HomeMy Public PortalAbout5315 GOLDEN WEST AVE_Electrical__ 76A663-CEBO6.10.56 APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFE'T'Y DIVISION
Department of County Engineer BUILDING
County of Los Angeles ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER � ~ _
CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY
NEAREST a f
FOR APPLICANT TO FILL IN CROSS /�
PERM FEES
OWNER "
LIGHTS RECEPTACLES SWITCHES MAIL C* �
NUMBER 1 T E M EACH FEE ADDRESS
TOTAL OUTLETS $ 10 $ -
ELEC RANGES, WATER HEATERS, CITY TEL. NO
CLOTHES DRYERS 50 ELECTRICIAN
ELEC SPACE HEATERS, STAT-Y COOK-
ING UNITS, GARBAGE DISPOSERS, ADDRESS
AUTO.WASHERS, DISHWASHER .25
LIGHTING FIXTURES .10 Q CITY TEL. NO. /
MOTORS - STATE
LICENSE NO. v
HORSEPOWER
H P OVER INC. DISTRIC NO GF;91JP ONE READY FOR INS PEC7ION
t/2 Q LESS .25 ..i/�/
2 .50 INSPECTION RECORD
2 5 1.00 fr�
5 15 1 50
IS 50 2.50 tall t � a
50 200 Boo 1
MISC. U, v-n
4�r V0, G-
SIGNS I NO.TRANS .r+
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
WIRING PERMIT 1.00 �U
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50 ? APPROVALS
TOTAL FEES
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A LIC ION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT p
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES L�
LICENSED AS REQUIRED BY LO ANGELES C TY AND STATE OF
CALIFORNIA OR THAT AM E LEGAL N OF E ABO E POWER
DESCRIBED RESIDEN PR RTY. I
SIGNATURE UTILITY CO. NOTIFIED
OF PERMITTEE FINAL
JOHN A. LAMBIE. VALIDATION ARTHUR C. EERIT,
COUNTY ENGINEER - SUPERVLSINa LECTRICAL ENGINE
CK MO CASH
4
13-3 0-- AUG 2 a 2 .0,
76A663 GE-80616/78) APPLICATION FOR _ELECTRICAL PERMIT '
COUNTY OF LOS ANGELES BUILDING ANSAFETY
FOR APPLICANT TO FILL IN ADDRESS „J
New Residential Bldgs &Pools EACH NO FEE `
1 &2 Family,Sq Ft $ 025 — $ LOCALIT
Multi-family Sq Ft 02 — NEAREST
Residential Swimming Pools 25 00 CROSSST
OR
/ FIRM NAME :+
Outlets Rec_a Light2_1 Sw ;'MAIL '
First 20 50 ADDRES
Total No for
�-- Additional 30 CITY Tel No
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 50 ADDRESS
Additional 30
Total No CITY M Tel No T
Fixed Appliances Not Over 1 HP PERMIT
Range_Heater_D W APPLICANT
Oven_Dryer_ W M ADDRESS.
Top _FAU — W H CITYTel N_o_
Hood_Fan _ �
Other_ 'LICENSE OR
Disp —Room Air Cond 2 50 ' REG NUMBER Class
I HEREBY ACKNOWLEDGE THAT l HAVE READ THIS APPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
yp 2 50 REGULATING ELECTRICAL WIRING
Up t 1 In1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over r 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND-STATE OF
Over 1010 50 Incl 12 50 .CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
Over 50 to 100 Inc
25 00 DESCRIBED RESIDENT IAL'PROPERTY
Over b00 40 00 PERMITEE
SIGNATURE
Services
12 50 DISTRICT NO ! - PRO Sfif
0- 200 Amp Under 600 V 0
201-1000 Amp Under 600 V - 2560
Over 1000 Amp or Over 600 V 50 00 Z
± p
Temp Power Pole&Appurtenances 1000
Q
Sign with One Branch Circuit 1000
Additional Sign Branch Circuits 2 00 INSPECTION >
l 0 00 INFORMATION W
Misc Conduits&Conductors ON REVERSE x
Other(See'Complete Fee Schedule) SIDE eJ 9 4 4 a 1 'A-
Z
# 00000'2
,- 2.0,0 1 Soo
PERMIT FEE Sub-Total) S
PLAN CHECKING FEE (One-Fourth Permit Fee) l O t O Q
PERMIT ISSUING FEE $7 00 0 2 -1 -7 9
J
a
TOTAL FEE J >
INSPECTTION/FINALED`� cc
date By
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