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HomeMy Public PortalAbout5217 GOLDEN WEST AVE_Electrical__ c - 76A663-CE806 10/72 APPLICATION�FR ECTRICAL PERMIT - � COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOBy� � BUILDING AND SAFETY DIVISION ADDRESS �dZ eAj lues<71 LOCALITY 'e m/' jkJ/'t Z NEAREST FOR APPLICANT TO FILL IN CROSS ST ,(© /`��-/5_ f OUTLETS NO EACH FEE s Is OWNER NAME 9� (/ / IJi M RECEPT MAIL ADDRESS e�*- ( (0�4, CSN �✓I'• LIGHT � TOTAL FIRST 20 pg _ SWITCH f OVER 20 CITY 7` (m 10 �••G�I EL NO PLAN CHECK LIGHTING TOTAL FIRST 20 25 �. APPLICANT FIXTURES � "� OVER 20 10 'ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO 1 1, ,,, J •��.. C RANGE DRYER WTR HTR -P E R M I TAPPLICANT, STA COOK DISP F A.0 ADDRESS ` (�� KIt' SPACE HTR AIR 'COND CITY �� O1v fC©t/ f TEL NOjZS�` u/� CLOTHES WASH DISH WAS H. REG NSE MBER' •; ij J L , CLASS I� FAN OTHER 100 1 HEREB) ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION I - AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 n 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE r 1 — 10 300 DESrRIf ED RESIDENTIAL PROPERTY d O PERMITEE SIGNATURE O 50 - 100 1000 DISTRICT NO. PROC SED BY W U n 100 - 500 1500 a C Z SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSP TOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER,POLE SERVICENOTOVER 600VOLTS OR200AMP 300 UNDERSLAB WORK SERVICEOVER600VOLTS OR200AMP 1000 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 5 D WIRING TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES f - POWER AUTHORIZED UTILITY CO NOTIFIED + FINAL PERMIT^FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 300 TOTAL FEE PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH 'JUL 172 D 7,5 0 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE D B.S. I BB.S..S255M SETS 10�47 gAPPCL/YON $O PEHmr PLSiRnTEg-4OyDUHDM #ND SaFFl COUr YY OF WS ,UnUES ELECTRIC F x DISTRICT'NO. GROUP ZONEPERMITS NO.. IIAIeIEA.1t� A -1 9q r� tn s a ADDIM A I " RECEIVED BY READY FOR DATE ISSUED U CITY NO.67 �P FIRST INSPECTIOR COUNTY + — C£RT.NO. EXPIR11;8 � APPUCAN-r PILI. IN IIEAVII.Y OUTLINED PORTION Oid'LY Joe DESCItUMON OR WORK ADDRESS , Sr2O ld&10 °U& �� C NUMBER OF OUTLETS ON CIRCUITS LOCALITY , o. tl /e- je - LOCATION BY ROOMS NEAREST LIGHT OUTLETS ISW. PLUGS FIXT CROSS ST. {✓e2 .oCRJ It - m CIRCUIT A B C D E F G H Ir NAME a -o! W �g- Z ADDRESS Gr L O CITY I _L.NO.� � �Fat# 1 AM THE LEGAL POSSESSOR OF -THE ABOVE LOS ANGFaLES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORIRIEMON s Q Z 2 TOTAL NO. OF OUTLETS !� $ ® 1 PPROVAM NO. OF FIXTURES S DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. S WIRING NO. OF RANGES OR-/FIEATERS FIXTURES _212PEL A US�7S / a& POWER PERMIT FEE UTILITY CO.NOTIFIED r7_ 1/4 TOTAL FEE FINA ^v `�� 76A663 DBS 5A 25M SETS 11-4e APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT NO. GROUP ZONE PERMIT NO. FOR AP 'pi-ICANT TO FILL IN -• �1 / Al LI97 ELECTRICIAN ro rf_A -_ 7' e ' �'d RECEIVED BY READY 'FOR DATE ISSUED 7!� FIRST INSPECTION ADDRESS S� .�`��p1 -� (�� +� �� 6 A/ �y CITY X / y'Y1•sf�^l/L�C. TEL NO.�$j, 9 G/ C V ,,pp n pp BUILDING LICENSE ND.=d / EXPIRES /S� ADDRESS -' fi t.. b✓L/ � DESCRIPTION OF WORK LOCALITY NUMBER OUTLETS EACH ^ /P LIGHTS 5C $ CROSS ' •�� STREET 2, •+ �� RECEPTACLES 5 �� (� FIXTURES S ,•I'' OWNER i t �d�/✓4e-7� � � - i WALL SWITCHES 5 �� MAIL ADDRESS ' ELEC. RANGES 25 _ ( ELEC. HEATERS 25 CITY TEL. NO. misc. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS �y NUMBER OF CIRCUITS INSTALLED: ANGELES COUNTY LICENSE. //���� � LIGHTS RECEPTACLES MOTORS r '� ELECTRICIAN. .•/ NUMBER HORSEPOWER FEE NEW MVD. HP OVER INC. EACH . � 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- V2 S LESS $ .25 ERTY DESCRIBED ABOVE. V2 2 .50 2 5 1.00 OWNER. 1.50 INSPECTION RECORD is so 2.50 so 200 5.00 200 SDO 10.001 500 1 000 15.00 J Q OVER 11300 20.00 z M.G. SET/FRED. CHANGER-HP E9 Iz WELDERS: AC-KVA GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIa.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS TYPE: NO.TRANS. TYPE: NO. LAMPS APPROVALS PERMIT FEE DATE INSPECTOR'S NAME FOR ISSUING PERMIT: CONDUIT ��— WITHOUT FIXTURES $1.00 I WIRING �- WITH FIXTURES 1.25 FIXTURES SUPPLEMENTARY .50 POWER TOTAL FEE $ � � -,UTILITY CO. NOTIFIED o� � FINAL � � 7� �U A—41 ,S- 70AGMI-CESO9 3-59 A P P L_I O A T I.O N FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING / j /� BUILDING AND SAFETY DIVISION ADDRESS _7 / 7 �, C',L D,Ev A JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN,SUP'T OF BUILDING LOCALITY TCM L C FOR APPLICANT TO FILL IN NEAREST E PERMIT FEES CROSS ST. OWNER /1 U G= ITEM NUMBER EACH FEE MAIL /- OUTLETS: $ $ ADDRESS -7 ) -r0 L OP-Y )4145's7— LIGHTS RECEPT. $W. .10 i/ IXTURES 10 CITY e,1 C E C"7 f TEL NO. ELEC.RANGES CLO.DRYERS - ELECTRICIAN , G' �1�i C WATER HEATERS 1 .50 Q 'ADDRESS ?y/ F. �� ELEC.SPACE HTRS. DISHWASHERS CITY - •� TEL. NO. �„� GARBAGE DISPOSERS AUTO.- STATE WASHERS STA COOKING UNITS .25 LICENSE NO. tr.� MOTORS, OVER INC. H P. DISTR NO. GRO P I ZONE P S BY O-- I/2 .215 I A I/2- 2 .50 INSPECTION RECORD 2— 5 100 5— 15 150 Is— SO 250 50-200 Soo SIGNS: NO TRANS f NO LAMPS SERVICE 0-600V too SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 " FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT .50 "K TOTAL FEE $ S IH 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 Z LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL ROPERTY. POWER SIGNATURE V UTILITY CO.NOTIFIED OF PERM ITTE FINAL ((C trn*T CASH ®p IDATION ARTHUR SU ERVISING ELECTRICAL ENGINEER CK- la0 °� 5 "9 0 8''S FEB- 2 2 A 250 COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer � l DIVISION OF BUILDING & SAFETY ;t WILLIAM J. FOX, County Engineer Ri FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN • ��/� RECEIVED BY READY FOR DATE ISSUED ADDRESS ,n FIRST INSPECTION CITY -SAM GAE E D,. '3 '� i$��°4 •Ir COUNTY LICENSE N13.•'L- � EXPIRES BUILDING / ' PERMIT FEES ADDRESSL✓_��7^ PEE NUMBER EACH LOCALITY LL , 7- LIGHT OUTLETS MEARE13T CROSS ST. L-�11�E RECEPTACLES 1-16449 WALL SWITCHES A OWNER GIG le 'i TOTAL OUTLETS Sc MAIL �7 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 18 CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS ' AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVO. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. _ I/2 4 tea $ .25 SIGNATURE OF I/2 2 .50 PERMITTEE- 2 s 1:Do EC ON RECORD 5 iS 7.50 15 50 2.50 50 200 5.00 _ 200 Sao 10.00 J Soo loco 15.00 - Q Z OVER 1000 20.00 M.G. SET/FREq. CHANGER-HP 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 QC7 CONDUIT / l l x/11 FIXTURES $1.00 WIRINGS, SUPPLEMENTARY .50 FIXTURES /•/ POWER _ TOTAL FEE $ bD UTILITY CO.NOTIFIED, 46A663 DBS.#*5A 4-52 ♦ WORACER 4'COMPENSATION DECLARATION 768663 CE 806G (2-80) APPLICATION FOR `'ELECTRICAL PERMIT ' 'I hereby affirm that I have a certificate of consent to self, COUNTY OF LOS ANGELES / BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec 3800, Lab.C.) �NU t�p a�r A��� FOR APPLICANT TO FILL IN JOB AD Polic om any C' EACH NO FEE ADDRESS V�6,t, New Residential Bldgs &Pools —fied copy is hereby furnished d 1 &2-Family,Sq Ft $ $ LOCALITMulti-family Sq Ft — NEAREST fied copy is filed with the c ty building spection CROSS STdepartment Residential Swimming Pools OWNER OR A FIRM NAME Date_/Cfl�(C Apphc Outlets Rec�Light� Sw ���jD (/ ADAIL DRESS First 20 CERTIFICATE OF. MPTIO OM WORK Total No �� Additional CITY Tel No tl COMPENSATION I RANCE PLAN CHECK (This section need not be completed if the work involved s r� APPLICANT 0 by the permit•is for one hundred,dollars ($100) or less:) Lighting Fixtures First 20 �% U ADDRESS Total No Additional ; cc I'certify that in the performance of the work for which this Fixed Appliances Not Over 1,HP CITY Tel No O permit is issued, I shall not employ any person in any manner : PERMIT so as to become subject to the Workers' Compensation Laws Range_ Heater_D W APPLICANT W Oven- Dryer W MCL ADDRES*7e/- Date Applicant Top y FAU _W H - z Hood Fan Other CITY ��G� C I No g NOTICE TO'APPLICANT -If, after making this Certificate of Disp. Room Air Cond.— ® ICENSE OR ��// Exemption, you should become subject to the "Workers' REG NUMBERSO"49r.Class Compensation provisions-of the-Labor Code, You-must forth- Power Apparatus& Large Appliances DISTRICT NO P FPO C SED BY with comply•with such provision's or this permit shall be , deemed revoked Size&,Type HP,, KW, KVA,or KVAR 6'` Up to 1 Incl C/ Over 1 to 10 Incl FINAL LICENSED CONTRACTORS DECLARATION - I- DATE G l ,�Fe- R VALIDA ON , Over 10 to 50 Incl (�3 I hereby affirm that I am licensed under provisions of Chapter Over.50 to 100 Inc FINAL BY 9 (commencing with Section-7000) of Division 3 of the Busi- Over.100 ness and Professions Code, and my license is in full force and effect Services j�3'�y�►. 0-200 Amp. Under 600 V License Num er . Lic Class 201-1000 Amp Under 600 V Contract "K40 ate gzy 140" Over 1000 Amp or.Over 600 Y ; HOME OWNER-BUILDER DECLARATION,* Temp Power Pole& Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section,7031:5, Busi- Additional Sign Branch Circuits .ness and Professions Code) Misc Conduits&"Conductors I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— structure is not intended or offered for sale (Section 3 Q �,b A 7044, Business and Professions Code). CONSTRUCTION LENDING,AGENCY I hereby affirm that there is a construction lending agency #f;o o — o 2 for the performance of the w k for which this permit is PERMIT FEE (Sub-Total) issued (Sec 3097,Civ C) / r - 21° ° 47.00 Lender's Name /V PLAN CHECKING FEE '(One-Fourth Permit Fee), _ °.° 47:000 ,Lender's'Address • PERMIT ISSUING FEE 1 1 2-80,8Q I certify that I have read this application and state thatthe " TOTAL FEE - above information is correct I agree to comply with all County ordinances and State laws r I u ctrical wiring, and hereby auth ize representat s of this Co ty to enter upon t the above- tinned pr y for in spe n purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE' Signat Permittee Date ,