HomeMy Public PortalAbout4911 ENCINITA AVE_Electrical__ 7SAeAPPLICATION FOR PERM
OF BUILDING AND SAFETY y���'
COUNTY OF LOS ANGELES E L EC T R 1 C�� � '? 1
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED
ADDRESS G lQ FIRST'INSPECTION -/o
CITY TEL NOM& 0 �/``?Q • '
COUNTY LICENSE NO AVZ EXPIRES BUILDING
PERMI FEES ADDRESS
FEE A ,
NUMBER OUTLETS EACH LOCALITY 1vf T-
'7f LIGHTS Sc $ NEAREST
,�/�' CROSS ST
l RECEPTACLES 5 �D J
1 -
'� FIXTURES 5 ��•�' OWNER �L�• rT
WALL SWITCHES 5 - ,.7 MAIL
ff2 ELEC RANGES 25 ADDRESS
ELEC HEATERS 25 CITY TEL NO
I MISC I 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
' MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING
NUMBER HORSEPOWER I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD HP OVER I INC EACH
_ OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
LESS
1/2 2 50 - SIGNATURE-OF
PERMITTE
2 5 1 00
5 15 1 50 INSPECTION RECORD _
15 50 2 50
50 200 5 00
200 500 10 00
500 7000 75 00 - J
a
OVER 1000 1 20 00 d Z
M G SET/FRCQ CHANGER-HP
WELDERS AC-KVA O
GENERATORS - KW '
TRANSFORMERS - KVA _
TEMP MOTORS (75% OF ORIG )G _
MOVED MOTORS (75% OF ORIG )
MISC
SIGNS
TYPE NO TRANS
TYPE NO LAMPS - APPROVALS
i DATE INSPECTOR'S NAME
FOR EACH PERMIT
WIRING $1 00 CONDUIT
FIXTURES ' $1 00 WIRING o`.T t/ U x 4
SUPPLEMENTARY 50 FIXTURES
POWER
y TOTAL FEE $ UTILITY CO NOTIFIED
FINAL