HomeMy Public PortalAbout5518 ROSEMEAD BLVD_Electrical__ DM u!!![ APPLICATION FOR ELECTRIC PERMIT Z
VVMON OF SII MING AND SAFETY
D.pm�pbmp�[°t of County EByIoBRr BUILD
INo
x Los �I ADDRESS
WM J G COUNTY OF BULLI
CADSATT D GRIFFIN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FUSCROSS ST !
NUMBER EACH PER
LIGHT OUTLETS OWNERdip
RECEPTACLES MAIL
ADDRESS
WALL SW ITCHES
TOTAL OUTLETS B
ELEC RANGES as ELECTRICIAN
ELEC HEATERS 20 ADDRESS .2/.3& JOISISCIe If
NW EA CITY TEL NO
FIXTURES 6,P 7 D LICENSENO.
NUMBER OF LIGHT CIRCUITS DISTF!: Tf O GrIP ZONE .uoT MR lYn[tt1oY
NUMBER OF RECEPTACLE CIRCUITS S Ty
MOTORS t.�wi
xUM.[R HORSEPOWER PEE INSPEIMON RECORD
xtw Mvo MP oV[I1 INe twCx
Ln. 8 25
2 SO
2 B 100
B 15 150
IB BO 2150
SO 200 800
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING Sim
FIXTURES $100
SUPPLEMENTARY BOJE
APPROVALS
TOTAL FEE DATE INS ECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ TNIN CONDUIT
AND STATE THAT THE ABOVE 18 CORRECT'AND
UWITH ALL COUNTY ORDINANCES AND STATE LAWG WIRING O CnELECTRICAL WIRINGlzz
I XERfiBT CERTIFY THAT 1 Y PROPERLY REGISOR PIRTURlBLICENSEDAS RE EO BY S ANGELES UMTT OiCALIFORNIA 0 N 1 A NE LESA ER VE POWER
DESCRIBED RES EM PR
SIGNATURE UTILITY CO NOTIFIED t s�
OF PERMITT I FINAL K 4
WIWAM J FO .CIw,. ENGINSZR VA6IDATLON A C.VEIT.CHIEF ELECT INSPECTOR
LA60 8 5 8 Zt OCT 2 2 395 0
TaAeaa C[goS ,ea APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DIVISION
Department of County Engin BUILDING
County Of Los Angel" ADDREHS
JOHN A LAMBIE COUNTY ENGINEER
CABBATT D GRIFFIN our T or : I LOCALITY
FOR APPLICANT TO FILL IN NeAReBr
PERM FEES
CROSS sT
NUMBER OWNER
LIGHT OUTLETS MAIL
O RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEL NO
TOTAL OUTLETS Q at B ji 1114 ELECTRICIANd10-w7—&A1JP c
ELEC RANGES 25 ADDRESS E
ELEC HEATERS 25 CITY ({// GJ ' TEL NO 15
KW EA
S
FIXTURES D LICENSE NO
MOTORS D STRICT NO GROUP I ZONE I [uoY ma INRP[GTIoR
HUMe[RHORSEPOWER FEE
NEW YVD HP OVER INC EACH
.L[,. Is 2D INSPECTION RWOBD
2 DO 1
Y D 1 00
D ID I --
�� �Kt
to DO 250 P
Do zoo D 20
MISC
_ L
` A
� 4tS1 l�c'T pr.t♦_
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING PERMIT $100
FIXTURE PERMIT $100
SUPPLEMENTARY DO APPROVALS
TOTAL FEE 0 DATE INSPECTOR E SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ TXIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING FIXTURES
I HEREBY CERTIFY THAT I Y PROPERLY REGISTERED AND/OR
LICENSED AS R RED BY AN Ge UNITY AND STATE OF POWER
CALIFORNIA =1ARTY
e G OWNER OF T ABOVE
DESCRIBED UTILITY CO NOTIFIED
SIGNATOR
OF PERM I {/��V� FINAL Y
UNITY EN INHN A HI r}t ATION SUPKRvtiING ISYJEILECTRICAL ENGINEER
CK No CASH
�(;D4 4 3 4En JAM23 2 83 0 in