HomeMy Public PortalAbout5341 GOLDEN WEST AVE_Electrical__ 76A665-CEB06.7.. - APPLICATION 'FOR ELECTRIC PERMIT - ],
BUILDING AND SAFETY DIVISION
Department of County Engineer BUILDING
County of Los Angeles ADDRESS�3
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL INcRDss IT.
PERMT FEES
NUMBER OWNER
LIGHT OUTLETS MAIL
ADDR S-6-
RECEPTACLES
WALL SWITCHES FEE Cf0,% TEL. N
TOTAL OUTLETS @ 52 $ 4 ELECTRICIAN
ELEC RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
KW EA STATE
FIXTURES 5 LICENSE NO.
MOTORS DISTRI (GROUP INE I READY FOR INSPECTION
NUMBER HORSEPOWER FEE ��.•{/�-' r�jljl
NEW MVD HP OVER INC EACH
1/2&LESS $ .25 INSPECTION RECORD
1/L 2- .50 ZZ
2 5 1 00 _ �--
5 15 1.50 J
15 50 250
50 200 500
ISC
i
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT:
WIRING PERMIT $1.00
FIXTURE PERMIT $100 -
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE y DATE INSPECTORS SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP (CATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. FIXTURES `
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESID TIAL PRO ERTY UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE FINAL
JOHN A. LAMBIE, vARTHUR C.VETT.
COUNTY ENGINEER CK. MCCLLCASH SUPERVISING ELECTRICAL ENGINEER
LACo p 4 6 - MAY 2 3 2 4.1 Q N
i oC
1
76A663-CEeO6-7.56 APPLICATION FOREL.ECTAIC PERMIT
BUILDING AND SAFETY DIVISION
Department of County EngLNGIN
er BUILDING
County of Los AngeleADDRESS 7'
JOHN A. LAMBIE. COUNTY EERCASSATT D. GRIFFIN. SUPT OFLDING LOCALITY
- -
FOR APPLICANT TO FILL IN NEARESTCROSS ST.
PERNIIT FEES
NUMBER OWNER '
LIGHT OUTLETS MAIL - 1 'r
ADDRESS
RECEPTACLES
WALL SWITCHES FEE CITY TEL. NO.
TOTAL OUTLETS Cad 5Q $ �j ELECTRICIAN -
ELEC RANGES 25 ADDRESS
ELEC HEATERS 25 CITY TEL. NO.
KW EA• STATE
FIXTURES 5 LICENSE NO.
MOTORS DISTRICT NO. G O Z E READY FOR INSPECTION
NUMBER HORSEPOWER FEE I � I ,4
NEW MVD HP OVER INC' EACH fY�
1/2&LESS $ .25 INSPECTION RECORD pp
1/2 2 .50
z 5
5 15 1 50
15 50 2 50
50 200 5 00
misc.
NO. SIGNS NO. TRANS
NO,SIGNS NO LAMPS -
FOR EACH PERMIT
WIRING PERMIT $1 00 Q
FIXTURE PERMIT $1 00
SUPPLEMENTARY 50 APPROVALS -
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPOCAT-10iffCONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING 'S •7-'E� "�
ELECTRICAL WIRING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR -
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT 'I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTI PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE ' L
— a '
JOHN A. LAMBIE. V D ARTHUR C.VETT.
COUNTY ENGINEER CK m CASH SUPERVISING ELECTRICAL ENGINEER
1 AC0 7 9 1 81 -Y 7 2 4.4 0 �'
768663-CE806 10•,72 ,APPLICATION FOR .-ELECTRICAL PERMIT' '
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
Boa g , � ,>
BUILDING AND SAFETY DIVISION ADDRESS"534/
LOCALITY fie:" •�,�„�,,.'
FOR APPLICANT TbFILL IN '�• NEAREST c✓ - +
r CROSS ST t, rr _
OUTLETS No EACH FEE OWNER OR
FIRM NAME - U� 'S J f I•T
RECEPT jjj $ Is
MAIL
�ry ADDRESS i�'PFC- "` <S•�,M ,�1 c�� ry
LIGHTF°j+ TOTAL FIRST 20 -25 '�•� CITY j{�/ ,,LC, ��,, .TEL•�NO 3?�'3
4-7 SWITCH/ J OVER 20 10 '' 191
_ 'PLAN CHECK, •� ;, ,,,,, 1. ,
LIGHTING FIRST 20• 25 ,APPLICANT '
_ TOTAL
'" 'OVER 20 ' �• ADDRESS
FIXTURES 4 10
RESIDENTIAL APPLIANCES ' c1,rY TEL No.
RANGE I DRYER_WTR 'PTR'J + i •PERMIT,1,
1 APPLICANT
t
STA COOK DISPF A U-� - t ADDRESS ,3l,d,� ��ae,'G'
SPACE'HTR. AIR COND CITY / �i ,/'T ,`TEL NQ'—
LICENSE OR
CLOTHE§.WASH. DISHWASH. i „r ,��• ,
REG. NUMBER
'FAN OTHER 1 00 - - -� .• `^t'<. _ �� .,
}`!�1 1 HEREBY ACKNOWLEDGE THAT HAVE READ THIS,APPLICATION
lf`{J AND STATE THAT THE•ABOVE IS CORRECT AND AGREE TO'COMPL'Y•
MOTORS 'TRANSFORMERS, RATING . WITH 'ALL.COUNTY ORDINANCES AND STATE--LAWS REGULATING
IND HEATERS, ETC HP' KW KVA , ELECTRICAL WIRING '
SIZE_ & TYPE OVER TO `- TMJ y'
I HEREBY CERTIFY,'THAT I AM ,PROPERLY 'REGISTERED-AND/OR d
• f•' I 0 — 1 ,i ^ , 100 {%', ,LICENSEO_A%REQUIREDIBY LOS ANGELES COUN7Y,AND STA T�E's OF• O
f 'CALIFORNIA OR'THAI I AM THE-LEGAL,OWNER OF iTHE A'BD.V U
1 —'10 300 _ DES CRIFED RESIDENTI L PROPERTY �';,f.rt ;-� J
10 ,' PERIv11TEE -
- 50 500 SIGNATURE' '•''
50 - 100 1000 k
DISTRICT NO: - OCESS�D BY,
1 00 -'500 1500
�+ W
SIGN,'GAS..
SIGN AND ONE CIRCUIT 500 - APPRO VA S, r ^DATE,'' ( INSPECTOR'S SIGNATURE �
• TUBE,-OR _
MARQUEE ADDITIONAL CIRCUITS - 100 ,r TEMP POWER POLE
SERVICENOTbVER600VOLTS OR200AMP 300 - UNDERSLAB WORK
SERVICEOVER600VOLTS OR 20OAMP - 1000 - ROUGH CONDUIT - �, -''�,
r WIRING y '
TEMP SERVICE, POLE, &APPURTENANCES 500 ^
TEMP LIGHT OR RECEPT• SYSTEM ' ,`+ ' 300 riy '�•, FIXTURES =•t - , -,i, „'J
' POWER AUTHORIZED ,•1," • t :
4
• UTI LI TY,CO. NOTIFIED r•I
FINAL:
r
PERMIT-FEE (SUB TOTAL) NOTES
PLAN-CHECK FEE '
PERMIT ISSUING FEE - 300j f
TOTAL FEE
t
,PLAN"CHECK VALIDATION CK M 0 CASH PERMIT;VALIDA"TION K'• 'M 0 CASH
l I ' a mar; .. j°�• �4 o l,• ` _ ^.%
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE