HomeMy Public PortalAbout5529 GRACEWOOD AVE_Electrical__ DBS-5A DBS-5A 3.55 5 APPLICATION FOR ELECTRIC PERMIT 1
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
WM.J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
NUMB EACH FEE
LIGHT OUTLETS OWNER i
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES
TOTAL OUTLETS _ 52 V CITY TEL. NO.
ELEC. RANGES 25 ELECTRICIAN
ELEC. HEATERS 25 ADDRESS
KW EA CITY TEL.NO 14
FIXTURES 5 ILICENSE NO.
NUMBER OF LIGHT CIRCUITS
DISTRICT NO. I GROUP I ZONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
t�2&LESS $ .25
tit 2 .50
2 5 1.00
5 15 1.50
15 50 2.50
50 200 5.00
MISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
_WIRING $1.00
FIXTURES $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A PLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY y`
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. •«"ti. _ "� jt'=- T
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE,ILEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL P$.OI'ERT
SIGNATURE /� UTILITY CO.NOTIFIED -
OF PERMITTEE FINAL
WILLIAM J.FOX,CO Y ENGINEER VALIDATION A. C.VEIT.CHIEF ELECT. INSPECTOR
LA,0 3 2 1 4 AI BEC 1 0 2 435
0