HomeMy Public PortalAbout5208 DOREEN AVE_Electrical__ DES SA 25M SETS 2-47 APPLICATION FOR PERMT
DEPARTMENT OF BUILDING AND SAFETY MIT ������ I
COUNTY OF LOS ANGELES
M. J. FOX CHIEF ENGINEER
Z DISTRICT NO. GROUP ZONE PERMIT NO.
< NAME
ADDRESS
RECEIVED BY READY FOR DATE ISSUED
J COUNTYU CITY 7EL.N0. /�/ FIRST INSPECTION
L•1 CERT.NO. EXPIRES /
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK VAR.. 1�0 Z 2)O 2 &:C A/
NUMBER OF OUTLETS ON CIRCUITS - LOCALITY
LOCATION BY ROOMSr
NEAREST T
LIGHT OUTLETS SW. PLUGS FI%T CROSS ST. P
CIRCUIT A B IC D E F G/ H
�J y 3
O CITY /( TEL.NO./`3T I �.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION-
EIcCTEICIAN.
I AM THE LEGAL OWNER OF THE PRO-E TY DESCRIBED
Com{�l
ABOVE �- OWNER
CORRECTIONS
J
Z
0
D
ITAL =
NO. OF OUTLETS �rG�1J. $ O APPROVALS
NO. OF FIXTURES "! $ O ATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. S WIRING - ex A,%�
r
NO. OF RANGES OR HEATERS $ FIXTURES \ r'
MISCELLANEOUS S POWER
PERMIT FEE / $ !. d UTILITY CO.NOTIFIED
TOTAL FEE 0 �/ 7 •- FINAL
7GA663 DRS 5A I1-50 - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES � ��� �� 1
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
laFCEIVED BY READY FOR DATEISSUED
ADDRESSIFIRST INSPECTION ( t
CITY' VI • TEL NO. �G ~�/~ - I •�+ 1
COUNTY LICENSE NO. EXPIRES BADORE
UILDING
PERMIT FEES
FEE
NUMBER EACH' LOCALITY
LIGHT OUTLETS•' 4, NEAREST
CROSS ST.
RECEPTACLES �'.9
WALL SWITCHES 9 OWNER n
TOTAL OUTLETS ei� Sc S MAIL 1i ' w /1NM
ELEC. RANGES 2S ADDRESS ♦ eC/JV E e.4- i✓i/ O
ELEC. HEATERS 25 CITY /w�wAlif/�� TEL. NO. '♦'E�
I
FIXTURES ' S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
M15C. APPI ICAT10N AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS 1� AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS ♦ O ANDSTATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NuNGER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL.OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL ,PROPERTY DESCRIBED ABOVE.
LCSS $ .25 SIGNATUREOF
V 2 50 PERMITTEE
2 5 1.00 m INSPECTION RECORD
s' s 1.50
15 so 2.So
50 200 5m 00 .
200 Soo 1o.0o J
Soo 1000 '15.00 .
Z
OVER 1000 20.00 (�
M. G. SET/FREQ, CHANGER-HP O
WELDERS: AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%OFORIG.)
MOVED MOTORS (75%OF ORIG.)
MISC
SIGNS
NO. m NO. TRANS. I APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
$1.00 +1V•r/� v E+ CONDUIT
WIRING
WIRING
FIXTURES $1.00 I•Ue �
SUPPLEMENTARY .50 FIXTURES
7 POWER
TOTAL FEE $ UTILITY CO. NOTIFIED
(v� FINAL