HomeMy Public PortalAbout6267 GOLDEN WEST AVE_Electrical__ 76A663CE806 4.65 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
_j NEAREST
FOR APPLICANT TO FILL IN CROSS ST. �C�y
RECEPTACLE TOTAL 9NO. EACH FEE
LIGHT �Q OUTLETS FIRST 20 W $.20 S Q OWNER /�/���/�j • �p. /y��,�
3 MAIL cA_I_
SWITCH ADD'L `[� f0 / ADDRESS J�7�/'G�
OVER 20 _ 7 (p0
TOTAL FIRST 20 �v .20 CITY TEL. NO.
LIGHTING 1 FIXTURES OQ '0001.0kFIXTURES J( a ADD'L 1O - CONTRACTOR 4&AJ
OVER 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 -0 0 ADDRESS
GARB.DISP. STA.COOK CITYZ., 4, TEL.NO. —fz
DISHWASH. If AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(Vs H.P.MAX.j ,5000 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT tsIO. GROUP ZONE P ESSED B
O 1 1.00
1 s 1.50 INSPECTION RECORD
s 8 2.00 B 4
S 15 2.50
15 50 5.00 r - • .ty i:.r V
50 100 5.00
OC
SIGNS. NO.TRANS. O
NO.LAMPS �� �I ,6'; j Aj ..-�I�q,.� r "f• t 1GL
SERVICE 0.600V-NOT OVER 200A 1.00
SERVICE 0-600V-OVER 200 A. 2.00 Z
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00 40(,
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 -
TOTAL FEE S O APPROVALS DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING + ,.1
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY D STATE OF
CALIFORNIA OR THAT I AM T EGAL OWNER OF D IN
TE POWER
RESIDE IN,THE ABOVE DES ED REST TIA PERT.Y
SIGNATURE V UTILITY CO.NOTIFIED O OF PERMITTEE _&
FINAL
1 4
VALIDA JOSEPH C. ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGIN ER
6 ? 4 119 OCT 2 cj 2 0
15.10-