HomeMy Public PortalAbout10645 LYNROSE ST_Electrical__ 78"668 DBB SA 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY � ���ic
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN /J,/ G ',/�5�p.�, R I'VED BY READY FOR 75_/S;�
E ISSUED
ADDRESS I J�ell Ir,
r /` o/T ///� �y r� FIRST INSPECTION
CITY y L : %/v / TEL. NO. l . 4 9 �C v16
COUNTY LICENSE NO. J4L EXPIRES D 7lr-' ff'—• UILDING yl C �y�� U
PERMIT FEES ADDRESS ✓Tv/
NUMBER EACH FEE LOCALITY / `1 Pi � r/
LIGHT OUTLETS CROSS T. G I Y 1 ® !l�/
RECEPTACLES pp A'
WALL SWITCHES O H' OWNER4W,,f ;!qep_,?,5y
TOTAL OUTLETS Sc S MAIL
ELEC. RANGES p 25• '� ADDRESS
ELEC. HEATERS 25 .- CITY ��� •! / p✓�TEL. NO�VJ i+ /7
FIXTURES D 5 1 HEREBY ACKNOWLEDGE THAT I 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 FEE HORSEPOWER I ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
THE RESIDENTIAL NEW MVD. HP OVER INC. EACH OF TIAL PROPERTY DESCRIBED ABOVE.
I/2 a LESS $ .25. SIGNATURE OF `--
1/2 2 .50 PERMITTEEx
2 5 1.00 INSPECTION RECORD
5 15 I 1.50
15 50 2.50
50 200 5,00
200 SOO 10.00
500 1000 15.00 Z
OVER 1000 20.00 a
M. G.-SET/FREQ. CHANGER-HP
-
-WELDERS: AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%OF ORIG.)
MOVED MOTORS (75%OFORIG.)
MISC.
SIGNS
NO. NO.TRANS. I I APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 0 Z CONDUIT
FIXTURES $1.00 /� :� y WIRING ��r7 eft.•
SUPPLEMENTARY .50 FIXTURES
D POWER p,
TOTAL FEE S UTILITY CO. NOTIFIED
�V
® FINAL