HomeMy Public PortalAbout9561 PENTLAND ST_Electrical__ D.S.S.SA 8SM SETS I0-47 I Ayp7�)f CS11g11 ON SI,�O PERLWf•IDT
V IDEPARNT OF BUNG AM g I �11Si�Lt¢�1�L�1911 1i Y'VJri� tSrEilYilLO I �
CGUNW OF LOS ANGELES I ������ ��
w CHIRP E GI E R
a NwME ®ISTRICT�dO. GROUP' ZONE PER
O;E %MIT�OZ
ADDRESS /*/DRECC• , �� r
CITY/ .rp.Gt.t � TEL.NO. Elder READY FOR DATE ISSUED
'�" FIRST INSPECTION
COUNTY
c{
CERT.NO. lr9 EXPI IES
APPUCANT FUL ALV HEAWLY OUTUNED UNED P Vit➢TION O Y`JOB
IDESCREMON OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS lsw. PLUGS nliT CROSS ST.
CIRCUIT A/� B C D E F G/ i t a NAME
E
(j 7 6 AISRESS
/ O
CITY TEL NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOB
ANGELES COUNTY CERrIFI OF MICAT19N..
ELECTRICIAN. '
T AIN THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
owr1ER.
COJll.4➢.EMO1 V S
Q
_Z
17
O
TOTAL
NO. OF OUTLET'S Y� I j-.6 APPROVALS
NO. OF FIXTURES ffi DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. ffi CONDUIT _ J�
NO. OF SIGNS TRANS. ffi WIRING
NO. OF RANGES OR HEATERS ffi FIXTURES
JSCE N ffi POWER
PERMIT FEE ffi / 57 UTILITY CO.NOTIFIED
TOTAL FEE _ _ 2� PIRIAL M. r•-J i 1l'��V":^_��'s:-
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer ELECTRIC l
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County EngIneer
FOR APPLICANT T FI L N DISTRICT NO. BROUP ZONE PERMIT NO.
W—/
ELECTRICIAN i 1 g" 3
RECEIVED B READY FOR/ DA7/,
BBU LLL��}
ADDRESS �J G.^ FIRST INSPECTION / p _..y�
CITY M✓ TEL
NO. T,
COUNTY LIKENsr. NO. Y./`. t:'#LPIRES BUILDING
PERMIT FEES ADDRESS 7
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAR EBT
RECEPTACLES CROSS BT.
WALL SWITCHES OWNER /
TOTAL OUTLETS SO s$ ) MAIL
ELEC. RANGES 85 ADDRESS
ELEC. HEATERS 25 A CI TEL. NO./-I �/
FIXTURES �' S I H BY ACKNOW DOE THAT 1 HAVE READ T e
MISC. APPLICATION AND STATE THAT THE A813VE IB CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER or RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL P PE D RIBED ABOVE.
%2 & LEBO $ .25 SIGNATURE OF
1/2 2 .513 PERMITTE
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 513 2.50
50 200 5.00 rf
200 5013 10.00 J
_ 500 1000 15.00 a
Z
OVER 1131313 20.00 (g
M.O. HET/FREQ. CHANGER-HP IY
WELDERS'AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA _
TEMP. MOTORS (75% CF DRIB.)
MOVED MOTORS (75% OF CRIB.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT' DATE INSPECTORPS NAME
WIRING $1.00 �r CONDUIT '/
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE S ,9 —UTILITY 00.NOTIFIED
17
FINAL
76A663 DBS#5A 2-53