HomeMy Public PortalAbout4928 GOLDEN WEST AVE_Electrical__77-77'..
PLICATION FOR ELECTRICAL PERMIT
'COUOF LOS ANGELES
L"CO ENT OF COUNTY CNGINEER
BUILDING AND 3 D
FOR LICANTTO FILL IN
New Resldentipl Bldgs.S Pools �� F
EE
1 b 2 Family,Sq. Ft.
$ .025 — $
f
Multi-farnllySq. Ft, .02 — FIRM NAME
Residential Swimming Pools 25.00 DDRESS
Outlets:RecightSw. CITY Tel.No.
First 20 -'50 PLAN CHECK
Total No. Additional .30 O APPLICANT
ADDRESS
Llghtinq Fixtor First 20 .50 CITY Tel.No.
Additional .30 PERMIT L/1
Total No. �C
Fixed Appliances Not Over I HP ADDRESS f"
Range—Heater D.W. CITY Tel. No.
1. Oven —Dryer W.M.—
LICENK ORW.M.—LICE
Top —FAU —W.H, REG.NUMBER _2SCIS
Hood Fan _Other— a I H�IERr ACKNOWLEDGE T I HAVE READ THISPLKAION
APTAND STATE
2
Disp. Room Air Cortd. 60 THAT 4E ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN.
ANCES AND STATE LAMS REGULATING ELECTRICAL WIRING.
-Power Apparatus&Large Appliances
Size&Type HP, KW, KVA,or KVAR I FR3tBY CERTIFY THAT I AM PROPERLY REGLSTERED AND/OR LFCE]WE AS
REQUIRED eY LOS ANC,fl ES AND TE OF LA C%t THAT I AM
Up tot Ind. 2'� THE L EGAL owNEROFTH EDfSC171
Over 1 to 10 Ind. 5.00
PERMfTTEE C
Over 10 to 50 Ind. 1260 SIGNATUCD
Over 50 to 100 Irw 26.00 RE
Over 100 40.00 DISTRICT NO.S O C? P ED B
Services
0-200 Amp.Under 600 V 12-50 , APPROVALS DATE I�F ORS
201-1000 Amp.Under 600 V 2B.0-0
Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE
Temp. Power Pole 8 Appurtenances
10.00 UNDERSLAB WORK
Sign with One Brdnch Circuit 10.00 ROUGH CONDUIT
Addltbnal Spn$rartch Circuits 200 WIRING
Mdc.Conduits S Conductors 10.00 FIXTURES
Other(See Complete Fee Schedule) POWERAUTHORIZED
UTILITY CO.NOTIFIED
]FINAL
PERMIT FEE (Sub-Total) p NOTES
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE $7.00 pO
TOTAL FEE •O O
PLAN CHECK VALJDATION CK wo. CASH PERMIT VALIDATION CIC M-o. CASH
6 56"" 2-4 2 8 9 4 s
EEE BACK OF APPLICATION FOR-COMPL£fE SCHlijUL E
COUNTY Or LOS AMQ[LES APPLICATION FOR PERMIT
DepartInEnghww
DIVISION O Bffof ILDING do SAFETY
WILLIAM L Fox, Coe■ty fi.ol■..r ELECTRIC 1
FOR APPLI TO FILL IN DISTRICT NO. GROUP_ ZONE PERMIT NO.
ELECTRICIAN
R[C
16 / v
ADDRESR MED SYREADY FIRST INP[ TIOM ISSUtO
SO'
CITY Til.. NO.
Dag LIOKKKK N0. IRE■ BUILDING
PrOWI FEE$ ADDR[r P
FM alNUMBER EACH LUCALITY
LI(3HT OUTLETS NEAREST
R
RECEPTACLES
WALL WWIT13HEB _Q_WNER
TOTAL OLr L[TB SD MAIL
[LEO. RANUES as ADDRES•
[LED. HEATERS 36 CITY L. NO.
rIxTURES S
I HERESY A&HOlifUMBE 714T 1 HAVE READ THIS
MISC. APPLICATION AND RAT[ THAT THE ASOVI In CORRECT
NUMBER OF LIGHT OIROUITS AND ASR[[ TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER Or REOERTAOLIC CIROUITE AND STATIC LAWS RTGULATINO ELECTRICAL WIRING.
MOTORS I OQTIrY THAT I POSSL7S TMK ASDVK VALID LOU
NuwmKR HDRSEPOWER riLIC A> OXI-XIS rm'INTY LIOXNJLXj OR I AM THE LICGAL OWNER
Ntw MVD. 14F ov" INC. LACLH OF THE RMDiOVER-17Y E
Y DESOD DVE.
a UMS .25ajL 810HATUR[ Dr 'g, gng;�--4 Vill 1 SO PERM
: a ,.DD INSPECTION RECORD
■ 16 1.60
1■ BC LBO
BO am 5.0113
IIDD BUD 1 10.00 1 J
am I 1000 16.00 Q
Z
OVER 1000 a0.00 p
M.O. OXT/F-REC& OHANOER-HP
WELDERSI AC-KVA O
OEN[RATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS 75or aRlo
MOVED MOTORS (75or DRI■
61ONB
NO. NO.T1lAN IL
Na N APPROVALS
FOR EACH P[RMITI TE INSP[DTOR7 NAM[
WINING
61.00 CONDUIT
FIXTURE 1,00 WIRINGPUPrUMENTARY
O FfXTU RIS
ROWER
TOTAL r[[ B UTILITY O0.NCTirIED
FINAL r
7aAaa■ Dr#sA 2-02
COUNTY OF LOS AIIOELES APPLICATION FOR PERN=
F
° OfCounty E ELECTRIC i
DIVISION OF HUIZ.DING 81c SAFETY
WILLIAM L FOX. 09arly Eallow
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZON PERMIT NO.
%.-� 8'�c9
ELECTRICIAN
[IVSD tT READY rod DATIC I
ADDRESS FIRST INSP[DTION
CITY T[L- NO. -- `
COUKrY LIO[NSE N0. IR muiLdYmm
PEHB4IT AD )REM
NUMBER EACH F>RLOCALITY 14 6zz
L10HT OLITL179 NEARENT
R[O[PTADLEB OROr wr,
WALL BWiTOHEN OWNER
TOTAL OUTLETS cMAIL
ELUL RANDEN 9a ADDRESS
ELED. HEATERS 95 CITY N0.
FIXTURED S
I H[R[NY KNOWLIDD[ 9AT 1 HAVE READ THIS
APPLICATION AND BTATIC THAT TH[ ABOVE 10 OORRXOT
NUMBER OF LIDHT CIRCUITS AND AGREE TO COMPLY WITH ALL OOUMTY ORDINANCES
NUMS[R OF RECI PTAOLE CIRCUITS AND STATE LAWN RLDULATIND [LJCOTRICAL WIRING.
MOTORS I CERTIFY THAT I POST NE THE ABOVE VALID LOS
Nummm HORS[POW[R FEE ANDELES COUNTY LICENSE, OR I AM THE LESAL OWNER
Nrw Mw. r DVC" Inn. [J1�1 OF THE RESIDENTIAL P OPIRTY DEBORIB[D ABOVE.
• LCY •� ■IDNATURE OF
9 .60
PERM
N 1'00 INSPECTION RECORD
6 1S 1.60
16 Bo 9.60 3 ~
SO 1 900 B.Oa 'el'
1OO I BDo 10.00
Q
Baa I 1 a00 15,coo
QvrR lam 90.00 p
M.D. ■ET FR OHAND[R-HP
WELDERSI AC-KVA b O
N[NERATORS - KW
TRANSFORMERS - KYA
TEMP. MOTORS 75or OBIS-
MaVXP MOTORS (76OF CHIC
Win
SIGNS
N0. NO.TRAMIL APPROVALS
NOL LA21EL_
OATXI IN6P[OTOR'S NAM[
FOR EACH r[RMITI
WIRIND 1.00 CONDUIT
FDCTIJRMR 1,00
WIRING II'
SO F D[TU REB
POW[R
TOTAL FE[ f UTILITY CO.NOTIFIED
FINAL
76AAM Do#&A 3-93
7eA8e3-cEe05 J,APPLICATION FOR ELECTRICAL PERMIT
Cf �
COUNTY OF LOS ANGELES
iDEPARTMENT OF COUNTY ENGINEERe�J
BUILDING AND SAFETY DIVISION
LOCALITY,
NEAREST
FOR APPLICANT TO,FILL IN CROSS ST.
OUTLETS A FE OR
RM NAME '
RECEPT.� S S MAIL
LIGHT TOTAL
FIRST 20 ADDR 8S
OVER 20 ChTY � TEL. N0.
SWITCH O PLAN CHECK
FIRST 20 APPLICANT
LIGHTING TOTAL
OVER ADDRESS
FIXTURES E 20
� .I 0
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER WTR. HTR. APPLICANT
STA. COOK D1SP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO. ='Jr
CLOTHES WASH. DISHWASH. RE�MBER CLASS.
FAN-OTHER 1.Q0 I HERESY ACKNOWLEDGE TRAT I HAVE READ THIS APPLICATION
AID STATE THAT THF AGO VG Ie {ORRFOT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. NRATIRS, ETC. HP. KW. KVA. ILECTRICAL WIRING.
SIZE k TYPE OVER TO
I HERESY CERTIFY THAT I AM PROPERLY R[GISTERED AND/OR
0 - 1 100 LICENSED A REQU IRRD BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM- THI LISAL OWNER OF THE ASOVI
_ 1 - 10 DAO OESCRIPED RESIDENTIAL PhOP TY.
d
PERMITEE
10 — 50 6.00 SIGNATURE
50 — 100 10'00 DISTR N0. 9
100 — 5_00 1600
SIGN, GAS gIGN AND ONE CIRCUIT 6.00 APPROVALi DATI 3OPECTbW5SNkNTURC
TUBE, OR
MARQUEE ADDITIONAL CIRCU[TS 100 TEMP. POWER POLE
SERVICENOTOVERQOOVOLTS OR200AMP 3.00 UNDERSLAB WORK
SERVICEOV.ER600VOLTSOR260AMP 1000 ROUGH CONDUIT
TEMP SERVICF:POLE, &APPURTENANCES 6.00 WIRfNG
TEMP LIGHT OR RECEPT. SYSTEM aA0 FIXTURES
POWER A{1THORIZED
UTI�.ITY CO. NOTIFIED
FINAL I 7K
PERMIT FEE (SLIB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE DAO
TOTAL FEE Q
PLAN CHECK VALIDATION CK. N.O. CASH PERMIT VALIDATION K M.O. CA/H-
661N ► 11 zo 2 O
SEE SACK OF APPLICATION FOR CQMPLITE SCHEDULE