HomeMy Public PortalAbout5929 OAK AVE_Electrical__ oe D-A 4-99 25M APPLICATION FOR PERMIT
DEPARTMENT OFA BUILDING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
WM J FOX CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO G � ZONE PERMIT�.N.b°�+
WIRING FIXTURES SERVICE �G7 / D
READY FOR RECEIV BY DATE ISSUED
RANGE HEATER POWER FIRST INSPECTION
SIGNS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTtON ONLY
JOB
4 NAME ADDRESS
K
ADDRESSLOCALITY
NEAREST
W CITY TEL No CROSS ST
COUNTY
REG NO EXPIRES a NAME
DESCRIPTION OF WORK 3 MAIL
NUMBER OF OUTLETS ON CIRCUITS ADDRESS
LOCATION BY ROOMS
CITY TEL No
LIGHT OUTLETS I SW PLUGS IFIXT I CORRECTIONS
CIRCUIT IAIB CID E F I G H I
LIVING ROOM I�—
DINING ROOM
BRFST RM
BATH
ENT HALL I J
HALL NO Z
FRONT PORCH
OUTSIDE
KITCHEN _
SERV PCH
BDRM NO
CLOSET
BDRM NO
CLOSET APPROVALS
_ DATE INSPBCTOR S NAME
—— I CONDUIT
WIRING
TOTAL ` FIXTURES
NO OR OUTLETS 16 POWER _
NO OF FIXTURES mo p i UTILITYCO NOTIFIED
NO OF MOTORS l&rP • S FINAL N
NO OF SIGNS TRANS 81 IAM THE LEGAL OWNER OF TN ABOVE LOS ANGBLES
COUNTY REGISTRATION NUMBER
NO OF RANGES OR HEATERS S
<LECTRICIAN
M 18CELLANEOUB S
1 AM THE LEGAL OW OF THE PROP 7 DESCRIBED
PERMIT FEE = ABOVE
TOTAL FEE I s y J� wNSR
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78A881 CES08 s 82 APPLICATION FOR ELECTRIC L PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT O FILL IN CROSS ST
RECEPT TOTAL FIRST 20 ND 20 a CH I FEE OWNER N
OUTLETSZZA
LIGHT MAIL
ADD L 10 ADDRESS
SWITCH OVER 20
TOTAL CITY TEL NO
LIGHTING l FIRST 2O 20
FIXTURES I ADDL10 ELECTRICIAN
OVER 20
RANGES CLO DRYERS WTR HTRB .1001 ADDRESS
GARB DISP STA COOK _
CITY TEL NC
Z—=? —
AUTO WASH STATE
SPACE HTRS BTA APP (%H P MAX) s0 LICENSE NO
9,5
MOTORS OVER NOT OVER H P DISTRICT17upi
ON P B
O 1 1 00 U
1 s 150 INSPECTION RECORD
s s 200
8 in 2 80 d
19 so Q a 00 u
so 100 goo
O
81GN8I NO TRANS V
NO LAMPS LU
O_
SERVICE O SOOV NOT OVER 200A 11100 H
Z
SERVICE O SOOV OVER 200 A 200
SERVICE OVER SOOV Boo
MISC
PERMIT ISSUING FEE 2 00
SUPPLEMENTARY PERMIT ISSUING FEE 1100
TOTAL FEE s Q
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE IN OR SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING z .1
—1040
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT TH9 LEGAL O HE ABOVE
DESCRIBED REBIDEN L P PERTY POWER
SIGNATURE UTILITY CO NOTIFIED A�
OF PERMITTE o J
FINAL `
�LIDATION ARTHUR C VEIT
/CK/ MO CASH SUPERVISING ELECTRICAL ENGINEER
�� 3 3 1 0 DEC 9 2 D 6.4 0- u
D DEPARTMENT OF BUILDING AND SAFETY
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APKICATION FOR PERML'A'
COUNTY LOS ANGELES Ei"Lr =lC
X IE GI EER
i NAME /1,0 DISTRICT NO GROUP ZONE PER
M
IT NO
V ADDRESS -1 'p P1612,
CITY TEL NO J RLCBIYL�INr READY FOR FIRST INSPECTION DATE ISSUED
CERT NO �� EXPIRES YL ` �r
APPLICANT FILL IN HEAVILY OUTLINW PORTION ONLY
DESCRIPTION OF WORK JJADRESS Z23 &A Cah
NUMBER OF OUTLETS ON CIRCUITS CALITY
LOCATION BY ROOMS AREST
LIGHT OUTLETS SW PLUGS OSSSTCIRCUIT A B C D E F d HNAMAILADDRESS
CITY TEL.NO
1 AM THE LEGAL. POSSESSOR OF TIJK ABOVE LOS
ANGD.6B COUNTY IFLCATB/ F Q�U ;FI N
BLSCiRIC1AN
AI AN 7m LEGAL OWNER. FROPF,M DESCRIBED
OWNER
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NO OF OUTLETS ffi APPROVALS
NO OF FIXTURES ffi DATE INSP TOR S NAME
NO OP MOTORS H P ffi CONDUIT l
NO OF SIGNS TRANS ffi WIRING
NO OF RANGES OR HEATERS ffi FIXTURES
I RULANOMQUIll POWER
PERMIT FEE gt 4Z8 UTILITYCO NOTIFIED
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