HomeMy Public PortalAbout6129 ENCINITA AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER - n
DMSION OF BUILDING 6 SAFETY u
WILLIAM I. FOS, COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
ADDRESS ° RECEIVED BY READY FOR )DATE ISSUED
[ � �/ FIRST INSPECTION
CITY V TEL.NO �O• ' 2 IµUI•V,1
oy
COUNTY LICENSE NO. I I y EXPIRES 4-3 d—.3V BUILDING
PERMIT FEES ADDRESS
FEE
NUMBER EACH LOCALITY 1 l�
LIGHT OUTLETS NEAREST
RECEPTACLES CR096'T.
WALL SWITCHES �) OWNER (
TOTAL OUTLETS Sc $ /
MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25
FIXTURES 8
CITY TEL. NO.
MISC.IBC I HEREBY ACKNOWLEDGE THAT 1 HAVE READ, THIS
NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT
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
NumBER HORSEPOWERFEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
NEW Mvo. HP OVER INc. Gc" OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
Yz s LEss S .25 (}
SIGNATURE OF
I/z 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD .
5 15 1.50
15 50 2.50
50 200 5.00
200 Soo 10.00 ' J
Soo 1000 IS.00 Q
Z
-OVER1000 20.00
M.G. SET/FRED. CHANGER-HP ' �•
WELDERS: AC-KVA 0
GENERATORS -KW
TRANSFORMERS-KVA
TEMP. MOTORS (]5% OF ORIG.)
MOVED MOTORS (75% OF oRla.)
MISC.
SIGNS
NO, NO. TRANS.- APPROVALS
NO. NO. LAMPS aY Lu.�
FOR EACH PERMIT: DATEINSP�EyIC,IT_OR'S NAME
`
WIRING §1,pp CONDUIT O +/
' � ��111✓1
FIXTURES $1.00 00 WIRING 6 - '!I'� I
SUPPLEMENTARY ,$p FIXTURES Y , I�
POWER
TOTAL FEE S UTILITY CO. NOTIFIED
FINAL
76A 909 009✓< OA. 4-02
0.9.3.SA 25N SETS IM-IT ALM CATION FOR TTE14RTi�
DEPARTMENT OF BUILDING AND SAFETY. LUALEV 18L 1� 8llll YLlU��E
COUNTY OF LOS ANGELES 11 it ��' �� '
W
M. J. FOX CHIEF ENGINEER rol
Q NAME I DISTRICT NO. . GROUP ZONE PERMIT NO.
ADDRESS
WCITY RECEIVED BY READY FOR DATE ISSUED
J COUNTY FIRST INSPECTION
W CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINE/D�nPORTION
wONLY
JOB
DESCRIPTION OF WORK ADDRESS l� / �/ '� / /__ j/V/F/y✓I�A
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS -
NEAREST
LIGHT OUTLETS SW. PLUGS ICRO 9 ST.
CIRCUIT A B C D E F G HWNAME `'//i �i/✓I �l�
Z MAIL /J�I
ADDR SS /Y/I
O \
CITY, TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
EU5C RIC1AN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
J
Q
_Z
lt'
TOTAL
NO. OF OUTLETS s APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING II
NO. OF RANGES OR HEATERS $ FIXTURES ^
MISCELLANEOUS $ POWER ((l yI d 111 0"
PERMIT FEE $ UTILITY CO.NOTIFIED
TOTAL FEE '.Z• 0 FINAL