HomeMy Public PortalAbout6448 GOLDEN WEST AVE_Electrical__ 76A663 DBS SA 5-49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN
ADDRESS ' =EIVED BYREADY FOR FIRST NSPECTION DATE ISSUED
CITY TEL. NO. �' 5--56
COUNTY LICENSE NO. EXPIRES BUILDING7'
PERMIT FEES ADDRESS
NUMBER OUTLETS EACH FEE LOCALITY9 �� L..t
LIGHTS 5c I$ I NEAREST
CROSS ST.
RECEPTACLES 5 A it+
FIXTURES 5 I� OWNER a �.
WALL SWITCHES 5 I MAIL �)
ELEC. RANGES 25 ADDRESS -
�_I ELEC. HEATERS 25 - --
- I � CITY ,. TEL. NO, "•
MISC.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED: APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES ; AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
r NUMBER HORSEPOWER FEE I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER I INC. EACH
OF THE RESIDEINTIAL PROPERTY -'jDbPCRiBED Aq.O.VE.
1/2 2 .50 SIGNATURE OF 10
PERM ITTE -4 i -�"'�* -1P,
2 5 1.00
5 +s 1.50 INSPECTION RECORD
15 so 2.50
50 200 5.00
200 Soo 10.00
500 1000 15.00 ..I
Q
OVER 1000 20.00 Z
M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA rx
0
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
misc.-
SIGNS
TYPE: NO. TRANS.
TYPE: NO. LAMPS APPROVALS
ALAS•
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE $ UTILITY CO. NOTIFIED 1
FINAL !}