HomeMy Public PortalAbout5489 GOLDEN WEST AVE_Electrical__ DB9 S-A 6-46 APPLICATION FOR PERW `
DEPARTMENT OF BUILDING AND SAFETY' ELECTRIC
�l�
COUNTY OF LOS ANGELES
WM. J. FOX CHIEF ENGINEER
Q NAME DISTRI NO. GROUP ZONE PERMIIT+ NO..
U ADDRESS .42-4,3 Lj.p
E
�.. C VED BY READY FOR DATE ISSUED
UN CITY TEL.NO. FIRST INSPECTION
W CERT.NO. ® EXPIRESCOUNTY
.�®
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLYI
JOB
IDESCREMON OF WORD ADDRESSO- ��•
NUMBER OF OUTLETS ON CIRCUITS LOCALITY / ` i
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS JSW. PLUGS FIXT CROSS ST
CIRCUIT A B C D E F G IH It NAME
Q / Z MAIL
ADDRESS
/ O
l CITY TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS,
ANGF_LES COUNTY CERTIFICATE OF QUALIFICATION..
/ ELErTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
/ ABOVE
OWNER.
® / CORRECTIONS
� Z
/ z
13
/ a
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TOTAL 1 122 10/ 1 1
NO. OF OUTLETS 1p $ Offl
APPROVAL'S
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING 3�/� / l t/�+ ai➢
NO. OF OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ Z UTILITY CO.NOTIFIED (o
TOTAL FEE FINAL
76A663 DBS SA 7-51 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY ELECTRIC
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN .- �O
Jr-
RECEIVED BY READY FOR DATE ISSUED
ADDRESS Ip FIRST INSPECTION f
CITY
COUNTY LICENSE NO. MIS BUILDING
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST ,/1 J�
. L(LLdd
RECEPTACLES CROSS ST
WALL SWITCHES OWNER
TOTAL OUTLETS ')---Sr $ MAIL
ELEC. RANGES 25 ADDRESS �r7
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES S 1 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 1 POSSESS THE ABOVE VALID LOB
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTazE
BED ABOVE.
V2 6 LEGS $ .25 SIGNATURE OF
%2 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
5 15 1.50
is 50 2.50
50 200 5.00
201 _ 500 10.00 J
_ SOO 1000 15.00 Z
OVER 1000 20.00 uI
_ M G. SET/FREQ. CHANGER-HP E
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $11.00 � CONDUIT
FIXTURES $1,00 Q WIRING
SUPPLEMENTARY .550 FIXTURES
� POWER
TOTAL FEE $� LS, UTILITY CO. NOTIFIED
FINAL Z./ dJ• --
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0509120030
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID. FEES PAID BUILDING ADDRESS
TR 13805 LT 68 BL 001 5489 GOLDEN WEST AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803219
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BROADWAY
8588-022-017 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY, C
LA 100 AMP PANELS, MCC 1 00 PAN 38 85
TENANT TOTAL FEES 66 60 ISSUED ON: PROCESSED BY PLAN BY EXPIRES ON
09/12/05 JK 03/11/06
OWNER TEL NO FI L DATE FINAL BY _CODE _
MEGLIORINO RODOLFO JR (626) 242-5965- - -2G
5489 GOLDEN WEST AV
TEMP 917803219 DLVSCRIPTION OF WORK
UPGRADE TO 100 AMP PANEL
APPLICANT TEL NO
SAME AS OWNER —
SPECIAL CONDITIONS
CONTRACTOR TEL NO- APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER —
LIC NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER TEL NO UFER GROUND
LIC NO ROUGH'CONDUIT
c
ROUGH WIRING
'MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
REPORT ID DPR265 ROUTE TO BS0508