HomeMy Public PortalAbout5544 GOLDEN WEST AVE_Electrical__ 76A663-CE806 1/70 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
- BUILDING AND SAFETY DIVISION ADDRESS d `o
JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
NEAREST
, r Q
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH I FEE _ /�
OWNER
RECEP $ $
. t M4 74t/ Ci.9/J/��-
LIGHT' '
GHT• TOTAL FIRST 20 20 ADDRESS
OVER 20 CITY?," .�� TEL NO
SWITCH 10 PLAN CHECK
LIGHTING ) TOTAL FIRST 20 20 APPLICANT
• l
J( OVER 2010 ADDRESS
FIXTURES
APPLIANCES CITY TEL NO.
PERMIT
RANGE DRYER_WTR HTR APPLICANT
STA. COOK DISP F A U. ADDRESS
IV
SPACE HTR AIR COND. CITY TEL. NO
CLOTHES WASH DISHWASH LICENSE NO CLASS.
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 100 LICENSED AS REQUIR BY LOS ANGELES COUNTY AND TATE OF
CALIFORNIA OR THA I M THE LEGAL OWNER OF, AND NTEN O
1 — 10 300 RESIDE IN, THE ABO E DESCRIPE RE ID TIA PROP Y
SIGNATURE (L
10 — 50 500 OF'PERMITTEE
50 — 100 1000
DISTRICTNO CLASS GROUP ZONE SSED BY GC
'Do — soo 1500 5 p Z r,
SIGN, GAS SIGN AND ONE CIRCUIT 300 NOTES: Lu
D_
TUBE, OR N
MARQUEE ADDITIONAL CIRCUITS 1 00 ?
SERVI CE NOT OVER 600 VOLTS OR 200 AMP
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600VOLTS`OR200AMP 500
TEMP.POWER POLE
TEMP SERVICE, POLE, &APPURTENANCES 300
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 300
ROUGH CONDIUT
WIRING ' i�SI-71
FIXTURES
PERMIT FEE (SUB TOTAL)
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE) e �r ,
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE ov
`�u ---
/
SUPPLEMENTARY PERMIT ISSUING FEE 100 FINAL
JOSEPH C. ROOHAN
TOTAL FEE SUPERVISING ELEC R AL ENGINEER
PLAN CHECK VALIDATION CK. M o CASH PERMIT VALIDATION cK M o CASH
e
y
L7E
SEE BACK OF APPLICATION FOR COMPLETE 9CHEDU `M" l 9 4 1 D 6.0-0- co