HomeMy Public PortalAbout10871 GRAND AVE_Electrical__ 76A663 APPLICATION FOR ELECTRIC PERMIT 1
DBS-SA 3.55
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING 7iWM.J. FOX, COUNTY ENGINEER ADDRESS U =,w
CASSATT D. GRIFFIN, SUPT OF BUILDING r-
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST. aj
_ _ I NUMBER EACH FEE
LIGHT OUTLETS OWNER /' (/ p�PC-
RECEPTACLES MAIL /: ✓
ADDRESS
WALL SWITCHES
TOTAL OUTLETS _ 52 $ CITY .e' TEL. NO.
'F ELEC. RANGES 25 ELECTRICIAN
ELEC. HEATERS 25 ADDRESS rl
KW EACITY �C( TEL. NO. - Y `>
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. GRZONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS IQ,�I
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
_ I{2&LESS $ .25
I/2 2 .50
2 5 1.00
5 15 1.50
1
15 50 2.50
50 200 5.00
i
misc.
i
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING $1.00M- /
FIXTURES -51.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE J DATE INSPECTOR'S SIGNATURE
IO ACKNOWLEDGE THAT 1 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.
IHEREBY 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 LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROP RTY.
SIGNATUREUTILITY CO.NOTIFIED
OF PERMITTEE I6 FINAL '1
WILLIAM J. FOX,COUNTY ENGINEER VALIDATION A. C.VEIT.CHIEF ELECT. INSPECTOR
AC00 6 4 5�R SEP26 2 1 .10
0
BS-SA 3.55 APPLICATION F(jA ELECTRIC PERMIT 1
PBS-SA
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
WM.J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN. SUPT OF BUILDING
LOCALITY it
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
NPIJBER EACH FEE
OWNER
LIGHT OUTLETS 140-
RECEPTACLES MAIL
.ADDRESS
WALL SWITCHES _
TOTAL OUTLETS _ 5¢ $ CITY �+ TEL. NO.
ELEC. RANGES 25 ELECTRICIAN
_ELEC. HEATERS 25 ADDRESS )' 7"
KW EA _CITY 1 re TEL. N
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. GROUP I ZONE I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS I _ 'L±/
MOTORS /
NUMBER I HORSEPOWER FEE INSPECTION RECORD
NEW I MVD. HP OVER INC. EACH
1/2&LESS $ .25
/2 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
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. -
I HEREBY CERTIFY THAT 1 AM PROPE LY REGIS AND/OR _FIXTURES +..
LICENSED AS REQUIRED LOS ANGEL COUNT A OF
CALIFORNIA OR THAT M THE LE L O T E BOVE POWER
DESCRIBED RESID NTIAL OPERJY. _
ei
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITT FINAL 'Y
WILLIAM J. v6i.COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT. INSPECTOR
1 9 7 0 NOV 1 2 6.1 5 p