HomeMy Public PortalAbout5452 ROSEMEAD BLVD_Electrical__ 76"660 Call 6A 7-61 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY COUNTY
COIINTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
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ELECTRICIAN
ADDREBe / . .I RECEIVED BY FIRSTAINaPrc4ioN OAT[ ISSUED
CITY TEL.NO Y /S1 (/ f'V
COUNTY LIDEt!SKNOaA40 I EXPIRES - 'An-s 5 BUILDING
PERMIT FEES ADDRESS T • .,Qy/� rnD��
NUMBER EACH F[[ LOCALI M �"�` • ^"^
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS RT
WALL SWITCHES OWNER
TOTAL OUTLETS SC • MAIL
CLEC "NOES IIS ADDRESS
ELEC HEATERS IIS CIT. (D TEL NO
rIXTUR[S S
I MERCBY ACKNOWLLDO[ THAT I HAVE READ THIP
WOO
APPLICATION AND STATE THAT THE weave IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE "" REGULATING ELECTRICAL WIRING
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOB
NUMBER HORSEPOWER ANCOUNTY LICENB , R I AM THE LEGAL OWNER
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N[w MVC NP CV[R INC [ADH OF THE RESIDE IAL PrR �
�A
I� A "[[ IIS SIGNATURE OF
va II SO PERMITTE
• e ' CO INSPECTION RECORD
S 15 1 SO
13 SO II SO
/C SO 200 S DO
200 Soo 10 OO J
Soo 1000 1500 Z
OVER 1000 2000
M G BETJrRKQ CHANGER-HP
WELDERS AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (75% CF RRIB)
MOVED MOTORS (75Cr CRIS) _
IB
SIGNS
NO NO TRANS. APPROVALS
NO NO LAMPS
FOR EACH PERMITS DAT[ INSPECTOR'S NAM[
WIRING 01.00 CONDUIT
rIXTUR[S •1013 WIRING
RUPPLEMENTARY SO rIXTUR[S
C1 POWER
TOTAL FEE • U'TILITY CO NOTIFIED
FINAL /O
Ga a-A a as \`
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMTP
COUNTY OF LOS ANGELES ELECTRIC
NATURE F ST AT N DISTRICT NO I GROUP TYPY. I PERMIT/NO
WIRING FIXTURES I SERVICE VICE / G f!/
READY FOR C IVCD DATE SSU
RANGE HEATER POWER FIRST INBPEnOM
SIGNS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY fJOB 7
= NAME / - 7 ADDRESS a
U } n00
ADDRESS LOCALITY _
NEAREST
Y CITYOrATZ—
.v T!L NO �iYIJ�) /�(� CROSS ST /.,�/J J
G LICENp6 TY
No 7TH R .rOUNo
No � 7 ,tjI NAME f�/// �J•
DESCRIPTION OF WORK 3 MAIL
NUMBER OF OUTLETS ON CIRCUITS ADDRESS
O
LOCATION BY ROOMS CITY TEL No
LIGHT OUTLETS OW PLUGS nrr CORRECTIONS
CIRCUIT I A I Ell C I D I El I Fl G I H
LIVING ROOM I I
DINING ROOM I I I I
BRFST RM I I I
BATH
ENT HALL I I
HALL No I I I
J
FRONT PORCH I I I z
OUTSIDE I O
KITCHEN I I I 0
SERV PCH
BERM NO
CLOSET
Sown No I I
CLOSET APPROVALS
I w' o, OATS IMeRCiow t Nwrt
CONDUIT
WIRING
TOTAL FIXTURES
NO OF OUTLETS t POW ,��L • '�
NO OF FIXTURES
UTILITY CO NOTIFIEDI 6/
p
NO OF MOTORS H P t FINAL
1 AM THE LEGAL OWNER OFT 6 ABOVE LOS ANO S
NO OF SIGNS TRANS S COUNTY REGISTRATION NUIII
NO OF RANGES OR HEATERS ATRS • t CtRICIAN
MISCELLANEOUS t IAM THE "GAL OWNER OF THE PROPERTY DESCRIBED
PERMIT FEE t ABOVE
TOTAL FEE 4 OWN[R
DEPARTMENT OF BUILDING APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ELECTRIC
NATURE OF INSTALLATION DIBTRIC GROUP TYPE j PERMIT NO
WIRING FIXTUR[e SERVICE _2
READY FOR R!C[1 DA IBB O
RANGE NEATER POW[R PIRST INSPECTION
SIGNS MISCHLLAN[OUS
APPLICANT FILL IN HEAVILYOVUJNED PORTION ONLY '
ZNAM! GLILI! ADDRESS
ONEAR_ T
ADDRESS LOCALITY
CITY TEL No CROSS ST 1,71
STATE COUNTY
LICENSE No RH6 NoMAIL
DESCRIPTION OF WORK Z ADDRESS i /U
NUMBER OF OUTLETS ON CIRCUITS O Cin �. TEL NO 7
el
LOCATION BY ROOMS �1A
Lf
O If W' PLUGS FD:T CORRECTIONS
CIRCUIT I A F B I C I D E F G H _
LIVING ROOM
DINING ROOM
BRKFST RM I
BATH I I
HNT HALL i
HALL NO
FRONT PORCH i
OUTSIDE I I I
KITCHEN I J
I <
SERV PCH Z
BORY No
CLOSET
BDRM No
CLOSET
TOTAL I
NO OF OUTLETS APPROVALS
NO OF FIXTURES `` DAT ..M[ R[ "AMR
NO OF MOTORS H P J CONDUIT
No OF SIGNS TRANS f WIRING
NO OF RANGES OR HEATERS FIXTURES
MISCELLANEOUS B POWER
PERMIT PRE If CO NOTIPIm
TOTAL EEO FIN