HomeMy Public PortalAbout9091 LAS TUNAS DR_Electrical__ 7A66
DBS•SA 3•5S APPLICATION FOR ELECTRIC PERMIT 1-f�
DMSION OF BUILDING FIND SAFETY '
Deportment of County Engineer
County of Los Angeles BUILDING
WM.J. FOX. COUNTY ENGINEER ADDRESS O z ! -C t1
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY F / C•'Lf
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST /
NUMBER EACH FEE r OWNER /!"
LIGHT OUTLETS D V MAILJ
RECEPTACLES ADDRESS I-r�o 6d &JO,111-1
WALL SWITCHES
TOTAL OUTLETS _ 5¢ $ CITY �TT TEL NO
ELEC RANGES 25 ELECTRICIAN
_ELEC HEATERS 25 ADDRESS J 3 y-�`
KW EA ! i CITY TEL NO. 119S'410
(� O
FIXTURES LICENSE NO "U
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. GROUP ZONE I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS ' I —
MOTORS d
1
NUMBER HORSEPOWER INSPECTION RECORD
FEE
NEW I MVD HP OVER INC EACH
1�&LESS $ 25
1/z 2 50
2 5 1 00
5 15 1 50
15 50 250
50 200 500
misc.
NO SIGNS NO.TRANS.
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $1 00 U
FIXTURES $1.00 d
SUPPLEMENTARY 50 I APPROVALS
TOTAL FEE $ I DATE INSPECTORS SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING lc5T7
ELECTRICAL WIRING.
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAX I AM THE LEGAL OWNER OF THE ABOVEPOWER
DESCRIBED RESIDENT AL PROPERTY. .off
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE L' FINAL N
WILLIAM J. FOX,COUNTY ENGINEER VALIDATION A. C.VEIT.CHIEF ELECT. INSPECTOR
I 1
' �. a 9 8 0 u j 1 2 2.1 Ir