HomeMy Public PortalAbout4940 ROSEMEAD BLVD_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
` RECEIVED BY READY FOR DATE ISSUED
ADDRESS F►` ��AAIJ FIRST INSPECTION J
/ � /3- S--$
CITY EL. NO. ,,/)
COUNTY LICENSE NO. EXPIRES BUILDING �j G _ �f] ,CJ�yf
PERMIT FEES ADDRESS
FEE
NUMBER EACH _LOCALITY
LIGHT OUTLETS ! NEAREST /
CROSS ST. �I/��Lv
✓
RECEPTACLES
WALL SWITCHES OWNER 9, C
TOTAL OUTLETS 4 sc s D MAIL
ELEC. RANGES 25 ADDRESS e•�,.'
ELEC. HEATERS 25 CITY —.-q. cv(J'yLEL. NO.
FIXTURES 5 D
1 HEREBY ACKNOWLEDGE THAT I 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 MVO. HP 4 OVER I INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
h/2 a LESS $ .25 SIGNATURE
I/2 2 .50 PERMIT
2 5 1.130 SPECTION RECORD
5 15 1.50
15 s0 2.513
50 200 5.00
200 500 10.00
500 1000
15.00 •� ? _ _-j•'-O tl J a
OVER 1000 20.00 ��d''v/ _z
_ M.G. SET/FREQ. CHANGER-HP Elf
WELDERS:AC-KVA 0
GENERATORS - KW
TRANSFORMERS - KVA
_ TEMP. MOTORS (7S% OF ORiO•)
MOVED MOTORS (75% OF OR7G.) _
MISC.
SIGNS
NO. NO.TRANS.
APPR VALS
N0. NO. LAMPS --
DATEL tN5` OR'9NAME
FOR EACH PERMIT: _
CONDUIT
WIRING $1.00
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE 3 10 UTILITY CO.NOTIFIED
FINAL /
76A663 DBS$5A 4-52 /