HomeMy Public PortalAbout5822 OAK AVE_Electrical__ D965A a as APPLICATION FOR ELECTRIC PERMIT I
Des
DIVISION OF BUMDING AND SAFETY
Depmiment of County Engineer
COBIIi4 Of Los AngelesJDDRESS
UILDING cR
WM J FO COUNTY ENGINEERCASSATT D GRIFFIN SUP T OF BUILDINGOCALITY /
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST
Ay T
NUMBER EACH FEE
LIGHT OUTLETS OWNER
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES
TOTAL OUTLETS 00 so 5 CITY TEL NO
ELEC RANGES 25 ELECTRICIAN
_ELEC HEATERS 25 ADDRESS
KW EA CITY TEL NO O
FIXTURES B LICENSE NO
NUMBER OF LIGHT CIRCUITS - DISTRICT NO I GROUP=DY FOa INSPECTION
NUMBER OF RECEPTACLE CIRCUITS .�
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD HP OVER I INC EACH
�2$LESS 5 25
2 50
2 5 100
5 15 150
15 50 250
50 200 Boo
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $100
FIXTURES S1 00
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE S A DATE INSPECTOR S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLIC ION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY it
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRINGy Z
ELECTRICAL WIRING
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTER D AND/OR FIXTURES
LICENSED AS REQUIRED B LOS ANGELES COUNTY STATE OF
CALIFORNIAOR THAT i A THE LEGAL O HE ABOVE POWER
DESCRIBED RAIDENTIA R PERTY
SIGNATURETILITY CO NOTIFIED
OF PERMITTEE INAL
WILLIAM J FOX COUNTY NGINEER VALIDATION A C VEIT CHIEF ELECT INSPECTOR
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D08 aw a as APPLICATION FOR ELECTRIC PERMIT Z
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DMSION OF BUII. MG AND SAFETY
Depalineut of Coutitr Engine BUILDING
County
cf Loa Angeles ADDRESS
WM J FOX COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST
NUMBER EACH FEE
LIGHT OUTLETS OWNER
MAIL
RECEPTACLES ADDRESS
WALL SW ITCHES
TOTAL OUTLETS S S CITY TEL NO
ELEC RANGES 25 ELECTRICIAN
_ELEC HEATERS 25 ADDRESS
KW EA CITY TEL NO
FIXTURES 8 LICENSE NO
NUMBER OF LIGHT CIRCUITS DISTRICT NO I GROUP ZONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS •�
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD HP OVER INC BACH
1z a LEAS S 28
2 SO
2 S 100
a 1S 150
13 90 250
SO 200 500
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $100 �d
FIXTURES $100
SUPPLEMENTARY SO APPROVALS
TOTAL FEE S T DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI i AM THE LEGAL WNER OF THE ABOVE POWER
DESCRIBED RESIDENTI TY
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE FINAL
WILLIAM J FOX COUNTY ENGINEER VMMATION A C VEIT CHIEF ELECT INSPECTOR
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Dos b* APPLICATION FOR ELECTRIC PERMIT I
Dos b�a as
DIVISION OF BUMDING AND SAFETY --
'a Department of County Engimm
County of Los Angeles BILDING
WM J FOX COUNTY ENGINEER ADUDRESS
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST Avim
NUMBER EACH FEE
OWNER
LIGHT OUTLETSMAIL
RECEPTACLES ADDRESS 6 A4 91
WALL SWITCHES
TOTAL OUTLETS 50 S CITY92 J4 Y bit TEL NO
ELEC RANGES 29 ELECTRICIAN
ELEC HEATERS 23ADDRESS D A---c
KW EA CITY TEL NO
FIXTURES B LICENSE NO
NUMBER OF LIGHT CIRCUITS DISTRIC NO GROUP Z///��ONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS : 1 -11
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD �^ L�
NEW MVD HP OVER INC EACH -ire, rL `a R'P !wA
Sc LESS S 23 ` Q
2 BO
2 S 100
B 15 1150
18 SO 250
SO 200 Boo
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $1 00 too
FIXTURES S 1 00
SUPPLEMENTARY BO APPROVALS
TOTAL FEE S DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING f
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 I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY
UTILITY CO
SIGNATURE NOTIFIED
OFPERMITTEE FINAL
WILLIA J;EO �Vmr { TION A C VEPi' CHIEF ELECT INSPECTOR
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