HomeMy Public PortalAbout10066 GREEN ST_Electrical__ J
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer ELECTRIC i
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PE MIT NO.
ELECTRICIAN ....Y �-� v' . �i' s
RECEIVED BY READY FOR DATE ISSUED
ADDRESS ' f t FIRST INSPECTION ' `f•w_ +/
CITY TEL. NO. '--^
COUNTY LICENSE N0. �" EXPIRES ADDRESS
PERMIT FEES SB
FEE
NUMBER EACH LOCALITY _.:
LIGHT OUTLETS NEAREST ¢�
RECEPTACLES v CROSS BT. /! .-Q-LA- ,.1, i
WALL SWITCHES _`�� OWNER -i��, ..�•� � �/ t
TOTAL OUTLETS _ SC III MAIL
ELEC. RANGES 25 ADDRES9 �
ELEC. HEATERS 25 CITY . I . TEL. NO.
FIXTURES 6
I HEREBY ACKNOWLEDGE THAT 1 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 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 DESCRIBED ABOVE.
V2 6 LESS $ .25 \
SIGNATURE OF
%a 2 .50 PERMITTEE,. ,f
2 5 1.013 INSPECTION RECORD
5 is l.sD
15 50 2.50
5o 200 5.00
200 500 10.00 J
_ Soo 1 o0o I s.DD Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP Fr
WELDERS:AC-KVA D
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG•)
MOVED MOTORS (75% of DRIG.)
MISC.
SIGNS
I
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1,00 DQ CONDUIT llrr
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
co POWER
TOTAL FEE $`•' ♦ UTILITY CO.NOTIFIED
FINAL
76A663 DSS.#5A 2-53
76A663-CE6O610-39 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
I T E M NUMBER I EACH FEE OWNER �` �,/ )
OUTLETS: $ (p
MAIL
LIGHTS RECEPT. SW. .IO 6
ADDRESS r=/Y _
LIGHTING FIXTURES CITY / TEL.NO. 3
.10
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS -50 ADDRESS ``
ELEC.SPACE HTRS. DISHWASHERS CITY `� TEL. NO.
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS ,25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRI T NO. GaQUP ZONE PR ESSED BY
0- 1/2 .25 �. I i IA / /
1/2- 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
IS— 50 2.50 -.
50-200 5.00
SIGNS: NO.TRANS. c
NO.LAMPS
SERVICED-600V 1.00
SERVICE OVER 600V 5.00 %.
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE04$ ib
I HEREBY ACKNOWLEDGE THAT t HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
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 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE ': ! A 2
OF PERMITTEE 'j f J L /Z� UTILITY CO.NOTIFIED
(f J
FINAL
Or VAJIDATJM ARTHUR C.VEIT,
CK Mo CASH SUPERVISING ELECTRICAL ENGINEER