HomeMy Public PortalAbout5111 GOLDEN WEST AVE_Electrical__ 764863-�PE{0411/70' PPLICATION FOR ELECTRI L PERMI LJ
COUN�OF LAS ANGELES
DEPARTMENT-OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS eAl
COLISMAN W. JENKINS N U1 LOCALITY e
NEAREST
FOR APPLICANT TO PILL IN CROSS ST.
OUTLETS Ftk OWNER
$
RECEPT._ MAIL
LIGHT TOTAL
FIRST 20 tl 25 15-6 ADDRESS
CITY TEL. NO.
SWITCH OVER 20 10
PLAN CHECK
LIGHTINGTOTAL FIRST 20 6 25, S APPLICANT
40
FIXTURES
OVER 20 .10 ADDRESS
AFrPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYERWTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. ClT'Y TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. ,
FAN OTHER 1.00 -'s
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AMD STATE TRAT THEABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFOR:MERI MTI No WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATER!, ETC. HP. KW. KVA. ELECTRICAL WIR INS.
SIzF 6 TYPE OVER TO
1HEREBY CERTIFY THAT I AM PROPERLY RK4ISTIZRlD AND/OR
0 — 1 IDG LICE Na ED Aa R I Q U
IRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 — 10 a00 REBID[ N, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O
SIGNATURE d=.�dj u
10 — 50 5.00 OF PERMITTEE
4'
50 — 100 10D0 DlaTnl NO. CLAY PnOC ED eY O
100 - 500 15.00 1 C 1
SIGN, GAS
SIGN AND ONE CIRCUIT 0.00 NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS IDG
SERVICENOTOVER600VOLTS OR200AMP 5.00
APPROVALS DATE NVLCTOFFS SIIMTURK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, h APPURTENANCES 0.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM DAO
ROUGH CONDIUT
WIRING,
FIXTUR
POWER AUTHORIZED ,
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE DDG,
JOSP ROOHAN
TOTAL FEE Q SUPERVIS ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. .0. CASH PERMIT VALIDA4 CK. M.O. CASH
Lr ;o9 9 4 9i�3 FRF 2 D 7,00-
L7
BACK OF APPLICATION FOR COMPLETE SCHEDULE
CITY OF TEMPLE CITY-Li `#3907
78A,083-CEeO811,70 APPLICATION FOR ELECTRICAL PERMIT LI
' COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDINGADDRESS 5111. N. Golden West Ave
BUILDING AND SAFETY CIVISFON
COLKMAN W. JENKIKS N N LOCALITY Temple City
NEAREST
FOR APPLICANT TO FILL'IN CROSS ST.
OUTLETS OWNER Earl M. SmLi.th-.
RECEPT. 6 S MAIL
GHT b TOTALI FIRST 20 2S ADDRESS 5111 N. Golden. West Ave.
LI
LIGHT_ 3 1T OVER 20 iD CITYTemple City TEL. N0.
SWITCHPLAN CHECK
LIGHTING TOTAL FIRST 20 APPLICANT
ER 20 ADDRESS
FIXTURES OV .1D
APPLIANCES CITY TEL. Np
PERT
RANGE DRYER WTR. HTR. __APILMIICANTC041II216 4 Kori Electric
ST�1. COOK DISC. F.A.U. ADDRES81030 N. Grandv�ew Ave.
SPACE HTR, l r AIR COND. 1 CITY S. Sal Gabriel TEL. NO.280-2007
CLOTHES WASH. DISHWA". LICENSE N0. 242432 CLASS. C10
FAN I OTHER3 1A0 00 I HERESY ACKNOWLEDGE THAT I HAVE READ. THIS APPLICATIbN
AND STAT[ THAT THE,ABOV[ IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES Alm STAT[ LAWS REGULATING
IND. HEATER I [TC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE S TIME OVER TO
I HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 1.00 LIC[NS[D AS R[OU IR[D EY LOS A(NG[L[S COUNTY AMD STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,�AND IN TO
' — 10 3,00R[SID[ IN, THE DESCRIBED REST IAL PR RTY.
O
10 - 80 dpp SIGNATURE V
OF PERMITTEE
DC
50 - 100 10D0 DISTRI CT AO CLASS ZON PR E O
100 - 500 15.00 10
CL
SIGN, GAS SIGN AND ONE CIRCUIT moo NOTES: N
Z
TUBE, OR —
MARQUEE ADDITIONAL CIRCUITS - IAO
SERVICENOTOVER600VOLTS OR200AMP 5.00 0
APPROVALS DATE =[CTOR'S SIGNATURE
SERVICEOVER 600VOLTS OR20OAMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, h APPURTENANCES 5.00
UNDERSLAS WORD(
TEMP LIGHT ORRECEPT. SYSTEM 5.00
OUCH CONDIUT
WIRING
FIXTUR
POWER AUTHORI ED 2--
PERMIT FEE (SUB TOTAL) 8175 UTILITY
CO. NOTJFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE SAO 3 00
JOS C. ROO A
TOTAL FEE 11 7SUh.E rSING ELEC GINEER
PLAN CHECK VALIDATION CK. M.D. CASH PERMI 0 CK. M.O. CASH
, ' - 6. '7,--3 nFx2-1 2 D 1 1 :75— Z'
SEE SACK OF APPLICATION FOR COMPLETE SCHEDULE '