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HomeMy Public PortalAbout5105 GOLDEN WEST AVE_Electrical__ i 76A66C-CE#'806 5-61 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS /ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING ,! ��s BUILDING AND SAFETY DIVISION ADDRESS A JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY . NEAREST /� FOR APPLICANT TO FILL IN cRoss ST. /'-r• PERMIT FEES OWNER Z 1 T E M_ NUMBER EACH FEE MAIL OUTLETS: $ S ADDRESS LIGHTS RECEPT. SW. •1� CITY LIGHTING FIXTURES TEL. NO. to ELECTRICIAN �L ELEC. RANGES CLO. DRYERS {{�� A/ WATER HEATERS .50 ADDRESS �J 0 JId r ELEC.SPACE HTRS. DISHWASHERS CITY TEL NO. GARBAGE DISPOSERS AUTO.- STATE 2 WASHERS STA.COOKING UNITS ,25 LICENSE NO. MOTORS: OVER INC. H.P. DIST CT NO. GRO Z P SS'EDMB� 0— v. , 25 1 1/2- 2 .50 INSPECTION RECORD 2— 5 1.00 rL l `°. Z- 5— - 0 5— 15 1.50 �— V 15— 50 2.50 SO— 200 5.00 O U SIGNS: NO TRANS. a NO.LAMPS N SERVICE 0-600V 1.00 ? SERVICE OVER 600V 5.00 misc. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT 50 TOTAL FEE s 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. WIRING "r- I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OW F THE ABOVE DESCRIBED RESIDE PROPER POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL LIDATION ARTHUR C. VEIT cK Mo CASH SUPERVISING ELECTRICAL ENGINEER . :.c8 3 7 6" FLs 4 2 D 2.3 5 76A66C-CE.#'806 5-61 APPLICATION FOR ELECTRICAL P ERMIT COUNTY OF LOS /ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. v sst� PERMIT FEES OWNER 1 T E M NUMBER EACH FEE MAIL OUTLET S f LIGHTS Z RECEPT. SW. •10 ADDRESS CITY TEL. NO. LIGHTING FIXTURES 16110 ' ELEC. RANGES - CLO. DRYERS ELECTRICIAN WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY .TEL NO. GARBAGE DISPOSERS AUTO.- STA // WASHERS STA.COOKING UNITS ,25 LICENSE NO. J •Cr �+ '/ MOTORS: OVER INC. H.P. DIS�TRIGFTdP I Z P 1/2— 2 .50 INSPECTION RE ORD 2— 5 1.00 a0 5— 15 1.50 U 15— 50 2.80 0 50— 200 5.00 r. w • SIGNS: NO TRANS. N NO.LAMPS Z SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE ; 1 HEREBY 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 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THA 1 AM THE LEGAL OWNER F THE ABOVE DESCRIBED RESIDE IAL ROPER Y. POWER SIGNATUREUTILITY CO.NOTIFIED OF PERMITTEE FINAL VALID QQ ARTHUR C. VEfT CK Mo CASH SUPERVISING ELECTRICAL ENGINEER („ ,sls6y X15 2 0 530 X'7, � 76A663.CE8064.60 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE, COUNTY ENGINEER -77 WILLIAM A. JENSEN. SUP'T OF BUILDING LOCALITY s'. MENNEN FOR APPLICANT TO FILL IN NEAREST CROSS S7. PERMIT FEES OWNER I T E M NUMBER EACH FEE MAIL OUTLETS: $ S ADDRESS LIGHTS RECEPT. SW. .10 CITY TEL. LIGHTING FIXTURES .10 ELEC. RANGES CLO. DRYERS v ELECTRICIAN ' WATER HEATERS .50 ADDRESS A— s P ELEC.SPACE HTRS. DISHWASHERS CITY 4 TEL. GARBAGE DISPOSERS AUTO.- STATE LICENSE NO. WASHERS STA. COOKING UNITS .25 MOTORS: OVER INC. H.P. DI�ST/R' ICT,NO. GR Z NE PRSSED BY O — I12 .25 L' �_- 14 i2 - 2 .50 INSPECTION RECORD >- 2 5 1.00 0- O 5 — 15 1.50 V 15 — 50 2.50 0 I-- 5 50 200 5.00 W CL SIGNS: NO TRANS. N NO. LAMPS Z SERVICE 0.600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 d FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE I HEREBY ACKNOWLEDGE THAT 1 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. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER F THE ABOVE DESCRIBED RES IDEN ROPER POWER SIGNATURE UTILITY CO. NOTIFIED OF PERMITTE FINAL VALIDATIQN--, ARTHUR C.VEIT, C✓✓ SUPERVISING ELECTRICAL ENGINEER CK MO CASH .^� 3 6 " 16 D 1 .50 d J.J c./ (ERS'COMPENSATION DECLARATION 7e 3 10/81 hereby , th� ,t> e 0, Dareeed to ,�, ,,, APPLICATION FOR ELECTRICAL PERMIT or a oerifflcate of Yierkm' Comperleaitbn tneursrx e% or a corned COUNTY OF LOS ANGELES BUILDING AND SAFETY oopy thereof(Sec 3800,Lab.C.) . Polo Ne.— Conloally FOR APPMANr TO FILL IN ❑ Ce ffl a Dopy is N retry f rnW,d. New Reddential Bides.d Pools EACH NO. FEF /►.� ❑ C*Mied oopy Is fled'wfth the oounty bulkft h apedion 1 a 2-Famty,s4 Ft a — a LOCAISFY deparhTlent. Muhl-fsmBy$q.Ft � �ppNEARE� . TT Date Applbant Reeldgrlttal Swlmmlrp Poria OR FIRM NIDE CERTTFK3ATE OF EXEMP70N FROM WORKERS' � � MAL COMPENSm� ON INSURANCE Ovtiete:Roo T Llpht Sw.-� // ADDREBs ml , MIs sectlon rmood not be gornpWed•If the work Imrotved by the FM 20 T permit V for clue fuurudwd dollars(6100)4r ieea) TOS Na AddttlotW CTT'�1' L tN7� T. No � PLAN C1fCK I oerufy that an the pwfomiarloe of the work for.wh permR )a leeued, I shall not employ'spy Trity r harry w as,to --I bec6ma subject tD the Vrbrkars' 4awe. Lighting Ftxtu>3s / First 20 / ADDRESS l Tptal No. / AddrCITY Dlbt.Na � � APAIrt Fixed AppEarlcee Not Over 1 HP. NOTICE •TO APPL1 H, after this Phi Exemption,you a-Ad mA*d to the W--ere'Comp-eadon..:._ Range Hester. D.W. — ' prwfaSorp of tha Labor God9r-you musk fordwAth'oompfy wtth such. Ogen Dryer— WM— ADDRESS provfeione or tufa permit shall Pq deemed rarokecL Top . FAU _ WR .. _ C� Tel.No. LICENSED CONITiACTO DECLARATION Flood Fan OtherT_ LJOENSE OR I hereby.afflrm tint I am.liceread wnder._provfalore'd Chapter B D% Room Alr Cond.- d NL I claw (oonvnanol with Section 7000) of,Dtvlebn $ of'the Quelnese and Profesaior» end rTiy benae Is In full force prld"elYeat Power Apparatus S Large Applienced. ot9lTnGT No. Stze&Type HP,KW,KVk,or KV R O Q Lber»e Number Lb class Lip to tinct. - FINAL Over 1 to 10 Ind. DATE//' r� rt Data Over 10 to 60,�-L Fl ❑ I am exempt under Sea, Over 60 to 100 Ino. {t� BhP1� for thb reason over 100 0• Services,Swbd,MCC 8 Panemoerds , 0-200 Amp.Under 600 V Solaturp 201 - 1000 Arhp.Under 600 V Over 1000 Amp.or Over,80¢V ❑ Exemptbn for Rep.Habit.Elea - SINGLE FAMILY Temp.Power Poled Appurtenances y HOME OWNER-BUILDER DECLARATION Sign wfth I hereby-efrhM that F PM ex �erript fr= the Czetre"s oonse Law One for the following reason(SeodW 7061.6,Buefneaa and Prdeea�ons AddbDnaiW 4 as owner of the property,wN do the vytxh and the atnrctlrre Mlea (S eUltb'S btaConFo tots . - `_ b not Irrtended or offered for Bale (Seotiorl 7044, Budr»as Other(See Compie6e Fee SohediiQ) T'T ..and Protesabne Code). j . 15 � �c CONSTRUCTION LENDING AGENCY 15•75 I hereby affirm that there is a consftiboibn lentilre agency for the perfbrmw-ce'of the work for whbh YNa permIt Is blued(Sea 3087, PERMrr FEE (Srjb-Total) Cfv.G.). PLAN CHECf4NG FEE Lerldere Name �F�''f PERMIT ISSUING FEE ��'��{{ J �/yy t r's, 7.41 I oartIrre Addre�e TOTAL FEE I certify that'I have retd thbepplbation end stele that the above . . hrfomratbn is correct. I adrea to oompty wfth a]I Cpunty grdYtiencee and State Electrical whine, and hereby auttiorbe ` 14 order upon the above-menboned for' orSEE REVERSE FOR EXPLANATORY LANGUAGE