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Home My Public Portal About6277 GOLDEN WEST AVE_Electrical__ 75A663 DBS-5A 11-55 APPLICATION FOR ELECTRIC PERMIT 1 DIVISION OF BUILDING AND SAFETY Deportment of County Engineer BUILDINGyy County of Los Angeles ADDRESS4P-,-77 JOHN A. LAMBIE.COUNTY ENGINEER CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERM FEES CROSS ST. NUMBER OWNER LIGHT OUTLETS MAIL RECEPTACLES ADDRESS L WALL SWITCHES FEE CITY A A TEL. NO. TOTAL OUTLETS @ 5Q $ ELECTRICIAN ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 /�` KW EA CITY - TEL.N 7' STATE 06 / FIXTURES 5 �ztLICENSE NO !!f/ gir MOTORS DISTRICT U ZsQN/E READY FOR INSPECTION NUMBER HORSEPOWER FEE iil�7l�✓\ �) NEW MVD. HP OVER INC. EACH 1/2&LESS $ .25 INSPECTION RECORD 1k 2 .50 2 5 1.00 5 15 1.50 15 50 2.50 tt J 50 200 5.00 'J ✓ /i f t 1't?Q� �I C/;' MISC. / 7 ?,)k?t NO.SIGNS NO.TRANS. NO. SIGNS NO. LAMPS FOR EACH PERMIT: T WIRING $1.00 FIXTURES $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ DATE INSPECTORS SIGNATURE IHEREBY 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 WIRING ELECTRICAL WIRING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM WE LEGAL 0?5NER OF THE BOVE POWER DESCRIBED RESIDENTIA PRO TY. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE FINAL JOHN A.LAMBIE.VUNTY ENGINEER VALIDATION ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR CK MO CASH AZO 63 7 5 3JUM 7 2 2.4 0 m 76AG63-CEBOG-11_10, APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING co-2, BUILDING AND SAFETY DIVISION ADDRESS Engineer CA SATTOHNAD. GR271N. 3up't of uildfng LOCALITY FOR APPLICANT TO FILL IN CROSS ST. PERNIIT FEES ( e 1 ITEM NUMBER EACH FEE OWNER .� OUTLET S S MAIL )J '] LIGHTS RECEPT. SW. .10 ADDRESS IG A?' LIGHTING FIXTURES .f0 CITY 7CL TEL.NO.R cZ ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .50 ELEC.SPACE HTRS, DISHWASHERS ADDRESS GARBAGE DISPOSERS AUTO.- CITY TEL.NO. 01 WASHERS STA.COOKING UNITS .25 STATE LICENSE NO. (� MOTORS: OVER INC. H.P. O — 1/z 25 DIS RI NO. SRO RN READY FOR INSPECTION V2 2 i .50 u� 2 - 5 1.00 INSPECTION RECORD 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 APPROVALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED f LOS ANGELES AN ST E OF CALIFORNIA OR THAT I AM THE LEGA E OFfl BOVE POWER DESCRIBED RESID TIA P OPERTY. SIGNATURE UTILITY CO. NOTIFIED OF PERM ITTE / FINAL V')l MID ION ARTHUR C.VETT. �.' SUPERVISING ELECTRICAL ENCSINBER CK� MO CASH ;TO 2339110 JUN27 2 A 2.65 � WORKERS' COMPENSATION DECLARATION 20-COtqDPW 3/m 66.663 APPLICATION FOR ELECTRICAL -PERMIT I hereby affirm that I have a certificate of consent to self �� Insyreryes a certiflcate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS 4 or a certified copy thereof (Sec. 3800, Lab. C.� Policy No Company FOR APPUCANT TO RLL LN JOB ❑Certified copy Is hereby furnished. New Resldentlal Bldg%. 8 Pools EACH NO. FEE ADDRESS 6 1 7 ❑Certified copy Is filed with the county building 1 spec- 1 8 2-Family, Sq. Ft. — $ LOCALITY tlon department. Multi-family Sq, Ft. NEAREST CROSS ST. � Date �r �,! Appll Residential Swimming Pools OWNER OR Fl RM NAME N CERTIFICATE OF E)(EM ON FRCNvI WORKER MAIL Outlets: Re{ Lfght�_SwI_ COMPENSATION INSURANCE X90 / ADDRESS First 20 (This section need not be completed if the work Involved by Total No. Addltlonal CITY Tel. No. the permit b for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is Issued, I shall hot employ any person In any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Work Compensatl �Lcn". Additional Total No. CITY Tel. No. Date? !�- �� Appllcan Fixed Appliances Not Over 1 HP pg2Ml7 NOTICE TO APPLICANT: If, making this Certificate of APPLICATION Exemption, you should become subject to the Workers' Range— Heater—D.W. — Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top — FAU —W.H. — d . Peemed revoked. Hood — Fan —Other— CITY �' Tel. N `Z. d UCENSED CONTRACTORS DECLARATION LICENSE OR n Dlsp. — Room Air Cond. NUMBER ' lam- Class. I hereby affirm that I am Ilcerued under provisions of Chapter 9 REQ, (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. BY and Professions Code,and my license Is Irl full force and effect. EMLa Size 8 Type HP, KW, KVA, or KVAR License Num r.Llc. Class Up to 1 Incl. �V FINAL U C� �, Over 1 to 10 Incl. - DAA — .Q VALIDATION CC Contrail tory"/4 Over 10 to 50 Incl. Fl NAL F- ❑ I a exempt under Sec. Over 50 to 100 Inc. gy U W BAP.C. for this reason Over 100 1 CL Services, Swbd., MCC 8 Ponelboards , Z to Z 0-200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Cher 600 V Exemptl n for Reg. Malnt. Elett. SINGLE FAMILY Temp. Power Pole 8 Appurtenances L HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors Llcense Sign with One Branch Clrcult �,f.T Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Profession:Code): Mlsc. Conduits 8 Conductor I, as owner of the property, will do the work and the F-11 � structure Is not Intended or offered for sale($ectlon 7044, Other (See Complete Fee Schedule. , TOT& 46 - ;SO Business and Professions Code). _ CC)NSTRUCTION LENDING AGENCY C�C� '` 6.`ZI I hereby affirm that there Is a construction Iendlng agency for the performance of the work for which this permit Is Issued PERMIT FEE (Sub-Total) Q (Sec. 3097, Civ. C.). 0.0 PLAN CHECKING FEE 000C!-�1 7/16/91 Lendbr'a Name / PERMIT ISSUING FEE Lenders Address O 1 AM ?:a 1 certify that I have rood this application and state that the TOTAL FEE above Information Is correct. I agree to comply with all County ordinances and State laws regulating EIeciTlcal wiring, and hereby authorize representatives of this County to enter upon the ve mentioned pr or �napectlon purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE A. gnature at Permittee Date �s .•-: COUNTY OF LOS ANGHI,&S TEMPLE CITY # 0508 ELECTRICAL PER= DEPARTMM OF PUBLIC WORKS 9701 LAS TUNAS EL 0506 1007290005 BUILDING AND SAFE-.` / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 ETT: LEGAL ID: FEEa PAID BUIIZING ADDRESS: ON FILE 6277 GOLDEN WEST AV PEE DFSCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801705 ASSE99OR INFORMATION NUMBER: 30! REST CROSS STR=: 5385-021-005 Al PERMPT ISSUANCE FEE 27.80 THOPO S PAGE: 597 (OLID: A2 LOCALITY: TEMPLE CST-, C O1 OUTLETS-LOT,SW,RECP 2.00 OUT 3.90 TENANT: H2 RES ORBG DL9P LT 3HP 1.00 DIS 10.90 ISSUED ON: PROCESSED BY: PIAN BY: TOTAL FEB<9 42.60 07/29/10 SR I I: TEL. NO: F119AL PATES F BY: CODE Hycl HYU INC. (616) 278-9320- V/AJ�!/��V 1108 W. VALLEY BLVD. ALHANBRA, CA 91803 CRIPTION OF WORK REPLACE GARBAGE DISPOSAL AND 2 OUTLETS FOR THE BATHROOM REMODEL APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAKE AS OWNER LIC. NO TEMPORARY POWER POLE UNDERGROUND COX= ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LSC. NO: ROUGH CONDUTT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N KrML Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 R.(WTE TO: 1390508 COUNTY OF LOS ANGELES TEMPLE CITT A 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TU AS EL 0508 0210160003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: PEM PAID allLLDIWG ADORES$-' ON FILE 6277 GOLDEN WEST AV FEE DESCRIPTION: QUANTITY: UOM: AMOLINT: TEMP CA 917801705 NEAREST MM STREET: LONGD.EN 5385--021-005 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE DITY G1 OUTLETS-LGT,SW RECP 15.00 OUR 29.25 G2 LIGHTING FIXia S 5.00 LGT 9.75ISSM . PROCESSED BY: PM BY� EXPIRES . JA HEAT PLPPS 1-10HP 1.00 HT 19.65 10/16/02JK 04/14/03 JB AC INUITS +3- OHP 1.Oa AC 19.65 06M R: TEL. FINAL DATE FINAL BY: C1401;DAVID AND AMY CHUNG (626) 614-9393- TOTAL FEES 106.05 TEMP 991L DEN 17801705ST AV TION-VF 6 ELECTRICAL FOR ADDITION APPLICANT: TEL, NO: SAME AS OWN ER - SPECIAL CONDITIONS: �'�GELES a! SAME AS OWWER - �O�' LIC. 40 ARCHITECT OR ENGINEER: UFER GRlOLkD CHEM MICHAEL T (626) 288'5 642 E DEWEY AVE SIC. NO.1/ y 11 SAN GABRI EL, CA 91776ROUCH WIRING FIC , `}`Ali 71]LJ� ��' PLASTIC Y/N METAL Y/N v� UTILITY COMPUY-WIFIED -� J. Li • ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508 F•.