HomeMy Public PortalAbout10278 LIVE OAK AVE_Electrical__ 76AE63 'DBS 5A 7-51 APPLICATION FOR PERMIT _
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES V
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
./l
ELECTRICIAN
A _ RECEIVED BY READY FOR DATE ISSUED
ADDRESS p FIRST INSPECTION
CITY TEL. NO. Q
COUNTY LICENSE NO. 11" EXPIRES y ,s BUILDING �)
PERMIT FEES ADDRESS
FEE
NUMBER EACH LOCALITY ,r
LIGHT OUTLETS NEAREST
CROSS ST i1
RECEPTACLES
i
WALL SWITCHES OWNER
TOTAL OUTLETS 5c $ MAIL '
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 1 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
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
NEW MVO. HP OVER INC. EACH OF THE RESIDEN Al PROPERTY ESCRISED ABOVE.
p
�/2 6 LESS >$ .25 SIGNATURE O
%2 2 .50 PERMITTEE
2 5 1.00 INS TION RECORD
s 1s 1.50
is 50 2.50
50 200 5.00
200 500 10.00 J
500 1 OOO 15.00 Q
Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP Q'
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% Or ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSP/ECTOR'B NAME
WIRING $1.00
CONDUIT /
FIXTURES $1.00 WIRING .✓\ � a,.A"..
FIXTURES p —Lla
SUPPLEMENTARY .50 �
�. OWER
TOTAL FEE UTILITY CO.NOTIFIED
FINAL — _