HomeMy Public PortalAbout4860 GOLDEN WEST AVE_Electrical__ �eAa�1b�sA „-aa APPLICATION FOR PERBM
DEPARTMENT OF Na Nn SAFETY
ELECTRIC 1
COUNTY OFF LOS LOS AANGELES
WILLIAM J. FOX, CHIEF ENOINEEI�
FOR AP LICANT TO FILL IN DIOTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN (?
R <Y READY FDR DA ISN1Um
ADDR[NH FIRST INSPKOTION r$ /�
OITY TQL NO.
DOUNTY LICENSE MEL - IRES BUILDING
PERMIT FEES ADDRESla �o O
NUMBER UCH F[[ LOCALITY t
LIDHT OUTLETS NEAREST
OROiE NT.
RECEPTACLES
WALL NWITCHEN OWNER
TOTAL OUTLETS Bo MAIL
Eli RANGES 46 ADDRESS -�'_
111Li0. HQATQRS sa pl - •TEL N0.
FIXTURES N I HERESY ACKNOWLEDGE THAT I HAVE READ THIN
MIB APPLICATION AND STATE THAT THE ASOVE IN CORR[OT
NUMBER OF LIGHT CIRCUITS AND AGRQ TO COMPLY WITH ALL COUNTY ORDIMANOL13
NUMBER OF RECEPTACLE CIRCUITS AND STAT[ LAWN R[OULATINO ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POJWli THE ASOVE VALID LOS
NUMttR HORSEPOWERFE[ ANOELKA COUNTY LICENN[. ON 1 AM THE LIOAL OWNER
N[w li HP ovu ING. KAP OF THE PJMID[MTIAL PROPERTY DESaRIB[D ASOV L
i
LEEN 111 .Z6BIBHATIJRIE CFiz
.11110
P[RMITTE -
3 S 1.1313 INSPECTION R$CORD
6 1S 1.50
16 BG Y BO
4
60 400 0.00
200 1500 10.00 J
BOO 1000 15.00 Z
OVER 1000 =cm 113
M.O. mirT/Fili CHANGER—HP m
WELDERBI AO—KVA O
13ENERAT13RH — KW
TRANNFORMERS - KVA
TEMP. MOTORS (70or omi0.)
MOVED MOTORS 719 or oRimJ
MIB
SIGNS
NO. NO.TRANS. APPROVALS
N0. N0. LAM
FOR [ABH PERMITI
DATT INSPECTOR'S NAM[
WIRING Ii (137 OONDUIT
FIXTURO 411.00 IRING QV
P T SO rix-r.JR[s
PCWER
TOTAL FEE UTILITY CO.NOTIFIED
iY� FINAL