HomeMy Public PortalAbout9344 DAINES DR_Electrical__ 76AS63 DBS 5A 11-50 APPLICATION FORe,PERMIT ' ° -
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT T❑ FILL IN
DISTRICT NO. GROUP ZONE PERM`I//����Tjj N .
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ELECTRICIAN RECEIVED BY READY FOR DATE IS86ED
ADDRESS p FIRST INSPECTION
CITY EL.
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COUNTY LICENSE NO. EXPIRES BUILDING
P
PERMIT FEES ADDRESS F�y
FEE LOCALITY
NUMBER EACH --
LIGHT OUTLETS NEAREST
CROSS ST'_'
RECEPTACLES
WALL SWITCHES _OWNER
TOTAL OUTLETS SO $ MAIL /
ELEC. RANGES 25 ADDRESS, _ / ,
ELEC. HEATERS 25 CITY
T L. NO.
FIXTURES 5 I HEREBY ACKNOWLEDGE 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 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE OF THE RESIDF-NTI PROPERTY DE CPIBED ABOVE.
NEW MVD. HP OVER INC. EACH
!/2 6 LESS/ $ .25 SIGNATURE OF
I�2 5 PERMITTEE
2 s 1.00 I49PECTION RECORD
15 L.
is --50 2.50 -
50 2
200 OO 10.00
_ 500 1000 15.00 z
OVER 1000 20.00 — (�
M.G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG•)
MOVED MOTORS (75% OF ORIG.)
M ISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO, NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT: >
WIRING $1.00 CONDUIT !
FIXTURES $1,00 WIRING
SUPPLEMENTARY ,50 FIXTURES
POWER
TOTAL FEE $ /F'( UTILITY CO.NOTIFIED
�1' FINAL