HomeMy Public PortalAbout6042 GOLDEN WEST AVE_Electrical__ 7BA663-CFBOG 11-57APPLICATION- FOR 'ELECTRIC PERMIT 1�
COUNTY OF LOS ANGELES .
DEPARTMENT OF COUNTY ENGINEER BUILDING q �•i ^ e i
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, County Engineer
CASSATT D. GRIFFIN. Sup t of Building LOCALITY+
ORO NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PERMIT FEES
ITEM NUMBER EACH FEE OWNER - -
OUTLETS $ ' $ MAIL / ')
i//L
LIGHTS RECEPT SW 10 __ADDRESS (D `'7`
LIGHTING FIXTURES 10 CITY TEVINO
ELEC RANGES CLO DRYERS - ELECTRICI N _ 1
WATER HEATERS 50 ADDRESS _
ELEC SPACE HTRS DISHWASHERS t
GARBAGE DISPOSERS AUTO- CITY TEL NO
WASHERS STA COOKING UNITS 2S STATE -
_ - LICENSE NO
MOTORS OVER INC 1.
P A' _ ,
DISTRICT O JGROUP� ZC^INEREADY FOR INSPECTION
+i2 — z so - ,
INSPECTION RECORD.
2 — 5 1 00
5 — 15 1 50
15 — 50 250
50 — 200 500 / tel" 'Jr� � �If YJ'f.fC�rfl9 LKSPAI
SIGNS NO TRANS.
NO LAMPS �PI111r 1� ,w�`
SERVICE 0-600V 100 - � ,
SERVICE OVER 600V s 500
MISC
[DESCRIBED
ING PERMIT 1 00 -I r A467-
FIXTURE PERMIT 1 00
PLEMENTARY PERMIT SO
TOTAL FEE $ APPROVALS
HEREBY ACKNOWLEDGE THAT I HAVE,READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE ,
'STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY `CONDUIT U G/fll L OLi ,J-
H ALL COUNTY ORDINANCES AND STATE, LAWS -REGULATING -
TRICAL WIRING. WIRING
HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
NSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF /
FORNIA OR THAT -1 AM THE LEGAL OWNER OF THE ABOVE POWER
-
RESIDENTIAL ROPERTY.NATURE UTILITY CO NOTIFIED PERMITTE FINAL �ZCa` 1 Ll f[YOXN'
VALIDATION ARTH U R C.VETT,
- SUPERVISING ELECTRICAL ENGINEER'-",
CK MO CASH
�o 4 2 0w 1.6� MAR 3 0 2' A 2.0,0 ��:
76AG03-CHOOS 3-99 APPLICATION FOR ELECTRIC PERMIT -
COUNTY OF LOS ANGELES 7 n /J ) •-
DEPARTMENT OF COUNTY BUILDING
BUILDING ER AND SAFETY DIVISION ADDRESS IO /(/C/ '6/6 L�CJ Gl/A/J'r
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PFJWT FEES CROSS Sr
1 T E M NUMBER OWNER (,0L[Z&O
EACH FEE MAIL {/��
OUTLETS: $ s ADDRESS Cp
LIGHTS RECEPT. SW. .10
LIGHTING FIXTURES i0 CITY TEL.NO
ELEC.RANGES , CLO.DRYERS ELECTRI AN
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY TEL. NO.
GARBAGE DISPOSERS AUTO.- STATE _
WASHERS STA.COOKING UNITS .25 LICENSE NO
MOTORS: OVER INC H P. DIST NO. GFiQ11P I 7�t�E P OCESS D BY .
0— 1/2 .25 --Z-
1/2—
/
c
1/2— 2 .50 INSPECTION RECORD
2— 5 1.00
s— 1s 1.50
1s— so 250
50-200 5.00
SIGNS: NO TRANS.
NO.LAMPS
SERVICE 0-600V 1.00 )
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 1
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ �p
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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. rr -
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 I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER '
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE �, r
FINAL
UP VALIDA� SUPERVISING ELECTRICAL ENGINEER -
CK MO CASH '
�'�3 8 7 7 028, 2 A x .00