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Home My Public Portal About5723 GOLDEN WEST AVE_Electrical__ 76A61IS-C+E60�2 APPLICATION FOR ELECTRICAL P RMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 7 BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY ' NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. 7 TOTAL NO. EACH FEE / �o.� IG OUTLETS FIRST 20 $.20 $ -� OWNER C[22�j / 41// I LHT �7 MAIL SWITCH. Z.. OVER 20 .10 ADDRESS LIGHTING TOTAL (FIRST 20 .20 �G CITY ,4 I�'�� TEL. NO. III FIXTURES L—A-2 OV DR 20 .10 ELECTRICIAN C'Ad ec k'/ c RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS / ` �✓�S L( L� GARB.DISP. / STA.COOK JJ CITY k!(-_,) n��'C_. ,)C'�� TEL. NO. / DISHWASH. I AUTO.-WASH. STATE I LICENSE NO. 7 SPACEBTA.APP. H.P.MAX.)HTRS. (/s .SO MOTORS: OVER NOT OVER H.P. DISTRICT NO. GYP ZONE PROCE D BY 0 1:7 1.00 2 1 3 1.50 INSPECTION'RECORD 3 8 2.00 /! 8 15 2.50 CL O 15 50 3.00 V 50 100 5.00 / - Ce NO.TRANS- / u ' SIGNS: NO.LAMPS - __...._ � ! '.... yam' _ Ull ¢ SERVICE 0.60OV•NOT OVER 200A 1.00 e.�P`� Ore - Z SERVICE 0.600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 misc. v t EE PERMIT ISSUING F 2.00 E 6 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE ANO STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPE LY REGISTERED AND/OR LICENSED AS REQUIRED OS t2,E-L COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT AM TH LE L R OF THE ABOVE DESCRIBED RESIDENT L 1 / POWER SIGNATURE ^ C UTILITY CO.NOTIFIED OF PERMITTEE - - FINAL UDATION ARTHUR C. VEIT MO CASH SUPERVISING ELECTRICAL ENGINEER CK , L,►�,4 8 1 6Ep26 2 o 5.20— %y� i*,;# i iA663-CE806 6-82 APPLICATION F R ELECTR Al. PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS st JOHN A. LAMBIE, COUNTY ENGINEER- r WILLIAM A JENSEN, SUPT OF BUILDING- LOCALITY NEAREST FOR R APPLICANT TO FILL IN CROSS Sr. TOTAL - NO. EACH FEE 1 RECEPT, OUTLETS FIRST 2O $ 20 $ OWNER ` LIGHT. MAIL ADD'L ADDRESS 1 ' SWITCH - OVER 20 0 _ _ f TOTAL CITY TEL NO. LIGHTING FtiRsr 20 .20 FIXTURES r ADD-'L .10 ELECTRICIAN* OV R 20 RANGES CLO DRYERS WT HTRS -,r 1.00 ADDRESS' GARB.DISP. -STA COOK - - .CITY ( TEL NO///—&— DISHWASH.-J wuro.=wwsH. STATE / (� SPACE HTRS BTA.APP.(+/s MAX ) � .SO LICENSE NO. < MOTORS OVER NOT OV HPDISTRICT N GROUP Z- NE PR C S D Y _ O' 1 1.00 1 3 1.50 INSPECTION RECORD - 3 8 2 00 8 15 2.50 - Gam. O 15 ••50 - _ 300 t V 50 100 -5.00 - O SIGNS: NO TRANS U NO LAMPS O. SERVICE O.600V•NOTovER•200A 100 Z SERVICE 0-60OV-OVER 200 A. 2:00 'SERVICE OVER 600V 5.00, ' MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTA13Y PERMIT ISSUING FEE too- TOTAL 00TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT•I-HAVE READ-THIS APPLICATION` APPROVALS ✓1 DATE1 I INSPECTOR'S SIGNATURE AND STATE THAT THE'ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 1 / / �y ELECTRICAL WIRING. - s ' WIRING , B / 7 l� %// I 1'/141-1 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COU TY AND STATE OF _ FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OW R OF THE ABOVE DESCRIBED R' 'RTJAO ROPERTY. POWER r SIGNATURESIDL UTILITY CO.NOTIFIED OF'PERMITTEE FINAL VALIDATI ARTHUR C. VEIT' CK M' CASH SUPERVISING ELECTRICAL ENGINEER LACO.4 93 9%, SEP 2 g -2 -D 2.5'0- ' - = s♦ cpm/ WEJRKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT • I heFeby affirpAthat 76A663 I have a certificate of consent to self Insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS "' BUILDING AND SAFETY DIV. copy thereof(Sec 3800 Lab If) Policy No Company FOR APPLICANT TO FILL IN JOB ADDRESS Certified copy is hereby furnished New Residential Bldgs &Pools NO EACH FEE $ LOCALITY Qe 1 &2-Family,-Sq Ft $ ❑, — Certified copy is filed with the county building inspection _ NEAREST department Multi-family Sq Ft CROSS ST �� Residential Swimming Pools ASSESSOR Date Applicant /� MAP BOOK �57 PAGEa3 PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' 1(J Outlets ReC Light Sw 3--LightNAME ...r COMPENSATION INSURANCE �,G9� eo (This section need not be completed the work involved by the First 20 MAIL Total No Additional ADDRESS $ , permit is for one hundred dollars($1000)or less) I certify that in the performance of the work for which this permit CITY •r Tel No Is Issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers' Compensation Law Lighting Fixtures First 20 APPLICANT Total No Additional ADDRESS Date �(Y LI Applicant S D T A APP CES NOT OVER 3 HP NOTICE TO APPLICANT If, after making s Certificate of CITY Tel No Exemption,you should become subject to the Workers'Compensation OTHER APPLI CES NOT OVER 3 HP provisions of the Labor Code, you must forthwith comply with such PERMIT GSC/ provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl (commencing with Section 7000) of Division 3 of the Business and CITY Tel No Professions Code,and my license is in full force and effect Over 10 to 50 Incl >_Over 50 to 100 Incl REG NNUM ER Class Ell- Over Over 100 DISTRICT NO R SSED BY O License Number Lic Class V Services,Swbd,MCC&Panelboards IZ Contractor Date 0-399 Amp Under 600 V DATE 0 ED I am exempt under Sec VALIDATION 400-1000 Amp Under 600 V GZ-2�f w Over 1000 Amp or Over 600 V FINAL d 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 ❑ 41 Or More Branch Circuits Exemption for Reg Maint Elect 15A,20A,208V To 277V Lighting Br Circuitd SINGLE FAMILY Temp Power Pole&Appurtenances ACCT. HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit AGL 1 ve I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits 3303 98°40 Code) ITEMS[�fC I, as owner of the property, will do the work and the structure Misc Conduits&Conductors 1 ITEMS is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) 110- TOTAL 9x77 ® 40 and Professions Code) CHE�,:'Ir.� 98040 CONSTRUCTION LENDING AGENCY CHANGE .O0 I hereby affirm that there Is a construction lending agency for the / performance of the work for which this permit Is issued (Sec 3097, PERMIT FEE (Sub-Total) (, Civ C) PLAN CHECKING FEE 0000-0001 123/96 Lender's Name 'f PERMIT ISSUING FEE p` Q 4393 1 FSM 6:28 Lender's Address TOTAL FEE D I certify that I have read this application and under penalty of purjury state 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 n r ses 1x31SEE REVERSE FOR EXPLANATORY LANGUAGE 196 SIGNATURE OF P TTEE DATE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0304140045 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 462 5723 GOLDEN WEST AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802504 ASSESSOR INFORMATION NEAREST CROSS STREET: LIVE OAK 8587-023-006 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 64.00 OUT 98.40 G2 LIGHTING FIXTURES 20.00 LGT 39.00 PROCESSED EXPIRES HA FAU LESS 3HP 1.00 FAU 10.95 04/16/03 JK 10/13/03 H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 OWNER: TEL. H7 RES EXHAUST FANS 2.00 EX 21.90 FINAL DATE FINAL CODE: ZOVAK PETER;JOANNE - JB AC UNITS +3-10HP 1.00 AC 19.65 5723 GOLDEN WEST AV LB 200 AMP PANELS, MCC 1.00 PAN 38.85 02- Y TEMP 917802504 TOTAL FEES 267.45 DESCRIPTION OF WORK ELECTRICAL FOR ADDITION APPLICANT: TEL. NO: OILEARY; TOM (626) 287-0927- 5823 AGNES AVENUE SPECIAL CONDITIONS: TEMPLE CITY CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTORSIGNATURE TOM O'LEARY CONSTRUCTION (626) 287-0927- 5823 AGNES AVENUE LIC. NO �" ✓�� ' ."� TEMPORARY TEMPLE CITY, CA 91780 489354 B-1 UNDERGROUND CONDUIT ARCHITECT0 UFCR GROUND LIC. N0: I I _I,_ ROUGH CONDUIT ROUGH- �-�- --- � - NG Z06 MAIN WATER LIN PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0411120007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: GA S PAID BUILDINGADDRESS: TR: 6561 LT: 462 5723 GOLDEN WEST AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802504 ASSESSOR ER: NEAREST CROSS STREET: LIVE OAK- ' 8587-023-006 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 12.00 OUT 23.40 TENANT: G2 LIGHTING FIXTURES 8.00 LGT 15.60 ISSUED ON: PROCESSED BY: H2 RES GRBG DISP LT 3HP 1.00 DIS• 10.95 11/12/04 JK 05/11/05 H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 OWNER: TEL. NO: H7 RES EXHAUST FANS 1.00 EX 10.95 FINAL �DATE A FINAL BY: CODE: ZOVAK PETER;JOANNE - TOTAL FEES 99.60 5723 GOLDEN WEST AV TEMP 917802504 DESCRIPTION ELECTRICAL FOR KITCHEN REMODEL APPLICANT: TEL. NO: O'LEARY; TOM (626) 287-0927- 5823 AGNES AVENUE SPECIAL CONDITIONS: TEMPLE CITY CONTR : TEL. 0: APPROVALS DATE INSPECTOR IGNATURE TOM O'LEARY CONSTRUCTION (626) 287-0927- 5823 AGNES AVENUE LIC. NO TEMPORARY POWER POLE TEMPLE CITY, CA 91780 489354 B-1 UNDERGROUND CONDUIT ARCHITECT R: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIE15 REPORT ID: DPR265 ROUTE TO: BS0508