HomeMy Public PortalAbout5353 LOMA AVE_Electrical__ ' M
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DBS-5,f12-54 Atl ■ L.ICATIO V FOR ELECTRIC PEo_■MI ■ ri
DIVISION OF BUILDING AND SAFETY
Depor ent of County Engineer
County of Los_Angeles BUILDING
WM. J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING
GITf�
FOR APPLICANT.TO FILL IN, LOCALITY
FEE >�
PERMIT FEES _CCROSS ST.
NUMBER EACH _
LIGHT OUTLETS I� OWNER f �/(
RECEPTACLES ysi MAIL
ADDRESS
WALL SWITCHES �� r
TOTAL OUTLETS so_ s OS CITY TEL NO
ELEC RANGES --/ 25 ELECTRICIAN 2Z 'A ^,1/,i1�/t/rf,4
ELEC HEATERS 25 ADDRESS '1q,01 /y//LmE{- -c- Ave
KW EA _ CITY Uf I CU,a/AlA TEL NO CD ZS'&1S
FIXTURES �� 5 �sfl LICENSE NO. X317
NUMBER OF LIGHT CIRCUITS DISTRICT NO �GROUPJJOPE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS �0 a
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD HP OVER INC EACH
11
_ 1/2&LESS $ 25
_ V2 2 .50 �T 1.•f fJ "� `1 r�'�. v�, I(y .d k
_ z s 1 00Q7�e�-1 cv- �c13 rFwtatiic Gr O
_ 5 15 150 ` ' n*. � 11����15•.� `���
15 50 2 50 S� Y, L7'r 'Lown L'T °�' f ..`. Kd L•
50 200 500 -
misc.
t�120 til� -�'�-g. �.1�i'JC��_•�
NO SIGNS NO TRANS
NO SIGNS NO. LAMPS
FOR EACH PERMIT. -
WIRING $100
FIXTURES $1 00
SUPPLEMENTARY .50
4 APPROVALS
TOTAL FEE $ (!� DATE INSPECTOR'S SIGNATURE
1 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 lr."R"'" 'St,b
ELECTRICAL WIRING '
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES _
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER A
CALIFORNIA OR THAT 1 AM THE GAL OWNER OF THE ABOVE In
DESCRIBED RESIDENTIAL PROP T t� UTILITY CO.NOTIFIED
SIGNATURE G% ��j �i FINAL
OF PERMITTEE
WILLIAM J. FOX, COUNTY E G1 R VALIDATION 4.8 (�
• BY
�" ' •! DEPUTY ,
DBS-5A IZDIVISION OF uILDING AND SAFETY
Deparinnent sof County Engineer
County of Los Angeles BUILDING `p7 VA
IA
J. FOX. COUNTY ENGINEER ADDRESS -��J ®/'
CASSATT D!GRIFFIN. SUPT OF BUILDING
FOR APPLICANT TO FILL IN LOCALITY
PERMIT FEES- NEAREST
CROSS ST _
• - FEE
NUMBER EACH
LIGHT OUTLETS OWNER
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES _
TOTAL OUTLETS 50 $ CITY TEL NO
ELEC RANGES - 25 ELECTRICIAN �'', a ��iAdA,4�/W 4,4,0JIJ
ELEC HEATERS 25 ADDRESS /dos C�YS_-'q .� /� q
KW EA CITY W% ICf@ t�BL�e wjq- - TEL. NO.4y `S7(Ai. -
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS
DISTRICT NO GROUP I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS v T 't/6 0
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD HP OVER INC EACH - ..
/Gi- I/12 8 LESS $ 25 7LSi _
if2 2 50
2 5 1 00
5 15 1 50
15 50 2 50
50 200 500
MISC
NO SIGNS - NO TRANS _
NO SIGNS NO LAMPS
FOR EACH PERMIT.
WIRING - $1 00
FIXTURES $1 00 _
SUPPLEMENTARY
- APPROVALS
TOTAL FEE :APIIA
DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 1 CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING —
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY-AND STATE OF
CALIFORNIA OR THAT I AM T LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL ;''X4
C9 UTILITY CO.NOTIFIED I• .Lr
SIGNATURE.
OF PERMITTEEP ���P FINAL V
WILLIAM J. FOX, CoU Y G.NEER VALIDATION 1 .25
3 g 9.7S .FRAY 18- 2 - - - .
•- 1
RCI
T. D YTY
1,4