HomeMy Public PortalAbout5321 GOLDEN WEST AVE_Electrical__ j.
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76A663CjFr,r806(6/78), ' APPLICATION FOR ELECTRICAL PERMIT' _
COUNTY OF LOS-ANGELES " BUILDING A D SAFETY
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs &Pools EACH NO FEE ADDRESS
1 &2-Family,Sq F,t. $ 025 — $ LOCALITY7-,-F vu
--
Multi`fa'mily Sq Ft 02 — NEAREST
00 CROSS ST
lJ
Residential Swimming Pools, - 25- _ OWNER ORr/� 1
FIRM NAME L-5L � L _J /"
Outlets Rec Light Sw MAIL +�
First 20 50 ADDRESS S
Total No Additional 30 CITE 1 e—/ Tel No p Z
ZPNCHECK 7I7 30 rZSD�
Lighting Fixtures First 20 50 DDRESS
Additional 30 _ - „ _
Total No, ITY, Tel No
Fixed Appliances Not Over 1 HIP _ _ , L.
RPPLICANT
Range_Heater_ D W RESS
Oven_Dryer_ W M_ `
Top _FAU _ WH CITY Tel No
Hood—Fan —Other= '
Disp —Room Air Cond 2 50 REGNSE NUMBER 2��j Class OR ~�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus'&Lorge Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES,AND•STATE-LAWS
2 50 r 2 ,5v REGULATING ELECTRICAL WIRING
Up to 1 Incl 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl S 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Incl , 12 50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
Over 50 to 100 Inc 25 00 DESCRIBED RESIDENTIAL PROPERTY
'
40 00 PERMITEE
Over 100 - SIGNATURE
Services _ DISTRIC NO P BY-
0
Y-0-200 Amp Under 600 V 1'2 50 LL pp
201-1000 Amp Under 600 V 25 00 d CJ.
Over 1000 Amp or Over 600 V 50 00 Z
• O -
Temp Power Pole&Appurtenances 10 00
Sign with One Branch Circuit 1.0 00• ;C
Additional Sign Branch Circuits '2 00INSPECTION >
0 0o INFORMATION W
Misc Conduits&Conductors ON REVERSE Lu
Other(See Complete Fee Schedule) SIDE v ;92969A
• - J # 0 0 •O O O `�
d
2001450
PERMIT FEE ISub-Total) `
Z 0'o 0 1 It �
PLAN CHECKING FEE (One-Fourth Permit Fee) O
PERMIT ISSUING FEE $7 00 G 2 2 6-7 9 l
TOTAL FEE 6 >
INSPECTION FINALED W
date By �, is _
1 ,
CqTY
76A663-CE806 8-62 APPLICATION FAR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS �T d
JOHN A. LAMBIE. COUNTY ENGINEER L
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT_TO FILL IN CROSS ST.
RECEPT TOTAL NO EACH FEE ! /
OUTLETS FIRST 20 $.20 $ OWNER
LIGHT - MAIL
�3 vER2 / ADDRESS
71
SWITCH OVER 20 / •1O V O -
I
LIGHTING TOTAL l FIRSTL CITY TEL NO
20 ^�
FIXTURES J( f I 20 1O ELECTRICIAN
OV kcl�/ / r
VPR R 2
RANGES CLO DRYERS WTR HTRS. 1.00 ADDRESS (f
GARB,DISP STA COOK )
CITY
DISHWASH. AUTO.-WASH STATE /
`' LICENSE NO• (�
SPACE HTRS STA.APP:(yi H.P.MAX.) 5 1
MOTORS - OVER NOT OVER H.P DISTRICT O. GROUP ZONE PILO ESSED�Y '
•O 1 1.0 00
1 ; 3 150 INSPECTION RECORD
3 8 2.00
8 7 5 250
15 50 3.00 �•
50 100 500 O
U
SIGNS- NO.TRANS
• NO.LAMPS �0
SERVICE 0-60 OV-NOT OVER 200A 1100 11941 W
SERVICE 0.60OV-OVER 200 A. 2.00 a
SERVICE OVER 600V 5.00 ?
MISC.
j t
PERMIT ISSUING FEE 200
SUPPLEMENTA13Y PERMIT ISSUING FEE 1.00
TOTAL FEE i r
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP IC TION 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
' I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED•AS,REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES d
CALIFORNIA OR THAT I AM THE LEGA{. OWNER OF THE ABOVE /
DESCRIBED RESIDENTIA PROPERTY. ^ POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE" r3
FINAL
IIDATION ARTHU C. VEIT� '
CK MO CASHSUPERVISING ELECTRICAL ENGINEER
�. c5581-c-3 I"R15 D. 1- 3.70
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508' ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ' ,,EL 0508 9609190022
BUILDING AND SAFETY / LAND DEVELOPMENT- TEMPLE CITY CA
PHONE: (818)-285-0488 EXT: -
LEG
XT: •L G PAID BUILDING ADDRESS:
ON FILE . -' 5321 GOLDEN WEST AV
,- FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803248
ASSESSOR INFURMATION NUMBER: NEAREST CROSS STREET:
8589-003-038 Al PERMIT ISSUANCE FEE - 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
LA 100 AMP PANELS, MCC 1.00 PAN 38.85
TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
09/19/96 TC 09/19/97
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:- _
MCCRACKEN'°LU ANN (818) 286-6333- �} y /
5321 GOLDEN WEST AV L1 0
TEMP 917803248 DESCRIPTION OF IORK
NEW ELECTRICAL SERVICE UPGRADE ,
APPLICANT: TEL. 0: -
EUGUSA ELECTRIC (909) 923-0924-
•, - ����� � SPECIAL CONDITIONS: •, '
CONTRACTOR: TEL. N0: 0 APPROVALS DATE INSPECTOR SIGNATURE
EUGUSA ELECTRIC (909) 923-0924-
2408 NORTH SHORES PLACE LIC. NO RY POWER POLE
ONTARIO, CA 91761!,' 675005 C10 �J/ (J� °
• UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
r U B LC WORKS MAIN WATER LINE
PLASTIC Y/N METAL Y/N
u UTILITY COMP IED
REPORT ID': DPR265 ROUTE TO: BS0508,
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT,
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9609250017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL FES PAID BUILDINGADDRESS:
ON FILE 5321 GOLDEN WEST AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803248 I
ASSESSOR INFORMATION NUMBER:, NEAREST CROSS STREET: OLIVE
8589-003-038 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE 'CITY
HA FAU LESS 3HP °1'.00"FAU `10.80
TEW
AN : JB AC_UNITS +3-10HP 1.00 AC 19.65 ISSUED PROCESSED LA BY: EXPIRES ON:
TOTAL FEES 58.20 09/25/96 TC - -•. -09/25/.97
OWNER: TEL. NO: FINAL' DATE FINAL Y: COD
MCCRACKEN LU ANN (818) 286-6333 / Q !� ool
5321 GOLDEN WEST AV / �V �` ,
TEMP 917803248 E ON
REPLACEMENT OF HEATING AND ADDING A/C'SYSTEM-
A ICANT: TEL. NO:
SAME AS OWNER -
r.-
;• - I�L E S SPECIAL CONDITIONS: • ,
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - - -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
CHITEC .OR,, EER: TEL. 0: UFER GROUND
LIC. NO: ll�t1� ROUGH CONDUIT
ROUGH WIRING
�����C W��K'� MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY, CO ANY IFI D
o a
E3
rvr�� _
REPORT ID: DPR265 ROUTE TO: BS0508