HomeMy Public PortalAbout5313 GOLDEN WEST AVE_Electrical__ 76M663-CE80611-71 APPLICATION FOR EL RICAL PERMIT IJ
COUNTY OF LOS ANGELES
DEPART OF COUNTY ENGINEER BUILDING `
BUILDING AND?SAFETY DIVISION ADDRESS d 3 We s
LOCALITY / C -�
NEAREST
FOR APPLICANT TO FILL IN CROSS ST e
OUTLETS No EACH FEE
OWNER � uJ Q r e `77
RECEPT MAIL
FIRST 20 25 ADDRESS lei 7 —
LIGHT,'._ TOT L CITY �-yn ���-� TEL. NO. �9 /Z
SWITCH OVER 20 1p
PLAN CHECK
LIGHTING' TOTAL FIRST 20 25 APPLICANT '
FIXTURES
It 10
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO.
PERMIT
RANGE DRYER WTR. HTR APPLICANT r
STA COOK DISP F.A.U, - ADDRESS
SPACE HTR, AIR COND CITY TEL. NO.
CLOTHES WASH. 01SHWASH. LICENSE NO. CLASS,
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO n-
1 - 10 300 RESIDE N, THE ABOVE DESCRIB ES I DENT I AL PROPERTY Q
V
10 - 50 500 SIGNATURE
OF PERMITTEE AilA 0
50 - 100 1000
DISTRICT NO CLASS ZO PROCE SED BY
W
1-0
00 - 500 1500
SIGN, GAS SIGN AND ONE CIRCUIT 500 NOT S: ?
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICE NOTOVER600VOL•TSOR200AMP 300
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600 VOLTS OR 200AMP 1000 ,
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 300
ROUGH CONDIUT
WIRING ? /`cf
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
PERMIT ISSUING FEE 300 FINALe���7� j
TOTAL FEE r
PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION cK M o CASH
k j[� n I' 6 i111 JAN 2 2 D # 4.75 c
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE i _
/ TEMPLE CPTY
76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING J
BUILDING AND SAFETY DIVISION ADDRESS 5 / G�
JOHN A. LAMBIE, COUNTY ENGINEER y2
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY >� e I/
NEAREST
FOR APPLICANT TO FILL IN cRoss sT.
RECEPT TOTALNO EACH FEE
e-403
LIGHT OUTLETS FIRST 20 q� $ 20 $ MANNER L
E AIL
ADD'L v(F -10 [' (,' ADDRESS 3 / e
SWITCH '"'� OVER 20 ^r
LIGHTING TOTAL F1R57 20 2p �� CITY �� `j TEL NO. Z
/ =
FIXTURES '} ADD'L 10 ELECTRICIAN
OVPR 20
RANGES CLO.DRYERS WTR HTRS., 1.00 ADDRESS
STA.COOK
- CITY TEL NO.
DIS AUTO.-WA51 STATE
' LICENSE NO.
Ai
-P.HTRS STA:AP.(%H P.MAX ) 3 .5O _
MOTORS OVER NOT OVER H P. DIST T NO. GROUP ZONE P SSED B
O 1' 1.00 a�
r i 3 1.50 / ,p� INSIt
PECTIO//N R�EC-ORD
3 8 200 `�'�':0/Aiq 'pyn .�L4�t
8 15 250
15 50 300
50 100 500 ! O
NO.TRANS [ A
SIGNS- NO LAMPS
SERVICE 0.60OV-NOT OVER 200A 100
SERVICE 0.60OV-OVER 200 A. 2.00--411
.00 } i V IJ
N
SERVICE OVER 600V 500 z
MISC.
PERMIT ISSUING FEE 200
BUPPLEMENTAgY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT / I A
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING �j��/I/.� / .I✓i'7�
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR , \
LICENSED AS REQUIRED BY LOS ANGELES COUNTY'AND STATE OF FIXTURES
CALIFORNIA OR THAT A THE G OWNER OF THE ABOVE
DESCRIBED RESIDENTI P PERTY. POWER
81GNATURE UTILITY CO NOTIFIED
OF PERMITTEE
FINAL
oc,
ID MO TION ARTHUR C. EIT
CASH SUPERVISING E C ,
LA'C319-8 AUG27 2 D 1 1.40,