HomeMy Public PortalAbout5218 GOLDEN WEST AVE_Electrical__ 76AS63 DSS SA 25M SETS 11-48 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
������� �-
.COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
DISTRICT NO. GROUP ZONE PERMIT NO.
FOP, APPLICANT TO FILL IN' f / !//
A . / 'T
ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED
6-6
�
FIRST INSPECTION
ADDRE�8i9 �S d
220 J �
CITY p� TEL D. V
BU
LICENSE NO. EXPIRES — A ADDRESHILDING
DESCRIPTION OF WORK
FEES LOCALITY
NUMBER I OUTLETS EACH ._ y
CROSS
LIGHTS Be !$ STREET
RECEPTACLES
FIXTU RE9 s DWNER
WALL SWITCHES 5 I f MAIL
ADDRESS
7 -J ELEC. RANGES 25
9 ELEC. HEATERS 25 �L CITY TEL. NO.
MISC. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER OF CIRCUITS INSTALLED:
ANGELES COUNTY LICENSE. �
LIGHTS RECEPTACLES
MOTORS
ELECTRICIAN.
ZQ NLI..ER HORSEPOWER FEE
NEW MVD. HP OVER INC- EACH
1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROP-
1/2 6 LESS $ .25 ERTY DESCRIBED ABOVE.
i/2 2 .50
2 5 1.00 OWNER.
s 15 1.501 INSPECTION RECORD
15 50 2.501
J 50 200 5.00
I 200 600 10.00
500 1 OOO 15.130 'J
Q
OVER 1000 20.00 Z
M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA Q
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (7S% OF ORIG.)
�q MOVED MOTORS (75% OF ORIG.)
MISC.
7' SIGNS
�v TYPE: NO.TRANS.
TYPE: NO. LAMPS APPROVALS
PERMIT FEE DATE INSPEC- ORIS NAME
FOR ISSUING PERMIT: �y CONDUIT
WITHOUT FIXTURES $1.00 WIRING '
WITH FIXTURES 1.25 FIXTURES
SUPPLEMENTARY .50 ,
OWER
TOTAL FEE $� UTILITY CO. NOTIFIED
el
FINAL A1
76A663 0635A 11-50 APPLICATION FOR PERMIT
ISEPARtMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRIC� GROUP ZONE PERMIT ND.
ELECTRICIAN
ADDRESS 2L B -�.—. RECEIVED BY READY FOR DATE ISSUED
�/ ' FIRSIT INSPECTION
CITYY „p� TEL NO i9>
2m
COUNTY LICENSE NO. EXPIRES gN13 ..
PERMIT ORESS -
NUMBER EACH �-
FEE LOCALITY
LIGHT OUTLETS . NEAREST
CROBB
RECEPTACLES 9T.
WALL SWITCHES OWNER 1
TOTAL OUTLETS 5c $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. Ate.�.-/_ APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
NUMB R OF LIGHT ¢1RCUIT9 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 MVO. HP OVER INC. EACH OF THE RESIDENT �COIPERTY DESCRIBED ABOVE.
%2 & LEH6 $ .25 SIGNATURE OF
%2 2 .50 PERMITTEEJ�/1
2 9 1•00 SPECTION RECORD
5 Is 1.50
15 50 2.SO
SO 200 5.00
200 500 10.00 J
600 1 000 15.013
Z
OVER IOOO 20.00 ('
M.G. SET/FREQ. CHANGER-HP Q'
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% of ORIG.)
MOVED MOTORS (75% 13F 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
POWER
TOTAL FEE / !d UTILITY CO. NOTIFIED
FINAL
v
7f.A66r3-CE806 I„7o APPLICATION FOK ELECTRIt4f PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING,-
BUILDING AND-SAFETY DIVISION ADDRESS
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY
NEAREST'
FOR APPLICANT TO FILL IN CROSS ST. , '
OUTLETS NO EACH I FEE >
OWNER
$ Is
RECEPT. - MAIL S '
°t D ADDR
FIRST 20
LIGHT TO AL ,
CITY TEL 'NO
SWITCH OVER 20 10 ,
PLAN`CHECK
LIGHTING TOTAL RST 20 O APPLICANT
FI� '�
FLXTURES
10OVER 20 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA COOK DISP _F A U ADDRESS '
SPACE HTR. AIR COND - CI TY 4LZ TEL NO
CLOTHES WASH." DISHWASH. LICENSE NO CLASS'
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS•APPLICATION
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 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO d
1 - 10 •300 �'� RESIDE IN, THE ABO VEA DESCRIBED RESIDENT I ALPROPERTYO
SIGNATURE
10 — 50 500 OF PERMITTEE
SO — 100 1000 DISTRICTNO�CLASS ZONEP CES E BY 0
100 - 500 1500ISO",(
SIGN, GAS SIGN AND ONE CIRCUIT 500' NOTES: S '�' Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS- 100
SERVI CENOT OVER 600 VOLTS OR 200 AMP 300
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600 VOLTS OR200A�P 10,00
TEMP.POWER POLE
TEMP_SERVICE,POLE, &APPURTENANCES 500 ,
UNDERSLAB WORK 7 _
TEMP LIGHT OR RECEPT SYSTEM _ 300 a� ��/ �-
ROUGH,CONDI UT' !- C,411K '" ""`
WIRING
FIXTURtS•
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE ,
FINAL (f
PERMIT ISSUING FEE ,
OR- JOSr=PFI C. ROOHA �
TOTAL FEE ._3 SUPERVISING ELECTRICAL ENGINEER.
t
PLAN CHECK VALIDATION CK M 0, : CASH PERMIT VALIDATION OCKM D CASH
APR 14 2 D 3.30�
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS _ EL 0508 0911120004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID I FEES PAID 1 BUILDING ADDRESS
ITR 12830 LT 15 1 5218 GOLDEN WEST AV - I
I IFEE DESCRIPTION QUANTITY UOM AMOUNT. ( TEMP CA 917803246 I
(ASSESSOR INFORMATION NUMBER I INEAREST CROSS STREET MILOANN
18589-009-007 1A1 PERMIT ISSUANCE FEE 27 75 1 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 23 00 OUT 43 05 I I
(TENANT IG2 LIGHTING FIXTURES 3 00 LGT 5 85 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 1
1 TOTAL FEES. 76 65 111/12/09 SR 11/12/10
(OWNER TEL NO I IAL DATE FINAL BY CODE I
IRUBINFELD CHARLES S,MARJORY J ( FI I I I
15218 GOLDEN WEST AV I o
ITEMP 917803246 I IDE CRIPTION OF WORK I
I (ELECTRICAL FOR ADDITION
I
(APPLICANT TEL NO. 1
ISU (626) 376-1863- 1
1216 S SUNNYSLOPLE I (SPECIAL CONDITIONS I
1PASADENA, CA 91107 1 I I
ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE I
IWILLIAM GRIJALVA GEN CONTRACTING (661) 299-4767- 1 1
119336 FOUR OAKS STREET LIC NO 1 (TEMPORARY POWER POLE I I
(SANTA CLARITA CA 91351 712934 B 1 1 11
1UNDERGROUND CONDUIT I I
(ARCHITECT OR ENGINEER. TEL. NO- I IUFER GROUND I I I
IKWEI CONSULTING ENGINEERS (949) 395-6954- 1 1 1 I I
113104 GLEN COURT LIC NO I (ROUGH CONDUIT I I I
(UNIT 52 C72100 I I
CHINO HILLS CA 91709 i TROUGH WIRING
I I 1 MAIN WATER LINE
I 1 PLASTIC Y/N METAL Y/N 1 I
1 (UTILITY COMPANY NOTIFIEDI I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
1 I I I I I
I I I I I I
I I I I I I
1 IREPORT ID. DPR265 ROUTE TO BS0508 I I I I
1 I I I I I
r.
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1004050011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS 1
ITR 12830 IT 15 5218 GOLDEN WEST AV
I IFEE DESCRIPTION QUANTITY. UOM AMOUNT TEMP CA 917803246
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET MILOANN
18589-009-007 1A1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A4 LOCALITY. TEMPLE CITY, Cl
I ILB 200 AMP PANELS, MCC 1 00 PAN 38 85 1
(TENANT: I TOTAL FEES 66.60 (ISSUED ON PROCESSED BY PLAN BY. EXPIRES ON 1
I 1 104/05/10 SR 04/05/11
I
OWNER TEL NO: 1 IF NAL ATE FINAL BY CODE
RUBINFELD CHARLES S,MARJORY J ( / -
� � I
15218 GOLDEN WEST AV 1�I
(TEMP 917803246 1DE CRIPTION OF WORK 1
I I 1UPGRADE SERVICE PANEL TO 200 AMP
I
1APPLICANT TEL NO 1 I 1
SU (626) 376-1863-
1216 S. SUNNYSLOPLE 1 ISPECIAL CONDITIONS
1PASADENA, CA 91107 I I
I I I I
ICONTRACTOR TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE 1
(WILLIAM GRIJALVA GEN CONTRACTING (661) 299-4767- 1 1 1
119336 FOUR OAKS STREET LIC NO 1 (TEMPORARY POWER POLE I I I
(SANTA CLARITA CA 91351 712934 B I I I I I
I I 1UNDERGROUND CONDUIT
I I I
1ARCHITECT OR ENGINEER- TEL NO 1UFER GROUND 11
1KWEI CONSULTING ENGINEERS (949) 395-6954- 1 1zjg 6 1 I -
113104 GLEN COURT LIC NO- 1 IROUGH CONDUIT
(UNIT 52 C72100 I
I
(CHINO HILLS CA 91709 I (ROUGH WIRING 1
I I I
I 1 (MAIN WATER LINE I I I
I I (PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED,(y� �1
I I I I Y I
I I I I I I
1 I I I I I
I I I I I I
I I I I I I
I (REPORT ID DPR265 ROUTE TO: BS0508
I I I I I I