HomeMy Public PortalAbout6252 ROSEMEAD BLVD_Electrical__ 'COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER C 13�0 C
DIVISION OF'BUILDING & SAFETY
WILLIAM J. FOB, COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN . 1 //�/ 7"
ADDRESS RECEIVED BY READY FOR DATE ISSUiD
R;V' ( FIRST INSPECTION
CITY ALHAMB TEL' NO
COUNTY LICENSE NO, 1132" IRES BUILDING
PERICT FEES ADDRESS
NUMBEFEE
R EACH LOCALITY �—
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST.
WALL SWITCHES /
tOWNER
TOTAL OUTLETS ) 5c >$ �v
!MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS25
FIXTURES 5 ' CITY TEL. NO.
MISC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF LIGHT CIRCUITS t7 APPLICATION AND STATE THAT THE ABOVE 19 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 THR—ABOV5 //VALID LOS
Numa HORSEPOWER FEE , ANGELES COUNTY LICENSE, O ,FAM THE L7F6AL OWNER
New My eHP OVER INC. EACH ✓ // /
OF THE RESIDENTIAL P� CRIBED ABOVE.
'x s LESS $ .25 J /
SIGNATURE OF
+/2 2 .50 PERMITT
2 s 1.00
5 15 1.s0 - - INSPECTION RECORD
is 50 2 so
50 200 5.00
200 500 10.00 J
500 1000 15.00 Q
z .
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP
WIELDERS: AC-KVA O
GENERATORS -KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. R�
NO. NO. LAMPS APPROVALS
FOR EACH PERMIT:
DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT F4 �?_/91
FIXTURES $1.00 1 WIRING A K -
SUPPLEMENTARY .50 FIXTURES h { ✓rte fn
+ -
POWER
TOTAL FEE $� UTILITY CO. NOTIFIED
FINAL / -v (.-p/vgA,,
76A•88 DBS# SA. 4-32 1