HomeMy Public PortalAbout5319 GOLDEN WEST AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP' ZONE PERMIT NO.
ELECTRICIAN
RECEVED BY READY FOR DATE ISSUED
ADDRESS J4, FIRST INSPECTION
CITYTEL. N O l3
COUNTY LICENSE NO. EXPIRES BUILDING
ADDRESS YJ
PERMIT FEES �..
NUMBER EACH FEE LOCALITY /e�J
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST.
WALL SWITCHES OWNER
TOTAL OUTLETS 5c $ MAIL
ELEC. RANGES 85 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES B
- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP ❑VER INC- EACH OF THE RESIDENTIAL PROP TY DESCRIBED ABOVE.
%2 6 LESS $ .25 SIGNATURE'OF
%2 2 _ .50 PERMITTE
2 5 1.00 INSPECTION RECORD
s is 1.50
is 50 2.50 2��• D-141-0-4--lokw
50 200 5.00 .' jQ'J'� fw ®x
200 500 10.00 Q
500 1 000 15.00 Z
OVER 1000 20.00 p
M G. SET/FREQ. CHANGER-HP R'
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA _
TEMP. MOTORS (75% of DR16•)
MOVED MOTORS (75% OF ORIO.) -
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
DATE INSP TOR'B NAME
FOR EACH PERMIT:
$1,00 CONDUIT .e //"g 1I
WIRING
FIXTURES $1,00 WIRING �/ aJ rl../ •!
—_ t
SUPPLEMENTARY ,50 FIXTURES _
POWER
TOTAL FEE $ / G, UTILITY CO. NOTIFIED n ��
FINAL ,L
76A663 DBS#SA 2-53
76A663• DBS 6A 11-50 1 15-3
`
,DEPARTMENT OF BUILDING AND 'SAFETY APPLICATION FOR PERMIT
t COUNTY OF LOS ANGELES
WILLIAM J.'FOX, CHIEF ENGINEER ELECT
FOR APPLICANT TO FILL IN, DISTRICT NO. GROUP AVE PE^�RM�fIT NO.
ELECTRICIAN ^/ / 1;7—
RECEIVEDBY READY FOR DATE ISSUED
ADDRESS IRST INSPECTION /
CITY TEL. NO
COUNTY LICENSE NO EXPIRES - BUILDING '` {�•^ �n� {^��
ADDRESS Ifff���M�t HI
PERMIT FEES a
FEE LOCALITY- /�.d.O.$R�-,ti•�i
NUMBER EACH
LIGHT OUTLETS -2, NEAREST,
CROSS ST.
RECEPTACLES '•�` i ! '�
WALL SWITCHES 9 / OWNER
TOTAL OUTLETS 5c $ MAIL 7 �1.A .
ELEC RANGES 25 ADDRESS .'/h/
ELEC HEATERS 25 CITY JrA�-4 0 TEL.,N0.I1Li.i
r _
FIXTURES 5-' S
1 HEREBY ACKNOWLEDGE THAT 1, HAVE READ THIS
MISC. APPLICATION AND STATE TPIAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS _ 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR ,1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I
NEW MVD HP OVER INC. EACH ,
1/2 &LE 58 $ .25 SIGNATURE 00
PERMITTEE
1
2 5 1.00 INSPECTION RECORD
,5 15 1 50
15 50 2 50
50 200 5,00__
'
200 500 10 00 - J
a
soo t000 15 00 ,Z
I OVER'1000 20 00 U'
M G SET/FREQ. CHANGER-HP
WELDERS AC-KVA � O
GENERATORS-KW '
TRANSFORMERS-KVA I L
TEMP. MOTORS (75%OFORIG.) ,
MOVED MOTORS (75%OF ORIG.) ,
MISC
SIGNS
NO., NO. TRANS. APPROVALS.,
i
NO NO LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT: '
CONDUIT I i
WIRING $1 00'1 1 > 7
WIRING
FIXTURES $1 00 ' I
^SUPPLEMENTARY 50 FIXTURES
- POWER
` TOTAL FEE I $� �/ �J UTILITY CO. NOTIFIED
o G/� v FINAL- ]f�
76A663-CES06 3-69
APPLICATION FOR ELECTRICAL PERMI
µ COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILD IQ Id
� �e
BUILDING AND SAFETY DIVISION ADDRESS 1 d
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN FOR
w, ^
CROSS ST. ,v 7t-
NO. EACH FEE
RECEIPT.
JI $ $ OWNER
_ MAIL
FIRST 20 .20 ADDRESS
LIGHT TOTAL �. .�_
SWITCH OVER 20 _10 CITY I� TEL. NO
PLAN CHECK If
LIGHTING TOTALFIRST 20 ,20APPLICANT
ADDRESS
FIXTURES OVER 20 .10 _
RANGE_DRYER WTR HTR. CITY TEL. NO.
STA COOK_D I SP _F A U CONTRACTOR F--/(f eL 2
SPACE HTR AIR COND. ADDRESS O1 c
CLOTHES WASH DISHWASH. CITY C S TEL NO 3'
FAN OTHER 1 00 LICENSE NO. O 5 CLASS 6
MOTORS,TRANSFORMERS RATING / V I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC, HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
O - 1 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF }
1 - 10 3 00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO CL
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY O
10 - 50 5001 1
V
_ SIGNATURE p�
50 - 100 10.00 OF PERMITTEE Q
H
"100 - 500 1500 DISTRICT NQ,� GROUP ZON PR CE D u
SIGN,GAS SIGN AND ONE CIRCUIT 3 00
TUBE, OR Z
MARQUEE _ADDITIONAL CIRCUITS 1.00 NOTES �(1p -7Q Q
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 fir. �Yw� l ' ��-
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE) f
PERMIT ISSUING FEE 2 00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL
TOTAL FEE JOSEP C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M.O CASH PERMIT VALIDATION CK M.O. CASH
7, 910 4r- , DEC 4 2 D 5.
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE