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Home My Public Portal About5801 GOLDEN WEST AVE_Electrical__ 76A663-CEP" 10,74 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES _ DEPARTMENT OF COUNTY ENGINEER ADDRESS -YOt IdU• BUILDING AND SAFETY DIVISION LOCALITY , TCa,(�� CC` t( Ca L r7 v NEAREST FOR APPLICANT TO FILL IN CROSS ST. wcOu 4—fy IL/ OUTLETS NO EACH I FEE OWNER OR $ $ FIRM NAME P�3Ek'� -Aj RECEPT._ MAIL LIGHT TOTAL FIRST 20 25 ADDRESS 1[ CITY TEL. N0. SWITCH OVER 20 ip PLAN CHECK • LIGHTING FIRST 20 25 APPLICANT TOTAL ADDRESS FIXTURES OVER 20 1p RlENTIAL APPLIANCES CITY TEL. No. PERMIT RANGE ORY•ER_WTR. HTR. APPLICANT l STA. COOK DISP. F.A U. ADDRESS SPACE HTR. AIR COND CITY TEL. NO .�� CLOTHES WASH. DISHWASH. LICENSE ORREG. NUMBER CLASS. FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING 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 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE d 1 - 10 300 DESCRIPED REST NTIAL PR TY U PERMIT EE C CC 10 — 50 500 SIGNATURE C3 U 50 — 100 1000 DIST CT NO. P CESSED BY � 1 00 — 500 1500 ` pl.MINZ SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INS 'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICE NOTOVER 600 VOLTS'OR 200 AMP 300 UNDERSLAB WORK SERVICEOVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE, ' PERMIT ISSUING FEE 300 TOTAL FEE PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION V CK Mk CASH 4 8 -2 QGT" 1 2 Q , 6.0 0 ys SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - 76A663-CES" 10/74 yW'� APPLICATION FOR ELECTRICAL PERM COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS �� Q BUILDING AND SAFETY DIVISION LOCALITY NEAREST FOR APPLICANT T'O FILL IN CROSS ST, OUTLETS NO EACH FEE OWNER OR $ $ 1 FIRM NAME ' RECEPT._ MAIL FIRST 20 25 ADDRESS LIGHT TOTAL CITY TEL. N0. SWITCH OVER 20 10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 _ APPLICANT % FIXTURES 10 OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WJR HTR. APPLICANT > > STA COOK DISP 1p F.A.0 �. ADDRESS o , u SPACE HTR. AIR COND CITY AA TEL. N0. a/J CLOTHES WASH. DISHWASH LICENSE OR CLASS �•-/iJ REG. NUMBER FAN OTHER 100HEREBV ACKNOWLEDGE THAT, I HAVE READ THIS APPLICATION ANDI STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING , 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 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF }. CALIFORNIA OR THAI I AM THE LEGAL OWNER THE /(LnABOVE CL 1 - 10 300 OESCRIF'E REST DEN FROPERTY.4 ORMITEE 10 - 50 500 SIGNATUREV U 50 - 100 1000LLI DISTRICT N0. ROCE SED BY n V! 100 - 500 1500 Z SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR'S IGNATURE TUBE, OR •MARQUEE ADDITIONAL CIRCUITS 1 00 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200 AMP 300 S WORK SERVICEOVER600 VOLTS OR 200AMP 1000 DUIT , TEMP SERVICE,POLE, &APPURTENANCES 500 TEMP LIGHT OR RECEPT. SYSTEM 300 HORIZED . NOTIFIED �( PERMIT FEE (SUB TOTAL) PLAN CHECK FEE PERMIT ISSUING FEE 300 TOTAL FEE 1 4, PLAN CHECK VALIDATION CK M 0 CASH PERMIT IPATION CK J M 0. CASH l 8.5 3 P SEP 24 • 2 U 1 5.0 0 e�jb SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKERS'COMPENSATION DECLARATION CE 806G (2-80) APPLICATION FOR .ELECTRICAL PERMIT , I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES G BUILDING AND SAFETY insure, or a certificate of Workers'Compensation.Insurance,or i a certified copy thereof(Sec 3800,Lab C) Z/� / p FOR APPLICANT TO FILL IN JOB Policyo Com any ADDRESS New Residential Bldgs &Pools EACH NO FEE Certified copy is hereby furnished 1 &2-Family,Sq Ft — $ LOCALITY C Certified co Multi-family Sq Ft — NEAREST 11 !f copy is filed with the county building msp�ction CROSS ST depar merit Residential Swimming Pools OWNER OR 1 FIRM NAME f/ Date -A-pplicait Outlets Rec J ught_Sw — v ADDRESS First 2 MAIL CERTIFICATE OF EXEMPTION FROM WORKERS' Total No iAdditional CITY Tel No COMPENSATION-INSURANCE } PLAN CHECK d APPLICANT S 1 O (This section need not be completed if the work,involved V by the Lighting Fixtures Frst 20 ADDRESS permit is for one hundred dollars ($100) or less.) Addiitional Total No CITYTel No ��p O I certify that in the performance of the work for which this Fized Appliances Not Over 1 HP E'L� / / =��v 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. _ APPLICANT LU W CL Oven Dryer_W.M._ ADDRESS CO Z DateApplicant Top FAU _W.H Hood _ Fan _Other_ CITY 17— Tel No NOTICE TO APPLICANT If, after making this Certificate of Disp. _ Room Air Cond.— LICENSE OR 7 -7 Exemption, you should become subject to the Workers' REG NUMBER C� d��Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO PROC SED BY with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,-or KVAR �r O deemed revoked. Up to 1 Incl. FINAL ' _ �- LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE �'�� VALIDATION Over 10 to 50 Incl I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL, 9 (commencing with Section 7000) of Division 3,of the Busi Over 100 BY / ness and Professions Code, and my license is in full force and effect Services License Number Lic Class � 0-200 Amp Under 600 V i1L 2— 201-1000 Amp Under 600 V O \Contracto e4S tate `� � h` Over 1000 Amp-or Over 600 V, HOME OWNER-BUILDER DECLARATION Temp Power Pole&Appurtenances I he affirm that I am exempt from the Contractor's Sign with One Branch Circuii License Law for the following reason (Section 7031 5, Busy Additional Sign Branch Circuits ness and Professions Code) Misc Conduits&'Conductors I, as owner of the property, will'do the work and the. Other (See Complete Other ;23965A ' ,structure is not "intended or offered for sale '(Section 7044, Business and Professions Code). # -101,0 0 0 2 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 2 0 Eo ,2 1,G for the performance of the'work for which this permit is PERMIT FEE (Sub-Total) issued (Sec 3097,Civ C) �' p tO i0 U`d 0_- Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 0J LO r 8 2 Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE �d 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 for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ignatur of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS -'EL' 0508 9908240023 -' BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D: FEES PAID. BUILDING ADDRESS: TR: 6561 LT: 466 5801 GOLDEN WEST AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802204 ASSESSOR IO BER: NEAREST CROSS STREET: WORKMAN 8587-024-001 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY LB 200 AMP PANELS MCC 1.00 PAN 38.85 - r NOTAL FEES 66.60 ISS S B LA S ON: 08/24/99 UT 02/20/00 OWNER: TEL. NO: FINAL DATE FINAL BY: C NELSON ROBERT C;DONNA R (626) 286-3978- ��ZZ 5801 GOLDEN WEST AV / TEMP 917802204 DESCRIPTION OF WORK f NEW ELECTRICAL PANEL UPGRADE 200 A P APPLICANT: TEL. NO: ACTIVE ELECTRIC (626) 794-3000- 2033 QUEENSBERRY RD. SPECIAL CONDITIONS: PASADENA, CA co CONTRACTOR: TEL. NO: ��3 ��/�. APPROVALS DATE INSPECTOR SIGNATURE ACTIVE ELECTRIC (626) 794-3000- �. 2033 QUEENSBERRY RD. LIC. NO TEMPORARY POWER POLE PASADENA, CA 91106 414071/C10 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: T E U.-NO: - R OUND LIC. NO: 1111111 0 GH CONDUIT ROUGHING U L�� N n (0 K S N WATER LINE \��=///��(// L� u PLASTIC Y/N METAL Y/N UTILIlY C LPVII-ce TbO8 �tl REPORT ID: DPR265 ROUTE TO: BS0508