HomeMy Public PortalAbout5112 GOLDEN WEST AVE_Electrical__ 76A669-CES0610-59 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT
DING AND SAFETY DIVISION ADDRESS 5112 N.BUILDING Golden West
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST. La Rosa
PERMIT FEES CROSS
ITEM NUMBER EACH FEE OWNER Rogers
MAIL
OUTLE 22 15 L;1 $ $ 5 10 ADDRESS
LIGHTS RECEPT. SW. / .10 •
LIGHTING FIXTURES 14 14 1 f0 1.40 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS 150 ELECTRICIANCOnlee On]. Electric
•
WATER HEATERS .50 ADDRESS lo3O i`• Grandview Ave•
ELEC.SPACE HTRS. DISHWASHERS O San Gabrie3F At 0- 0�
CITYSO• EL. N •
GARBAGE DISPOSERS 1 AUTO.- /1' 1 00 STATE
WASHERS 1 STA.COOKING UNIT T .25 V LICENSE NO. 137567 C-10
MOTORS: OVER INC. H.P. DISTRICT I GO P O
FAU & F� 1/2 2 .25 50 ED B
1/2— z 1 .50 INSPECTION RECORD -
2— 5 1.00
5— 15 1.50
IS— 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V �, 1.00 11, 00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT /
ELECTRICAL WIRING. WIRING ' IS
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR _
LICENSED AS REQUIR B LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 M fHE Laj
R OF THE ABOVE
DESCRIBED RESIDENTI L RO Y. POWER ,
SIGNATURE UTILITY CO.NOTIFIED f
OF PERMITTE
FINAL
®F VA DATION ARTHUR C.VEIT,
CK I. CASH SUPERVISING ELECTRICAL ENGINEER
Lk.r.1207 � rt� 3 11 .50
7eAS"C-A�'O6'°"l, APPLICATION FOR ELECTRICAL PERMIT'
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLItANTTO FOL W. }pg
EACH NO. FEE ADDRESS Wcs
FAppllancft
sidential Bldgs.b Pools LOCALITY
-Famlly,Sq. Ft. i .025 — $
i-family Sq. Ft. 2 — NEAREST
entlal Swimming Poole
25.00 T cs
OWNER OR
Rer Light Sw. MAIL
First 20 •50 ADDRESS O icJ
No. Add6onal '30 pCITY �{�}(`� Tel. No.
APPLrICAN7
Fixtures First 20. •$0 ADDRESS
Additional 30
No. CITY Tel.No.
pliances Not Over 1 HIP PEWe Hater_D.W. APPLICANT l"A�Dryer_W.M._ ADDRESS O C
Top _FAU _W.H._ CITY r^ Tel.
Hood_Fan ._Other_' LICENSE OR
Dbp.—Room AlrCond. 2.50 REG.NUMBER a tau C'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLJU-
Power Apparatus S Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP,KW,KV&or KVAR — COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
2.50 REGULATING ELECTRICAL WIRING.
Up to 1 Ir�d. HEREBY GERTIFY THAT I AM PROPERLY REGISTERED AND/OR C
Aver 1 to 10 Incl. '5.00 UCENSED AS REQUIRED BY LOS ANGELES CQUNTY AND STATE OF
Over 10 to 50 Ind. 12.50 G'AUFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE a
Over 50 to 1 QO Inc
25.00 DESCRIBED RE54DEN71 AL PROP 0
Over 100 40.00 ERM1TEf
GNA7URE
So YlonDISTRICT NO. P E
0-200 Amp.Under 600 V 12.50 g
201-1000 Amp. Und.r 600 V 25.00
Over 1000 Amp.or Over 600 V 50.0.0
Temp.Power Pole&Appurtenances 10.00
Sign with One Branch Circuli 10.0.0
Additional Sign Branch Circuits 2.00 FINSPECTION
b Conductors INFORMATION 6 201 5,6 A
t Condulh nductors 10 00 ON R9NEU
Other(See Complete Fee Schad SID '
} � # . 00002 .
2 - - 24.50
PERMIT FEE (Sub-Totol) ZZ o o o 2 4 5 0 6
PLAN CHECKING FEE (One-Fourth Permit Fee) G98-78
PERMIT ISSUING FEE $7.00 7 =�
TOTAL FEE s j
INSPECTION FINALED�i r
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