HomeMy Public PortalAbout6238 GOLDEN WEST AVE_Electrical__ ` D89 S-A jS-46
APPLICATION FOR PERMTr
DEPARTMENT:OF OF BUILDING AND SAFETY
COUNTY,OF LOS ANGELES ELECTRIC
CTRIC
Q WM. J. FOX CHIEF GINE R
NAME ' DISTRICT NO. GROUP ZONE PERMIT NO.
_
U ADDRESS Q4-4.0
C(f(A RECEIVED BY READY FOR DATE ISSUED
CITY TEL.NO. IB FIR TINS ECTION
A COUNTYW CERT.NO. EXPIRES -3d-/YJa �A L7
APPLICANT FILL IN HEAVILY OU'T'LINED POR'T'IONJOB
NLY
DESCRIPTION OF WORD ADDRESS .
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS SW. PLUGS Flz7 CROSS ST.. ^1✓} .'�C9"'S�'�, -
CIRCUIT A B C DI E• F-IG I H w NAME
Z MAIL
P C 3 ADDRESS
O
Idl CITY TEL.NO.
/ 1 AM THE LEGAL. POSSES_ R OF THE ABOVE LOS
' r ANGF}L.ES COUNTY CERTIFICA F I (CATION
G� i -T ELECTRICIAN.
(/ I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
a 6y ' "OVB
OAAk OWNER.
/ ! / ! c®RREC�®NS
1 21
DsAlI-
/ J
Ilk
Z
0
--H
TOTAL 17 6
NO. OF OUTLETS $ }' APPROVALS
NO. OF FIXTURES l $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR EATE $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ / ' UTILITY CO.NOTIFIED
TOTAL FEE `S FINAL
76AG63-CE806 4-65 APPLICATION FOR ELECTRICAL' PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING <3
BUILDING AND SAFETY DIVISION ADDRESS J �� r'
JOHN A. LAMBIE, COUNTY ENGINEER T
COLEMAN.W. JENKINS. SUPT. OF BUILDING LOCALITY �� C�,l�y/
FOR APPLICANT TO FILL IN CROSSNEAREST
/✓T O�/��N���'s�
RECEPTACLE,y] TOTAL No ACH FEE /
LIGHT l OUTLETS I FIRST 20 $-20 $ vkADDRESS
OWNER z/11
Jr /1
SWITCH ADD'L 10 a AOVER 20TOTAL FIRST 20 ,20 V TEL. NO.
LIGHTING FIFIXTURES VER210 TOR a
OVER 20or
RANGES CLO.DRYERS WTR HTRS. 1.00 ADDRESS, -/ , i 6 D A)- e)JJ--1
GARB.DISP. STA.COOK CITY TEL. NO.3 . 90
DISHWASH. AUTO.-WASH. STATE / �/ f� C
SPACE HTRS. STA.APP.('/.H.P.MAX.) Z .50 60 LICENSE NO. (/ o
MOTORS: OVER NOT OVER H.P. DISTRICT N G P ZO PR - D
O 1 1.00
1 3 1.50 INSPECTION RECORD y�,,, n
3 /a 2.00 /a -p,/1yPE �
_ In��tv * '
✓
'C.
8 1s 2.50 ``qq �l�.+�
- by A /V
15 50 3.00
50 100 5.00
SIGNSi NO.TRANS 6 o
NO.LAMPS
SERVICE 0.600V-NOT OVER 200A 1.00 O d
N
SERVICE 0.60OV-OVER 200 A. 2.00 z
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00 no
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ D, APPROVALS DATE INSPECTOR'S SIGNATURE
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI6ATidN UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. •r' �_ �w�l
WIRING e�
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES '
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO POWER
RESIDE IN,THE ABOVE D EQ�ESIDENTPERTY.
SIGNATURE /`J/L/A UTILITY CO.NOTIFIED
OF PERMITTEE l /
FINAL
VALIDAT J0S9PH C. ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
L ALO 8 1 1 3 - DEC 16 z o 8.40,--
,76463-CE806L 1-68 4 .APPLICATION FOR, ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARtMENT OF COUNTY LTNGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A`. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NO EACH FEE
$ /f�
RECEPT. 1 $ OWNERMAIL
—
LIGHT (TOTAL FIRST 20 20 6d ADDRESS k� O jrj
SWITCH/� OVER 20 .10 CITY TEL. NO.
PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT "
FIXTURES OVER 20 1 .10 ADDRESS
RANGETDRYER—WTR.HTR.L- CITY wTEL. NO.
STA.COOK� ISP. F.A.U— •CONTRACTOR `� f9j�},ear /C. L
SPACE HTR. AIR C1OND. ADDRESS
CLOTHES WASH._DISHWASH._ CITY O,rt//�� TEL. NO.3S 174-
FAN OTHER 1 00 LICENSE IJ O. CLASS. C-1 ID
MOTORS,TRANSFORMERS RATING
IND HEATERS, ETC HP. KW KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
0 - 1 1 00 ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF' }
CALIFORNIA OR THAT. I AM THE LEGAL OWNER OF, AND INTEND TO d
10 - 50 5 00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY O
SIGNATURE V
50 - 100 10 00 f
PERMITTEE CC
100 - soo 15 00 STRICT NO. G P NE P CE SED BY �j
TUBE, OR SIGN AND ONE CIRCUIT 3 00 / d
MARQUEE ADDITIONAL CIRCUITS 1 00 TES: Le � Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP / 2 00 -2-
SERVICE
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE, POLE, & APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE
MP. POWER POLE
DERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2 00 Z dd UTILITYCO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL
TOTAL FEE 66 JOSEPH C. ROOHAN
SUPERVISING ELECT ICAL ENGINE R
PLAN CHECK VALIDATION CK M 0, CASH PERMIT VALIDATION cK M o CASH
Lt?o 5,4. SEP 1 9 ? D 8.6(D
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
76A663-CES06 468 F ELECTRICAL Rm
APPLICATIONOR
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS J
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY ,/57L 4'
IIIIIIIII NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. AC FEE
$ $ OWNER
RECEPT._ MAIL
LIGHT TOTAL FIRST 20 20 ADDRESS
SWITCH— OVER 20 10 CITY TEL. NO.
PLAN CHECK
LIGHTING �TOTAL FIRST 20 .20 APPLICANT
FIXTURES I OVER 20 10 ADDRESS
RANGE—DRYER—WT HTR.— CITY TEL. NO.
STA.COOK_DISP.—F.A.U._ CONTRACTOR Q
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH.—DISHWASH._ CITY TEL. NO.
FAN—OTHER 1.00 LICENSE IJO. CLASS. �� O
Z_ Z
MOTORS,TRANSFORMERS RATING
IND HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE IN TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPL
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULAT G
ELECTRICAL WIRING. /
0 - 1 1 .00 /
I HEREBY CERTIFY THAT I •M PROPERLY R GIST D AND/05
1 - 10 3 00 LICENSED AS REQUIRED BY,�OS ANGELES CO TY ND ATE0
CALIFORNIA OR THAT I A THE LEGAL OW O , AND NT END
10 - 5o 5,00 RESIDE IN, TH E DESCR 11 D I NTT PRER
50 - 100 1000 SIGNAT E U
OF PERMITT
100 - 500 15 00 DISTRIC NO GROUP Z NE P 'CE SED BY CD
TUBE, OR SIGN AND ONE CIRCUIT 3 00 i C-D
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: 472zlCt? WC�
Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 G 9
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE, POLE, 6:APPURTENANCES 3.00 APPROVALS - I DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2 00 UTILITYCO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL
TOTAL FEE
L � JOSEPH C. ROOHAN
SUPERVISING ELEC AL ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION cK M o CASH,
Ll ? 4 0'21- IQY 2 5 2 D 2.9.0-
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ���