HomeMy Public PortalAbout4811 DOREEN AVE_Electrical__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX CHIEF ENGINEER
-Z DIS/TRIICT'NO. GROUP ZONE PERMIT
/NO.
CADDRESS _� '1"h
U CITY TEL / RECEIVED BY READY FOR DATE ISSUED
A�_A / FI RST INSPECTION
j COUNTY 9�3 ��v Z —
W CERT.NO. J EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY //��
DESCRIPTION OF WORK ADDRESS B e-A
NUMBER OF OUTLETS ON CIRCUITS
LOCALITY
LOCATION BY ROOMS
NEAREST
- LIGHTOUTLETS IsW: PLUGS JFDiT CROSS ST. LQ WB /J2UIS
" CIRCUIT A B C D E F, G H NAME AiciA. X/
MAIL
ADDRESS <1 „ .(
CITY TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
/ ANGELES COUNTY CERTIFjCATIE OF. QUALIFI 1�T1
Off/4 /
ELECTRIOIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
/5 G6AViNOLr�GAA Tv GEIGAn/G JwsT�� .�
J.
.yl,.,, 2I�e
tg yr
TOTAL C
NO. OF OUTLETS $ APPROVALS '
NO. OF FIXTURES -.7 $ � DATE INSPECTORS NAME
NO. OF MOTORS H.P. $ CONDUIT X.
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS _ !(QI $ / ' POWER
PERMIT FEE _ 7 yr $ / �. UTILITY CO.NOTIFIED -
TOTAL FEE FINAL,
Ile COUNTY OF LDS ANGELES APPLICATION FOR PERMIT
Dof County Engineer ELECTRIC
DIVISIONSION OFF BUILDING & SAFETY
WILLIAM 1. FO%, County Enpin2er
FOR APPLICANT TO FILII--,ISN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
RECEI A
JI —1 lZ��
se
Ap DRE READY FOR DATE ISSUED
FIRST"SPECT'.,
TEL NO.
COUNTY LICENSE ND. llr& EXPIRES 8UILDINGD
PERMIT FEES ADRESS
NUMBER EACH FEE LOCALITY
LIGHT OUTLETSNEAREST
RECEPTACLES l CROSS ST.
WALL SWITCHESI
OWNER T AAG
TOTAL OUTLETS Q SinIS� MAIL
ELEC. RANGES 25 ADDRESS -
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 18 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 LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP DYER Inc. EACH OF THE RESIDENTI PROPERTY DESCRIBED ABOVE.
1
V. I LE69 $ .25 SIGNATURE OF
I/2 2 .50 PERMITTED a'!A -�IA -
2 s 1.00 INSPECTION RECORD
_ B is 1.50 --
15 so 2.50 _
so .zoo s.DG / s.0 A,e�f.2G .//S ' f
200 BOO 10.00
500 1DDo 'S.DO
OVER 1000 120.00
M.G. HE �) UT/FREq. CHANGER-HP f�/A S /T^Yf�
WELDERS:AC-KVA A/-4l M/. I. ' 3 D
GENERATORS - KW
TRANSFORMERS - KVA /
TEMP. MOTORS (75% Dr DRIDJ
MOVED MOTORS (75% OF ama.) _
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: w DATE IINSPECTOR''R NAME
WIRING $1.00 W CONDUIT I _ ..// �/.r/�/ /IMIwA
FIXTURES $1.00 I 4-0 WIRING .Ls.Tf / Al// V,! A./lC/.
SUPPLEMENTARY ,$p FIXTURES
POWER
TOTAL FEE $ 2 UTILITY CO. NOTIFIED
oL FINAL
7.663 D63#6A 2-63