HomeMy Public PortalAbout9917 NADINE ST_Electrical__ 7&Ae3 DBB SA 3-30 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES -ELECTRIC i
WILLIAM J: FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN y
OEIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION
CITY TIEL.160. IV
COUNTY LICENSE NO. O EXPIRES BUILDING
B
PERMITFEES
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES 14,
CROSS ST.
WALL SWITCHES c! Z. OWNER o C
TOTAL OUTLETS SO MAIL
ELEC. RANGES gg ADDRESS
ELEC. HEATERS / 25 CITY TEL NO.
FIXTURES ( a I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORREOT
NUMBER OR LIGHT CIRCUITS
AND AGREE TO COMPLY WJTH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
New Mw. HP OVER INC.' eAON OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
t LESS 111 .25 BIGNATURE or )
I S .50 PERM ITTE
a S. 1.00 INSPECTION RECORD
5 113 1.50
15 BO 5.50
50 200 5.00
800 S00 10.00 J
500 100o' 113.00 Z
OVER 1000 20.00 a
M.G. srT/rREQ. CHANGER-HP IK
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (713 OR ows.)
MOVED MOTORS (75% Or ORIoJ
MISC.
SIGNS
NO. NO.TRANS.
NO. NO.LAMPS APPROVALS
FOR EACH PERMIT: DATE INBPECTOR'B NAME
WIRING $1.00 CONDUIT .
FIXTURES 1117,00 V WIRING
/
SUPPLEMENTARY .gp F IXTU RES
POWER
TOTAL FEE �� UTILITY CO.NOTIFIED
FINAL
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76A666468"4." APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING `
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE.COUNTY ENGINEER
WILLIAM A.JENSEN, SUP'TOF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CR 38
PERMIT FEES
OWNE
ITEM NUMBER EACH FEB MAIL ,
OUT RECEPT. BW. '4 $
.1O S ADDRESS 91;01
LIGHTS
LIGHTING FIXTURES to C E /
02
ELEC.RANGES CLO. DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS
B=C.SPACE HTRS. DISHWASHERS CITY TEL.NO. .
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITE .25 LICENSE NO.
MOTORSI OVER INC. H.P. DIST ICT O. GR UP ESSED BY
Jrid
0 — Va ,� .25 1`
V2 — 2 ,50 INSPECTION RECORD
2 — s 1.00 Dom.
a — Is 1.50 O
U
Is — so 2.50 0
SO — 200 3.00 1
SIGNSt NO TRANS. W
D.,
NO.LAMPS N
Z
SERVICE 0-SOOV 1.00
SERVICE OVER 600V 5.00
MISC. h
WIRING PERMIT too
FIXTURE PERMIT
1.00 � ! �' / '�'�� _�✓v.�
SUPPLEMENTARY PERMIT aO
TOTAL FEE !
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT n
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR ..�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OP FIXTURES " r
CALIFORNIA OR THAT I AM THE LEGAL OWPER OF THE ABOVE ,
DESCRIBE IAL 1jR EBTY. POWER e ?
81GNAT�IRE UTILITY CO. NOTIFIED 6 f' 4�
OF PERM ITT
F �� �✓
�',IDATION ARTHURC.VETT. V
MO CASH SUPERVISING ELECTRICAL ENGINEER
��3 8 9 4 ' Val 4 2 0 6.35