HomeMy Public PortalAbout9219 LA ROSA DR_Electrical__ 76AS63 SA 25M SETS 7-48 Ag1*dR?CATION FOR P MM
DEPARTMENT ®� ��IArG sA�rY
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COUNTY OF LOS-ANGELES
4 WM. J. FO CHIEF GINEER
Z -DISTRICT NO. GROUPT-1
NE PERMIT NO: "
Q NAME (( /�!�r { /`
U ADDRESkle t( aa""� .., i
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RECEIVED BY READY FOR DATE ISSUED
U CITY TEL:NO. r FIRST INSPECTION
W COUNTY
LICENSE NO. EXPIRES A
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORD. ADDRESS .
NUMBER OF OUTLETS ON CIRCUITS LOCALITY l t7PJ l�/L
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS JSW. PLUGS FACT CROSS ST. !^
CIRCUIT A B C D E F G H W NAME lV n 1 JJ-4 �n-A - -
Z MAIL
3 ADDRESS '/ � '.I d-.(b .a1�' '.7
O CITY ,0 1 l TEL.NO.(D1")
1 AM THE LEGAL POSSESSOR OF 'THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AM THE LEGAL OWN OF THE PROPERTY DESCRIBED
Asovs
OWNER.
CORRECMONS
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Z
0
TOTAL
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NO. OF OUTLETS �„ ffi O APPROVALS
NO. OF FIXTURES �// / ffi DATE INSPECTOR'S NAME
LNO. F MOTORS H.P. 1 1 — $ CONDUIT
F SIGNS TRANS._ ffi WIRING
F RANGES,OR HEATERS�J—/ FIXTURESLLANEOU - $ POWER
T FEE $ 9 �M.SUTILITY CO.NOTIFIED f 9
TOTAJL FEE _ FINAL ��z'�w c•t7�YX�
��. 76AGGQ Des SA 11-513 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.�
ELECTRICIAN R Pi. 'T[21tor RECEIVED BY READY FOR DATE ISSUED
ADDRESS 5134 N. ,rina,c1 a S+. FIRST INSPECTION
CITY San, Gab, TEL. No. AT 68583 RAL,
.COUNTY LICENSE NO. 1104 EXPIRES BUILDING 9219 La Rosa. Dr.
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY Temple City
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES _
WALL SWITCHES OWNER B. E. Turner
TOTAL OUTLETS Sc $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS �y 25 CITY TEL. NO.
FIXTURES, s 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MI5C. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWB REGULATING ELECTRICAL WIRING.
MOTORS I 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 PROPERTY DESCRIBED ABOVE.
IIAJ I/2 & LEse IS .25 SIGNATURE OF '//!; j
I/2 2 .50 PERMITTEE ®®® II"
2 5 1.00 _ INSPECTION RECORD
5 75 1.50
_ 7s 50 2.50
60 200 5.00
_ 200 500 10.00 J
500 1000 15.00 z
OVER 1000 20.00 17
M.O. SET/FREQ. CHANGER-HP m
WELDERS: AC-KVA
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. 'MOTORS (75%„ OF ORIG.)
MOVED MOTORS (75% OP ORIG.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 40d WIRING 52
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SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE >$ UTILITY CO.NOTIFIED S /
FINAL
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