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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 1 !