HomeMy Public PortalAbout6445 GOLDEN WEST AVE_Electrical__ 76AG63 09S 5A 3-50 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 I ZONE PERMIT NO.
3
ELECTRICIAN
RECEIVED BY READY FOR DATE ISSUED
ADDRESS �T J .�. ' , FIRST INSPECTION
CITY 12 -3
COUNTY LICENSE NO, EXPIRES BUILDING
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES
OWNER t -
TOTAL OUTLETS 5C MAIL
ELEC. RANGES 25 -L ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER FEE HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEw MVD. HP OVER I INC• EAC- OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I/2 6 LESS $ .25 SIGNATURE OF
%p 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 Sp 2.50
50 200 5.00
200 500 10.00 J
5001 000 1 5.00 Q
_ Z
OVER 1 DOC 20.00 V,
M.G. SET/FRED. CHANGER-HP Q'
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.)
_ MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
> POWER
TOTAL FEE $/ UTI LITY CO. N GTI FI ED
FINAL