HomeMy Public PortalAbout9111 EMPEROR AVE_Electrical__ 76AS63 DBS SA II-SM APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY l
COUNTY OF LOS ANGELES ELEC
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
RECEIYED BY READY FOR DAT ISSUED
ADDRESS J`/ FIRST INSPECTION
CITY TEL NO J�
COUNTY LICENSE PK EXPIRES BUILDING /-�
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY n a"' ` /Z !l/S l
LIGHT OUTLETS NEAREST yy,
CROSS ST. ,/•(}-g� �(=
RECEPTACLES • • ,r9 ��f
WALL SWITCHES f ,q` OWNER
TOTAL OUTLETS 5C $ C- MAIL
ADDRESS
ELEC RANGES 25
ELEC HEATERS 25 �— CITY 1✓ TEL.
FIXTURES 5 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS
C�.4ND 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 LOB
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD HP OVER INC EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
& LESS $ 25 SIGNATURE OF �,
1/ 2 .50 PERMITTEE f 1' Y�iC
2 5 1 DD INSPECTION RECORD
5 IS 1150
Izis BO 2.50
so 200 500
200 s00 10.00 J
500 1000 15.00
OVER 1000 2000 Q
MG BET/FREQ. CHANGER-HP R'
WELDERBIAC-KVA
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% or GR10)
MOVED M6TDRS (78 or ORIG.)
MISC
SIGNS
NO NO TRANS.
APPROVALS
NO NO LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT: 2
WIRING $100 CONDUIT � !�[! CiW�Lc
FIXTURES $1 pp 1 WIRING I l -l's
SUPPLEMENTARY50 FIXTURES
POWER
TOTAL FEE 8 j UTILITYCO NOTIFIED
FINAL -7--2�