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Home My Public Portal About4934 GOLDEN WEST AVE_Electrical__ APPLICATION F ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDRESS New Residential BYdgs.&Pools EACH NO. FEE _ 1 3 2-Family,Sq. Ft. $ 0 5 -- $ LOCALITY- Multi-family Sq. Pr. .02 — ResfdentlalSwlmming Pools 25.00 Ow Outlots,Rec, ,—,Light Sw. IL First 20 .50ADDRESS Total No. Addkional .30CIITTY�C}{ Tel. Nay2 _6 PPLIR Oghting Fixtures First 20 .50 ADDRESS Tofal No. Addhbnal CITY TSI. No. Fixed Appliances r{ot Over 1 HP PERMIT N�ii Rdnge_Neater_D.W._ APPUCA Oven_Dryer_W.M.— ADDRESS Top _FAU .—W.H._ - CITY TAI. No f 6 Hood_Fan Other— LICENSE Disp. Room Air Cond. 2.50 REG.NU R as I HEREBY ACKNOWLEDGE THAT I HAVE ROAD THIS APPLICA- Power Apparatus 3 Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size 3 T HP KW, KVA,or IZVAR COMPLY WrTH ALL COUNTY ORDINANCES-AND STATE LAWS Type REGULATING ELECTRICAL WIRING. Up to 1 Ind. 2.50 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED-ANDADR Over 1 to 10 Ind. S.x LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF � Ovet 10 to 50 Indl. 1250 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE _ Inc. 2 DESCRIBED RESID PERTY. Over 50 to 100 Over 100 40.00 PEILMEE _ SIGNATUOIL I I Seryices DISTRICT NO. P D BY 0-200 Amp.Under 600 V 1 .50 201-1000 Amp. Under 600 V 25•.-00 Over 1000 Amp.or Over¢00 V 50.00 Temp. Power Pole&Appurtenances 10.0.0 Sign with One Branch Circuit 10.00 AdditionaGSign Branch Circuits .00 INSPECTION > Misr-Conduits&Conductors 10.00 INFORMATION ON KV8 5E 4 91.0 A C Other ISeeomplete FeeSchedulel. _ SIDE o 0 0 0 0 2 2 - 27.50 PERMIT FEE (Sub-Total) 0 0 0 2 7.5 0 6 PLAN CHECKING FEE lone-Fourth Paan t Feel 06 113-79 PERM[T ISSUING FEE $7.00' TOTALfEE > -INSPECTICtN FINALED date By �s 76A "'-c"°"="B APPLICATION =CTRI AL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION ICANT TO PILL IN LOCALITY New ResidentlalOcIgr& Pooh EACH NO. FEE NEAREST 1 & 2-Family, Sq. FL .025 — CROSS ST. - OWNER OR r MultFfemlty Sq. Ft. .02 — FIRM NAME Reddentlel Swimming Pooh 20.00 MAIL ADDRESS Outlets: Light, SwttGh & Receptede CITY 7 Tel.No. Flr[t 20 PLAN CHECK Add)tl onel .30 APPLICANT ADDRESS Lighting Fixture[ First 20 -5p CITY . Tel.No. Addhlonel -30 PERMIT APPLICANT Fixed Appltencw Not Over 1 HP ADDRESS Range_Heeter D.W. CITYTel. Oven_Dryer W.M. Top FAU W.H. REO.NUMBER Clan. LICENSE OR Hood Fen /.�a I HEREBY ACKNOWLEDGE THAT I HAVE READ THIB APPLICATION Dhpt�A-C. 2� AMD STATEYHAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIKANCE5 AND STAT[ LAWS'REGULATING Power Apparatus& Large Appllence[ ELECTRICAL WIRING. Size Type HP, KW, KVA, or KVAR I H[R[AY CERTIFY THAT I AM 1.141.1-Y R[G IST[R[D AND/OR LI CE NS EO M R[OU IR[D BY LOS ANGELES COUNTY AND STATE OF y. Up to 1 Trod. 200 CALIFORNIA OR THA I A LEGAL OWNER OF THE ALOVE 0. Over 1 t0 10 Incl. 5.06 011SCRIDED R[SID L OPERTY. C Over 10 t0 60 Ind. 10.00 PERM TEE V Over 50 to 100 Ird. 20.00 SIGt1ATUHE Over 100 80.00 DISTRICT NO. PROC D BY G Service. !� g b 0- 200 Arnp. Under 600 V 12.50 INSPECTOR'S YJ 201.1000 Amp. Under 800 V 25.00 APPROVALS BATE SIGNATURE Over 1000 Amp. or Over 600 V 50.00 TEMP.POWER POLE Z Temp. Power Pole 8 ApQurtanarx NG UNDERSLAB WORK Sign with One Branch ClrDvk 19.00 ROUGH CONDUIT Addltlor&M Sign Branch Clrauhs 00 WIRING (Other) FIXTURES ]POWER AUTHORIZED UTILITY CO.NOTIFIED 7 FINAL �z PERMIT FEE (Sub-Total) NOTES PLAN CHECKING FEE (0ne-Fourth Permit Fee) PERMIT ISSUING FEE $6.00 TOTAL FEE PLAN ECK VALIDATION CK- M.O. CASH PERMIT VALIDATION CK- MO. CASH 1 9 6 an 7 2 D. . 1 $.5 0 A% f[[ BACK OF APPLICATION FOR COMPLAITIE SCHIKDUL[ _ - 7SA663 DBS 5A 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRICWILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUPZONE PERMIT NO. ELECTRICIAN RECEIVED BY READY FOR DATE IMBUED ADDRESS FIRST INSPECTION CITY TEL.NO. COUNTY LICENSE NO. � EXPIRES BUILDING PERMIT FEES ADDRES8 1_i= FEE NUMBER EACH LOCALITY LIGHT OUTLETS ° NEAREST CROSS ST. RECEPTACLES WALL SWITCHES :'R OWNER TOTAL OUTLETS - - 5D MAIL - ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MvD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. a LESS $ .25 SIGNATURE OF I�2 2 .50 PERMITTEE 2 5 1'130 INSPECTION RECORD 5 15 1.50 15 50 2.50 5o 200 5.00 200 SOO 10.00 ..! Soo 1000 1s.00 Z OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP Q' WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF DRIG•) MOVED MOTORS (75% OF DRIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'B NAME WIRING $1.00 - CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .5o FIXTURES POWER TOTAL FEE $ UTILITY CO.NOTIFIED FINAL 76A663 DBS SA 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �� COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT—NO. GROUP ZONE PERMIT NO. ELECTRICIANL'2 — J 'Z S RECEIVED BY READY FOR DATE ISSUED ADDRESS ' p�,,,,.�.,,�N I FIRST INSPECTION CITY TEL. COUNTY LICENSE NO. O EXPIRES BUILDING ' PERMIT FEES FEE ADDRESS a, NUMBER EACH LOCALITY �J 1 LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST.1 WALL SWITCHES CIJWNER 4 TOTAL OUTLETS 5D $ AIL ELEC. RANGES 25 'ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS j„ AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIF1Y THAT I POSSESS THE ABOVE VALID LOS NUMBERHORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY/ID'�/E�SCRIBED ABOVE. I/2 a LESS $ .25 SIGNATURE OF �` 'o r :' /2 2 .50 PERMITTEE ��ii: a Li—e t_+ 2 5 1.00 INSPECTION RECORD S 15 1.50 15 50 2.SO 513 200 5.00 200 500 10.00 rt J 500 1000 15.00 Z OVER 10130 20.00 Q M.G. SET/FREQ. CHANGER—HP Q' WELDERS:AC—KVA O GENERATORS — KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG•) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES / O POWER TOTAL FEE 41 UTILITY CO.NOTIFIED FINAL 76A66_%CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER 1119 WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY _ NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL NO. EACH FEE / OUTLETS FIRST 20 $20 $ 00 MAIL OWNER Te 7 LIGHT J � V" A DD'L ADDRESS SWITCH. � OYER 20 .1O O � TOTAL 0 CITY TEL. NO. LIGHTING l� F7R .20 FIXTURES 1( ADD'L OVER 20 •10 ELECTRICIAN RANGES CLO.DRYERS -TR.-TRS, 1.00 00 ADDRESS GARS.DISP. CITY TEL.NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. BTA.APP.(�/a H.P.MAX.) ,50LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE PRO BY O 1 1.00 Ll 1 3 1.50 // INSSPECTION RECORD 3 8 2.00 �'/7 V c; 8 15 2.50 y 15 50 3.00 } a 50 100 5.00 O SIGNS: NO.TRANS- NO.LAMPS 0 O SERVICE O-SOOV-NOT OVER 200A 1.00 Q t) SERVICE O•SOOV-OVER 200 A. 2.00 N SERVICE OVER 800V 5.00 ? MISC. PERMIT ISSUING FEE2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 8 O iHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS VATIC 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 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR \.._..✓ LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ' CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RES[ TIAL PROPERTY. POWER f it SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL VALIDATION ARTHUR C. VEIT SUPERVISING ELECTRICAL ENGINEER /CK MO CASH LJ„vo 0 0 1 6`U SEP 11 2- 0 I �t/ WORKERS' COMPENSATION DECLARATION � APPLICATION FOR ELECTRICAL PERMIT 1o/a1 0F�ereb'y affirm that I have a certificate of consent to self Insure, orcertificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY ' or a certified 00 d copy thereof (Sec. 38 , Lab. C.) Policy No. Company FOR APPLICANT TO RLL IN .1013 X 93 .v` �c!- •c/ Certified copy Is hereby furnished. EACH NO. FEE Naw Residential Bldgs. 8 Pools ❑ Certified copy Is filed with the county building Inspec- 1 8 2-Family, Sq. Ft. _ — $ LOCALITY 7er-.P.7 I.VL tion department. Multl-famlly Sq. Ft. — NEAREST Applicant Residential Swimming Pools -CROSS OR Dare • //fid CERTIFICATE OF EXEMPTION FROM WORKERS' � Z. 2. EIRM MAIL NAME Rec COMPENSATION INSURANCE Light Sw._ AS P > /e r J• �� (This section need not be completed If the work Involved by O Flr>it 20 ID Total No the permit Is for one hundred dollen (=100)or less,) Additional Additional CITY Tel. No. I certify that In the performance of the work for which this PLAN CHECK permit Is Issued, I shall not employ any arson Ina y manner so as to become subject to the.Work ompe tlon Lighting Fixtures First 20 /�Dp�� Total No. 2 Additional CITY Tel. No. Date Ilcant Fixed Appliances Not Over 1 HP NOTI TO PPLI NT: If, aft r makln FtKs Certlflcate of Pfl2M1T r Exemption, you should become subject to the Workers' Range_ Heater_D.W. _ APPLICANT Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.. ADDRESS s / S• 7(� XeJ10- with comply with such provisions or this permit shall be Top FAU —W.H. — deemed revoked. Hood Fan _Other_ CITY LICENSED CONTRACTORS DECLARATION LiI hereby affirm that I am licensed under Provisions of Chapter 9 Dlsp. _ Room Alr Cond. OR REG. NUMBER Clara.C V (commencing with Section 7000) of DIvIslon 3 of the Buslneas Power Apparatus 8 Large Appliances DISTRICT NO BY and Professions Code, and my license Is In full force and effect. a Size 8 Type HP, KW, KVA, or KVAR �V� V License Numberp LIc. Class-/ _ Up to 1 Incl. FINAL C� &17Over 1 to 10 Incl. DATE VALDA O Contractor Date Over 10 to 50 Incl. ❑ Fl B I am exemp under Sec. Over 50 To 100 Irrc. BY B.BP.C. for this reason - Ov T 100 z Date: Services, Swbd., MCC b Ponelboards 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Malnt. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole 8 Appurtenances HOME OWNER-DUILDER DECLARATION Sign with One Branch Circuit ;964 � C�A I hereby affirm that I am exempt from the Contractors Ucense Additional Sign Branch Circuits # Q,0'0'0,0 2 Law for the following,reason (Section 7031.5, Business and Professions Code): .1 o o i1 9 5 0 ❑ I, as owner of the o Misc. Conduits 8 Conductors property, will do the work and the Other See Complete o 0 0 9.5 0 structure Is not Intended or offered for sale (Section ( p ate Fee Schedule)_ 7044, Business and Professions Code). , 0 1.2 8-�,8 7 CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued PERMIT FEE (Sub-Total) (Sec. 3097, C1v. C.). PLAN CHECKING FEE Lenders Name PERMIT ISSUING FEE Lender's Address I certify that I have rood this application and state that the TOTAL FEE above Information Is correct. I agree To comply with all County ordina c and State laws regulating Electrical wiring, and here orize rep ntativea of this County to enter upon the entlon ape r Inspection purpos. • / SEE REVERSE FOR EXPLANATORY LANGUAGE gnature a Ittee to