HomeMy Public PortalAbout4922 GOLDEN WEST AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer ELECTRIC 1_
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN ��� _
RECEIVED BY READY FOR DATE 1 SUED
_
ADDRESS ''� �-� a„ a - "'� s'�^'�' S +'• - FIRST INSPECTION
49
CITY t..._ TEL NO.� a4,/�/ ,-
COUNTY LICENSE NO. EXPIRES BUILDING if ) 2
PERMIT FEES ADDREBB
FEE ,
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NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST.
Z.�
RECEPTACLES CROSS ST
WALL SWITCHES OWNER
TOTAL OUTLETS _ 5c $ L"'f"f MAIL /I'0 7
ELEC. RANGES 25 ADDRESS
j�
ELEC. HEATERS 25
CITY TEL. ---QA-0-7
FIXTURES 5
1 HEREBY A KNOWLEDGE 16AT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
_ FEE
NEWMVD. HP OVER INC. EACH OF THE REBIDENTIA PROPERTY DESCRIBED ABO .
R LESS $ .25
SIGNATURE OF
'/2 2 .50 PERMITTEE
2 5 1.00 ;NSPECTIO ,'RECORP
5 15 1.50 a
15 50 2.50 r F'
50 200 5.00
zoo 500 10.00 �LcdG /ioa i ft,/ J_�0
500 1000 15.00
OVER 1000 20.00 •l
M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG•)
MOVED MOTORS (75% of oRIG.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT _
FIXTURES $1.00 WIRING
SUPPLEMENTARY ,50 FIXTURES
POWER
TOTAL FEE $ <<r UTILITY CO.NOTIFIED �7
FINAL
76A663 DBS#5A 4-52 �' '
C'Ds 5-A 2-46 - APPLICATION FOR PERMIT
..
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
WM. J. FOX CHIEF ENGINEER
4 NAME DISTRICT NO. GROUP I ZONE PERMIT NO.
U ADDRESS
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I- RECEIVED BY READY FOR DATE ISSUED
U CITY TEL.NO. FIRST INSPECTION
J COUNTY
D
CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK
JOB
NUMBER.OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS lsw. PLUGS FIxT CROSS ST.
CIRCUIT A B C D E F G H 0 _NAME
Z MAIL
ADDRESS
O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
/ OWNER.
CORRECTIONS
J
-- a
z
D
TOTAL
NO. OF OUTLETS $ APPROVALS
1 NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ UTILITY CO.NOTIFIED
TOTAL FEE FINAL
DBS 5-A 12-44 APPLICATION FOR PERMIT
DEPARTMENT OF IIIJILIDING AND SAFETY ���� ��
CQUNTY OF LOS ANGELES
J. FOX, CHIEF ENGINEER
4 NAME DISTRICT NO. GROUP ZONE PERMIT NO.
ADORES
H -•� R CEIVED BY READY FOR DATE ISSUED
IU CITY T L. } �- FIRST INSPECTION
W d Z, s 9/7—ti
APPLICANT FILL IN HEAVILY OU'T'LINED PORTION ONLY
JOB
DESCRIPTION OF WORD ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS JSW. PLUGS FIaiT CROSS ST.
� AA—
CIRCUIT d•87' B C D E F G H m NAME
7 ?i Z MAIL r .e ,�' ,6,.,,�°
,�: ADDRESS
O
CITY TEL.NO.
��f I AM THE LEGAL POSSESSOR OF THE ABOV LOS
^� � ANGELES COUNTY CERT�F)C/}IiEI� lFICATI
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tL An ELECTRICIAN.
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
P y ABOVE
OWNER.
/ CORRECTIONS
,.
Jill
4 u I
J
— Q
Z_
L7
lY
O
TOTAL /
NO. OF OUTLETS (� $ APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR. NNAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. `` $ WIRING
NO. OF RANGES OR HEATERS I r� N(�ii $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE 1 f UTILITY CO.NOTIFIED 7��7 `
TOTAL FEE 1 I FINAL - t�