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Home My Public Portal About5626 GOLDEN WEST AVE_Electrical__ r �� r iT x !I76A669_CE606 5.62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER [,CROSS UILDING Y`` 5,... BUILDING AND SAFETY DIVISION DDRESSA4 m `(/ JOHN A. LAMBIE, COUNTY ENGINEER �� C / WILLIAM A.JENSEN, SUPT OF BUILDING OCALITY EAREST FOR APPLICANT TO FILL IN ST. YA0,10 RECEPT, TOTAL NO. EACH FEE OUTLETS FIRST 20 $20 $ OWNER LIGHTO MAIL R p ADD'L ADDESS SWITCH.410 OVER 20 AO D LIGHTING TOTAL (FIRST 20 D .20 (�� CITY TEL. NO. FIXTURES / ADD'L1O ELECTRICIAN v �� OV R 20 RANGES` CLO.DRYERS WTR.HTRS 1.00 QQ ADDRESS GARB.DISP. / STA.COOK y v CITY TEL. NO /7 S DISH WASH. AUTO.-WASH. O STATE SPACE HTRS. STA.APP.(1/i H.P.MAX ,5O LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT NO. G UP ON PRO BY Ar7 /� 1 , 1.00 D . 0 p 3 1,50 INSPECTION RE ORD 3 8 2.00 CL S 15 2.50 - � .r D_ 15 50 3.00 ' "-� f O U 50 100 5.00 { r i. 0 NO.TRANS- U SIGNS: NO.LAMPS ✓'-- "✓'�� t..f ;7� t_ c 4 SERVICE 0.60OV-NOT OVER 200A 1.00 SERVICE 0-60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 - MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTAgY PERMIT ISSUING FEE 1.00 TOTAL FEE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATA 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP E Y. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE . FINAL IDATION AFS HUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER III 78A883•CE608 ,o_ez APPLICATION FOR ELECTRICAL PERMIT �. - COUNTY OF LOS ANGELES DEPARTMENT-OF COUNTY ENGINEER BUILDING p Wo BUILDING AND SAFETY DIVISION ADDRESS C J. JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY TIM NEAREST- FOR APPLICANT TO FILL IN CROSS ST. RECEPT: TOTAL NO EACH FEE OUTLETS FIRST 20 $20 $ tELECThICIAN NER ucHr IL OVER 20 ,f0 DRESS SWITCH ' e TOTAL Y 4 M•D Jl/ TEL NO. 5`7 LIGHTING FIRST 20 .20 FIXTURES VER °C G- I.G1•.OVER ZO •1ORANGES CLO DRYERS WTR.HTRS• 1.00 DRESS GARB.DISP STA.COOK /q CITY TEL.NO&A i/•' DISHWASH AUTO:WASH STATE SPACE HTRS. STA.APP.(+/z H P.MAX') .50 LICENSE NO IJ4 (a , MOTORS. OVER NOT OVER HP. DIS TF;ICT O. I GR011e• NE ESSED B O 1 1.00 I 3 1.50 ! INSPECTI ' RECORD' 3 8 - 260 Z � j 8 15 2.50 15 50 - 3.00 f_ - '- •' p� SO 100 Soo I a +� SIGNS NO.TRANS. CL NO LAMPS SERVICE 0-600V-NOT OVER 200A 1.00 SERVICE 0-60OV-OVER 200 A. 2.00 - - - SERVICE OVER 600V 5.00 " MISC. — PERMIT ISSUING FEE 200 - SUPPLEMENTARY PERMIT ISSUING FEE 100 TOTAL FEE $ 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 1 , WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING _ WIRING _I-HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR ' LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTI PROPERTY POWER SIGNATURE' , UTILITY CO NOTIFIED OF PERMITTEE ^� FINAL IK MO ELECTRICAL, CK MOTIOJ�I--�) ARTHUR C.• _ SUPERVISING ELECTRICAL,ENGINEER - " CyIASH -L"0.6 8 4- SEP 2.5 •2 D 2.00-- `v ION WORKER'S I have a certificate of consent to 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT 76A663 I hereby affirm that I have a certificate of consent to self Insure, or a certlflcate of Y'orker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C) t - Polis No3SW - Company A4q _2-/ l FOR APPLICANT TO FILL IN JOB ❑ y p y I ADDRESS '76 fv AA257- Certified copy is hereby furnished New Residential Bldgs &Pools NO EACH FEE $ $ LOCALITY � — (� �► Certified co Is filed with the count building inspection 1 &2-Family,Sq Ft copy y g P — NEAREST Qv department ��f .�/� Multi-family Sq Ft CROSS ST �,/(��G^.v� !� Date Applicant /-t! U "! '�� G Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec _Light Sw OWNER OR Ohio ^ eL COMPENSATION INSURANCE FIRM NAME L_- First 20 MAIL (This section need not be completed if the work Involved by the Total No Additional ADDRESS permit Is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY 4Z,--. Tel No is issued, I shall not employ any person In any manner so as to become subject,to the Workers'Compensation Laws Lighting Fixtures First 20 APPLICANT K Total No Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP d 0 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 �] provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances APPLICANT 1417e, G LICENSED CONTRACTORS DECLARATION Size&�,/Type 1HP,KW,KVA,or KVAR ADDRESS � - I hereby affirm that I am licensed under provisions of Chapter 9 � PrP, Over 3 to 10 Incl / D �7 CITY Tel No (commencing with Section 7000) of Division 3 of the Business and �� , Professions Code,and my license is in full force and effect Over 10 to 50 Incl } Over 50 to 100 Incl LICENSE B 2�2 � Class n REG NUMBER G. License Number v 4� LIC CIaSS� r Over 100 DISTRICT NO P SSED BY O Services,Swbd,MCC&Panelboards �O LyL� cr FINAL ContractorG/": ` �� Date —3f 0-399 Amp Under 600 V DATE O F-1400-1000 Amp Under 600 V VALIDATION U I am exempt under Sec Over 1000 Amp or Over 600 V FINAL LU B&P C for this reason BRANCH CIRCUIT FEES BY W Date 15A,or 20A, 120V,Lighting or Recept Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits El Exemption Or More Branch Circuits 7 Exemption for Reg Maint Elect 15A,20A,208V To 277V Lighting Br Circuits ACCT, JL SINGLE FAMILY Temp Power Pole&Appurtenances -, HOME OWNER-BUILDER DECLARATION ,3303 57.40 I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit i ITEMS C for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits Code) TOTAL - 57 m 40 ❑ I, as owner of the property, will do the work and the structure Misc Conduits&Conductors CHECK Is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) CHECK 5 040 and Professions Code) - , CHANGE e00 CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the �{��1�t performance of the work for which this permit Is issued (Sec 3097, PERMIT FEE- (Sub-Total) Q 0000-0001 4/25/96 CIV C) C ' �, PLAN HECKING FEE X71 1 PSI 4:59 /�/ Lender's Name � '"� N Z PERMIT ISSUING FEE Q Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE �f that the above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this County to enter upon the above-mentioned property ns ction purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ` ._. SIGNATURE OF PERMITTEE DATE v COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS } EL 0508 0008300033 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 11131 LT: 17 5626 GOLDEN WEST AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802520 ASSESSOR rNFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK 8588-012-027 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY F1 120V, 15/20A BR CKTS 2.00 BR 34.50 G1 OUTLETS-LGT,SW,RECP 18.00 OUT 35.10 ISSUED PROCESSED BY: PLAN BY: EXPIRES . G2 LIGHTING FIXTURES 8.00 LGT 15.60 08/30/00 UT 02/27/01 H1 RES ELEC OVEN LT 3HP 2.00 OVE 21.90 OWNER: TEL. NO: H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 FINAL DATEEXHIKEIJ: CODE: DONOFRIO CARLO;LILA M (626) 287-4609- H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 5626 GOLDEN WEST AV H4 RES RANGE HDS LT 3HP 1.00 HOD 10.95 TEMP 917802520 H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 DESCRIPTION OF WORK H7 RES EXHAUST FANS 1.00 EX 10.95 ELECTRICAL FOR REMODEL TOTAL FEES 189.60 L. APPLICAN T NO: WALTER WENDT (626) 451-9911- 6149 LOMA AVE SPECIAL CONDITIONS: TEMPLE CITY, CA GE I ES C� CONTRACTOR: TEL. NO: S �/� APPROVALS DATE INSPECTOR SIGNATURE WENDT AND SONS CONSTRUCTION (626) 451-9911- 6146 LOMA AVE LIC. NO TEMPORARY OLE TEMPLE CITY CA 91780 432646 B / UNDERGROUND CONDUIT ARCHIT ECT 0 R: 0: _ GROUND LIC. NO: 1111111 ROUGH CONDUIT � WIRING MAIN LINE I FUE"UC W® S PLASTCY/NMETAL Y/N UT-11ITY COMPANY 0 I ED s o a . Ff o. a- a ®5 le "lepvice They * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508 1