HomeMy Public PortalAbout4910 GOLDEN WEST AVE_Electrical__ 76AS63 DBS 5A 25M SETS 11-4s APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
14 WILLIAM J. FDX, CHIEF ENGINEER
DISTRICT NO. GROUP ZONE PERMIT NO.
FOR APPLICANT TO FILL IN
ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
CITY TEL. NO.
BUILDING
LICENSE NO. EXPIRES ADDRESS
DESCRIPTION OF WORK
NUMBER OUTLETS EACH FEES LOCALITY ,
CROSS
LIGHTS SO $ STREET
RECEPTACLES 5
FIXTURES 5 OWNER
WALL SWITCHES 5 MAIL
ADDRESS
ELEC. RANGES 25
ELEC. HEATERS 25 CITY TEL. NO.
MISC. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER OF CIRCUITS INSTALLED: ANGELES COUNTY LICENSE.
LIGHTS RECEPTACLES
MOTORS
ELECTRICIAN.
NUMBER HORSEPOWER FEE
NEW I MVD. HP OVER INC. EACH
I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP-
1/2 6 LESS I $ .25 ERTY DESCRIBED ABOVE.
I/2 2 .50
2 5 1.00 OWNER-
S is 1.50 INSPECTION RECORD
is 50 2.50
50 200 5.00
200 500 10.00
500 1 1 000 15.1301 J
Q
OVER 1000 20.00 z
M.G. BET/FREQ. CHANGER-HP 2
WELDERS: AC-KVA Q
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
TYPE: NO.TRANS.
TYPE: NO. LAMPS APPROVALS
PERMIT FEE DATE INSPECTOR'S NAME
FOR ISSUING PERMIT: CONDUIT
WITHOUT FIXTURES $1.00 WIRING
WITH FIXTURES 1.25 FIXTURES
SUPPLEMENTARY .50
POWER
TOTAL, FEE ') //z4_K $ UTILITY CO. NOTIFIED
FINAL
DBS SA 25M SETS 1-46 APPLICATION
PP ICA TION FOR 4Li!PMUIT II
DEPARTMENT OF BUILDING AND SAFETY S`Aill dpi it�l� FOR Y�iA���IY
COUNTY Off' LOS ANGELES liL ���C
e WM. J. FOX CHIEF p4olNeER
Q NAME DISTRICT NO. GROUP ZONE PERMIT NO.
ADDRESS IVY L !Y
I' RECEIVED BY READY FOR DATZ ISSUSD
W CITY TEL.NO. FIRST INSPECTION
COUNTY
CERT.NO. EXPIRES w
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS JSW. PLUGS FIXT CR -
CIRCUIT A B C D E F G H m NAME
Z MAIL
3: ADDRESS
O
CITY TEL.NO.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGLES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRAICIAN.
[ AM THE 1-EQA3.OWN
W 3ER OF THS PROPERTY .DESCRIBED
ALiOVF.
OWNER.
CORRECTIONS
i �II
J
Q
Z
0
TOTAL
NO. OF OUTLETS ' APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S DAME
NO. OF MOTORS H.P. $ CONDUIT i
NO. OF SIGNED TRANS. $ WIRING
KO. OF RANGE$OR HEATERS S FIXTURES
fAISCEL AN US $ POWER
PE MIT FEE $ UTILITYCO.NOTIFIED
TOTAL FjErj FINAL
.75AG-" D"MA 11-00 APPLICATION FOR PERM
bEPARTRIENT OF BUILDING ANDSAFETY
ELECTRIC 1
COIINTY OF LOS ANGELES
J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL INO]DtjSTFRUI.�CTNO. GROUP ZONE PERMIT NO.
ELECTRICIAN
ADD O eY FIRST IN Y F[OCTIONDA/T/��[1216701CITY TEL N 1/ /
U L C ■UILDING /v
FEES ADDR[Bf
PEBMITF1Q
NUMBER �C7�� LOCALITY
LIGHT OUTLETS NEAkKffT
.
R tC QIrTACLtf CROSS ST
WALL SWITCHES OWNER O
TOTAL OuTLxTq 15c V"2 MAIL
n IKC RANGES -Re ADDR V
ELIC. HLATE319 a15 CITY TKL, NoffrIP
FIXTURES Z e' 1
1 HIREIIY ACKNOWLIIDA THAT 1 HAVE READ THIP
SC. APPLICATION AND BTATE THAT THE ABOVE If CORRECT
NUMBER OF LIG CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RaCEPTACLE CIRCUITS AND STATE LAWS RKQULATING ELMCTRICAL WIRINQ.
MOTORS I CERTIFY THAT I PO!llf8 THE ABOVE VALID LOi
ANGW-KS COUNTY LICKNGK, OR I AM THE LL OWNER
NurBaDe HORSIPOW EACH OF THI RIBIDENTIAL PROP DEfC!lIXKD
E
HM MVD. HP OVR IMG
Va a Lgin .215 SIGNATURE OF
.50 FIRIM IITE
a S 1.00 INSPECTION RECORD
e 15 1 1,50
1e eo 2's0
> i c L .-
O loo IsDO
loo Soo 10.00 J
Isoo 1000 115.00
QVKR 1000 10.00 C)
M. G. SWT/FRKQ. CHANGER-Hr
WRLD<Rfi AC-KVA
GSNIRATORS-KW
TRANSFORMIK"-KVA
TEMP. MOTOR15 715 OF oms.
MOVED MOTORS 75of Owla.
SIGNS
NO. NO. TRANS. APPROVALS
NQ, NO. LAMPS
DA ECTO •S NAM
FOR EACH P� tT�
CONDUIT
WIRING 1. '.
FIXTURES $1.0.0 1 WIRING
SUPP1.aMINTARY O FIXTURES
4 POWER
TOTAL FEE 42- UTILITY CO. NOTIFHM
FINAL,
WORKERS'I haw
a o ncON DECLARATION 7eA5e3 10,81 APPLFCATION FOR. ELECTRICAL PERMIT
I hereby � tf,et I have a oertM1cpte of.correerrt to self i,sruo, CE-eoeca '
dr a certtfloete of Vrbrkere' Co iipeneatk n Irreutaffce, or a certffled COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy"hered{Seo.3800,Lab.C.) ' /4
POBvrr No, r wry POR ANn4CUTr TO FRI IN ,JOB W iF+S
❑ 0orttiled P.°py Is�04Y fu ;.:. New Reefclatib l Bkfpe_d Poole EACH NO F.EE
❑ Cwtftbd .oOpy is toed with ,the c,.mtybu.5*V itapedbn 1 S 2-FamBy,S4 Ft $ toQw y
departr—It Wtl-fan* S4 Ft y CROSS,-ST. LD�iiI ZusA- '
Data ' Reeiderdial Swimrrrtrrp Pooh OWNER DR.
FIRM NAE I�I
CERTIFICJCfE OF EXEMPTION FRONt WOFC(ERSt, adktS Res ilJ td Sw. MAL
COMl?f7l, iON 1NSUR*4CE. _
20
01"•action nosd.not be oonpisted V the work Irwotvsd by the Total No. Addftlonel CITY ( G Tel.Na
prtarra
pnht Is for hundred dol firs($100)of les*)
HECK
1 oertffy'ffW In the pwforrtrA -of the w�"Jor whlph•this perrrdt �
Is kmwd I shell not arty person IFl any manner so as to
beoomA erd)Jecito there' L"we. Uahtfry Fbrtraee Ftrat 20' ADDRESS
aa f1
Data . .T 0 Q. �` JL�M FlrreTd��ppQarrcee Not O1e( 1,I IP NoCITY TQI•�
NOTICE Td APPLrANT: It, after m4ktrrp-,thls .Certtbaie. OfPEFW
Appix.,rM• ��� /e-
Em ToJori,you W-,cLk becorne su to the Wkero'Compprreatbn D. —
prbvfol—of,the Labor•,Code,you)rx�.forbMth comply wrth,euch- over, — Dryer M_ ADDRESS
proykelorie or ttife p�T�shah be'deerrred revoked TOP y WJ L:_ Cf>1 /��/ � TeL
4jCETJBED CONIRACT�R3 DECLaNA710N Food .'Other_ /
I,hereby aiilrrn, that I.am Iberieeb under.pro,eelofb or.Chapter 9
P.
Alr Cond. - �� 3 Cirra G
(cxftnW bV wth Se dont 7000) of DfyVelon,$Of the I3w nses end
ftfseaiorre Code,and my Iim me In i;tulI fdrr e and effect. Power(lpparatua� Lar9TK �:R Dt9TFOCT N0. BY
Size 8
HP d
- . .. Type
Uosree Number D 6 3 6 L Chea G I
_ uP}r11FINAL .
over 1 DATE
to 60 frq �
1 I am exegpt under$ea' ' ^Lfa
to 100.IM BY
BAP.C.krr U* 0 U)
Servbee, Par»boerdS I I Z
0-200'Arrp.UrK*w 800 V I !`
3lprredure 201 - 1000 Arhp:Under 600 V
Over 1000 Amp..or Over 800 V '
❑ •Ener"-for Reg Malni Eleni
SZN0LE FAMILY Tenp.Power P_de d Appur6errarrces ,
HOME CNVNER-BUfE.DER DECLARA]TON wth One Brarroh CkaA y.•r._ t'
I afttrm that I em •from the Contrsotore Uoerrae Law bnal
l
AdditSign Branch ltte
for fdbwlrrp reason(Set;tion 703 1.5,Buelrreae and Prvfeeeiorra Clra
Code):
❑ L se owner Of the property;.wU do the work and d-e atn d Mheo.C"A"8 CQrrducto a .i T
pie not interrded'or. offered for sale (Section 7044, Buetnees Other(See Con**Fee Sohadule)
4id Profeeabrre Code); loll.
_ tT--/ . r7
CONSTRUCITON LENDING AGENCY F - =r .79
r I hereby afttnm tttet tore Is a c7 vtiicton IendUrp agency for the T
perfOmwx*Of the work krr wtrlchl tis permR lekw (W 3087, ... PERMff FEE (SutrTotel)• 'rIO
Chv.C.)•
Lerrdere Nemo rT PLAN CHECKING FEE
PERMff ISSUING FEE. 4; I - .int
L&xWs Address
I oertffy that I have reed thha aWFIoaton and slots that the above IbPL-FEE'
irf wiafbn Is boned-I agree to oompty with an Count)4 ordYhaoces
and State bwm regAatrrp-Ebolrical and thereby autrortze
repraqwtevv of t A upon the above-mentioned
-SEE REVERSE FOR EXKANATOFZY LANgUAQE
Sagrehae Data
�f'"�"�W°'f '°e °f�Tl°" � 10'B1 APPLICATION FOR ELECTRICAL PERMIT
F,ereby m1lrm tical.I ha;ro a certificate of to mein llama.
or a cert+Acate 2f mrkens' Corrpeneedon Ineurarx�e, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy ttrleof(Lea 3600,Lab. C.)
Pocky tJo. ' part' FOA APP+.,I TO Fn1 rH lOe
❑. Certified copy hereby fumtahed New Reaidentlel Btdge S Poria EACH F� AD0FEs8 44fa C OC.,D�nl WEST .R,7 G
❑ Cert}fied oopy Is ftled'wfth the Cod* bonding Inspection 1 8 2-FemBy,34 Ft S0S6 s — $ LO'ALTfY i F M F C IT
depertrnent. Raaldertdd 3wlnmtng Pooh j a76ss 3T. H W t
CERTIFICATE OF EXEWTION FROM WORKERS r Ft1at NAW CJ-1 F t�
COt�PErkS4T10N I O4r++e+s R.�a L pht Q Sw.� ►AL
(This wctlon need nqt be owipleted r dw wont trrvofwd by ttw
First 2q ADOFIESS 4 hI 4 C-IO L E hl k7 E Si AVE
permit is for or» hundrwddolAan (=100) or Iom): Total No. Aditlor l CfTY r E M.PLE C i Tb'L f'1o{ ,
.1.cerllty'that M the'performance of the work for whbh thio permit - PLAN CHECK
h blued.,I mbar rx*,employ -Y�t person In erry manrtgr, ao• as to T APPUCANT
become errbJed to the;Wofkeaj'Compermatlo� Ughtinq FtxUiea First 20 ADDRESS
Total No-
/0 crrr reb No
Date APP�fr+ Fixed Appliances Not Over 1 FP
f TO. APPLICANT ff. Aufter, meklrC. thio ,Certlf5 aCe of PeFM
T
Exerrptin,you should beoorrw eubfect to the Vrbrkera'Corrpernat on RwlgD— Fleeter— D.W. — APPUC NT M+ I_ A - Y0
p 7Asbne of the Labor Godo,.vm.lnuaL.forthwith core" with much overt,. Dryer— WM— ADORESS 4 q/0 C-,Ol,T� I fi T AVE
provisions or thisemd.
pemt shall be deerevoked_ _ Top FAU — WH
r iJCENSr D CONTACTORS OECL L410N Food Fan — Other— CITY Ifz M tot IE C J v TeL Na
+ hereby.affirm that I am licensed under previsions of Chapter 9 LrC'.ENSE OR
(Commencing with Section 70001 of Dlvialon 3 of the Buelneaa and DSsP — Room AJr Conti RE-OL NUAABER
C1M
Prdfesafone Code,and my license b in fur force and effect Power Apperabm h targe des prgtplc i pq. PFOCESSED gy
Size A Type FfP,KW,KA or K)A1R
License Number Lfc_Clean Up to 1 furl FINAL 8
DteerMkUDATIO
7 Ov1 to 10 trot DATE b W r
aOver 10 b 50 kci
TI_am-ex nipt under Sea y. Over 50 b100 fns FINAL
BY
— - BhP.C.for this reason Over 10.0
ServicSwbd,MCC h Panelboerds a
— Dais - - es,0-200 Amp.Under 800 V 's }
Solap" 201 - 1000 Amp.Under 800 V j
Over 1000 Anp.or Over 800 V 1
❑ Examption for Rep.Melnt.Elect. - I.
a
1'1{1'I-� aT �
.
FIOME OWNER--BLMJDER DECLARATION Sign 'One Power Pole 8 h C*cLdt ertorce� SPECIAL
- --
I hereby affirm thatth
I am exempt from e CorrL�lora Ucenee LawINFORMATION
for for the bliowtrtp reason(Section 7031.6.Brmintm and Profe"ilons
code): ON REVERSE
Misr-nor a Corductxa SIDE 67 . Cil
1,as owner of the property,win do the worf wd the stricture
_ Is not Intended or offered for sale (Section 7044, BLmk m Other(See Conp1ske Fee Sch.,4
and Pro(eamione Code) ► +:iki�
CONSTRUCTION LENDNG AGENCY
I hereby affimLthei two is a construcOon l&n apertty br tits r•
_ C#v of the work for whichal
this permit to bed(Sec 3087, PERA4IT FEE (Sub-Total)
PLAN C-ECKM FEE 4A.;.
Lenders Name
PERMIT ISSUING FEE 13
Larder's Addres.
I certify that I hese read thio eppkatlon and state that the above TO-DL FEE
ktbrmat$w Is correct I agree to corrpty with all County ordkvvicee
and Stale hwa regulatlrtp Electrical wirt-Q and hereby euthortze
representedlvee of this County to ender upon the above-mentioned
PrcPertY br FsAedbn purposes SEE REVERSE FOR EXPL4HATORY LANGUAGE