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Home My Public Portal About5738 GOLDEN WEST AVE_Electrical__ 76A663 /'-9Y PL�IVATION FOR ELECTRIC i EF MIT 1 D135-5A 3.55_/ DIVISION OF BUILDING AND SAFETY ;, Deportment of County Engineer ' om County of Los Angeles BUILDING �7�J Or_ WM.J. FOX. COUNTY ENGINEER ADDRESS /cad CASSATT D.GRIFFIN, SUPT OF BUILDING P �!� LOCALITY- FOR e / CQ FOR APPLICANT TO FILL IN NEAREST ` PERMIT FEES CROSS ST e NUMBER EACH FEE OWNER R, I I c LIGHT OUTLETSMAIL RECEPTACLES ADDRESS V WALL SWITCHES _ TOTAL OUTLETS 5¢ $ CITY dP" e C. LO TEL NO ELEC RANGES 25 ELECTRICIAN 1 k7l 0.9 C XM&A ♦ ' _ELEC HEATERS 25 ADDRESS ISrj ,,[ Cep r KW EA CITY :ZEP� A / L- TEL.NO. FIXTURES 5 LICENSE NO NUMBER OF LIGHT CIRCUITS - DISTRICT NO. I GROUP I ZONE I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS NUMBER HORSEPOWER INSPECTION CORD 'FEE NEW MVD HP OVER I INC I EACH 1/z a LESS $ .25 1/Z 2 .50 2 5 1 00 5 15 1 50 15 50 2 50 50 200 500 misc. NO.SIGNS NO TRANS. ' NO SIGNS NO LAMPS FOR EACH PERMIT: A WIRING W TL ICS S1 00 fJ FIXTURES $1 00 SUPPLEMENTARY 50 ` APPROVALS TOTAL FEE $ ,♦I :2z_ _ DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS'REGULATING WIRING ELECTRICAL WIRING. - r I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN OF THE ABOVE POWER DESCRIBED RESIDENTI L P OP TY. SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL L M WILLIAM J. FOX.COUNTY ENGINEER VALIDATION A. C.VEIT.CHIEF ELECT. INSPECTOR L&_4 2 4 3MAR 19 2 1 .2 5 J 24 ISAS63-CEBOG 10-e0 APPLICATION FOR,ELECTRICAL PERMIT 1 - COUNTY OF LOS ANGELES •DEPARMENT OF COUNTY ENGINEER BUILDING BUILDING AND,SAFETY DIVISION ADDRESS 5738 GOLDEN WEST AVE JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN,SUPT OF BUILDING LOCALITY TEMPQE CITY ki NEAREST CROSS ST GODEN WEST AVE & LIVE OAK AV FOR APPLICANT TO FILL IN PERMIT FEES OWNER MILLER 1 T E M NUMSFRI EACH FEE AooRESs 5738 GOLDEN WEST AVE OUTLETS: $ $ LIGHTS RECEPT. SW. •10 CITY TEMPLE CITY TEL. NO. t LIGHTING FIXTURES .10 Ito ELECTRICIAN FLASH @LECTRIC go. - ELEC. RANGES CLO. DRYERS WATER HEATERS .50 ADDRESS 6100 SEPULVEDABLVD, ELEC.SPACE HTRS. DISHWASHERS CITY VAN NUYS, TEL NO. ST69151 GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS •2$ LICENSE NO. C10 181930 MOTORS. OVER INC. H P. DISTRI�f Io. ROUP ZONE I PR CESSED BY O— 1/2 .2 s j 1/2— 2 50 INSPECTION RECORD 2— 5 1.00 O 1s— so 2.50 0 so— 2005.00 U W d SIGNS NO TRANS. to NO LAMPS Z SERVICE 0-600V 100 SERVICE OVER 600V 5.00 MISC WIRING PERMIT 100 FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT Sp TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 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 1/ ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I ALAN . EGISTE D AND/ .� LICENSED REQUIRED BY LOCO NTY A D ATE OF FIXTURES CALIFORNIA R HAT1AMTHW E O T ABOVE DESCRIBED RE ID TIAL P OPERPOWER SIGNATURE UTILITY CO.NOTIFIED OF PERM. / 'v FINAL IDATION ARTHUR C. VEIT cK MO CASH-'- SUPERVISING ELECTRICAL ENGINEER Lj�C�4 8 6A 2 `D 2.80 76AG6; ..DBS SA 11-50 - APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND .SAFETY COUNTY OF-LOS ANGELES �� WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL" N DISTRICT NO. GROUP ZONE PERMIT NO. S` 3 '3 9� ELECTRICIAN ►<. -O RECEIVED BY READY FOR DATE-ISSUED ADDREFIRST INSPECTION CITY 4a TEL. NO COUNTY LICENSE NO Z EXPIRESBUILDING ADDREs PERMIT FEES s -7 3r t FEE NUMBER EACH LOCALITY e LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES WALL SWITCHES 4q OWNER TOTAL OUTLETS Sc $ /" MAIL ELEC. RANGES P5 ADDRESS ELEC HEATERS 25 CITY TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 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 I .POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. NEW MVD. HP OVER I INC. 1/z 6 LESS $ .25 SIGNATURE OF •/ ,� 1/2 2 50 PERMITTEE t , 2 5 1 00 INSPECTION RECORD 5 15 1.50 15 50 2 50 50 200 5.00 200 500 10 00 _ ,J 500 1000 15 00 Z OVER 1000 20 00 0 M G. SET/FREQ CHANGER-HP Q: ' WELDERS AC-KVA _ O GENERATORS-KW TRANSFORMERS-KVA ' TEMP MOTORS (75%OF ORIG ) ' MOVED MOTORS (75%OF ORIG.) MISC. SIGNS NO. • NO. TRANS. APPROVALS NO. NO LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT . CONDUIT WIRING $1.00 I I -A- • FIXTURES $1.00 WIRING SUPPLEMENTARY s0 FIXTURES / q POWER i TOTAL FEE $ {- UTILITY CO. NOTIFIED 10 ' 4 FINAL '7EA.63-CE I9-67'J APPLICATION FOR ELECTRI ALE MIT COUNTY`OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST ILDING -•-8UI�DING AND SAFETY DIVISION DRESS 5738 Golden West JOHN-A. LAMSIE, COUNTY ENGINEER caLEMAN.W. JENKINS, SUPERINTENDENT OF BUILDINGCALITY Tem le fl 4- FOR APPLICANT TO FILL IN OSS ST NO EAC FEE FRECEPT s 5 OWNER Mrs. Miller MAILOTOTAL FIRST 20 7 20 1 40 ADDRESS5730 Golden West 7 OVER 20 10 CITITem le Cit TEL. NO. LIGHTING �TOTAL FIRST 20 2 20 4� CONTR7A,CTOR COnlee & Son Electric FIXTURES 2 OVER 20 10 ADDRESp,030 N. Grandview Ave. RANGE DRYERA_WTR HTR._ CITZ..San Gabri.elTEL No280-2007 STA COOK 2 DISP ! F.A U _ LICENSE No 242432 SPACE HTR AIR COND I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE ,TO COMPLY CLOTHES WASH _DISH WAS H,_ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING C ELECTRICAL WIRING FAN!—OTHER5 1 00 S Q0 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR _ LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND I TEND TO IND HEATERS, ETC HP KW KVA RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL OPERTY SIZE & TYPE OVER TO SIGNATURE a 0 - 1 1 pp OF PERMITTEE 1 - 10 3 00DISTRICT NO. GR UP ZONE P CUSSED BY 0V 10 - 50 5 00 d' 50 - 100 10 00 NOT , 100 - 500 15 00 �O �7!C•C d O. TUBE, A SIGN AND ONE CIRCUIT 3 00 �- G MARQUEE ADDITIONAL CIRCUITS 1 00 / d SERVICE NOT OVER 600 VOLTS OR 200 AMP 1 2 Do 2 0 SERVICE OVER 600 VOLTS OR 200 AMP 5 00 G�1� TEMP SERVICE, POLE, & APPURTENANCES 3 00 7 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT ISSUING FEE 2 00 2 00 WIRING FIXTURES SUPPLEMENTARY ISSUING FEE 1 00 POWER AUTHORIZED PERMIT FEE UTILITY CO NOTIFIED LAN CHECK FEE (50% PERMIT FEE) FINAL TAL FEE lO O JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION 0 M o CASH LACC)4 .973� JUN 7 2 D 1 0.80N SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL-PERMIT I hereby;afflrm that I have a certificate of consent to self insure, 76A663 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-C)• y Policy No Com FOR APPLICANT TO FILL IN• JOB • ❑ ADDRE ICertified copy is'hereby furnished New Residential Bldgs &Pools NO EACH FEE : yi_ -,, _ $ $ LOCALITY Certified co s filed with the count buddin ins ection 1 &2-Family,Sq Ft PY Y 9 P NEAREST epartment , &t�� Multifamily Scl FtcRoss sDate AppllcarLc Residential Swimming Pools ASSESSOR r MAP PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' � owriER OR Outlets Rec Light' Sw FIRM NA - COMPENSATION INSURANCE First 20 (This sectiori'need not be completed'd'the work involved by the ADDRE permit is for-one hundred dollars($100)or less)' Total No Additional. •1 certify that'rn the performarice of�the work for which this permit, CITY ' Tel N C� 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 ADDRESS' Date• Applicant RESIDENTIAL APPLIANCES NOT OVER,3 HP NOTICE}TO APPLICANT If, after making this Certificate o'f 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 y APPLICAN b LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Over 3 to 10 Incl __.19ITel Professions Code,and my license is in full force and effect Over 10 to 50 Incl / } LI6ENSEOR /1V Class 7 ' Over 50 t0 100 Incl REG NUMBE 7 � L d 0 Over 100 DISTRICT NO• PR• D N - License Num Lic Class C �+ rj Services,Swbd,MCC&Panelboards ir for f� -7 -Dat �. 0-399 Amp Under 600 V FINAL - DATE G �I'•" EJ I am exempt under Sec 400-1000 Amp Under 600 V 7-1 -Z_ l VALIDATION w Over 1000 Amp or Over 600 V FINAL // d B&P C for this reason — BRANCH CIRCUIT FEES BY Z 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 Mamt Elect 15A,20A,208V To 277V Lighting Br Circuits SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit _ _ a 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 ita, a =c . Code) ❑ I,as owner of the property,will do the work and the structure Misc Conduits&Conductors 1 "s! i . is not-intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ and Professions Code) TOTAL �� CONSTRUCTION LENDING AGENCY is{ .Ii• 30 � - I hereby affirm that there is a construction lending agency for the f performance of the work for which this permit is Issued (Sec 3097, PERMIT,FEE (Sub-Total) �L} �, k'"� UE .00 Civ C) 4 PLAN CHECKING FEE - Lender's Name ! ! —!Jt e PERMIT ISSUING FEE �-0130 1 7,11/94 . t� yi O�tC Lender's Address `.<!tf ?^I!E = t• I certify that I have read this application and under penalty of purjury state TOTAL FEE (�, that the above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representativ sof this County to enter upon the above-mentioned property for inspec urpos s SEE REVERSE FOR EXPLANATORY LANGUAGE R DAT COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0003100002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 11131 LT: 18 BL: .001 5638 GOLDEN WEST AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802520 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK 8588-012-029 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 52.00 OUT 82.20 G2 LIGHTING FIXTURES 10.00 LGT 19.50 ISS ON: PROCESSED BY: PLAN BY: EXPIRES ON: HA FAU LESS 3HP 1.00 FAU 10.95 03/10/00 UT 09/06/00 H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 OWNER: TEL. NO: H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 FINAL DATE FINAL BY E: KU; - H4 RES RANGE HDS LT 3HP 1.00 HOD 10.95 > 5638 GOLDEN WEST AV H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 TEMP 917802520 H7 RES EXHAUST FANS 3.00 EX 32.85 DESCRIPTION 0 WORK JB AC UNITS +3-10HP 1.00 AC 19.65 ELECTRICAL FOR REMODELING AND ADDITION LB 200 AMP PANELS, MCC 1.00 PAN 38.85 APPLICANT: TEL. O: TOTAL FEES 275.55 KWOK (323) 728-7833- 109 E. FLORAL DRIVE SPECIAL CONDITIONS: MONTEREY PARK, CA S COCONTRACTq" INTERNATDIONAL CONTROL (626)N917-1125 �O5 �•dA� APPROVALS DATE INSPECTOR SIGNATURE 16026 DOUBLE GROVE ST LIC. NO TEMPORARY POWER POLE VALINDA, CA 91744 590485C-36 UNDERGROUND CONDUIT ARCHITECT OR G TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT 1111111 � ROUGH WIRINGMAIN r_ Z )U Q1)L C W GRD'K S PLASTIICTER Y/NLI NE GMETAL Y/N UTILITY COMPANY NOTIFIED d o O 0 ' Ell 0 Service * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508