HomeMy Public PortalAbout4904 GOLDEN WEST AVE_Electrical__ ' 'AaAeea D".A 11 APPLICATION FOR PERMT
DEPARTMEI1T OF BUILDMG AND SAFETY
L°°A OF LOQ ANGELES
WiELECTRIC 1
LL1AM J. FOX, CHIEF ENOINQQR ,
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
RE VI READY FOR DATE UISUED
ADDRESD FIRST INSPECTION
CITY N
COUNTY c O O Bu.ly Ma el
PEIMT FEES ADDRESS
F'Q
UU,,c-Hl
LOCALITY
LIGHT OUTLETS NEAREST
CROSS ST.
RIECKFTACLAX
WALL SWITCHES OWNER
TOTAL O Sc s MAIL
ELIC. RANGES 2S ADDRESA
In WC. HEATERS 20 CITY
TKl- NQ
POSTURES S
1 HLRESLE
Y ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND NATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUIT8 Y AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RI<ClKPIACLE CIRCUITS AND STATQ LAWS REGULATING 13MCTRICAL WIRING,
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMuR H 0 R R FIE ANGaT
EO COUNTY LICENSE, LEGAL OR 1 AM THE EGA W
ONUR
QOW
NM MVD. HP Duni1Nc.
ucll OF THE RESIDENTIALL
PRO DESCRIBED A DOV
• .!S SIGNATURE OF
4 .60 FL2MITT
2 A 1.00 INSPECTION RECORD
is to 1.20
1S SO 2.50
no 200 15.00
200 500 10.00 J
500 1000 10.oQ
OVER 1,000 20.00
M. G. eirr/FRxq. CHANGER-HP
WQLDESBt AC-KVA
GENERATORS-KW
TRANSPORMQRS-KVA
TEMP. MOTORS 7 of oma.
MOVED MOTORS 7 of oma.
SIGNS
NNQI NO. LAMrf -T70. NO. TRANS. APPgOYALB
DATE NDP OR• AM
FOR EACH PL7M
CONDUIT
WIRING $1.00 /11011—
FIXTURES 1.00 WIRING
SUPPLXMQ ARY .50 FIXTURES
POVMR
TOTAL FEE rt UTILITY CO. NOTIFIED ¢
IN
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76AG92 D"eA 11-e0 - APPLICATION FOR PERM
DP?AR'fHENT OF BrncDING AND SAFEPY ELECTRIC 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
RECEIVED BY READY FOR DATE IMUED
ADDREHB FIRST INSPECTION
CITYea� TEL. N
UNW I-ICKNPIF IgO, BUILDING
PEami FEts
ADDRESH
Fits
NU BER EAC LOCALITY
LIGHT'OUTLIKTS NEAREST
CROSS ST.
RECXPTACLYS
WALL SWITCHES OWNER lw /l J'
TOTAL OUTL - DC MAIL
"C: RANG¢S IID ADDRESS
SEC. HEATERB 2b CITY O.
FIXTURES a
1 HER[BY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
NUMBIEt OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECKFTACL6 CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 PO&SXSS THE ABOVE VALID LAS
Numom HORSEPOWERAGELES COUNTY LICENSE, OR I M THE LKGAL OWNER
FEE NAW NEW HP ovu INC_ Gc7i OF THE RESIDENTIAL PROPERTY DESCRIBEDABOVE.
ABOVMw.
1 Lip .2 Li .26 SIGNATURE OFva
II .DO PERMITT¢R
2 a .1 OQ IN EC nON RECORD
b 1 D
1.210
RECORD
1b 150 2,50
ao 2'60 15'o-0
200 boo 10.00
Goo 1000 15'o-0 Z
OVER 1000 20.00 0
M. G. GCT FRE . CHANGER-HP Ir
WELDERS: AC-KVA O
GENERATORS-KW
TRAN13FORM1319-KVA
TEMP. MOTORS 7 OF Oa10.
MOVED MOTORS 7E OF o;UQ.
SC.
SIGNS
NO. NO. TRANS. APPROVALS
NO, NO, LAMPe F
DA INS NAME
FOR CHP MITI
WIRING 7luz. Az 101.00 CONDUIT
FIXTURRS 41.00 WIRING
SUPPL EMEITARY 50 FIXTURES
POWER
TOTAL FEE >t �� UTILITY CO. NOTIFIED
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