HomeMy Public PortalAbout9565 DAINES DR_Electrical__ 7EASe3 DBS BA B-ae ® - APPLICATION FOR PERMIT
DEPARTMENT,OF BUILDING AND SAFETY ELECTRIC
� ����'
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR' PLIC NTT FILL IN DISTRICTO. GROl1P ZONE PERMIT N�.
ELECTRICIA RECEIV
ED BY READY FOR / DATE ISSUED
ADDRFS FIRST INSPECTIONCITY TEL N
COUNTY LICENSE NO F-J(PIRFS �O/SV BUILDING77
PERMIT FEES ADDRESS
FEE
NUMBER, OUTLETS ,EACH LOCALITY
LIGHTS 5C $ NEAREST
CROSS ST
RECEPTACLES 5 _
- FIXTURES 5 S. OWNER
WALL SWITCHES 5 a MAIL 2 '
ELEC RANGES 25., I ADDRESSA 42
ELEC HEATERS 25 CITY + TEL �'
+ I MI1 HEREBY ACKNOWLED6 THAT I HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS } " RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING'
NuMBeR HORSEPOWER 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
• FEE _ ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD HP OVER INC EACH
OF THE RESIDENTIA PROPERTY D CRIBED'ABOVE.
yz @ LESS $ 25 _ 1 _
1/2 2 50 SIGNATURE OF
. 2 5 1 00 PERMITTE
5 15 1 50 INSPECTION RECORD
-is 50 2 50
50 200 5 00 " p L r-
200 500 10 00 do
500 1000 15 00 - �� d _ Q
OVER 1000 20 00 _ Z
M'G SET/FREQ CHANGER-HP
WELDERS AC-KVA I
GENERATORS - KW -
TRANSFORMERS - KVA
TEMP MOTORS (75% OF ORIG ) '
MOVED MOTORS (75% OF ORIG')
M15C
SIGNS
TYPE: - NO TRANS
TYPE - NO LAMPS APPROVALS' ,
DATE INSPECTOR'S NAME
FOR EACH PERMIT-.
WIRING J,�, $1 00, CONDUIT ! / /
FIXTURES w{'e- 1 00 U WIRING
r
SUPPLEMENTARY,. 50 + FIXTURES
POWER
`TOTAL FEE $ UTILITY CO NOTIFIED
FINAL