HomeMy Public PortalAbout5471 GOLDEN WEST AVE_Electrical__ APPLICATION FOR ELECTRIC--PERMIT' 1
COUNTY OF LOS ANGELES '
DEPARTMENT OF COUNTY ENGINEER BUILDING �
BUILDING AND SAFETY DIVISION ADDRESS F
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL 1N• NEAREST
PEMCT FEES CROSS ST
ITEM NUMBER EACH FEE OWNER/—,-
OUTLETS
WNER -- �a _/ ✓_ .ST�1 CfG
OUTLETS: $ MAIL r,-
LIGHTS RECEPT. SW. .IO ADDRESS,_ ,� �T✓L/" r L+(���,�
LIGHTING FIXTURES 10 CITY G=ii1T_ = l/ TEL NO✓�J%
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS 50 ADDRESS
ELEC SPACE HTRS. DISHWASHERS CITY TEL NO.
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA COOKING UNITS .25 LICENSE NO '
MOTORS OVER INC H P. DISTRIC NO. I GROUP ZONE P ESS Y
0— 1/2 .25
1/2- 2 .50 INSPECTION RECORD
2— 5 100
5— is 1.50
IS— 50 250
50-200 5 00
SIGNS: NO TRANS.
NO LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND,AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND, STATE LAWS REGULATING CONDUIT �+
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF o FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. �.�i POWER
" SOFPERMIE —�� �+ �✓�" �t UTILITYCO.NOTIFIEQ
FINAL Z,l�.S'l -• '� r
® VALIDA< ARTHUR C:VETT,
CK MO CASH SUPERVISING ELECTRICAL.ENGINEER
1!' 8 2 2 8 tn NOV 2 7 2 A 1 .2 4
TEMPLE CHTY
IGA663-CE8064-e0 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A:JENSEN, SUP'TOF BUILDING LOCALITY eol
FOR APPLICANT TO FILL IN NEAREST
CROSS Sr
PERMIT FEES
OWNER
ITEM NUMBER EACH FEE MAIL
OUTLETS: $ s ,ADDRESS
LIGHTS RECEPT. SW. .10 _
LIGHTING FIXTURES 10 CITY TEL NO
j- ELEC. RANGES CLO. DRYERS EL•ECTRI IAN
WATER HEATERS .50 _ ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
CITY TEL.NO.
' GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICTNO. GROUP Z N PR SSED BY
r _
O — %2 .25 _
y, — 2 .50 1 11 INSP CTION R RD
2 — 5 1.00 Alp/CO-/
5 — 15 1.50 � � 0
is — so 2.50w
so — 200 5.00 O
_ UJ
SIGNS: NO TRANN
S. C
NO. LAMPS
' SERVICED-600V 1,00 .,,. �F`_ J .�b� ei _
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
v
FIXTURE PERMIT 1,00 7 / / f.
r
SUPPLEMENTARY PERMIT .50
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT /
ELECTRICAL WIRING. - WIRING 7-Ze
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES - A
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATUR UTILITY CO. NOTIFIED
OF PE=
FINA H �'
VALIDATIO ARTHUR C.VEIT.
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
0 8 9 7 0 JUN 21 2 D 2 .Jr 0 �