HomeMy Public PortalAbout6206 GOLDEN WEST AVE_Electrical__ 768663-.CE806_19/72
APPLICATION , OR ELEARICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FDRE
BUILDING AND SAFETY DIVISION
Y
FOR APPLICANT TO FILL IN OUTLETS NO EACH FEE
FIRST 20
$ $ FIRM NAME
RECEPT._ MAIL
LIGHT TOTAL 25 ADDRESS
CITY C TEL NO
SWITCH OVER 20 10
PLAN CHECK
LIGHTINGFIRST 20 25 APPLICANT
TOTAL ADDRESS
FIXTURES OVER 20 10
RESIDENTIAL APPLIANCES CITY TEL No
�- PERMIT
RANGE DRYER_WTR HTR APPLICANT
STA. COOK DISP F.A U. ADDRESS
SPACE HTR. AIR COND CIT TEL NO -.2
CLOTHES WASH. DISHWASH LICENSE OR .+) Ppf CLASS C-1
REG NUMBE mL J
FAN OTHER 100 1 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 B TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O.- 1 _ _.__ 100 _ LICENSED AS_REQUIRED BY LOS ANGELES_COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE
1 - 10 300 DESCRIPED RESIDENTIAL P OPERT O
PERMITEE • v
10 - 50 500 SIGNATURE
I
50 - 100 1000 DISTRICT NO. P SED BY LLJ
100 — 500 1500 "5" 09 , Z
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 500 WIRING
TEMP LIGHTOR'RECEPT. SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300 d�
TOTAL FEE 19
i
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M O CASH
1
3 G 4 773 SEP 4 2 D C9.0 0&
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 1
6AG63-CPOU 10-59 APPLICATION FOR ELECTRIC PERMIT 1 v
COUNTY OF LOS ANGELES
.DEPARTMENT OF COUNTY ENGINEER BUILDING / �7 b (�'
BUILDING AND SAFETY DIVISION ADDRESS Co o�
JOHN A. LAMBIE, COUNTY ENGINEER 77
FOR
WILLIAM A JENSEN,SUPT OF BUILDING LOCALITY �/
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST
1 T E M NUMBERI EACH FEE OWNER
MAIL
OUTLE $
TS
ADDRESS
LIGHTS RECEPT. SW. .To
LIGHTING FIXTURES , f0 o CITY TEL NO.
ELEC.RANGES CLO.DRYERS �y7�... ELECTRICIAN
WATER HEATERS 50 O ADDRESS -- 's-c)
ELEC.SPACE HTRS. DISHWASHERS CITY 2A/,4 TEL. NIO O
GARBAGE DISPOSERS / AUTO.- STATE
WASHERS STA COOKING UNITS 25 V LICENSE NO J
MOTORS: OVER INC H P. DISTRICT NO GROUPZ E PR BY
0— 1/2 9K .25 .,5
1/2— z 150 INSPECTION RECORD
2— 5 100
5— 15 ISO
Is— 50 250 0
50-200 500 A
NO TRANS.
SIGNS: rr
NO.LAMPS
SERVICE 0-600V 1.00
/cam ti/
SERVICE OVER 600V 500
1�fS
WIRING PERMIT 100
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT .50
TOTAL FEE
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. "�°�1.t�l�
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR {�
WIRING 5,P
LICENSED AS REQUIRED BY_LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT1 THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL OPERTY. POWER ,!
SIGNATURE / UTILITY CO.NOTIFIED
OF PERMITTE
FINA b
®1 L CON ARTHUR C.VETT.
/CK - MOO CASH SUPERVISING ELECTRICAL ENGINEER