HomeMy Public PortalAbout4871 FRATUS DR_Electrical__ DBS 5A 3 APPLICATION FOR ELECTRIC ■ ERMIT �.
DBS 5A
D55 `IVISION OF BUILDING AND SAFET
Department of County Engineer /
County of Los Angeles /4, BUILDING
D ADDRESS
NG
WM J FOX,COUNTY ENGINEER /
CASSATT D GRIFFIN SUPT OF BUILDIN
LOCALITY
FOR APPLICANT TO FILL IN NEAREST t.r
PERMIT FEES CROSS ST
NUMBER EACH FEE
OWNER
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS �/
WALL SWITCHES /
TOTAL OUTLETS -�_ 5¢ $ CITY TEL NO
ELEC RANGES 25 ELECTRICIAN.
_ELEC HEATERS 25 /Ii-, ADDRESS
KW EA CITY /l/ TEL NO
FIXTURES 5 LICENSE NO F
NUMBER OF LIGHT CIRCUITS - DISTRICT NO GROUP I ZONE READY FOR 1NS.ECT1..
NUMBER OF RECEPTACLE CIRCUITS _< I �7
MOTORS ..�j��:.. ��I AL,
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD Hp OVER INC EACH `
1/2&LESS $ 25 ,
1/2 2 so
2 5 1 00
5 15 1 50
15 50 2 50
50 200 500
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $100
FIXTURES $1 00
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE $ DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT —5 s o..��Yr
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING I
ELECTRICAL WIRING I
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES tCl
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AN STATE OF
CALIFORNIA OR THAT 1/1 THE LEG L O7 OF E ABOVE POWER
DESCRIBED RESIDENTIAL P 1
SIGNATURE UTILITY CO NOTIFIED p—_e--S2
�/,
OF PERMITTEE FINAL O 'S 'S
WILLIAM J. FOX,COUNTY ENGINEER VALIDATION A C.VEIT,CHIEF ELECT INSPECTOR
?10 6 3 9 8 f MAY 21 2 600 1>
IDBS5A
A 9 53 APPLICATION 9 PP LICATION Y OR ELECTRIC PE MIT �.
DBS S
DIVISION OF BUILDING AND SAFETY
` Department of County Engmeer
County of Los Angeles ILK FBUILDIN�GZ/_e���,o0o_WM J FOX, COUNTY ENGINEER , DRECASSATT D GRIFFIN SUPT OF BUILDINGCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST
NUMBER EACH FEE
OWNER
LIGHT OUTLETSMAI //� pf _-/ G
RECEPTACLES ADDRESS y yi, ,fi'/ �i4C.�GO�j,.��[ 7o
A.
WALLSWITCHES CITY �!. . 6 y TEL N
TOTAL OUTLETS _ ` 5¢ 5
ay
J �
ELEC RANGES 25 ELECTRICIAN ✓�� �r"' :!✓Lf' /
_ELEC HEATERS 25 ADDRESS t{/ ,(�' .I��J.Z ./ _ {
KW EA CITY .� -' r TEL`NO^ r' i�
FIXTURES 5 LICENS-NO .�V' �� ...
NUMBER OF LIGHT CIRCUITS - DISTRICT O JGROUPJ ZONE I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS
NUMBER I HORSEPOWER FEE INSPECTION RECORD
NEW MVD HP OVER INC EACH
1/2&LESS S 25 _
1/2 2 so
2 5 1 00
5 15 1 50
15 50 250
50 200 1 500
NO SIGNS NO TRANS _
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING S100 (
FIXTURES $1 00
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE DATE INSPECTOR S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED By LOS ANGELE COUN Y A D STJATE OF
CALIFORNIA OR THAT I(}' A T E LEGA OWN O T ABOVE POWER
DESCRIBED RESIDENTIA Y.
UTILITY CO NOTIFIED �J
SIGNATURE
OF PERM TTEE / ' FINAL
WILLIAM J. FOX. COUNTY ENGINEER VALIDATION A C.VETT,CHIEF ELECT INSPE_1