HomeMy Public PortalAbout5339 GOLDEN WEST AVE_Electrical__ 78A663C- CE806B�1275 APPLICATION OR ELECT ICAL 'PERMIT
BUILDING AND SAFETY DIVISION /v
FOR APPLICANT TO FILL IN -
FRedential Bldgs & Pools
EACH NO FEE ADDRESS°
inaily Sq Ft• $ — $ LOCALITY eq') j
mily Sq Ft — NEAREST �•tial Swimming Pools CROSSSTOWNER M FIRM NAMEight, Switch & Receptacle MAIL
Sex en IF—
ADDRESS
nal CITY 1 !" / Tel No
PLAN CHECK
Fixtures APPLICANT
First 20 ADDRESS
Additional
- a CITY Tel No •
PERMIT
Fixed Appli nces Not Over 1 HP APPLICANT y
Range Heater— D.W I ADDRESS , m ,/'� L.1 S ✓ 1
Oven Dryer W M.
Top FAU W.H — CITY144 (�S/If� Tel 0 33 '3
Hood Fan LICENSE OR
Disp A.0 REG NUMBER Class "�
` I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CD
PND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V
W
Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. �
cn
Up to 1 Incl Z
I HEREBY CERTIFY.THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANG71171S COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE L GA OWNER OF THE ABOVE
Over 10 to 50 Incl, DESCRIBED RESIDENTIAL PR PERTV,
b Over 50 to 100 Incl. PERMITEE
Over 100 SIGNATURE �-
DISTRICT NO P ES By
Services
0-200 Amp Under'600 V
201 - 1000 Amp Under 600 V APPROVALS D INSPECTOR'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
Additional Sign Branch Circuits
(Other), WIRING
1.
FIXTURES
POWER AUTHORIZED zZ -v �
PERMIT FEE (Sub-Total) UTI LITYCO NOTIFIED /J
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL —,T-7S'
PERMIT ISSUING FEE NOTES 09178 , ,)jj;j s-J9-�rNe,17 _
TOTAL FEE
PLAN CHECK VALIDATION CK MO CASH PERM .VALIDATION CK M O. CASH
7 4
TEMPLE CI'T'E'
76A68C-CE#806 5t61
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS /ANGELES
DEPARMENT OF COUNTY ENGINEER FNEAREST
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER
., WILLIAM A JENSEN,SUP T OF BUILDING
FORAPPLICANT TO FILL IN
PERMIT FEES OWNER
` I,T E M NUMBER EACH I FEE MAIL
OUTLES $ ADDRESS
LIGHTS RECE SW. •10 CITY TEL. NO.
LIGHTING FIXTURES .10
ELEC. RANGES CLO. DRYERS ELECTRICIA
WATER HEATERS .50 ADDRESS
.ELEC.-SPACE HTR ISHWASHERS
CITY TEL
GARBAGE DISPOSERS AUTO.- STATE.
WASHERS STA COOKING UNITS ,25 1 ICECiSE NO. SI
MOTORS OVER INC H P. DI T GIReOP Z
PROC Y
O'— 1/2 25
1/2_ 2 50 INSPECTION kFCORD
,!
at
5— 15 150 `��e'�e � V
15— 50 2.80 —� O
50— 200 Boo U
6Y
SIGNS NO TRANS. 0.
NO LAMPS N
SERVICE 0-600V 1.00
SERVICE OVER 600V 500
MISC
WIRING PERMIT too
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A14LICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE'IS CORRECT AND AGREE'TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY IST-RED,AND/OR
LIltt
CENSED AS R RED BY LOS ANGELES C TY AND STATE OF FIXTURES
CALIFORNIA O TH T 1 M THE LEG L 0 R F THE ABOVE
DESCRIBED RES DE IAL OPERTY POWER g ./7
SIGNATURE UTILITY CO NOTIFIED v
OF PERMIT T
FINAL B
xIDATION ARTHUR C VETT
ol
MO CASH SUPERVISING ELECTRICAL ENGINEER
�;�9 5 5 5ut 13• 2 D 9.3 5
7766q 63-CE806 ,D,72 ASI PLICATIONL ��I FOR -ELECTRICA .
c COUNTY OF LOS ANGELES
'DEO�ARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING'AND SAFETY DIVISION
LOCAL'I TY, f�
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS - NO EACH FEE OWNEROR
$ $ FIRM NAME
RECEP,T ,MAIL ``
�� +•
ADDRESS��
LIGHT TOTAL FIRST 20 25 _
TEL NO
OVER 20 "CITY
SWITCH_ 10
PLAN CHECK
FIRST 20 'APPLICANT
LIGHTING 1 TOTAL 25
T OVER 20 ADDRESS
FIXTURES 10 `
RESIDENTIAL APPLIANCES CITY TEL N
PERMIT • . '
RANGE- DRYER-_WTR HTR - APPLICANT
STA COOK DI SP F A U. - ADDRESS;JS'` J- _
SPACE HTR, AIR COND CITY EL NO
LICENSE ORa
CLOTHES,WASH DISHWASH REG. NUMBER r CLASS
FAN, OTHER1'00 I 1 HEHEB� ACKNOWLEDGE THAT I•HA.VE READ THIS 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 — 1 100 LICENSED,AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA 'OR THAI I AM THE LEGAL OWNER OF THE ABOVE r
1 — lO 300 DESrRIPED RESIDENTIAL 'PROPERTY p_
PERMITEE
- + 10 - 50= 500 ' SIGNA'TURE
0
50 — 100 1000 DISTRICT NO. PRO ED BY
U
00 500 1500 _ D1
SIGN, GAS SIGN AND ONE CIRCUIT500 APPROVALS DATE INSPECTOR'SSIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 - TEMP POWER POLE
SERVICENOTOVER600,VOL=TSIOR200AMP 300 UNDERSLAB WORK -
t
SERVICEOVER600VOLTSOR200AMP 1,000 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 500 . WIRING
TEMP LIGHT OR RECEPT SYSTEM- 300 ,I FIXTURES'
' POWER AUTHORIZED'
_ ti UTILITY CO._NOTI-FIED '
` FINAL
PERMITTEE - (SUB TOT'AL) - - NOTES,
PLAN CHECK FEE
PERMIT ISSUING FEES
TOTAL FEE
PLAN'CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION ` CK M 0 CASH "
U. 4.00 4--
•SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76,A663-CE806 ,D,72 1APPLICATION F - ELECTRICAL' PE T, �-
r. COUNTY OF LOS ANGELES ,
DEPARTMENT OF COUNTY ENGINEER ADDRESS J 9
BUILDING AND SAFETY DIVISION S
- - LOCALITY- 7e M
NEAREST
FOR APPL IC'A NT TO FILL I'N °CROSS ST
OUTLETS NO EACH FEE OF RM NAME' AA�l ,
RECEPT -
$ $• MAIL
u'� FIRST 20 ADDRESS '
`LIGHT T07AL' 25 �-^
r �;'
Cl TY `, a TEL rN0 �1 70,
SWITCH 3 / ,?VER'20 1 ) -10,' I -
PLAN CHECK
LIGHTING, TOTAL
FIRST120 25 APPLICANT of
,q
- OVER 20 ADORES FIXTURES 10 S
o� +
RESIDENTIAL°APP,LIANCES' _ CITY ¢ C�h TEL NO
� = PERMIT r,
--�
RANGE DRYER/WTR HTR_ APPLICANT -
STA,COOK DI,SF F A U ' ,_ ADDRESS - -• • -
'SPACE HTR AIR COND - CITY ' h!W TEL NO -
CL%OTHES WASH .../ DISH WAS H, - 'LICENSE OR CLASS ,
REG NUMBER
FAN OTHER 100 O.O - 1 HEHEBI ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND,AGREE TO COMPLY
MOTORS, TRANSFORMERS RATIN_G - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
INC HEATERS, ETC HP KW KVA - ELECTRICAL WIRING ,
"SIZE & TYPE OVER ,TO _ - J
_ I HEREBY 'CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR'
0 — 1 - 100 LICENSED AS REQUIRED,BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE, ABOVE
J - ,1 — 1 O 300 - DESCRIPED RESIDENTIAL, PROPERTY d.
PERMITEE �
10'— 50, _ r5C� c�
SIGNATURE
r �
50 - 100 DISTRICT NO. SSED, Y C01
LJ
1,00 — S00 SIGN, GAS SIGNAND ONE CIRCUIT APPROVALS DATE .INS CTOR'S SIGNATURE
TUBE, 0R I
MARQUEE ,ADDITIONAL CIRCUITS 1,00 TEMP POWER POLE -
SERVI CE NOT OVER 600 VOLTS OR 200 AMP' 300 ' UNDERSLABIWORK
SER,VICEOVER 600VOLTS OR200AMP 1000 - ROUGH.CONDUIT -
iTEMPSERVICE, POLE, &APPURTEN'ANCES 500 WIRING,
TEMP LIGHT OR RECEPT.•SYSTEM '300 `FIXTURES
POWER AUTHORIZED
- ' UTILITY'CO NOTIFIEDI
+
FINAL �S ' 7/� iJII�
PERMIT`FEE - a(SUB TOTAL)
1-7
NOTES ,.
PLAN CHECK:FEE
PERMIT ISSUING FEE r , 300 Ga
TOTAL FEE 17
PLAN CHECK VALIDATION CK M 0 _CASH PERMIT VALIDATION cK ,M O CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE '