HomeMy Public PortalAbout6210 ROSEMEAD BLVD_Electrical__ '8A888-CEBOS-10.58 APPLICATION FOR ELECTRIC PERMIT
BUMDING AND SAFETY DIVISION
De artment of County Engineer FADDRE
/
1?County of LOS Angeles GJ�� IO �t . zt !?JOHN A.LAM-81E.COUNTY ENGINEER
CASSATT D. GRIFFIN.SUPT OF BUILDING
FOR APPLICANT TO FILL IN ROSS ST. '�--
PERMIT FEES _
LIGHTS RECEPTACLES
sWITCHFS OWNER (�(��fr/J
NUMBER I T E M EACH F MAIL
- ADDRESS
TOTAL OUTLETS $ .10 $
ELEC. RANGES, WATER HEATERS, CITY TEL.NO
CLOTHES DRYERS .50
ELEC. SPACE HEATERS, STAT'Y. COOS. ELECTRICIAN =-
INS UNITS, GARBAGE DISPOSERS, ADDRESS �Z
-
I I
AUTO WASHERS, DISHWASHER .23
LIGHTING FIXTURES .10 Cy�� CITY TEL.NO.
MOTORS STATE
LICENSE NO. rt
HORSEPOWER
H.P. OVER INC. DISTRICT NO. I GROUP ZONE I READY FOR INSPECTION
Va&LESS .25 .
>k — 2 .50 INSPECTION RECORD
2 s 1.00
5 1s 1.50
1s s0 2.50
50 — 200 5.00
misc.
SIGNS I NO.TRANS
NO.LAMPS
SERVICE O-GOOV 1.00
SERVICE OVER GOOV 5.00
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 / r
SUPPLEMENTARY PERMIT .50 APPROVALS
TOTAL FEE $ DATE INSPECTORS IGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP.ICA ION ,G
AND STATE.THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT "VII/
{qJ�s
ELITH ALL COUNTY ECTRICAL WIRING,ORDINANCES AND STATE LAWS REGULATING WIRING Z' /-VI /% Ile (V
I HEREBY CERTIFY THAT I AN PROPERLY •REGISTERED AND/OR FIXTURES /
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 6
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROP TY� r f
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE FINAL
IOHN A. LAMBIE. ATION ARTHUR C.VEIT.
:OUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER
K MO CASH
q�4 '1 7 .5 E:;. NU 8 2 7.10 R
'6A663-aES06-6-57 APPLICATION FOR ELECTRIC PERMIT,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING D
BUELDING AND SAFETY DIVISION ADDREss
JOHN A.LAMBIE..COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO-FILL IN CROSS ST.
PERMIT FE_ E$
OWNER
LIGHTS RECEPTACLES SWITCHES
NUMBER ITEM - EACH FEE MAIL
ADDRESS c7f
TOTAL OUTLETS $ .10 $
ELEC. RANGES, WATER HEATERS, CITY C /, TEL.NO.
CLOTHES DRYERS .50
ELEC.SPACE HEATERS,STAT-Y. COOK- ELECTRICIAN L .
ING UNITS. GARBAGE.DISPOSERS, ADDRESS
AUTO WASHERS, DISHWASHER .25 O'''``
LdA+
IGHTING FIXTURES .10 CITY . Cd J. TEL.NO
MOTORS STATE
LICENSE NO.
HORSEPOWER
H.Pr OVER INC. D STR 0. 1 GROU A I-IJ14M I READY FOR INSPECTION
Va B:LESS .25
+/a - 2 .50INSPECTION RECORD
r
2 S 1.00
5 15 1.50
IS 50 2.50
SO 200 5.00
41j 1,17
SIGNS I NO.TRANS
NO.LAMPS
SERVICE O-600.V 1.00
SERVICE OVER 600V 5.00
WIRING PERMIT 1:00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT' .50
TOTAL FEEAPPROVALS
' $ DATE
INSPECTOR'S S16 MATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ' APPLICATION ,..
AND STATE THAT THE ABOVE 1S CORRECT AND .AGREE TO COMPLY CONDUIT //qiT .!•/.A,'
WITH ALL COUNTY 'ORDINANCES AND STATE LAWS REGULATING .-
ELECTRICAL WIRING. 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 OF THE ABOVE .. POWER
DESCRIBED RESIDENTIAL PR ERT f. -w, qq
SIGNATURE 1V � UTILITY CO.NOTIFIED
OF PERMIT— d d Yob
F-I-r1l A V
IOHN A.LAMBIE. ARTHUR C.VEIT,
.OUNTY ENGINEER SUPERVISING SUPERVISING ELECTRICAL ENGINEER
CK N10. CASH
2 7 8 9 SEP 3 0 2 1.2 0 .R_
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