HomeMy Public PortalAbout5453 GOLDEN WEST AVE_Electrical__ 76A663 CE-806:11 /78) � PPLIC 1 EDGY PEW 11 ;.
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR'APPLIC ANT TO FILL IN JOB
EACH. NO. FEE ADDRES _
New Residential Bldgs. &Pools LOCALITY
1 &2-Family,Sq. Ft. $ .025 — $ <
Multi-family Sq. Ft. .02 — NEAREST
R 25.00 CROSS ST.
esidential Swimming Pools OWNER OR -
FIRM NAME
+ Outlets:Rec Light—Sw. MAIL
First 20 .50 ADDRES
Total No. Additional .30 CITY Tl. No. ...
PLAN CHECK
APPLICANT -
Lighting Fixtures First 20 .50 ADDRESS
Additional
.30
Total No. CITY Tel. No.
Fixed Appliances Not Over 1 HP - PERMIT
APPLICANT
Range_Heater_D.W. _
Oven -'_Dryer_W:M.— - ADDRES
Top _FAU — W.H._ CIT
Hood_Fan —Other LICENSE OR
Disp.—Room:Air Cond. 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
Size&T COMPLY WITH ALL COUNTY 'ORDINANCES -AND STATE LAWS
ype HP, KW, KVA,or KVAR REGULATING ELECTRICAL WIRING:
Up,io 1 Incl, 2,50 1 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 �y
Over-10 to 50 Incl. 1 2.50- CALIFORNIA OR THAT A_M THE LEGAL OWNER OF THE,•ABOVE
25.00 DESCRIBE ENTIAL P Y, p
Over 50 to 100 Inc. LSD
Over 100' 40.00 PERMIT EE
SIGNATUR
Services DISTRICT - P SED Y` -• �
0-200 Amp. Under 600 V 12.50
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
Additional Sign Branch Circuits 2.00
INSPECTION. _
10.00 INFORMATION
Misc.Conduits&Conductors ON REVERSE x
Other(See Complete Fee Schedule) SIDE V
a 9971.6A
J
- 6 0 0 0 o o 2
PERMIT FEE .(S'ub-Total) 2 0 0 3 2,x 0
PLAN CHECKING FEE (One-Fourth Permit Feel O a o O v 7 Q U
PERMIT ISSUING FEE _$7.00 Q Q 4;O 41- 8 0
J
TOTAL FEE >
r
INSPECTION FINALED
W '
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date: '�.-�s ��., By �. (�=-�-��_.:�,„�