HomeMy Public PortalAbout6119 LOMA AVE_Electrical__ 76A665 DBS 6A 11-6U APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND 4SAFETY
COUNTY OF LOS ANGELES 1
WILLIAM J. FOX, CHIEF ENGINEER Ci
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
RECEIVED BY READY FOR D
1'ATEISS ED
ADDRESS '-t FIRST INSPECTION /J7�A
CITY d` TEL. NO. /. •/ r
COUNTY LICENSE l< EXPIRES BUILD'NI
PERMIT FEES ADDRE
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
CROSSST. ot*,Z60
RECEPTACLES �
WALL SWITCHES lJ OWNER
TOTAL OUTLETS +B 5c $ MAIL /
ELEC. RANGES /�� -25 ADDRESS /16�/1"Q is
ELEC. HEATERS 25 [`1a
FIXTURES �j 5 q CITY ..g TEL. NO.
sl —
I HEREBY ACKNOWLEDGE THAT I 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 j 1 CERTIFY THAT 1 ,POSSESS THE ABOVE VALID LOS
NUMBERHORSEPOWER
ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
MVI
EACH OF THE RESIDENT]
NEW D. HP OVER INC. PROPERTY 17ESCRIBED ABOVE.
1/2 &LESS $ .25 I SIGNATURE OF C
1/2 2 .50 PERMITTED ���ll�.. -
2 5 1.00 INSPECTION RECORD
5 Is 1.50
15 50 2.50
"
50 1 200 5.00
200 Boo 10.00 R QV ..I
Soo 1 1000 15.00 --r �� �Qf ,
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP y O
WELDERS: AC-KVA /Yo-' eo'Rm I�r�
GENERATORS-KW " �Ja `/tel�C
TRANSFORMERS-KVA
TEMP. MOTORS ((75 OF ORIG.) /1 P R S c��D &0/, 'A;5A r 7'LQ
MOVED MOTORS (75/o OF ORIG.) /,,{gyp/J /,��,�p �/ ,(9/��r,�
_ MISC. ,,hl.- /�1A7l5� A6 �l` d'd�"e1,+C�L�
SIGNS
NO. NO. TRANS. APPROVALS --�
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
CONDUIT I b.+,tl Z 7i�;
•' WIRING $9.00 �
FIXTURES $1.00
WIRING
' / � -
.SUPPLEMENTARY .50 �— FIXTURES
POWER
TOTAL FEE $� UTILITY CO. NOTIFIED LA
® I FINAL (�