HomeMy Public PortalAbout9134 1/2 RANCHO REAL RD_Electrical_1/16/1958 76A663 DSS SA 3-SO APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ME
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN -�
RECEIVED BY READY FOR DATE ISSUED
_ADDRESS G FIRSTINSPE TION /
CITY I
COUNTY LICENSE NO. EXPIRES 3 BUILDING 1 1
PERMIT FEES ADDRESS
`
FEELOCALITY _�..J
NUMBER EACH
LIGHT OUTLETS NEAREST
r� CROSS ST.
RECEPTACLES (/ ,
WALL SWITCHES OWNER "..�
TOTAL OUTLETS 5D MAIL
ELEC. RANGES ADDRESS
ELEC. HEATERS 25
PE
CITY TEL. NO.
FIXTURES I_ (.:
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
NUMBER OF LIGHT CIRCUITS 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 HORSEPOWERFEe ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPEJRYY DESCRIBED ABOVE.
I/2 6 LESS $ .25 SIGNATURE OF
I/2 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
5 1s 1.50
15 50 2.5D
n
_ 50 200 5.00
200 I Sao 10.00
Soo I 1000 1 5.a❑ ,���� Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA / t _ . L' O
GENERATORS - KW
TRANSFORMERS, - KVA
TEMP. MOTORS (75% OF DRIo.)
e
_ MOVED MOTORS (75,0 OF ORIS.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INBPECTOR'B NAME
CONDUIT
WIRING $1.00.OD
FIXTUREF $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE s3 3 UTILITY CO.NOTIFIED
J FINAL