HomeMy Public PortalAbout4902 ENCINITA AVE_Electrical__ DEIS 5A 12 34 APPLICATION FOR ELECTRIC PERMIT
DBS SA
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING 1}g02 Encinita
WM J FOX, COUNTY ENGINEER—MM ADDRESS
CASSATT D GRIFFIN SUP T OF BUILDING San Gabriel
FOR APPLICANT TO FILL IN LOCALITY
PERMIT FEES NEAREST
CROSS ST
FEE
NUMBER EACH OWNER Jack Shipman
LIGHT OUTLETS 11
RECEPTACLES 13 MAIL
ADDRESS
WALL SWITCHES 1_
TOTAL OUTLETS 36 50 S 1 CITY TEL NO
ELEC RANGES 25 ELECTRICIANG.
GE./vCorbin
ELEC HEATERS 25 ADDRESS 1800 So. Curtis
KW EA CITY Alhambra TEL NOV 3,3526
FIXTURES � 5 • LICENSE NO 3 01 010
NUMBER OF LIGHT CIRCUITS A0202MMbal-
DISTRICT O I GROUP ZONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS /_E/
MOTORS �� t
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD HP OVER INC EACH
_ 2 If1&LESS $ 25 •
I%4 2 50
2 5 100
5 15 1 50
15 50 2 50
50 1 200 500
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $1 00
FIXTURES $1 00 2,, 00
SUPPLEMENTARY 50
APPROVALS
TOTAL FEE $4, 85 DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY (p� '! �
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIPING 1'� 'S "�r_d—Lt--
ELECTRICAL WIRING
IHEREBY CERTIFY THAT 1 AM Y REG TERED AND/OR FIXTURES 1
LICENSED AS REQUIRED BY LOS COUNTY D STATE OF POWER I i
CALIFORNIA OR THAT I AM WNE THE ABOVE
DESCRIBED RESIDENTIAL {�
UTILITY CO NOTIFIED
SIGNATURE q
OF PERM ITTE lo
ETA FINAL
WILLIAM J FOX, COUNTY ENGINEER vAIDA , 9`7-531' Mt28 2 . rL5�`�
_ iG�"'""
BY
DEPUTY/