HomeMy Public PortalAbout5654 LOMA AVE_Electrical__ 76A663.•'DOS 5A I,-5G - - ' 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 'U .
- (J ••/ - RECEIVED BY READY FOR, DATE ISSUED
ADDRESS L Q- (� N�! `�jfQ� FIRST INSPECTION
CITY': // 'TEL. NO.
COUNTY LICENSE NO. 6
,I 11 - EXPIRES JrIJ� BUILDING -/
'.PERMIT FEES ADDRESS (�U
. . FEE
NUMBER .EACH. LOCALITY. �1CifPJ
LIGHT OUTLETS 1 ,NEAREST. Y
CROSS ST. A -
RECEPTACLES -
WALL SWITCHES..
TOTAL OUTLETS .G� 5C., $ 1 �. MAIL
ELEC. RANGES 25 ° ADDRESS -
ELEC. HEATERS
` CITY _ TEL. .NO.
FIXTURES 1 5 ({ I 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 .Q AND_STATE LAWS REGULATING-ELECTRICAL WIRING.
MOTORS' . - 1. CERTIFY. THAT I POSSESS- THE' ABOVE "VALID LOS
ANGELES COUNTY LICENSE, OR FAM THE LEGAL OWNER
NUMQER - HORSEPOWER FEE -' _
EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
NEW Mvo. HP OVER � I INC. � •�- _ '
I/z a CESS. $ .25 )L SIGNATURE OF
I/z 2 .-50 ;PERMITTE
'2 .s 1.00 kINSPECTION-RECORD
s 1s 1.eo
Is so 2.50
50- 200 5..00 ,I -
200 "500 1 O:o0 I J.
.500, 1000 15.00 _ - - Q
Z
OVER 1000 20.00 -
M. G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA ,. - . .. O.
GENERATORS-KW �
TRANSFORMERS-kVA
TEMP. MOTORS (75%OF ORIG.)
MOVED MOTORS (75%OF ORIG.)
MISC. ..�� - t
SIGNS
No. No. TRANS. I APPROVALS
NOr NO. LAMPS _ DATE INSPEC'TOWS NAME
FOR,:EACH PERMIT: -
_ u V CONDUIT
-WIRING
FIXTURES' $1.00 T�!'•�j WIRING - _ '. r� ''� r✓i"".Gi+�''2 � f 1
'SUPPLEMENTARY so ;• 6.,..I. i FIXTURES '
POWER
TOTAL FEE $ tp a UTILITY CO. NOTIFIED /Jn ..w R. • �'�'� ';°
FINAL wfGf�/' ml _