HomeMy Public PortalAbout9217 1/2 LAS TUNAS DR_Electrical__ DOS-5A.3.55 APPLICATION. FOR ELECTRIG.rPERIMIT
DOS-5A
DIVISION OF'BUILD'ING AND SAFETY
Deportment of County Engineer
County'of Los Angeles BUILDING
ADDRESS
WM.J:.-FOX, COUNTY ENGINEER
CASSATT D.GRIFFIN. SUPT OF BUILDING /
.._ LOCALITY 7a, -L
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
FEE
NUMBER EACH
OWNER &I-"
LIGHT OUTLETS
RECEPTACLES. , MAIL
,ADDRESS -S—.a�
WALL SWITCHES i
.TOTAL OUTLETS $ CITY TEL.NO.1 1-v
.ELEC. RANGES a+S' ELECTRICIAN s✓ -f �'
ELEC. HEATERS ADDRESS --``� .J C'► :� ��..0 `-i.4. / L'G
KVV EA CITY TEL.NO.�� � a•C
FIXTURES LICENSE NO. �'J �% 5(• Fi l
NUMBER OF�.LIGHT CIRCUITS - DISTRICT N I GROUP I- ZONE I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS C�
MOTORS YYY((((
NUMBER I HORSEPOWERFEE INSPECTION RECORD
.NEW MVD. HP OVER INC. EACH
1/2&Lrss $ .25 _
1/2 2 50
2 5 '1.00
5 15 1.50
15 50 2.50
50 200 5.00
MISC.
NO.SIGNS NO.TRANS.-
NO.SIGNS NO.LAMPS _
_FOR.EACH PERMIT:
WIRING $1.00
FIXTURES'-- $1.00 j Do
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE 5 � � a DATE INSPECTOR'S SIGNATURE-.
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. WIRING
ELECTRICAL WIRING. `
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF'. '
CALIFORNIA OR THAT'S 1 AM THE LEGAL OWNER OF THE ABOVE' POWER
DESCRIBED RESIDENTI L PROPERTY. e - I
SIGNATURE ` UTI.LITY,CO.NOTIFIED
OF PERMITTEE '.C.• t -i' 0 I° 9 . .. FINAL
WILLIAM J. FOX.COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT. INSPECTOR
C' '
u 1 3'19.69. X21 2 3ZO .;