HomeMy Public PortalAbout5322 ROSEMEAD BLVD_Electrical__ 7SAIS63 DBS SA 3-513 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER ELECTRIC I
DISTRICT NO. GROUP ZONE PERMIT NO.
FOR APPLICANT. TO FILL IN =y /
ELECTRICIAN c' i. '� A ! 3 7N,3
RECEIV D BY READY FOR DATE ISSUED
ADDRESS ,+ �'` -±._.. '%,r'. -'' / ! FIRST INSPECTION +�
CITY / ' [ ^ _ TEL. NO. _ �' ' -
COUNTY LICENSE NO. EXPIRES 'n .<vk.. BUILDING
PERMIT FEES r' Aooaess r R
NUMBER EACH FEE LOCALITY / e-.-
LIGHT OUTLETS NEAREST D / //lc
RECEPTACLES CROSS ST. L, iii���
WALL SWITCHES .OWNER �- - '• '-
TOTAL OUTLETS �` Sc $ S MAIL
ELEC. RANGES ' 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES � }� 6 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATIONANDSTATE 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 HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW I MVD. HP OVER IND. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
& LESS $ .25 SIGNATURE OF - -
I/2 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
5 15 l.so
15 50 2.50
50 200 5.00
ton Soo 10.00 .,1
Boo 1000 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 M13TORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 CONDUIT
ii
FIXTURES $1.00 WIRING ✓-, ,y '"
v
SUPPLEMENTARY ,50 FIXTURES
POWER
TOTAL FEE $ UTILITY CO.NOTIFIED �, r
3S
f FINAL
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