HomeMy Public PortalAbout6143 ROSEMEAD BLVD_Electrical__ COUNTY OF LOS ANGM.ES APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER ELECTRIC 1
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX COUNTY ENGINEER i r
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN / ¢�• Q �-� /10L
I
ADDRESS .,Vsem "lsr.J RECEIVED BY READY FOR DATE ISSUED
CIT TEL NO. + `y FIRST INSPECTION r
COUNTY LICENS NO. v EXPIRES BUILDING
PERMIT FEES ADDRESS
FEE -� -�
NUMB EACH LOCALITY
LIGHT OUTLETS NEAREST r
RECEPTACLES CROSSST
WALL SWITCHES ,
OWNER"t,�.-.v ,C c-,A
TOTAL OUTLETS Sc g DMAIL
ELEC. RANGES 25 ADDRESS 0 ?-3 XC7
ELEC. HEATERS 25I TEL. NO. kd'�� b
FIXTURES 5 tl d CITY_ �' �" e "J
MISC. I HEREBYACKNOWLEDGETHAT 1 HAVE READ THIS
NUMBER OF LIGHT CIRCUITS "7 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
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 LAS
NuNBER HORSEPOWER FEE ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
New MVD. HP OVER I INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
12 a 1.699 $ .25 /
SIGNATURE cmr �A
1/2 2 .80 PERMITT
2 5 1.00 INSPECTION RECORD
5 15 1.50
18 SO 2.50
SO 200 5.00
200 SOO 10.00 — n� AAA10Y
J
SOO 1000 15.00 n X49 q �j a
Y �� �/ A��D �� // �NY�' Z
OVER 1000 20.00 n ,/� /�,� `V:
M.G. SET/FREQ. CHANGER-HP "r'�I'{. �!!/��� �P� �� a
WELDERS: AC-KVA SA _v to hA-fA) 1XP 0
GENERATORS-KW 1111,2121
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% of oR1a.) x rwno
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAM
FOR EACH PDATE INSPECTOR'S NAME
WIRING $1.00 / QQ CONDUIT
- 13
r/ 7 �/
FIXTURES $1.00 / Z) D WIRING -7- / d i 11l '34t
SUPPLEMENTARY .50 FIXTURES -2 !S 6 /Jf r, if2,
POWER
TOTAL FEE UTILITY CO. NOTIFIED b
FINAL �'7.7-S�' �I 4
76A hes 1399# 9A. X-92 -