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Home My Public Portal About4851 GOLDEN WEST AVE_Electrical__ QOUIITY OF LOB ARgCLn APPUChTION FOR rr n.W Dopartm'F of ELECTRIC 1 DMSION OF BUILDING 8r SAFETY WILLIAM I FOX, O�vrly FA00w FOR APPLICANT TO FILL. IN DIBTRIDT NO. GROUP I ZONE PIRMrr NO. ELI=CTRICIAN ADJ!= R [IV[D MY FIRM'!`INMT[DOTION DA 1 [D CITY TTC N 41JDU= LIC[NbC NO. 1 ■UIL O PERBUT FEES ADDREMM NUMBER EAC Lb DAL ! LIGHT GUTLCTN NEAR[MT RECEPTADLES �Y am IFT- WALL HEJ! OHVI']ER TOTAL OutLETa Ba MAIL ELKO. RAMMEM 35 ADDREft [LEC. HEATIRW 35 CITY TTiL NO. FIXT'UREa 6 I I'IERE MY AC"pWL.[DO[ THAT 1 HAVE READ THIS MIRM APPLIDATION AND STATC THAT THE ABOVE 1■ CORRECT NUMBER OF LIGHT OIRDUIT7 AND AQR*E TO OOMr4Y WITH ALL OOUMTY ORDINANQEM NUMBER 13F R[OEPTADL[ OIROUItR AND RATE LAW§'R"ULATTIIG EL,EOTgLbAL WIRIN0. MOTORS 1 O[RYIFY THAT 1 r131004 THE ABOVE VALID LQB MUMMA HORBEPOWERFI[ AMOK&" DOUDC" LIOENM[, OR 1 AM THE LEIJAL OWNER Ncw MVD. HR crwKR IIl6. EAaH OF TH[ REMIDENTIAL FinaPrRTY DEMDRINED As YL a ,rr .211 81MNATURi F i .513 IYRMI A ■ 1.00 INSPECTION RECORD 5 115 1.513 1! 5b seO BD 3130 500 3130 BOO 10.00 J 5013 low T B.DO a Z_ OVER IOOO 71100 to Md. ■[T FR OMANCIrR-HP ry WELDERNs A13-KVA s OLNERATORM - KW TRANBFORMERf - KVA TEMP. MOTOR■ 715or DRIu. MOVED M13TORM (76 0■ oRImJ BIO1�9 NO. NO.TRAMM N LA APPROVALS NEL FOR [ADH ta[IiMIT1 DATT INMI�OR'M NAM[ WIRING 1 DONDUTT FUCTU nts *1.130 WI R I N O .Z .50 FIXTURES POWER TOTAL FEE UTILITY OD.NOTIFIED FINAL Q f9A= DBA#GA 4 6f WQRKER'S COMPENSATION DECLARATION 20-0010 DPW 9/89 hereby affirm that I have a cerdfloate of consent to self Insure, '°"� APPLICATION FOR ELECTRICAL PERMIT or a certificate of Workgr's Compensation Insurance, or a certlfled COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Seo.3800 Lab.C.) Pofoy No. Company FOR APPICAW TO Fal N ❑ CertMed copy Is hereby furnlahod- New Reeldentlal Bldgs.S Poole EACH NO. FEE LCX;NJTY ❑ o1 &2-FamQy,Sq.Ft. S _ _ aernfled is flied with em ourtry bulkiing Mufd famRl Bq FL Lo A ]+ . MAP App�oant Reeklantial 9wlmmtrg Pools A OR 7 P BOOK PAGE CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets,Rea_q_Lvd_3L_Bs.J:L qpy NAME OR COMPENSATION INSURANCE (This section need not be completed tf the work Invotved by the Rr� WESt permit I's for one hundred dollars(;100)or lose.) Total Nm Ad�ortal D A l 1 certtfy that In the performance of the work for which this permitlr� C� 1µO Is Iasued, I shall not employ any person In any manner so as to PLAN CHECKbeoome subject to the Workers'Compensation Laws. /dtl �$ O APPLICINT No.J.i� Additlorrl ADDRESS Dern 15 OR MA,120V BRANCH CIRCUITS NOTICE TO APPLICANT: If, after making this Certificate of CITY Ts+_No. Exemption,you should become subject to the Workers'Compensation 1 TO 10 NCLUSNE EACH provisions of the Labor Code, you must forthwith comply with such 11 TO 40 INCLUSIVE EACH isi � T provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH Effil LICENSED CONTRACTORS DECLARATION 16 OR 20A 208V TO 277V LICiHT1N(3 EACH ADDRESSbi 4. I hereby attlrm that I em licensed under provisions of Chapter 9 (commencing with Seotton 7000) of DMalon 3 of the Business and CITY TOL No. Professions Code,and my license le In full force and effect RESIDENTIAL APPLIANCES UP TO 3HP LKADHOE OR C1r� Power Apparatus 8 Large Appliances NUMBER Oancee - License Number Lk.Clan Stm S Type HP,KW A,or KYA.P. WTeCT NO. BY ne W Over 3 to 10 hwL FNAL d Contracior Date over 10 to 60 Ina. DATE! z d I am exempt under Seo. Over 60 to 100 In . ® VALIDATION B.BP.C.for thi reason Over 100 BY SwAcee,9wbd.,MCC S Paneboards Date: 0-200 Amp.Under 600 V r SV"Ltue 201 -1000 Amp.Under 000 V ❑ Over 1000 Amp.or Over 800 V Exemptlon for Reg.Mala.Elect SMLE FAMILY Temp.Power Pole&AppurterwxeeHOM +-��1 7p I hereby affirm that am ex�Jlf m the GoLDER L nLraotor's License Law �n�One Branoh Ctrait +307 r'3.6+ for the following reason (Section 7031.6, Business and Professions Additional Sign Branch Chcuits Y 1 ITEMS code): i i I, u owner of theMtso.Conduits a Conduacn TOTAL 7S — 63 property,will do the work end the structure la not Intended or offered for sale (Sectlon 7044, Business Other(See Complete Fee Schedule) , CASH 73.63 end Professions Code). CONSTRUCTION LENDING AGENCY c .00 I hereby aMrm that there Is a constructlon lending agency for the performance of the work for which this permit Is Issued (Sec. 3097, PERMIT FEE a(Sub-Total) 3 0DXJ--�1 9/23/92 PLAN CHECKING FEE 1 Am 9;5z, Landes Name PERMIT ISSUING FEE Lerdars Address • I certify that I have read this application and state that the above TOTAL FEE g � Information is correct. I agree to oomply with all County ordinances and State ulating Electrical wlrfng, and hereby authorize repr this County to enter upon the above-mentioned u SEE REVERSE FOR EXPLANATORY LANGUAGE eroNA " "`° ""''°ECLARAT0)N7&&.&" 10/81 APPLICATION 1=0R ELECTRICAL. PERMIT I hbreby afflrm re that I hea cerd5oste 0 consent to self hMre, or a oerBfioate or W ximta' Cbmpennatico tnmranae, or a'oerfflw COUNTY OF LOS ANQEk9S .,BUILDING AND SAFETY Copy thereof(Seo.3800,Lab. C.) Policy-u). Cprnpery FOR APPUCAN7 TO FLL W Geld y b hereby f es., New PeslJwdal Dkiga.a Poole EACH NO. FEE AODREss s, 48m, nnymwdusT An- 'CA Kiffled Ceoopy b ff6d with the county txjkUrc hepectbn 1 d 2-Fm*,S4 Ft . �.: Asti-tamfly Sc.Ft. _ LocAirrY Q�OS8 ST. �M ASW� �A Date Apolaant Reeidentiel Swtrnmtrig Po.(e py,TER O�q�T ��vv��,, FFMA rlA►AEAT. -CE R. CERTFICATE OF EXEMPTfON FROM WORKERS' ' ItAL COMPENSATION INSURANCE „ �RooLight8w'' ADDEEW ABM ' (This Mction need not beow pietgd If the work Imot by tt►e Fllat 20 pem tL-Is for one hundred-dbllerp k$100)or less.) Tgtal No. AdditbnaL _ $ TeL tJa3 CHECK f-oerttty.that to the performance of=the which AN&permR � T b imued, I shell no# employ. .peroon eo as to APPLiG�tIT become mb)ect to the,.Mirkere' LightIN Fkb— Fust 20 ADDRESS DateTotal No. Additional CITY T&No. N0T10E- 7O' APPLICANT: •ff, - this. Certiffca of Fined AppBarxee Not Over 1 F� pg ,1=xertptbn You N.,id beoo-m to. CrorrP-Ohbon Range—._H9atsf— 4.W, - APP�)o�lrr CE g.' BEDEITI -prvvEs$cm of the Labor Code,You mead brth%vfth-oofnpty with aide Oren Dryer _ WJrL_ ADDRESS provfebne or this pemrft ahelj be deerttpd revolted Top' FALI WH — - CITY TEMI%H=.• Tel.NQ-356- l LICENSED GONTRACTORS DECL RAT10N. Hood Fan '_ Other! I hereby.•affhm.that I am,lioeneed under Nwisions of Chapter 9, . _ OR rrvn (coenolnp.with.80"7-0¢0) of•DMeon 3 of.the Bupineee acid Room Air.Cord —. REQM�' 01l Profeeabne Code,and my keno Is 1p full force and ofted. _Pmw Apparaftm d Lerbe Appllarnee- DOST-K%.C'- -- Stze& Type HP,KW,K\0,or KW License Number LIc.Claes Lip to 1 ha FINS / Qr 1 t4,1 P frpL DATE Cofrtraotor Data T over 1.0-to 601nd; El FINAL-am I am exempt under Sec. Over 60 to 100 Inc. BY W BAP.C.for this reason Over. 100 • Cl�y� I T Swvioee,Swbd,MCC S Pw*boenis Date J -- 0-200 Amp.UrKsw e00 v • J , Signat— 2b1 1000 Amp.Under-600 v . Oren 1000 Amp.or Over 800 V Exemption for Reg.Malrrt.'Eled. SINGLE FAMILY, Temp.Power Pole S Appurtenances ..;t ._ .. HOME 01Mt�R BUILDER DECLARATION S'�with One Rrenoh Ctra,ft I hereby A that I am exempt frorh the Contradpr's L kxwm LEN for following reason(Se6tion 7031 b, Buea sold Professions Additbnel SIQn Branch CiraAte 3K7 39.71 Mac Candtifta d Car>d<xrtorb I,m owner d the property,wI l do the wait and the struotuQ 1 ITRE ie M Wftended or offered for sale (section 704", Buelnaaa other(see complete Fee Schedule) and Professions Code). :' TOTAL 39 , 70 OONSTRuciTON LENDING AGENCY . L�ECS; . 39.71) 1 hereby.at Ill thed there le a constraodon.lend!nu agency for the pertorrriarrs of the'worst for whldn tti s perm ft is famed(Seo.3097, PERMIT FEE CHAN(I - - .01I Cty.C.). -PLAN CHECKING FEE Lnrdera Name ! }��1 �� '991 PERMIT ISSUING FEE !s L.erndere Address 409 9409 1 . AM $:?7 I om-ffy thdt I here read dile applicatbn and erste that the above TOTAL FEL~ - wormetion Ear I agree to oompty with an Caunty orcIku tee and State' feting E1e� wt lrQ and hereby authorize this Canty to enter upon the above-mentioned SEE REVERSE FOR EXFLAXXrQW LANGUAGE E Data L' U ' COUNTY OF LOS ANGWALS TZMeLI CITY # 0508 II.YCPRICAL PERMIT DYPARIXRNT OF PUBLIC RORZS 9701 LAB TUXILS EL 0508 0509210016 BmLDIla A1D BAFYPS / Ta DRVELOPMZYT TEMPLE CITY CA 91780 PHON1i (676) 785-0488 ZZT: LEGAL IDi FRRS P1ID BUILDING Anna789: ON FII,Y 4851 GOLDZN REST AV FRI DEBCRIPTI01, QUAWTITYI DOM. AGOUNT: TZMP Cl 917803936 ABBIIBSOR IIIORAXTION NOMBER: lEARZBT CROSS STRaP: LOWER A.SIIBA 8589-019-073 Al PERMIT ISSUANCE FEZ 17.75 TBOKAB PAGE: 597 ORIDi AS LOCALITY: TEMPLA CITY, C 61 OUTLETS-LOP,BW,RRCP 4.00 OUT 7.80 TZNANTi CU LIGHTING 7IXTU348 1.00 LOP 1.95 ISSUED ON: PROCESSED BY: PLAN BY, J=TRyp ON: TOTAL LEES 37.50 09/77/05 JZ 03/71/06 OIOTER: TEL. NOi FINAL nx F BS: DZ: TSM, Iola (676) 797-1797- 4851 GOLDEN AV TZMP 917800000 DDRB IPTION OF WORK 4 OU7LYPS, 1 LIGHT FIXTURE APPLICANT. TEL. NO. 811E AB 01[NSR SPECIAL CONDITIONS: CONTRACTOR. TRL. NO: APPROVALS DATE INSPECTOR SIG ATURE SAM➢ AS ONNXR — LIC. 10 T EPORARY POWER POLI UNI11R&I20UND CO'XD= ARCEI71= OR ENGINEER. TRL. NO. LIFER GROG LIC. NOc ROUGH CONDUIT RODW MIRING MAZY WATER LINE PLASTIC Y/N MYTAL TIN UTILITY COMPANY NOTIFIRD REPORT IDi DPR765 ROUPZ TO. B80508