HomeMy Public PortalAbout5749 LOMA AVE_Electrical__ DBS S-A 6-46 PLICATI®N FOR P Rwr
DEPARTMENT OF BUILDING AND SAFEM
s ifs
COUNTY OF LOS ANGELES ELECTRIC
WM.' . FON, CHIEF ENGINEER
z (moi DISTRICT NO. GROUP ZONyeE PERMIT NO.
/q
Q NAME / �J/ f f O 67� /
rrADDRESS l�'r S�.,2.7.0 //�i7/C�]L ,I r" i r
NU CITY/98 � TEL.NO.(0-31
���/ 4V V SI�� RECEIVED BY. FIRST INSPECTION GREADY FOR D/ATE2�ISSUED
' EXPIRES(0—S1–t4"7 . � i,-
..1 COUNTY /
W- CERT.NO. g ){
APPLICANT.' FILL IN HEAVILY OUTLINED PORTION OKLY
JOB
DESCRIPTION OF. WORD ADDRESS/ Z
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS JSW. PLUGS FlIeT CROSS ST.
CIRCUIT A B C D E F G H 0: NAME J41 IMAIL
3 ADDRESS
CITY'-L ! TEL.NO.
1 AM THE LEGAL POSSESSOR ,OF THE 'ABOVE LOS
ANGELES 'COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AM THE I<.EGAL OWNER OF THE PROPERTY DESCRIBED.
ABOVE
OWNER.
CORRECTIONS
Q
z
p
TOTAL 1
NO. OF OUTLETS 9 $ VIA APPROVALS
1
NO. OF FIXTURES � $ �� DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT--
NO.
ONDUIT NO. OF SIGNS TRANS. $ WIRING /�'l 0-dz ncjr
NO. OF RANGES OR HEATERS $ ' FIXTURES -
MISCELLANEOUS- $ •_P-OW ER.
PERMIT FEE $ UTICITYCO.NOTIFIED
TOTAL FEE FINAL '
COUNTY OF Los ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN
RECEIVED BY READY FOR DATE ISSUED
ADDRESS "TiLG-eD (��/) FIRST INSPECTION
CITY TEL N O
:COUNTY LICENSE NO. , _OEXPIRES BUILDING
PERMIT FEE6
ADDRESS _
FEES
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST /
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS 5C $ MAIL
ELEC. RANGES25 ADDRESS
oe
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 LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVO. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED
%2 6 LESS _$ .25 SIGNATURE OF
i/2 2 .50 PERMITTEE --
2 s 1.00 IN CTION RECORD
5 15 7.30
15 s0 2.50
50 200 5.00
200 SOD 10.00 J
Sao 1000 15:00 Q
Z
OVER 1000 20.00 -
M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA O i
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (.75% OF ORIO.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: - _ DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT _
FIXTURES $1.00 WIRING — � y
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE / a UTILITY CO.NOTIFIED
h FINAL
16A663 DBS#5A 4-52