HomeMy Public PortalAbout6233 GOLDEN WEST AVE_Electrical__ DBS SA 2Sl E3EETS 1-48 MPLICOTION FOR PIIR'uT
]DEPARTMENT OF
ipa3M• AND SlgS
COUNTY OF LOS ANGELES ELECTRIC
J. FOX. CHIEF
[—CERT.
DISTRICT NO.. GROUP ZONE PERMIT NO.
NAME /^\�
ADDRESS 5� 4 /I
RECEIVED 13Y READY FOR DATE ISSUED
CITY TEL NO. FIRST INSPECTIOPICOUNTY
NO. JSj j MLPIRE'S
APPLICAW MLINHEAVILY OUTLINED -ORTION ONLY
DU'SCRdPTION OF WOE ADDRESS �✓
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
� NEAREST
LIGHT OUTLETS SW. PLUGS FliT CROSS Sy-
CIRCUIT A B C D E IT G H E NAME
Z MAIL
• 3. ADDRESS 2
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CITY TEL.NO.
1 AM THE LEGAL POSSESSOR F T ABJA
LOS
ANGKLES COUNTY CERTIFICAT F QUO ICA
/LEGTRI
I AN THE LEGAL OWNER OF'SHG P PEr,RTY D
ASOVB
OWGO CTIONS _
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NO. OF OUTLETS S ��! APPRO"LS
NO. OF FIXTURES 4 DATE INSPECTOR',S NAME;
S _
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. 8; WIRING
NO. OF RANGES OR VEATERS $ FIXTURESof
moo.
rPERMIT
S_ $ / Q POWER s
FEE ffi UTILITYCO.NOTIFIE , tj
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COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
OF COUNTY ENGINEER
DMIVISI SION OF BUILDING & SAFETY •
WILLIAM J. FOX, COUNTY ENGINEER
' ELECTRIC . 1
FOR APPLICANT TO FILLIN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
�-�
ADDRESS .iY ,�. "',�N�df��+�UC� �, R CEI D Y READY FOR DATE ISSU D'
{` ppQ�..��/J'A (y� FIRST INSPECTION
TEL. NO`.�i �+►A �
COUNTY LICENSE NO. EXPIREsA C,i?4-r,, el �}�g 4
PIIINIIT FEES ADDRE9s F' , ? Mfr "
NUMBER EACH FEE
�j LOCALITY ,,;�JX2J-�, +�✓.�-5���
LIGHT OUTLETS }/
_� NEAREST
RECEPTACLES CROSS ST
WALL SWITCHES -
OWNER
TOTAL OUTLETS •5c $ 1 p �
ELEC. RANGES a ,25 ADDRE8MAIL ,8 '1�E'a"; J .QL71 A� Q
ELEC. HEATERS 25 � � _ -
FIXTURES 8 CITYi�y^.,ter= �.4� -Q� TEL. NO.
MI8C. - lw I HEREBY °ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF LIGHT CIRCUITS - APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBEROF RECEPTACLE CIRCUIT AND STATE LAWS REGULATING—ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE A
. ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY /DESCRIBED ABOVE.
I/a 8.LE58 ' $ .25 1�7r ILJ _i4'¢ 1p�" 6JTr+,
SIGNATURE OF
` I/2 2 .50 PERMITTERend
r , ' 1 r
2 5 1.0,0 '-INSPECTION RECORD
5 '15 1.5 ,•
15 50 2.50
50 200 5.00
200 Soo 10.00 J
Boo 1000 15.00 z
OVER 1000 20.00
M'.G. SET/FREQ. CHANGER-HP
WELDERS;: AC-KVA
.GENERATORS -KW
TRANSFORMERS-KVA
'TEMP. MOTORS (75% of oitm.)
MOVED MOTORS (75% OF ORIG.) A
MISC. -
__ SIGNS -- -
NO. NO. TRANS.
NO. NO. LAMPS APPROVALS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 •� CONDUIT J-3 , ,I ANI -
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
• i/�y� POWER � .
. .TOTAL FEE $ l UTILITY CO, NOTIFIED
FINAL
76A 663 DBS# 6A. 4-62 • ' I w ` '
_ r
76A663-CEB06.9-67 APPLICATION FOR ELECTRIC L PERMIT
COCINTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER rBILDING //�� ll
BUILDING AND SAFETY DIVISION DRESS 10 2,33 GoO P-y W Z'rr
JOHN A. LAMBIE, COUNTY ENGINEER /y1
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGCALITY �l P� �!
NEAREST �2
FOR APPLICANT TO FILL IN CROSS ST.• y
NO. EACH FEE
$ $ OWNER
FRECEPT. MAIL /1 �y 't, l.
TOTAL FIRST 20 20OADDRESS �OddG. .� �O Pq •WC�d'OVER 20 .10 'CITY -r-ell'1 (t �� TEL. NO_ '
LIGHTING TOTAL FIRST 20 20 CONTRACTOR
FI �tL�cTjmmQ//JWG
XTURES / OVER 20 10 ADDRESS C(. l AOG /J d
RA NGE_DRYER—WT R.HTR._ CITY jP//f eo- TEL. NO 2S702
STA.COOK_DISP. F.A.U._ LICENSE NO. S 14 -6
SPACE HTR. AIR COND. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH._DISHWASH._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. ,
FA N_OTHER 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIZE & TYPE OVER TO SIGNATURE c
AirCv 0 - 1 1 00 Q OF PERMITTEE
O
iv A A-
11 - 10 3 00 DISIF ICT G P NE P O D
10 - so 5 00
O
50 - 100 1000 NOTES: G
W
100 - 500 15.00
N
TUBE, A GS SIGN AND ONE CIRCUIT 3 00
MARQUEE ADDITIONAL CIRCUITS 1 00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
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
ISSUING FEE 2 00 WIRING
k
FIXTURES
SUPPLEMENTARY ISSUING FEE 1 00
1POWER-AUTHORIZEO-----------
,/ ,p,�� -'
PERMIT FEE UTILITYCO.NOTIFIED ` a ��� ,� ice4f/
PLAN CHECK FEE (50% PERMIT FEE) FINAL p ���
TOTAL FEE , 4. JOSEPH C. ROOHAN
SUPERVISING ELECT AL ENGINEER
PLAN CHECK VALIDATION CK M 0. CASH PERMIT VALIDATION CK., M.0 CASH
2442- OCT-2S 2 D 4.60 147
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE