HomeMy Public PortalAbout10714 FREER ST_Electrical__ r
76A663-CE806-3=64` PPLICATI N FOR
A
A 11
COUNTY OF LOS ANGELES LLII
DEPARTMENT OF COUNTY ENGINEER BUILDING /Q /� t�
BUILDING AND SAFETY DIVISION ADDRESS C
JOHN A. LAMBIE, COUNTY ENGINEER �� �/, �'�
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY Y CA
NEAREST
FOR APPLICANT TO FILL IN I CROSS ST.
RECEPT. TOTAL NO. EACH FEE 1
OUTLETS FIRST 20 $20 $ OWNER �s eQ. ♦ CQ G
LIGHT MAIL
AOD'L .1O ADDRESS e e•/
SWITCH. OVER 2O -
LIGHTING TOTAL FIRST 20 2p CITY /NPxe4f TEL. NO.•0-7
FIXTURES }1 OVDR'L �O ELECTRI
'RAN CLO.DRYERS WTR.HTRB. '• l 1.00') 1 ADDRESS
GARB.DI8P. STA.COOK `1
CITY TE
DISHWASH. AUTO.-WASH. STATE
SPACE HTRB. BTA.APP.(1/Y H.P.MAX.) .50LICENSE NO.
MOTORS: OVER NOT OVER X.P. DISTT N GROUP NE PRCES _7D Y
O 1 1.00 J Q
1 3 1.50 INSPECTION RECORD }
CL
3 8 2.00 I -(�- Y \ Q
8 15 2.50
15 SO 3.00 // U 0
50 100 5.00 Lu
D_
N
SIGNS. NO.TRANS ^ Z
NO.LAMPS )� ) Mxll.- _
SERVICE 0-600V.NOT OVER 200A 1.00
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00 /
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE i
DESCRIBED RESIDENTIAL-PROPERTY. POWER
SIGNATURE C UTILITY CO.NOTIFIED I
O
F PERMITTEE
FINAL
VALIDATIO ARTHUR C. VEIT
CK ID CASH SUPERVISING ELECTRICAL ENGINEER
L{uo 7 1 5 2' DEC 2 9 2 D 4.0 0
APPLICAIN FOR PERMIT
i 7GA663 DBS SA 7-51 TO
- _ - -
DEPARTMENT OF-BUILDING AND SAFETY
COUNTY OF LOS ANGELES l
WILLIAM J. FDX, CHIEF ENGINEER
DISTRICT NO. GROUP ZONE PERMIT NO.
FOR APPLICA T T !LL !N /
54
ELECTRICIAN + ^
RECEIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION _
CITYTEL. NO'
BUILDING / t9 ,7 je
COUNTY LICENSE NO. Q •EXPIRES �� r
ADDRESS
PERMIT FEES
FEE /
NUMBER EACH LOCALITY `y
LIGHT OUTLETS NEAREST r�'%✓i' �•'�Y
CROSS ST. (J
RECEPTACLES
(WALL SWITCHES OWNER-
TOTAL
WNER•TOTAL OUTLETS 5C $ _ _ MAIL- •-� �/,
ELEC. RANGES 25 ADORES9 / /
ELEC. HEATERS 2S CITY• EL, NO.
FIXTURES / y 5 1 HEREBY A NOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITSyC/G AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE. LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD, HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY O SCRIBED ABOVE.
1�2 6 LE95 $ .25 +
_ SIGNATURE OF
_ Vy 2 .50 PERMITTEE
25 1.00 INSPECTION RECORD
_ s 15 1.50
is so 2.50
50 200 5.00
_ 200 _ Soo 10.00 J
SOO 1 000 15.00 ,, Q
Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP (Y
WELDERS: AC-KVA D
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% DF ORIG.) '
MOVED MOTORS (75% OF ORIG.)
MISC. 1
SIGNS
NO. N 1).TRANS.
APPROVALS
NO, - NO. LAMPS
DATE INSPECTORIB NAME
FOR EACH PERMIT:
WIRING $1.00 Q CONDUIT �q/e
FIXTURES $1.00 t �jn WIRING lm
SUPPLEMENTARY .50 FIXTURES
;v POWER s�
TOTAL FEE $ UTILITY CO. NOTIFIED
FINAL G UCS