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HomeMy Public PortalAbout5339 GOLDEN WEST AVE_Electrical__ 78A663C- CE806B�1275 APPLICATION OR ELECT ICAL 'PERMIT BUILDING AND SAFETY DIVISION /v FOR APPLICANT TO FILL IN - FRedential Bldgs & Pools EACH NO FEE ADDRESS° inaily Sq Ft• $ — $ LOCALITY eq') j mily Sq Ft — NEAREST �•tial Swimming Pools CROSSSTOWNER M FIRM NAMEight, Switch & Receptacle MAIL Sex en IF— ADDRESS nal CITY 1 !" / Tel No PLAN CHECK Fixtures APPLICANT First 20 ADDRESS Additional - a CITY Tel No • PERMIT Fixed Appli nces Not Over 1 HP APPLICANT y Range Heater— D.W I ADDRESS , m ,/'� L.1 S ✓ 1 Oven Dryer W M. Top FAU W.H — CITY144 (�S/If� Tel 0 33 '3 Hood Fan LICENSE OR Disp A.0 REG NUMBER Class "� ` I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CD PND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V W Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. � cn Up to 1 Incl Z I HEREBY CERTIFY.THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANG71171S COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE L GA OWNER OF THE ABOVE Over 10 to 50 Incl, DESCRIBED RESIDENTIAL PR PERTV, b Over 50 to 100 Incl. PERMITEE Over 100 SIGNATURE �- DISTRICT NO P ES By Services 0-200 Amp Under'600 V 201 - 1000 Amp Under 600 V APPROVALS D INSPECTOR'S Over 1000 Amp or Over 600 V , SIGNATURE TEMP POWER POLE Temp Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit ROUGH CONDUIT Additional Sign Branch Circuits (Other), WIRING 1. FIXTURES POWER AUTHORIZED zZ -v � PERMIT FEE (Sub-Total) UTI LITYCO NOTIFIED /J PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL —,T-7S' PERMIT ISSUING FEE NOTES 09178 , ,)jj;j s-J9-�rNe,17 _ TOTAL FEE PLAN CHECK VALIDATION CK MO CASH PERM .VALIDATION CK M O. CASH 7 4 TEMPLE CI'T'E' 76A68C-CE#806 5t61 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS /ANGELES DEPARMENT OF COUNTY ENGINEER FNEAREST BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER ., WILLIAM A JENSEN,SUP T OF BUILDING FORAPPLICANT TO FILL IN PERMIT FEES OWNER ` I,T E M NUMBER EACH I FEE MAIL OUTLES $ ADDRESS LIGHTS RECE SW. •10 CITY TEL. NO. LIGHTING FIXTURES .10 ELEC. RANGES CLO. DRYERS ELECTRICIA WATER HEATERS .50 ADDRESS .ELEC.-SPACE HTR ISHWASHERS CITY TEL GARBAGE DISPOSERS AUTO.- STATE. WASHERS STA COOKING UNITS ,25 1 ICECiSE NO. SI MOTORS OVER INC H P. DI T GIReOP Z PROC Y O'— 1/2 25 1/2_ 2 50 INSPECTION kFCORD ,! at 5— 15 150 `��e'�e � V 15— 50 2.80 —� O 50— 200 Boo U 6Y SIGNS NO TRANS. 0. NO LAMPS N SERVICE 0-600V 1.00 SERVICE OVER 600V 500 MISC WIRING PERMIT too FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT 50 TOTAL FEE $ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A14LICATION 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 I HEREBY CERTIFY THAT 1 AM PROPERLY IST-RED,AND/OR LIltt CENSED AS R RED BY LOS ANGELES C TY AND STATE OF FIXTURES CALIFORNIA O TH T 1 M THE LEG L 0 R F THE ABOVE DESCRIBED RES DE IAL OPERTY POWER g ./7 SIGNATURE UTILITY CO NOTIFIED v OF PERMIT T FINAL B xIDATION ARTHUR C VETT ol MO CASH SUPERVISING ELECTRICAL ENGINEER �;�9 5 5 5ut 13• 2 D 9.3 5 7766q 63-CE806 ,D,72 ASI PLICATIONL ��I FOR -ELECTRICA . c COUNTY OF LOS ANGELES 'DEO�ARTMENT OF COUNTY ENGINEER ADDRESS BUILDING'AND SAFETY DIVISION LOCAL'I TY, f� NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLETS - NO EACH FEE OWNEROR $ $ FIRM NAME RECEP,T ,MAIL `` �� +• ADDRESS�� LIGHT TOTAL FIRST 20 25 _ TEL NO OVER 20 "CITY SWITCH_ 10 PLAN CHECK FIRST 20 'APPLICANT LIGHTING 1 TOTAL 25 T OVER 20 ADDRESS FIXTURES 10 ` RESIDENTIAL APPLIANCES CITY TEL N PERMIT • . ' RANGE- DRYER-_WTR HTR - APPLICANT STA COOK DI SP F A U. - ADDRESS;JS'` J- _ SPACE HTR, AIR COND CITY EL NO LICENSE ORa CLOTHES,WASH DISHWASH REG. NUMBER r CLASS FAN, OTHER1'00 I 1 HEHEB� ACKNOWLEDGE THAT I•HA.VE 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 THAI I AM THE LEGAL OWNER OF THE ABOVE r 1 — lO 300 DESrRIPED RESIDENTIAL 'PROPERTY p_ PERMITEE - + 10 - 50= 500 ' SIGNA'TURE 0 50 — 100 1000 DISTRICT NO. PRO ED BY U 00 500 1500 _ D1 SIGN, GAS SIGN AND ONE CIRCUIT500 APPROVALS DATE INSPECTOR'SSIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 - TEMP POWER POLE SERVICENOTOVER600,VOL=TSIOR200AMP 300 UNDERSLAB WORK - t SERVICEOVER600VOLTSOR200AMP 1,000 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 500 . WIRING TEMP LIGHT OR RECEPT SYSTEM- 300 ,I FIXTURES' ' POWER AUTHORIZED' _ ti UTILITY CO._NOTI-FIED ' ` FINAL PERMITTEE - (SUB TOT'AL) - - NOTES, PLAN CHECK FEE PERMIT ISSUING FEES TOTAL FEE PLAN'CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION ` CK M 0 CASH " U. 4.00 4-- •SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76,A663-CE806 ,D,72 1APPLICATION F - ELECTRICAL' PE T, �- r. COUNTY OF LOS ANGELES , DEPARTMENT OF COUNTY ENGINEER ADDRESS J 9 BUILDING AND SAFETY DIVISION S - - LOCALITY- 7e M NEAREST FOR APPL IC'A NT TO FILL I'N °CROSS ST OUTLETS NO EACH FEE OF RM NAME' AA�l , RECEPT - $ $• MAIL u'� FIRST 20 ADDRESS ' `LIGHT T07AL' 25 �-^ r �;' Cl TY `, a TEL rN0 �1 70, SWITCH 3 / ,?VER'20 1 ) -10,' I - PLAN CHECK LIGHTING, TOTAL FIRST120 25 APPLICANT of ,q - OVER 20 ADORES FIXTURES 10 S o� + RESIDENTIAL°APP,LIANCES' _ CITY ¢ C�h TEL NO � = PERMIT r, --� RANGE DRYER/WTR HTR_ APPLICANT - STA,COOK DI,SF F A U ' ,_ ADDRESS - -• • - 'SPACE HTR AIR COND - CITY ' h!W TEL NO - CL%OTHES WASH .../ DISH WAS H, - 'LICENSE OR CLASS , REG NUMBER FAN OTHER 100 O.O - 1 HEHEBI ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND,AGREE TO COMPLY MOTORS, TRANSFORMERS RATIN_G - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING INC HEATERS, ETC HP KW KVA - ELECTRICAL WIRING , "SIZE & TYPE OVER ,TO _ - J _ I HEREBY 'CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR' 0 — 1 - 100 LICENSED AS REQUIRED,BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE, ABOVE J - ,1 — 1 O 300 - DESCRIPED RESIDENTIAL, PROPERTY d. PERMITEE � 10'— 50, _ r5C� c� SIGNATURE r � 50 - 100 DISTRICT NO. SSED, Y C01 LJ 1,00 — S00 SIGN, GAS SIGNAND ONE CIRCUIT APPROVALS DATE .INS CTOR'S SIGNATURE TUBE, 0R I MARQUEE ,ADDITIONAL CIRCUITS 1,00 TEMP POWER POLE - SERVI CE NOT OVER 600 VOLTS OR 200 AMP' 300 ' UNDERSLABIWORK SER,VICEOVER 600VOLTS OR200AMP 1000 - ROUGH.CONDUIT - iTEMPSERVICE, POLE, &APPURTEN'ANCES 500 WIRING, TEMP LIGHT OR RECEPT.•SYSTEM '300 `FIXTURES POWER AUTHORIZED - ' UTILITY'CO NOTIFIEDI + FINAL �S ' 7/� iJII� PERMIT`FEE - a(SUB TOTAL) 1-7 NOTES ,. PLAN CHECK:FEE PERMIT ISSUING FEE r , 300 Ga TOTAL FEE 17 PLAN CHECK VALIDATION CK M 0 _CASH PERMIT VALIDATION cK ,M O CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE '