HomeMy Public PortalAbout9555 KENNERLY ST_Electrical__ DB5 5-A.�6-46 + ". ,A UCATION FOR PERM
IDWAIt'IMXNT OF BUILDING AND-'SAFETY
f COUNTY OF LOS ANGELES ELECTRIC
WM J: FOX CHIEF ENGINEER �'
DISTRICT NO. GROUP I ZONE PERMIT NO.
NAME
ADDRESS/cP�
N tf Q� " / REC LVED BY READY FOR DATE ISSUED
CITY
v� TEL NO/e'- �J�(O FIRST INSPECTION
A COUNT') �� y.EXPIRES
III CERT NO e,+&:,.
APPLICANT FILL IN HEAVILY OUTLINED POR'T'ION ONLY
I JOB
DESCRIPTION OF WORD. ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS J/ /
^NEAREST !i /
LIGHT OUTLETS SW PLUGS FIX7 CROSS ST. /�
CIRCUIT A B C D E F G H :� NAME ` 0
! Z MAIL
3 ADDRESS
- O
CITY TEL NO.
1 AM THE LEGALR OF THE S
ANGELES COUNTY C T TE O QUALIF
ELEC RICIAN.
I AM THE LEGAL OWNER OF THE PROPkRfY DESCRIBED
ABOVE
OWNER.
UOIMCIONS
l -
i
J
Q
Z
L7
e O
2
IN
OTAL
O. OF OUTLETS 3,6 $ I/le APPROVALS
kNO. FIXTURES / 0 $ DATE INSPECTOR'S NAME
MOTORS H P. $ CONDUIT n
SIGNS TRANS. WIRING /G �I�"RANGES OR HEATERS FIXTURESLANEOUS $ POWER
FEE $ UTILITY CO.NOTIFIED
FEE FINAL
DBS-SA 11.995 APPLICATION FOR ELECTRIC PIERNII Y
DBS-SA
DIVISION OF BUILDING AND SAFETY
Department of County Engineer BUILDING
County of LOS Angeles ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER `
CASSATT D. GRIFFIN, SUPT OF BUILDING ' LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST
NUMBER OWNER
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEL NO.
lJ TOTAL OUTLETS @ S¢ $
- ELECTRI AN ry
ELEC RANGES 25 ADDRESS B C'
ELEC HEATERS 25
CITY TEL. NO -d L
�I6YIl•.L54 STATE
FIXTURES Cl 5 S LICENSE NO
MOTORS DISTRICT I GROUP I Z I READY FOR-INSPECTION
FEE
NUMBER HORSEPOWER r 4
NEW MVD HP OVER INC EACH
1/2&LESS $ 25 S INSPECTION RECORD
1� 2 .50
2 5 too
5 15 150
15 SO 250
SO 200 500
M ISC.
of
c
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 APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING O ��
ELECTRICAL WIRING s-
I 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 THELE �OW EROF HE ABOVE POWER
DESCRIBED RESIDENT PROPERTY.
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE FINAL
JOHN A.LAM 1 .COUNTY ENGINE VALIDATION ARTHUR C.VEIT.CHIEF ELECT. INSPECTOR
CK MO CABH
1 6,8' S te` OCT 2 4 2