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HomeMy Public PortalAbout6219 GOLDEN WEST AVE_Electrical__ 76A663-CE806 10/72 APPLICATICM FOR EiECTRIW, PERMIT ' '"COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND,SAFETY 'DIVISION ADDRESS i 7 „ LOCALITY NEAREST FOR APPLICANT'TO FILL IN CROSS ST. OUTLETS NO EACH I FEE OWNER 5 $- FIRM NAME " RECEPT MA'IL FIRST 20ADDRESS .Z 4J."E•a'"� LIGHT TOTAL 25 s e _ 'CITY TEL NO SWITCH OVER 20 10 PLAN CHECKr LIGHTING FIRST 20 25 APPLICANT I 1 TOTAL FIXTURES OVER 20 10 - ADDRESSZ � ' RESIDENTIAL APPLIANCES ' CITY _ TEL No 2�} PERMef RANGE -DRYER_WTR• HTR APPLICANT y/`" STA COOK DISP - F A U ADDRESS Z Sipa`� , SPACE HTR / � AIR COND 1 CITY TEL NO >s�zJ3 .CLOTHES WASH DISHWASH LICENSE OR--- REG R-REG NUMBER S CLASS �...� FAN OTHER 1 00 I HEHEB, ACKNOWLEDGE THAT I HAVE READ THIS,APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND.AGREE TO COMPLY MOTORS, TRANSFORMERS RATING 1 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS, ETC HP KW KVA J ELECTRICAL WIRING SIZE & TYPE, OVER TO '1 HEREBY CERTIFY, THAT I'AM PROPERLY REGISTERED ANO/OR . `-� + P O — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM 'THE LEGAL OWNER OF THE ABOVE } 1 — lO 300 DES�RII',ED RESIDENTIALI-,P OPE TY PERMITEE V r G a 10 - 50 .500 SIGNATURE��o-Li�L �i�/ �. O 50 — 100 1000 DISTRICT N0, P ED BY W foo — 500 1500 Q D , Z SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE �INSPECTO SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS. 100 TEMP POWER POLE LREOTOVER 600VOLTS OR200AMP 300 UNDERSLAB WORK ' VER600VOLTSOR200AMP 1000 T ROUGH CONDUIT ICE,POLE,'&APPURTENANCES 500 WIRING HT OR RECEPT SYSTEM 300 FIXTURES •�, AX a v ._�, ` I POWERI AUTHORIZED '� ^ UTILITY CO NOTIFIED , FINAL, ` f . EE (SUB TOTAL) NOTES // ���� -��,s1� �,CK FEESUING FEE 3'00 EE " PLAN'CHECK VALIDATION CK M 0 -CASH ' PERMIT,VALIDATIONcK M 0 CASH . , ": - 3•-o:�o�r���.,29 two, ' • �5,7 5 ®�; d SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE N r Z 76A66C-CE#'806 5-61 APPLICATION FOR ELECTRI AL PERMIT I� COUNTY OF LOS /ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING ���, s T BUILDING AND SAFETY DIVISION ADDRESS oZ �- JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A JENSEN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST PERMIT FEES OWNER O�f3Sd I T E M NUMBER EACH FEE MAIL OUTLETS s s ADDRESS LIGHTS RECEPT. SW .to CITY TEL. NO. LIGHTING FIXTURES .10 ELEC. RANGES CLO DRYERS ELECTRICIAN// ///.� /) WATER HEATERS .50 ADDRESS ELEC SPACE HT S DISHWASHERS CITY TEL NO. GARBAGE DISPOSERS _ - AUTO- STATEr WASHERS 1 STA COOKING UNITS ,2$ LICENSE NO. 4-1 7- MOTORS OVER INC H P. DISTRIC N GROUP Z E P�CES5MD BY 0— 1/2 .25 1/2— 2 .50 INSPECTION RECORD 2— 5 1.00 d 0 5— IS 150 u 15— SO 2.50 w 0 F 50— 200 $00 W NO TRANS 0' SIGNS N NO LAMPS z SERVICE 0-600V 100 SERVICE OVER 600V 500 MISC 0 WIRING PERMIT 100 FIXTURE PERMIT 100 SUPPLEMENTARY PERM I 50 (' TOTAL FEE S $ 1 HEREBY ACKNOWLEDGE THAT I AVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING 1 HEREBY RT Y THAT 1 AM PROPERLY REGISTERED AND/OR , LICENSED S R UIRED BY LOSMANGLEOUNTY AND STATE OF FIXTURESCALIFORNIA OR HAT AM THNER OF THE ABOVEDESCRIBED SI ENT] PROPERT _ POWER SIGNATURE v 10 UTILITY CO NOTIFIED OF PERM! FINAL 'k vvw7l '? IDATION ART URIC. VETT cK Mo CASH SUP RVISING ELECTRICAL ENGINEER 69 © `8` Jai ' 2 D .75 • ``' cry .GAS63-CEBOO t0_60 APPLICATION FOR ELECTRICAL PERMIT 1 COUNTY OF LOS ANGELES DEPARMENT OF COUNTY-ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY - - NEAREST FOR APPLICANT TO FILL IN cRoss ST. PERMIT FEES OWNER Af I T E M NUMBFRj EACH FEE MAIL - OUTLE S 3 ADDRESS - - ItLIGHT �th ece SW .10 020 CITY TEL. NO. LIGHTI G FIXTURES ,10 ELEC. RANGES CLO. DRYERS ELECTRICIANiC WATER HEATERS 49ADDRESS 316 Tocino Dr. ' ELEC.SPACE HTRS. DISHWASHERS _ Duarte- CITY TEL NO. EL 8216' ERB AUTO.- / STATE LICENSE NO. ° WASHERS STA COOKING UNITS .25 �-�+ MOTORS. OVER INC. HP* ' DISt® NO. GRO P I ZO I PRACESSED BY O— 1/2 25 _ t/2— 2 :So INSPECTION RECORD } 2— 5 1.00 _/ a 5— Is 1.50 115— 50 2.50 / / - 4 f n / O 50— 200 5.00 b' 'll d - A 4h FIIwA SIGNS: NO.LAMPS SERVICE 0-600V 1,00 SERVICE OVER 600V Soo misc. WIRING PERMIT 1 00 FIXTURE PERMIT too r SUPPLEMENTARY-PERMIT 50 TOTAL- FEE yo 1 APPLICA HEREBY ACKNOWLEDGE THAT I HAVE READ THIS TION APPROVALS 'DATE INSPECTOR•8 SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING pp ELECTRICAL WIRING. WIRING � I HEREBY TIFY THAT ! AM PR RLY REGISTERED AND/OR LICENSED AS EQUIRED BY LOS AN ES COUNTY AND STATE OF FIXTURES CALIFO RN OR THA 1 AM TH L AL NER O E ABOVE /� DESCRIBE RESIDEN LPRO ERT POWER �1 SIG / UTILITY CO.NOTIFIED V y OF PERMI FINAL VALIDATION ARTHUR C. VEIT SKMo cwsH SUPERVISING ELECTRICAL ENGINEER 095931 JUL 5 2 D 10.60 WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) 76A663 APPLICATION FOR ELECTRICAL PERMIT - I hereby affirm that I have a certificate of consent-to self Insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV' copy ttiefeof(Sec 3800'Lab /r1(/J� Policy NO/LrK�= �� "P v /✓ �v-' —sa/ ' FOR APPLICANT TO FILL IN JOB ADDRESS ❑ Cerhfied`copy is hereby furnished' ' �I /�P New Residential Bldgs &Pools NO EACH FEE -17 $ $ LOCALITY /07 Certifie co is filed with the count bull in I n 1 &2-Family,Sq Ft PY Y 9- _ NEAREST no epa ant r Multifamily Sq Ft CROSS ST 'Q Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL C TIFICATE OF EXEMP ION FROM WORKERS' OWNER OR e r 1)6 N Outlets Rec Light SW FIPM NAME COMPENSATION INSURANCE -�, ' -r •` First 20 MAIL )��� (This section need not be completed If the work Involved by the ADDRESS `q O 6w fYc S Ave, permit is foF one hutndred dollars($100)or less) Total No Additional s ,m 1 certify that in the performance of the work for which this permit CITY Tt�r ' 1 �e �f T (:?5 73 is issued, I shall not employ any person'in any manner so as t0 PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No Additional ADDRESS Date ° 'Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICES TO APPLICANT If,- after making this Certificate of CITY Tel No Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP Power Apparatus&Large App provisions of the'Labor Code, you must forthwith comply with such PERMIT I., C provisions or this permit shall be deemed revoked ` / Appliances APPLICANT l� (eG 1 v` ` 'L'ICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS Np- S W �.sh n -fin (� 1 hereby affirm-that I am licensedunder provisions of Chapter 9 Over 3 to 10 Incl (commencing with Section 7000) of Drvirn'3 of the Business and CITY LoS Lo (e 5 Tel �jbr 76 Professions Code,and my license Is In full force and effect Over 10 to 50 Incl } LICENSE OR /�., Over 50 10 100 IDCI a REG NUMBER W Class 0- SED BY-- ---- -T--O- License Number r Lic Class n p Servjoes,Swb�Par1e1-b ar �1 !/J w O / rlGC C/ FINAL Contfactocc Date 0- "MCC er DATE El - 400-1000 Amp Under 600 V Z(�44 V I am exempt under Sec VALIDATION Over 1000 Amp or Over 600 V FINAL LU B&P C for this reasonBY [L BRANCH CIRCUIT FEES Date 15A,or 20A, 120V,Lighting or Recept Z_ - - 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ - _ _ 41 Or More Branch Circuits Exemption for Reg Maint Elect 15A,20A,208V To 277V Lighting Br Circuits 7 SINGLE FAMILYwtr s HOME OWNER-BUILDER DECLARATION Temp Power Pole&Appurtenances ACCT o g I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit 3303 6 '05 for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits_ i Code) 1 ITEMS ❑ I,as owner of the property, will do the work and the structure Mlsc Conduits&Conductors TOTAL 66 = A'-'k5 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee-Schedule) is t�tL t t4 and Professions Code) ® CHECK 66.45 CONSTRUCTION LENDING AGENCY CHIN GECIO I hereby affirm that there is a construction lending agency for the ` performance of the work for which this permit is issued (Sec 3097, PERMIT FEE (Sub-Total) Civ C> - 0000-0001 7/23/96 PLAN CHECKING FEE Lender's Name 7610 1 AM11.'23 PERMIT ISSUING FEE Lender's Address I certify that I have read this application and under penalty of pupury state TOTAL FEE that the above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this Count ter upon the above-mentioned roperty for inspctio rposes SEE REVERSE FOR EXPLANATORY LANGUAGE NATURE OF PERMIT-rDATE- - '