HomeMy Public PortalAbout4965 PERSIMMON AVE_Electrical__ (2) 76AS63 DBS SA 11-60 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC, 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FIL IN DISTRICT NO. GROUP ZONE PERMIT NO.
jr
ELECTRICIAN
ADDRESS 1 f RECEIVED BY READY FOR DATE[$SUED
��II FIRST INSPECTION
CITY TEL. NO. J �� 7/?/al
COUNTY LICE SE NO. EXPIRES BUJLDING �� �e
PERMIT FEES ADDRESS Kl
- '
NUMBER I EACWl
FEE LOCALITYP .
"LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST. Vtir(NS.+�YIsLG�►d
WALL SWITCHES OWNER
TOTAL OUTLETS 1 s 5CS MAIL �},
ELEC. RANGES 25 ADDRESS /GAS s-• �i
`
ELEC. HEATERS 25 CITY /1l J• TEL. NO.i^ol v q
FIXTURES 5 3 O 1- HEREBY ACKNOWLEDGE THAT I HAVE READ TH B
MISC. APPLICATION AND STATE THAT -THE ABOVE 18. CORRECT
NUMBER OF LIGHT CIRCUITS tl G AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY.LICENSE. OR I AM 'THF,'LEGAL OWNER
FEE OF THE RESIDENTIAL PROPERTY ESCRIBED ABOVE.
NEW MVD. HP OVER INC. EACH
1/2 s LESS S.'.:25 SIGNATURE OF j��7
1/2 2' .50 PERMITTEE CD 1 � v •• '
J
r'
2s • 10 INSPECTION RECORD
S 1s •' 1.5o .
15 50 2.50
50 200 5.00
200 500 . 10.00 ,J
Boo 1000 15.00 Q
Z
OVER 1000 20.00 ('
M. G. SET/FREQ. CHANGER-HP Q'
WELDERS:AC-KVA -
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%OF ORIG.)
MOVED MOTORS (75%OFORIG.)
MISC:' - •
SIGNS
No. No.TRANS. APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
CONDUIT /!
WIRING > =
51.00
FIXTURES 51.00 WIRING
SUPPLEMENTARY.. .50 FIXTURES
POWER
TOTAL FEE OT- UTILITY CO. NOTIFIED r :"
® FINAL t 7—
D9 S-A 12-43 25M
DEPARTMENT OF BUILDING AND SAFETY ��ON FOR PER=
-c• NTY OF LOS ANGELES ELECTRIC T
CHIER�ENGINEER
1' F DISTRICT NO. GROUP ZONE PERMIT NO.
F
YESS. r� � RECEIVED BY READY FOR DATE ISSUED
�j���!r/7TEL.No:": �d�� ��� / FIRST INSPECTION
UNTY
NO. EXPIRES �� / c .+�;�
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS ek 7 .�
pfd c . .r FIX-
NUMBER OF OUTLETS ON CIRCUITS LOCALITY /J
LOCATION BY ROOMS NEAREST ��� !a �)'•`•'
LIGHT OUTLETS SW. PLUGS FlRT CROSS ST.
C113C411T,, A 113 C I D I E F IG JH a NAME /7_�LA.✓'3 ` /-"1?/r�_.1.11=.fir'.'•
Z MAIL
ADDRESS
TEL-NO.
I AAC.M��THE'LEGAL POSS SOR OF THE ABOVE LOS-
/ � A OKLIES COUNTY CERTIFIC T i OF QUALIFICATION..,/
/ ELECTRIGAN.
®rJf_ ABOVE1 ANTE LEGAL C III- OF TH6 PHOPFJITY DESC[tIBED
OWNfiR.
CORRECTIONS '
J
Q
_Z
O
TOTAL '1
/ APPROVALS
NO. OR OUTLETS -/ n E �"f
NO. OF FIXTURES Q DATE INSPECTOR'S NAME
k
F MOTORS H.P. !$ CONDUIT
F SIGNS TRANS. WIRINGF RANGES OR HEATERS E FIXTURESELLANEOUS Q POWER
IT FEE Q / UTILITY CO.NOTIFIEDL FEE n .�e - FINAL