HomeMy Public PortalAbout9118 DUFFY ST_Electrical__ 76A663-CE606 B-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION '11 ADDRESS Q
.JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING i'. LOCALIT
—�- - - - 1 NEAREST
rE
FOR APPLICANT TO FILL IN CROSS ST,
. TOTAL NO. IEACH FEE1OUTLETS IFIRST 20 S 2O S `j OWNER
MAIADD2 1O ADDRESS
. OVER 20TOTAL C` CIT TO.ING �� F1Rsr 20 .20RES nDD'L ELECTRI CIAOY R 2OES CLO.ORYER3 WTR.HTRS. 11.00 ADDRESS
SP. STA.COOK CITY TEL. NO.
H. AUTO..WASH. $TATE
RS. STA.APP,(l/H.P.MAX.) ,50 LICENSE NO.
: OVER NOT OVER H.P. DISTRI G P Z N PR �,rSg/gD
.o 1 f.00 L• l_ �Z U
1 3 I.eo INSPECTION RECORD
3 S. 2.00
S' IS 2.50
_ 15 - 50 3.00 - }
a
50 100 5.00
SIGN$: NO.TRANSC
- I
NO.LAMPS O
I - �
SERVICE O.6OOV-NOT OVER 200A 1.00 w
a
' SERVICE 0-600V-OVER 200 A. 2:00 Z
SERVICE OVER 600V 5,00 —
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE S
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS t\ DATE {J INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT 'i AAT-t 1`/���L/YI'O A'/ (,j -_Y_�✓- f^
WITH ALL WIRING.
ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. I
1
HEREBY'CERT FY THAT 1 AM PROPERLY REGISTERED ANO/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF TR ABOVE -
DESCRIBEO RE910ENTIALPROPS POW
SIGNATURE U T
OF PERMITTEE
JK
VALIDATION--, ARTHUR C. VEIT `-
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LACO9 5 2 Oto AUG 28 2 D 3.60- q
. �71i12t7iiT�
�- 7"663 DEB 5A 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN OISTRI.CY NO. GROLIP ZONE PERMIT NO.
�- A - I 134 C
ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED
ADDRESS FIRST I3SPE TION
CITY y�'��/�A TELN � .
COUNTY LICENBE NO. V E �� BUILDING
PERMIT FEES ADDRESS
FEE
NUMBER EACH _LOCALITY
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS Sc $ ' MAIL /� '7/� n"/� n
ELEC. RANGES 25 —7— AD..E/Sj�S 9/(�/S� � � /Y/�.�,iT.-OU/W'E/
ELEC. HEATERS 25 CITY / j ` TEL. NO.
FIXTURES S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. �t APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS 1 7 V 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
N...ER HORSEPOWER FEE ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
NE- MVD. HP OVER Irv.. EADR OF THE RESIDENTIAL PROPERTY DESC IBED ABOVE.
/ I�z s LESS S .25 ,SIGNATURE OF -
_ I/x 2 .50 PERMITTEE_ -- .--
2 5 1.00 I]. SPECTION RECORD
_ 5 15 _ 1.50
_ 15 50 2.50 __
so 200 5.00
2OO Soo 10.130 J
Q
500 1000 15.00 Z
OVER 1000 20.00 u
M.S. BET/FREQ. CHANGER-HP It
_ WELDERS: AC-KVA O
GENERATORS - KW _
TRANSFORMERS - KVA
TEMP. MOTORS (75% Or PRIG. _
MOVED MOTORS (75% OF PRIG.)
MISC.
SIGNS
ND. NO.TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: / DATE INSPECTOR'S NAME
WIRING $1,00 CONDUIT
FIXTURES $I,pp �y WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE B� UTILITY CO. NOTIFIED - Ai' 9 ,4
FINAL