HomeMy Public PortalAbout6045 GOLDEN WEST AVE_Electrical__ 768663-CE806 10,72 APPLICATION FOR ELECTRICAL PERMIT
q COUNTY OF LOS ANGELES
" DEPARTMENT OF'COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS A
LOCALITY Ter. le Cit
FOR APPLICANT TO FILL IN CROSSNEAREST T oodruff�
FIXTURES.
TS NO EACH FEEW ER pR R , .John o
$ $ .,
,4DDRESS C i
TOTAL FIRST 20" 25 � Z~' Aire_ -82
CITY -ejrj lbe- City, TEL NO
OVER 20 10 PLAN CHECK
FIRST 20 APPLICANTTOTAL 25 1 'OVER 20 ADDRESS 10
RESIDENTIAL-APPLIANCES CITY TEL 'NO
PERMIT
RANGE DRYEP_WTR HTR , APPLICAN
STA COOK DISP F.A U ADDRESS
SPACE HTR AIR CONDCITY TEL NO
CLOTHES WASH -DISHWASH LICENSE OR t
REG NUMBER CLASS
FAN OTHER 100 1 HEHEBI ACKNOWLEDGE THAT I HAVE 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.CERT IF THAT I AM PROPERLY REGISTERED AND/OR
0 = 1 100 LICENSED AS RE_QU IRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE
1 - 10 300 PESCR'IF.ED IDEN PERTY p
O
PERMITEE C]
10 - 50 500 SIGNATUR
O
.. 50 - 100 1000 DISTRICT NO PRO SED BY //��
100 - 500 1500 cn
Z
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVICENOTOVER 600 VOLTS OR 200 AMP 300 .1 UNDERSLAB WORK
SERVICE OVER 600 VOLTS OR200AMP 1000 ROUGH CONDUIT
TEMPSERVICE, POLE, &APPURTENANCES 1_, 500 ' r � 1� WIRING I A
TEMP LIGHT OR RECEPT SYSTEM �- 300 FIXTURES
ER AUTHORIZED ..�
LITY CO. NOTIFIED
AL
PERMIT FEE (SUB TOTAL) ES, >
PLAN CHECK FEE I
PERMIT ISSUING FEE
]IF
TOTAL FEE
PLAN CHECK•VALID AT,ION CK M 0 CASH PERMIT'VALIDArl',01N Jell M 0 CASH
4 3 9 r2ijAp, 2.6 G ®tri
SEE BACK OF'APPLICATION FOR COMPLETE SCHEDULE ' j ,
76A663A-CE806A 4/72 APPLICATION FOR ELECTRICAL PERMIT
r COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
r _ _
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE
`� OWNER
RECEIPT J $ $ MAIL
LIGHT
3 FIRST 20 TU ADDRESS
TO L
CITY TEL NO
SWITCH OVER 20 ,
PLAN CHECK
LIGHTINGTOTAL I
FIRST 20 APPLICANT ,
FIXTURES
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL ,No
PERMIT "i
RANGE DRYER WTR HTR._ APPLICAN !S
STA COOK DISP F.A U ADDRESS ?O
SPACE HTR, AIR COND CITY TEL NO 17672
CLOTHES WASH DISHWASH. LICENSE NO. 2 CLASS -SRU
FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION a
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V
IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING
SIZE N TYPE OVER - TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 LICENSED AS REQUIRED BY LOS ANGELES 000�IT1 AND STATE OF W
CALIFORNIA OR THAT I AM THE LEGAL OWNER F, AND INTEND TO d
1 - 1O RESIDE N, THE AB V DESCRIBED RES N�IAL PROPERTY y
/
10 - 50 SIGNATURE
OF PERMITTEE
50- 100
DISTRICTNO CLASS 7ESSED BY
100 - 500
SIGN, GAS SIGN AND ONE CIRCUIT NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVICE NOT OVER 600 VOLTS OR 200 AMP
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 200 AM P
TEMP POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES
UNOERSLAB WORK 1
TEMP LIGHT OR RECEPT, SYSTEM
ROUGH CONDI UT
WIRING f"P�j 7v
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTIFIED
PLAN CHECK FEE ,
3-�-�
PERMIT ISSUING FEE FINAL 7
TOTAL FEE
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH.
44.5-SEP- 30 2 0 8.20
O lv
76A663-CE806 10/72 APPLICAT \ Nk-�ii-&RICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF-COUNTY ENGINEER FARLE'STT
BUILDING AND SAFETY DIVISION Q
' FOR APPLICANT TO FILL IN -
OUTLETS NO EACH FEE
FIRM NAME
RECEPT $ $ MAIL
LIGHT TOTAL
FIRST 20 ADDRESS
` 25 CITY TEL' NO
SWITCH_ OVER 20 10 ,
PLAN CHEC - i
,FIRST 20 _ APPLICANT '
LIGHTING TOTAL 25 �OVER 20ADDRESS y"
FIXTURES 10
RESIDENTIAL APPLIA'`NCES CITY TEL NO
PERMIT
RANGE-DRYER WTR HTR APPLICANT
STA COOK DISP F A U ADDRESS
+SPAC,E HTR AIR COND1 _ CITY TEL NO
CLOTHES WASH DISHWASH • LICENSE OR
REG NUMBER 6O. / Z CLASS
1 ✓
i FAN OTHER ,100 I 1 HEHEBI'ACKNOWLEDGE 'THAT I JHAVE READ THIS APPLICATION
'AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES SAND STATE LAWS REGULATING
,IND HEATERS;ETC HP KW KVA ELECTRICAL WIRING '
SIZE & TYPES 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 T I AM THE LEGAL OWNER OF THE ABOVE
- DED r
1 10 300 - DE SSRI REST EN IAL PROP Y p_
- 1 O
PERMITEE I V
10 - 50 ,600 SIGNATURE 0=
O
50 - 100 1000 V
DISTRICT NO ROCES Y LV
1 00 - 500 1500 - /)
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS , C/ DATE INSPECTORIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVICENOTOVER600VOLTS OR200AMP 300 UNDERSLAB WORK
SER'VICEOVER60OVOLTSOR200AMP 1000 ROUGH CONDUIT ,
TEMPSERVICE,POLE, &APPURTENANCES 500 . WIRING
TEMP LIGHT OR RECEPT. SYSTEM 300 FI-XTURES, �•
POWER AUTHORIZED • ,
UTILITY CO, NOTIFIED
I- FINAL >
,PERMIT FEE (SUB TOTAL) NOTES I -
PLAN CHECK FEE l '
PERMIT ISSUING FEE 300 ZIS�J f
TOTAL FEE Z/D I
r
PLAN CHECK VALIDATION 'CK M 0 CASH PE RMIyV.A,LI DAA CK - M 0 CASH
4 3 1rh1AR 2' 2-'
12.0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE -
� 1
J 68663-CE 5_l 0/72 APPUCATIbN R ELECTRICAL PERMIT
�OUNTY OF LOS ANGELES ,(
�DEPARTMENT,OF COUNTY ENGINEER AooREss '�V
BUILDI� G AND SAFETY DIVISION
LOCALITY C -
NEAREST
FOR APPLICANT TO FILL IN 74CROSS ST
OUTLETS NO EACH I FEE OWNER OR
FIRM NAME
RECEPT 4 - $ $ MAIL -
ADDRESS
LIGHT TOTAL FIRST 20 25 � � �
CITY TEL NO
SWITCH OVER 20 10 -
PLAN CHECK
LIGHTING TOTAL,
FIRST 20 25 APPLICANT
FIXTURES OVER 20 10 ADDRESS
�
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER WTR HTR APPLICANT
STA COOK DISP F A U ADDRESS ,.!r *,P-" q��Ly
SPACE HTR. AIR COND CITY TEL NO yV(r_L Lri
CLOTHES WASH DISHWASH LICENSE OR Ci/ CLASS C— J
REG. NUMBER Q
FAN OTHER 100 '1 HEHEBI ACKNOWLEDGE THAT I HAVE 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 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA-OR THAI I AM THE LEGAL OWN OF THE }
1 - lO 300 OES'Pi ED RESIDE CL PROPERTY
O
- U
10 - 50 500 PERMITEESIGNATURE
O
50 - 100 1000 DISTRICT NO. SED BY U
W
100 - 500 1500 °-
- � Z
SIGN, GAS• SIGN AND ONE CIRCUIT 500 APPROVALS ` ' DATE INSPECT R'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER,POLE
SERVICENOTOVER600VOLTS OR290AMP 300 UNDERSLAB WORK
SERVI CE OVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT, ,
TEMP SERVICE,POLE, &APPURTENANCES 500 WIRING '
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED J rV�/•(!
• UTILITY CO. NOTIFIED
FINAL �l ,
PERMIT FEE (SUB TOTAL) NOTES -570@V1e-eF- h70,4i� Y3y
PLAN CHECK FEE �b�'+�!✓IN(Y DEPT '
PERMIT ISSUING FEE 3,001
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATIONCK M O CASH
5 9 1 tinasR 8 2 D 1 1.4 0 ,&`,�
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - '