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HomeMy Public PortalAbout5423 GOLDEN WEST AVE_Electrical__ 76A663 CE-A06(11 /78) P LI TION F R ELECTR&L �, IT COUNTY. OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB Aj 1 °New Reside tial Bldgs"&Poo EACH NO. FEE ADDRESS [i 1 &2 Family,Sq. Ft. $ 025 — $ LOCALITY Multi'family Sq. Ft. 02 — NEAREST _ 25.00 w,,;� CROSS ST. •Residential Swimming Pools OWNER OR FIRM NAME' Outlets: Rec LightSw. MAIL First 20 .50 ADDRESS Total No, Additional 30 CITY ;. `m Tel.No. . ».. PLAN CHECK - C __. . APPLICANT Lighting Fixtures First 20 .50 ADDRESS . Additional .30 7� Total No. CITY el. NoMQ� 6 Fixed Appliances Not Over 1 HP PERMIT APPLICANT Range_Heater_D.W. Oven—Dryer_W.M.— ADDRESS - Top —FAU — W.H.— CITY No. Hood—Fan _Other_ 2.50 LICENSE OR Class: Disp.—,Room Air Cond.. REG.NUMBER , I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA� Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL.COUNTY'ORDINANCES%AND'STATE LAWS Size&T ype HP, KW, KVA,or KVAR 2.50 REGULATING ELECTRICAL WIRING. Up to 1 Incl I HEREBY CERTIFY THAT I AM PROPERLY'REGiS'YE-RED AND/OR Over'1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 incl. 12.50 CALIFORNIA OR THAT I A.M. THE LEGAL OWNER OF THE.ABOVE- ®' 25.00 DESCRIBED RE NTIAL PRPS h� Over 50 to 100 Inc. 40.00 PERMITEE Over 100 SIGNATURE Services DISTRICT NO PROCES D BY 0-200 Amp.Under 600 V 12.50 201-1000 Amp. Under 600 V 25'.00 f�–•-• Over 1000 Amp.or Over 600 V 50.00 Z O i Temp. Power Pole&Appurtenances 10.00 Q Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2'00 INSPECTION INFORMATION v f Misc.Conduits&Conductors 10.00 ON.REVERSE a Othe•r.(See Complete Fee Schedule) 11, IDE u 887,9a d o o o o q 2' PERMIT FEE (Sub-Tdtal) r 2 ° - 32,00 PLAN CHECKING FEE (One Fourth Permit feel O .0 0'0 3 2,0 0 U PERMIT ISSUING FEE $7.00 0A n c 11 J TOTAL FEE ty > r INSPECTION FINALED W date:k By ©s �_ . 76A663CE-806(6/78) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB EACH NO. FEE ADDRESS Feeidential Bldgs.&Pools LOCALITY -Family,Sq. Ft. $ .025 — $ -family Sq. Ft. .02 — NEAREST 25.00 CROSS ST. ential Swimming Pools OWNER OR FIRM NAME Rec Light Sw. MAIL First 20 .50 ADDRESS No. Additional 30 CITY Tel. No, PLAN CHECK APPLICANT Fixtures First 20 50 ADDRESS Additional .30No. CITY Tel. No. pliances Not Over 1 HP PERMIT _Heater D.W. _ APPLICANT Oven_Dryer_ W.M. ADDRESS Top _FAU —W.H. _ CITY Tel. No. Hood_Fan —Other LICENSE OR Disp.—Room Air Cone. 2.50 REG. NUMBER Class. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Phi. Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS G REGULATING ELECTRICAL WIRING. U Up 2.50 U to 7 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 25.00 DESCRIBED RESIDENTIAL PROPERTY. !Y Over 50 to 100 Inc. PERMITEE Over 100 40.00 SIGNATURE O a Services DISTRICT NO. PROCESSED BY 0- 200 Amp. Under 600 V 2.50 W 201-1000 Amp. Under 600 V 25.00 Over 1000 Amp.or Over 600 V 50.00 Z O Temp. Power Pole&Appurtenances 10.00 Q Sign with One Branch Circuit 10.00 J Additional Sign Branch Circuits 2'00 INSPECTION > o.00 INFORMATION W Misc.Conduits&Conductors ON REVERSE x Other(See Complete Fee Schedule) SIDE v Z Q J PERMIT FEE (Sub-Total) Z t .: PLAN CHECKING FEE (One-Fourth Permit Fee( O PERMIT ISSUING FEE $7.00 0 TOTAL FEE > INSPECTION FINALED ode W date:/��� Bbl