HomeMy Public PortalAbout4852 GOLDEN WEST AVE_Electrical__ 76Aae9-CE00611/70 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDR7
COLKMAN W. JENKINS u IN KNT u LOCALITY
NEAREST ` ,
FOR APPLICANT TO FILL'IN CROSS ST.
OUTLETS N6. IIACHI FEE- OWNER
S S d
RECEPT._ MAIL
ADDRESS �/ E
LIGHT TOTAL FIRST 20 25
CITY STEL. N0.
SWITCH OVER 20 10
- PLAN CHECK
LIGHTINGTOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
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APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER-WTR. HTR. APPLICA
STA. COOK DISP. F.A.U. ADDRES
SPACE HTR. AIR COND. CITY EL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THEABOVE 19 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORM ERS RATING WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE S TYPE OVER TO
IHERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 100 LICENSED AD RED OS ANG[LFA COUNTY AND STAT¢ OF
CALIFORNIA OR THM LESAL OWNER O NT[ND TO
RESIDE IN, THEAT OVE SCRIBE RES TIAL ROPERTY. O
1 — 10 S, GU
SIGNATURE ` U
10 — SO 8.00 OF PERMITT
EO — 100 fpm OIDTJICT NO. �CI_AfliIZON P ESSED Y O
100 - 50.0 16.00 -"5 .0 �LTrrJjjj
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SIGN, GAS SIGN AND ONE CIRCUIT &00 NOTES: h
Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1A0
SERVI CENOT OVER 600 VOLTS OR 200 AMP SAO
APPROVALS DAT[ DIDPECTOMS SNYMTUA!
SERVICE OVER 600 VOLTS OR 200 AMP 10A0
TEMP.POWER POLE
TEMP SERVICE,POLE, INAPPURTENANCES &CO
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTUR
POWER AUTHOR]7FD
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTJFIED
PLAN CHECK FEE
FINAL L 7Z-
PERMIT ISSUING FEE Dm JOSEP ELRTRICAL
OOHAN
TOTAL FEE - SUPERVIS N ECENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATI cK CASH
� 59r) Z.o MAY ? D M.O.6.00-
S[[ BACK OF APPLICATION FOR COMPLETE SCHEDULE
'7eAeeA-ca80e 07i 70 APPLICATION FOR ELEC RICAL PE IT LJ
CC5UNrY( OF LOS ANGELES
blEPARTMENT OF—COUNTY ENGINEER BUILDINIO
BUILDING AND SAFETY DIVISION ADDRESS
COLKMAN W. JENKINS, SupKptimTKNU LOCALITY
NEAREST
ST /t./n �
FOR APPLICANT TO FILL IN CROSS
.
OL E TS N6a TACH FIE
OWNER
RECEPT. MAIL
LIGHT_ TOTAL
FIRST 20 (11 22 / ADDRESS G-
OVER 20 CITY _T TEL. N0.
SWITCH _ .10 PLAN CHECK
LIGHTING1 FIRST 20 �y X75 APPLICANT
)y TOTAL G
FIXTURES ( OVER 20 10 ADDRESS
APPLIANCES CITY TEL. NO,
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS nk
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.
FAN OTHER IM I HERESY ACKNOWLEDGE THAT I HAV[ READ THIS APPLICATION
AND /TAT[ THAT THE ABOVE 1/ CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RAT]ME
WITH ALL COUNTY ORDINANCES AND /TAT[ LAW/ REGULATING
IND. HEATERS, ETC. HP. KW. RVA. ELECTRICAL WIRING.
SIZE 5 TYPE OVER TO
I HERE By
CERTIFY THA I AM PROPERLY RE011 T[R[D AND/OR
0 - 1 1.00 LICENSED A/ REQUIRE 05 ANGELES COUNTY TATE OF
CALIFORNIA OR THAT A LEGAL OW N9R AND END TO
1 - 10 900 RESIDE IN, THE SO SCRIS RES MTIAL P P.RTY.
10 — 50 600 SIGNATURE U
OF PERMIT
OC
50 - 100 1 O D19TRICTNO6.� CLAI/ RO ED 15 GO
100 — 500 15.00
CL
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES; �/Jf//71
J Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1-00
S ERVI CE NOT OV ER EDO VOLTS 0 R 200 AM P 3A0
APPROVALS DATE [SPECTOMS SIGNATURE
SERVICEOVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIU
WIRIN4mdgkv
FIXTUR
POWER AUTHORITED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL 1
PERMIT ISSUING FEE 3.D0
JO E C. ROOHAN
TOTAL FEE 75 SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. CA
4 4 4 WT 2 9 2 D 4.75- 4
SEE SACK OF APPLICATION FOR COMPLETE SCHEDULE
COUNTY OF LOS ANGELES TR?- T CITY 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TOM EL 0508 100225003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ETT:
LEGAL ID: FEES PAID BTELDIHG ADDRESS:
ON FILE 4852 GOLDEN %= AV
FEE DESCRIPTION: QIDINTITY: DOM: AMOUNT: TEMP CA 917803935
ASSESSOR INFORI{ATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8589-020-020 Al PERMIT ISSIDUKM+ FEE 27.75 TBOOMS PAGE: 597 GRID: A5 LOmC LZTY: TEMPLE CITY, C
G1 OUTLETS-L(?T,SW,REGP 30.00 OUT 52.50
TENANT: G2 LIGHTING'FIXTURES 15.00 LCAT 29.25 ISSUED ON: PROCFiSSED BY: PLAN BY: =IRE.9 ON:
LB 200 AMP PANELS, MCC 1.00 PAN 38.85 02/25/10 SR 02/25/11
TOT7aL FEES 148.35
OWNER: TEL. NO: FINAL DATE FTNAL BY: CODE:
PRICE, WILLIAM A (626) 808-8857 '.
4836 GOLDEN WEST AV ;1,2,2-f'/L�
""
TEMP 917803935 DESCRIPTION OF WORK
ELECTRICAL RE-WIRE EMPIRE GUEST HOUSE AND UPGRADE SERVICE
PANEL TO X00 AMP
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIG2UaURE
SAME AS OWNER -
LIC. NO TRIPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHTTEC.T OR E&GII=: TEL. NO: UFER GROUND
LIC. NO: - ROUGE COND=
ROUGE W R329G
MTp WATER LINE
PLASTIC Y/N METAL Y/N
UT-L Y COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: B50508