HomeMy Public PortalAbout5518 1/2 ROSEMEAD BLVD_Electrical__ TeAee!-cEeoa u n —F� p/� �,—rV {�
APPLICATION FOR ELECTRICAL PERMIT LJ
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS Sjr
LOCALITY
NEAREST '
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE OWNER elwij�eCdka yl
RECEPT_ s S MAIL
LIGHT_ TOTAL
FIRST 20 25 ADDRESS
CITY TEL NO
SWITCH OVER 20
— 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 b APPLICANT
FIXTURES 10
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERM
RANGE IT
_ORYER—WTR HTR— APPLICANTZA&'us
fC
STA COOK_DISP_F A U — ADDRESS O
SPACE HTR AIR GOND CITY TEL NO
Ir
CLOTHES WASH DISHWASH_ LICENSE NO CLASS•G-11"D
FAN—OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS rAWL1yTION
AND STATE THAT THE ABOVE 13 CORRECT AND AOR[[ TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS RESULATINS
IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING
SIZE S TYPE OVER TO
H[R[BY CERTIFY THAT 1 AM "OPENLY REGISTERED AND/OR
Q - 1 LICENSED AS REOUIRID BY LOS ANGELES COUNTY AND STATE OF Y
CALIFORNIA OR THAT I AM THE L[OAL OWNER F AND INTEND TO Q
1 - 10 300 RESIDE IN THE [ D[SCR ED RESI MTI PROPERTY
V
SIGNATURE
10 - 30 300 OF PERMITTEE 0
60 - 100 10.00
EfAll.1
T xo CL•aa zoxe oc snm r
100 - 600 1300 6$
SIGN GAS SIGN AND ONE CIRCUIT 300
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER 600 VOLTS OR 200 AMP 300
SERVI CEOVER 600 VOLTS OR 200 AMP 1000 VAL• DAT[ VIl610R'l SIOIIATINI[
TEMP POWER POLE
TEMPSERVICE,POLE &APPURTENANCES 300
TEMP LIGHT OR RECEPT SYSTEM !00 UNDERSLAB WORK
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTIFIED
PLAN CHECK FEE
IZ�1
PERMIT ISSUING FEE FINAL
TOTAL FEE
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATIOo
M o cAex
6 3 2 SMC 7 2 D 75 0 ASG
SEE DAM OF APPLICATION FOR COMPLETE SCHEDULE