HomeMy Public PortalAbout5212 GOLDEN WEST AVE_Electrical__ 76A663_CE60660"2"
• 'APPLICATION FOR ELECTRICAL P MIT
,COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESSS.2- ) "Y
LOCALITY _
4NEAR---T
FOR APPLICANT TO FILL IN I CROSS S
OUTLETS NO EACH FEE OWNER
NAME
$ J
RECEPT._ $ MAIL
FIRST 20 25 /I ADDRESS ,
LIGHT i�'
CITY TEL NO
SWITCH OVER 20 10
PLAN CHECK
LIGHTING TOTAL
FIRST 20 25 APPLICANT
�-.
FIXTURES 10
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL
PERMIT
RANGE DRYER_WTR HTR APPLICANT
STA COOK DISP F.A U. ADDRESS S`31
SPACE HTR, AIR COND CITY W k L—t)1.�-�'+' �. EL N0 2y 33
OR CLOTHES WASH DISHWASH. R GENSE UMBER CLASS 4C-
FAN
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ TH15 APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 1 001 LICENSED AS REQUI ED BY LOS A GELES COUNTY AND STATE OF
CALIFORNIA OR I TH LEGAL OWNER OF THE ABOVE
DESCRIPED PROP RTY �"'
1 — 10 300 0
U
PERMIT
10 — 50 500 SIGNAT ' O
H
1000
50 — 100 DISTRICT NO. PROCESS D BY U
W
100 — 500 1500 C/1
t Z
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPEC 'S SIGNATURE.
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP, POWER POLE
SERVI CE NOT OVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK
SERVICE OVER 600 VOLTSOR200AMP 1000 ROUGH CONDUIT -
1
TEMPSERVICE, POLE, &APPURTENANCES 5 D WIRING
TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES '
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL2Q 2s
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300
TOTAL FEE
PLAN CHECK VALIDATION - CK M 0 CASH PERMIT VALID tlOq cK M D CASH
I , (;, o 2 473 KAR 3. 0 2 D
3.2
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663-CES0610-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
-BUILDING AND SAFETY DIVISION ADDRESS r
JOHN-A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY
NEAREST ,
R APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH j FEE
OUTLE FIRST 20 $20 $ OWNER
LIGHT ' MAIL
ADD• .ADDRESS_ i
9 WITCH OVER0 •10 -
TOTAL
LIGHTING FIRST 20 20 CITY_ TEL NO
FIXTURES ADD'L ELECTRICIAN
OVER,20 •10
RANGES CLO DRYERS WTR TRS 1.0o ADDRESS -
GARB.DISP
/ '/ CITY EL' NO. ' ,
DISHWASH / AUTO.-WASH ' STATE _
SPACE HTR9aj STA.APP.(yz H P.MAX.) .SO B LICENSE NO -
MoroRs OVER NOT OVER H.P. - DISTRICTSON�. GROUP - E. 'F LR Sp BY
o t i.00 _" 'l C7
I 3 1.50 INSPECTION RECORD, r
cam.
3 a 2.00
8 15 2.50
oe
15' -50 300
- "50 100- 5.00 '
SIGNSaNO.TRANS
NO LAMPS
SERVICE,0.600V-NOT OVER 200A 100
SERVICE 0=60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC. _
PERMIT ISSUING FEE - 2.00
SUPPLEMENTARY,PERMIT ISSUING FEE- too
TOTAL FEE $ Q
1HEREBY ACKNOWLEDGE THAT IF HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE-
AN D
IGNATUREAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO-COMPLY.
CONDUITy
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING` y� d ,/ �r.+�{,�-1►
ELECTRICAL WIRING. WIRING
1, !•
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF '_ FIXTURES
CALIFORNIAOR THAT AM THE YLEG,,L OW ER T ABOVEDESCRIBED-RESIOENTI P PERTY i POWERn _ aSIGNATUREUTILITY CO NOTIFIED �� '� ✓+l /
OF PERMITTEE
FINAL - 0 C�
IDATION ARTHUR C.'VEIT
'SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
s z` 1 ',tau.' 24 2 'D 1 6.1 O~ Q
76A663-CE806 10.62 APPLICATI®N, FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER [NEAREST
UILDING
BUILDING AND SAFETY DIVISION DDRESS
.JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING I71TY
FOR APPLICANT TO FILL IN ROSS ST. %
RECEPT TOTAL NO EACH FEE I -
OUTLETS FIRST 202D $ Q OWNER
LIGHT _ MAIL
AOD'L ADDRESS
SWITCH OVER 20 •10 -
I
TOTAL CITY TEL NO
LIGHTING � FIRST 20 .20 - ,
FIXTURES ADD'L ELECTRIC14N
OVER 20 ,10
RANGES CLO DRYERS WTR HTRS. 1.00 ADDRESS �7 "
GARB DISP. STA,COOK . %
_ CITY 'TEL. NO
DISHWASH. AUTO.-WASH. STATE / /J
LICENSE NO. J
SPACE HTRS STA.APP (l/n H P.MAX.) a.50
- --
MOTORS. OVER NOT OVER H.P. DISTRI T NO. GRS,WP ZONE P SS Y
0 • 1 - 1.00 '. O� 4-+_' D B
1 - 3 1.50 INSPECTION RECORD
3 - B 200 J .a
B 15 250 ' 0
15 50 '3.00
G.'
'50 100 5 00 } (v-
1
SIGNS- NO.TRANS.
NO LAMPS
SERVICE O-GOON-Nor OVER 200A 1.00
SERVICE 0-600V-OVER 200 A. - 2.00 -
SERVICE OVER 600 500
MISC
Lv
PERMIT ISSUING FEE �FEE
-
SUPPLEMENTARY PERMIT ISS
TOTAL FEE $
• 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS 'DATE INSPECTOR'S SIGNATURE '
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT-
,WITH ALL COUNTY ORDINANCES AND STATE LAWS,REGULATING ' (j
ELECTRICAL WIRING. WIRING ;11
1 HEREBY CERTIFY TH T t AM PROPERLY REGISTERED A DOR 1� y
LICENSED AS REQUIRE Y LOS ANGELES UNTY'AN TE OF FIXTURES (
CALIFORNIA OR THAT 1 AM T E LEGAL � ,NE OF ABOVE
DESCRIBED RESIDENTI P Y. POWER _
SIGNATURE ww UTILITY CO.NOTIFIED 7 4- . ,
OF PERMITTE
FINAL
LIDATION AR HUR C..VEIT ✓"'
CK MO CASH SUPERVISING ELECTRICAL ENGINEER.,
0 S 5' 3�► ,ltd. 3 2 D. 3A ON .g
75A6 63-,C-E806 10/72 APPLICATION F ELECTRICAL P MIT
•r COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY"ENGINEER - JOB ,
BUILDING AND SAFETY DIVISION ADDRESS 5212' Golden-West ✓ - -
LOCALI TY •Te le C1
ty
NEAREST
•'FOR APPLICANT TO FILL IN CROSS ST- la 13,6s4 -
OUTLETS NO EACH' FEE OWN
N NAME
$ L 'Shultz'
RECEPT ' AIL
ADDRESS :`521Z
Zderi .West
FIRST 20
LIGHT TOTAL' _ 25
- CITY temple C�.ty TEL NO
SWITCH OVER 20 I 10 -
- PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES _ -
_
OVER 20 10' ADDRESS
- - ,,
RESIDENTIAL APPLIANCES CITY TEL NO '
PERMIT
RANGE DRYER_WTR HTR' - r - APPLICANT'IMOrales,Ecl'eCtrlcQ 19,-
STA-
'-STA• COOK t DISP F A U �. •• 'ADDRESS" Calif. r 4e, L^
SPACE HTR; -AIR COND \ CITY�,ge1 ead�7 liTEL ,NO 280-U60
CLOTHES WASH DISHWASH , REG NSE ORNUMBER 227962'" 'CLASS C-0
FAN OTHER - 100 1 HEREBY ACKNOWLEDGE THAT-'I HAVE READ .THIS APPLICATION
• AND STATE THAT THE ABOVE IS CORRECT'AND•AGREE TO,COMPLY
MOTORS, TRANSFORMERS RATING ''� W,ITH ALL'COUNTY ORDINANCES, 4N6 STATE -'LAWS REGULATING,
IND HEATERS, ETC HP KW KVA y ELECTRICAL WIRING'
SIZE & TYPE OVER TO It -a -
_ I• HEREBY CERTIFY THAT I AM' PROPERLY REGISTERED AND/OR
0 - 11 100 * LICENSED AS,•REOUIRED BY LOS ANGELES•COUNTY_ AND STATE OF
,CALIFORNIA OR-THAI I AM THE-LEGAL OWNER OF-THE ABOVE
DESrRIfED RESIDE IAL PROPERTY r
,�—fo ►I "(.i 1'-`10 / 300 CEI
10 - 50. � 900 PERMITEE �}�q� U
SIGNATURE
O
' 50 - 100'' 1000 DISTRICT N0. - ROCES ED BY t3
"
100 - 500 1500 W
taiY
SIGN, GASSIGN AND ONE,CIRCUIT 500 a APPROVALS DAT E,,, 'INSPECTOR' SIGNATURE
TUBE,, OR
MARQUEE` ADDITIONAL CIRCUITS 100 TEMP POWER POLE 'y '
i
S ERV I CE NOT OV ER 600 VOLTS OR 200 AM P r 300 - �` 00 UNDERSLAB.WORK
SERJICEOVER600VOLTS OR'200AMP 1000 ROUGH CONDUIT
TEMP,SERVICE,,POLE, &APPUR'TENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES 'S
t�
`� f-� POWER AUTHORIZED
cl
e_iV/v'c r UTILITY CO.'NOTIFIED
FINAL ax `
PERMIT FEE (SUB TOTAL) NOTES d� �IS'*v- �m.�,,.. •S ,
PLAN CHECK 'FEE
'PERMIT ISSUING FEE 300 Q Q - - � • , '
TOTAL FEE
PLAN CHECK VALIDATION-" CK M 0 CASH PERMIT VALIDATION CKj M'O CASH
�2 'Ba-JliL,�3I D e;
U
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE '\ � ✓„ ,