HomeMy Public PortalAbout10306 DAINES DR_Electrical__ D89 S-A 2-46- ,APPLICATION FOR PERM
-.
-DEPARTMENT OF BUILDING AND $AFEI'I' ELECTRIC
OF LOS ANGELES
WM. . FOX CHIEF ENGINEER
Q NAME ' �/ g DISTR O. GROUP ZONE PERMIT NO.
U ADDRESS �- /a/ I
BU ED
CITY `'��( TEL.NO. ,,''/�� °� &` lk�
CEIVED BY FIRST IN /READY FOR U//
W CERT.N.O. T I q13 EXPIRES .J U f. .?QSI .•. [T
APPLICANT FILL IN HEAVILY OU'T'LINED PORTION ONLY
.DESCRIPTION OF WORK ADDRESS i .F
NUMBER OF OUTLETS ON CIRCUITS LOCALITY J• �c V
LOCATION BY ROOMS
NEAREST {{ 1=21 -
LIGHT OUTLETS SW. PLUGS FIXT CROSS ST. A L
CIRCUIT A B C I D I E F G H IX NAME CO
Z MAIL °
ADDRESS
O CITY TEL.NO.
Bed R ` 1 AM THE LEGAL POSSESSOR OF THE ABOVE. LOS
ANG C TY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
iI AM THE LEGAL O OF THU PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
k14 7
tm1--t so,-vwr s4_;pakI pli
r /O I-V-7 - Ef_F" reIC-0AeV "ps 7,c__
s-A rals d c e_ re�E f,rs .90 rs l r-nl
Q
Lv''S C1:7- tol{ -7
TOTAL
NO. OF OUTLETS >Y $ 70 APPROVALS
I NO. OF FIXTURES $ Q DATE INSPECTOR'S NAME
NO. OF MOTORS ,H.P. $ 'CONDUITS
,NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ Z 5" UTILITY CO.NOTIFIED
TOTAL FEE FINAL ,
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Departmentof Engineer o
DIVISION OFFBUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN' DISTRICT NO. GROUP FgvE PERMIT NO.
ELECTRICIAN
RECEIVED BY READY FOR DATE ISSUED
ADDRESS + FIRST INSPECTION
CITY TEL NO /
COUNTY LICENSE NO. ,7p EXPIRE9(y' Q� 0 BUILDING
PERMIT FEES ADDRESS
FEE
NUMBER EACH i LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST.
WALL SWITCHES OWNER
TOTAL OUTLETS Sc 8 MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 �
'CITY � �f"�J�-- NEI.
1 HEREBY CKNOWLEDGE AT 1 HAVE READ THIS
MISC. APPLICATION AND STATE TH T THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE
NEw MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIB/�EDD, ,ABOVE.
�/2 6 LESS $ .25 SIGNATURE OF � LTiC/./a+"—V
%p 2 .50 If
PERMITTE
2 5 1.00 INSPECTION RECORD
5 15 1.50
1'S 50 2.50
50 200 5.00
200, 500 10.00 J
500 1 000 1S.013
Z
OVER 1000 20.00
MOVED_MOTORS (75% Or oaiu.)
M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA `
GENERATORS - KW
TRANSFORMERS - KVA
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT: _
WIRING 1111.00 CONDUIT
IF'IXTURES !81.00 WIRING /
19UPPLEMENTARY ,50 i FIXTURES
POWER
TOTAL FEE / UTILITY CO.NOTIFIED O
FINAL s
7SAe63 DBS#SA b 1 2-5 3
DBS SQA g�2r5�MpSSET1S�7r11-40 g4Tle � 'E1R•�y� ��lAn,�rl� �'
DEPARTMENT ®6 B7J YY�llDlaisr Kl\ll �7, Y����LL''�� Y'�U'JC�b I 1����1�� � r
COUNTY OF LOS ANGUES
!�1( 1° X C GI ER
g NAMEDISTRICICT�NO. GROUP ZONE
/PERMIT
�NO.
ADDRESS
RECEIVED BY READY FOR DATE ISSUED
CITY TEL.NO.'
FIRST INSPECTION
COUOCEREXPIRES
PLgiN YIIgL IN EWAVMgOUryUNED PORTION n-Y
`
r
13
DESCRIMON OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION SY ROOMS NEAREST
LIGHT OUTLETS SW. PLUGS F11�T C SST.
CIRCUIT A 13 C D E I F Ci I H w NAME p/p
—g Z MAIL
ADDRESSit
C
O \
.CITY ( EL.NO.
1 AN THfi LEGAL/ -6 SO OF THE ABOVE LOS
� NTY
ANGS COUSCF IF611 OF QUALIFICATION..
ELECTRICIAN.
I AM Ildl$g.66ALOSA►NiR OFROPE�RTY DESCRIBED
ABOY6
ONER.
C0 G '�ONS
ypW
J
a
z
ED
m
0
TOT" 2—
NO. OF OUTLETS $ �� "PROvALS
NO. OF FIXTURES / $ DATE INSPECTOR'S NAME
r
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. WIRING
NO. OF RANGES OR HEATERS $ FIXTURES �y
A us V $ POWER
PERMIT FEE 1 $ / UTILITY CO.NOTIFIED
TOTAL INAL
76A663 DSS SA 2SM SETS 11-4a APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ®�����'�
COUNTY OF LOS ANGELES E
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT GROUP ZONE PERMIT NO.
FOR APPLICANT TO FILL IN /
ELECTRICIAN R,KgFIVED BY READY FOR DATE IS UED
FIRST INSPECTION r1
ADDRESS - Gam' �-�
CITY TEL. NO.
ES '
BUILDING
LICENSE Nn. EXPIRES ADDRESS
DESCRIPTION OF WORK
FEES LOCALITY 1p n_,an
NUMBER I OUTLETS EACH - - --
CROSS
LIGHTS Sc $ STREET
RECEPTACLES 5 1
FIXTURES g l Q OWNER (.�Q.�.f'��Ljdp wcl
MAIL
WALL SWITCHES 5 I ADDRESS V `P ✓ ��s/d'J�C.,A�A�/"'i..e
ELEC."RANGES 25
ELEC. HEATERS 25 CITY TEL.TEL NO.
MISC. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER OF CIRCUITS INSTALLED: ANGELES COUNTY LICENSE.
LIGHTS RECEPTACLES
MOTORS
ELECTRICIAN.
NUMBER HORSEPOWER FEE
NEW I MVD. HP OVER INC. EACH
1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROP-
11/2 S LESS $ .25 ERTY DESCRIBED ABOVE.
%2 2 .50�J 1J
2 5 1.00 OWNER.
5 is 1.50 INSPECTION RECORD
is 50 2.50
5O 200 5.00 _
200 Sao 10.00
Soo 1000 15.00 J
a
OVER 1000 20.00 Z
M.G. SET/FREQ. CHANGER-HP I n
WELDERS:AC-KVA 0
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
TYPE: NO.TRANS.
TYPE• NO. LAMPS APPROVALS
PERMIT FEE DATE INSPECTOR'S NAME
FOR ISSUING PERMIT: CONDUIT
WITHOUT FIXTURES $1.00 I WIRING
WITH FIXTURES 1.25
FIXTURES
SUPPLEMENTARY .50
POWER
UTILITY CO. NOTIFIED
TOTAL FEE $ _ -
I
J
/
FINAL f�