HomeMy Public PortalAbout5118 GOLDEN WEST AVE_Electrical__ i
APPLICATION OR EL CTRIC PERMIT
COU1�NTY OF LAS ANGELES
III DSPARTMSNT OF COUNTY ENGINEER BUILDING
B
IN AND SAFETY DIVISION ADD " 51-18 Golden West
JOHN A. LANDI)Z,CoumTy Ewummat I
WILLIAM A.JENSEN Hurl opt Buu of 1G ,OCA1„LTy Temple City,
FOR APPLICANT TO FILLIN 3'62 ROS
PEHMIT FES OWNER
Roizers
TSM HUM MJM I TACH FR MAIL
O ; ADDRESS
LIGHT. ' maxn. ww- .10 0
U01-MNG FIXtURES 1 .to 1-40 Cm' TEL NO
ICL.ICOA RANG" CLO.DRYLMs ELEcTRIcIAm O nl e e & Son Electric
WA.TIN HICATtRS 1 .so D50 ADDRrAs10 0 N, Grandview Ave•
KLM=rACkHTAff- D.LS14 'A•I{R' cin80. San GabrielTEL NOAte0-200
GARIAGIC DI#POSIHS 1 AUTO..
ATE
wmamm STA.COOKING UHITs .ss 1.00 SLICEN Q 137567 C-10
NOTO O INC. N.r. .
FA U & 2 415 0
K,s; : :so IIV'S�EC'1'�C)N HLCOED _.
s— 1s 1.150
1s— 150 2.50
150-200 15.00
SIGNS: NO.TRAHI.
No.LhMI`s
SFRVIC90-600V 1.00 00
SERVICE OVER 1500V Moo .
MISC.
WIRING PERMIT 1.00 1 00
FIXTURE PERMIT t.o0 2, 0
SUPPLEMENTARY PE R-M IT _s0
TOTAL FEE s 11 0
I HMUMY ACKVIOWLlm GIC THAT 1 -HAVIC PMAD THIS APPLICATION APPROVAI-a DATIC ntirICCTdlrs SIGXAFUR>
AND STATIC• THAT,THIC AIOVIC IS CORIIICT AND AGRJQ TO OOMPLT
WITH ALI, COUNTY ORDINAHazz AND STATIC LAWS MKOULATDIG CONDUIT
c..ICC-mCAL wlRlRa
1 HICRaY C>IITIK�Y THAT I AM PROr4U.Y ]AMOIITIC[m ',ROTOR WIRING
LIGllNS= AS.RIQUIRJm Los ANG�2S COUNTY AND STATIC OF FIXTURMI
CALIFORNIA OR' THAT SIX ASOVI<
DKSCRISm RtSIDRIII.A1` POWER
SIGNATURE UTI LITY00.NOTIFI®
OF PERMITTE
Alr Ll
m. DA �j"t'ION tAriRp:THUR C.�IT�
ox ro aAsa S1IPERV1Ji1No 1=LdG'iRICAL ENGINEER
Uf
9 2 8'- M 2i7 2 0 11.E O N
--�- _
7ewee3-crd0e to-eo APPLICATION FOR ELECTRI AL PERMIT 1
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISIONJNEAREST
ADDRESS
JOHN A. LAMBIE, COUNTY ENGINQR
WILLIAM A.JENSEN, 9uF•T of BultolRoLOCALITY
FOR APPLICANT TO FILL IN RO ST S
PERMIT FEES OWNER CA4
I T IL Y NUYSSR SACH FL[ MAIL
ADDRESS
OUTLETS. c L' ,��,0 ,s
LIOIi-fs RICI .1
FT. SW. 0 CITY,< ���`�R�^� TEL NO.
UGHTING FIXTURES .10
o-sC- RANGES CLO. DRYX3M ELECTRICIAN
W ATSR H[AT SRS .150 ADDRESS.
V rr !PACE HTRS. DISHWASHERS
Cmr TEL No.
OAILDAOE DLUPOSERS AUTO._ STATE /�Q
WASHERS STA-COOPING U m .25 L.ICH.N.83 NO. ,.-�•J
MOTORS. ovrR1Nc. H.P. D1, m r NO. GROUP ZON P E5S
O— Ila .215
2 .150 INSPECTION RECORD
2— 15 1.00
a
15— 115 1.150 O
U
15— BO 2.50 W
DO— 200 5.00 d
HIGNHI No TRANS-
NO.I Aim"
SERVICE 0-800V 1.00
SERVICE OVER e00V 5.00
NI
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPL.F3lSNTARY PEjWIT ,15
TOTAL FEE i
1 HSRISY ACKNOWLKPOK THAT 1 HAVE RLAD THIS APPUCATIOH APPROVALS DATE TNSFECTOLL•S SIONATUR=
ATm STATS THAT THL ASOVE 1S CORlLLC'T Alm AGMM TO mrL.Y CONDUIT 17
WtTH ALL COUNTY ORDINANCLS AHD SiATI LAWS COREQULATTNO
ELECTRICAL WIRIHO. I WIRING
1 HIREDY C3CrMFY THAT 1 AM FROFW..Y REOLSTIMM Alm/.QR
LICENd3D AS RLQ UIRID AN Or'r, COUNTY AAA���STA'RL OF FIXTURES .
CAUFOCAL FORMA OR THAT 1 L..AL OWI�t A➢{7VE
"L RIIIDElt71AL t7l'fY. POWER
SIGNATURE UTILITY CO.NOTIFIED "1 L" �W-
SI PERMI to• ,.. FRy{L ✓
_q DATION A U R C. VErr
CJc Mo CASH $UPEAVISLNG F1 SCTRIGAL ENOINIIaR
sem JLN & 2D 2.20 � .
1���Z>�tsTl
' 79Ap7C- aKw.. 11,75 AOPLICATION FOR ELECTRICAL PERMIT
BUILDING AND SAFETY DIVISION
FOR APIPUCANT TO FILL IN
FResIdantial
Bldgs. &Pools EACH NO. FEE ADDRESS 8 Qy
Sq. Ft — A LOCALITY t
q. Ft — NEAREST
CROSS ST.
wlmming Pools OWNER OR
FIRM NAME
Outlets: Light, Switch & Receptacle MAIL
ADDRESS
First 20
Addltibnal CITY Tel. No.
PLAN CHECK
Lighting Fixtures APPLICANT
Firm 20 ADDRESS
Additional CITY To[. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range Heater D.W.
ADDRESS
Oven Dryer W.M.
Top FAU W.H. CITY P'Ltt Q Tel. No.. ^' Z
Hood Fan LICENSE OR
Dhp A.0 REO. NUMBER C'.., 0 0
1HKR101 AGKNOWLKDOK THAT 1 "AVL READ THIS APPLICATION
AND_KTATK THAT THK AKOVK 18 CORRKC AND AORKK TO COMPLY Q
Power Apparatus& Large Appliances WITH ALL COUNTY ONDINANCKII AND KTATK LAW11 RKOULATINO
LLKCTRIC.A.L WIRING.
SI &Ty HP, KW, KVA,or KVAR VOW_.
to 1 Incl. 1 HKRKKY CKRTIFY THAT I AM PROP LY R III
LY x
Over 1 to 10 IFlCI. LICKH■KD_ AS RKQU1R ■Y LOS ANO■ CO NO /TAT■
�/�
CA LIFO RNIA OR F AM THK LSO OW TH. A
Over 10 to 60 Incl. DKKCRIKKD RK IDKNTIAL PROPKRTY.
Over 50 to 100 Incl. PERMITEH
Over 100 SIGNATUR
I TRICT NO. R0CESS D BY
Seryices S D
0-200 Amp. Under 600 V
201 - 1000 Amp. Under 600 V APPROVALS D EP R S
Over 1000 Amp.or Over 600 V SIGNATURE
TEMP. POWER POLE
Temp. Power Pole &Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit ROUGH CONDUIT
Addltion$I Sign Branch Circuits
(Other) WIRING
FIXTLIRES
]POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL
PERMIT ISSUING FEE
NOTES
TOTAL FEE
1 IIIIIIIIIIIJ
PLAN CHECK VALIDATION CK. , M.0. CASH PERMIT VALIDC M.O. CASH