HomeMy Public PortalAbout6251 GOLDEN WEST AVE_Electrical__ ABS 6-A 2-46 APPLICATION FOR PERMIT
BEPARTIIIENT OF BUILDING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
WM. J. FOX CHIEF ENGINEER
_Q NAME DISTRICT NO. GROUP ZONE PERMIT NO.
U ADDRESS
1' RECEIVED BY READY FOR DATE ISSUED
IU CITY TEL.NO. FIRST INSPECTION
..I COUNTY - ` r
W CERT.NO. EXPIRES -
j
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST '
LIGHT OUTLETS Isw UG I FIXT CROSS ST.
CIRCUIT A B C D E F G H a: NAME
III —
. Z MAIL
d ADDRESS
x O
1 ' CITY % i k)421L TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
s I
y. ELECTRICIAN.
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
�. f CORR.ECTIONS
J
Z
[7
D
TOTAL +Ta Ir
NO. OF OUTLETS $ APPROVALS
I NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING ?
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ t2 UTILITY CO.NOTIFIED
TOTAL FEE FINAL
EL"76A66S-CE806 IO,M APPLICATION R EL"ICAL PERMIT
COUNTY OP' LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER A
DUILDIN-G AND SAFETY DIVISION s�
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN C S ST.
OUTLETS No, FEF OWNER OR
FIRM T
RECEPT. S S MAIIADDR S! W
LIGHT TOTAL FIRST 20 46
OVER 20 CI TEL. NO. y
SWITCH .10
PLAF4 CH K
LIGHTING ) FIRST 20 23 APPLICA T
r} TOTAL ADDRESS
FIXTURES OVER 20 .10
RESIDENTIAL APPLIANCES CITY TEL. NO.
PE
RANGE-DRYER 'WTR. HTR. APPLICANT
STA, COOK DISP. F.A,U. ADDRESS
( SPACE HTR. AIR COND. 1 CITY v TEL. NO.
CLOTHES WASH. DISHWASH. R"M6 CLASS.
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STAT[ THAT THt ABOVE 16 CORRECT AND AGREE TO COMPLY
MOTORS, TRANBFORMERS HATING WITH ALL COUNTY-,ONDIXAXCES AND STAT[ LAWS REGULATING
IND. HFATKRB, FTC. HP. KW. RVA. ILI<CTRICAL WIRING.
SIZE k TYPE OVEN TO
I HERESY CERTIFY THAT I AM PROPERLY REGISTERED AXD,bN
0 - 1 1p0 LICFNS[D AS RSQUIRED 3Y LOS ANGELES COUNTY AND STATE OF
CALIFORNIA 011 THAT I AM THE LFG AL OWNER OF THE ABOVE }
1 — 10 3.00 DESCAInED RESIDENTIAL PROPERTY. Co_
PERMITEE S
TO - 60 6.00 SIGNATURE
60 - 1100 IODO DISTRICT NO. ROC ISSED BY
100 - 600 16.00 zq
i
SIGN, GASSI QN AND4NE CIRCUIT SOO APPROVA" DAT[ ■SNSMTLW
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1A0 TEMP. POWER POLE
SERVICENOT OVER 600VOLTS OR200AMP 3.00 UNDERSLAB WORT(
SERVI CE OVER 600 VOLTS OR 200 AMP 10 ROUGH CONbUIT
TEMPS-ERV10E,POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAI. f
r
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE Al. 409
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CABH
s 6zf"!xL 5 2 D 4.00
SEE BACK'OF APPLICATION FOR COMPLETE SCHEDULE
TEMPLE CITY #7658 1
7eAee1'-Y-ia 1 1-71 APPLICATION FOR ELECTRICAL PERMIT
e� COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING Golden West
BUILDING AND SAFETY DIVISION
LOCALITY Temple Cit
NEAREST
FOR APPLICANT TO FILL IN CROSS $ ondizen
OUTLETS OWNER M.J.Archeleta
RECEPT.7 sMAIL
LIGHT_ TOTAL FIRST 20 25 L
ADDRESS Same
SWITCH OVER 20 10 CITY TEL. N01+4{� Q 6
PLAN CHECK
LIGHTING 1 FIRST 20 25 75 APPLICANT
T TOTAL
OVER 20 ADDRESS
FIXTURES .f0
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DI SP.—F.A.U. ADDREssI-5834 Workman St
SPACE HTR. X_AIR COND. 1 1 00 clTyLa TEL. NO. _
CLOTHES WASH. DISHWASH. LICENSE NO. 250843 CLASS.C—
FAN OTHER 1.00 1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STAT[ THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRAM/FORMERS RATIN/ WITH ALL COUNTY ORDINA MC ES AND STATE LAW/ REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE / TYPE OVER TO
IH[REIIY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICE
N/[D AS REOUlR11D BY LOS ANGELES NT
AMD /TAT[ OF
CALIFORNIA OR THAT I AM TH[ AL OW R OF, AMD INT[ TO
1 - 10 300 RESIDE IN, THE ASO D C !D R /IDE MTI AL PR RTY. O
V
10 - b0 000 SIGNATURE
OF PER EE O
50 - 100 1020
DISTRICT 0. 1 CLASS ZONE SS[D SY
100 - 800 15.00
u7
SIGH, GAS =SIGN ONE CIRCUIT 5.00 NOTES: ?
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1A0
SERVICE NOT OVER 600 VOLTS OR 200 AMP S00
APPROVALS DAT[ /iSPIECTCWS SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP DOD
TEMP.POWER POLE
` TEMP SERVICE,POLE, &APPURTENANCES 5.00
I TEMP LIGHT OR RECEPT. SYSTEM 300 UNDERSLAB WORK
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
5 50
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE SAO
TOTAL FEE 8.50
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO cK. M.0. CASFF
LAIDq 5 v30 2 D 8.50- Eli
SEE SACX OF APPLICATION FOR COMPLETE SCHEDULE
76A663-CE6061-47 APPL1 ON FOR ELECTRICAL PERMIT
,COUNTY OF LOS AN LES
DEPARTMENT OF COUNTY ENGINEER FUILDING
BUILDING AND SAFETY DIVISION ADORES!
JOHN A. LAMSIE. COUNTY ENGINEER
CQLlEMAN W. JENKIKS, SUPiRINTENDSNT OF BUILDING- LOCALITY
NEAREST
FOR APPLJCAMT TO FILL IN Cko"
RECEPT. TOTAL No TACH - Lv
ou-m" FIRST 10 •.!o $ OWNER r
�
L10HT MAIL ly .. O CLL Ci
SWITCH ADD'L 10 ADD 1tEM rOVER 20
TOTAL G`ITY TEL No.
L.14HTINa 1 FIXTURED FIRDT 1 ,=p
FtXTupu!z 1 oAD 10 .to CONTRACTOR .�4 If, B t-
RANQJ DItYxIr WTR.HTR!. 1.00 ADDRESS
uAw our. PTA:COOK CITY ffO S C 74-4 0A TEL No. 4f-d7 a
Ols"Xw. AUM-WANH. STATE
Q "')
ACK F� A �L ET50 Ll"NS6 NO.
MOTOIlf, -`ate HOT ovmt H.P. DISTRICT NO �!rP Z P E
0 1 1.00
I s 1.60 INSPECTION RKORD
4 a 1,00
e 16 s.eo
III 150 3.
150 100 15.00 S
SIGNS. No.T11ANL a
NO.LAWS 0
SERVIC=0.O00V-NaT ovnt 100A r.Qo
SERVICE 0.600V-Ovot 100 A. 2.00
SatVICE OV"DoOV 6.00
OTHER{race COMPL[Te FM rC)4ZDUL1)
PERMIT IMUING Fl[E '1.00
SUPPL M.W�YFAPtY PERMIT IMUtNG FEE 1.00 GTE PaRigme @I
TOTAL FEE
1 HgtnY AGKN OW Lip OE TI-LAT I NAVE RrAD THIP AlRi1GT10N UND RSLAL WORK
AND rTATE THAT THE A40V1 Ir CORRiCT AND AGRi TQ COMPLY ROUGH CONDUIT
�V ITH ALL COUNTY ORDINANC" AND rTATE LAvid REGHLATtNp
ELECTRICAL WIRING. WIRING
I HeRErY CERTIFY THAT I AM PROMMLY ReGIrTXFXD AND/OR FUTURES
LI CLNAAD AS REQUIRED LW AN COUNT7 NO
r7ATE of
CALIFORNIA OR THAT 1 THE Ll D INTEN TO, POWER
RerlDe IN.THE IEED
SIGNATURC UTILITY FI
OF PERM
FINAL
� TION JOSEPHC. ROOHAN
SUPWVSING ELECTRICAL
RICAL 1GGINE0/ CASH
1405 OCT27 2 D 5.OaN
EIS S-A 6-46
DAPPLICATION FOR PERM
OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC i
WM. J. FOX CHIEF ENGINEER
z DISTRICT NO. GROUP ZONE PERMIT NO.
Q NAME
U f�
ADDRESS
W CITY TEL.NO. RECEIVED BY FIRST INSPEREADY OCTION DATE ISSUED
j COUNTY
U CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS �
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS Isw. PLUGS I FIXT CROSS ST.
CIRCUIT A B C D E F G H 0! NAME
z MAIL
ADDRESS
O
CITY TEL.NO.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
s-�f
OWNER.
CORRECTIONS
J
Q
z
(a
2
TOTAL
NO. OF OUTLETS $ APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ UTILITYCO.NOTIFIED
TOTAL FEE FINAL
J
76A663-CE80612-58 APPLICATION FOR ELECTRIC PERMIT 4
COUNTY OF LOS ANGELES 002
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE,COUNTY ENGINEERY �
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST ~
PERCROSS ST.
MIT�,�£�5,,,�
t OWNER
FWA.H.R.
TEM NUMBER EACH FEE
: $ $ MAIL
rRECEPT. SW. ,iQ ADDRESS
r FIXTURES .10 CITY TEL.NO.
ES CLO.DRYERS ELECTRICIAN
TER HEATERS .50 ADDRESS e. , L ~• V ur f +1 •
E HTRS. DISHWASHERS ,- =• 0.�v
CITY - TEL.NO.
ISPOSERS puro.- STATE
STA.COOKING UNITS .25 LICENSE NO. -71
MOTORS: OVER INC. H.P. DISTRICT NO. GR(?UP ZONE PROCESSED BY
0— 1/i .25
1/2— 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
15— 50 2.50
50-200 5.00
SIGNS: NO.TRANS. ,
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
misc.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ c APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI A ION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT IAM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERM ITTEF
FINAL
OF VALIDATION ARTHUR C. VEIT,
CK Mo CASH SUPERVISING ELECTRICAL ENGINEER
ti
i .`
"' COW�n,pION DECLARATION 76M" 10761 APPLICATION FOR ELECTRICAL PERMIT {�
e}flrm 1� I have B a � to esti Insure, Cr=-� �J
or a certtNcats of'iM1bnkers' Compensation Irmrarioe, or a oertNied COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof(Sec.3800,Leb.C.)
p No. C«r�ry FOR A�Lrcat+T m Fu w !
❑ Certified oWy b Hereby hr T&hed New Reddential Bldge.8 Pools %Add?tlonal
. FEE i
N 1 S 2-Femfh,SQ Ft T $ $ LOCALITY
❑ 6-4
Certified copy b filed with the county buMing Inapedlon T
department ividtl-femlty S4 FL CROSS ST.
Date APP t Residential Swimm v Pooh pwr�OR
ff IIF1W WxcCEH-nF}CATE OF EXEMPTION FROM MRKERS' Outieta Recd LJottt �'Sw.COMPENSATION INSURANCE
Fbat 20
(Thi secilon need not be cmpkited If Uw work hmoN*d by the Tota!Na 7- Tel.No.
rm _
peit b(or one hundn red dolis ($100)or Ism)
HECK
I certify th�f h the panda rnence d the work for which tib permit �
b bsued, I ehe>1 not enpby -W person In any numrw so as to
become sub)ed to Wbrkm' LJphttnq Fbduras Fiat 20 ADDRESS
Total No. Addtional CITY
� /� '�Icent 4&64ZA&V-- Fbmd Appbarnd es NOver 1 H1E1MT
P P
WMCE : If, making tib Of APpUCANT
Eton;you etlokid become mb)eot to the Vibrkm'Conpeneat)on Pange— Heater— D.W. —
X-Eac m of the Labor Code,you must forthwfth conoy with such Oven _ Dryer — WM.— ADDRESS
moons or thmit ah
is perafl be deerned revolted Top — FAU WJ-L
. — —
CITY TeL Na
LiCEN.SED CONTRACTORS DECLARARON Food — Fan — Other—
I herebi affil, that I am Ilcerised under prarbione of Chapter 9 Dom, — Room Afr CondpOR CUM&
( V with Sedan 7000) of DMsion 3 of the Business end
PIV--ns Code and my kense is o fug force and effectd L �T NO.
FUwer Apparahis Large App6encea
PFOC67/
Size d Type HP,KW,KVO or KV R ✓►l/
License RJ mb�r I —6� Lit Gess Lip O UQ to 1 ML � g
�jL�
peo,fJ r-fa i(' ,ate 1 Z 10 Over 1 to io ki
Over 10 to 60 kid.
I am wmmpt under Sec. Over 60 to 100 tic.
RAPP,for dila reeson Over 100 Z
' f(j Services,Swbd,MCC d Panemoard+Isr� + ,
0-200 Amp.Urider 600 v �`ii'
Slgietur_ 201 - l000 Amp under sora v 8 5 fi 6 a
Over 1000 Amp.or Over 600 V
❑ E-01- Req.Habit.Eieot_ # o o 0 0 0 2
SINGLE FAMILY Tenp.Power Pole&Appurtnrraricea I ° ° 2 0 0
is
FSE OWNER-BUILDER DECLARATION Sign with One Branoh Circuit
I hereby' that I am exempt iron the Cormectors License Lsw Syorr Ctatte ° ° ° 4 2 0 0
i0r the odlowtrip r u(Sedton 7031.6,Business and Profeeafone AddMonal
code). 12 1 1 -787
❑ 4 as owner kit the property,wW do the worik and the stn,oaie Offer(See ConPb6e Fee Schoed-iis) ,
Is not Intended or d%red for saie (Section 704"4, Business
and Proteasons Code).
CONSTFk)C-PON LJ NW4G AGENCY
I hereby afM1m that there is a oofuinx ton lendlno agency for the
perommnce d the work for which thfa permit Is bsued(Sec.3097, PERMIT FEE (Sub-Tota
Ctv.C.).
PLAN CHECKING FEE
Larders Name
PERMfT ISSUING FEE
Landers Address
I cerdfy that I have need this eppkat m and sffite that dire above TCIAL FEE
ttformaion Is oarred.I agree t3 County onitnancea
and State Yews mgu4&V Elecrtrical v4trtrnq and hereby author
of to enter upon the above-mardmed
kx
I � �� u SEE REVERSE FOR EXPLANATORY LANGUAGE
y 1
1 I