HomeMy Public PortalAbout6312 GOLDEN WEST AVE_Electrical__ TeAeeE-cEeoe 10172 APPLICAT ON R E XTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
LOCALITY Ole, elf-Av
NEAREST
FOR APPLICANT TO FILL IN CROSS ST, 1
OUTLETS NO, EACHI FEE OWNER OR
FIRM NAME
RECFPT._ MAIL
LIGHT TOTAL FIRST 20 ADDRESS
7-211-�Ir-70"A
CITYTEL. NO.
SWITCH_ OVER 20 ,10 '
PLAN CHE
LIGHTINGl FIRST 20 25 APPLICAN
Jy TQTAL
OVER 20 ADDRESS
FIXTURES .10
RESIDENTIAL APPLIANCES CI TtL. N6.
PERMIT
RANGE QRYEPr_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR, AIR CONO. CITY TEL, N0.
CLOTHES WASH. DISHWASH. c, CLASS.
FAN OTHER 1. 0 IHERESY ACKNOWLEDGE THAT I HAVE READ THIB APPLICATION
AND !TATE THAT THE ABOVE Ie CORRECT AND AGREE TO COMPLY
MOTOR! TMH!FORM ERS MTING WITH ALL COUNTY ORDINANCE■ AND STAT[ LAMS REGULATINS
IND. H�EATEliI, ETC. HP. KW. RVA. ELECTRICAL WIRING.
SIZI k TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY R[9I8T[RED AND
0 — 11D0 LICENSED All REQUIRED BY LO S ANGELES COUNTY AND STAT[ 0
CALIFORNIA OR THAT I AM THE L[G AL OWNER OF THE ABOVE y
1 — 10 app DEB GRIR[D [j:IAL PROPS TY Go-.
PERMIT EE S
10 - 60 r5. SIGNATURE
SO - 100 DISTRICT NO. PROCES BY LV100 - 600 OSIGN, GAS SIGN AND ONE CIRCUIT APPROVAL! DATE SININATURIff
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1D0 TEMP. POWER POLE
SERVICENOTOVER 600VOLTS OR200Amp 3.00 Q(J UNDERSLAB WORK
SERVICEOVER60OVOLTSOR20OAMP 10D0 r ROUGH CONDUIT
TEMP SERVICE,POLE, h APPURTENANCES BAp WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO, NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3m 9
TQTAL FEE 00
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. CASH
�'. 2 4 6 L-M JIA.26 2 D 6.00 A
S[[BACK OF APPLICATION FOR COMPLETE OCHEDULE
r70AB6 -CES08 IO/_n APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
7CAL
LQ
FOR APPLICANT TO FILL IN OUTLETS F 7
S FIRM NAME
RECEPT._ MAIL
LIGHT TOTAL FIRST 20 ADDRESS o
CITY TEL. N0. -y "
SWITCH_ OVER 20 .10
PLAN CHECkfF
LIGHTING TOTAL FIRST 20 APPLICANT
FIXTURES
OVER 20 •10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. N
PERMIT
RANGE DRYEA_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. Cl TY TEL. NO.
FO
CLOTHES WASH. DISHWASH. RFC IlIJME6 CLASS.
FAN OTHER 1.00 IHERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ANO STAT[ THAT THEABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERB RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. RVA. [ELECTRICAL WIRING.
SIZE i TYPE OVER TO
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/0
0 - 1 1A0 LICENSED AS R E 0 U
IRED BY LOS ANG[L¢8 COUNTY AND STAT[ OF
CALIFORRI OA THATTII AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED [SIDENAL PROP RT
1 - 10 Bm
PERMITEE
10 - EO 800 SIGNATUR 0
80 - 100 10m DISTRICT N0. PRO SE
00 - 5wIBM
�/D v W-� ��C� z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DAT[ Di![CI OWB B N/iATU1R
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1m TEMP. POWER POLE
SERVICE NOT OVER BOO VOLTS OR 200 AMP 8.00 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 10 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 8.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 8m FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE Bm 19
TOTAL FEE olvo
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CAS
Jr_ 2 5 4 973 AUG 1 2 D 6-00A
S[[ BACK OF APPLICATION FOR COMPLETE SCHEDULE Jm{
V
76A663—CE806 8/63 APPLICATION FOR ELECTRICAL PERMS ,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS o e.
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
740
NEAREST
FOR APPLICANT TO FILL IN [CROSS ST. 'i pin 118-4
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 /1 $20 8 OWNER
LIGHT V MAIL
�y ��/ ADD'L .10 ADDRESS(/
SWITCH. —/ — OVER 2O
! TOTAL CITY TEL.NO
LIGHTING FIRST 201-3 .20
FIXTURES AOD'L 10 ELECTR CIAN p
OV R 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. ;t, STA.APP.(1/=H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT GRQUIP Z ED
O 1 1.00
1 3 1.50 INSPECTION R CORD
s 8 2.00
o_
8 15 2.50 O
15 50 3.00
O
50 100 5.00 ~
V
LU
SIGNS: NO.TRANS OL
NO.LAMPS Z
SERVICE 0.6001 OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE a
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DAT! INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED A8 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES e�
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOV
DESCRIBED RES ENTIAL PROPE POWER
SIGNATURE UTILITY CO.NOTIFIED `"` "-
OF PERMITTE FINAL > •'`'� Of
-
VALIDAT ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
L,`i k 5 5 10%'a NOV 2 2 D 7.8 Q N
r � w'C>WERs'COMI'ENSAT]oN DECLAFiI,TIQN e� ,o/ei � ?JI
1 hereby afflim Uxt I have a cerWk)hte 0f Pornerrt to pelf Ineure,
APPLICATION FOR ELECTRICA 91
or a oertlfirete eh Wxkars' hwa .BOUNTY OF LOS ANGELES BUILDING AND SAFEtY
copy.ffiwegf(sea 8800,Lab-G) '
ir
sky raa,�LICNff ro Fu.IN 6s
. copy km hsr turnlet,ed. New Restderrtial Bk%^-&Pocie EACH. NO. FEE
Certlfled'Cbw iEr-ned)wfth ny bu dlhp InepBdion
1 h 2 FamBy.Sq.Ft T— $ = 5 L
dopettrnSfitMutl^tefN .1t sr
Cres S7.
Reeider,tlal Swtrnmlrp y pyyt1
TE OP OtJ WORKERS' Cutietx Rao /� . + } Aul
` INS �
COMP�N
(Thf4.Mdb(�heed rjQ4 be„eompi�t�d f1,tt work lWoKled try the•' F�rot 2a
pertrtft is fae'004,}w rpd dollars 1$100)or km& Total Na AddftlOnal.
r—,eA
I cer3fN,.thst.ln the of thework.Tor whbh tlils p�Tft .
b leailetlI ehsll not'empty person.In oRy manner so ae.th
become euub}ec2,to the Workarli.rrofrr�ereeafion Lewy L1�tlnGFbr�rrea' 1`715-5t 20 ADDRESS
Total No. °dditionel Cm Tel.Ela'
Date Fixed-Applarrcee Not Over 1 HP .
NOTICE TO A13PI fOA�fff,.ff,. After.,!T?ekrpQ tf,kQ Ce+#ryoatB of
. Ekarnption,you sfrouid,beRgm eltbJect•tq#�.,W rkars'Compeasatbrl _ �� Ba-W— 0.W. _ • .
of the LQbar COde;- nXW "thWttl�p=* *11h Oven Oven — D 's W M. .. ADDRE
pry ra or hfs,pwrq( ehan tZe deerhed myOw i T6P T.wi . �-WFL ChY ler.
L1bEt}*D t0 bF3�MCL,APA-ON . Flood Fan Otni r^
70 a V-
I herby afArrrl that I wn. ".ed ,ocd r,Proylbi”.of Ch ptw 8 p� Room.Ar Cord.
lcommer>C1nP,`"tth Seddon 7000) of DMafoFFB of the.Buefneeh er,d
frofesdorae Code,and Ny Ibenee fs 1n full#one wid-e poWer Apparatus&-targe AppfiencQo 4iSTRICT M0. $Y
Size&Type HR,KW,KW or KW Ft
mbar L l0.Class Up 1 1ncL . NAL
DATE r C'
Date
Over TO to CO Inol.
Fl
I em under Over 60 tq 100 Inc; $y
-BA #or this reeaoh Q et 100 Cn
Servbm 9wt d-MCO&Par"bcerds
_ - Date: 0-200 Arnp_Under 800 V
201 106b Amp.F}nder 600 v 1 3 Q 2 A
Over 1000 Amp.or Ovet 6Q0 V
❑. Exemptbn fbrl3eg,Wft Elevt " .
# o o'o,'o-2
SINGLE FAMILY Temp.Power Pcie A Agwrtenencee ~
HOME 0M4EP BUILD.EF`t DEOLARATK>N S{gn whh One Branch Ctnnfl o;0 2 2 Jr',�
I hereby eflrm that 1 am exempt from the Gcxj 3o ,s LJo&r Law : Atldfklonel Sign Brenot,GrGuit6 ° ° °2 Jr U,�
for'the follomtng reason(Sedigq 7Q31.6.Bueloese and Pro(eeelor>$`
7
Misr-ConclUts&'Gonductore 8 8
I,as owns -pt the property,vt111 do the Work and the structure Other(�Compete Fee 0olnedWe)
Is r PIotaF6ed or,offered,for bele 1Segtbn Qs•7044, BL*0e • ,
Code)
CONyS7 L)GTIGN L ENI INQ AGENCY
i heretiy:'§fflrm tna thons.is a cof?strudion IenclIng:.agen y for the -
performance d the Wait for wHcti.tf&&permit Is bayed(Sec,3097, PEFWrr FEE (8y¢To#al)
Civ-C.). r
PLAN CHECKUFG f�E '
Lender`s Name a.
PERMIT.ISSUlK FEE
tend s Address
19rft that 1 hale read this appffoaom grid ataW ftvt the above TOUAL FEE
?.information to oormot I agree V cPhr with all Gounty ordk,anoes
end State law% regulating E� wlr'-Q, and hereby fie.
Te€ireaerltativQe 0f#io COurtty'to the above-mentbned
P�pertY P�POsed SEE REV&I-SE POR EXE-LAN G IJAG