HomeMy Public PortalAbout9150, 9150 1/2, 9152 LAS TUNAS DR_Electrical__ 1
7GA663 DBS SA 11-49 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
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COUNTY OF LOS ANGELES:
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUPZONE PERMIT N.O.
ELECTRICIAN
4k'!57 /-- I z- /-279f7
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- - RECEIVED BY READY FOR DATE ISSUED
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ADDRESS FIRST INSPECTION
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CITY - ,.� TEL. NO. w
COUNTY LICENSE NO. EXPIRESJ)93 K141, BUILDING
PERMIT FEES
ADDRESS _ f w�pj< 'r-
- e-17-
i
NUMBER
�33))) OUTLETS EACH FEE LOCALITY � /�-/, � - (,,,., /�J
LIGHT Sc $ 'a NEAREST O /�
—�— CROSS ST.
RECEPTACLES 5
• FIXTURES 5 OWNER L L M I / r—
WALL SWITCHES 5 MAIL
ADDRESS
ELEC. RANGES 25
ELEC. HEATERS 25 CITY TEL. NO.
MISC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED:
TOTA1 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER HORSEPOWER FEE I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NEW MVI). HP OVER INC. EACH ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
Vy S LESS $ .25 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
f I/p 2 .50SIGNATURE OFG�f ,y
2 5 1.00 PERMITTEE o
5 15 1.50 INSPECTION RECORD
15 50 2.50
s0 200 5.00
200 5OO 10.00 /7-S'D �i, S.�/d,�/ !3J 7o
SOO 1000 15.00
OVER 1000 20.00
J r .rte z
M.G. SET/FREQ. CHANGER-HP -
WELDERS:AC-KVA _ / /
GENERATORS - KW /
�,rc7, OnO
TRANSFORMERS - KVA !� +�.
TEMP. MOTORS X75% of ORIO �efA
.) „# Din r'-f�M (C 67®rh W_!t e
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
TYPE: NO.TRANS.
TYPE: NO. LAMPS APPROVALS
FOR EACH PERMIT: DATE INBPECTOR'S NAME
6
WIRING $1.0
0 i1 �'-".`_tu CONDUIT
FIXTURES $1.00 WIRING hh
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ 2. 16 UTILITY CO. NOTIFIED � � {�' ` 4q' ,
FINAL
76A663C- CE IB 17./75 APPLICATION FOR ELECTRICAL PERMIT �111/�11I111
1 c L.J
BUILDING SAFETY DIVISIO
FOR APPLICANT TO FILL IN ,JOB - _
EACH NO. FEE ADDRESS
FRedential Bldgs.& Pools j
Sq. Ft. $ — $ LOCALITY
q. Ft. — NEAREST
CROSS ST.
esentawimming Pools OWNER OR
FIRM NAME
Outlets: Light,Switch&Receptacle MAIL
First 20 ADDRESS �
Additibnal CITY 7-- I Tel. No,,-;P 6.1 -7/
PLAN CHECK
APPLICANT
Lighting Fixtures
First 20 ADDRESS
Additional
CITY Tel. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT r�•
Range Heater_ D.W. ADDRESS
/C �tvI
Oven Dryer W.M. ` '
Top FAU W.H. CITYLC_` ��_ Al Tel. No. 6..9
Hood Fan LICENSE OR /
REG. NUMBER .,- Class.cd%6
Disp. A.C. v
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Q
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING (—
Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. V
w
o_
Up to 1 Incl. HEREBY CERTIFY TH T I A ROPERLY REGISTERED AND/OR f/7
Over 1 to 1O Incl. LICENSED ASS RE IR ED Y LO ANGELES COUNTY AND STATE OF
Z
CALIFORNIA OR ,HAT Al T E LEGAL OWNERWABOVEOver 1O to 50 Incl. DESCRIBED RE DEN AL PROPEROver 50 to 100 Incl. PERMITE Over 100 SIGNATU EDISTR T NO. OC SEDServices0-200 Amp. Under 600 V
201 - 1000 Amp. Under 600 V APPROVALS DATE Over 1000 Amp.or Over 600 V
TEMP. POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
ROUGH CONDUIT
Additional Sign Branch Circuits
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED r� ,
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL
PERMIT ISSUING FEE
NOTES
TOTAL FEE
I L41
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH
31 7 C"4 16 . 2 U C)
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