HomeMy Public PortalAbout9625 LAS TUNAS DR_Electrical__ DBS S-A 2-46 ,APPLICATION FOR PERIM
DEPARTMENT OF BUILDING AND SAFL'TY' ��������
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
z DISTRICT NO. GROUP ZONE PERMIT NO.
d NAME
U ADDRESS - —
!Y
�- RECEIVED BY I READY FOR DATE ISSUED
U _CITY —_— TEL.NO. FIRST INSPECTION
Ij COUNTY
w I CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT CUTLETS SW. PLUGS FIXT CROSS ST. _
CIRCUIT A B C D E F G H K _NAME _
Z MAIL
3 ADDRESS
_ CITY TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
J
Z
i lY
TOTAL .d....,..�.a.....�.�...w�
NO. OF OUTLETS $ APPROVALS
NO. OF FIXTURES $ DATE iN5PECTOR'S NAME
NO. OF MOTORS H.P. $ C01401JIT
NO. OF SIGNS TRANS. WIRING i
NO. OF RANGES OR HEATERS FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE w — UTILITYCO.NOTIFIED
TOTAL FEE FINAL
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER ELECTRIC �
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
ADDRESS ` !/a , )^ RE EIV D BY READY FOR DATE ISSUED
�y i FIRST INSPECTION 4 ,
CITY t/"� l' �-�< < TEL. NO. Jl
COUNTY LICENSE NO. EXPIRES BUILDING
PERMIT FEES ADDRESS jGr, , LG y.��. •C
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES ROSS ST
WALL SWITCHES OWNER
TOTAL OUTLETS 5c
MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 �^ f f ;_:�t/ y TEL. NO..
FIXTURES 5
kL17HEREBY
MISC. ACKNOWLEDGE THAT I HAVE READ THIS
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 1 POSSESS THE ABOVE VALID LOS
NUMBERHORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
N E w MVD. HP OVER I INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
1/2 a LESS $ .25- SIGNATURE OF '.
1/2 2 .50 PERMITTE
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50 vp iq ceC J A. T w1_
50 200 5.00
200 1 500 10.00 J
50 1 1000 15.00 Q
Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP a
WELDERS: AC-KVA 0
GENERATORS -KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC. v
SIGNS fe
NO. NO. TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ `J TILITY CO. NOTIFIED
FINAL
75A 663 DBS` 5A. 4-52