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HomeMy Public PortalAbout4923 GOLDEN WEST AVE_Electrical__ 7CA663-CE80610.59 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES `J DEPARTMENT OF COUNTY ENGINEER BUILDING / `� BUILDING AND SAFETY DIVISION ADDRESS / i- JOHN A. LAMBIE, COUNTY ENGINEER _ 1 . WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST — PERMIT FEES CROSS ST. - - 1 T E M NUMBER I EACH FEE OWNER OUTLETS: S^"� $ MAIL $ LIGHTS - RECEPT �.,SW. SI cS .1O 4` ADDRESS LIGHTING FIXTURES l .10 CITY TEL.NO, ELEC.RANGES CLO.DRYERS ELECTRICIAN .ear E'-D _ i WATER HEATERS .50 ADDRESS l ELEC.SPACE HTRS. DISHWASHERS .! TEL. NO l/ CITY ARBAME DISPOSER ' AUTO.- ✓ STATE /' /� WASHERS STA.COOKING UNITS .25 LICENSE NO. e 6 6 �/- I GROUP MOTORS: OVER INC. H.P. DISTRICT NO. SSEDBY / ZONE IE! 1/z .25 '7 1/2- 2 .50 INSPECTION RECORD 2— 5 1.00 5— 15 1.50 is— 50 2.50 50-200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRINGPERMIT 1-00 FIXTURE PERMIT 1.00 ®� SUPPLEMENTARY PERMIT .50 e--L - TOTAL FEE $E Q G' 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. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PERTY. POWER SIGNATURE ,r UTILITY CO.NOTIFIED OFPERMITTE FINAL ®F LIDATION ARTHUR C.VEIT, CK MO CASH SUPERVISING ELECTRICAL ENGINEER II" 0,5989 F-�a 6 2 A 11 .7 r 76A663-CE808 70-59 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERNIIT FEES CROSS ST. / d� ITEM NUMBEREACH FEE OWNER /% -Y <� •^ �� OUTLETS: $ $ MAIL 11 ADDRESS (,L� LIGHTS RECEPT. SW. .IO � s7 LIGHTING FIXTURES 10 ELEC.RANGES CLO.DRYERS ELECTRICIA WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY TEL. NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. _ DISTRICT NO. I GROUP I ZONE PROCESSED BY O— I/z .25 1/2— z So INSPECTION RECORD 2— 5 1.00 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 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 -JCC 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. - I HEREBY CERTIFY THAT I AM 'PROPERLY REGISTERED AND/OR WIRING - LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE (/j UTILITY CO.NOTIFIED OFPERM ITTE '�'� `��� FINAL ®R y VALIDATION- SUR ERVISI G ELECTRICAL CTRICAL ENGINEER CK MO CASH __f` 07 2 0 4`3 1 .0 0 I hereby afflrmth�at Ihavvei a ccoirtfAflcaate off DECLARATION to self Insure, 78�Aefr.�°D (12-91) APPLICATION FOR ELECTRICAL PERMIT or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thersiof(Seo.3800 Lab.C.) Pdlcy No. Company POFl APPUCkKT To wt.i IN J0 qE� 4-,W- I F1Certtfled Dopy Mereby hfurrilahed. New ReeiderrtlaJ Bldgs.S Pooh NO. EACH FEE 1 S 2 fenilly,8q R — s s LocAim E k- ) Is tiled wkh The oourrty bu8dlnp Muftt-famlly Sq.R. CFKnS NEAREST 8T. Date Applicant Residential SwUnminp Pooh PARDEL �BOOK P AGE CERTIFICATE OF DCEIAPTFON FROM WORKERS' OuHats:Rec.—Light Sw. AA RR COMPENSATION INSURANCE FY is seotton need not be completed If the work Involved b Rai t AIL (Th P Y the Total No. Addttlonal -I,. as Topermit Is for one hundred dollars(6100)or lees.) I certify that In the performance of the work for which this permit Cftl T� Na Is Issued, I shall not employ any person In any manner so as to PUN C1fCK th o e subject to the.Workers'Compenaatlon Laws. Lighting Fixtures F1 rat 20 APPLICANT Total No. Addltional ADDRESS Data Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certlfloate of Cm TOL No. Exemption,you should beoomo subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such Pt7IArr provisions or this permft shall be deemed revoked. Power Apparatus&LaMrrgg}ee Appflwxm �CT LICENSED CONTRACTORS DECLARATION Sb_e 8 Type HP AR AR ADDRESS 1n I hereffl by arm that I am licensed under provisions of Chapter 9 3 1or (commenoing with Section 7000) of DJvtalon 3 of the Business and CITY TeL NO Professions Coda,and my license Is In full force and effect. Over 10 to 60 Ind. LK>iNSE OR d Over 60 to 100 Ind. REQ NUMBER O Over 100 DM79CT W. BY Lkwm Number Lk.Claes V 'Pie Services,Swbd.,MCC A Panelboards .�, ' O a: Contractor Date 0-39p Amp.Under 800 V DATE � E00 V 400-100 F1 I em t under Sec 0 Amp.Under Over 1000 Amp.or Over 800 V _ � VALIDATION W FINAL d B.BP,C,for this reason BRANCH CIRCUIT FEES BY y, Z Date: 16A,or 20A,120V,Lighting or RecepL /� 1 To 10 Branch Clradts Signature 11 To 40 Branch Clroults 41 Or Mon Branch Circuits 1 ❑ Exemption for Rep.Matnt.Fled. I&&,20A,208V To 277V LVTtiny Br.Chnft i SINGLE FAMILY Temp.Power Pole S Appurtenanc .�T.* es HOME OWNER43UILDER DECLARATION fflS1gn with One Branch Clrcuh 3 / p��J I hereby arm that I am exempt from the Contractor's License Law ,73W 43.CF for the following reason (Section 7031.6, Business and Profeeslons Additional Sign Branch Clroults Code): 1 ITEMS J El 1.as owner of the propfsa Cond orty,will do the work and the structure MCondutta d uctor° TOTAL 43 _ 30 Is not Intended or offered for sale (Seotlon 7044, Business Other(Seo Complete Fee Schedule) I�LCr�-Vt/ t �i and Profeealons Code). , CHEC� 43.9-111 CONSTRUCTION LENDING AGENCY .00 I hereby affirm that there Ia a construction lending agency for the performance o1 the work for whloh this permlt Is Issued (Seo. 3097, PERMIT FEE (Sub-TDA Cly.C.) PLAN CHECKING FEE 0000—"1 6/23/9131 Lenders Name a}5- X1.15 1 All ?:4r° PERMff ISSUING FEE Lenders Address I c,r that I have read Oils applktatlon and under penalty of purjury state TOTAL FEE that the above Information Is correct. I agree to oxr#y with all County ordrwroae laws regulating Eleotrioal wlring,and hereby authortre this County to enter upon the above-nwrt1oned property SEE REVERSE FOR EXPLANATORY LANGUAGE �NA,1>PF OF PB%C-rEff DATE • ,-,�w TfcEFts COMPEIJSATION DECLAAA,Ior, CE-BO6 ,aa, APPLICATION FOR ELECTRICAL CTR I CAL PE R MI T I hpDby_a" that I here a certlflpate or consent to serf kwire, E aceta I.J or g e o( mss' ��• or a � COUNTY OF LOS ANGELES BUILDING AND SAFETY copy ttlereo((§aa 3800,Lab.C.) NaPoky ,y POR APPUCAKT TO FlL L 1W J08 {�aa Certtfled copy is hwmby furdshed. .: New Resijantlel Bk1gs_d Pbae EACH NO. E ADDRESS LO6o As y tNim3 J ` Cered copy Is'fW. wRh the cary buofrng Yiepeaiion 1 d 2femlfy,84 Ft s _ depertrner}t Mali-Tammy S%Ft ST. Rog Datet p 9 ONTO OR• q 1 r F fAw (Da CERTIFrATE OF EXEMPTION FROM WORKERS' Outlets Rec LightSw. MAL COMPENSATION INSURANCE ADDRESS (This section need riot pl ot be cortetep r the work knvNed by the Flret 20GFFY permit Is for one hundred dopes($100)or lose.) Total No. Addtibrtal LM C -->Tet Na � P1J•1 CHECK LN hi tat the d the work for which this -is •I shall not &tpby any to erry ma w so ps too become arb)eat to the Workem'CorrpmnAaUon'Law& Ll;� ng Fixtures• FVst 20 ADDRESS . A^ �l/K1i���' ► y7pVl�l .Total No. ��� a7Y Tel.No. D§Ye NOTICE TQ. APP4IWU: If,. after nmkkV tip& Cert7batQ at Fuad Appftanoes Nat Over 1 HP PERWT Errptge bn,yoy should baggrne.auUfiect.to the Workers'Comper—thn P"Va— Heater— aW. c S pruvWorp of the LAbor Cgda, you must brthwtth ccn#y wRh much Qven — Dryar — W-M._ .ADDRESSWo s_ pmviabrra or,ttils pem>ft shell be deemed revolted. Top — FAU _ W.FL — - CITYT�.No. ,. LiGENSED COhITAACTORS DECLARATION Hdod — Fan _ Other,_ I hereby adN that I am licensed under provW rb of Chapter'9 D*P, _ Floors Nr Cord. ABER GiiN (=mT*ndrrg wfth Section 7000) of Dlvlsion 3 of ttae Busts and Professions Code,and rrry kense h'In tun force and affect. P—I Apparatus d Large ApOiar e DOTRK,71N%A Stze d Type HP,KW,K%^or K%A R Licam t�kmrbw Lk:.Ghee�� the to 1 [riot. Ov@r 1 to.10 Ind. DATE Contractor _ Date over 10.to 50 Ind. ❑ FINAL' I am exempt under Sec. .Over 50 to 100 kro. ley BAP.C.for this reason Over 100 S&Vlobs,Swbd,MCC d Per girdsyvv Z Dom: 0-200 Amp.Under 800 V g{ ture 201 - 1000-Amp.Under 800•V Over.1000 Arrp.'Or Ordr 800 V ' p Em&ptibn for Reg.Malrtt EleoL SINGLE FAMILY Tamp.Ppvy�Pas d Appratenancem / 2 HOME OWt�F}-BUUER DECLARATION S{gn wlth One Breach Clraft _ I hereby affirm that I am exempt from the Contractors Uoersq Law �'T.# for the U"vkg rekaon(Section 7031.5,Buskm ms and Professions Addttlor�l .B'�'�'arartm T cods): 3,107 45.50 ' L,0 ww of the pro arty,wlfl do the work and the s#nbYure Ml°c'Ccrad`rm d CohdUctra I is not Intended or otlered t« sale (sedton 7044, Buelneme Other(See Complete Fee Sa wltm) 1'ITEtF� and Rmtessions Coda). �. - TOTAL NMI 45_5 0 CONSTRUCT"LENDING AGENCY CHECK 45.50 I hereby affirm that there Ls a conatructloh landing agency for thq (�.{��' M�yy performance of the work'for,v4*{ h this permft Is Isaued(Sea 3097, - PEPIMrr FEE t' (Sub-Tota}) CHANGE GE ■W Ctv.a). _._. PLAN CHECKING FEE i Leaders Nerve PEPMU ISSUING FEE © 4 j1 Lenders Address AM 82 12 I owrttfy that I have road this application and state that the above . TOTAL FEE tformmgon Iry oorreoL l agree to campy with ajr Courtly Ordinances and State regulating Electrical wiring, and_hereby euthortra _ at upon the above-mentioned 1 2 SEE REVr;RSE FOR F_XPLANr40RY L1INGUAGL°. _ 34-hrre of Permittee Date J COUNTY OF LOS ANGELES TEMPLE CITY NI 0508 ELECTRICAL PERMIT . DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0110230010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0485 EXT: LEGAL ID: FEES PAID BUILD!NG TR: 5342 LT: 6 BL: .001 4923 GDLDEN WEST:AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917503938 NEAREST CROSS STREET: LOWEER AZUSA 8589-019-001 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGES 597 GRID: A5 LOCALITY: TEMPLE CITY G1 OUTLETS-LOT,SW RECP 25,00 OUT 45.75 G2 LIGHTING FIXTURES 8.00 LGT 15.60 . PLAN BY: EXPIRES . H2 RES GRBO DISP LT 3HP 1.00 DIS 10.95 10/23/01 JK 04/21/02 . H3 RES DISRWASHR LT 3HP 1.QO DIS 10.95 OWNER: TEL. NO: H4 RES RANGE RDS LT 3HP 1.00 H00 10.95 . TRUONO•ANTHONY (626) 673-1236- H5 RES WASH MACH LT 3HP 1_-DO WAS 10.95 . 4923 6kDEN NEST AV HT REE EXHAUST FANS 2.00 EX 21.90 TEMP 917503938 LB 200 AMP PANELS, MCD 1.00 PAN 38.85 TOTAL FEES 193.65 ELECTRICAL FOR ADDITION AND RELOCATE KITCHEN APPLICANT: TEL. NO: SAME AS 06I N ERSPECIAL CONDITIONS: - G. ES CCONTRACTOR: TEL. NO: pl SAME AS OWNER - � �T�. APPROVALS DATE INSPECTOR SIGNATURE LIC. NEO TEMPORARY POWER POLE UNDERGROUND CONDUIT UFER GROUND WANG, NICK (626) 300-893 1815 AZALEA DR LIC. 111111 ALHAMBRA CA 91801 NOME ROUGH.WIRING U 1,=-;S��C WORKS) 1fI11U©I�S !K� S PLASTIC YIN METAL Y/N Z 0 A El wg 46''c ❑ . . mat Service That REPORT ID: DPR265 ROUTE TO: BS0508