HomeMy Public PortalAbout6163 LOMA AVE_Electrical__ - 7SA663 DBG 5A 11-4g.. APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES' Aft
WILLIAM J. FOX, CHIEF ENGINEER
FOR'APPLICANT TO FILL IN DISTRICSNO. GROUP II ZONE PERMIT NO-
• ELECTRICIAN R .F• Walton ,
', • RECEIVED BY READY`FO.R, DATE ISSUED',
ADDRESS 604Acacia -St. -
� FIRST INSPECTION
CITY' Seh q-,ib. TEL. NO.AT 68583
.COUNTY :LICENSE NO. 1104 EXPIRES BUILDING
PERMIT FEES ADDRESS Loma Ave.. / t
FEE Temple City, .
NUMBER OUTLETS EACH LOCALITY
-�17 =LIGHT•. - Sc' $ 85 ...NEAREST
-
CROSS ST. _
24 RECEPTACLES. 5 , l 2O
-17 FIXTURES 85 OWNER •
Creative Bldrs.— .
20 WALLSWITCHES5 1 OO MAIL
_ ELEC. RANGES ADDRESS
1 1 ELEC. HEATERS' 25 . 25 CITY TEL. NO.
Pn,-- MI5C. -
NUMBEROF CIRCUITS INSTALLED: I 'HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
� ' .
TOTAI _ _ 'APPLICATION ,AND STATE THAT "THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH. ALL COUNTY ORDINANCES
.MOTORS - -AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER HORSEPOWER
FEE-
NEW
CER-CIFY THAT I POSSESS THE ABOVE VALID LOS
- <
'NEW I .MVD. HP 13VER INC. EACH ANGELES COUNTY. LICENSE,_OR I AM THE LEGAL OWNER
1 5 %2 S LESS $ .25 125 OF THE RESIDENTIAL'PROPERTY DESCRIBED ABOVE.
%2 2 .50 SIGNATURE OF". - e-
V
'.2 5 1.00 PERMITTEE
S_ rs ,.sD INSPECTION RECORD
15 '5O 2.SO -
so zoo 5.00
.200. '500 10.00 _ <
Sao 1000 : 15.00 _ J,
OVER 1000 20.00 _ - - Z:
--M.G. SET/FREQ. CHANGER-.HP'
WELDERS:AC-KVA -
GENERATORS - KW. ' '. (Y
TRANSFORMERS - KVA
TEMP. -MOTORS'.(75% OF CRIG.)
'MOVED MOTORS (75% OF ORIG.)..
SIGNS
TYPE:. - NO.TRANS.`I - -
aTYPE: - NO.LAMPS '
APPROVALS
FOR EACH. PERMIT: - _ DATE INSPECTOR'S NAME
_G O CONDUIT
WIRIN $1.00 1 O, _ -
__-FIXTURES - $1.00 1100 ',, WIRING r -
SUPPLEMENTARY .50• : - FIXTURES' ` -
POWER -
TOTAL FEE- $ 6 4O UTILITY-CO.NOTIFIED
. ''FINAL RVYRA 4R F(Y'•rt1'n if Y1Y"YC` fit'\ S:r+ '..