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Home My Public Portal About5704 GOLDEN WEST AVE_Electrical__ TEMPLE CETY 76A663-CES06 B-62 APPLICATION FOR- ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST BUILDING AND SAFETY DIVISION > E� PS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN, SUPT OF BUILDING FOR APPLICANT TO FILL IN Q RECEPT TOTAL NO. EACH FEE OUTLETS FIRST 20 $.20 $ OWNER LIGHT MAIL ADD'L _ 10 ADDPESS SWITCH OVER 20 I LIGHTING TOTAL .20 CITY TEL NO I FIRST 20 FIXTURES I ADD'L ,10 ELECTRICIAN OVER 20 _46VGP CLO.DRYERS WTR HTRS. too ADDRESS GARB DISP. STA.COOK CITY TEL. NO. DISHWASH AUTO.-WASH. STATE - SPACE HTRS. STA.APP.(1/i H.P.MAX ) ,50 LICENSE NO MOTORS OVER NOT OVER H P. DISTRICT(�Vy0� GROUPI ZONE IP ESSED BY O 1 1.00 a 1 3 150 INSPPECTIpON RECORD 1 s s 2 00 8 15 2.50 ' jF `- 15 - 50 300 9- 50 100 Soo 0 NO TRANS SIGNS, NO.LAMPS O SERVICE 0.60OV-Nor OVER 200A 1.00 ri W SERVICE 0.60OV-OVER 200 A. 2.00 2 Vi SERVICE OVER 600V 1500 z MISC PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE- $ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT _ 7A WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I 1 0) I HEREBY CERTIFY THAT. I AM PROPERLY REGISTERED AND/OR LLCIFORNIA CENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF, FIXTURES [[ ° `✓v OR THAT f AM THE LEGAL OWNER OF THE ABOVE SRIBED RESIDENTIAL PROPERTY POWERGNATURE �y UTILITY CO.NOTIFIEDF PERM lyrt H 7/yRy' y v FINAL CD IG VALID ARTHUR C. VEIT CK M CASH SUPERVISINI3 ELECTRICAL ENGINEER .1'5 a 6%-0 &'18 2 D 5.00- a 76AS63-CESOB-6-57 APPLICATION FOR ELECTRIC PERMIT 1.- COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ENEAREST BUMDING AND SAFETY DIVISION JOHN A.LAMBIE,COUNTY ENGINEER —' CA8SATT D.GRIFFIN,SUp'T OF BUILDING FOR APPLICANT TO FILL IN L �vLr G� PERNUT FEES LIGHTS iRECEPTACLES SWITCHES OWNER NUMBER I T E M EACH FEE MAIL 1 , ADDRESS L TOTAL OUTLETS $ .10 $ ELEC. RANGES, WATER HEATERS, CITY TEL NO CLOTHES DRYERS 50 ELECTRICIAN Dv ' ELEC SPACE HEATERS, STAT'Y COOK• ING UNITS, GARBAGE DISPOSERS, ADDRESS AUTO WASHERS, DISHWASHER 25 , LIGHTING FIXTURES f0 CITY TEL NO. MOTORS STATE LICENSE NO HORSEPOWER H P: OVER INC DISTRc,IyC►T NO. GROU ON READY FOR INSPECTION 1/2&LESS 25 V2 - 2 50 INSPECTION RECORD 2 — 5 too' 5 — 15 1 50 15 SO 250 So — 200 Soo MISC. SIGNS NO TRANS NO LAMPS SERVICE O-600V too SERVICE OVER 600V 500 + WIRING PERMIT 100 FIXTURE PERMIT - 100 SUPPLEMENTARY PERMIT 50 $ APPROVALS TOTAL FEE , I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A 1 TION DAT ^ INSPEC OR'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 I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS`AN E f UT7Y11 STATE OF CALIFORNIA OR THAT 1 AM THF W THE ABOVE POWER DESCRIBED RESIDENTIAL' PR T SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE FINAL JOHN A.LAMBIE, Y4LIDATION ART URC.VETT, COUNTY ENGINEER u-- MO C&SH SUPERVISING ELECTRICAL ENGINEER ` "3 0 7 6 OCT 8 2 255 76A663 DBS-%A 3-50§��,'• .APPLICATION FOR PERMIT 1Vt . DEPARTEN�7OF.BUILDING AND'SAFETY' COUNTY,OF,LOS ANGELES `-WILLIXM�J..FOX. CHIEF ENGINEER .'' FFOR,.4PPLICi4NT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECT.RICIAIV� ' 'L�' L L v RECEIVED BY READY FOR DATE ISSUED • 'ADDRESS D 1 L S FIRST INSPECTION CITY, �./{,d TEL NO.(I' I- COUNTY'�LICENSE NO." U EXPIRES BUILDING ''! �PEAMff FEES ADDRESS (�(J NUMBER EACH FEE LOCALITY _ L"IGHT'OUTLETS,! I , 1 NEAREST • ' CROS 8 ST.• i RECEPTACLES Z WALL SN%IT6HE9 OWNER TOTAL"OUTLETS5c $```• MAIL --� ELEC. RANGES'— 25 'I' ADDRESS y7 b ELEC. HEATERS' 25 Z CITY TEL. NO. y rj,5/ FIXTURES' L 5 6 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ��. MISC. _ 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 1 POSSESS THE ABOVE VALID LOS NUMBER �. •, .•+ HOR5EPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FEE OF THE 'NEW MVD.' HP �OVER" � INC. EACN RESIDENTIAL PROPERTY DESCRIBED ABOVE. - I/ 6 LESS $ .25 SIGNATURE OF + % 2 .50 •• PERMITTEE L u Of 2 5 1.00 INSPECTION RECORD 5 15 Iso +• 15 SO 2.50 5O� .200 5.00 200 500 10.00 J ••500 1000 1 5.00 Z OVER-10013' 20.00 Q M.G. SET/FREQ. CHANGER-HP Q.' 13 WELDERS:AC-KVA GENERATORS - KW ' TRANSFORMERS - kVA ' TEMP. MOTORS (75%'OF ORIG.) MOVED MOTORS�(75% OF DRIo.) MISC. - SIGNS- NO. 'NO.TRANS. .. . APPROVALS NO. NO.ILAMP9 FOR EACH PERMIT: 'DATE INSPECTOR'S NAME WIRING + $1.130' ` (J CONDUIT FIXTURES $1.00` �" U,d� WIRING �'� SUPPLEMENTARY .50 FIXTURES l/' ✓ POWER TOTAL -FEE ; $; UTILITY CO. NOTIFIEDJL- v T FINAL �. WORKERS'COMPENSATIONDECLARATION CE-806G (2-801 APPLICATION FOR ELECTRICAL PERMIT CE-806 I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or , a certified copy thereof (Sec 3800,L b'C.) P,olic,�evow ompany �If/A47Y FOR APPLICANT TO EACH FILL N LNO FEE ADDRESS New Residential Bldgs &Pools Certified copy is hereby furnished 1 & 2-Family,Sq Ft $ $ LOCALITYCertified co Multi-family Sq Ft NEAREST copy is filed with ty building inspection- CROSS ST department Residential Swimmirig Pools OWNER OR _ FIRM NAME ItJ Dat-& –9/. App cant •Outlets Rec_/ Light/ ' Sw A'L /J� First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total NOS Additional CITY �f"�� " Tel No Q COMPENSATION,INSURANCE } PLAN CHECK , O PPLICANT_ ,(This section need not be completed,if the,work involved ® U by the permit is for one hundred dollar's ($100) or-less.) Lighting Fixtures First'20 ADDRESS AdditionalO Total No _� I certify that in the performance of the work for which this Fixed'Appliances Not Over 1 HP- CITY Tel No permit is issued; I shall not-employ any person in any manner PERMIT ' ,'so as to become subject to,the Workers'.Compensation Laws Range_ Heater_D W L APPWLICANT l W Oven _ Dryer_W M- ADDRESSCn -147 -�7/, U�.yO Z Date Applicant V Top' _ FAU _W.H ' c Hood — Fan _Other_ CITY Tel'No� T� NOTICE TO APPLICANT If, after making this Certificate of Disp _ Room Air Cond,_ LICENSE ORr Exemption, you should become subject to the' Workers' REG NUMBER ` Class • Compensation provisions of,the Labor,Code, you must forth- Power Apparatus&•Large Appliances .a DISTRICT NO P D BY with comply with such provisions or this' permit shall be Size&Type HP, KW, KVA,or KVAR } deemed revoked. Up to 1 Incl FINAL ver 1 to 10 Incl DATE / - LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl l( —6 -�/ VALIDATION , I hereby affirm that I am licensed under provisions of Chapter Over 50'to 100 Inc FINAL BY 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 �--P–•� ., ness and Professions,Code, and my license is in full'force and effect. Services Licens Lic' Class S 1 _0-200 Amp Under 600 V 201-1000 Amp Under 600 V on rac or Date '��'.'3'"�� Over 1000 Amp or Over 600 V , HOME OWNER;BUILDER DECLARATION 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, Additional Sign Branch,Circuits Busi- ness and Professions Code) , - L n - Misc Conduits&,Conductors -1 8 1,9 A I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— > structure Isnot intended or offered for sale (Section #;o o,o o,o 2' r 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY `�:o(0 1 4,00 I hereby affirm that there is a construction lending agency for the performance of the work for which thisermit is _ issued (Sec_ 3097,Civ C) p PERMIT FEE (Sub-Total) 0 0 0 1A 0 Q' Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 1,0 3,-81 Lender.'s Address PERMIT ISSUING FEE 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 Sfate laws,regulating Electrical wiring, and , hereby authorize representatives of this Couniy to enter upon th - tioned property for inspection purposes a SEE REVERSE FOR EXPLANATORY LANGUAGE Sign a of P;01t tee Date P WORKERS'CI have certificate DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT CE-806G - I hereby affirm,that I have a certificate of consent to self irusure, ora certficate of Workers' Compensation'Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lab C ) �Policy No Company FOR APPLICANT TO FILL IN JOB ) Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS 0 H GC/Gg J4 Certified copy is filed with the county building inspec- 1 & 2-Family, Sq Ft $ _ $ LOCALITY 'NEAREtion department , Multi,family'Sq Ft CROSSSST Q�� Residential Swimming Pools OWNER OR Date Applicante j FIRM NAME ty VA CERTIFICATE OF EXEMPTION FROM WORKERS' � .� CJ MAIL • Outlets Rec Light Sw ADDRESS �9 COMPENSATION INSURANCE 3i �, �V GV This section need not be completed if the work involved b First 20 !�a ( p y Total No Additional CITY �� Tel No �7Q�g ` the permit is for one hundred dollars-(5100)or less.)- I certify that in the erformance of the work for which this PLAN CHECK Y P APPLICANT ( LE permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws Lighting Fixtur First 20 ADDRES Total No Additional � CITY Gr Tel No T7 Date Applicant Fixed AppjJances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after making this Certificate of / APPLICANT Exemption, you should become subject to the Workers' Range_ Heater D W Compensation provisions of the Labor Code, you must forth- Oven Dryer W M ADDRESS with comply with,such provisions or this permit'shall be Top FAU —W H .- deemed revoked CITY Tel No LICENSED CONTRACTORS DECLARATION Hood Fan _Other— LICENSED Room Air Cond LICENSE OR _361 -673 Class ^�r I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER (commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO PROCESSED BY and Professions Code,and my license is in full force and effect O d Size 8 Type HP, KW, KVA, or KVAR ! O License Number a Lic' Class Up to 1 Incl FINAL V Over 1 to 10 Incl DATE VALIDATION Q Contractor Date Over 10 to 50 Incl FINAL U ❑ I am exempt under Sec Over 50 to 100 Inc BY ;2 0 9 Q b A LU B &P C for this reason Over 100 # 0 0 0`o o� Services, Swbd , MCC & Panelboards , — Date 0 -200 Amp Under 600 V, I ° ° 4 Q 2 1' Signature 201 - 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V 0 0 0 4Q,2,1 U Exemption for Reg Maint Elect I al 7-84 SINGLE FAMILY Temp Power Pole & Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits J Law for the following reason (Section 7031 5, Business and Professions Code) ❑ I, as owner of the property, will do the work and the Misc Conduits & Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE / above,,nformation 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 prop t for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 'Sigpffiure of Permittee Date