HomeMy Public PortalAbout10406 DAINES DR_Electrical__ 76A66V Des 5A 11-50 - '•i APPLICATION FOR PERMIT
a�' DEPARTMENT OF BUILDING'AND SAFETY i
COUNTY' OF LOS ANGELES ' ELECTRIC . 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR'APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN
- Ar/ 7,�l
1� RECEIVED BY READY FOR DATE ISSUED
ADDRESS+ 10 b n' AYIw.�v�- .� /�� A �/) ' FIRST INSPECTION
CITY / s�yJ� (_J TEL. NO.!"A'O_alU4c �y'�"�'J'A'",i,
COUNTY LICENSE NO 1 EXPIRES BUILDING / I '
PERMIT FEES 1H ADDRESS O�St (/ 6 �1 6,*.r _ i
_ FEE
' NUMBER EACH fi•1 LOCALITY
LIGHT OUTLETS "' NEAREST
1 CROSS ST.
RECEPTACLES
WALL SWITCHES •.OWNER
TOTAL OUTLETS 5CMAI L
ELEC. RANGES 25 ADDRESS U V 1p �, Dlyvl 'v D4 /y
ELEC. HEATERS 25 CITY TEL. NO. LI J I O
FIXTURES 51 -
1 HEREBY ACKNOWLEDQE THAT I 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 1 CERTIFY THAT 1 POSSESS, THE ABOVE VALID LOS
ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
NUMBER - HORSEPOWER FEE
EACH OF THE RESIDENTIAL PROPERTY 'DESCRIBED ABOVE.
NEW MVD. HP � OVER I INC.
1/z a LESS $ .25 SIGNATURE OF
1/2 2 .50 PERMITTEE �.[/L.�I� �t�'G �•�?o+1"/rL
2 , s
1.00 INSPECTION RECORD
s is t.so
15 50 2.50
50 200 " 5.00
goo Soo 10 00 J
500 1000 15 00 Q
t Z
OVER 1000 _20 00
y.t
M G SET/FRED. CHANGER-HP Q:
WELDERS' AC-KVA
a
GENERATORS-KW '
TRANSFORMERS-KVA
TEMP. MOTORS (7S%OF ORIG.)
MOV ED MOTORS (75%OF ORIG.)
MISC
SIGNS
NO. NO. TRANS. APPROVALS
NO. NO LAMPS
FOR EACH PERMIT DATE INSPECTOR'S NAME
CONDUIT
WIRING $1.00 i
WIRING
FIXTURES $1.00
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ , UTILITY CO. NOTIFIED
® FINAL