HomeMy Public PortalAbout5138 ROSEMEAD BLVD_Electrical__ 76A88S-CE808-9.5, APPLICATION FOR ELECTRIC :'PERMIT ,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING y�� /
BUILDING AND,SAFETY DIVISION. AbIREss_;�1( 3 9
JOHN A.LAMBIE;COUNTY ENGINEER T
CASSATT D.GRIFFIN,SUP'T OF BUILDING LOCALITY !TEL.NO.
NEARESTFOR APPLICANT TO FILL IN CssTPERMIT FEESITE.M NUMBER EACH FEEOWNEROUTLETS: I� $ MAIL
LIGHTS r -RECEPT./t� SW.I .10 S 3 ADDRESS
LIGHTING FIXTURES l s .f0 ' �O' "CITY
ELEC.RANGES - 'CLO.DRYERS - ELECTRICIANWATER HEATERS .50 ADDRESS' oELEC.SPACE HTRS. DISHWASHERS GARBAGE DISPOSERS C[�'_ / UTO.- ^ • .CITY NOWASHERS STA.C ORIrN•tG•.UNITS '.25 STATELICENSE NO.
MOTORS: OVER' INC.' H.P.' -
0 - _ .�/z �y�L� �.. .25. DISTRICT] GROUP I ZONE I READY FOR INSPECTION
I/2'- 2 .50
INSPECTION RECORD .
2 -5 1.00
5 - 15 1.50 ' i"'"Q/ L/ _ tl/.�✓�
15 = 50 2.50
50- 200 5.00
NO.TRANS..
SIGNS: -
NO.LAMPS
SERVICE 0-600V - 1 1.00
.SERVICE OVER 600V 5.00 - - -
MISC.
WIRING PERMIT, 1.00
FIXTURE PERMIT 1.00 00
SUPPLEMENTARY PERMIT .50'
TOTAL FEE $ j'3 APPROVALS
I HEREBY ACKNOWLEDGE THAT I.:HAVE READ THIS APPLICATION - ' DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL,WIRING. WIRING ,
IHEREBY.CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS, REQUIRED BY LOS ANGELES COUNTY AND STATE OF _
,CALIFORNIA OR THAT I AM THE JEGAL qMNER OF THE ABOVE
DESCRIBED RESIDENTIAL ROPERTY POWER i /I /4
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL
MIA
LIDATION ARTHURVETT.
j SUPERVISINN G ELECTRICAL ENGINEER
CK MO CASH �-
0 0.5'Siq
76AJ-CE.806 8-62 APPLICATION •F R 'ELETRICA PERMIT
COUNTY OF LOS,ANGELES
'DEPARTMENT OF COUNTY ENGINEER FNE
DING
BUILDING AND SAFETY DIVISION ESS oSE'/Y1Ef]� �✓
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LITY —7e' ,177rJl-
ESTC�FOR APPLICANT TO FILL IN S ST. EF/Y IPE T[ '�' R/3N0
RECEPT. TOTALNO. EACH FEE
OUTLETS FIRST 20 Ate" $.20 $ , /0 OWNER L
LIGHT 22 vG MAIL
AA_� - 6
SWITCH. ADD'L 7 R
0 ADDESS d t/7I2!mH/�
LIGHTING TOTAL FIRST 20I 20 L D CITY �/T I TEL. NO.
b..VER 20
/��r'
FIXTURES } I 10 ELECTRICIAN
R
OVVF:R 20
2
RANGES CLO.DRYERS WTR:HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL. NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(+/p H.P.MAX.) .50
LICENSE NO. -
MOTORS: OVER NOT OVER H.P. DISTRICT N G P Z NE PR S D
0 1 1.00 J (../ � '
1 s 11.50 INSPECTION RECORD
3 S 2.00
- 8 15 2.50
15 50 3.00 I '� IL
� O
50 100 5.00 - .� U
SIGNS: NO.TRANS -
NO.LAMPS - O
SERVICE 0.600V-NOT OVER 200A 1.00 V
W
D_
SERVICE 0.60OV-OVER 200 A. - 2100 V!
SERVICE OVER 600V 5.00 ?
MISC. _
PERMIT ISSUING FEE 2.00
SUPPLEMENTAgY PERMIT ISSUING FEE 1.00
TOTAL FEE $ (J
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READTHISAPPLICATION APPROVALS DATE INS DR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
y NVV
' 1 HERE CE IFY THAT I AM PROPERLY REGISTERED AND/OR /
LICENSED A E UIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES `
CALIFORNIA OR AT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDE L PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEEi
FINAL
VALIDATION ARTHUR'C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER'