HomeMy Public PortalAbout9920 DAINES DR_Electrical__ 069 5-A 12-d4 -
DEPARTMENT OF BUILDING AND SAFE'I'� �FLI�!'I'I®1V FOR PEii1VII'�
COUNTY OF LOS ANGELES ELEC'T'RIC
WM J. FOX HIEF ENGINEER
z NAME 'DISTRI NO. GROUP ZONE PERMIT NO.
ADDRESS
U CITY TEL.NO. `�I3/L RECEIVEEEb Y READY FOR DATE ISSUED
/meq. FIRST INSPECTION
COUNTY 3v %�
1 /OZQ -r(7y
W CERT.NO. XPIRES
APPLICANT FILL IN BEAVVILY„OUTLINED PORTION<ONLY ”
DESCRIP'T'ION OF WOIIK
JOB DRESS t Zx" •
NUMBER OF OUTLETS ON CIRCUITS LOCALITY 4
LOCATION BY ROOMS , NEAREST
LIGHT OUTLETS SW. PLUGS FIXT CROSS ST. Goo/
CIRCUIT ' A B C D E F G. H — W- NAME �. t1 T"
Z MAIL
3 ADDRESS
O
'CITY TEL.NO.
-1 AM 'THE LEGAL POSSESSOR OF THE _ABOVE LOS
ANGELES COUNTY CERT TZ Q ALIFICATION..
ELECTRICIAN.
T AM THE LE"L OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
COTI.IBEMONS
E3
o
TOTAL /� `� ,I �+ J, to
NO. OF OUTLETS I $ O APPROVALS
NO. OF FIXTURES $ O DATE INSPECTOR'S NAME
NO. OF MOTORS• H.P. $ CONDUIT t �I
NO. OF SIGNS TRANS. $ WIRING / �v7 e;Q"A
NO."OFHEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ f UTILITY CO.NOTIFIED
TOTAL FEE O FINAL
76A663 DBS SA 11-50 APPLICATION FOR PERMIT
" PEPARTMENT OF BUILDING AND SAFETY
I COUNTY_ OF LOS ANGELES ELECTRIC
,WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED '
ADDRESS FIRST INSPECTION
CITY TEL'No
COUNTY LICEN O EXPIRES BUILDING 3 �) ✓��S
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY �' /,� G✓�� CArG �,
• LIGHT OUTLETS NEAREST � r
CROSS ST. 41.D //�/ ✓>r //�ES 'pe
RECEPTACLES
WALL SWITCHES OWNER ,44E 91.577/✓ _
TOTAL OUTLETS Sc $ MAIL
ELEC RANGES 28 ADDRESS D JDA IM/ S -D,& ^y�,(
ELEC HEATERS 25 CITY /7J, 4Sc/T -TEL. NO. 47 3'v L
FIXTURES r� 5 - I HEREBY ACKNOWLEDGE THAT 1 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
NUMBER HORSEPOWER
ANGELES COUNTY LI ENSE, OR I AM
NEW M�D. HP OVER INC. THE LEGAL OWNER
FEE OF THE RESIDE NTIA PROPERTY DESCRIBED ABOVE.
NEW MVD. HP OVER INC. len
t ;
1/2'a LESS $ 25 SIGNATURE OF /F
PERMITTEE DDD •,r
i/2 2 .50 i w
2 s 1 00 - INSPECTION RECORD
5 15 1.50
15 50 2.50
e So 200 5,00 '
200 Soo 10.00 ..I
Soo 1000 15.00 ,Z '
OVER 1000 - 20 00
M G SET/FREQ CHANGER-HP 0.' i
WELDERS AC-KVA I <
GENERATORS-KW _
TRANSFORMERS-KVA ,
,( TEMP. MOTORS (7S%OF ORIG.) _
MOVED MOTORS (75%OF ORIG )
MISC
SIGNS
NO. NO. TRANS.
•' APPROVALS -
NO NO LAMPS
• DATE - INSPECTOR'S NAME'
FOR EACH PERMIT
WIRING - $1.00 CONDUIT ,
FIXTURES $1 00 WIRING, • QL[;la�.C�iASd� l"�.�� ��•I
SUPPLEMENTARY 50 FIXTURES
POWER
.} TOTAL FEE I $� UTILITY CO. NOTIFIED
® FINAL