HomeMy Public PortalAbout10103 LYNROSE ST_Electrical__ 76A563 DBS SA 3-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES � �� �� i
WILLIAM J. FOX, CHIEF ENGINEER �_
FOR/APPLICAN,TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
45 /
ELECTRICIAN
ISSUEDREADY FOR DATE
ADDRESS _ X� RECEIVED BY FIRST INSPECTION
CITY oellv ` TEL.No. Y v �7
COUNTY LICENSE NO. I/4 Av EXPIRES _� BUILDING�D/D,� J-
C�
PERMIT ADDRESS
FEES
NUMBER EACH FEE LOCAL[
LIGHT OUTLETS NEAREST l
RECEPTACLES CROSS ST.
WALL SWITCHES / OWNER
TOTAL OUTLETS 5C $ MAIL J
ELEC. RANGES S5 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS 3-5-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
NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE NEW Mw. HP L OVER INC. EACH OF THE RESIDENTIAPRRTY DESCRIBED ABOVE.
t
Y %2 s LESS .25 SIGNATURE OFV .
%2 2 .50 PERMITTEE ° `
/ d /1
2 5 1.00 L-INSPECTION RECORD[
5 15 1.50
15 so 2.50
50 200 5.00 °
200 500 10.01 J
5013 1000 15.00 Z
OVER 1000 20.00 0
M.G. BET/FREQ. CHAN13ER-HP Q'
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (7S% OF ORIG.)
MOVED MOTORS (75% OF CRIB.)
MISC.
SIGNS
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 $ UTILITY CO.NOTIFIED
r/ FINAL
V
DBS-5A 3.96 APPLICATION FOR ELECTRIC PERMIT 1
DBS-5A
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
` County of Los Angeles BUILDING
WM.J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN, NEAREST
PERMIT FEES cRoss ST
NUMBER EACH FEE J
LIGHT OUTLETS ' OWNER
MAIL
RECEPTACLES ADDRESS
WALL SWITCHES �7
TOTAL OUTLETS 50 $ /" CITY TEL NO
ELEC RANGES 25
ELECTRICIAN
ELEC HEATERS I 25 - ADDRESS _ _ ,
KW EA CITY EL.NO
FIXTURES 5 Q LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. GROUP ZONE EADY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS Ii�®�� I _
MOTORS
NUMBER HORSEPOWER FEE - ,INSPECTIONgCORD
NEW MVD HP OVER INC EACH A �J
1/2&LESS $ .25 �,/ !f v
1/2 2 .50 VVV@@@
2 5 1 00 � ..
A I
5 15 1 50
15 50 2 50
50 200 Soo
MISC. t♦�.. �..�`
NO SIGNS .NO TRANS.
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $100 /-v _
FIXTURES $1 00 T"►
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE $ DATE INSPECTOR'S S�I/GNATUR
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT V �yJ/OiltewArG
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ` T
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING '
ELECTRICAL WIRING ,
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL gROPERTY. `
SIGNATURE ✓' /.,g/ UTILITY CO NOTIFIED
OF PERMITTEE � ""`� FINAL
WILLIAM J. FOX,COUN/ NGINEER VALIDATION A. C.VEIT,CHIEF ELECT. INSPECTOR
-LACa 5, 5 7 ca, APR 3 0 2 2.5 5
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