HomeMy Public PortalAbout6110 ROSEMEAD BLVD_Electrical__ 7SA663 DBS SA 7-sl APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO F LL IN DISTRICT NO. GROUPI ZONE PERMIT NO.
ELECTRICIAN J0
CEI ED BY READY FOR DATE ISSUED
ADDRESS o i I� r + �npr ��•. FIRST INSPECTION
CITY TEL.NO.,
o 1
COUNTY LICENSE N � EXPIRES o a� a BUILDING
PERMIT FEES �.► ADDRESS
FEE LOCALITY
NUMBER EACH -
LIGHT OUTLETS NEAREST
CROB9 ST. A n
RECEPTACLES � �
WALL SWITCHES OWNER V
TOTAL OUTLETS SD $ 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 19 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TC COMPLY WITH ALL COUNTY ORDI:NANCEH
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 RESIDENT4.1 O ER Y DESCRIS D BOVE.
4
%2 A LEES $ .25 SIGNATURE or ==E? ` tr y
%p 2 .50 .PERMITTEE --T
2 s 1.00 INSPECTION RECORD
_ 5 is lsD
is 50 2.50
s0 200 5.00
200 500 70.00 J
500 1000 15.00 Z
OVER 1000 20.00 Ig
M.G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (.75% or CRIIa.)
MOVED ORS (7596 O 011113 !
MISC.
SIGNS
NO. NJ, NO.TRANS.
APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT. DATE INSPECTORPB NAME
WIRING $1.00 v CONDUIT 1Iw
Y f
FIXTURES $1.00 WIRING &(I,
SUPPLEMENTARY .50 FIXTURES
POWER f
TOTAL FEE $ , �Q UTILITY DD.NOTIFIED /a .q//
FINAL t t/1
76A663"DBS SA 7-51 APPLICATION FOR PERMIT
DEPARTMEjIT OF BUILDING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICATO FI IN •DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
s - T 0-t
• RECEIVED BY READY FOR DATE ISSUED
ADDRES :1 �� j� FIRST INSPECTION
CITY
COUNTY LICENSE NO EXPIRES BUILDING
AA
PERM FEES ADDREBS�
FEE
NUMBER EACH LOCALITY _
LIGHT OUTLETS NEAREST r V
CROSS 5T.
RECEPTACLES try 1
WALL SWITCHES z OWNER
TOTAL OUTLETS C� j 5C -41 5p MAIL
ELEC. RANGES 25 /Ls ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES I 62 1 HEREBY ACKNOWLEDGE THAT I 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 I CERTIFY THAT 'I POSSESS THE ABOVE VALID LOS
It
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE .LEGAL OWNER
FEE
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY D RIBED ABOVE.
%2 & LESS $ .25 SIGNATURE OF '- �'�Lr'!."--r'`v,
2 .50
PERMITTEE v
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 •50 2.50
50 8313 . 5.00
2CO 500 .10.00 J
500 1000 15.00 Q
Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP a
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (79% or oxim.)..
MDVF-D MOTORS (75%. of ORIG.)
MISC:
SIGNS
NEL NO.TRANS. APPROVALS
i
NO. NO.LAMPS
FOR EACH PERMIT? fDATE S'7 I ECTOR'B NAME
WIRING $1.00 0 CONDUIT
FIXTURES $1.00 d
WIRING i2 t��t41/
SUPPLEMENTARY .50 FIXTURES �`�� �S LI
POWER
TOTAL FEE �\j C UTILITY CO.NOTIFIED — ����n1.�G �A 1.4
U FINAL