HomeMy Public PortalAbout4960 LOMA AVE_Electrical__ c 76AC,63,OBS SA 3-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN l
(� ---ED By READY FOR D/A/TE ISSUED
ADDRESS
`��"�' `. FIRST INSPECTION /
CITY TEL NO. �'3 's-/
COUNTY LICENSE NO. 6 EXPIRES BUILDING /?j g -`
PERMIT FEES ADDRESS L /LlaLd
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
CROBB ST.
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS 5c MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 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 LAWB REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE
NEW MVD. HP OVER INC. EACHOF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
6 LESS >$ .25 SIGNATURE OF
%2 2 .50 - PERMITTEE
2 5 1.930 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5.00
200 500 10.00 JQ
500 1000 15.00 Z
OVER 1000 20.00 _ Q
M.G. BET/FREQ. CHANGER-HP 0!
WELDERS•AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF DRIG.)
MOVED MCTORB (75% DE ORIG.)
MISC.
SIGNS
NO. NO.TRANEL
APPROVALS
NO. NO. LAMPS
DAT INSPECTOR'S NAME
FOR EACH PERMIT:
CONDUIT
WIRING !$1.00 Q�
FIXTURES $1.00 WIRING ----�' ✓7
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ 1 06 UTILITY CO.NOTIFIED _
��y o
FINAL