HomeMy Public PortalAbout5640 ROSEMEAD BLVD_Electrical__ 76A663 GBB 5A 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT 19ROUP I ZONE (PERMIT NO.
ELECTRICIAN S ZZ
��
RINNIVED BY READY FOR DISE ISSUED
ADORE FIRST INSPECTION
CITY /TEL NO. [T
COUNTY LICENSE NO. EXPIRES BUILDING i
ADDRESS,-.
PERMIT FEES
NUMBER EACH FEE LOCALITY
LIGHT_OUTLET9NCRO913 ST.
RECEPTACLES ��qq !!
WALL SWITCHES OWNER �� k� G' • (_: k-' t�
TOTAL OUTLETS 5G $ MAIL
ELEC. RANGES 25 ADDRESS.
ELEC. HEATERS. 25 ` CITY TEL. NO.
FIXTURES 5 r 1 HEREBY ACKNOWLEDGE .THAT 1 HAVE READ THIS
MIBC. APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
NUMBER OF LIGHT CIRCUITSAND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE. OR i AM THE LEGAL OWNER
FEE
NEw MVO. HP OVER 1NC. EAGM OF THE RESIDENTIAL PR ERTY DEBC IBED ABOVE.
%2 6 LEBB $ .25 SIGNATURE OF
Y2 2 .50 PERMITTE
z s 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50 --f/7G ,J�6P .A✓O�'�"Y�� /if✓�e+ �l�s'<_JtOi -
5O 200 5.00
200 Bon 10.00 vJ
500 1000 15.00 Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% or GRIG.)
MOVED MOTORS (75% OF ORIG.)
MIBC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT: DATE INSPECTORIB NAME.
WIRING• 111.013 /yj 7 CONDUIT
FIXTURES $1.00 00 WIRING >. 405 91!�&
oF
SUPPLEMENTARY .50 FIXTURES
7 POWER
TOTAL FEE $ L e UTILITY CO.NOTIFIED
FINALAdoprfP,,a,.���/�
76AS63 DBS SA 11-49 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY ELECTRIC
���� '�
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT NO. GROUP ZONE PERMITrO,
FOR' PPLI � NT TO FILL IN 144 Q
ELECTRICIAN
D EIVED BY READY FOR DATE ISSUED
ADDRESS fC...;y � ,`I Aja � ,l�/ ® FIRST INSPECTION
CITY ,,, l TE&AO1-q �1� /'
COUNTY LICENSE NO. EXPIRES o A BUILDING ®� {Ijf�RLV,'6 GSI�^r� 17
PERMIT FEES
ADDRESS �v C f( n n-
, R ,
FEE
NUMBER OUTLETS EACH LOCALITY "r ^
LIGHT 5D $ NEAREST .,J
CROSS ST. iV,raAJ 'CA
RECEPTACLES 5 e
FIXTURES 5 OWNER B6i )/
WALL SWITCHES 5 MAIL (\4��n�r1r
ELEC. RANGES 25
ADDRESS ��
ELEC. HEATERS 25 CITY TEL Nd)7jfj6jl `7rc� GI
CIRCUITS
MISC I H Y A KNOWLED THAT I HAVE READ THIS
NUMBE OF INSTALLED:
TOTAL `.�A APPLICATION AND STATE T AT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES V AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
-MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER HORSEPOWER FEE I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NEw MVD. HP OVER INC. EACH ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
Va 8 LESS $ .25 OF THE RESIDENZIAL PROPERTY DESCRIBED ABOVE.
%2 2 .50 SIGNATURE OF- /��) `
2 5 1.930 PERMITTED
5 15 1.90 INSI�IE'.TION RECORD
15 593 2.50
50 200 5.00
200 500 10.00
500 1000 15.00 JJ
OVER 1000 1 20.00 Z
M.G. SET/FREq. CHANGER-HP 5
WELDERS:AC-KVA Q'
GENERATORS - KW O
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORID.)
MOVED MOTORS (75% of DRID.)
MISC.
SIGNS
TYPEWRVVUU.Iff`���ob� `�YI NO.TRANS.
TYPE: YY NO. LAMPS APPROVALS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ UTILITY CO.NOTIFIED]
FINAL
D DEPAR4TMENT OF BUILDING AND SAFETY
3S 5-A 12
APPLICATION FOR PERMI'1!
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX CHIEF ENGINEER
a NAME EDISTRICTNO. GROUP ZONE PERMIT NO.
yADDRESSrWCITY ✓1 TEL.NO. Y READY FOR DATEISSUED
_ FIRST INSPECTION
J COUNTY
W CERT.NO. -^""' EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK —ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY _
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS JSW. PLUGS I FIXT CROSS ST.
CIRCUIT A B C D E F G H ix NAME
Z MAIL
3 ADDRESS
O
CITY TEL.NO. 1
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
N
ELECTRICIAN.
r I AM THE LEGAL OWNER OF THE PROPER YY DESCRIBED
ABOVE
-- — c,rortsix.
CORRECTIONS
J
-- — - - - <
1 O
TOTAL ' .m.,....
NO. OF OUTLETS APPROVALS
NO. OF FIXTURES _ _— f DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. CONDUIT
NO. OF SIGNS TRANS. _$ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ ___ UTILITYCO.NOTIFIF.D
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