HomeMy Public PortalAbout5519 GOLDEN WEST AVE_Electrical__ 7CA889 Des aA 6-49 ® - APPLICATION FOR PERMIT'
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC ' - '
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT'NO.
ELECTRICIAN nn''.. nn -- RECEIVED BY READY FOR DATE ISSUED
CD Y ES TEL. NOS FIRS INSP CTION
44
COUNTY LICENSE NO. EXPIRES '3'0l30 BUILDING
PERMIT FEES I ADDRESS '
FEE
. NUMBER. I OUTLETS EACH LOCALITY _
LIGHTS Sc Is / NEAREST
r RECEPTACLES 5•• I a� CROSS ST.
I FIXTURES 5 I I_ OWNER '
7 VVALL SWITCHES' 5 MAIL
ELEC. RANGES 25 ADDRESS I' V �ov7
ELEC HEATERS 25 I A
l , I CITY C" - -TEL NO. ' '
MISC.
// I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED: APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO*COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL'WIRING.
NUMBER HORSEPOWER1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER I INC. EACH
I _ OF THE RESIDENTIAL PROP RTY DESCRIBED-ABOVE.,
1/y&LESS $ .25
1/2 2 .50 - - SIGNATURE OF
2 5 1 00
PERMITTEE
`
5 15 1 so INSPECTION RECORD
15 50 2 50
50 200 5.00
200 500 10 00
500 4000 15 00
_ Q
OVER 1000 20 00 Z`
M G SET/FREQ' CHANGER—HP -
WELDERS AC-KVA - rx
0
GENERATORS- KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.) I ""
MOVED MOTORS (75% OF ORIG ) I -
MISC
SIGNS
TYPE: NO TRANS _
TYPE: NO. LAMPS
Li APPROVALS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1 00 CONDUIT
FIXTURES $1 00 WIRING '
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $zR UTILITY CO. NOTIFIED
LJ FINAL
TBS 5A 12.54
DBS APPLICATION FOR ELECTRIC- PERMIT
SA 1
DIVISION OF' BUILDING AND SAFETY
Department of County Engineer
County of Los BUILDING
WM. J. FOX, COUNTYY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING nn
FOR APPLICANT TO FILL IN LOCALITY
PERMIT-FEES NEAREST
CRO55 ST �
FEE
NUMBER EACH
LIGHT OUTLETS L OWNER �^' �/j '7•
RECEPTACLES MAIL
ADDRESS //
WALL SWITCHES L/h 1 e
TOTAL OUTLETS _5¢ S LJ _ CITY TEL NO'
ELEC RANGES 25 ELECTRICI N
ELEC HEATERS 25 ADDRESS
KW EA'
� CITY TEL NO
_FIXTURES 5 �_ LICENSE NO
NUMBER OF LIGHT CIRCUITS DISTRICT NO GROUP ZONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS �� pOd/ 4,�/
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD HP OVER INC EACH
LESS $ 25
1/2 2 50
2 5 1 00
5 15 1 50
15 50 250 '
50 200 5,00
MISC.
NO SIGNS NO TRANS _
NO SIGNS NO. LAMPS ,
FOR EACH PERMIT:" '
WIRING $1 00
FIXTURES $100
SUPPLEMENTARY .50
s� APPROVALS
TOTAL FEE $ / DATE INSPECTORS SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND 'STATE LAWS REGULATING WIRING '
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. _
SIGNATURE UTILITY CO NOTIFIED �,J
OF PERMITTEE �' ` C�'^ FINAL ��4
WILLIAM J. FOX, COUNTY ENGINEER VALID , -D
MY
DEPUTY:
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0405130003
BUILDING AND SAFETY ; LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
EGA !D: FEES PAID BUIRD-R97RURESS:
TR: 11131 LT: 9 5519 GOLDEN WEST AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802519
ASSESSOR NEAREST CROSS STREET: BROADWAY
8588-010-003 Al PERMIT ISSUANCE FEE -- 27.75 THOMAS PAGE: 597 GRID:' A3- "LOCALITY': TEMPLE CITY, C
JB AC UNITS +3-10HP 1.00'AC 19.65
T LA 100 AMP PANELS, MCC 1.00 PAN 38.85 ISS 0 AN .
TOTAL FEES 86.25 05/13/04 VG 11/09/04
OWNER: TEL. NO: FV, )/
FINAL SY: ODE:
ELLINGSON VERNON;PAULINE TRS (818) 285-1991- \
5519 GOLDEN WEST AV _
TEMP 917802519- . DESCRIPTION WORK-
UPGRADE
ELECTRIC SERVICE TO 100 AMP AND RUN CIRCUIT 10'A/C
APPLICANT: L. N0:
MENDIETA ELECTRIC (626) 309-1338-
SNECIAL CONDITIONS:
CONTRACTOR: TEL. NO: r APPROVALS DATA INSPECTOR SIGNATURE
MENDIETA ELECTRIC (626) 309-1338-
225 ALABAMA ST. LIC. NO TEMPOR/RY POWER POLE
SAN GABRIEL, CA 91775 551372/ClO
UNDERGROUND CONDUIT L
�ARCHI ECT OR ENGINEER: T L. NO: IUFER GROUND r
I - "
LIC. NO: (ROUGH CONDUIT
n C'_'Z li WIRING
MAIN WATER LINE
�PLASTIC Y/N METAL Y/k.
UTILIT Y COMPAN NCTiFi[D -
REPORT ID: DPR265 ROUTE TO: BS0508