HomeMy Public PortalAbout9414 CAMINO REAL AVE_Electrical__ .z S7 - 47,s/ .t'�o 8 &I rI,,a„
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APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BULDING AND SAFETY
rOR ANT TO PILL IN J
New Resldentiad Bldgs.&Pools EACH NO. FEE A RESS
1 &2-Family,Sq.Ft.T_ Y — $ LOCALITY
Multi-family Sq.Ft. _ _� V
RMidenrial Swimming PoolsW'NAINIA f"
Outlets,1rnc..L�Llght.�.Sw.� .
First 20
Totgl No. 2 Addbonal pC�rFy �Ir► Tel. No L/�Jr�r
PPLICANNTTK
L4ghting Fly tures First 20. ADDRESS
total No. Addkbnal
CITY Tel. Nb.
fixed Appllances Not Over 1 HP
Range_Heater_d.W._ APPLICANT G
Overr,Dryer W.M.— ADDRESS') a
Top _FAU W.H._ CITI/ aj Tdl: No
Food TFan Other_ LICENSE OR
Disp._Room Alr Cond. REG.NUMBE a--C
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA-
Rower Apparatus S Large Appliarxes TI ON AND STATE THAT THE ABOVE IS'CCQOIZRECT AND AGREE TO
Size&T HP,KW; KVA,or KVAR COMPLY Wf1'H ALL COUNTY ORDINANCES AND STATE LAWS
YPa REGULATING E3_ECTRICAL W1 R1 NG.
Up to 1 Ind. I HEREBY CERTIFY THAT I AM PKXX 21Y REG49LRED AND/OR
Over 1 to 10 Ind. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Incl. CAUFORNIA OR THAT I THE LEGAL OWNER OF THE ABOVE 94
DESCRIBED kE.51DE�tTI P EitTY.
Over 50 to 100 Inc DESCRIBE
Over 100 SIGNATU
Sef`r� DIST ICT NO. P
0-200 Amp.Undbr 600 V
201-l 000,Amp,. Under 600 V
Over 1000 Amp.or-Over 400 V
amp. Power Pole S Appurtenances -21-1101
—
S,ign with One Bratich Circuit
Additional Sign Brandi Circuits INSoECn0N
INFORMATIJ 5 9 5 C a
Misr Condults&Condudon
Other(See Com plehFee SchedttlelDE # o o:o 0'0 2
2;0'- 3670
`0036705.
PEIMT FEE = ($ub-Total)
PLAN CHECKING FEE (ane-Foud�Perrrtlt Fee) < 0 3-7 9
4>ERMIT ISSUING FEE
TOTAL FEE <>
INSPECTION FINALED
date, By �s
C
.F
.t
7SAMIG D=EA'71-1 0 J'IP •-•�.ATMIN FOR pF:'R1 M
DEPAaTMENT of HUa.DII1a AND sAFE7"Y ELECTRIC
�..
MUNTY' OF LOS ANGELES
WILLIAM J. FOX, CHIrr BNe1M[ER
4 F13R APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONIC PERMrT No.
ELECTRICIAN _
ADDR[Jr 8 Rm[rvtD NY FIRST INNP[CTION DAT'[ 11N1J[D
CITY b.-t'1 n�7704 T=L. ND. URS
C0. 1.OUNTY LIO[NN[ M [XPIRES OUIL.DINO
PEBIIM FEES ADDRESS8418 C,BI]�ri0 Real
NUMi[R ]"13H
�K LODALITY Temle City
LIGHT OUTLFTN N[ARQT
RECEPTAOL[E '� CROM 2T.
WALL BWIT13HW OWNER
TOTAL OUTtrra MAIL
¢LED. RANO[S ADDRESoEL EO. H[ATIERE CITY TXL. NO.
FIXTURES 1 HERrHY ADKHCWL[DO[ THAT 1 HAV[ RX-AZ THIN
MICO. APPLICATION AND NTAT1t THAT T'H[ ASDV[ 10 MORR[OT
NUMBER OF LIGHT CIROUIT13 AND An RC[ TO COMPLY WITH ALL COUNTY ORDIMANOX0
NUMBER OR R[O[PTACLE CIRCUITS AND STAT[ LAWN RMULATINO [LIOTRIOAL WIRING.
MOTORS 1 C¢RTIFY THAT I PONS[M TY[ ANOVK VALID LON
MUMMER H0REI[POW[RAMOrLKA COUNTY LID[MN[, OR I AM TH[ LZMAL OWNER
�[ OF TH[ R[SID[NTIAL PRCT DCNORIN[D ANOV[.
M. MVD. Hr DVD SMD. rMH
• L[a .>Z6
■ICNATUR[ OF
P[RMITT[
ya a .60
' ° 1.00 INSPECTION RECORD
6 1S 1.60
1 i 60 SLNO
60 2011 6.00
200 .600 10.00
NOD 10DO 16.DO
DViLR 1DOM i0.DO .j
M.O. 0[T FR OHANO[R-HP C'
WELDIO It AO-KVA O
OEN[RATORE - KW
TRAMBrORM[RB - KVA ,
TEMP. MOTOR9 (76 or DRIM.
MOVED MOTORS (7584 Dr DRIa
SIONB
N0. NO.TRANL
APPROVALS
N NO. L.AMPE
FOR [ACS P[RMITt DAT[ INSP[CTOR7 NAM[
WIRING 1p 1.00 CONDUIT
FIXTURE• m1.DD 1 WWIRING — —
U .60 FIXTURES
POWER
TOTAL FEB 11 UTILITY 130.MOTIFI[D
FINAL
7EAM7 DM IIA 11-M ILi"ii+i\..ATION FOR PEB3GT
DEPAaTMEN't' OFIIIra AND SAFETY ELECTRIC Is
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX. CHIEF QNGINQR
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PKIzMrT Na.
.� -2-2. 7 .9
ELECTRICIAN
REm O[IVBY READY FDR DAT[ MUtn
ADDRID11111111 !4 4
iFIRIT INSPECTION
CITY
r,,-
TEL NO _
COUNTY LIOENS[ M4 EXPIREX 0UILDING
FERmiL FEES XDDROW
FQ LOOALITY
NUMf[R EACH
LIGHT OUTLK`T9 NEARaT
GROSS 5T.
RE13[PTA13L0
WALL SWITCHES OWNER
TOTAL OUTLITe 60 Iz 10 MAIL
ELIC. RANGES fi ADDRESS
ELCC. HEATERM 25 0rry TLL N0.
1 FIXTURED 5 1 H[RIeY ADKNOWLIDUK THAT I HAV[ FU AD THIS
1
MISC. APPLICATION AND E•TAT[ THAT TH[ ABOVE to CORRECT
HUMeIR OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIROUITS AND STATE LAWS RIDULATING al[OTRICAL WIRING.
MOTORS I CQfIFY THAT I PD=nM TH[ AHOVE VALID LCe
NuMRtR _ HORXFPOW[RFil:[ T
ANOELES COUNY UO[NO[, OR I AM TH[ LEMAL OWNER
OF TH[ RESIDENTIAL FRDP DKEDRIe[D AIOV[.
c
Nw MvD. HP QVtA [MG. �'�'
[ a [sae •25 SIGNATURE OF
ya f .60 P[RMITTE
2 ` 1.00 INSPECTION RECORD
6 16 1.1513
16 eO SL50
50 200 0.00
2130 e13D 10.00
5D 1000 1S.DO
OVER 1000 fi0.0O J
M.G. ■ET FR OHANG[R-HP 4•
WELDER1t AC-KVA 13
G[NXRAT13RE - KW
TRANEFORMEM - KVA
TEMP. MOTOR19 (716 Or ORIN•
MOVED MOTORM (76 OF ORI
1■ '
8113NS
NO. NO.TRANS.
APPROVALS
N0. HO. LAMP?
FOR EACH P[RMITI DAT[ INSPEDTOR7 NAM[
r 1,00 13DNDUIT'
WIRING
FIXTUREE 1,00 WIRING
ISUPPLIEMKIIIARY BO FIXTURES
POWER
TOTAL FEE • O UTILITY CO.NOTIFIED
FINAL