HomeMy Public PortalAbout5563 GRACEWOOD AVE_Electrical__ 7SA663 DBS SA 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN Z
–�'---- — RECEIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION
CITY TEL. NO.
COUNTY LICENSE NO. EXPIRES - _• BUILDING
PERMIT FEES ADDRESS
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES /
_ _OWNER
TOTAL OUTLETS Sc S - --
MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 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 LOB
NUMBERHORSEPOW ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
FEE
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
NEW MVD. HP O R NC. EA 7TI /
LESS _ SIGNATURE OF
p .50 PERMITTEE 7, ,QAC—
°O INSPECTION RECORD
s t-l-
200
s so .50200_ Soo
500 1 000 15.130
-
OVER i000 :mo Z z
ED
M.G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA
GENERATORS - Kw _
TRANSFORMERS - K_V_A
TEMP. MOTORS (7h% OF ORIG-)
MOVED MOTORS (45% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY ,50 FIXTURES
POWER
TOTAL FEE $ S' UTILITY CO.NOTIFIED
FINAL J - -
76AS63 DBS SA 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES L ���IC 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
_ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED
ADDRESS Q "� 1101, I FIRST INSPECTION
CITY E L. No
COUNTY LICENSE NO. - /� EXPIRES – BUILDING
PERMIT FEES ADDRESS 4 >
FEE LOCALITY
NUMBER EACH
LIGHT OUTLETS ! NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS Sc _$ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 �I CITY TZL—NQ.
FIXTURES 5 I 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 LOB
NUMBER HORSEPOWERFEE ANGELES COUN L EN8E, OR I AM E LEGAL OWNER
_
NEW MVD. HP OVER INC. EACH OF THE RESIDE TIA PROPERTY O£SC 1 ABOVE.
I/z s LESS .$ .25 SIGNATURE OF
I/2 2 .50 PERMITTEE
2 5 1.00 INSPV`CTfpN RECORD
5 is ?.50 n -
— 15 so 2.50 .
50 200 5.00
200 500 10.00 J
500 1 000 1 5.00
Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.) _
MOVED MOTORS (75% OF ORIG.)
nnsc.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 j CONDUIT _
_FIXTURES $1.00 WIRINGf_ - d ` 1✓. �y' a.�, .r�.
SUPPLEMENTARY .50 FIXTU 8
POWER
TOTAL FEE $� _ D UTILITY CO.NOTIFIED
FINAL