HomeMy Public PortalAbout5638 ROSEMEAD BLVD_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY-' ELECTRIC
WILLIAM J. FOX, County Engineer
1,
FOR APPLICANT TO FILL IN DISTRICT NO. 'GROUPZONE PERMIT NO.
ELECTRICIAN ed' 4C- I-A"e) -3lfg -
We—,ffl ED BY READY FOR ATE ISSUED
ADDRESS 0/v/7w -<-fl FIRST INSPECTION
6f
-- . v EL. . ♦ 2-4
ITY 4c' 11-4
LIG B/
T1413
11
E'NI3. fr-Ff:�7 EXPIRES BUILDING
ADDRESSyj
PERMIT FEES FEE
NUMBER EACH LOCALITY
rLI3NT OUTLETS NEAREST J
CROSS ST. I—dt-'g
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS so 111 -7--0- MAIL
ELEIL RANGES as ADDRESS 'S/
ELEC. HEATERS 25 CITY TEL. NO.
rixTUREs li--49 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
Misc. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER or LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOB
ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NUMBER HORSEPOWER EMYD. HIM OVER INC. eAOH
/OF THE REBIDENTIALfl E a R ED ABOVE.
New &A a Less 6 .2S BIGNATURE Or 71
A 2 .1513. PERMIl"rEw
2 5 1.0310 INSPECTIM,'RECORD
SC
-
5 is 1SO
so 2.50
so 200 5.013
2130J . - 50,13 1 O.'DO J
5130 1 113130 15.00 Z
OVER I MO 2C.DO
NOYCE"
MOTORS (75% OF ORIG-)
M.B.t8ET/rREI;. CHANGER-HP
WELDERS:AD-KVA
GENERATORS.- KW
TRANSFORMERS - KVA
SIGNS
NO.TRANS. APPROVALS
NO. NO.LAMCj_. DATE INSPECTOR'S NAME
FOR EACH PERMITI
WIRING R1.D0 CONDUIT
IFIXTUREB 61.00 WIRING
'SUPPLEMENTARY .513 FIXTURES
POWER
TOTAL FEE 91D,, UTILITY CD.NOTIFIED j
777777 FINAL
76ASS3 DBB#5A 0 b 12-53
DB a.A 4.41 23M - ' APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY-
COUNTY OF LOS ANGELES. ELECTRIC
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION` DISTRICT NO. GROUP ZONE PERMIT NO.
WIRING FIXTURES SER>V410E f I �^ y
RECEIVED BY READY•FOR DATE ISSUED
RAN
GE HEATER --I POWER FIRST INSPECTION
M18CELL.ANEOUSIGNSS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
NAME
J DDRE88 L p ti9 !7 Gti %Nd7" ^c'��i r+f-ttr
'� /✓� f
r �•
wouwEssL�rG s ����:�•i-J7i c=`l;t� �:•r LocwLaTY
3 NEAREST �� 7
hT CITY f G`<<-�y^�ta� TLL&O.r p�f�%'�l3 CROSS ST. �1tS-� i�""c'� 4•sL :s--
CERUTY
T.NO. C EXPIRES /, ��J�'n NAME
DESCRIPTION OF WORK MAIL
�. 3 ADDRESS
NUMBER OF OUTLETS ON CIRCUITS r> O
LOCATION BY ROOMS CITY TEL.NO.
' LIGHT OUTLETS SW. PLUGS FIXT I AM THE LEGAL POSSESSOR F THE ABOVE LOS" `r
CIRCUIT A B C D E F G H ANGELES COUNTY CERTIF.1 �r'E OFQQUALIFICATI�OId
---- -- �,�C.,. orf -4 �k�,�
LINING ROOM ELECTRICIAN.
---------- 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIPED
DINING ROOM ABOVE.
BRFST.RM.
-�-- OWNER.
BATH ------ CORRECTIONS
ENT.HALL
HALL NO.
FRONTPORCH
OUTSIDE
KITCHEN
SERV.PCH. ---------_ .1
DORM.NO.
CLOSET
BDRM.NO. ------- 0
CLOSET ____
TOTAL r Lid
Na. OF OUTLETS $ APPROVALS.
'NO. OF FIXTURES � $ � DATE INSPECTOR'S AMC
NO. OF MOTORS H.P. $. CONDUIT 4A _
1 �
NO. OF SIGNS, TRANS. $ WIRING
NO. OF RANGES OR HEATERS ffi FIXTURES
MISCELLANEOUS ffi a� q_ POWER
PERMIT FEE A _�• +1 UTILITY CO.NOTIFIED
TOTAL FEE
$ A d —FINAL �'G X ,C f 7 - f•,;,i/
76A663 098 6A 7-sl APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
• COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
07 a
ELECTRICIAN I v
RECEIVED BY READY FOR DATE ISSUED
ADDRESS • �' FIRST INSPECTION
CITY �. c �.y TEL.NO.CL.�� �� r
COUNTY LICENSE NO. lgd93 EXPIRE8 � AD IL E 8G p►�
PERMIT FEES J
NUMBER EACH FEE OCALI /s' (� I
LIGHT OUTLETS 3 NEAREST
CROSS ST. rrs /}/
RECEPTACLES p�
WALL SWITCHES OWNER
TOTAL OUTLETS 5c $ el A-
MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. ,/� APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
NUMBER OF LIGHT CIRCUITS 0 / 40 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 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL OPE TY DE CRIBED ABOVE.
'/2 B LESS $ .25 19.ir SIGNATURE OF /
I/2 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
_ 5 is 1.50 el
15 50 2.50 � � Z
50 200 5.00 ( !� �1 !�i (/Fa(
-- 200 Boo 10.00
Q
500 1000 15.00 Z
OVER 1000 20.00T Is
M.G. SET/FREQ. CHANGER-HP Z_'e,
_'G A/ C14G u,iT > c m
WELDERS:AC-KVA All p x/ .C','A4P ,?! ,,c,Qw/O
GENERATORS - KW
TRANSFORMERS - KVA (�)
TEMP. MOTORS (75% OF ORIS.) i' �A���� �� ��
MOVED MOTORS (75% OF DRIB.) IF
MISC. I
SIGNS
-e 11J9°
NO. NO.TRANS. b 1 APPROVALS.
NO. NO.LAMPS
FOR EACH PERMIT: DATE INSPECTORPS NAME
WIRING $1.00 ®O CONDUIT
FIXTURES $1.00 �� WIRING C1y'+'� ✓ ,g s�
L_
SUPPLEMENTARY .50
FIXTURES
POWER /,
TOTAL FEE B S UTILITY CO.NOTIFIED J AI
FINAL