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HomeMy Public PortalAbout6045 GOLDEN WEST AVE_Electrical__ 768663-CE806 10,72 APPLICATION FOR ELECTRICAL PERMIT q COUNTY OF LOS ANGELES " DEPARTMENT OF'COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS A LOCALITY Ter. le Cit FOR APPLICANT TO FILL IN CROSSNEAREST T oodruff� FIXTURES. TS NO EACH FEEW ER pR R , .John o $ $ ., ,4DDRESS C i TOTAL FIRST 20" 25 � Z~' Aire_ -82 CITY -ejrj lbe- City, TEL NO OVER 20 10 PLAN CHECK FIRST 20 APPLICANTTOTAL 25 1 'OVER 20 ADDRESS 10 RESIDENTIAL-APPLIANCES CITY TEL 'NO PERMIT RANGE DRYEP_WTR HTR , APPLICAN STA COOK DISP F.A U ADDRESS SPACE HTR AIR CONDCITY TEL NO CLOTHES WASH -DISHWASH LICENSE OR t REG NUMBER CLASS FAN OTHER 100 1 HEHEBI 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.CERT IF THAT I AM PROPERLY REGISTERED AND/OR 0 = 1 100 LICENSED AS RE_QU IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE 1 - 10 300 PESCR'IF.ED IDEN PERTY p O PERMITEE C] 10 - 50 500 SIGNATUR O .. 50 - 100 1000 DISTRICT NO PRO SED BY //�� 100 - 500 1500 cn Z SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICENOTOVER 600 VOLTS OR 200 AMP 300 .1 UNDERSLAB WORK SERVICE OVER 600 VOLTS OR200AMP 1000 ROUGH CONDUIT TEMPSERVICE, POLE, &APPURTENANCES 1_, 500 ' r � 1� WIRING I A TEMP LIGHT OR RECEPT SYSTEM �- 300 FIXTURES ER AUTHORIZED ..� LITY CO. NOTIFIED AL PERMIT FEE (SUB TOTAL) ES, > PLAN CHECK FEE I PERMIT ISSUING FEE ]IF TOTAL FEE PLAN CHECK•VALID AT,ION CK M 0 CASH PERMIT'VALIDArl',01N Jell M 0 CASH 4 3 9 r2ijAp, 2.6 G ®tri SEE BACK OF'APPLICATION FOR COMPLETE SCHEDULE ' j , 76A663A-CE806A 4/72 APPLICATION FOR ELECTRICAL PERMIT r COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS r _ _ LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLETS NO EACH FEE `� OWNER RECEIPT J $ $ MAIL LIGHT 3 FIRST 20 TU ADDRESS TO L CITY TEL NO SWITCH OVER 20 , PLAN CHECK LIGHTINGTOTAL I FIRST 20 APPLICANT , FIXTURES OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL ,No PERMIT "i RANGE DRYER WTR HTR._ APPLICAN !S STA COOK DISP F.A U ADDRESS ?O SPACE HTR, AIR COND CITY TEL NO 17672 CLOTHES WASH DISHWASH. LICENSE NO. 2 CLASS -SRU FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION a AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING SIZE N TYPE OVER - TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 LICENSED AS REQUIRED BY LOS ANGELES 000�IT1 AND STATE OF W CALIFORNIA OR THAT I AM THE LEGAL OWNER F, AND INTEND TO d 1 - 1O RESIDE N, THE AB V DESCRIBED RES N�IAL PROPERTY y / 10 - 50 SIGNATURE OF PERMITTEE 50- 100 DISTRICTNO CLASS 7ESSED BY 100 - 500 SIGN, GAS SIGN AND ONE CIRCUIT NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS SERVICE NOT OVER 600 VOLTS OR 200 AMP APPROVALS DATE INSPECTOR'S SIGNATURE SERVICE OVER 600 VOLTS OR 200 AM P TEMP POWER POLE TEMP SERVICE,POLE, &APPURTENANCES UNOERSLAB WORK 1 TEMP LIGHT OR RECEPT, SYSTEM ROUGH CONDI UT WIRING f"P�j 7v FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO NOTIFIED PLAN CHECK FEE , 3-�-� PERMIT ISSUING FEE FINAL 7 TOTAL FEE PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH. 44.5-SEP- 30 2 0 8.20 O lv 76A663-CE806 10/72 APPLICAT \ Nk-�ii-&RICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF-COUNTY ENGINEER FARLE'STT BUILDING AND SAFETY DIVISION Q ' FOR APPLICANT TO FILL IN - OUTLETS NO EACH FEE FIRM NAME RECEPT $ $ MAIL LIGHT TOTAL FIRST 20 ADDRESS ` 25 CITY TEL' NO SWITCH_ OVER 20 10 , PLAN CHEC - i ,FIRST 20 _ APPLICANT ' LIGHTING TOTAL 25 �OVER 20ADDRESS y" FIXTURES 10 RESIDENTIAL APPLIA'`NCES CITY TEL NO PERMIT RANGE-DRYER WTR HTR APPLICANT STA COOK DISP F A U ADDRESS +SPAC,E HTR AIR COND1 _ CITY TEL NO CLOTHES WASH DISHWASH • LICENSE OR REG NUMBER 6O. / Z CLASS 1 ✓ i FAN OTHER ,100 I 1 HEHEBI'ACKNOWLEDGE 'THAT I JHAVE READ THIS APPLICATION 'AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES SAND STATE LAWS REGULATING ,IND HEATERS;ETC HP KW KVA ELECTRICAL WIRING ' SIZE & TYPES OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - ,1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR T I AM THE LEGAL OWNER OF THE ABOVE - DED r 1 10 300 - DE SSRI REST EN IAL PROP Y p_ - 1 O PERMITEE I V 10 - 50 ,600 SIGNATURE 0= O 50 - 100 1000 V DISTRICT NO ROCES Y LV 1 00 - 500 1500 - /) SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS , C/ DATE INSPECTORIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICENOTOVER600VOLTS OR200AMP 300 UNDERSLAB WORK SER'VICEOVER60OVOLTSOR200AMP 1000 ROUGH CONDUIT , TEMPSERVICE,POLE, &APPURTENANCES 500 . WIRING TEMP LIGHT OR RECEPT. SYSTEM 300 FI-XTURES, �• POWER AUTHORIZED • , UTILITY CO, NOTIFIED I- FINAL > ,PERMIT FEE (SUB TOTAL) NOTES I - PLAN CHECK FEE l ' PERMIT ISSUING FEE 300 ZIS�J f TOTAL FEE Z/D I r PLAN CHECK VALIDATION 'CK M 0 CASH PE RMIyV.A,LI DAA CK - M 0 CASH 4 3 1rh1AR 2' 2-' 12.0 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - � 1 J 68663-CE 5_l 0/72 APPUCATIbN R ELECTRICAL PERMIT �OUNTY OF LOS ANGELES ,( �DEPARTMENT,OF COUNTY ENGINEER AooREss '�V BUILDI� G AND SAFETY DIVISION LOCALITY C - NEAREST FOR APPLICANT TO FILL IN 74CROSS ST OUTLETS NO EACH I FEE OWNER OR FIRM NAME RECEPT 4 - $ $ MAIL - ADDRESS LIGHT TOTAL FIRST 20 25 � � � CITY TEL NO SWITCH OVER 20 10 - PLAN CHECK LIGHTING TOTAL, FIRST 20 25 APPLICANT FIXTURES OVER 20 10 ADDRESS � RESIDENTIAL APPLIANCES CITY TEL NO PERMIT RANGE DRYER WTR HTR APPLICANT STA COOK DISP F A U ADDRESS ,.!r *,P-" q��Ly SPACE HTR. AIR COND CITY TEL NO yV(r_L Lri CLOTHES WASH DISHWASH LICENSE OR Ci/ CLASS C— J REG. NUMBER Q FAN OTHER 100 '1 HEHEBI 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 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA-OR THAI I AM THE LEGAL OWN OF THE } 1 - lO 300 OES'Pi ED RESIDE CL PROPERTY O - U 10 - 50 500 PERMITEESIGNATURE O 50 - 100 1000 DISTRICT NO. SED BY U W 100 - 500 1500 °- - � Z SIGN, GAS• SIGN AND ONE CIRCUIT 500 APPROVALS ` ' DATE INSPECT R'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER,POLE SERVICENOTOVER600VOLTS OR290AMP 300 UNDERSLAB WORK SERVI CE OVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT, , TEMP SERVICE,POLE, &APPURTENANCES 500 WIRING ' TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES POWER AUTHORIZED J rV�/•(! • UTILITY CO. NOTIFIED FINAL �l , PERMIT FEE (SUB TOTAL) NOTES -570@V1e-eF- h70,4i� Y3y PLAN CHECK FEE �b�'+�!✓IN(Y DEPT ' PERMIT ISSUING FEE 3,001 TOTAL FEE PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATIONCK M O CASH 5 9 1 tinasR 8 2 D 1 1.4 0 ,&`,� SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - '