HomeMy Public PortalAbout5477 GOLDEN WEST AVE_Electrical__ 76A669-CE60510-59 APPLICATION FOR ELECTRIC PERMIT 1•
COUNTY IF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS Iv
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN,SUPT OF BUILDING LOCALITY
�IIT
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST
OWNER _
I T E M NUMBER I EACH FEE MAIL
OUTLETS: $ $ ADDRESS
LIGHTS RECEPT SW. 10
LIGHTING FIXTURES 10 CITY TEL O.
ELEC.RANGES CLO.DRYERS �S ELECTRICIAN
WATER HEATERS .50ADDRE
ELEC.SPACE HTRS. DISHWASHERS CITY �~ TE NO G p '
GARBAGE DISPOSERS AUTO-
STATE
WASHERS STA COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC H P DISTRICT-C-DIO. I GRO,UEZONE PROCESSED BY
0— 1/2 .25 1 lip,
1/2— 2 50 INSPECTION RECORD
2— 5 1-00
5— 15 iso
15— SO 250
50-200 500 );'s � W, l
NO TRANS. ` �',"I W MG
SIGNS. -
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V Boo
MISC.
WIRING PERMIT 1.00 U d
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT .50
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION i 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. r vd VY'I ry✓v--.a-
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT AM THE GAL NER OF THE ABOVE _
DESCRIBED REBID OPER POWER L p
SIGNATURE UTILITY CO.NOTIFIED /l /� /1n7Tn U B
OF PERM ITTE
FINAL +r I t–lo r Vw
®P VgylD j{ ARTHUR C.�/EIT,
CK MO, CASH SUPERVISING ELECTRICAL ENGINEER
1 . o a ;9 2 4-0 APR 6 2 A 2 Z O
TEMPLE CIV .
76A663-CE606 8.62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 5477 G lden West
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY Temple Cit
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT 3 TOTAL NO. EACH FEE
OUTLETS FIRST 20 $20 $ OWNER P$rS H. B. COOK
6. 1 20MAIL
LIGHT ADD'L ADDRESS 5477 Golden West
SWITCH 2 � OVER 20 x'•10 G
TOTAL I CITY Temple CitTEL. NO2$6-8331
LIGHTING 1 FIRST 20 .20 ,
FIXTURESJ( 1 ADD'L OVER ZO 10 ELECTRICIAN Conlee =& Son Electric
RANGES CLO DRYERS WTR HTRS 1.00 ADDRESS1030 1Y• Grandview Ave.
GARB.DIBP. 1 BTA COOK CITC.San Gabriel TEL No280-2007
DISHWASH 1 AUTO.-WASH STATE
SPACE HTRS. 1 STA.APP.(v:H P.MAX ) 5 .50 ff r LICENSE NO 242432
MOTORS OVER NOT OVER HP. DISTRICT NO GR�.IP ZONEIP Y
O 1 100 _�
1 3 150INSPECTION RECORD
s" a 200
s Is 250
15 50 3.00
D_
50 100 500 OO
SIGNS. NO TRANS
NO.LAMPS
O
SERVICE 0.60OV-NOT OVER 200A 1 1 001 10W
SERVICE 0.60OV-OVER 200 A. 2.00 d
SERVICE OVER 600V 5.00 z
MISC.
PERMIT ISSUING'FEE 200 2 0
SUPPLEMENTARY PERMIT ISSUING FEE 1100
TOTAL FEE $ 6 9
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING /
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT,I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOB ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DF
RESIDE*, ROPERTY. POWER \_
1
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE T
FINAL
LI ' ARTHUR C. VETT
CK MOO CASH SUPERVISING ELECTRICAL ENGINEER
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