HomeMy Public PortalAbout5340 LOMA AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERM
DEPARTMENT OF COUNTY ENGINEER �'
' DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT/NCO.
ELECTRICIAN ;W k ��— 9—/ -3 G/V Z
ADDRESS 2- air Y Cq d� RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
CITY 1! TEL. NO e .• / ��-
U LICENSE NO. 10315'1 EXPIRES V' BUILDING
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY e C. t
LIGHT OUTLETS .
NEAREST
RECEPTACLES CROS ST �^V
WALL SWITCHES - I �, y J .
OWNER I v
TOTAL OUTLETS 5c
MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 - -
FIXTURES 5 CITY TEL. NO.
MISC. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT
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 HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
&LESS $ .25 SIGNATURE OF
I/2 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
51, 15 1.50 '
15 50 2.50
50 200 5.00
Zoo Soo 10.00 J
Soo 1000 15.00 Q
Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA
GENERATORS - KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF ORIG.)
'MOVED MOTORS (75% OF ORIG.)
MISC. - -
SIGNS
NO. - NO. TRANS.
NO, NO. LAMPS APPRO 1I r LS'
FOR EACH PERMIT: DATE INSPE.;(TOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1,00 WIRING 63
SUPPLEMENTARY .50 FIXTURES w
POWER
TOTAL FEE $ ® UTILITY CO, NOTIFIED
FINAL U- 0. uk
GA'889 68S# SA: 4-82 -
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