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Home My Public Portal About5829 GOLDEN WEST AVE_Electrical__ ` DB 5-A 12-43 25M I Ljyp*4/'1�►nION FOR PEftN '� _ DEPARTMENT' OF BUILDING AND SAFETY' L�ELiLi�EEllC1�TY'lJRI�1C��1E. COUMrY OF LOS ANGELES M. J. FOXa^CHIEF ENGINEER _a NAME DISTRICT NO. GROUP ZONE PERMIT NO. U ADDRESS READY FOR CITY i l�/ � TEL.NO. J 7 t� r/f�SCE ) FIRST IC SPEC'ION DATE ISSUED m COUNTY rte- .� ` v N' CERT.NO. EXPIRES I cK.f�I/l�� 9-5 Hr _�—V4 APPLICANT FILL IN HFAMLY OUTLINED POR ON ONLY DESCRIPTION OF WORK ADDRESS / �„�3 NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS FIXT CROSS ST. w, CIIRCCUIT A B C D E F G H It NAME R /7 Z MAIL ,/ A Z ADDRESS 1 CITY Gpp (61�Q/TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGLES COUNTY CERTIFICATE F,oQU' FICATION.`� �J V - v 6LIECTRIGAN. _7 v I/ 1 AM THU LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS f' 1• 1 Q f Z o r o i r TOTAL /� 4Y r(�/ NO. OF OUTLETS "7 $ ✓ APPROVALS • 1 NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. / $ CONDUIT o�/ �9r'/� /��• NO. OF SIGNS TRANS. $ WIRING l,�l Cl��i f�/J►- NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ UTILITY CO.NOTIFIED TOTAL FEE FINAL �/ �O/ /�C.r./Y�f/✓ 76A663G- CE906B 12/75 APPLICATION FOR ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN JOB FResidential Bldgs & Pools EACH NO FEE ADDRESS Sq Ft $ — $ LOCALITY q. Ft — NEAREST CROSS ST Residential Swimming Pools OWNER OR ` r FIRM NAME Outlets Light, Switch& Receptacle ' M;m'L, .,' First 20 �v ADDRESS " Additional ,2 - CITY Tel No PLAN CHECK" - _ Lighting Fixtures -APPLICANT- First 20 +.j 5 ADDRESS Additional CITY Tel No " PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range Heater_ D W ADDRESS Oven -Dryer W M Top FAU W H. CITY Tel No Hood Fan LICENSE OR p REG NUMBER Class v Disp. _ A.C. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 0 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY U Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING W Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING N Up to 1 InclZ 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR •� Over 1 to 10 Incl LICENSED AS REOUI ED BY LOS ANG LES COUNTY AND STATE OF &�� CALIFORNIA OR TH 1 AM THE L AL OWNER OF THE ABOVE Over 10 to 50 Incl. DESCRIBED RESID IAL PROPERTY Over 50 to 100 Incl PERMITEE Over 100 SIGNATURE DISTRICT NO OCE D BY Services 0-200 Amp Under 600 V 15--'' 0 201 - 1000 Amp Under 600 V APPROVALSE INSPECTOR'S D Over 1000 Amp.or Over 600 V SIGNATURE TEMP POWER POLE Temp. Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH;CONDUIT >n -f (Other) WIRING a v- 2 ]FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITY,CO NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Feel FINAL PERMIT ISSUING FEE NOTES TOTAL FEE PLAN CHECK VALIDATION CK fJo 0 AS PERMIT VALIDATION CK M.0 CASH • b 3 'r-SEP 6 3 2.6 G �'"3 WORKERS"COMPENSATION DECLARATION CE-80676A663APPLICATION FOR ELECTRICAL, PERMIT. �r�� CE-806G (2-801 � I treic4y aYfirpi that I have a certificate of consent to self COUNTY OF LO$ AN S BQTrDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec'3800, Lab C.) FOR APPLICANT TO FILL IN 1p Policy No Company EACH No FEE A66RESS New Residential Bldgs &Pools . Certified copy is hereby furnished 1 &2-Family,Sq Ft $ — $ LOCALITY Multi-family Sq Ft NEARESTCROSS ST EJ Certified copy is filed with the county building inspection Residential Swimming Pools /t department V ORM NAME (?�� y Date Applicant Outlets 'Rec—'Light_Sw MAIL op First 20 ADDRESS d CERTIFICATE OF EXEMPTION"FROM WORKERS', Total No Additional CITY el No COMPENSATION INSURANCE } PLA CHECK 0 (This section need not be rcompleted if the work involved J APPLICANT Lighting Fixtures First 20 ADDRESS U by the permit is for one hundred dollars ($100) or less.) Additional cc Total No O I certify that in the performance of the work for which this CITY Tel No Fixed Appliances Not Over 1 HP F_ permit is issued, I shall not employ any;,person'm any manner ' J PERMIT so as to become subject to the Workers' Compensation Laws Range_ Heater_D W APPLICANT �� CL UJI t. Qr Oven Dryer_W M ADDRESS to FAU-_W H. Dat��,I��7Applicant �� _ Hood Fan —Other_ CITY, ! Tel No NOTICE,TO APPLICANT If, after making this Certificate of Disp Room Air,Cond,_- LICENSE OR //JillExemption, you should become- subject to the Workers' REG NUMBER Z� �Q gClass V Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO i PRO SSE BY with comply with such provisions or this permit shall be deemed revoked Size&Type'HP,KW, KVA,or KVAR Up to 1 Incl _�_• Over 1 to 10 Incl FINAL LICENSED CONTRACTORS DEOver 10 to 50�Incl CLARATION -Z—Z. -�cJ ' NALI DATION • � _ ,I hereby affirm that I am license&under provisions-of Chapter Over 50 to 100 Inc FINAL 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 BY r b ness and Professions Code, and my license is in full force and V"a��•�••— effect Services License Numb0-200 Amp Under 600 V, e S�Q Lic Class G�r 201-1000 Amp Under 600 V Contractor&&P-rF6R1){ iJ4e !jj:'1 y 90 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, Busi- Additional Sign Branch Circuits ness and Professions Code) Misc.Conduits& Conductors, ED I, as owner of the,property, will do,the work and the Other (See Complete Fee Schedule)— 91 7 a 9 A structure,is not intended or offered for sale (Section 7044, Business and Professions Code) # o 0 0 o o,2, 1, CONSTRUCTION LENDING AGENCY , I hereby affirm that there is a construction'lending agency 2 0 0 2 Q for the performance of the work fog which this permit is PERMIT FEE (Sub-Total) t issued (Sec 3097,Civ C) -0 010 12005 Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) bb o 1 5'—8 0 Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE i 4 above information is correct.I agred to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of-this County to enter upon the above- entioned property'fof inspection purposes s ' SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date _ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1208130035 BUILDING AND SAFETY / LAND DEVELOPMENT - TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID I FEES PAID I BUILDING ADDRESS: ITR 6561 LT. 471 J I 1 5829 GOLDEN WEST AV I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802204 1 (ASSESSOR INFORMATION NUMBER 1 I NEAREST CROSS STREET 18587-024-006 IA1 PERMIT ISSUANCE FEE- 27 80 1' THOMAS-PAGE 597 GRID A3 LOCALITY TEMPLE CITY, Cl I - IG1 OUTLETS-LGT,SW,RECP 46 00 OUT 73 90 1 ITENANT IG2 LIGHTING FIXTURES _ _ - 19 00 LGT 38 00 (ISSUED ON. PROCESSED BY PLAN BY 1 IRA FAU LESS 3HP 1 00 FAU 11.00 108/14/12 SR 1 1 IHl RES ELEC OVEN LT 3HP 1 00 OVE 11.00 1 1 (OWNER TEL NO IH2 RES GRBG DISP LT 3HP 1 00 DIS 11 00 1FIDEAL. ATE FIN BY CODE- 1 IWONG, RICHARD - IH3 RES DISHWASHR LT 3HP 1 00 DIS• 11-00 1 1 15829 GOLDEN WEST AV 1H4 RES RANGE HDS LT 3HP 1 00 HOO 11 00 1 1 ITEMP 917802204 IH5 RES WASH MACH LT 3HP 1.00 WAS 11 00 IDESCR PTIO OF WORK _ 1 1 1JB AC UNITS +3-10HP 1 00 AC 19 70 (ELECTRICAL FOR NEW ADDITION, REMODEL, A/C AND HEATING SYSTEMI 1 I TOTAL FEES 225 40 (AND LAUNDRY I (APPLICANT- TEL NO ITOBIN, ROBERT (909) 921-2033- 15823 ZAPATA PL - _ ISPECIAL CONDITIONS IRANCHO CUCAMONGA II ICONTRACTOR - TEL NO- 1APPROVALS _ DATE INSPECTOR SIGNATURE ,,1 - ITOBIN CONSTRUCTION INC (909) 989-9173- 15823 ZAPATA PLACE LIC NO 1 ITEMPORARY POWER POLE I I I IRANCHO CUCAMONGA, CA 91737 - 593678 1 . ' 1 1 - 1 - I ' I 1UNDERGROUND CONDUIT I I I 1ARCHITECT OR ENGINEER TEL NO IUFER GROUND - I I I LIC NO i ROUGH CONDUIT i Zino 1 1 I IROUGH WIRING I I IMAIN WATER LINE 1 1 1 - - iPLAS.TIC Y/N METAL Y/N I I I I 1UTILITY COMPANY NOTIFIEDI I I I I I I I Y I I I l I I I I I I I I I I 1 IREPORT ID DPR265 ROUTE TO BS0508 I I I I I I I I I I 1 � COUNTY OF LOS ANGELES ` TEMPLE CITY # 0508 ELECTRICAL PERMIT ' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1204090013 BUILDING AND SAFETY / LAND DEVELOPMENT _ TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT - I ' (LEGAL ID FEES PAID 1 BUILDING ADDRESS. 1 ITR 6561 LT- 471 �`I 1 - 5829 GOLDEN WEST AV I ,IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802204 1 (ASSESSOR INFORMATION NUMBER II NEAREST CROSS STREET LAS TUNAS 1 18587-024-006 71A1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY, Cl I ILB 200 AMP PANELS, MCC- 1 00 PAN 38 90 1 I ITENANT I - TOTAL FEES 66 70 (ISSUED ON PROCESSED BY PLAN BY 1 104/09/12 SR 10WNER - TEL NO FIYNAL DATE FIN - CODE 1 IWONG, RICHARD - 1 "a-12. I Z - 15829 GOLDEN WEST AV ��ll��, ITEMP 917802204 I - IDE CRIPTION OF WORK 1 I IUPGtkADE SERVICE PANEL 200 AMP I (APPLICANT. TEL NO ITOBIN CONSTRUCTION INC. (909) 989-9173- 15823 ZAPATA PLACE y I ISPECIAL CONDITIONS I (RANCHO CUCAMONGA 1 - - I ' • 'I _ - _ - I I (CONTRACTOR TEL. NO ,I - (APPROVALS _ DATE INSPECTOR SIGNATURE_ I ITOBIN CONSTRUCTION INC. -(909) 989-9173- - 15823 ZAPATA PLACE LIC NO ij (TEMPORARY POWER POLE I I (RANCHO CUCAMONGA, CA 91737 593678 I I I I ' IUNDERGROUND CONDUIT (ARCHITECT OR ENGINEER TEL. NO. 'I IUFER GROUND I LIC NO '� IROUCH CONDUIT I •'I . I__ _ I I I 4I IROUGH WIRING IMAIN WATER LINE I I PLA'9TIC YIN METAL YIN I I (UTILITY COMPANY NOTIFIED,(�, I I -I I I ' I• _ I 0 I (REPORT ID: DPR265 ROUTE TO BS0508 J I I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1110250033 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 471 1 5829 GOLDEN WEST AV I IFEE DESCRIPTION: , QUANTITY UOM AMOUNT TEMP CA 917802204 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LAS TUNAS 1 18587-024-006 IA1 PERMIT ISSUANCE FEE`, 27.80 I THOMAS PAGE- 597 GRID A3 LOCALITY TEMPLE CITY, Cl IG1 OUTLETS-LGT,SW,RECP 15.00 OUT 29 10 I 1 ITENANT IG2 LIGHTING FIXTURES 3 00 LGT 5 80 (ISSUED ON PROCESSED BY PLAN BY: I TOTAL FEES 62 70 110/25/11 SR I (OWNER TEL NO I (FINAL D E FIN CODE I IWONG, RICHARD - 15829 GOLDEN WEST AV ITEMP 917802204 IDESC PTION OF WORK I IELEC ICAL FOR DETACHED 4Z GARAGE I (APPLICANT TEL NO I I IYEH, JEREMY (626) 226-8585- I I I 18232 GARVEY AVE #202 1 ISPECIAL CONDITIONS. 1 IROSEMEAD, CA 91770 1 _ 1 I I I (CONTRACTOR TEL NO I IAPPRO�VALS DATE INSPECTOR SIGNATURE ITOBIN CONSTRUCTION INC (909) 989-9173- 1 1 1 15823 ZAPATA PLACE LIC NO I ITEMPORARY POWER POLE I I I IRANCHO CUCAMONGA, CA 91737 593678 1 I I I 1 I I (UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER: TEL NO IUFER GROUND I I I IZ Y NI ENGINEERING (626) 226-8585- I 1 I I I 18232 GARVEY AVENUE #206 LIC NO IROUGH CONDUIT I I IROSEMEAD, CA 91770 68149 IROUGH WIRING I I I IMAIN WATER LINE - 1PLASTIC YIN METAL YIN 1 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 IREPORT TD DPR265 ROUTE TO -BS0508 1 I I