HomeMy Public PortalAbout6159 ROSEMEAD BLVD_Electrical__ 7aA569 098 SA 7-51 - .�, APPLICATION FOR•PERMIT
DEPARTMENT OF.BUILDING AND SAFETY
.COUNTY OF LOS ANGELES ELECTRIC
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICtrA,N f TO FIS L IN+ DISTRICT NO. GROUP ZONE PERMIT NO2.
ELECTRICIAN �f ,, Iy 'I �:� +?_:
/J��
�• T•• //w a RE IVED BY READY FOR DATE ISSUED
ADDRESS I— 9"-?d i °! 4"; A 4r7S:,','L- -;t,-"__=,•.I. FIRST INSPECTION '
CITY LI TEL NO._Art 4lIF
BOUNTY LICENSE 16. 9 � w EXPIRES �� a.. d
OBUILDING f V
PERMIT FEES ADDRESS 7 r_
dr
NUMBER EACH FEE LOCALITY � i�Y..•� •`� �
LIGHT'OUTLETSNEAREST Jt
CROSS ST. ... - .
RECEPTACLES.
WALL SWITCHES 3 OWNER
TOTAL OUTLETS ? 5C '$ MAIL
ELEB. RANGES r 2g ADDRESS
,,,� �,r �. /p`
ELEC. HEATERS 29 CIT1l JS'.-.nf4rRdT �ti. TEL.. NO. 71, F V /
FIXTURES �.,,� 5 II/ ' r I
I HEREBY ACKN WLEDGE THAT 1 HAVE READ THIS
MISO. ,APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS .AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS 7 AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS. THE ABOVE VALID LOS
NUMBER HORSEPOWER . FEE ANGELES COUNTY LICENSE, OR I 'AM THE LEGAL OWNER
NEW MVD. HP OVER INC'. EACH :OF'THE RESIDENTIAL PROPERTY.-DESCRIBED ABOVE.
%a
's LESS $ .25 �1 Of
SIGNATURE..OF J�
!/a 2 .50 PERMITTED r d` f I
2 5 1:00 INSPECTION RECORD
5 15 1.50
15 50 2.50
5O 200 5.00
200. 500 10.00 J
.500 1:000 15.00 Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA O
GENE!ATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIS.)
MOVED MOTORS- .(75% OF ORIB:)
MISC.
SIGNS
No. N O.TRANS.
APPROVALS
NO. . NO.LAMPS
FOR EACH PERM'ITs DATE INSPECTOR'S NAME
WIRING $1.00. CONDUIT
.�.► WIRING.
FIXTURES 101.00 A c
SUPPLEMENTARY •.50 FIXTURES 1 -tt_ilfi
POWER
TOTAL FEE s �. .UTILITY.BO.NOTI-FIEO I
/ �
FINAL L-4-/'° nt j. PEk,!
• i
D.B.B.SA 25H BETS 10-47 APPLICATION
FOR PL7rAldl[iNlg�
IDEPAIi.T1diENT OF I4LTILDIN�s AM SAF�Y 1'B«E1�L1�l1E11C1� 1`ll IL'IIC11��89.
COUNTY OF LOS ANG LES
J.-FOX cHiEr zm I VXR.,,O
a NAME �� DISTRICT NO. GROUP ZONE PERMIT NO.
U
rc ADDRESS
RECEIVED' � READY FOR DATE-ISSUED
W CITY TEL.NO. FIRST INSPECTION ,
COUNTY sjid
d CERT.NO. EXPI jgEG
,PPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK Jo
FIx*t&'rc
ESS 1�� �
NUMBER OF OUTLETS ON CIRCUITS LITY _ f flfl
LOCATION BY ROOMS EST '
LIGHT OUTLETS SW. PLUGS S ST. w
CIRCUIT A B CID F G HNAMEMAIL ADDRESSjr
CITY n�. TEL.NO ``v`��
1 AM THEPOSSESSOR OF THE ABOVE LOS
ANGELES COUNTYRTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AM T=LXWM OWNER OF TH8 PROP TY DESCRJBED
ABOVE ���CJ •
t ✓� o
OWNER.
' C0$H3 MONS
..I
a
z
c�
O
I� L
NO. OF OUTLETS S APPROVALS
NO. OF FIXTURES S DATE INSPECT'OR'S NAMIE
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. `.3 WIRING
NO. OF RANGES OR HEATERS FIXTURES
MISCELL NEOIIS $ POWER p
�L FFINAL
PERMIT FEE UTILITYCO.NOTIFIED n,®
c -/ •/
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� TOTJEE