HomeMy Public PortalAbout4941 GOLDEN WEST AVE_Electrical__ APPLICATION FOR ELECTRICPERMIT
COUM OF LOS ANGl M
=ARIXEI t OF COUM EKGIIUM eulLo Na
BUMDING AND aAFM DIPISION ADD
JOHN A.LAMENE,COUNTY ENGFUMIR
CAAMATT -GRIFFIN,*uvwy OFBUILDINa LOCALITY
FOR AP_P�CAIYTFTO�FILL IN NEAREST OWNER
� OWNER D
W rrtrls Fold, CL.o S%TTTcxn
MAIL
S. ADDRIM"
TOTAL ounEm 10 # O
MJW- XAIfO, ■ATTR ■SATstf, CITY NO
carat, Dmn .50 ELECTRICIAN
tIAC, "L" fIAT[n, fTAT•t. COO[-
na QnTi QAffAf[ Dlft•OfR7f, ADDRESS hepe.5cJ
aero r�nnf ov u se
uGHTlNG FIIT .R." .10 c L No
ROTORS STATE sll�NO, &. 3; �e7
HORSEPOWER
atanr wt fUnCToi�; avQ
%ALF" .415 '
: .50 IN.SPECnON REGOHD
Z 17 1.00
5 — 15 1.5d
15 50 4.50
Dd IZ00 5.0d
vtsc -
slang IIP.T"Ams
MO.L-Mcm
ffERVIc8 d-o0ov 1.00
SERVICE OVER coot/ 5.00
WIRING PCRMIT 1.00 O
FIXTU RE PERM TT 1.00 d
BUPPL.SMHNTARY PERMIT .50 AMOVAM
TOTAL P7=E s
I KEREBT ACKN DGE THAT HA READ THIS AP LICAnO(1 DATE INSPECTOR'S SIGMA
lU1D STATE THAT THE ABOVE I1! JRREGT AND AGREE Tp COMOLT CONDuIT
TH ALL COUNTT 09DIKAXCES AND XTATH LAWS REGULATING
ELECTRICAL WIRING. WIRING /
I HEREBT CERTI THA I AN PROPERLT REGISTERED AMD/OR RIXTURSH CS7
LICENSED AS REQUIRED BY LOS ANGELES COUffTT AND STATE OF
CALIFORNIAOtt TT{�iiAAT 1 A OF TAE ABOVE POyygR
t
DESCRIBED Unl)E11T1AL
SI G HATUIIE un U TY CO.N OTI R I ED
0 PERI
4pHFI ��
r-MNrYA=m l Bye AIZON aUrTt+�urisucoi ucrwCLI Lxowxmm r
az no CASH
3 9 0 1t-, OCT 3 0 2 3.1 0
r ,
"AN)C-as".. 11/,. APPLICATION FOR ELECTRICAL PERMIT fl
✓
BUILDING AND SAFETY DIVISION
FOR AFFLI CANT TO FILL IN 7
New Residential Bldgs_&Pools
EACH NO. FEE ADDRESS G2azf
1 &2 Finally Sq. Ft $ — s LOCALITY
Multl-famlly Sq. Ft — NEAREST
Residential IS
Pools CROSS ST.
OWNER OR
FIRM NAME
Outlets: Light,Switch & Reoe-ptecle MAI L �y
First 20 D RESS 0-
Addltibnel CITY CAI TSI. No.
PLAN CHECK
Lighting FixturesAPPLICANT
First 20 ADDRESS
Additional CITY Tel. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT III,
Range Heater_ D.W. ADDRESS
Oven Dryer W.M.
Top FAU W.H. CITY /J1 Tel. No.
Hood Fen LICLEGENSE OR
. NUMBER 24� Q Claws, C.'3
Disp. A.0 �
I HtRt1Y ACRNOWLWDOL THAT I HAV■ "LAD THIS APPLICATION Q
ANO TO COYWY V
/TATL THAT TH. A.OV■ 1■ CORRKCT AND AORtt
Power Apparatus& Large Appliances WITH ALL COUNTY OR D INA NC.
AND STATE LAW■ RL<OULATINO W
Size&Type HP, KW,KVA,or KVAR ZLLCTRICAL WIRING, d
Up to 1 Incl. 1 H.RKEY CKRYIFY THAT I AY ".O RLY RKOISTKRKD ANO/OR
Over 1 to 10 Incl. UCKNSZ= AS RKQUIRKO ■Y LOS ANOtIf• COUNTY AND /TAT< OF
CALIFORNIA OR THAT I A LLGAL O R OF THE AOV1
Aver 10 to 60 Incl. DKSCRIDKD RKSIDKNT1AL i Y.
Over 60 to 100 Incl. P¢RMITaa
Over 100 SIGNATURH
RIC O. P E83
Services d- 00
0-200 Amp. Under 600 V
201 -1000 Amp. Under 600 V APPROVALS D
Over 1000 Amp,or Over 600 V SIGNATURE
TEMP.POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING ���
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL
PERMIT ISSUING FEE
TOTAL FEE 0
�+ NOTES
PLAN CHECK VALIDATION CK. M.O. CASH E:J�PE VALIDPjTIqN CABS-H
. S 7S� �-� �• 3 U
_ r h