HomeMy Public PortalAbout5432 GOLDEN WEST AVE_Electrical__ M
76A663 CE-806(11 778) APPLICATIO rOO ELECT^ AL' _ RMV 'lT
-COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR/APPLICANT TO FILL IN JOB L '
New Residentiol Bldgs'&Pools EACH - NO FE E---- ADDRESS
1 &2-Family,Sq Ft $ 025 — $ LOCALITY '
Multi-familySq Ft J 02 — NEAREST
25 00 CROSS ST
Residential Swimming'Pools OWNER-OR
-
+ -
FIRM NAME
Outlets Rec Light Sw_ MAIL _ -
First 20 50 ADDRESS ,
_Total No Additional- 30 CITY _•
PLAN CHECK, '
APPLICANT
Lighting Fixtures First 20 50 ADDRESS
Total No Additionol 30 CITY
Fixed Appliances-Not-Over.l HP PERMIT-
Range_Heater_ D W _ APPLICANT
•,
Oven_Dryer=W M — ADDR
Top _F.AU _W H
Hood_Fan _Other_ LICENSE OR N
Disp -Room,Air Cond2 50_ REG NUMBER-, Cldss _
IHEREBY 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 A
COUNTY -•STATE LAWS'
S¢e&T
ype HPKWKVA
, , ,or KVAR 2 50 REGULATING'ELECTRICAL WIRING
Up to 1 InI HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR• (�
Overj 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 THE41BOVE
Over 5010 100 Inc
25 00 DESCRIBED IA ERTY �.
40 00 PERMITEE E .
- Over 100, SIGNATU
Services-'
- - -- i ,
DISTRICT O FIR C Y'
0 200 Amp Under 600 V 12 50
'201-1'000 Amp -Under 600 V- 25 00 x- - /`r c
Over 1000 Amp or Over 600 V 50 00 Z
O
Temp Power Pole&Appurtenances,- 1000 - Q
Sign with One Branch 6cutt 1000 C r
Additional Sign Branch Circuits 2.00 INSPECTION > '
ro 00 2,INFORMATION
Misc Conduits&Conductors 7 7 b'A't
Other(See Complete Fee Schedule)`L d ON REVERSE' s - ,
_SIDE - Z o o ,o o o2?
2 '0p320,0
PERMIT FEE (Sub-'otall `yr
PLAN CHECKING FEE One-Fourth Permit Feel " O 1. 1 37-79
PERMIT ISSUING FEE x$7.00
TOTAL FEE y, >
INSPECTION FINALED / W' y
dote By
76A663 CE-806(6/78) APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
FResidenlialsidential Bldgs.&Pools EACH NO. FEE ADDRESS
-Family,Sq. Ft. $ .025 — $ LOCALITY
-family Sq. Ft. .02 — NEAREST
25.00 CROSS ST.
ential Swimming Pools OWNEROR
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 No. CITY Tel. No.
ppliances Not Over 1 HP PERMIT
APPLICANT
e_Heater_D.W. __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 O
Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
2.50 REGULATING ELECTRICAL WIRING. U
Up to 1 In . HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR W
Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF J
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 "' 0
CL
Services DISTRICT NO. PROCESSED BY
0- 200 Amp. Under 600 V 12.50 LU
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 C
Additional Sign Branch Circuits 2.00 INSPECTION >
INFORMATION
Misc.Conduits&Conductors 10'00 ON REVERSE i
Other(See Complete Fee Schedule) SIDE U
Z
6
i R '
PERMIT FEE (Sub-Totals
Z r r x
PLAN CHECKING FEE (One-Fourth Permit Feei O
PERMIT ISSUING FEE $7.00 0
J
Q
TOTAL FEE >
INSPECTION FINALED
date: ` By %�)�/��n � r