HomeMy Public PortalAbout10941 DAINES DR_Electrical__ 76A663 DBS SA 3-60 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES MMMAIF �
WILLIAM J. FOX, CHIEF ENGINEER
FOR P ICA FILL IN DIBTRI�NO. GRDUP ZONE PERMIT NO.
ELECTRICIAN %
RECEIVED BY READY FOR OAT[ ISSUED
ADDRESS
C/ FIRST INSPECTION
CITY TEL N •J
COUNTY LIC NBE N0. -3 EXPIRES 'Tf.. BUILDING .�
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST '-
RECEPTACLES CROBB ST.
WALL SWITCHES OWNER
TOTAL OUTLETS 50 IS J9,7 MAIL
ELEC. RANGES 25 ADDR
ELEC. HEATERS 25 CI L NO.
FIXTURES - -- S I HE SY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT 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 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR=- d22n.Apl THE LEGAL OWNER
NEw Mvo. HP OVER IRC. FADE OF THE REBIDENTIA R CRIBED ABOVE.
s LE3B $ .25 SIGNATURE ak: C%2 2 .50 PERMITT�
2 5 1.00 INSPECTION RECORD
5 13 1.50
_ 15 50 2.50
50 200 5.00
200 500 113.00 J
500 1000 15.00 Z
OVER 1000 20.00
M.G. BET/FRED. CHANGER-HP B;
WELDERS•AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (7S% or GRIG.)
MOVED MOTORS (75% Di ORIG.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: , DATE INSPECTOR'S NAME
WIRING $1.00 a I CONDUIT '(
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER /
TOTAL FEE UTILITY CO.NOTI FIED
FINAL
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