HomeMy Public PortalAbout5135 SANTA ANITA AVE_Electrical__ 76A668 DBS 6A 11-49 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY,
COUNTY OF LOS ANGELES 1
WILLIAM J. FOX, CHIEF ENGINEER
FORLICANT F L IN v DISTRICT NO. GROUP ZONE PERMIT//NO.
ELECTRICIAN
RECEIVED BY READY .FDR DATE ISSUED
ADDRESS ! FIRST INSPECTION
CITY TEL.NO. 6>'
COUNTY LICENSE NO. ! 'N EXPIRES A-0-DING
PERMIT FEES }
IESS
ka/O
NUMBER OUTLETS.EACH FEE LOCALITY
LIGHT Sr. $ NEAREST
CR0S5 5T.
RECEPTACLES 5 V
FIXTURES 5 .OWNER
WALL SWITCHES 5 MAIL
ELEC. RANGES S5 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO:'
MI
NUMBER OF CIRCUITS INSTALLE1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
Q
TOTAL �`_ J�[�® APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER HORSEPOWER FEE I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NEW MVD. HP OVER mow EACH ANGELES.'COUNTY LICE E, OR AM THE LEGAL OWNER
%z A LESS $ .25 OF THE RESIDENTIAL ROPERTY D SC IBED /�B
1/z 2 .50. SIGNATURE OF
.00
PERMITTEE
2 5 1
5 15 1.50 INSPECTION RECORD
151 . 50 2.50
50 200 5.00
200 500 10.130'
Soo -1000 15.00 Q
OVER 1000 20.00 Z
M.G. SET/FREQ. CHANGER-HP m
WELDERS:AC-KVA R�
GENERATORS - .KW
TRANSFORMERS - KVA
TEMP. MOTORS .(75% OFOR113.)
MOVED MOTORS (76% Or amm.)
MIBC. •
SIGNS
TYPE: NO.TRANS-
PE• NO.LAMPS T APPROVALS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT.
FIXTURES. $1.00 WIRING
SUPPLEMENTARY i .50 FIXTURES
POWER
TOTAL 'FEE $ UTILITY Co.NOTIFIED
- I FINALAll"I