HomeMy Public PortalAbout6261 GOLDEN WEST AVE_Electrical__ 76AC63-CE806-11-47) APPLICATION FOR ELECTRIC PERM vt) 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS ��
CIWOHN A. LAMBIE, County Eaq�oor G
ATT D. GRIFFIN, Supt o1$uildlal: LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES
ITEM NUMBER EACH FEE OWNE �`•�
OUTLETS: /I S S MAIL
LIGHTS RECEPT. , SW. /! .10 ADDRESS
LIGHTING FIXTURES .10 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS
ELECTRICIAN
WATER HEATERS .BO -
ELEC.SPACE HTRS. DISHWASHERS ADORES
GARBAGE DISPOSERS AUTO._ CITY T/L.NO.
WASHERS STA.COOKING UNITS .25 STATE LICENSE NO. J
MOTORS: OVER INC. H.P.
0 — I/z .25 ppo
DIST NO. G,y UP I WNE RE R INSPECTION
rl/Y`
'A — 2 .50 - u
2 — 5 1.00
INSPECTION RECORD
5 — 15 1.50
15 — 50 2.50
50— 200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 UU
FIXTURE PERMIT 1.00 U Q
SUPPLEMENTARY PERMIT .50'
TOTAL FEE APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP (CATION DATE INSPECTOR'SSIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR '
LICENSED AS REQUIRED BY LOS ANGE ES CO Y AND STATE OF FIXTURES
CALIFORNIA OR THAT I THE L AL E OF THE ABOVE POWER
DESCRIBED RESIDEN ROP RTY.
SIGNATURE UTILITY CO.NOTIFIED --
OF PERMITTEFi
FINAL
LIDATION ARTHUR C.VEIT,
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
is y5036O; „PR4 22 A 3 .CG Y
DAPPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX CHIEF ENGINEER
DISTRICT NO. GROUP ZONE PERMIT NO.
Q NAME
U ADDRESS
_ RECEIVED BY READY FOR DATE ISSUED
U _CITY j TEL.NO. FIR INSPECTION
J COUNTY �K•,?'
CERT.NO. EXPI RES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
�q/Q f�
DESCRIPTION OF WORK ADDRESS ��w`^/+ �•"�'
NUMBER OF OUTLETS ON CIRCUITS LOCALITY -^a._
LOCATION BY ROOMS
NEAREST -stir
LIGHT OUTLETS SW, PLUGS FU[T CROSS ST.
CIRCUIT A E C D i E F G H W _NAME
Z MAIL
ADDRE S
O :arc;-
CITY TEL.1110.
Pj,.. I AM THE LEGALPOSSESS qF THE ABOVE LOS
ANGELES COUNTY CERTI�ICAT or QUALIFICATION..
ELECTRICIAN.
1 AM THE"GAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
r
i - - -- 0
0
a C`TAI
NO. OF OUTLETS $ -- F. APPROVALS _
NO. OF FIXTURES f 'rJ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. CONDUIT
NO. OF'SIGNS TRANS. $ WIRING -
NO. OF RANGES OR HEATERS $ > FIXTURES
MISCELLANEOU $ POWER
.PERMITPEE �.' UTILITY CO.NOTIFIED
.'TOTAL FEE " '� FINAL
� u
DBS SA „-46 "PLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAF 9t
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX CHIEF ENGINEER
NAME DISTRICT NO. GROUP ZONE PERMIT NO.
U
ADDRESS
UU CITY TEL.NO.
RECEIVED BY DATE ISSUED
FIRST INSPECTION
A COUNTY
W CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS lsw. PLUGS I FIXT CROSS ST.
CIRCUIT A B C D E F G I H Ix NAME
Z MAIL
3 ADDRESS
O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
J
Z
M
- s IY
O
TOTAL
. OF OUTLETS $ APPROVALS
FIXTURES $ DATE INSPECTOR'S NAME
H.P. $ CONDUIT
S. $ WIRING
$ FIXTURES
$ POWER
$ UTILITY CO.NOTIFIED
FINAL
J
76A663-CE8061.68 AP LI AT N F R ELECTYIAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING j_ S7
BUILDING AND SAFETY DIVISION ADDRESS f„(p CJt�F /'DFA (.t/
JOHN A. LAMSIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NT TO FILL IN NEAREST
CROSS ST.
NO. EACH FEE � ��
$ $ OWNER /
FWITC.7_5�7:YOVER
MAIL / -�! /E_ ^ '•r�r
ST 20 .20 Q ADDRESS IOP n0 (TO�{J�I- �'�/�J l
20 .10 CITYG1 TEL. NO.
PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE-DRYERWTR.HTR. CITY TEL. NO.
STA.COOK_DISP. F.A.U._ CONTRACTOR W /-_ff_lEGti�iP�
SPACE HTR.-L-AIR COND. / ADDRESS 01-E174
CLOTHES WASH._DISHWASH._ CITY E C( TEL. NO.
FAN OTHER 1.00
V LICENSE IJO. 72 f2- 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
o — 1 1.00 ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF }
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO O.
10 - 50 5.00 tNO
THE ABOVE ESCRIFED RESIDENTIAL P ERTY. O
50 - 100 10.00 /)
U
TEE /�l100 - 500 15.00 0
NO. GW;LLJP NE P ICE S D BYSIGN,GASIGN AND ONE CIRCUIT 3.00 WTUBE, OR MARQUEE DDITIONAL CIRCUITS 1.00 ( . . Z
SERVICE NOTOVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMPSERVICE, POLE, &APPURTENANCES 3.00OVALS DATE INSPECTOR'S SIGNATURE I
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT 57
PERMIT FEE (SUB TOTAL) WIRING :
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) Loa
POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 O UTILITYCO.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
Lr►,� 4 2 3� � 16 -' D 7.6 0
.SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
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