HomeMy Public PortalAbout5342 GOLDEN WEST AVE_Electrical__ 76A663-Co6 10,74 APPLICATI N LECTRkAL PERMIT
r. COUNTY OF LOS ANGELES /F_S T
DEPARTMENT OF COUNTY ENGINEER Joe �3 oL 'dLA�N L�/ ,
BUILDING AND SAFETY DIVISION ADDRESS '
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LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO EACH I FEE OWNER OR
FIRM NAME To7 1�� I^ Ia _ /
RECEPT. r MAIL e $ $ ADDRESS 's-0y l o'c NJ
LIGHT Y TOTAL FIRST 20 J 25 0
OVER 20 CITY �� t C TEL. NO
SWITCH 10 ,PLAN CHECK
LIGHTING TOTAL
FIRST 20 25 APPLICANT -
�
FIXTURES
OVER 20 10 ADDRESS
,
RESIDENTI L APPLIANCES CITY TEL. No.
PERMIT
RANGE DRYER_WTR HTR. APPLICANT
STA COOK DISP F.A.0 ADDRESS 3 4-I L )CII& JC I`
SPACE HTR. AIR COND. _ CITY `Jz 71k , TEL. NO. Gj /,Q16
CLOTHES WASH. DISHWASH. LICENSE OR CLASS
REG. NUMBER
FAN OTHER100 I 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 THAI I AM HE EGAL OWNER OF THE ABOVE a-
DESCRIFED RES ENTIAL PR ER Y O
1 - 10 300 U
10 - 50 500 PERMITEE C
SIGNATURE
F-
U
50 - 100 1000 ILLI
DISTRICT 40. PROCE SED BY
100 - 500 1500 ` o + Z
SIGN, GASSIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 300 G UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT -
TEMP SERVICE,POLE, &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES
_ POWER AUTHORIZED
' UTILITY CO. NOTIFIED r
FINAL
PERMIT FEE (SUB TOTAL) NOTES;
PLAN CHECK FEE s
PERMIT ISSUING FEE 300 •6
TOTAL FEE 3 6 _
PLAN CHECK VALIDATION CK M o CASH OERMIT VALIDATION cK o cAs
6-:1 .9.r"I'l JUL 23 e 1. 3-.Q-0 A
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE r
TEMPLE CHTY
IGAG63-CE606 4-60 APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS,-,(-5Z E
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY' .� T
IIIIIIIIIII
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
PERMIT FEES OWNER E
I T E M NUMBER EACH FEE MAIL
OUTLETS• $, $ ADDRESS
LIGHTS RECEPT. SW. .10 �
LIGHTING FIXTURES10 LaL p CITY TEL NO
ELEC. RANGES CLO. DRYERS ELECTRICIAN
' WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
CITY TEL.NO. Z &fS
GARBAGE DISPOSERS AUTO.-
STATE
WASHERS STA.COOKING UNITS
25 1S LICENSE NO.
MOTORS: OVER INC. H.P. DISTR1CT GR UP N P GESSED BY
O — t/2 Z .25
' 112 — 2 ,S0 INSPECTION RCORD
2 — 5 1.00 a
51
5 — IS 1.50 0
15 -50 2.50 Ix
E
50 — 200 5.00uj
0
0.
NO TRANS.
SIGNS: a
NO. LAMPS
SERVICE 0.800V 1.0029 O
SERVICE OVER 600V 5.00
misc.
t
VA
s WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 o(7
SUPPLEMENTARY PERMIT S0
TOTAL FEE $Zo Q
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 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 REGISTERED AND/OR "
L -77
ICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES Q
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE v •---
DESCRIBED RESIDENTIAL PROP TY. O POWER
SIGNATURE UTILITY CO. NOTIFIED i
OF PERM ITTE
1 I I
auaiEw a4 FINAL
DATION ARTHUR C.VEIT.
CK Mo CASHn SUPERVISIN{G� ELECTRICAL ENGINEER
LI-,L 6 5 3 7 i �� U 1 0 .!�fF �f