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Home My Public Portal About5532 GOLDEN WEST AVE_Electrical__ '*..--P_. :COUNTY'OF LOS ANGMXS' APPLICATION FORPERMIT DEPARTMENT OF COUNTY ENGWEER ELECTRIC 1 DIVISION OF BUH.DING d1'SAFETY WILLIAM J. FOS, COUNTY ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN v -7 7 9 gJ Z. ADDRESS RECEIVED PY READY FOR DAT ISS EO _ ppT. AL./ FIRST INSPECTION o,4a CITY TEL -NO COUNTY LICENSE NO. EXPIRES BUILDIN PERMIT FEES ADDRESS aAr FEE - NUMBER EACH LOCALITY _[ n��/" J� LIGHT OUTLETS' NEAREST O �y - 6 RECEPTACLES RO S ST (,//� �f�/ WALL SWITCHES OWNER- /. -� TOTAL OUTLETS 5c $ A (n MAIL a� ELEC. RANGES 25 ADDRESS S J 2- oLLY.<A�. `�,-3741 FIXTURES ELEC HEATERS - 25 CITY_ l TEL. NO / -J 76 1 FIXTURES 5 _ MISC. - I HEREBY fACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS 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 HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER Nsw MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY, CRIBED ABOVE, I/2&LESS $ 25 - SIGNATURE OF I/a 2 .50PERMITTE �7 21 s 1so oo s 15 1. /INSPECTION RECORD Is 50 2 SO SO 200 5.00 200 SOO 10 00 A Cw` d66."O&.oe;t_6C/_�l t� J 500 1000 15.00 Q .s o wd �rc.r Z ' OVER 1000 20.00 &V M.G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA `;_ �/ 0 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 CONDUIT FIXTURES $1.00 WIRING - /$ SUPPLEMENTARY 350 FIXTURES POWER / TOTAL FEE $ Z UTILITY CO NOTIFIED /Q i FINAL 76A 76A 669 013S# SA. 4-62 _ Y CITY OF TEMPLE"CITY 76A669-jEe°°.1-66.` APPLICATION FOR ELECTRICAL ,PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION - ADDRESS 5532` GOLDEN WEST JOHN A. LAMBIE, COUNTY ENGINEER TEMPLE _CITY COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL INCROSS ST Broadway RECEPT NO EACH FEE OWNER John Roubison MAIL LIGHT l TOTAL FIRST 20 2 20 40 ADDRESS - ^R� SWITCH_l2 OVER 20 10 CITY TEL. NOG"1 5321 PLAN CHECK LIGHTING 1 TOTALI FIRST 20 1 20 20 APPLICANT FIXTURES I 1 OVER 20 10 ADDRESS RANGEDRYER—WTR HTR.— ,CITY TEL NO STA COOK_DISP _F.A U CONTRACT-OR CobineElectric Co., SPACE HTR AIR CONED ADDRESS 1607 Chestnut CLOTHES'WASH _DISHWASH._ CITY n / �'7 - TEL'. NO. 2820315' FAN OTHER 1 00 LICENSE NO 227 f CLASS. C �10 MOTORS,TRANSFORMERS RA`TI NG IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY, '7 WITH' ALL COUNTY ORDINANCES AND STATE LAWS REGULATING motor lhp 0 - 1 1 1 00 1 Ocl ELECTRICAL WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 1 - 10' 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANDSTATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND T0, 10 - 50 5 00 RESIDE IN, THE ABOVE ESCRIFED RESIDENTIAL PROPERTY O -SIGNATURE ..�cd�w►.._.pry/ V 50 - 100 10 00 OF PERMITTEE too - soo 15 oo DISTRICT NO GR P Z E P C SED B TUBE, OR Y G SIGN,GAS SIGN AND ONE CIRCUIT 3 00 � a MARQUEE gDDI TIONAL CIRCUITS 1 00 NOTES: 'TL£0&"-`- /C- Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE, POLE, &APPURTENANCES , 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP POWER POLE UNDERSLAB WORK, 044 aZ ROUGH CONDUIT ' PERMIT FEE (SU.B TOTAL) 1 6 WIRING _ FIXTURES f PLAN CHECK FEE (50% PERMIT FEE) n POWER AUTHORIZED 2 ,PERMIT-ISSUING FEE 2 00 00 UTILITY CO NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE 3 60 JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER_ PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH t 6. 1 6':5 2- ZG 2 8 •2 D 3.6 0- a ;EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE CITY OF TEMPLE CITY 76A663-CE8661-68 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES . DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 5532 GOLDEN WEST JOHN A. LAMBIE, COUNTY ENGINEER TEMPLE CITY COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST Broadwa _ FOR APPLICANT TO FILL IN CROSS ST J ` NO EACH FEE S S OWNERJohn Roubison' ANT RECEPT _1 MAIL , LIGHT `TOTAL FIRST 20 20 ADDRESS �7 SWITCH f OVER 20 10 , CITY TEL. No.28I 5329 J PLAN CHECK LIGHTING �TOTAL FIRST 20 20 APPLICANT FIXTURES OVER 20 10 ADDRESS RANGEDRYERWT,R HTR.— CITY TEL NO _ STA COOK DISPF.I U CO,NTRAC TOR Cobine Electric CO . SPACE HTR AIR CONE) ADDRESS 1 07 hestnut S- CLOTHES WASH DISHWASH CITY Alhambra TEL. NO. 2820'31 - FAN 0THER 1 00 LICENSE Io , 229847 CLASS.0 10 MOTORS,TRANSFORMERS RATING - IND HEATERS, ETC HP KW KVA I HEREBN ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 0 - i 1 00 _ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO d 10 - SO 5 00 RESIDE IN, THE AV0VE11STRIPED RESIDENTIAL PROPERTYSIGNATURE50 - 100 10 00 OF PERMITTEE 100 - 500 15 00 DISTRI T O GR P ZO PR ESS`ED Y SIGN,GAS SIGN AND ONE GI RCUIT •3 00 TUBE, OR H MARQUEE A DDI T I ONAL,C I RCU I TS 1 00 ' NOTES: Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 1 2 00' SERVICE OVER 600 VOLTS OR 200 AMP• 5 00 ' TEMP SERVICE, POLE, & APPURTENANCES 3 00 APPROVALS DATE ' INSPECTOR'S SIGNATURE TEMP POWER POLE UNDERSLAS WORK ROUGH CONDUIT WIRING PERMIT FEE (S,UB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2 00 UTILITY CONOT]FIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE - 4 O0 JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATIONCK M 0 CASH 1�0 .00-; i r� o e 6- 7�3 Sri 1 2, Q 4.00- ;EE EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A'63-CE86'6 11/70 . APPLI ATION FOR ELECTRICAL PERMIT- lJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FBUILDING AND SAFETY DIVISIONI 7-jj�CJ��COLEMAN W. JENKINS SUPERINTENDENT OF BUILDINGFOR APPLICANT TO FILL:IN t _ OUTLETS NO EACH FEE p �+ 7 OWNER- L u �JwO RECEPT_ - $ $ MAIL FIRST 2025 �� ADDRESS •J YJ 'v LIGHT TOTAL / y ,� (/A 77 _ CITY ,��I�s L' / TEL N0. ��7( � /0 SWITCH OVER 20 10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT OVER 2- ADDRESS FIXTURES 10 , APPLIANCES CITYPERTEL. NO IT RANGE DRYER WTR HTR APPLII ANT /,C /Y,� 7, j,DgS STA' COOK DISP. F A U. ADDRESS 6) nD'hh �7 SPACE HTR AIR COND CITY Z »7 PILL _ TEL NO yT ,K�d 7d CLOTHES WASH =1SHY(AQ� LICENSE N0. CLAS FAN OTHER 1001 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPL-I CATION 11 AND STATE THAT THE,ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING I 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 ��Q� 0 - I 100 / LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO }. 1 - 10 300 RESIDE IN, THE ABOVE DESCRIBED RE DE NTIAL PROPERTY D_ 10 - 50 500 SIGNATURE OF PERMITTEE 50 - 100 1000 DISTRICT NO CLAS=� ZON PROC ED BY Q 100 = 5LLI 00 ,1500 S_ !) I s� ,� CL SIGN, GAS SIGN AND ONE CIRCUIT 500 } NOTES: N TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 SERVICENOTOVER600VOLTS OR200AMP 300 SERVICE OV ER 600 VOLTS OR 200 AMP ~ 1000 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP 'POWER POLE TEMPSERVICE,POLE, &APPURTENANCES 5 D , UNDERSLAB WORK TEMP LIGHT OR RECEPT SYSTEM - 300 ROUGH CONDIUT . WIRING '70v FIXTURES a, POWER AUTHORI;ED PERMIT FEE (SUB TOTAL) -3 UTILITY CO. NOTIFIED , PLAN CHECK FEE _ FINAL PERMIT ISSUING FEE ` 300 QZJ JOS PH C. ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH r .n 2,^01.5 0�. AUG 23 2D 6:2�5N , ' SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - D8 S-A 12-43 25M APPI.iCATIOIr1 FOR IDERAI� DEPARTMENT OF BUILDING AND SAFETY/ COUNTY OFLOS ANGELES ELECTRIC WM. FOX CHIEF ENGINEER Q NAME DISTRICT NO. GROUP ZONE PERMIT NO. ADDRESS U CITY // TEL.NO I' 6 p/wRCEIVED,BY/ FIRST INSPECTION READY FOR DATEISSUED CERT.NO. JnW EXPIRES / 19,/ APPLICANT FILL IN DEA ;Y OUTLINED POR N ONLY JOB DESCRIP'T'ION OF WORK ADDRESS o7 n ,� NUMBER OF OUTLETS ON CIRCUITS LOCALITY- LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS FIXT CROSS ST. ,CIRCUIT A B C D E F G H It NAME Z MAIL ADDRESS CITY TEL.NO. 1 AM THE LEGAL POSSESSOR Op THE ABOVE LOS ANGELES COUNTY CERTIFIMAfjOR'Q�!CATION.. / ci0 EL&TAI AN. I AN THE r E F THC PROPFATY DESCRIBED h A ABOVE 1 OWNER. CORRECTIONS J _ Q _Z [7 ' O TOTAL NO. OF OUTL S $ S' APPROVALS NO. OF FIXTURES $ 3 DATE INSPECTOR'S NAME NO. OF MOTORS H.P. C CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS C FIXTURES MISCELLANEOUS- $ POWER / PERMIT FEE (. $ UTILITY CO.NOTIFIED TOTAL FE s 2 FINAL WORKER'S COMPENSATION DECLARATION 20-0019 DPW(t2-9t) APPLICATION FOR ELECTRICAL PERMIT 7•� ,-- 76A663 herebb y affirm that I have a certificate of consent to salt insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. QAC WORKS BUILDING AND SAFETY DIV copy thereof,(Sec 38000 Lab�C) y/�/� Policy No W Ci L✓c 17 • mpany ,/ '°�'i �� (~� FOR APPLICANT TO FILL IN JOB - ADDRESS Certified copy is hereby furnished New Residential Bldgs &Pools LOCALITY Ce � ' NO EACH FEE r a4V 1&2-Family,Sq Ft — $ $ 4�-r , V e:, � r �; Certified copy is tiled with the coun uddmg in ecUon — NEAREST department Multi-family Sq Ft CROSS ST Residential Swimming Pools ASSESSOR Date Applicant ' MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw OWN NAME �/A/ COMPENSATION INSURANCE First 20 MAIL (This section need notbe completed If the work Involved by the ADDRESS In, Q 10 perriiit Is-for one hundred'dollars($100)or less.) Total No Additional N S I certify that in the performance of the work for which this permit CITY - Tel No is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws Lighting Fixtures First 20 APPLICANT - - Total No Additional Or U ADDRESS Date- Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If, after making this Certificate of .CITY Tel No Exemption,you should become subject to the Workers'•Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of'the Labor Code,`you must forthwith comply with such PERMIT 67 provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances APPLICANT t &C C_ LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereSy'affirm that 11 am licensed under provisions of Chapter 9 Over 3 to 10 Incl (commencing with Section 7000) of Division 3 of the Business and CITY 1;1 OR—" r� K Tel N Zk3-dal 110 Professions Code, and my license is in full force and effect Over 10 to 50 Incl Over 50 t0 100 InC1 REG LICENSE ER 2_q g'os Class (�(� Over 100 DISTRICT NO P OC SED BY License Number 2 ` a Lic Class G~fO v D - Services,Swbd,MCC&Panelboards cg Contractor / v EZ6'C7'K1(ate 1 0-399 Amp Under 600 V FINAL DATE O ET am exempt under Sec 400-1000 Amp Under 600 V W Over 1000 Am or Over 600 V 11 14 VALIDATION P. FINAL - - - a B&P C for this-reason BRANCH CIRCUIT FEES BY CD Date .15A,or 20A, 120V,Lighting or Recept r Z - - 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits 41 Or More Branch Circuits ❑ Exemption for Reg Mamt Elect 15A,20A,208V To 277V Lighting Br Circuits 11 r � -`ii ITEMS h� SINGLE FAMILY Temp Power Pole&Appurtenances 1 1 t J HOME OWNER-BUILDER DECLARATION Circuit Sign with Orie Branch Ci4 8 I hereby affirm that I am exempt from the Contractor's License Law TOTAL 5q,:,, � 0 for•the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits CHECK Code) CHECK .8.0 ❑ I, as owner of the property,will do the work and the structure Misc Conduits&Conductors i ANUE e j(o is not intended'or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code) r, CONSTRUCTION LENDING AGENCY =lCfl�i!—��1� 7/22/9-.r 1 hereby affirm that there is a construction lending agency for the r -. Ail =:— performance of the work for which this permit is issued (Sec 3097, PERMIT FEE (Sub-Total) ��( 'E'#'y Civ C) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address G I certify that I have read this application and under penalty of purjury state TOTAL FEE 0 •l9 that the above information is correct I agree to comply with all County ordinance and State laws re lating Electrical wiring,and hereby authorize represe a e of this Co to enter pon the above-mentioned property lZurposes SEE REVERSE FOR EXPLANATORY LANGUAGE ,r 2 2 G ATURE OF MI E DA E