HomeMy Public PortalAbout6233 ROSEMEAD BLVD_Electrical__ 76A669 DOS SA 7-51 - - APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY ELECTRIC 1
COUNTY OFF LOS LOS ANGELES -
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPYICAIY TO FILL IN
DISTRI/P ANO. GROUP ZONE PERMIT NO.
�
ELECTRICIAN .
RECE VE BY READY-FOR DATE ISSUED
ADDRESS � � O .� •y� J .� FIRST PECTJON / /r 2-2
CITY TEL N •��
COUNTY LICENSE EXPIRES � ' � BUILDING (�� 3� LJnI�/J�/
PERMIT FEES
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS CROSS BT. (J 5
RECEPTACLES �-
WALL SWITCHES OWNER K ��
TOTAL OUTLETS Sc 9 MAIL
ELEC. RANGES r '85 ADDRESS
ELEC. HEATERS 25 CITY /`TEL. NO.
FIXTURES B I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS .
M18C. APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POB BB THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LIC SOR 1 AM T LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RE6IDENTIA OPER BCRI E BOVE.
V2 s LESS 9 .25 'SIGNATURE
I/2 2 .50 PERMITTE
2 B 1.00 INSPECTION RECORD
5 . 15 1.S0
is BO 2.50
5O 200 5.00
200 500 10.00 JQ
500 1000 75.00 Z
OVER 1000 20.011 L�
M.G. BET/FREQ. CHANGER-HP
WELDERB:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% DF DRIO.)
MOVED MOTORS (75% 'UF URIU.)
MISO.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS 1
FOR EACH PERMIT? DATE INSPECTOR'S NAME
WIRING 91.00 CONDUIT
FIXTURES 91.00 WIRING 1 7.2•
i f •1 :k,.
SUPPLEMENTARY .50 ,FIXTURES
( POWER
�-
TOTAL FEE Old ,UTILITY co.NOTIFIED r
[ FINAL p s,j'�J L ✓ 1'
76ABB8 APPLICATION FOR -ELECTRIC .PERMIT
- ];
DBS-SA 12.54
DMSION OF BUMDING AND SAFETY
Deportmant of County Engineer
County of Los Angeles BUILDING '
WM.J. FOX, COUNTY ENGINEER ADDRESS ' ♦ �.�IQd
CASSATT D.GRIFFIN, SUPT OF BUILDING
iM
LOCALITY
FOR APPLICANT TO FILL IN
PERMIT FEES NEAREST
CROSS ST.
NUMBER EACH FEE
LIGHT-OUTLETS OWNER MAIL // S�ED���.
RECEPTACLES - ADDRESS. 3.3.. /Y r A u,s E /V L A
WALL SWITCHES
TOTAL OUTLETS 5o S CITY TEL. NO.
ELEC. RANGES 25 ELECTRICIAN -
ELEC.HEATERS 25 ^ '
ADDRESS �j� .y ,�R.�/a
KW EA CITY TEL. NO.
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS
DISTRICT NO. I GROUP ZONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS I
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH _
1/12 6 LESS $ .25
1/2 2 .50
2' S_ 1.00
5 15 1.50
15 50 2.50
50 200 5.00
MISC.
12 N R P n f- r'F 1/1
Pi rF:s
J
NO. SIGNS NO.TRANS. 7-A//f 9 af,la N�,�
NO.SIGNS NO. LAMPS M !r rTFI) Ar� R. eo I.-nai .
FOR EACH PERMIT: M'.
WIRING $1.00 777 42 37
AIR FIXTURES /�
SUPPLEMENTARY ,50
t ,p/,-,?APPROVALS p•a d 1
TOTAL FEE $ / w DATE INSPECTOR'S SIGNATURE
AHEREBY. ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT s�G�,•.
D STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY '� r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. -
1 HEREBY CERTIFY. THAT 1 AN PROPERLY REGISTERED AND/OR FIXTURES'
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT 1 AM E TEGAWNER ABOVEDESCRIBED RESIDENTIAL R TY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE P aT TTFTIINNAAL r t)1
WILLIAM J:FOX.COUNTY ENGINEER VAT+ 'f3 2 Ian JM M 9 - 2 'l-2 5 10
fro BY
® � J'�'Cr�d DEPUTY
76A663 5A 25M BETE 7.48 + af1Di?fV��AW 71A� rL�t•1tIR917�
DEPA� OF BUILDnaG AND EL/E Vim FOR �I�CI��Li
COUNTY OF LOS ANGELS$
CHI F EER
NAME p��(l �'=" {,� J DISTRICT NO. GROUP Z�Oj1�E PERMIT NO.
U ADCRESS.1• /�//�l \JCP!d / / />/1'-1"
I _
CITY� A"rA,d r .{> j TEL.NO.,o V/-�?,q+J RECEIVED BY READY FOR DATE IssUED
FIRST INSPECTION �"
L CEN END. J / EXPIR684 ��
APPLICANT FILL IN I$EAVMY OU'd.'LINED PORTION ONLY
BESCRIMON OF WORK A DRESS �� , �r� cel ti^..c, �
NUMBER OF OUTLETS ON CIRCUITS LOCALITY _
LOCATION BY ROOMS L
LIGHT OUTLETS SW. PLUGS FOLT CRASESST lll� '�!
CIRCUIT . A R C D E F G IH m NAME —)
Z MAIL
ADDRESS
a^ 9 CITY _TEL NO.
1 AM THE LEGAL POSSESSOR �Ft THB•:/ABOVE LOS
AMGWJM COUNTY CERTIFIICATE—O`�1QUALIFICAT�ION..
�f--,1 t .f','
ELECTRICIAN.,*
1 AM THE LMAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CoRRSCTaONB
— Q
z
n
17
TOTAL -
NO. OF OUTLETS $ APPROVALS
NO. OF FIXTURES ffi DATE INSPECTOR'S NAME
NO. OF MOTORS N.P. ffi CONDUIT
NO. OF SIGNS .TRANS. ffi WIRING
NO. OF RANGES ORDERS' FIXTURES
MISCELLANEOUS ffi POWER
PERMIT FEE ffi UTILITY CO.NOTIFIED
TOTAL FEE 0. FINAL