HomeMy Public PortalAbout5452 GOLDEN WEST AVE_Electrical__ 76A663 CE-806 16/781
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs.&Pools EACH NO. FEE ADDRESS
1 &2-Family,Sq. Ft. $ .025 — $ LOCALITY
Multi-family Sq. Ft. .02 — NEAREST
25.00 CROSS ST.
Residential Swimming Pools OWNER OR
FIRM NAME
Outlets: Rec Light—Sw. MAIL
50 ADDRESS
First 20
Total No. Additional 30 CITY Tel. No.
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 .50 ADDRESS
Additional .30
Total No. CITY Tel No.
Fixed Appliances 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 a
Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
yp REGULATING ELECTRICAL WIRING. U
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Up to 1 In . 2.50 W
5.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ,J
Over 1 to 10 In . LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Ly
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.
Over 100 40.00 PERMITEE
SIGNATURE
Services a
0- 200 Amp. Under 600 V
12.50 DISTRICT NO. PROCESSED BY W
201-1000 Amp. Under 600 V 25.00 ~
Over 1 000 Amp.or Over 600 V 50.00 Z
O
Temp. Power Pole&AppuTtenances 10.00 a
Sign with One Branch Circuit 10.00
Additional Sign Branch Circuits 2'00 INSPECTION >
Misc.Conduits&Conductors
10.00 INFORMATION W
Other(See Complete Fee Schedule) ON REVERSE x
SIDE Z
a
J
S K A Yo N
PERMIT FEE (Sub-Total)
PLAN CHECKING FEE (One-Fourth Permit Feel O
PERMIT ISSUING FEE $7.00 D
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TOTAL FEE >
INSPECTION FINALED
7 ytL//
date: B a v,s