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HomeMy Public PortalAbout5813 GOLDEN WEST AVE_Electrical__ 76A668-CE806.10.56 APPLICATION FOR ELECTRIC . PERMIT 1 BUILDING AND SAFETY DIVISION M , p Department of County Engineer r ppREss �E,`6' • ?� .gip!1 Ct County of Los Angeles JOHN A. LAMBIE, COUNTY ENGINEER p� 0 CASSATT D. GRIFFIN. SUPT OF BUILDING OCALITY 'G✓ NEAREST FOR APPLICANT TO FILL IN CROSS ST PERMIT FEES OWNER LIGHTS RECEPTACLES SWITCHES QQ NUMBER I T E M EACH FEE MAIL ADDRESSyf TOTAL OUTLETS $ .10 $ . a�/{/J ELEC. RANGES, WATER HEATERS, , CITY (C:.-tY++'ll �,cif!!.i' CLOTHES DRYERS .50 ELECTRICIAN ELEC. SPACE HEATERS, STAT-Y. COOK- i Y ING UNITS, GARBAGE DISPOSERS, ADDRESS 15 AUTO WASHERS, DISHWASHER .25 - - LIGHTING FIXTURES .10 CITY t'Qqp JEL.NO. MOTORS STATE / j LICENSE NO. ,(> ✓1' HORSEPOWER H.P. OVER INC. - DISTRICT NO. IGROUPI ZONE READY FOR INSPECTION 1/2 &LESS .25 '/2 - 2 .50 INSPECTION RECORD 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5.00 MISC. SIGNS I NO.TRANS NO.LAMPS SERVICE 0-600V 1.00 AL SERVICE OVER 600V. 5.00 WIRING PERMIT - 1.00 FIXTURE PERMIT 1.001 1 SUPPLEMENTARY PERMIT .50 1 APPROVALS TOTAL FEE $ L5-01DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT . EAD THIS APPLICATION AND STATE THAT THE ABOVE isND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCTE LAWS REGULATINGELECTRICAL WIRING. WIRING c- S 1(. s )1 HEREBY CERTIFY THAT 1 Y REGISTERED AND/OR FIXTURES LICENSED ASREQUIRED BY LOCOUNTY AND STATE OFCALIFORNIA OR THAT I AM TOWNER OF THE ABOVE POWER DESCRIBED RESIDENTIA Pllo ISIGNATURE UTILITY CO. NOTIFIEDOF PERMITTEE ast FINAL i JOHN A. LAMBIE. VALIDATION- ARTHUR C.VETT, COUNTY ENGINEER CC. MO CASN- SUPERVISING ELECTRICAL ENGINEER .. .1 .1 9 8AUG 15 2 250 76A663A-CE806A 4/72 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS 13 BUILDING AND SAFETY DIVISION LOCALITY FOR APPLICANT TO FILL IN CROSSS T. OUTLETS NO. EACH FEE $ $ OWNER RECEPT._ MAIL LIGHT TOTAL FIRST 20 ADDRESS ���� � � OVER 20 CITY L' TEL. NO. - . SWITCH PLAN CHECK LIGHTINGTOTAL �_o FIRST 20 APPLICANT FIXTURES VER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERIT RANGE DRYER_WTR. HTR._ APPLICANT STA. COOK DISP. F.A.U._ ADDRESS --,L- SPACE SPACE HTR. AIR COND. CITY ruTEL. NO,S CLOTHES WASH. DISHWASH. LICENSE N0. CLASS. FAN OTHER IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 1 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY C MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING C7 IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. l- SIZE & TYPE OVER TO CD I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF �U CALIFORNIA OR T T I AM THE LEGAL OWNER OF, AND INTEND TOcl- LJ 1 - 10 RESIDE H SCALPED RESIDAL ABOVE P N, TROPERTY. Z 10 — 50 SIGNATURE OF PERMITTEE 50 — 100 DIES T✓RICT NO. CLASS ZONE PR CES BY 100 — 500 v . Q C.5 SIGN, GAS SIGN AND ONE CIRCUIT NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS SERVICE NOT OVER 600 VOLTS OR 200 AMP APPROVALS DATE INSPECTOR'S SIGNATURE SERVICE OVER 600 VOLTS OR 200 AMP TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES - - UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM ROUGH CONDIUT WIRING /� f FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) , UTILITY CO. NOTIFIED PLAN CHECK FEE 'l FINAL PERMIT ISSUING FEE TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK. M.0. CASH 7 7 g n RIIC 1.9 2 ® 6.0 0 •�a 76A663-CE606-7.56 g p p L I C AT'I O N FOR ELECTRIC PERMIT BUILDING AND SAFETY DIVISION i Department of County Engineer BUILDING County of Los Angeles ADDRESS 13 60.0e.a'r;4 tl JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN. CROSS ST. C1 PERMIT FEES NUMBER OWNER U P- LIGHT LIGHT OUTLETS MAIL ��jj �� �•.70.� �l1r �G�®/'� � > C �Q�� RECEPTACLES ' WALL SWITCHES FEE CITY - /�' ✓G TEL. NO. TOTAL OUTLETS @ 52 $ ELECTRICIAN .LG ELEC. RANGES 25 _ ADDRESS lJ$1 f ELEC. HEATERS 25 CITY • TEL. NO. / 'KW EA STATE D FIXTURES 5 LICENSE NO. MOTORS DISTRICT NO. I GROUP I ZONE READY FOR INSPECTION NUMBER HORSEPOWER FEE NEW MVD, HP OVER INC. EACH I 1/2&LESS $ .25 INSPECTION RECORD 1/2 2 .50 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5.00 misc. NO.SIGNS NO. TRANS. NO.SIGNS NO. LAMPS FOR EACH PERMIT: WIRING PERMIT $1.00 FIXTURE PERMIT $1.00 SUPPLEMENTARY -.50 APPROVALS TOTAL FEE $ 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. FIXTURES I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT AM THE GAL OWNER OF THE \B VE DESCRIBED RESIDENT F R UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEEAG FINAL JOHN A. LAMBIE. VALIDATION ARTHUR C.VEIT. COUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER CK MO CASH WORKERS'COMPENSATION DECLARATION 20-0019 DPW 3/87 APPLICATION, FOR ELECTRICAL PERMIT ffitht I htifiO �� hCreby arm that a certificate of consent to self CE 806G insvrPs o, a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a cerffied copy thereof (Sec. 3800, Lab. C.) P is N,757199-8$om an State Fund FOR APPLICANT TO FILL IN JOB �/� ER 'Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS �1 tJ060iF ❑Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ _ $ LOCALITY ✓� � � %` 09 tion department. Multi-family Sq. Ft. NEAREST CROSS _ 1 1 /21 /88 Steven F Glaser Residential Swimming Pools OWNERSOR 16,1; / �S Date Applicant FIRM NAME W A4_ r &04) CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw., MAIL COMPENSATION INSURANCE First 20 ADDRESS 07 (This section need not be completed if the work involved by Total No. Additional CITY Tel. No. the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in ;he performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner, Lighting Fixtures First 20 ADDRESS so as to become subject-to the Workers'Compensation Laws. Additional Total No. CITY Tel, No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT p�,��� NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION 664 %. 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. Hood — Fan —Other_ CITY &/ XA 4 fAeel. N 0 LICENSED CONTRACTORS DECLARATION LICENSE OR Disp. — Room Air Cond. REG. NUMBER Class. I hereby affirm that!am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PROCESS BY >, and Professions Code,and my license is in full force and effect. O Size &Type HP, KW, KVA, or KVAR License Number 49371 9 Lic. ClassB-1 Up to 1 Incl. FINAL V Glaser Const. 1 1 /21 /88 Over 1 to 10 Incl. DATE /Z 1. VALIDATION IZ Contractor Date F_ ❑ Over 10 to 50 Incl. FINAL ~ I am exempt under Sec. Over 50 to 100 Inc. By U W B.&P.C. for this reason Over 100 d ® U) Services, Swbd., MCC& Ponelboards Z Date: 0- 200 Amp. Under 600 V 1 Signature 201 - 1000 Amp. Under 600 V #4a ❑ Exemption for Reg. Maint. Elect, Over 1000 Amp. or Over 600 V .f o - 2550 SINGLE FAMILY Temp. Pole &Appurtenances OWNER-BUILDER DECLARATION ® 0 0 2 5.5 0 5 I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit Low for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits .1 1.2 1 ;—8 8 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 7044, Other (See Complete Fee Schedule)_ Business and Professions Code). Service Change pool 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.). Lender's Name None PLAN CHECKING FEE PERMIT ISSUING FEE Lender's Address 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 a laws regulating Electrical wiring, and here y outhoriz r presentatives of this County to enter upon th bo t ed property for inspection p poses. SEE REVERSE FOR EXPLANATORY LANGUAGE ©s Signature of ermittee Date :.: WORKERS'COMPENSATION DECLARATION 76- 10/81 806APPLICATION FOR ELECTRICAL ET I^ L PERMIT I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy the,eof(Sec. 3800,Lab. C.) r ° Policy No. 7s�1-71' Company 67ATE. r�'�� FOR APPLICANT TO FILL IN JOB / ,, y Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS 5613 6-0,i)00 We-67 Certified copy is filed with the unty build spection 1 & 2-Family,Sq. Ft. 54VOP/ $ _ $ LOCALITY ? department Multi family Sq.Ft. NEAREST Residential Swimming Pools GROSS ST. .� R✓ ate Applicant OWNER OR... _ • FIRM NAME /i/pRTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec g Li ht ! Sw. MAIL COMPENSATION INSURANCE s as ADDRESS This section need not be com leted if the work involved b the First 20 ( p y Total No. 91 5 Additional CITY Tel,No. 872'L permit is for one hundred dollars,($100) or less.). PLAN CHECK// I certify that in the performance of the work for which this permit APPLICANT C: v{� fl�ti�57�2i)G 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 ADDRESS �F�o �� 67 Additional Total No. 6r CITY f}`), ,, �n Tel.No. Date Applicant 'I�cAOA4 `+l �� 29.-7%Zo NOTICE 'TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT �/� nn Exemption,you should.become subject to the Workers'Compensation Range_ Heater D.W. _ APPLICANT Q'( &II57k 40A Q provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer W.M._ ADDRESS`` 0c/o ,04)2'x-- V provisions or this permit shall be deemed revoked: Top _ FAU W.H. ^ CITY �J'�� � Tel.No. •�7i20 LICENSED,CONTRACTORS'DECLARATION Hood - Fan Other_ /�Pu r7 I hereby affirm that I;am licensed under provisions of Chapter 9LICENSE OR 9CI 2'ief . VQ ' (commencing with Section 7000) of Division 3 of the Business and Disp. - Room Air Cond. REG.NUMBER 77 V Class. Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT Na g, PROC Y C / Size& Type HP,KW,-KVA, or KVAR J • 0V 0 License Num er Lia Class / G Up to 1 Incl FINAL V ,y Over 1 to 10 Incl.' DATE VALIDATION Contractor + Date Over 10 to 50 Incl. FI U ❑ I am exempt under Sec. Over 50 to 100 Inc. W B.&P.C.for this reason Over 100 Cl) Services, Swbd.,MCC& Panelboards Date: 0- 200 Amp.Under 600 V 6 > Signature 201 - 1000 Amp.Under 600 V ❑ Exemption for Reg:Maint.Elect. Over 1000 Amp.or Over 600 V e'!.•i„��'�'. SINGLE FAMILY Temp.Power Pole& Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit t .; 'r x�• I hereby affirm that I am exempt from the Contractor's License Law i for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits _ j Code): TG'r•P., 400 _ 75 E] 1,as owner of the property,will do the work and the structure Misc.Conduits& Conductors 40.75 Other Complete Fee Schedule) a�pc See is not intended or offered for sale (Section 7044, Business ( p and Professions Code): t•t_-t�.__ o •t 1 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the e"•';ti;� ) IM}� r_4 j'V— performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total)- Civ. C.). 3�Es O`dt' PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE 1015Q Lender's Address /��.,, I certify that I.have read this application and state that the above TOTAL FEE 4o- information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of th' ounty to enter upon the above-mentioned prop rt for representatives ti purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Pe ittee Date COUNTY OF LOS ANGELES - - TEMPLE*CITY" # 0508 - ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0509270003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 468 5813 GOLDEN WEST AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802204 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 6587-024-003 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C LB 200 AMP PANELS, MCC 1.00 PAN 38.85 TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 09/27/05 JK 03/26/06 OWNER: TEL. NO: FI AT FINAL Y: CODE: SHAPIRO, BEN/MEI (213) 798-6294- 5813 GOLDEN WEST AV TEMP 917802204 RIP ON OF WORK UPGRADE SERVICE PANEL TO 200 AMP APPLICANT: TEL. NO: ALAN SERVICE CO. (626) 309-9623- 4841 TEMPLE CITY BL SPECIAL CONDITIONS: TEMPLE CITY CA 91780 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ALAN SERVICE CO. (626) 309-9623- - 4841 TEMPLE CITY BLVD LIC. NO " TEMPORARY POWER POLE TEMPLE CITY CA 91780 29346 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED I i I I I I* ADDITIONAL DATA ON FILE 1REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1404030033 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID BUILDING ADDRESS: I ITR: 6561 LT: 468 5813 GOLDEN WEST AV 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802204 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS I 18587-024-003 IAl PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI I _IG1 OUTLETS-LGT,SW,RECP 4.00 OUT 8.00 1 1 (TENANT: IG2 LIGHTING FIXTURES 3.00 LGT 6.00 (ISSUED ON: PROCESSED BY: PLAN BY: TOTAL FEES 41.80 104/03/14 SR (OWNER: TEL. NO: I IF. AL DATE FIN BY: CODE: BEN 15813 GOLDEN WEST AV I I -I ITEMP 917802204 1 1ESCRION OF WORK I I 1 14 OUTLETS AND 3 LIGHT FIXTURES I (APPLICANT: TEL. NO: I ITO, LANH V (626)' 309-9623- I 1 14841 TEMPLE CITY BL I ISPECIAL CONDITIONS: 1 ITEMPLE CITY CA 91780 1 1 1 ICONTRACTOR: TEL. NO: I IIAPPROVALS DATE INSPECTOR SIGNATURE (ALAN SERVICE CO. (626) 309-9623- 1 1 1 14841 TEMPLE CITY BLVD LIC. NO ITEMPORARY POWER POLE ITEMPLE CITY CA 91780 648308 1 I (UNDERGROUND CONDUIT I 1 (ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I LIC. NO: I IROUGH CONDUIT 1 I "I ROUGIi WIRING �1 (MAIN WATER LINE IPLASTTC Y/N METAL Y/N i I_- I (UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I* ADDITIONAL DATA ON FILE I I I I I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I 1 4 I I I I I