HomeMy Public PortalAbout6322 GOLDEN WEST AVE_Electrical__ 76A663-CE806 9-64 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FLOCA
NG
BUILDING AND SAFETY DIVISION SS ,
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT. OF BUILDING ITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT, TOTAL NO. EACH FEE
OUTLETS FIRST 20 $.20 $ OWNER
LIGHT f MAILir
ADD'L D
10 ADRESS
SWITCH. OVER 20 (�/
CITY TEL. NO. _ � sr '(
LIGHTING TOTAL 1-1
F1Rsr 20 .20
FIXTURES ADD'L ELECTRICIAN
OVER 20 1O
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS -��—
GARB.DISP. STA.COOK
CITY TEL.NO. �
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(yz H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRI T O. GROUP ZONE P ESSED Y
O 1 1.00 /(}
1 3 1.50 INSPECTION RECORD-
3 a 2.00 . w'? 14,
8 15 2.50 N U
15 50 3.00 ce
50 100 5.00
U
SIGNS: NO.TRANS LU
NO.LAMPS 3
N
Z
SERVICE 0-60OV-NOT OVER 200A 1.00
SERVICE 0.600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 8
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _
ELECTRICAL WIRING. WIRING `
I HEREBY .CERTIFY THAT AM PROP Y STERED AND/OR FIXTURES
LICENSED AS REQUIRED OS ANGE S Co.. Y AND STATE OF
CALIFORNIA OR THAT I THE LEGA OWNER AND T D TO
RESIDE IN, THE ABOVE e RIBEO REST ENTIA OPE POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITT
FINAL
JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
M CASH
LAL01 5 1 3-0 MAY