The URL can be used to link to this page

Home My Public Portal About5229 GOLDEN WEST AVE_Electrical__ 76AG63-CE8O8-11-57 APPLICATION F'OR •,EL.ECTRIC PERMIT 1. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 2 ] BUILDING-AND SAFETY DIVISION ADDREss o L� JOHN A.. GRW . Couat� of 1p er . 7 CASSAI7 D. GRIFFIN. Sup t of Building LOCALITY (J NEAREST FOR APPLICANT TO FILL IN. CR...ST .1✓ PERMIT FEES ITEM NUMBER EACH FEE OWNER OUTLETS $ $ MAID- r-s� IVES') RECEPT SW 10J<d ADDRESS `J oC ��-t 6 42 L (T-V vY E.S / LIGHTING FIXTURES 10 CITY /� 4�` C-r' TEL NO r- .d ELEC RANGES CLO DRYERS , ELECTRICIAN :G, WATER H E A T E R.S 50 ADDRESS .�,/ 7 AV 1190/y_r� ELEC SPACE HTRS DISHWASHERS /� y� T GARBAGE DISPOSERS AUTO_ CITY DU 4, /yL� �J TEL NO j�- �.,.( STATE WASHERS STA COOKING UNITS 25 LICENSE NO MOTORS OVER INC H P DISTRIC GR P Z NE READY FOR INSPECTION Q 1/2 2 5 z = 5 100 -INSPECTION -RECORD 5 — 15 150 15 — 50 250 so— 200. 5 00 SIGNS: NO TRANS - NO LAMPS SERVICE 0"600V 100 SERVICE OVER 600V 500 MISC. WIRING PERMIT ♦ 1 00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT 50 TOTAL FEE $ APPROVALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP_ICATION DAT IN IGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING \ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED, AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT J,-AM THE LEGAL,OWER OF THE ABOVE POWER DESCRIBED RESIDENTIAL EROPERTY. ///�1,�j//�A �- SIGNATURE UTILITY UTILITY CO NOTIFIED A OF PERMITTEE FINAL CJ v ARTHUR C.VETT, *IDATION .- CK MO CASH SUPERVISING ELECTRICAL ENGINEER 4LAQ 0.6 2 9 5 HOV, 3 TEMPLE CETY 1 76AS69-CEBOS I0-59 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 5229 N. Golden West. JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN,SUPTemple OF BUILDING LOCALITY 1 em le Cit FOR APPLICANT TO FILL IN NEAREST ROSS sT Blackle PERMT FEES ITEM NUMBER OWNER HUgheS EACH FEE MAIL OUTLETS: $ $ ADDRESS LIGHTS RECEPT. SW. .10 LIGHTING FIXTURES 10 CITY TEL.NO. ELEC.RANGES CLO.DRYERS _ ELECTRICIAN On e e & son Electric WATER HEATERS .50 ADDRESS 1030 N. Grandview Ave. ELEC SPACE HTRS. DISHWASHERS CITYSO. San Gabrie]FEL No.At.0-200 GARBAGE DISPOSERS AUTO- STATE �7 WASHERS STA-COOKING UNITS 25 LICENSE NO. Z C-10 MOTORS OVER INC H P DISTRICTM9. P Z N Pp VE D BY 0— 1/2 25' ..► 7/2— 2 .50 INSPECTION RECORD 2— 5 1100 5— 15 150 J 15— 50 250 o fy C �yv 50-200 500 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1 1.00 1100 SERVICE OVER 600V 500 MISC. WIRING PERMIT too 00 FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT .50 TOTAL FEE 1 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 y Oily may ' ! I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT t H E6AL NER O THE ABOVE DESCRIBED RESIDENTIAL RO ER POWER SIGNATURE UTILITY CO.NOTIFIED "�^► ;�'' OF PERMITTE FINAL LIDATION ARTHUR C.VETT. r ®r SUPERVISING ELECTRICAL ENGINEER ' CK MO CASH 1 W R/iJ 0 3 5 5 jUL ?1 2 D 2 .00 I WORKERS'COMPENSATIONDECLARATION CE80faG (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 I insure, or a certificate of Workers'Compensation Insurance,or a certified copy t reo (Sec 3800, Lab C.) All FOR APPLICANT TO FILL IN g Policy No l Compan EACH NO FEE ADDRESS New Residential Bldgs &Pools Certified,copy is hereby furnished 1 &2-Family,Sq Ft $ — $ LOCALITY Certified copy Bled with the county bu inspection Multi-family Sq Ft NEAREST Residential Swimming Pools CROSS ST depart ent OWNER OR FIRM NAME Date Applicant Outlets Rec_Light FSw 20 �O MAIL irst ADDRESS C RTIFICATE OF EXEMPTIO1>4M WORKERS' Total No Add tional CIT Tel No COMPENSATION INSURANCE' 73 } PLAN CHECK a• APPLICANT (This section need not be completed if the work involved V by the permit is for one hundred dollars,($100) or less.) Lighting Fixtures First Additional 20 . ADDRESS � Total No Q I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No II— permit is issued, I shall not employ any person in any manner PERMIT C / W so as to become subject to the Workers' Compensation Laws Range_ Heater_D.W APPLICANT L a Oven _ Dryer_W M ADDRESS � 7 - Z Date Applicant Top _ FAU L W.H _, C/ Hood — Fan _Other_ CITY 003 Tel Nom / NOTICE TO APPLICANT If, after making this Certificate of Disp Room Air Cond. �" LICENSE OR C _�D Exemption, you should become subject to the Workers' r 1 REG NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO PROCESSED BY with comply with such provisions or this permit shall be Size&Type HP, KW, KVA,or KVAR- deemed revoked. Up to 1 Incl Over 1 to 10 Incl QQ FINAL LICENSED CONTRACTORS DECLARATION Over 10 to50 Incl- DATE 7, F'6 VALIDATION v( I hereby.affirm that I am licensed under provisions of Chapter 3' Over 50 to 100 Inc BY AL 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 /•W'J'—�/ ness and Professions Code, and my license is in full force and effect. ! Services v ' I } License Num��Lte .Clas 200 mp Under 600 V 201-1000 Amp. Under 600 V Contractor Over 1000 Amp or Over 600 V �L�J HOME NER-BUILDER DECLAR TION 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)— 929 3-2 A structure is not intended or offered for sale (Section 7044, Business and Professions Code). # 0 0 0 0 o 2 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 2 e - 2 8.0 0 for the performance of the work for which this permit is (Sub-Total) Q� issued (Sec 3097,Civ CPERMIT FEE) o o o 2 a 010 5 Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) I 1.O 4}_$O Lender's Address `PERMIT ISSUING FEE CE I certify,that I have read this application and state that the TOTAL FEE above information is correct I agree to comply with all County ordinances and Stite laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-me boned perty for inspection purposes ° SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o �er,,ttee� ° Date COUNTY OF LjS AtbELES TEMPLE CITY # 0508 ELECTRICAL PERi;IT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0406160017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGALI • �FLES PAID BUILDING ADDRESS: TR: 15683 LT: 1 5229 GOLDEN WEST AV FEE DESCRIPTION: QU NI IT`/: UOM: AMOUNT: TEMP'CA•917803247_ ASSESSOR INFOf BER: I NEAREST CROSS STREET: BLACKLEY 8589-010-001 Ai PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 22.00 OUT 41.70 TEWAR a G2 LIGHTING FIXTURES 3.00 LGT 5.85 ISSt%LD ON: PROCESSED . PLAN BY: EXPIRES ON: H7 RES EXHAUST FANS 1.00 EX 10.95 06/16/04 JK 12/13/04 TOTAL FEES 86.25 OWNER: TEL. NO: FINAL DA;E FINAL SY: COD MOLINAR, 'AMES/ANNA c626) 286-8003- 5229 6OLDFN WEST AV TEMP 91.7803247 DESCRIPTION OF WORK ELECTRICAL FOR ADDITION APPLICANT: TEL. NO: COOLMArr (626) 285-0835- P. 0. BOX 90336 IaPEC:AL CONDITIONS: PASADENA, CA 91109 CONTRACTOR: TEL. N0: - APPROVALS —D,-TE INSPECTOR SIGNAIOIKE SULLIVkN, FRANK (818) 307-0603- I _ 1625 N. AVON STREET LIC. NO 11EMPCRARY POWER POLE BURBANK, CA 91505 349293B • p1DFRSROJND CONDUIT I _ _ ARC,"IT LT OR ENG EP.: V�TEL. q : CAL CI✓IC ENGINEERING :626) 798-28x8- 2160 PARNELL !,IAY LIC. N0: I ,ROUC.T.-CONDUI T ALTADENA, CA 91001 NON, ( l - ! 7UGri WInI4G dAIIJ WATER LINE ' PLA;.T"C Y/4 METAL Y/N UTIL'rY COMPANY I =g I � i - I_ I _ REPORT ID: DPR265 ROUTE TO: BS0508 I�