HomeMy Public PortalAbout9829 LONGDEN AVE_Electrical__ 76AS63 DBS 6A 11-50 APPLICATION FOR PERMIT
DEPARTNdENT OF BUILDING AND SAFETY ��
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR PLICANT TO FILL IN DISTRICT1 :5O. GROUP[�XNE1?FRMIT NO.
ELECTRICIAN wo
RECEIVED BY READY FOR DATE ISSUED
ADDRES T, r 1�t� 'FIRST INSPECTION
CITY TEL. NO.
COUNTY LICENSE NO. ® EXPIRES BUILDING L71�
PERMIT FEES
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST.
WALL SWITCHES OWNER
TOTAL OUTLETS Sc S ® MAIL
ELEC. RANGES 85 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 I 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 HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAId— RO R DESCRIBED ABOVE.
1/2 9 LESS $ .25 SIGNATURE OF
1/2. 2 soy PERMITTE
2 s 1.00 IINSPECTION RECORD
s 1s 1.50
is so 2.50
so 200 s 00
200 BOO 10.00 J
Soo 1000 15.00 a
• Z
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%OF ORIG.)
MOVED MOTORS (75%OFORIG.)
MISC.
SIGNS
N . NO.TRANS. I APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 G U WIRING
SUPPLEMENTARY s0- FIXTURES
POWER
TOTAL FEE 5 70 UTILITY CO. NOTIFIED (�
I FINAL
5 SA 25M SETS 1-47,
oeDF HENT ®F Bumme AND s ��'I�ON PORPEOM
+, CO OF II.OS ANGFII.IE5 EL C IL;
W .I. FOX CMEMAGINC-Ell-11 I
a . NAME DISTRICT NO. GROUP ZONE PERMIT'NO.
_ S-4-z3,15 r�y�.�
ADDRESS �� I V� `J ✓
.CITY 40 TEL.NO. 94 1 RECEIVED BY y• READY FOR DATE ISSUE �•
�t0 / FIRST INSPECTION
COUNTY EXPIRES / p
' CERT.NO.
DESCREMON. OF WORK ADDRESS Z3
NUMBER OF OUTLETS ON CIRCUITS LOCALITY ,
LOCATION BY ROOMS
_ NEAREST
LIGHT OUTLETS 8W. PLUds In7LT :CROSS ST
CIRCUIT A B C D. E F G H a NAME
S MAIL
3 ADDRESS
O .
CITY TEL.NO.
A AM THE LEGAL PQJISESSOR OF THE ABOVE LOS
ANGELES COUNTY CEMe=
-
ELECTRICIAN.
ABOVE
AM A,1INPIER®F TI-i PROPF,Rlnr DESCRIBED
OWNER.
9 coONS
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Z
O
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OTAL
NO. OF OUTLETS $ "PROV LS
NO. OF FIXTURES $ d DATE IN pECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT. ,•Il
NO. OF SIGNS ANS. $ WIRING .
NO. OF RANGES OR HEATERS $ 'FIXTURES
ISCELLANBOUS $ POWER 1
PERMIT FEE- $ 1_1� 4 UTIL'(TYCO.NOTIFIER)
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