HomeMy Public PortalAbout9604 LIVE OAK AVE_Electrical__ 76AS63 DGS 5A 11-5o 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.
15'ELECTRICIAN OkM e r �`� qj
RECEIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION / '/2--S'/CITY TEL. NO. V4
COUNTY LICENSE NO. EXPIRES BUILDING D Z/ �r L/ IVIE QA
PERMIT FEES ADDRESS L NUMBER EACH FEE LOCALITY '�� _M(/��]LF 017-7�/
LIGHT OUTLETS ,3, NEAREST LteL //�
RECEPTACLES l. /
� CROSS ST. i If
WALL SWITCHES OWNER J), Vyy )
TOTAL OUTLETS Sc $ AMAIL 1�jl
DDRESS
ELEC. RANGES 25 —
ELEC. HEATERS 25
CITY jyy y'/v ��1�1�
7 TEL. NO.&y (_—O/d-'j,
FIXTURES — s L .�
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE•THAT THE ABOVE 19 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 HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE
NEW MVO. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESC ED ABOVE.
�
I/2 6 LESS $ .25 SIGNATURE OF
%2 2 .50 PERMITTE _
_ 2 s 1.00 I SPECTION RECORD
5 is 1.50
15 s0 2.50
50 200 B... il�/g�U .✓.s►� i $ p,�,4 AT
200 500 10.00 J
500 1 000 15.00 Q
Z
OVER 1000 20.00
M.G. BET/FREQ. CHANGER—HP
WELDERS: AC—KVA O
GENERATORS — KW
TRANSFORMERS-- KVA
TEMP. MOTORS (75% OF ORIG.) —
MOVED MOTORS (75% OF ORIG.)
MISC.
SII3NS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $$1.00 Q CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE / s!< UTILITY CO. NOTIFIED
FINAL 1 4—J�1—
Dew. . ,z-°" APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ����rrTTC
COUNTY OF LOS ANGELES
WM. J. FOX CHIEF ENGINEER
a NAME= /7 DISTRICT NO. GROUP ZONE PERMIT NO.
G i
ADDRESS L- 3 ./
�- REC YED BY READY FOR BATEISSUED
W CITY TEL.NO.(5,+1-13 I L FIR T NSP CTION
,.1 COUNTY / ®� ••++ �(�
W CERT.NO. d Z- EXPIRES
'APPLICANT FILL IN_HEAVILY, OUTLINED PORTIIOON ONLY
JOB
DESCRIPTION OF WORD -ADDRESS ,
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST C
LIGHT OUTLETS jSW. PLUGSFIXT CROSS ST.
CIRCUIT A B C D E F G H E NAME ,
Z MAIL
3 ADDRESS
O r
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGFLEG COUNTY t FIC��E�O QUALIFICATION..
ELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
9 CORRECTIONS
r - '
J
Q
Z_
[7
O
TOTAL
NO. OF OUTLETS $ D!S APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ 0 a UTILITY CO.NOTIFIED
TOTAL FEE ___
D FINAL