HomeMy Public PortalAbout5724 ROSEMEAD BLVD_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DOF of County Engineer -ELECTRIC
DIVISIONSION OF BUILDING & SAFETY ,
WILLIAM J.. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN 2['�`�"
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READY FOR DATE ISSUED.
ADDRESS � FIRST INSPECTION +-"-
CITY TEL NO. )Q
COUNTY LICENSE NO. 7% EXPIRESUILDING L �J
PERMIT FEES. _ BADDRESS ✓ {
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST 2'
RECEPTACLES CROSS ST.
WALL SWITCHES OWNER
TOTAL OUTLETS SC $ MAIL
ELEC. RANGES 25 ADDRESS &aA �L
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES 5
1 HEREBY ACKNOWLEDGE THAT '1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
%s A I.Eee $ .25 ' SIGNATURE OF
t/ 2 .SD PERMITTE
2 S 1.00INSPECTION RECORD
S 15 1.50
15 5O 2.50 _
50 200 5.00
200 500 10.00 J
500 1001 15.171 Z
OVER I MO 20.00 t9
M.G. SET/FREQ. CHANGER-HP Ir
WELDERS:AC-KVA O
GENERATORS - KW
•
TRANSFORMERS - KVA
TEMP: MOTORS (75% DF DRIC.)
MOVED MOTORS (75%. mF Omni.)
MISC.
SIGNS
NO. NO.TRANS.
NO. NO.LAMPS APPROVALS,
FOR EACH PERMIT: DATE INSPECTOR98 NAME
WIRING $1.00 1 n o CONDUIT
FIXTURES $1.00 1L� WIRING
SUPPLEMENTARY 5O FIXTURES
POWER
TOTAL FEE >$ UTILITY Co.NOTIFIED P0H/F X
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APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
"DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION SSS
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES cRoss ST.
ITEM NUMBER I EACH FEE . .OWNER
OUTLETS: $ MAIL
LIGHTS RECEPT. SW. .10 ADDRESS .�
LIGHTING FIXTURES10 CI ALZmP TEL.NO.
ELEG RANGES CLO.DRYERS ELECTRIC AN -
W A T E R HEATERS .SO ADDRESS wS 6$.G.f.�,
ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO.'dr (/�C.
U
GARBAGE DISPOSERS AUTO.- _ - STATE �f
WASHERS STA.COOKING UNITS its LICENSE NO
MOTORS: OVER INE- H.P. DISTRI NO: GROUP ONE PROCESS BY
� :2s ��JeW 2 S
.50 INSPECTION RECORD
2— S 1.00'
$- 1s 1.50
Is— BO 2.80
50-200 5.00� +
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE O-SOOV 1.00
SERVICE.OVER SOOV 5.00 ;
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE .
AND STATE THAT THE ABOVE.18 CORRECT AND 'ACRES TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE .LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ..
LICENSED.AS REQUIRED BY LOS ANGELES COUNTY AND.STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE �� UTILITY CO.NOTIFIED
OF PERMITTE
FINAL 17Tzam'?,/
9p CK MO � ARTHUR C.VEIT;
. CK MO CASH SUPERVISING ELECTRICAL ENGINEER
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