 „x".07
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR ..
LICENSED AS REQUIRED BYWS ANGELES COUNTY AND STATE OF FIXTURES V Al
CALIFORNIA OR THAT IHE EGAL OWNER F HE ABOVE A
DESCRIBED RESIDE NTI ROPE - POWER ' A
SIGNATURE 1 UTILITY CO. NOTIFIE
OF PER FINA6 Jill
^IDATION V ' �RTHUR C.VEIT,/ .
CK Mo CASH SUPERVISING ELECTRICAL ENGINEER -
L>i'1c•6 9 7 4 RAY 1.1, 2 D 2 .35 tr