HomeMy Public PortalAbout5323 GOLDEN WEST AVE_Electrical__ 78A663-C'E805 1/70 APPLICATION FOR ELECTR
ICAL E IT
C6UNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER ' �`
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING
EST
FOR APPLICANT TO FILL IN ST,
OUTLETS_ NO EACH FEE
$ $ R
RECEPT.
LIGHT TOTAL
FIRST 20 -20 a ADDRESS
OVER 20 CITY �� N0,
SWITCH L� 10 PLAN CHECK
LIGHTINGFIRST 20 20
APPLICANT
TOTAL
OVER 20 ADDRESS
FIXTURES 10
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP F A.U. ADDRESS
SPACE HTR, AIR COND. CITY TEL. NO
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS<5"
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 - 1100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNI THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 300 RESIDE IN, E ABOVE SCRIBED RESIDENTIAL' PROPERTY
SIGNATURE D'
10 - 50 500 OF PERMIT E 0
50 - 100 1000 ad
DISTRICT NO CLASS UP ZONE 9SED BY O
100 - 500 1500
SIGN, GAS U.1
SIGN AND ONE CIRCUIT 300 NOTES: e„• +� _!N
TUBE, OR
MARQUEE ADDITIONAL CI'RCUITS 100
SE_RVICENOTOVER 600VOLTS OR200AMP 200 ,
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER600VOLTS OR200AMP• 500
TEMP.POWER POLE
TEMP SERVICE, POLE, &APPURTENANCES 300
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 300
ROUGH CONDIUT �
WIRING
PERMIT FEE (SUB TO FIXTURES
'
PLAN CHECK FEE (50% PERMIT FEE) ' POWER AUTHORIZED
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 200 o 0 '
FINAL'
SUPPLEMENTARYiPERMIT ISSUING FEE 100 JOS' PH C. ROOHAN
TOTAL FEE SUPERVISING ELECTRICAL ENGINEER,
PLAN CHECK VALIDATION' CK M"0 CASH PERMIT VALIDATION -•cK , M 0 CASH
1fin 5 z , D 3'.6 0•
SEE BACK OF APPLICATION FOR'COMPLETE SCHEDULE
76A663-CEB06'-8-62- APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES -
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST jam• �'
RECEPT TOTAL NO. EACH FEE
OUTLETS FIRST 20 $2D s OWNER'
LIGHT jl/ MAIL
ADD'L /, ADDRESS
10
SWITCH 17 OVER 20 r�/
TOTAL R 2O CITY TEL. NO.
LIGHTING rADD'L
RST 20 .20 '
FIXTURES 10 ELECTRICIAN Q
RANGES CLO DRYERS WTR,HTRS 1.00 ADDRESS >7
EACE
B DISP BTA COOK I�JA�3
CITY � TEL NO r T
WAS AUTO-WASH. �' STATE
LICENSE NO. 6 s
HTRS, BTA.APP (yi H.P.MAX.) .50 i,
MOTORS OVER NOT OVER H.P. DISTRJCT O. G P NE P ESSED B
O 1 1.00 i
1 3 1.50 INSPECTION RECORD
3 - 8 2.00
8 15 250
15 50 300
CL
50 100 Soo 0
SIGNS NO.TRANS D�
NO.LAMPS O
SERVICE 0.60OV-NOT OVER 200A 1.00 Lu
C.
SERVICE 0-600V-Oven 200 A. 2.00 N
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 "
TOTAL FEE $
1 HEREBY ACKNOWLEDGE-THAT 1 HAVE READ THIS APPLI ATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT /
WITH ALL COUNTY ORDINANCES-AND STATE LAWS REGULATING
eLECTRICAL WIRING WIRING p��99e
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ) g
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL NE OF THE ABOVE
DESCRIBED RESIDENTI PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED 7A
OF PERMITTEE
FINAL
LMID C N _ ART SUPERVISING
VETT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
• r,
It o0 5 '5 9 APR 15 2 D 1 3.7 0.. f:
city of temple city t
76.4663-CE806 468 APPLICATION FOR ELECTRICAL PERMIT µ�
COUNTY OF LOS ANGELES '
DEPARTMENT OF COUNTY, ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 2 N• Golden West
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OR BUILDING n
LOCALITY tem le Cit
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
NO EACH FEE
RECEPT _ $ $ OWNER Mr. Howard Gross
MAIL as job
LIGHT TOTAL FIRST 20 20 ADDRESS
SWITCH_ OVER 20 10 CITY TEL. NO. 285-6238
PLAN CHECK
LIGHTING �TOTALFIRST 20 20 APPLICANT
FIXTURES OVER 20 10 1 ADDRESS
RANGE_DRYER—WTR HTR.— CITY TEL NO
STA COOK_DISP _F.A U — CONTRAC FOR Cobine Electric Co.
SPACE HTR AIR COND. 1 ADDRESS 1607 Chestnut St.
CLOTHES WASH. DISHWASH._ CITY Alhambra l lD EL. No. 282-0315
FAN—OTHER 1' 1 00 l 00 LICENSE NO 229847 CLASS. C-10—
MOTORS,TRANSFORMERS RATING
IND HEATERS, ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDI HANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 — 1 1 00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 — 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
10 — 50 5 00 RESIDE IN, THE ABOVE OESf IPED RESIDENTIAL PROPERTY
SIGNATUR
c f
50 — 100 1000 OF PERMITTEE: e O
U
100 — Soo 15 00 DIS CT O GR P ZO P O E EDB C=
0
SIGN
TUBE, OR GA SIGN AND ONE CIRCUIT 3 00 _ U
W
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES:
/�
N
SERVICE NOT OVER 600 VOLTS OR 200 AMP 1 2 00 00 Z
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE, POLE, &APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING -
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2 00 UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEEL
00 FINAL -
TOTAL FEE 00 JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK-VALIDATION CK M 0 CASH PERMIT VALIDATION , K M O CASH _
c00EEt' €�f'r 0 7 9 6 JJN 1 0 2 0 5.00-
EE
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