HomeMy Public PortalAbout8902 ELM AVE_Electrical__ 7GA663 DBS 5A 11-50 APPLICATION FORPERMIT
DEPARTMENT OF BUILDING AND :SAFETY
COUNTY OF LOS ANGELES VIM
WILLIAM J. FOX, CHIEF ENGINEER
FOR PPL.ICANT TO FILL IN' DISTRICT NO. GROUP ZONE PERMIT NO. .
ELECTRICIAN6c�"�4 / r l -1,
RECEIVED BY READY FOR DATE ISSUED
ADDRES -5- O e7 I I FIRST INSPECTION
CITY [� TEL NO.
COUNTY LICENSE NO.. —/ EXPIRES' 'BUILDING
PERMIT FEES ADDRESS
' FEE / (,y
NUMBER EACH LOCALITY t'`•-•
LIGHT OUTLETS NEAREST
RECEPTACLES -
CROSS ST. (•��+ ,L/��
� -
WALL SWITCHES OWNER
TOTAL OUTLETS 5c $ MAIL -
ELEC.. RANGES 25 S ADDRESS
ELEC. HEATERS 25 -CITY TEL. NO,
FIXTURES S -
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' I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
ANGELES COUNTY LICENSE, OR I.AM 'THE LEGAL OWNER
NUMBER HORSEPOWER FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
NEW MVD. HP OVER I .INC. EACH
1/2&LESS I $ •25 SIGNATURE OF'�
1/2 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD '
5 15 1.50
I5_ s0 2.50 —
SO I 200 5.00
200 Soo 10.00 J
500 100015.00 - Z
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP (Y
WELDERS: AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA I r
TEMP. MOTORS (7S%OFORIG.)
MOVED MOTORS (75%OF ORIG.)
MISC.
SIGNS
No.. NO. TRANS. APPROVALS
NO. NO. LAMPS -
DATE- INSPECTOR'S NAME
FOR EACH PERMIT: /1
WIRING $1.00 I b CONDUIT I ��/ v�
.WIRING '< 1/i vim
FIXTURES � $1.00
SUPPLEMENTARY .50 I FIXTURES
' 1 POWER
TOTAL FEE $ / UTILITY CO. NOTi FI ED
® - 6 FINAL
DB 5-A 4-4I 25M - APPLI-CATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
WIRING - FIXTURES 'n SERVICE.
,I RECEIVED BY READY FOR DATE ISSUED
RANGE HEATER I,`* POWER FIRST INSPECTION
SIGNS —MISCELLANEOUS '
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
"'l, i/ JOB mw• �,�' -
NAME .�'/ `r7.e.?.�'n 131. a' rl'�' =�i.:`,a '= ADDRESS ,
a ADDRESS ".( y/!k' t� � Ty2'-=".l.e'�lil.dt LOCALITY ,'W J/.,(.8.v",,,�(+ ;q.6 .�i' fI_•�%� ;II
/ J/7 ,� /,NEAREST-
CITY
W ,..a++..';r9' ;a"'�l .t1:�A/.. ,..v.*TEL..NO. ,/..�� rFFefCROSS ST.
J - v--/J_,�•• ,�{r_
W COUNTY O lSs�/ - / ,!A if�5'��. EF^ ": T U
CERT.NO. EXPIRES C NAME .
DESCRIPTION.OF WORK" ` 3 MAILADDRESS
NUMBER OF OUTLETS ON CIRCUITS O
LOCATION BY ROOMS I CITY •-TEL.NO.
LIGHT OUTLETS SW. PLUGS RXT. 1 AM THE LEGAL. POSSESSOR OF THEj.-ABOVE LOS
-- ANGELES COUNTY CERTIFICATE-OF QUALIFICATION.
CIRCUIT A. B C D E F G . H V-7
/LIVING ROOM ELECTRICIAN.
-- �'-- — 1 AM THE LEGAL-OWNER OF THE PROPERTY DESCRIBED
DINING ROOM -- �' ABOVE.
'BRFST.RM. owNee• -
BATH . _ - �� _ CORRECTIONS
a -
-ENT.HALL (.. . . /
HALL NO.
FRONT PORCH
fOUTSIDE
VkITCHIEN
f
18_ER V.PCH.
Q
q z
SDRM.NO. j{ --•
CLOSET _____ _ �•
.L BDRM.NO.
'.CLOSET
v -
TOTAL
NO. OF OUTLETS zf O $ -„' APPROVALS
NO. OF FIXTURES �S $ DATE INSPECTOR'S NAME.
r
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. S WIRING
NO. OF RANGES ORrHEATERSV $ � FIXTURES
MISCELLANEOUS $ I�J,�, POWER
)11 PERMIT'FEE CO.NOTIFIED � 1 y�r f L sL !",
i "aOTAL FEE S 00 FINAL / / `
D.B.S.5A 25M SETS 10-47 MPLICAMN FOR PERWr ,
DEPARTMENT OF BUHMffNG AND SAFETY 1
TOUNTY OF LOS ANGELES ELECTRIC
M. . FO H EF ENG -ER
d NAA�E DISTRICT NO. GROUP I ZONE PERMIT NO.
u /
AaaREsB
U CSTY TEL.NO. RECEhVED BY READY FOR DATE ISSUED
„Wj COUNTY , - - A9,<, FIRST INSPECTION
W CERT.NO. EXPIRES ��"�
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS/J o Y
NUMBER OF OUTLETS ON CIRCUITS
LOCATION BY ROOMS d J
LIGHT OUTLETNEAREST
,r��rysS SW. PLUGS FlkT CROSS ST. �J/l�' '
CIRCUIT A I E3; C D E F G H m NAME/?-.��� ^fir
. Z MAIL
ADDRESe
O TEL.N ��
1 AM THE L&GAL POSSESSOR OF THE ABOVE LOS
ANGELES COUkTY CERTIFICATE OF QUALEFICATIOR:.,
ELECTRICIAN.
1 i AM THE=.GAL OWNER OP'THE F'ROPF;RTY DES6,P"I1SED
ABOVE
CORRECTIONS OWNER.
CORREcCTIONS
J
B
- Z
E9
Q'
Q
TOTAL I!y
NO. OF OUTLETS $ oA JI� APPROVALS
NO. OF FIXTURES DATE INSPECTOR'S NAME
NO. OF MOTORS H. $ CONDUIT
NO. OF SIGNS TRANS. fi WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
M.I.Sc-eig-L EOUS $ POWER
PERMIT FEE $ UTILITY Co.NOTIFIED B
FINAL 1