HomeMy Public PortalAbout6031 GOLDEN WEST AVE_Electrical__ 7 '��
76A663CE-806(11 /78) APPL ICAT 109V FOR,ELECTRICAL-PERI_MIT '—
COUNTY OF LO_ S ANGELES SAF
r BUILDING AND ETY
FOR APPLICANT TO FILL IN
New Re--sidenfial Bldgs&Pools EACH. NO - FEE ADDRESS -
1 &2-Family,Sq Ft $ 025 — $ st LOCALITY 712 L
Multi family Sq Ft 02 — " NEAREST' -
l Residential Swimming Pools,sr� 25 00 CROSS ST L
.OWNER.OR y�•-
FIRM NAMELJ�
Outlets Rec Light Sw_ MAIL
First 20 S7 ADDRESS-
Total No - Additional.-. 30 CITY Tel-No9� "
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 50 - ADDRESS
.Additional 30. . - �. -- --
Total No CITY '',Tel No
Fixed Apphance-s•Not•Over 1,HP_ PERM
APPLICANT
IT
Range_Heater_D W
Oven_Dryer_W'M— A•DDRESS--!•
Top —FAU — W H +_ CITY Tel ;No_�'��
Hood_Fon _Other_ LICENSE OR
Disp—Room AinCond ?50 REG NUMBER S,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS'CORRECT AND AGREE TO
WSize&T e HP KW, KVA,or KVAR COMPLY WITH'ALL-COUNTY ORDINANCES•'AND-STATE LAWS '$�
yp REGULATING ELECTRICAL WIRING
- _Up to.I-16cl 2 50 V
THEREBY CERTIFYiTHAPI A•M'PROPERLY REGISTERED ANDYOR• '
Over`l to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF cc
Over-10 to 50 Incl 12 50 CALIFORNIA OR THAT 1 A_M THE. OLEGAL OANER F THE ABOV �0
Over 50 to 100 Inc
X25 00' DESCRIBED RESIDENTIAL PROPERTYp.
(�
4000 PERMIT EE'
Over 100 - SIGNATURE 9L
Service's• — - 77
DISTRICTNO ' PROCESS -B?-_--_,'_.Y
0 200 Amp Under 600 V', -1 2 50 {—
--201'-1000 Amp•Under,600 V• 25 00
Over 1000 Amp or Over 600 V _ 50 00 Z a
Temp Power Pole&Appurtenances 10,00 -• m- -
Sign with One'Branch Circuit : - 1000 > ` s �0
Additional Sign Branch Circuits 200 INSPECTION >
Misc Conduits&Conductors• 1000, INFORMATION
ON`REVERSE
Other(See Complete Fee Schedule) SIDE _Z #;o •o o,o''0 2'
0 0'3200, "
01,0.0 32Q0=.
PERMIT FEE ( '(Sub-Tot' '
z 0 212'7" 8 0' ` 1'
PLAN CHECKING FEE (One Fourth Permit Fee). ,- O
PERMIT ISSUING FEE t $700
TOTAL FEE
INSPECTION FINALED ^ .
os
LU date' By >atse..®� Os
76A663 CE-806(11 %'78) APPLICATION FOR•ELECTRICAL PERMIT n_
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs &Pools " EACH NO FEE • - ADDRESS-
1 &2-Family,Scl Ft I A/�' $• 025 $ LOCALITY =.
Multi-family Sq Ft 02 - NEAREST
25 00 CROSS ST ` Al
Residential Swimm,ng Pools,_ OWNER.OR -
FIRM NAME
Outlets Rec Light Sw MAIL
First 20 '50 ADDRESS f' •.
Total No.- - Additional 30 CITY ,T,el ,No
PLAN CHECK "
APPLICANT
Lighting Fixtures First 20 50 ADDRESS
Total No Pdditionol 30.
CITY Tel No-
Fixed Appliances Not Over-1-HP.. - PERMIT -
Range_Heater_D W APPLICANT /JLD7C�
Oven—Dryer-_W M ADDRESS
'Top
- / Sb
'Top _FAiU W H CITY 7- �el•'No, & , ,
Hood_Fan Other_ LICENSE OR
Disp.__Room Air Coad.• — 2 S0„ REG NUMBER Class
I HEREBY ACKNOWLEDGE THAT I HAVE READ'THIS APPLICA
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS-CORRECT AND AGREE TO
Size&T 'COMPLY WITH"ALL-COUNTY ORDINANCES`AND STATE LAWS':--
K HP, KW, KVA,.or KVAR v REGULATING ELECTRICAL WIRING
_Up fo 1 Incl 2 50 10
1 HEREBY-CERTIFY THAT•I'PM PROPERLY'REGISTERED'AND/OR (�
Over 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CS
Over 10 to-50 Incl 12 50CALIFORNIA OR THAT_IMAM THE'L_EGAL,OWNER OF_THE•ABO,VE,' A
DESCRIBED RESIDENTIAL PROPERTY
Over 50 to 100 Inc 2500
-Over 100'. ' "' 40 00 PERMITE '
SIGNATU y�
Services-�-, --• •-- - - •• ^• - -"' DISTRICT NO"" ^ ' P CESSE BY `^""• `�
0-200 Amp Under 600 V 12'50
' 201-1000 Amp-Under-600 V '•' 2500
Over,1000 Amp or Over 600 V 5000 Z
Temp Power Pole&Appurtenances 1000 - »- w-•
Sign with One Branch Circuit
Addifional Sign Branch Circuits ',2 00' INSPECTION_ >
00 �� INFORMATION' :
Misc Conduits:&Conductors 1 0: _ ON REVERSE: x
Other(See Complete Fee Schedule) SID,E__• " 8 9 9,8 A
Z
_ g # 0000 'o2
' 2 0 0`5075
PERMIT FEE (Sub Total),I
- Z 0`0''0 50R. "5-0
PLAN CHECKING FEEOne-Fourth'PeFmit Feel ; O
PERMIT'ISSUING FEE .$7M100 4 41i r _ia't C 2 1'`2-8'O
TOTAL FEE �j Q. ' > }
INSPECTION FINALED W
date / �•✓� By,