HomeMy Public PortalAbout5703 GOLDEN WEST AVE_Electrical__ 768663-CE806 10/72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
ADDRESS l'oL F uJ�s7 VE
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST /A
FOR APPLICANT TO FILL IN CROSS ST ,,4
OUTLETS NO EACH I FEE OWNER OR
FIRM NAME Q
RECEPT.AR $ $ MAIL
FIRST 20 25 ADDRESS
LIGHT TOTAL
CITY TEL. NO
SWITCH OVER 20 10
PLAN CHECK
LIGHTINGTOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL, NO.
PERMIT �^
RANGE DRYER_WTR HTR APPLICANT C 11=
STA COOK DISP F.A U. ADDRESS -7D3 N, r0 1 ,[' #)JR57AVe,
SPACE HTRAIR COND Cl TY ie C TEL N0. -7+ 7fj
CLOTHES WASH.—)(—DISHWASH. LICENSE OR CLASS
REG. NUMBER
FAN OTHER�,Lp�� 100 I 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 - I 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE a
1 - 10 300 DESCRIPED RESIDENTIALROPERTY O
PERMITE U
10 - 50 500 SIGNATUR cl-I
O
1-D
50 - 100 1000 DISTRICT NO. PROC SED BY d
1 00 - 500 1500 , Z
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSP TOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1 00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK t
SERVICEOVER 600 VOLTS OR200AMP 1000 ROUGH CONDUIT
TEMPSERVICE, POLE, &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
n
FINAL
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300 G►Q
TOTAL FEE {
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATIQI, CK M 0 CASH
1 6.2 NOv i 2 D 5.5 0 m9
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663-CE806 11_71 APPLICATIO ����� c PERMIT IJ
COUNTY OF LOS ANGELES
•
DEPARTMENT
BUILDING AND SAFETY DIVISION ADDRESSID ID I 3-,?o,3 /
LOCALITYNEARE •� `'
FOR APPLICANT TO FILL IN CROSS ST y
OUTLETS NO EACH FEE
OWNER _ e ` fJ
RECEPT_ MAIL
LIGHT TOTAL FIRST 20 25 ADDRESS mrC— _
CITY LG C• TEL N0.
SWITCH OVER 20 1p
PLAN CHECK
LIGHTINGTOTAL FIRST 20 25 APPLICANT
OVER 20 ADDRESS
FIXTURES 10
RESIDENTIAL APPLIANCES CITY TEL. NO.
Q �aa
RANGE DRYER WTR. HTR PERMIT
APPLICANT t4 r-f
STA. COOK DISP. F.A.0 ADDRESS
SPACE HTR. AIR COND U
CITY TEL. NO
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.
FAN OTHER 100 " 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
l/ 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 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF }
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 0
1 - 10 300 RESIDE IN, THE OVRICED R SIDE NT PROPERTY.
V
10 - 50 500 SIGNATURE
OF PERMITTE 4
0
50 - 100 1000C
DISTRICTNO CI ASS ZONE PROCESSED BY
W
100 - 500 1500 15"10 ` N
SIGN, GASSIGN AND ONE CIRCUIT 500 NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICE NOTOVER 600 VOLTS OR 200 AMP 300 Q
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200AMP 1000
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 300
ROUGH CONDIUT
WIRING
FIXTURES '7
POWER AUTHORIZED /
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
PERMIT ISSUING FEE 300
U G FINAL
TOTAL FEE -7, 00
PLAN CHECK VALIDATION CK M O CASH PE714AY �
IDATION cK M o CASH
v
p Ai'�..1 2 3 47.3 2 D
r
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663-CE8061-68 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACHI FEE
RECEPT.� $ $ OWNER
�`— MAIL
LIGHT TOTAL FIRST 20 •f' .20 ,..� ADDRESS
SWITCH ] OVER 20 .10 CITY TEL. NO.
CHECKPLAN
LIGHTING TOTAL FIRST 20 .20 APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE—DRYER WTR.HTR.— CITY TEL. NO.
STA.COOKDISP. F.A.U._ CONTRACTOR
SPACE HTR. AIR COND. ADDRESS (,
CLOTHES WASH. DISHWASH._ CITY TEL. NO.
FANOTHER 1.00 LICENSE ISO. CLASS./
MOTORS.TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 — 1 1.00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0-
1 — 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF O
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO V
10 — SO 5.00 RESIDE N, THE ABOVE DESCRIP.ED .RESIDENTIAL PROPERTY.
W
50 — 100 10.00 SIGNATURE
OF PERMITTEEu
'
100 — 500 15.00
DISTRICT NO. GROUP ZONE PROCESSED BY
TUBE,GOR SIGN AND ONE CIRCUIT 3.00 e _ .-'lOld
MARQUEE ADDITIONAL CIRCUITS 1. NOTES;
00 O
SERVICE NOT OVER 6 VOLTS OR AMP W
E 00 200 2.00
H
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, & APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAS WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 ="C. UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ISI
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