HomeMy Public PortalAbout5726-5726 1/2 ROSEMEAD BLVD_Electrical__ DBS SA�2�5yMrp�S�ETS 7�7�47 ��g��T• gp,�� ��7p� �pV� �7�
DEPt8:).b Y 1VIEN OF BUELDIING AND St9iL'8, M. �L'll�®� �� �Jf�iL111oJ1LLli
COUNTY OF LOS ANGELES
ELECTRIC
M. J. FOX CHIEF ENGINE
NAM � ,�¢� � %�I � DISTRICT NO. GROUP I ZONE PERMIT NO,
4' ADDRESS GI
CITEL.NO. -'® RECEIVED'SY READY FOR DATE ISSUED
FIRST INSPECTION
WCOUNTY J • I
CERT.NO. y EXPIRES
,1 APPLICANT FILL IN EJEAVILY OUTLINED 3PORMON ONLY f/) -!7 ` ��r; '.•_
6y .
DE.S'LJl➢87C 1LIIO1V OF WOPA ADDRESS
i
NUMBER OF OUTLETS ON CIRCUITS LOCALITY aid✓✓
LOCATION BY ROOMS
NEAREST
LIGHT OU JSW. PLUGS FdT CROSS ST. /.. ✓Ia=
v
1f,,/ A B C D E F G H X NAME C C�
8 / Z MAIL
��•�`;-A, � ADDRESS
CITY TEL.NO.
1 AC.M�THE LEGAL POSSESS R OF THE ABOVE LOS
ANGF�ES COUNTY CERTIFI AT O QUALIFICATION..
_ ELECTRICIAN.
1 OA g 7HU LEGAL OWNER OF THE PROPERTY DESCRIBED
f!f?Ll•/ti/' � .ti h OWNER.
y Z 1•�-ti d, �1�8.EC�g®ISS
jSLAL
Z
r _
NO. OF OUTLE48e' '•`1 _d APPROVAII+S
NO. OF FIXTURES # j DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. S CONDUIT
NO. OF SIGNS TRANS. WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS S POWER !/
PERMIT FEE R J r UTILITY CO.NOTIFIED f�
TOTAL FEE S y -'� FINAL
.$APARTMENT OF BUILDING
AND
SAMY ELECTRIC
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COUNTY OF LOS ANGELES jiLli� �i�
M. J. FOX CHIEF ENGINEER
NAME DISTRI O:' G�RLCO?LJB I-ZONE PERMIT NO.
ADDRESS
RECD VED 13Y READY FOR DA 188UED
CI COUNTY p�y� L.NP r `��'1- FIRST INSPECTION r� ,� ���
CERT.NO. ry y EXPIRES dC��
AP
A. FILL IN HEAVILY OUTLINED PORTION ONLYJOB
v
DESCRIPTION OF WORD DDRESS r 'ej L-
NUMBED OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS 8W. PLUGSF&T CROSS ST.
CIRCUIT A B C D E F G H IC NAME ✓�
Z MAIL
ADDRESS
1 CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANG.E..ISw COUNTY CERTIFlC TE OF QU IFICATION.1
f ` ELECTRICIAN.
SOA B TIME LEGAL OWNER OF TINE PROPFJD
tTY DESCRIBE
OWNER.
CO CYTONS
a
z
c�
0
TOTAL
NO. OF OUTLETS ffi �f� APPROVALS
NO. OF FIXTURES ffi DATE IN ACTOR'S NAME
NO. OF MOTORS H.P. ffi CONDUIT i Z y
NO. OF SIGNS TRANS. ffi WIRING
NO. OF RANGES OR HEATERS ffi FIXTURES
MISCELLANEOUS ffi POWER A
PERMIT FEE ffi � - UTILITY CO.NOTIFIED
TOTAL FEE .r j FINAL "a
7SSS9
B5-5A 9.5E FOR Oo i ELECTRIC PERMIT
■
D
' DMSION OF BUILDING AND SAMY
Department of County Engineer l /p�
County of Los Angeles AD RESS Z �• iZ,L1S i
WM.J.FOX.COUNTY ENGINEER
CASSATT D.GRIFFIN.SUPT OF BUILDING
a :*. LOCALITY 'c lvl
r FOR APPLICANT TO FILL IN NEAREST LA Q'U bV/�S
PERMIT FEES CROSS ST.
NUMBER EACH FEE
LIGHT OUTLETS OWNER (01NM&NI IN W14 IM
RECEPTACLES MAIL
ADDRESSI ..
WALL SWITCHES
TOTAL OUTLETS 5¢ S CITY TEL,NO.
ELEC.RANGES25 ELECTRICIAN l2?
ELEC.
_ HEATERS -25 ADDRESS I COt'Z.DOVA,
D KW EA CITY L A, TEL.NO. 46-10152
FIXTURES 5 LICENSE NO. '2 587-
i
O7-
i NUMBER OF LIGHT CIRCUITS - .DISTRICT NO. GROUP ZONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS b/Fj
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER I INC. EACH
I/2 @ LESS $ .25
p, 2 .50
.25 1.00
`a .5 15 1.50
15 50 2.50
S 50 200 5.00
x MISC.
NO.SIGNS NO.TRANS. too
S NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
' WIRING $1.00 O�
FIXTURES $1.00
SUPPLEMENTARY .501 APPROVALS
y TOTAL FEE $ 2 OAD DATE INSPECTORS SIGNATURE
' 1 HEREBY ACKNOWLEDGE THAT I HAVE.READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED .AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER 0 THE BOVE POWER
DESCRIBED RESIDENTIAL P ER
SIGNATURE y UTILITY CO.NOTIFIED
OF FERMI FINAL �O G Wf%a - E
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR
tC06 9 3 F JUN 14 2 2.0 0 to
� D
APPLICATION FOR ELECTRIC PERMIT 1
VISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
WM.J. FOX.COUNTY ENGINEER ADDRESS e
CASSATT D.GRIFFIN.SUP'T OF BUILDING
R&A MM LOCALITY P L. C I q
FOR APPLICANT TO FILL IN NEAREST
PER]V= FEES CROSS ST. LA, S —['U W IIS
NUMBER EACH FEE
OWNER kY0 0 f IV w qt-m
LIGHT OUTLETS
RECEPTACLES MAIL
ADDRESS
t, WALL SWITCHES
TOTAL OUTLETS g¢ $ CITY TEL.NO.
ELEC.RANGES 25 ELECTRICIAN CO S IJ F—
ELEC. HEATERS 29 ADDRESS 17 1`I Cc.P+�av A ST
t KW EA CITY TEL.NO. i�E 301
FIXTURES 5 LICENSE NO. �. O'Z
h NUMBER OF LIGHT CIRCUITS - DISTRICT NO. G%OUP ZONE READY FOR INSPECTION
y NUMBER OF RECEPTACLE CIRCUITS
MOTORS �7/Y
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
R1&LESS S .25
I/z 2 .5o
.2 5 1.00
r 5 15 1.50
15 50 2.50
Y
50 200 5.00
MISC.
!1 I.
NO.SIGNS NO.TRANS. % ao
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING $1.00 b0
FIXTURES $1.00
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE S O0 DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I A THE LEGAL OWNER OF E ABO E POWER
DESCRIBED RES ID AL P ERT%
SIGNATU EUTILITY CO.NOTIFIED
OF PER TT - FINAL 3 )h 'GaJ
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR