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HomeMy Public PortalAbout6037-6039 GOLDEN WEST AVE_Electrical__ 7GA663-CE806-10.56 A P P L I-C A T I O N FOR ,ELECTRIC PERMIT BUILDING AND SAFETY DMSION Department Of County Engineer BUILDING /1 County Of Los Angeles ADDRESS G. O Q `.� ` JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN. >SUP•T OF BUILDING - LOCALITY NEAREST / FOR APPLICANT TO FILL IN Ross s L PEMMT FEES OWNER l LIGHTS RECEPTACLES SWITCHES , NUMBER 1 T E M EACH FEE• MAIL , ADDRESS TOTAL OUTLETS $ 10 $ Q ELEC RANGES, WATER HEATERS, CITY TEL. NO. CLOTHES DRYERS- SO ELECTRICIAN --'q - ELEC SPACE HEATERS, STAT-Y COOK- ING UN ITS, GARBAGE DISPOSERS, ADDRESS AUT LIGHTINGHFIXTURES WASHER 205 o __// CITY�Ir-/�("���� 'y TE/L. NPJ'S�7p�f � MOTORS STATE LICENSE NO. LSC . r HORSEPOWER H.P. OVER INC. DISTRICT NO GROUP ZONE ,READY FOR INSPECTION 1/z a LESS .25 2 .50 INSPECTION RECORD 2 — 5 1.00 5 15 1 50 15 50 2 50 50 200 5.00 - MISC. SIGNS. NOTRANS , NO.LAMPS SERVICE O-600V 1.00 SERVICE OVER,600V 5.00 WIRING PERMIT - 1'.00 0 - FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 APPROVALS TOTAL FEE' $ DATE INSPECTORS SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS,CORRECT AND AGREE TO COMPLY CONDUIT �---- WITH ALL COUNTY ORDINANCES AND•STATE LAWS REGULATING ELECTRICAL WIRING. WIRING L'S 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY ANGLES OJNTY AND STATE OF CALIFORNIA OR THAT I A TH GAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL/P PE SIGNATURE 1 UTILITY CO. NOTIFIED �� p / / OF PERMITTEE FINAL TZG 57 ( J i ' / . JOHN A. LAMBIE, V ATION ARTHUR.C.YEIT, COUNTY ENGINEER - ,Mo �H SUPERVISING LHCTRICAL ENGINEER DBS S-A ♦1122-r444p,�L�1�,1r� y �,�T/r •w� � ��p a"7�gCATION FOiD PERI RTRt DEPAR81�Y1CN OF BUILDING AND S[�lLL" '��s■•ol.�L�SJL FOR �Y3��1�� • COUNTY OF LOS ANGELES ELECTRIC , IC WM.A..FOX CHIEF ENGINEER ' NAME / DISTRICTS NO. GROUP ZONES` ZRIM NODRESS c �•�J �� 79, UN CITY TEL.NO. F/�Y ��/�I�JV FIRSED BY T INS INSPECTION DY FOR DATEISSUED ,.I COUNTY W CERT.NO. EXPIRE APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY, JOB DESCRIPTION OF WORK ADDRESS 44,0 NUMBER OF OUTLETS ON CIRCUITS LOCALITY �i��'�✓` LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS FIICt CROSS ST. CIRCUFX A B C D I E I F G lH W NAME M- Z MAIL 31 f3 ADDRESS O CITY ` TEL.NO. ` 0 t AM THE LEGAL POSE LfSOR OF THE ABOV ,a S ANGELES COUNTY CEE�j/ AT OF QUA�FE�ATZIN ELE RICIA I AN THE LEC3AL OW !$t OF THE PROPEfi DFS BED ABOVE �v�g p7 OWNER. C®ICTT®NS --H Z IOTA NO. OF OUTLETS $ APPROVALS `v NO. OF FIXTURES 13 _ $ S DATE INSPECTOR'S NAME .1 NO. OF MOTORS H.P. $ • CONDUIT NO. OF SIGNS TRANS. $ WIRING & NO. OF RANGES OR HE TERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ 0 .may UTILITY CO.NOTIFIED /� / TOTAL FEE O FINAL 76A663CE-806`1"78' Y R'rrECs L` ECT+RICALPERMIT;APPLICATION FO F LOS ANGELES AND AFETCOUNTY BUILDING FOR APPLICANT TO FILL IN ,IrY. JOB - ' Ne"w Re"siden?ial Bldgs'&•Pools EACH NO FEE;'r. ADDRESS=P3 LP�l� - 1 &2 Family,S Ft' $ 025 — $ 'LOCALITY, -q i• y ,+ Q1 '�.L•. ' Multi-family,Scl Ft r 02 = _NEAREST,,-,-, _ResideR al,Swimmm 25 00 CROSS'ST R►"1 �r1C 17 t M` g Pools:- OWNER-OR-- FIRM WNER•OR-FIRM NAME Outlets Rec Light Sw _ MAIL, -� First'20 50 ADDRESS =TotaLNo. - Additional 30 ITY' AN' ECK�'\ PLI ANT _ X Lighting Fixtures, First 20 50 A ESS Tw Additional 30. Total No CI Tel No Faxed Appliances Not Over 1 HP _e -PERMI Range—,Heater_"D W APPLIC NT Over_Dryer= W N1,— - ADDRESS Top _FAU•— W H,_ - r CITY, _ ._.. . Tel No _ Hood_Fan _Other_ LICENSE+OR DtspRoom Air Cond_ - 2 S0_ _ _ REG NUMBER, Gloss _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT'AND AGREE TO j6 COMPLY•'WITH ALL*COUNTY'ORDINANCES-AND-STATE'rAWS •+Size,&Type HP, KW, KVA,or KVAR, REGULATING'ELECTRICAL WIRING ,Up to l Incl 2 50 _ -O + ' I HEREBY CERTIFY'THAT'I-NM PROPERLY'REGISTERED'AND/OR Over 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS'ANGELES COUNTY AND,STATE OF az Over 10 to 50 Incl- 12 50 CALIFORNIA OR THAT.1 AM THE LEGAL_OWNER'OF, THE_ABOVE_ _-,•,Q Over 50,to,100 Inc 25 00 DESCRIBED RESIDENTIAL PROPERTY - - '40 00 -• PERMITEE Over 1'00 SIGNATURE Services- J 12 50 DISTRICT NO f "PR SED B +• 0- 200-Amp Under 600 V -201-1000 Amp Uncler•600 V- '` - 25 00 - -•-- -_ Over 1000 Amp or Over 600 V 50 00•; Z O Temp Power Pole&Appurtenances '10 00 /j Q Sign with One Branch Circuit 1000 , Additional Sign Branch Circuitst J 2 00 , ,+ INSPECTION,,. INFORMATION ` to 00 ' Misc Conduits&Conductors' Other(See Complete Fee Scl edulel ON REVERSE "_ o - SIDE; Z '97 1 a 0'A PERMIT FEE r ='' ISTLO"' ll Z # o-o{b o o 2 PLAN CHECKING FEE (One-Fourth Perin4 Feel O PERMIT ISSUING FEE r' $7 00 lo,j7.00- il�t TOTAL FEE , Q o ,o 0'1 '] i • Ila'1 1'-79 INSPECTION FINALED _ - dote 15Y s ©s 76A `E: " "e' APPLICATIO�I P01t EL�ECTRICAL PERIIIIIT. COUNTY OF LOS ANGELES BUILDING,AND SAFETY ' FOR APPLICANT TO FILL IN JOB r. • . EACH, NO FEE ADDRESS_.. .0_ ,. Lr: •��? _Wc --� . New Residential Bldg's &`Pools- ` 1 &2-Faintly,Sq Ft f 7� $ 025 — $ LOCALITYGi — �Multi-family 02 NEAREST Sq Ft •' � ' CROSS ST Residential Swiir mmg Pools, 25 00 OWNER OR FIRM NAME Outlets-Rec ,Light -Sw MAID First 20 50 ADDRESS Total No ` Addit,onal 30 ICITY _ �- „°_„•Tel No" .Z wr. PLAN CHECK- „ - APPLICANT' Lighting Fixtures, First.20 50 'ADDRESS ~, Total)No _ Additional 30 - q, 'CIT-YT Tel No Fixed Appliances Not'Over-1 HP' PERMIT kk Range_Heater_D W _ APPLI 'ANT< Db� Oven=Dryer'—W M- a: ADDRESS _ • F/ _ Top _FAUN— W H _ CITY,4O S-TeI,No -Hood_ an —Other ' LICENSE OR " Disp —_ Room'Air Cond 2.50 REG_NUMBERS e' Qa-ss �f I-HEREBY ACKNOWLEDGE THAT I HAVE'READ.THIS APPLICA- tM, Power Apparatus'&Large Appliances, TION AND STATE THAT THE ABOVE IS CORRECT•AND AGREE TO, S¢e&T L' COMPLY'WhTH ALL COUNTY' ORDINANCES-AND' STATF-LAM— 2 i Type HP, KW, KVA,or KVAR 2 50 REGULATINGELECTRICAL WIRING Up ta,l Incl•_ HEREBY'CERTIFY'THAT I AM PROPERLY'REGISTERED-AND•7OR- "---o Over 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -ps TOver-10 1-6-50 Ind- 12 50 CA'LIFORNIA_OR THAT• AM THE_LEGAL OWNER OF T,HE,ABO_V,E. -0 Over 50 to 100 Inc 25 00 DESCRIBED RESIDENTIAL'PROPERTY Over 100 ' "4000 t PERMITEE•.,,. SIGNATURE PServices--' -NO" CES5,E Y 0 200 Amp Under"600 V 12 50 201-1000 Amp -Under.600 V •-25 00 -� Q - ,r•• - Over 1000 Amp or Over 600 V 50 00' Temp Power Pole&Appurtenances ' 1000 ;6 ;^ o+ •� .- } Sign with•One Branch Circuit _ } 1000 b , Additional Sign Branch Circuits 2 00 .g ,�,` _ _ •INSPECT,ION > o �� ,, 4'•'.. , " ig`oo, INFORMATION Misc,Conduits&Cond'ucto,s' . ' _ _ _ W Other,(See'Complete Fee Schedule) - i ON - v e ' SIDE r, -Z R 9 010 1 A- '..' PERMIT FEE r`-j'(Sub'-ToToll „ �, _ 'r' PLAN CHECKING FEE (One Fou rth'Permit Feel C 2r° of�'7 5i} - : _ o'0 5 0,'7,5 s ' PERMIT ISSUING FEE $7100 TOTAL•FEE .� ..0 21 2r S O .., INSPECTION FINALED dote BY. .,• = '�""° •' �� ©s 76A663CE-806`(11 ,78) APPLICATION FOR ELECTRICALPE,RMIT ^' " COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO,FILL IN JOB New_Resid'enfial Bldge_&Pools ^' 'EACH - NO• FEE - ADDRESS I-&2-Family,Sq Ft /'TSS $ 025 _ $ LOCALITY r� -s Multi-family Sq Ft 02` CROSSEIT ST Residential Swimming Pools 25 00 OWNER OR FIRM NAM lJ A�U ,Outlets Rec Light $w MAIL-- First AIL_First 20 50 ADDRESS . Total No Additionab-- 30 _ CITY - .�.,Jel_No 9, , PLAN CHECK AP.P.LICANT_ - Lighting Fixtures First 20 50 ADDRESS m Additional• 30 Total No CITY Tel No Fixed Appliances•Not Over-1 HP _ ^ .. - PERMIT -• - - -- ` Rarige_Heater_ D W APPLICANT b� T'. Over=Dryer'_ W M— ADDRESS Top _FAU _ WH CITY _ 7ZG,•„Te I,No<3. Hood_Fan • —'Other_ LICENSE OR Disp--Room,Air Co.d_• 250 REG N JMBER. - Classe- _ IHEREBY ACKNOWLEDGE THAT21 HAVE READ THIS APPLICA^ Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO r" COMPLY WITH*ALL COUNTY'ORDINANCES-AND STATE'LAWS - Size&Type'W KW, KVA,or KVAR ; 2 50 REGULATING ELECTRICAL WIRING 0 Up to,l Incl _ 1 HEREBY CERTIFY THAT-I AM P.ROPERLY,-REGISTERED-AND%OR' --!-U Over 1 to 10 In 5 00 i LICENSED AS REQUIRED BY LOS ANGELES,CQUNTY AND STATE OF .,,@g -.Over 10 to 50 Incl- - 1250 _ _CALIFORNIA OR THAT I AM THE LEGAL QANER,QF THE,,-ABOVE ;_.-C Over 50 to 100 Inc 25 00' DESCRIBED RESIDENTI OPERTY Id Over 1'00 ' '" 40 00 = PERMIT EE _'IL SIGNATU y Services } - TDIS�TRICT_.NO PROCE 8ED'B`70 200 Amp Under 600 V' 12 50 ' ' (/ - 201"1000 Amp--Under 600 V"- -25 00- --- L��- G - - Over,1000 Amp or Over 600 V 50 00 Z Temp Power Pole&Appurtenances " ' 10 00- -Q Sign with Oneranch Circuit 10 00 'B Additional Sign Branch Circuits -2.00," INSPECTION > t_ ito;oD ' _ INFORMATION Y W Misc Conduits&Conductors N, ON REVERSE 'u Other(See Complete Fee Schedule) SIDE _ g ;90Q0'A # o:o,'o'o`o 2 PERMIT FEE lSub'Totall' ~y 2 0 0'Jr Q Jr v a Z PLAN CHECKING FEE (One-Fourth Permit Feel 0 00'5 Q ]5 v 'PERMIT ISSUING FEE _ t ` a .. $7.00 •-� - �, •�-.'x�.q.cc `1 2_8T TOTAL FEE d, /S > O ' INSPECTION FINALED c�c W date .. By �. OS WORKER S'COMPENSATION DECLARATION CE 806G APPLICATION FOR ELECTRICAL- PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'.Compensation Insurance,or a certified copy thereof(Sec 3800,Lab C) FOR APPLICANT TO FILL,IN JOB ` e� Policy No Company - EACH NO FEE ADDRESS(QO-7 Go Ve lJ W$ New Residential Bldgs.&Pools Certified copy is hereby furnished 1 &2-Family,Sq Ft $ — $ LOCALITY 9, ❑ Multi-family Sq Ft — NEAREST G' Certified copy is filed with the county budding inspection CROSS ST Pools- department Residential Swimming Pools OWNER OR FIRM NAME W Date ` Applicant Outlets Rec_Light_SwAL First 20� ADDRESS 'l S t-'�✓ CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY < Tel No COMPENSATION INSURANCE - PLAN CHECK tl APPLICANT O (This section need not be completed if'the work involved Lighting Fixtures First 20' ADDRESS U by the permit-is for one hundred dollars ($100) or less.) Additional O Total No I certify that-in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel o permit is issued, I,shall not employ any person in any manner > PERMIT W so as to become subject to the Workers' Compensation Laws Range_ Heater D W. APPLICANT t1 Oven _Dryer_W M. ADDRESS to Date Applicant Top FAU _W.H z Hood Fan _Other_ CITY Tel No NOTICE TO APPLICANT If, after making this Certificate of Disp Room Air Cond.— LICENSE OR Exemption, you should become subject to the Workers' REG NUMBER Class Compensation provisions,of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO PROCES D BY with comply with such provisions or this permit shall be' Sze&Typg HP,KW, KVA,or KVAR deemed revoked L Up to 1 Incl FINAL,,,,,, _ Z jM Over 1 to 10 Incl DATE LICENSED CONTRACTORS DECLARATION VALIDATION Over 10 to 50 Incl. , I reby affirmthat I am licensed under provisions of Chapter Over 50 to 100 Inc FINAL /1 Y BY *�--c• �- (commencing with Section 7000) of Division 3 of the Busi- Over 100 ess and Professions Code, and my license is in full force and effect Services License Number 342 �A'`� Lac Class �' 0-200 Amp Under 600 V �" 201-1000 Amp Under 600 V ContractorN)0k GOWX Lf Date -7/1"M Over 1000 Amp or Over 600 V HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances Sign with One Branch Circuit I hereby -affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Busi- . 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 Fee Schedule)— ;q 1' O A structure is not intended,or offered for sale (Section 7044,'Busmess and Professions Code) # 0 0 0 0 0,'2 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 2 0 0 S O O for .the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued (Sec 3097,Civ C.) Q ° 0 0•0 ' Lender's Name I 5,O O=m PLAN CHECKING FEE (One-Fourth Permit Feel Lender's Address 07..1'6-80 PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE 00 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 G vvv Signature of P'llilLtee Date