HomeMy Public PortalAbout10727 LA ROSA DR_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
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DIVISION
OF of CountBUILDING
Engineer ���B�SR��
DIVISION OF BUILDING & SAFETY ELECTRIC WILLIAM J. FOX, County Enpineer
FOR APPLICANTO FILL IN DISTRICT?
O. GROUP ZONE PERMIT NO.
ELECTRICIAN N " ?D vex-
;� RECEIVED BY READY FOR DATE ISSUED
ADORERS ` 1/1 FIRST INSPECTION
CITY A
TEL NO. rYS�•V•�V (p •J
COUNTY LICENSE NO. 7 IS EXPIRES BUILDING
PERMIT FEES AODRE99 L�!]. /B 7 �7 A>9 /7C S J4
NUMBER EACH FEE LOCALITY -7-2
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST.
_
WALL SWITCHES OWNER
TOTAL OUTLETS Sc 8 MAIL
ELEC. RANGES 2S ADDRESS
CLEC. HEATERS 25
CITU TEL N0.
FIXTURES 0 L
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MIBC. p APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
NUMBER OF LIGHT CIRCUITS �/ S AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND BTATE LAWB REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERPEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEw Mvo. HP OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I/. s LOBS B .25 BIBMATURE OF
T
I/2 2 .50 PERMITEE
2 5 1.00 INSPECTION RECORD
_ s is I.sa
15 5O 2.50 _
50 200 5.00
_ 200500 Io.00 J
500 1000 15.00 Q
z
OVER 1000 20.00 G
M.O. SET/FRED. CHANGER-HP 0!
WELDERS: AC-KVA O
GENERATORS - KW _
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIS.)
MOVED MOTORS (75% OF ORIS.)
MISC.
SIGNS c
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS —
DATE' INSPECTOR'S NAME
FOR EACH PERMITr
WIRING S1.00 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 '
FIXTURES
OWER
TOTAL FEE 8 UTILITY CO. NOTIFIED
FINAL
76A663 DHS#5A 452