HomeMy Public PortalAbout10210 LIVE OAK AVE_Electrical__ 76A663 DBB 5A 3-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFE
COUNTY OF LOS ANGELES �� LECTr I oRh I
WILLIAM J. FOX, CHIEF ENGINEER
FO APPLICANT TO FILL IN
DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIA a A
ADDREHH/ v QL,O...eC!1L4A� RECEIVED B READY FOR DATE ISSUED
FIRST INSPECTION _
CITY // TEL NO.
COUNTY LICENSE NO. (n EXPIRES BUILDING162
PERMIT FEES ADDRESS C/1
FEE
11
NU BER EACH LOCALI
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST. A
WALL SWITCHES OWNER ( ,p '
TOTAL OUTLETS Sc >$ ::2 MAIL I
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 1
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS L - AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB
NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE
NEw MvD. HP OVER .-C. ACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
%2 s LESS $ .25 SIGNATURE OF
2 .50 PERMITTED
2 s 1.00 tINSPECTION RECORD
5 is 1.50
is so 2.SO
50 200 5.00
zoo 500 10.00 J
soo 1000 1s.00 Z
OVER 1000 20.00 19
M.O. BET/FREQ. CHANGER-HP It
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF DRIG-)
MOVED MOTORS (75% DF ORIG.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME,
WIRING $IAO c/ CONDUIT < 4
FIXTURES $1,00 d WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE ! UTILITY CO.NOTIFIED
FINAL