HomeMy Public PortalAbout5634-5634 1/2 ROSEMEAD BLVD_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT -
DEPARTMENT OF COUNTY ENGINEER
DIVISION OF BUILDING&-SAFETY ELECTRIC' 1
WII.LIAM 1. FOX, COUNTY ENG24EM
FOR APPLICANT TO FILL 1N DISTRICT NO. GROUP ZONE PERMIT NQ-
ELECTRICIAN
D f-le
ADDRESS V ��p RECEIV BY READY FOR DATE ISSUED
�- FIRST INSPECTION /
CTY r ,v1pov1,4 TEL•. NO.GC S`.�� /! r D-5�
LICENSE NO. e-Ef-t---rF.XPIRES 6 /. BUILDING
PERMIT FMADDRE8S - Q
NUMBER EACH FEE LJOCALITY �G e
LIGHT OUTLETS NEAREST
RECEPTACLESs ROS T
WALL SWITCHES O OWNER G
TOTAL OUTLETS Z. SC $ .6 0.
MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25
FIXTURES S O CITY TEL. NO.
MISC, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF LIGHT:QIRCULTB APPLICATION AND STATE THAT THE ABOVE IS CORRECT
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 HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
New MVD. HP OVER I INc. EACH OF THE RESIDENTIAL PILOPERTY DESCRI990 ABOVE.
Va a LEsa $ 25 SIGNATURE OF
I/a 2 .50 PERMITT
2 5 1.00 INSPECTION RD
s is 1.50
is so 2.50
50 200 5.00
200 SOo 10.00
goo, 1 1000 1 15.00
• z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP O
WELDERS: AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% of CRIG.)
MOVED MOTORS (75% of oRIG.)
MISC.
SIGNS
NO. NO.TRANS. AMOMS
Na. NO.LAMPS
FOR EACH PERMIT- DATE INSPECTOR'S-NAME
WIRING $1.00
00 CONDUIT'
FIXTURES $L.Op C7 WIRING Z� . lr ed , >
SUPPLEMENTARY •50 FIXTURES
POWER
TOTAL FEE $. 100 UTILITY CO. NOTIFIED
FINAL
70A GGS ass# SA. a-Sa