HomeMy Public PortalAbout9912 LA ROSA DR_Electrical__ 7SAV63'DBS SA 7-6I APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��������
` COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN �r ;I—?f7a -
JJ RECEIVED BY READY FOR DATE ISSUED
ADDRESS (DeA. k FIRST INSPECTION f
CITY :S A.N �il_ V/>'•� TEL. NO.,417:o(—/.SOU
COUNTY LICENSE NO. EXPIRES (.—,3p._S L' BUILDING Grp/� „LL/�
PERMIT FEES ADDRESS / /
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS 7 NEAREST
CROSS ST.
RECEPTACLES I ,
WALL SWITCHES 7 OWNER _
TOTAL OUTLETS Sc $ ;ZE MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES A 5 3uT
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 I POSSESS THE ABOVE VALID LOS
NUNBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEw MVD. NP DYER INC. EACH OF THE RESIOENTIAL OPERTV DESCRIBED'ABOVE.
!12 /'46 VI s Less S .25 �.S_ SIGNATURE OF `, �
1/z 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
_ 5 is 1.50
is so 2.50
_ so 200 5.00 _
200 SOD 10.00 J
Soo 1000 15.00 Q
Z
OVER 1000 20.00
M.G. BET/FRED. CHANGER-HP
WELDERS: AC-KVA O
GENERATORS • KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% DE 0RID.) _
MOVED MOTORS (75% DF DRIB.) _
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 00 CONDUIT
FIXTURES $1.00 CIO WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE8 �. Q UTILITY CO.NOTIFIED7
FINAL