HomeMy Public PortalAbout5429 GOLDEN WEST AVE_Electrical__ 76A663 CE-806(6/78) APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN .JOB
EACH NO FEE ADDRESS
FReeential Bldgs.&Pools LOCALITY
amily,Sq. Ft._ $ .025 — $
amily Sq. Ft. .02 — NEAREST
25.00 CROSS ST.
tial Swimming Pools OWNER OR
FIRM NAME
ec Light Sw. MAIL
First 20 .5o ADDRESS
o. Additional 30 CITY Tel. No.
PLAN CHECK
APPLICANT
50 ixtures First 20 ADDRESS
Additional .30o. CITY Tel. No.
Flxe4ppliances Not Over 1 HP PERMIT
Range_Heater_D.W.
APPLICANT
Oven—Dryer_W.M.— ADDRESS
Top ____FAU —W.H. _ CITY Tel. No.
Hood_Fan _,Other_ LICENSE OR
Disp._Room Air Cond. 2.50 REG,NUMBER Class,
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO C6
Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
yp REGULATING ELECTRICAL WIRING.
Up 2.50
U to 1 Incl. 5.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR _j
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF LL
Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
Over 50 to 100 Inc.
25.00 DESCRIBED RESIDENTIAL PROPERTY
40.00 PERMITEE
Over 100 SIGNATURE
d
Services PROCESSED BY
0- 200 Amp, Under 600 V 12.50 w
201-1000 Amp. Under 600 V 25.00 DISTRICT NO.
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
Misc. Conduits&Conductorsu
0.00 ON REVERSE _
Other(See Complete Fee Schedule) SIDE v
Z r r m
Q
J
PERMIT FEE (Sub-Total!
PLAN CHECKING FEE (One-Fourth Permit Fee) O' , 4
PERMIT ISSUING FEE $7.00 0
J
Q
TOTAL FEE >
i r
INSPECTION FINALED
W
date: By ' Pis