HomeMy Public PortalAbout10783 FREER ST_Electrical__ DSS S-A 6-46 APPUCA ION-FOR PEI .
DEPARTMENT-OF-BUILDEVG -AN"AfVM
CGUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX CHIEF ENGINEER
Q NAME n Incl Irl DISTRICT NO. GROUP ZONE PELR/��MIT NO.
Ip
U ADDRESS V 4� i 7 ���
TEL.NO. ��� RECEIVED BY READY FOR D E I/SS/E/D�I
NU CITY FIRST INSPECTION �(O T U
.I COUNT �y
W CERT.NO_,z ,/' EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS � 6�
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS lsw. PLUGS F1zT CROSS ST.
CIRCUIT A B C D E F G H ir NAME. i
! 3 MAIL
ADDRESSL,
O CITYoZeTEL.NO. 07
IAM THE LEGAL P SSESSOR OF THE ABOVE LOS
AN COUNTY CER I OF QUAIrIFI TION..
,FLECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
f/ �, -['/►i '�e,�.d.� OWNER.
►c
COIMECTIONS
_ J
Q
Z
U'
R'
O
TOTAL
NO. OF OUTLETS $ APPROVALS
NO. OF FIXTURES JX, $ 17 ,DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. , $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
l
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER /
PERMIT FEE $ Z� UTILITY CO.NOTIFIED
TOTAL FEE M gall,
FINAL V" -
COUNTY OF Los ANGELES APPLICATION FOR PERMIT
Department of County Engineer ����� ' .
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
14
c.,2ELECTRICIAN 6 1.4,
S'D y /t/ - vd,� RECEIVED BYREADY DATE ISSUED
ADDRESS FIRSTNSPECTION
. —l.5
-CITY GAJ ytL 0.c- o
TEN
COUNTY LICENSE NO. /3- is`l L EXPIRES -.N .5',- BUILDING 'j /
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST 10, .
RECEPTACLES
CROSS ST.
yJ
WALL SWITCHES ��aa OWNER
TOTAL OUTLETS 5c 6 �CJ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 26
CITY TEL. NO.
FIXTURES S
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS 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 MVD. HP DVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
6 LESS $ .25 SIGNATURE OF
%2 2 .50 � PERMITTEE -
z s l.Do INSPECTION RECORD
5 15 1.50 -----
TS so 2.50
50 200 5.00
2013: - 50o 10.00 J
Soo IDDD Is.DD Z
OVER 1000 20.00 Ig
_MOVED MOTORS (75% OF DRIu.) Q
M.G. BET/FREQ. CHANGER-HP-
WELDERS:
HANGER-HP-WELDERS: AC-KVA
GENERATORS - KW
TRANSFORMERS - KVA -
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. N0. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING 67,00 CONDUIT
6-IXTURES $1.00 WIRING
15UPPLEM ENTARY .50 FIXTURES
POWER I
TOTAL FEE 6 UTILITY CO. NOTIFIED
FINAL
76A663 DSS#SA Ob 12-53