HomeMy Public PortalAbout4924 & 4926 ROSEMEAD BLVD_Electrical__ 7SA663 DBS SA 7-51 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 ZONE PERMIT NO. {
ELECTRICIAN /j\' v
s o `�� RECEIVED BY READY FOR DATE ISSUED I
ADDRESS� {/ >;s d FIRST INSPECTION 4
CITY TEL.
COUNTY LICENSE NO. 7�7EXPIRES/^G% SLIVIEDINADDRESS Gc�-.}Z.
PERMIT FEES
FEE
G� NUMBER EACH LOCALITY
31- LIGHT OUTLETSNEAREST
1` RECEPTACLES- CROSS ST.
I p WALL SWITCHES oof� OWNER_ _ _
TOTAL OUTLETS Sc $ T� MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES - 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. 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 LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIALrPROP RTY' DESCRIBED ABOVE.
%2 6 LESS $ .25 SIGNATURE OF y '�
I/2 2 .50 PERMITTEE
I A
2 s_ 1.00 INSPECTION RECORD
s 1s 1.50 /
—_7 s SO 2.50 $/ 7 �� If✓�/ bra is
50 200 5.00 �® `�f6ri�s�r.J .tr-c'I a'-1/ls' � .�e�..
200 500 10.00
15-00
1 500 1000
i OOO O 20.00 - Q
L9
M.G. SET/FREQ. CHANGER-HP (Y
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA_
TEMP. MOTORS (75% OF ORIG•)
MOVED MOTORS•(75% OF ORIG.) _
MISC.
SIGNS
NO. NO.TRANS. I '
APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 D CONDUIT /n
FIXTURES $7,00 ��® WIRING f/ EG.ew.Gtvr7/rte
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE s ,� UTILITY CO.NOTIFIED�'_ _
FINAL .a�s.>''S a4 '
76AS63 DBS 5A 7-51 APPLICATION FOR PERMIT -
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES wELEOND
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DIST NO. GROUP ' ZONE PERMIT NO.
ELECTRICIAN -,N/\/
EEL READY FOR DATE ISSUED
ADDRESS ' 7� FIRST NSPECTION
CITY � TEL. NO / 4AZV ,-
COUNTY LICENSE NO. EXPIRE BUILDING
BUILDING +•� �/ 1 / ,�
ADDRESS ,�;,.', 1 e��.-.�/V/ ���'•
PERMIT FEES _
FEE LOCALITY
NUMBER EACH
4
LIGHT OUTLETS 16— NEAREST
/ � CROSS ST.
RECEPTACLES 'C
WALL SWITCHES g OWNER .,
TOTAL OUTLETS 5C $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5
c-- 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. 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 LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
EACH OF THE RESIDENTIAL+PROPERTY,DE SCRIBED ABOVE.
NEW MVD. HP ❑VER INC. �l11f
%2 6 LESS $ .25 SIGNATURE OF
I/2 2 .50 PERMITTEE (
2 s 1.00 INSPECTION RECORD/
5 15 1.50
15 50 2.50
50 200 5.06
200 500 10.00 J
500 1 000 15.00 <
Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA_
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.) _
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1,00 CONDUIT
FIXTURES $1.00 �,}� '(+°e WIRING
SUPPLEMENTARY .50 FIXTURES
c., POWER
TOTAL FEE $s:� �`� UTILITY CO.NOTIFIED
��/�
FINAL