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Home My Public Portal About6023 GOLDEN WEST AVE_Electrical__ 76A663 CE-80616/781 APPLICATION FOR R ELECTR CAL PERMIT_ ' COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN' JOB New Residential Bldgs 8 Pools EACH NO FEE ADDRESS �o-C C9a�G 1 &2-Family,Sq Ft $ 025 — $ LOCALITY Multi-family Sq Ft 02 — NEAREST /•� �� Residential'Swimming Pools 2500 CROSSST OWNER OR // FIRM NAME Outlets Rec LightlSw / f MAIL / ', jy First 20 50. �/ ADDRESS- Total No LQ_ Additional 30 CITY �� /,e,,q- _Tel No3' �-Q S� O PLAN CHECK APPLICANT Lighting Fixtures First 20 50 / ADDRESS Additional 30 Total No 3 -CITY Tel No Fixed Appliances Not Over 1 HP _ PERMIT Range_Heater_D W APPLICANT ,off ,� t� Oven—Dryer_W M— ADDRESS Top _FAU — W H CITY Tel No 33 Hood_Fan —Other—_ LICENSE OR Disp —Room Air Cond 2 50 REG NUMBER pC Class I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP, KW, KVA,or, COMPLY WITH ALL COUNTY ORDINANCES AND-STATE LAWS 2 50 REGULATING ELECTRICAL WIRING �6y Up to 1 Incl I HEREBY CERTIFY THAT I-AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES NTY AND STATE OF Over j Of'to 50 Incl 1250 CALIFORNIA OR THAT I AM THE LE OWNER OF T ABOVE Over 50 to 100 Inc 25 00 DESCRIBED RESIDENTI PERTY 0 Over 100 40 00 PERMITEE SIGNATURE Services DISTRICT NO / PROCESS 'BY 0-200 Amp Under 600'V 12 50 1/ 201-1000 Amp Under 600 V 25 00 Over 100D Amp or Over 600 V 5000 Z 0 Temp Power Pole&Appurtenances '1000 Q Sign with One Branch Circuit 1000 G Additional Sign Branch Circuits 200 - INSPECTION > 10 00 IN W Misc Conduits&Conductors ON REVERSE x Other(See Complete Fee Schedule) SIDE v B 1 A IL # o 0 0 o'02, PERMIT FEE ISub-Totd)l �O 2,00 1 7 50 Z PLAN CHECKING FEE (One-Fourth Permit Feel O �o=o o 7,50 Ezi PERMIT ISSUING FEE $7.00 0 ,t 1,'6-8 O TOTAL FEE 17. > INSPECTION FINALED W date ��+�+}� ,�/�- By 1! �- �,,,s� O G/��++ PSS t6A663-CES064.60 APPLICATION FOR ELECTRICAL PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERJA" UILDING BUILDING AND SAFETY DIVISIONDDRESS JOHN A.LAMBIE,COUNTY ENGINEER WILLIAM A.JENSEN, SUP'TOF BUILDINGOCALITY i FOR APPLICANT TO FILL IN NEAREST CROSS ST PERMIT FEES �p OWNER :r 1 T E M NUMBER EACH FEE OUTLET �J s s MAI L ADDRESS LIGHTS RECEPT. 6 SW. �j .10 LIGHTING FIXTURES f0 CITY TEL. , ,Y. ELEC. RANGES , CLO. DRYERS ELECTRI IAN 3 WATER HEATERS .50 ADDRESS I ELEC.SPACE HTRS. DISHWASHERS CITY , - TEL.NO. GARBAGE DISPOSERS AUTO.. STATE /I WASHERS STA.COOKING UNITS .25 LICENSE NO. (J MOTORS: OVER INC. H.P. DISTRI T O. G U ZONE CESSED BY F 0 — t/2 .25 V2 - 2 ,50 iJ INSPECTION R CORD 2 5 1.00 5 — 151.50 / 0 15 -- 5D 2.50 �] n �XJ &7Ti�) /,P,f� /Y�f 61,/Wr�J Q 50 200 5.00 �i0 o AAIS-d,✓ W SIGNS: NO TRANS. d NO. LAMPS �^/�—/ /F�N�iN' �� .j' L/V� 11 Z SERVICE 0-600V /(jp 1.00 SERVICE OVER 600V 5.00 Q / f 7P /(��61<J ifl,/bA u MISC. /N !!1 /r 6I) fl TL 7S- WIRING s WIRING PERMIT FIXTURE PERMIT 1.00 5 SUPPLEMENTARY PERMIT S0 TOTAL FEE S I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PLICATION APPROVALS DATE INSPECTOR'S SIGNATURE o AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY / WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT – LDESCRIBED WIRING. WIRING ll-' q 0 CERTIFY THAT I AM PROPERLY REGISTERED AND/OR _ AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 1/2-10 /e OR THAT 1 AM THE LEGAL O NER OF THE ABOVE i RE ID PERTY. POWERE UTILITY CO. NOTIFIED TTE FINA6 ,:t-251w (DATION ARTHUR C.VEIT, CK MO CASH SUPERVISING ELECTRICAL ENGINEER LAC,6 5 5 2 0S SEP 2 D 6.6 0 WORKERS'COMPENSATION DECLARATION 76A663 10/81 .APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND)SAFETY or a certified copy thereof (Sec 3800, Lab C ) _ 1 Policy No Company FOR APPLICANT TO FILL IN JOB ADDRESS i rtified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE Certified copy'is filed with'the county uiIcing mspec_ 1 8 2-Family, Sq Ft $ — $ LOCALITY / tion department , � � Multi-family Sq Ft NEARESTCROSS ST ' Qy{ Residential Swimming Pools OWNER T l Date� 0/Applicant / FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets RecZLight // Sw_LQ_ MAIL COMPENSATION INSURANCEFirst 20 ADDRESS �Q, '(This section need not be completed if the work involved by Total No Additional 7, CITY C,14Tel No the'permit is for.one hundred dollars ($100)or less.) I certify e that in the performance of the work for which this PLAN CHECK APPLICANT . permit 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 N• '- Additional _ - - Total No� CITY - Tel No Date Applicant Fixed Appliances Not Over I HP PERMIT NOTICE TO APPLICANT If, after making this Certificate of Exemption,�you should, become subject to the Workers' . Range— Heater_DW _ APPLICANT Compensation provisions of the Labor Code, you must forth- Oven _ Dryer W M _ ADDRESS 1 Q q,,p with comply with such provisions or this permit shall be Top — FAU —W H — deemed revoked CITY Q j`� C Tel No30S-4tSo- LICENSED CONTRACTORS DECLARATION` Hood _ Fan _ Other_ Disp •_ Room Air Cond- j;! LICENSE OR Class I hereby affirm_ that I,am licensed under provisions of Chapter 9 REG NUMBER , (commencing'with Section 7000) of Division,21 of the Business power Apparatus 8 Large Appliances DISTRICT NO PR SSED BY } and Professions Code, and my license is m full force,and effect p, 2 G� Size &Type HP, KW, KVA, or KVAR O License Number 3/� i j`6- Lic Class Up to 1 Incl FINAL V 'Q�UG�I_�' UCCXI(Ct Over 1 to 10 Incl DATE � =y VALIDATION ,O Contractor e Over 10 to 50 Incl FIN +/ V ❑ 1 BY AL rw ati W I am exempt under Sec Over 50 to 100 Inc. � t B&P C for this reason Over 100 Services;Swbd ;MCC 8 Panelboards ► \ ate' r 0 - 200 I Lr�d_er 600 V - Signature 201 - 1000 Amp Under 600 V, ❑ Over 1000 Amp or Over 600 V Exemption for Reg Maint Eject SINGLE FAMILYzE 819 2 7 A Temp Power Pole 8'Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit �# e'o 0 0'0 2 I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Grcuits Law for the following reason (Section 7031 5, Business and I� oio Professions Code) ;72125 ❑ 1, as owner of the'property, will do the work and the Mi'sc Conduits 8 Conductors ( �o io e'7 2 2 5 c= structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ 7044, Business and'Professions Code) ► 0 2. 1 a7'8.4 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 ) PLAN CHECKING FEE Lender's Name - 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 State jaws regulating Electrical wiring, and ; hereby authorize representatives of this County to,enter upon theob ve- ention d roperty for inspection purposes 2�� • SEE REVERSE FOR EXPLANATORY LANGUAGE gn ure of Permi ee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0209050015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 j PHONE: (626) 285-0488 EXT: 1 LEGAL ID: FEES PAID G TR: 6561 LT: 93 -6023 GOLDEN WEST'AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801719 INFORMATIONASSESSOR NEAREST CR6SS•STREET: LAS TUNAS 5385-019-008 Al PERMIT ISSUANCE FEE 27.75 THOMAS 'PAGE:'597 GRID: A2 LOCALITY: TEMPL6;CITY, HA FAU LESS 3HP 1.00 FAU 10.95 TENANT: JB AC UNITS +3-10HP 1.00 AC 19.65 ISSUED ON-- PROCESSED TOTAL FEES 58.35 09/05/02 JK 03/04/03 OWNER: NO: , . NALY: CODE: ROAN LEE H;PEACE A (626) 286-4987- 6023 GOLDEN WEST AV TEMP 917801719 , ADD CENTRAL AIR APPLICANT: L. CONNOR A/C & HTG (626) 286-3157- 4931 ENCINITA AVE SPECIAL CONDITIONS: TEMPLE CITY 91780 CO RACTO EL. NO: �� \ APPROVALS DAT INSPECTOR SIGNATURE %� �� RARY CONNOR A C (626) 286-3157- 4931 N ENCINITA LIC. NO � POPOWER POLE TEMPLE CITY, CA 91780 403735 C38 * �j f1'ti f UNDERGROUND CO DUI r ARCHITE CT / �,r \ \\ ` UFEW GROUND LIC. Nq�':' ROUGH CONDUIT ROUGH WIRING ,7' 1: _� �� r r MAIN WATER LINE ( �'� �' �" PLASTIC Y/N METAL Y/N UTILITY COMPANY 0 I ED * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508