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Home My Public Portal About4940 GOLDEN WEST AVE_Electrical__ I•:�' • 1:+ ' 1 • "1111 1 I • ''1 MI• .rz w1• .I! a7.Liiiv .y v "' C-4w mL INFWAVMY OUMMM PO1NONLY DESCREMON OF WORK i :.•.P, �omoo■omi : =- i r�MI■r�■■■■■ MINE �■■ ■■■■■■■. . ... .:'r Ir MENEMMEMEN -MINE■■■■■■■ M 1 P �.1 ►: N■�■E■■E■E■■■ 'MMIM■■ENE■■E■■■ .01M ■■NEE■■■E■■M :MMIM■ENN■■■E■ ■ MIN •MIM■■EE■■■■E■ ■ �■■■■■E■EE■ ■� �■EN■EE■■E■ ■ :MIMM■ ■■■■■■■E■ �■■■■E■EE■E:■ ■MI■■■E■E■■E■■■.■ � • ■■E■■■■■Ei■■.■ °e�i■Eiiiiiiii■�i MIN mi �irr� 1 R. :A■■ ■�■ IM . +. �r,.n d . . �■ r OOuNTY OF LOS ANGELES AFPMC.ATION FOR PERMIT of CountyELECTRIC 1 DrMID ONO BUILDING & SAFETY WILUAIr 1 FOX, CO.p11]I E■■I.�a FOR APPLI=TO FILL IN DISTRICT NO. GROUP I ZONA PI1RMrr NO. ELECTRICIAN RECEIVED MY READY FOR DAT[ IMSUID ADDRESS '� FIRST INSPECTION CITY TLL NC. O I k441\1 I LL +7 Llan Dou LICENSE �H�a�. �IR[L 6 ADDRBUIL4i F�• e-fe b f& PERMT FEES r Fi[ NUMs[R [ADH LOIIALITY LIGHT OUTLi77 N[M[UT O C REC[PTA13L[B J WALL 13WITDHW OWNER TOTAL OUTLETS BO MAIL ^^A [Li0. RANGES as ADDRESS / Fl [LIC. HEATERS 26 CITY TEL- NO. FIXTURES 6 1 HERESY AOKNOWL[DOE THAT I HAVE READ THIS MIND. APPLIDATION AND STAT[ THAT THE ASOVI 10 CORRECT NUMBER OF LIGHT CIRCUITS AND AGRI[ TD COMPLY WITH ALL COUNTY ORDINANCE■ HUMMER OF RKDEPTA13LIC CIRCUITS AND STATE LAWS REOULATINO ELECTRICAL WIRIN0. MOTORS I DERTIFY THAT I PCs>tir THE ASCVE VALID LOS NUp#!R HOR9EPpW[R FEE ANOELEN ODUNTY LICENSE, OR I AM THE LEGAL OWNER N[w Mw. HP GV[71 IND. ..M1 OF THE RESID PROP �DMOR�IMED "�UM Yz A UMM .96 ■IONATURE OF Q sC PERMI f s 1.130 INSPECTION RECORD s 1s 1.BO 111 so f.sO s0 20P 5.00 f OO 11.010 10.DO J sDo 1 011O 15.00 Z OVER 1 DOD =QOO M.O. sET FR DHANO[R-HP W[LDERMI AB-KVA D ■ENKRAT13RO - KW TRANSFORMERS - KVA TEMP. MOTORS (711 DF opus. MOVED MOTORS (711 OF DRIB.) BIONS NC. NO.TRANL N N APPROVALS FOR EACH PERMITI DAT[ INEPEOTOR•11 NAME WINING 01.00 06 DDNDUIT FDcrURKM 101.00 0 1p WIRINGBUPPLKMKNTokgy .00 F IXTU R4 n " �,� ER TOTAL FEQ s� UTILITY C0.NOTIFIED -/ FINAL 7&A"M DA#SA W= 7aAe62%,Du MA 11-00 APPLICATION FOR PES '" DEPARTMENT OFBUILDINGAND SAFETY ELECTRIC 1 • COUNTY OFF LOS ANGELES WILLIAM J. FOX, CHIEF ENGIN[ER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN RECEIVED WY READY FOR DAT[ISSUED ADDREDS FIRST INIDPECTIOPI CITY - T[L. N d2 COQKN 11 NO. 14C lt7k' DUILDINa PERI+9.T FEES ADDREba FEa M bE LOCALITY LIGHT OUTLETS N[AR[ST CROW ST. RECK'TACLES' WALL SWITCHES OWNER - TOTAL OuTLxT@ sc 4AIL I LEC. RANGES 25 ADDRESS a[C. HEAT 219 CITY Tim- No. FIXTURES so, b 1 HERESY ACKNOWL[DG[ THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT TH[ MOVE IS CORRECT NUMBER OF LIGHT C RCUITS AND AGR= TO COMPLY WITH ALL COUNTY ORDINANCES NUMS[R OF R[CEPTACLE CIRCUITS AND STAT[ LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POMpS THE AISOV[ VALID LOS Nuuatlz HORSEPQWIER F[E ANan n COUNTY LIC[NS[. OR I AM TH[ LEGAL OWNER NM MVO. Hr ovnt 1X4 IUCH OF THE R[11D[NTIAL PROPERTY DESCRIb[D ABOVE. T 1/1 •tsiS 119 SIGNATUR[ OF E/f 1 .190 PERMITT" _ s b 1.00 INSPECTION RECORD s 119 1.190 119 bO 2,150 50 20d 5.00 200 500 10.00 J boo 1000 119.00 OVER 1000 20.00 (� M. G. SCT FRE . CHANa[R-HP WIELDERS: AC-KVA G[N[RATORB-KW TRANSFORMERB-KVA TEMP. MOTORS 78 of olua. MOVED MOTORS 7 OF Orua. SIGNS NO. NO. TRANS. APPROVALS O DAA INSP R'S NAM[ FOR EACH PKRMITi WIRING I CONDUIT WIRING FIXTURE! f.Do Q SUPPLEMEIT RY •50 FACTURES POWp TOTAL FEE f UTILITY CO. NOTIFI[D FI L /t lob A Al ll A OilIF 1 1 ' 11 INA_• . " "1 :II 1 1 1 1 E. •® •• . Jl IK:VS.ff- an■■■■n■■■n ren■■■■r�■v■n: ., .. . , ,. . ., : . .: : . - rr ■r�■■■n■■■n IN ■�■■■■■i■■■■ ■l �■■■■■■■■■IN IN �■■■■■■■■■■■ �■■■■I■■■■■■:■ �■■■■■■■■■■■.■ �■■■i■■■■■■■ KIN IME POEM A■■ .. FEEMS r � I WORKER'S COMPENSATION DECtAAATtoN 20-oo19 oPw eleG IILfII hereby amrm that I have a oertlflcate of consent to .elf Insure, MMM APPLIC TION FOR ELECTRICAL PERMIT or a oanjflcaie of Worker's Compensation Insurance, or a oerttfled COUNTY OF LOS ANGrzLES DEPT. OP PUBLIC WORKS BUILDING AND SAFETY DIV. . copy thereof(Sec. 3800 Lab. C.) Polley No. Com parry FOR Haar rr MT TQ ML M JOB Ind Ce+tfM1ed copy Is hereby furnished. Nap Reaidentlal Bk4L S Pooh EACH NO. ; FEE L 1 8 2 family,Sq.FL 7 ❑. Certified oopy le fled with the county building Inspection _ dap-M—L Mui"an-4 Sq.Ft Grroes 8T. Raddecrtial SwtrnmkV Poole ASSES80P Ap~ MAP BOOP( PARCH_ / CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Res �Lfght sw.y r CV#NTR OR COMPENSATION INBUWWCE / First W ;710 FnW NAME: (This aaot}on n»d not be oompMtad H the work Ihvotwd 6y the � ( Total No. Additional ADOF?FBe pertnH M or one hundred dollen(;100)or Fess.) , I oertify that In the performance of the work for which this permit C+TY TeL No- la Issued, I shall not employ any person In any manner so as to PLAN Cl- C beoome subject to the Worker' Compensation Laws. Dghtlng FbdruseFirst 20 APPL�CJ Irr Total No. Adchkx l ADDRESS Date APP"M 150 R 20A 12DV BRANCH gRCUITB NOTICE TO APPLICANT: If, after making this Certiflcdte of CrrY Tel.No: Exemption,you should become subject to the Workers' Compensation 1 TO 10 NCLUSI-VE EACH preC visions of the Labor ode, you must forthwfth comply with such 11 TO 40 1NCLUSI'VE EACH � r / provisions or this permit shall be deemed revoked. ON 41 OR MORE BRANCH gRgJITs EACH } SM I hereby afflrm thhaatt I am licensed uunnder provisions of Chapter B 16 OR MAL,206V TO 277V UGFMNO EACH �R� a (commencing with Section 7000) of DtvWon 3 of the Business and CITY TeL Na 8 Professions Code, end my license Is In full force and effect. RESIDENTIAL APPLIANCES UP TO 3fP Pcpsr Appralus 8 Large Applhances p g Ossa Q LkxKm Number Llc-Claes Stze 8 Type HP,KW,KVA,or KVAR DISTAlCT NO. BY Up t0.3 Ind. Q f LU Oven3 to 10 Ind. , FNAL D- Dade Over 10 m 60 Ind. DATEEl � I am exempt under sec Over 60 to 100 IraL r- • ' ywDAT)ON Z FKAL B,BP.C.for thio reason over 100 BY BY 8ervlcee,Swbd.,h1CC S Panemoards Deis' 0-200 Amp.Under 600 V Signature 201 -10b0 Amp.Under 000 V' EJ Exemption for Req.Malnt.E est Over 1000 Amp.or Over 600 V 7 SINGLE FAMILY Temp.Power Pole 8 Apputenanoee 1 ITEM OWN HOME EP'BUILDER DECLARATIONeeg�with One Branch Ctcun �-. I hereby affirm that I am exempt from the Contractor's Uoenee Law TOTAL —a, `� for the following reason (Section 7031.6, Buslns and Professions AddMonal Sign Branch Circuits Code): CHECK f� 53.65 as owner of the property,will do the work and the structure MMa Conduits 8 Conduotora ry rAlyt .TWri Is not Intended or offered for sale (8eotion 7044, Business Other(See Complete Fee Sohdu eb) Lf Ff ATL and Professions Code). CONSTRUCTION.LENDING AGENCY aOQ�J-rj001 I hereby ettlrm that there Is a construction lending agency for the 9/24/92 pertormanoe of the work for which this permit Is Issued (Seo. 3097, PERMIT FEE (31>�Tota� W, 2 1 AN 7:30 Ctv.,C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE ay Lenders Address I certty that I have read this application and state that the above TOTAL FEF Information Is correct I agree to comply with all County ordinances and State liwa regulating Electrical wlrinq, and hereby authoriza representatNea of this County to enter upon the above-mentioned Pr I s on purposes. SEE REVERSE FOR 00IM-A ATORY LAN NUAOE 6F Mill r-ANT OR a WORKER'S COMPENSATION DECLARATION DPW(12-91) I hereby affirm that I have a certificate of consent to self Insure, 18A&M APPLICATION FOR ELECTRICAL PERMIT LJ or a certMlcate of Worker's Compensation Insurance, or a certifled COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 3800 Lab. C.) Poflcy No. Company roti Araucwr TO FLL.L w M.88 ❑ CerttM1ed copy Ia hereby tumWood. New Rea)dential Bldgs.8 Poc{s NO. EACH FETE L ^� ❑ •Cwtffied copy Ia filed with the oounty buIkill W Inspection 1 d 2-Family,Sq.Ft _ = $ NEABPST r depertrrlent Multi,tamlty Sq.Ft C1a068 ST. Dote ', Applicarrt Residential Swimming Pooh ASSESSOR AIAP BOOK PAGE ` P- CEJFM KATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Ligtrt/__Sw. F1F&A oFl COMPEN$ATIO-N INSURANCE FlRM FIT*20 AUS (Thle section need not be`complet&d($1 H sethe work Involved by the Total No Additional ADO p'ermFt Is for one hundred dollar(1100)or lo .) I certify that In the performance of the work for which this permit CffY TOL Na Is Issued, I shall not employ any person In any manner to as to PLAN CHUCK become syibject to the Workers' Compensatlon Laws. Llgtl g Fbcturee Fl ret 20 APPUCANT Total No. Additional _ ADDRESS Dote Appkant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CFFY TeL No. Exemption, you should become pubJeot to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. EPJAT provislons of the Labor bode, you must forthwith comply with such PAPP ,wT provislons or this permlt shall be deemed revoked. POSY aratus S Urge Applfancee LICENSED CONTRACTORS DECLARATION Size 8 Type HP,KW,KVA,yr KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 dl Oyer 3 to 10 Ind. (commencing with Section 7000) of Division S of the-Business and CLTY TeL No. Professions Code, and my license le In full force and effect. Over 10 to 50 Ind. C� d Over 60 to 100 Incl. N Al BE1P Over 100 DISTRICT NO. BY O 0 License Number Lk.Chao �7 p CSC 8 Panalboardsf t7 [f 0 O ContrRcior Dale01�^TrP•Under 900 V �� U El 400-1000 Amp.Under 600 V I am exempt under Soo. yAL1DATION U.] Over 1000 Amp.or Over 900 V a S.SP.C,for this reason BRANCH CIRCUIT FEES BY Z Date: 1K or 20A, 120V,UghdN or Aeoapt 1 To 10 Branch Clrcutts Signature T 11 To 40 Branoh Grafts ❑ Exemption for Rep.Mains Elect. 16A,MA,20BV To ZW More U wails 2 SINGLE FAMILY Temp.Power Pole S Appurtananose i HOME OWNER-BUILDER DECLARATION ��wrrt,arle Branch arou}t ACCT.- LY 'hereby affirm that I am ex6mpt from the Contractor's License Law — T for the following reason (Section 7031.6, Business and Profeealons Addltlortal Sign Branch CIrcults Code)i 330 3 7 � ■ � ITEM 7 C, 0, As owner of the property,will do the work and the structure Mlac Conduf BA Conductors 1 1 t E F7 Is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). ,' TOTAL . Q, / -7L CONSTRUCTION I F=NDiNG AGENCY CA�[y"', 6.03 I hereby affirm that there Is a construction lending agency for the ¢ .001 performance of the work for which thle perrfilt le Issued (Sec. 3097, PERMrr FEE (Sub-Total) CIV. C.) PLAN CHECKING FEE ��yyy �yl�S Ia+� Lender's Name 0600—rJLFlJ1 12 L1.I 7L PERMrr ISSUING FEE o� 7163 1 Ari S:7 Lan dWa Address I oertffy that I have read ti11s application and under perwIty of purlury state TOTAL FEE p i that the agave Informabon Is correct I spree to Dom*with all County ordinances and State laws regulating Electrical wiring,and hereby authortre reprwwtattvee of this County to enter upon the above-menrioned property for I purpose•. SEE REVERSE FOR EXPLANATORY LANGUAGE OF DATE