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HomeMy Public PortalAbout6012 GOLDEN WEST AVE_Electrical__ ' 1 APPLICATION ■{q_p�p�app �g a PERMIT pp��/p�� .4 DBS-SA �I'-9tl B LICA 6 ION F®R IELEC a RIC 0 E IMIT is DBS-SA 3.55 DIVISION-.OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles BUILDING WM.J. FOX, COUNTY ENGINEER ADDRESS Z� ` CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. _ NU'MSER EACH FEE LIGHT OUTLETS - OWNER RECEPTACLES MAIL _ADDRESS WALL SWITCHES TOTAL OUTLETS 5¢ $ CITY TEL. NO. CLEC. RANGES 25 ELECTRICIAN ELEC. HEATERS 25 ADDRESS KW EA !J _CITY _ TEL. NO. V FIXTURES 5 LICENSE NO, NUMBER OF LIGHT CIRCUITS - DISTRICT NO. GROUPI ZONE READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS � I i I p� MOTORS �L s[^+ NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD. HP OVER INC. EACH 1/2&LESS $ .25 _ 1/z 2 .50 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5.00 MISC. 04 U NO.SIGNS .NO.-TRANS. - NO.SIGNS NO, LAMPS FOR EACH PERMIT: WIRING $1.00 I 7 0 FIXTURES $1.00 O 6 SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ 4 4-3i DATE INSPECTOR'S /SIGNATURE HEREBY ACKNOWLEDGE THAT 1 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. 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE.OF CALIFORNIA OR AT I AM THE LEGAL OW 1ER OF THE ABOVE _POWER DESCRIBED R .. TIAL PRO R Y. _may UTILITY CO.NOTIFIED SIGNATURE — OFPERMITT, 'aFINAL WILLIAM J. FOX, COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT. INSPECTOR E� fl 4 9 6' JAN 4 - Z 2.40 w Y WORKERS'GOMPENSAT(ON DECLARATION 76A663 to/st AP�L�C�'1TI®I� I�®R ELECTRICAL PERMIT I here4ay affirm that I hav�a Oertficate of Consent to self insure, " CE-806G �+1 or a Certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SATIETY zopy the ibf(Sec. 3800,Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB r� � ❑ Certified co is hereby furnished. EACH NO. FEE ADDRESS o - CAI liL J PY Y New Residential Bldgs.& Pools ea ❑ • Certified copy is filed with the county building inspection 1 & 2-Family,Sq.Ft. $ $ LOCALITY department. Multi-family Sq.Ft. NEAREST CROSS ST. Residential Swimming Pools OWNER OR Date' Applicant FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec Light Sw. - MAIL � ^ COMPENSATION INSURANCE ADDRESS AD Rrte@ 1tJ9L - (This section need not be completed if the work involved by the First 20 n permit is for one hundred dollars ($100)or less.) Total No. Additional CITY Tel.No. oC I certify that in the performance of the work for.which this permit PLAN CHECK' is issued, I shall not employ any person in any manner so as to APPLICANT become s Nect to the Workers'Comp nsatio�n�L,agws. Lighting Fixtures First 20 ADDRESS /C f f Total No. Additional CITY Tel.No. Date Applicant VV NOTICE O APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. APPLICANT ' provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top FAU W.H. LICENSED CONTRACTORS DECLARATION Hood _ Fan Other_ CITY Tel.No. I hereby affirm that I am licensed under provisions of Chapter 9 Disp. - Room Air Cond. LICENSE OR Class. (commencing with Section 7000) of Division 3 of the Business and REG.NUMBER Professions Code,and my license is in full force and effect. .DISTRICT NOESSED BY Power Apparatus& Large Appliances D a Size& Type HP, KW,KVA,or KVAR 0 License Number Lic.Class0 Up to 9 Incl FINAL Over 1 to 10 Incl. DATE (� Contractor Date VALIDATION 0 ❑ Over 10 to 50 In . FINAL I am exempt under Sec. Over 50 to 100 Inc. 8Y W BAP.C.for this reason Over 100 d Services, Swbd.,MCC& Panelboards ® Z Date: 0- 200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V V ❑ {'�� Exemption for Reg.Maint.Elect. Over 1000 Amp.or Over 600 V SINGLE FAMILY Temp. Power Pole & Appurtenances l \ 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit « a I hereby affirm that I am exempt from the Contractor's License Law ACCT.10 for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits �� t� 25.50 am Code: I,as owner of the property,will do the work and the structure Misc. Conduits & Conductors' 1 ITEMS1� is not intended or offered for sale (Section 7044, Business Other (See Complete Fee Schedule) and Professions Code). / T�TAL 2:_a CONSTRUCTION LENDING AGENCY CHECK 2Ju50 I hereby affirm that there is a construction lending agency for the CHANGE .011 performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ. C.). Lender's Name LJ .I PLAN CHECKING FEE 0000-0013 1 7 9/21/189 Lender's Address PERMIT ISSUING FEE ® 5829 . 1 AM 08925 5, .43t n I certify that I have read this application and state that the above TOTAL FEE ' 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 prop`ty for inspection p�poce , SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date :DEfARTlVlENT-..OF ':BUILDING AND'SAFETY APPT.ICATION FOR PERMIT COUNT .LF.Los AN GET ESS NATI TE ,OF 'INSTALLATION DISTRICT Ho: CRo1 P,YPE PERMIT vo � WIRING FIXTURES E Y. .a j) R AD FOR RECEIVED BY DATH ISSUED. •RANG[ HEATER ''' 1 POWER: FIRST INSPECTION �3`tel 07'- 4 1 alrtM@ MLSCFLLANEOC:S AMAAN'i � LIN HE IL ' OU'1 D 01MO � ONL } JOBJ� XJ�� k Z Ir' * �1 1 ADDRE69` 1.� Ste/ * tr "• U i ADDRESS ! ' `' LOCALITYA4 N.qAREST a I Ct'fY ✓G'n � � � TEL Nof ! / ,.1(/,GR_OSe ST. eT,i7n COUNTY. w LICENSE No., -! 7S e� oaC !,1 i 2 NAME - DES &TION OFWOR_??•-eT i i MAIL / / 3 ADDRESS R NUMBER OOUTLETS ON CIRCUITS ! / O LOCATION BY ROOMS :IT TEL No. (.U1�{ZLI,l llf 1V 5 CIRCUrrA j B G ! rJ i S F G m LiVI,%-G ROOM I 1 SRFST. RM. I I I bATH 1 ENT. HALL HALL NO 411 v� MA`Y •t ( � f...F 2n OUTSIDE t!lTCFIE V A 4 r 0a SERV, PCH. DATH �N sr�c•1•pst-• MAt.f� Y• d r I f _CO%I7UIT 1 i _ WIRING TOTAL - � _FIIfTtfR[S � •„. NO. 0/ OUTER" G i S k-7 ti!'DW[RGuTtLm CO. WKOTIrrR J ' /QI FIXTURtd1110. OI wOTORe N, i. • IrNAI Aft THt LR4AL O'+IIWHtC11 OI [ /J dKtf f MO. OI •1M1i � T+A N•• ��( Cp1tMf7 ItSO1�TAAncoo +/�✓ t a s a40 two W .0 0 . awmwr A- +-or w." a .es _ ♦w ,•• !dam I3:• I� a.Ae."e�"+-om tclet F•• fs !. :4!f y'>+''.r - -r alk'. �p• . COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS E!. 0508 0406030015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 85 6012 GOLDEN WEST AV SEE DESCRIPTION: QUANTITY: UOM: AMOUNT. TEMP CA 9178017/8 ASSESSOR INFORMATION NUMBER: i NEAREST CROSS STREET: GARIBALDI 5385-027-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C _ G1 OUTLETS—LGT,SW,RECP 79.00 OUT 118.65 TENANT.: G2 LIGHTING FIXTURES 25.00 LGT 45.75 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: ,HA FAU LESS 3HP 1.00 FAU 10.95 06/03/04 VG 11/30/04 I, �J H7 RES EXHAUST FANS 3.00 EX 32.85 OWNER: TEL. NO: JB AC UNITS +3-10HP 1.00 AC 19.65 FINAL T ff iit i6O12 LI, JING HUA(LILY) (626) 353-0888— 'B 200 AMP PANELS, MCC 1.00 PAN 3,.85 GOLDEN WEST AV iTOTAL FEES 294.45 ITEMP 917801718 ! P ON OF WORK FLEC RICAL FOR ADDITION APPLICANT: TEL. INFRA + ARCH DEVELOPMENT, INC. (626) 458-8111— i 11028 WESTMINSTER AVE I jSPECIAL CONDITIONS: IALHAMBRA, CA 91803 CONTRACTOR: — — — _ -- TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE LI, JING HUA(LILY) (626) 353-0888- 6012 GOLDEN WEST AVE. LIC. NO I TEMPORARY POWER POLE TEMPLE CITY, CA 91780 NONE I I UNDERGROUND CONDUIT I s _ ARCHITECT OR ENGINEER: � TEL. NO� UNEP GROUND j � -- IIN RA AND ARCH DEVELOPMENT, INC. (626) 458-8111— ! 11028 WESTMINSTER AVE. LIC. NO-, i ROUGH CONDUIT ALIHAMBRA, CA 91803 NONE I I iR0t1GF" WIRING — ! iMAIN WATER LINE PLASTIC Y/N METAL Y/N j I UTILITY COMPANY ROT IFIED I .j I- i REPORT ID: DPR265 ROUTE TO: BS0508 ! ! I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0406030012 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 85 6012 GOLDEN WEST AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801718 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI 5385-027-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C B2 1 OR 2 FAMILY DWELL 639.00 SQ 67.10 TENANT: TOTAL FEES 94.85 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 06/03/04 VG 11/30/04 OWNER: TEL. NO: FINN D FINAL S : CODE: LI, .LING HUA(LILY) (626) 353-0888- 6012 GOLDEN WEST AV TEMP 917801718 ✓� :iPTION OF WORK FEC, ICAL FOR NEW GUEST HOUSE APPLICANT: TEL. NO: INFRA ¢ ARCH DEVELOPMENT, INC. (626) 458-8111- 1028 WESTMINSTER AVE SPECIAL CONDITIONS: ALHAMBRA, CA 91803 CGNTRRCTOR; TEL. NO: APPROVALS DATE INSPECTOR Sl nriU? LI, jlNG HUA(LILY) (626) 353-0888- 6012 GOLDEN WEST AVE. LIC. NO TEMPORi?RY POWER POLE TEMPLE CITY, CA 91780 NONE UNDERGROUND CONDUIT' ARCHITECT ORENGINEER: ^� TEL. NO: UPEr. GROUND INFRA AND ARCH DEVELOPMENT, INC. (626) 458-8111- I1028 WESTMINSTER AVE. LIC. NO: ( ROu'GH CONDUIT {IALHAMBRA, CA 91803 NONE j . ji uiimi wia<Iiev MAID: WATER LINE PLASTIC Y/N METAL Y/N UTiLI Y COMPANY NOTIFIE I� REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANF=ES_ -. TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1205240006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID BUILDING ADDRESS: ITR: 6561 LT: 85 - 1 6012 GOLDEN WEST AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917801718 I (ASSESSOR INFORMATION NUMBER: 1 - I NEAREST CROSS STREET: 15385-027-018 IP2 PC RES PV<10KW 153.90 I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl I 1A1 PERMIT ISSUANCE FEE 27.80 1 (TENANT: IP3 INVRTR RES PV<10KW 27.90 (ISSUED ON: PROCESSED BY: PLAN BY: 1 I TOTAL FEES 209.60 107/12/12 SR 1 10WNER: TEL. NO: I FIN?.x -'T F FINAL BY: CODE: ISZETO, ZUSELL (626) 592-0960- I 1 16012 GOLDEN WEST AV TEMP 917801718 ,1Cii OF WORK I I IRESIDENTIAL ROOF MOUNT OF 18 PV PANELS, 1 INVERTER, 20 A 1 I I IBREAKER 4.32 KW I 1APPLICANT: TEL. NO: I IDUROCHER, NICOLE (909) 973-6299- I 12896 METROPOLITAN PL 1 (SPECIAL CONDITIONS: 1 POMONA I I I I I (CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 ISOLARCITY CORPORATION (650) 638-1028- 1 13055 CLEARVIEW WAY LIC. NO ITEMPORARY POWER POLEI I 2 ISAN MATEO, CA 9440888104BC10 *I 1 I I I 1UNDERGROUND CONDUIT I I I 1ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I I I 1 11 1 1 LIC. NO: 1 (ROUGH CONDUIT I I 1ROUGH WIRING IMAIN I1 II WATER LINE JPLASTIC Y/N METAL Y/N 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 1* ADDITIONAL DATA ON FILE I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1211060009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ITR: 6561 LT: 85 I 1 6012 GOLDEN WEST AV 1 I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917801718 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 15385-027-018 IP2 PC RES PV<10KW 153.90 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl IAl PERMIT ISSUANCE FEE 27.80 (TENANT: IP3 INVRTR RES PVc10KW 27.90 (ISSUED ON: PROCESSED BY: PLAN BY: 1 I I TOTAL FEES 209.60 111/28/12 SR 1 I I I I (OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE: 1 ISZETO, ZUSELL (626) 592-0960- 1 1 16012 GOLDEN WEST AV I I ITEMP 917801718 I IDESCRIPTION OF WORK I IRESIDENTIAL ROOF MOUNT OF 6 PANELS TO EXISTING SOLAR FOR I ITOTAL OF 5.52 KW I (APPLICANT: TEL. NO: I i IPEREZ, SHASTA (909) 973-8752- I I 12896 METROPOLITAN PL I - ISPECIAL CONDITIONS: IPOMONA I I I I I CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE ISOLARCITY CORPORATION (650) 638-1028- 1 1 13055 CLEARVIEW WAY LIC. NO 1 ITEMPORARY POWER POLE I ISAN MATEO, CA 94402 888104DC10 *I I O ��� r� /16 )UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: i per— ED � IUFER GROUND 1 LIC. NO: I IROUGH CONDUIT I I I TROUGH WIRING I I I IMAIN WATER LINE IPLASTIC Y/N METAL Y/N I I I I I I I (UTILITY COMPANY NOTIFIED( 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 f I I I I I I I I I I I I I I I I I 1* ADDITIONAL DATA ON FILE I I I I I I I I I i I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY 0708 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0407190001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONd : (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING DDRESS: TR: 6561 LT: 85 6012 GOLDEN WEST AV FEE DESCRIPTION: QUANTITY: UO2,17 AMOUNT: TEMP CA 917801718 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI 5385-027-018 Al PERMIT ISSL..N;-E FEE 27.75 THOMAS PACs=: 597 GRID: A2 LOCALITY: TEMPLE CITY, C _ E1 TEMP SERV POWER POLE 1.00 TMP 43.65 TENANT: TOTAL FEES 71.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 07/19/04 JK 1/15/05 OWNER: TEL. N0: FI L DA Tc FINAL CODE: LI, JING HUA(LILY) (626) 353-0388- 6012 GOLDEN WEST AV G J TEMP 917801718 ESCRIPTION OF WORK TEMPORARY POWER POLE APPLICANT: TEL. NO: INFRA + ARCH DEVELOPMENT, INC. (626) 458-8111- 1028 WESTMINSTER AVE SPECIAL CON011'IUNS: ALHAMBRA, CA 91803 CONTRACTOR: TcL. NO: APPROVALS DATE INSPECTOR SIGNATURE LI, JING HUA(LILY) (626) 353-0888- 6012 GOLDEN WEST AVE. LIC. NO TEMPORARY —ER POLE TEMPLE CITY, CA 91780 NONE UNDERGROUMD CONDUIT ARCHITECT OR ENGINEER. TFL. NO: UFER GRCsisd0 _ INFRA AND ARCH DEVELOPMENT INC. 1;62611 458-8111- 1028 WESTMINSTER AVE. LiC. NO: ALHAMBRA, CA 91803 767:025 ROUGH MAIN WATER—LINT-- PLASTIC INEPLASTIC Y/;d METAL Y/N UT I L T TY Gr-i�PANY NOT—IFI I ED Z �� REPORT ID: DPR265 ROUTE TO: BS0508 i i