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Home My Public Portal About6316 GOLDEN WEST AVE_Electrical__ 76A663-CE8061-68 APPLICATIO "FC AELEC�TRALPER COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FBUILDINGBUILDING.AND SAFETY DIVISION 6316 Golden 1�est JOHN A. LAMBIE. COUNTY ENGINEERCOLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGY TTeem le Cit California NEAREST FOR APPLICANT TO FILL IN . Congdon NO. EACH FEE $ $ OWNER Carl Clarke RECEPT._� LIGHT TOTAL FIRST 20 .20 MAIL ADDRESS 6316 Golc-`en West Avenue SWITCH OVER 20 .10 CITY Temple Clty TEL. NO_ 285-2320 PLAN CHECK LIGHTING �TOTAL FIRST 20 .20 APPLICANTFIXTURES OVER 20 .10 ADDRESS RANGEDRYERWTR.HTR._ CITY TEL. NO. STA.COOK OISP. F.A.U.x CONTRAC FOR Pacific Installers Inc. SPACE HTR. AIR COND, ADDRESS 9 10 20 Eo Grand Avenue CLOTHES WASH. DISHWASH._ CITY Temple Cityp TEL. NO.�. 42-7070 FAN—OTHER 1 1.00 1 00 LICENSE NO. 211898 CLASS. C 20 MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 0 1 1.00 ELECTRICAL WIRING. - HEREBY CERTIFY THAT I AM PROPERLY RE TER D AND/OR compressor 1 - 10 1 3.00 LICENSED AS REQUIRED BY LOS ANGELES COU Y AND STATE OF CALIFORNIA OR THAT I AM THE E L OWNER WNE IN END TO 10 - 50 5.00 RESIDE IN, THE ABOVE 17 E5 NTIAL PRO ERTY. ILO 50 – 100 10.00 SIGNATURE V OF PERMITTEE pd 100 – 500 15.00 0 DISTRICT O. GF�QUP ONE P OCESSED BY H' SIGN,GAS SIGN AND ONE CIRCUIT 3.00 t C! ,��T I LU TUBE, OR SL MARQUEE ADDITIONAL CIRCUITS 1.00 r� ]FINAL NOTES: Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 1. 2.00 2 0 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLA6 WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING ?' FIXTURES - PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 2 0UTILITY CO.NOTIFIEDI SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 00 JOSEPH C. ROOHAN SUPERVISING ELECT AL ENGINEER PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATION CK M.O. GASH .G0-SLAW 8 JUL 19 ? D 8.00- SEE EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A663-CE806 9-64 APPLICATION F ELS TRI L�MIT OR A C C COUNTY OF LOS ANGELES QEPA LVENT OF COUNTY ENGINEER BUILDING y1 �" BUILbbING AND SAFETY DIVISION ADDRESS U JOHN A. LAMBIE, COUNTY ENGINEER j y COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY /�v NEAREST FOR APPLICANT TO FILL IN CROSS ST. REC EP T, TOTAL NO. EACH FEE OUTLETS FIRST 20 �d $.20 S L OWNER ON e- 16 16 LIGHT y MAIL ' .10L ADDRESS SWITCH. / OVERVER20 v TOTALCITY TEL. NO. LIGHTING FIRST 20110 20 FIXTURES _ I ADD'L 10 ELECTRICIAN OVER 20 a -A a r Q klhu RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS N <4a ( U I / V .GARB.DI BTA.COOK CITY G: �� r/• EL. NO. ISHWASH. AUTf 0-WASH. STATE S ACE HTRS. STA.APAPP�.(�/z H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT N GROUP ONE I PR CES ® BY O 1 1.00 1 3 1.50 INSPECTION RECORD 3 s 2.00 O 8 15 2.50 V 15 50 3.00 O 50 100 5.00 U SIGNS: NO.TRANS U.1 a NO.LAMPS N Z SERVICE 0.60OV-NOT OVER 200A 1.00 SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE- AN D IGNATUREAND 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 G7 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF D I END TO RESIDE IN, THE ABOVE ESCRIBED RESIDENTIAL P E POWER SIGNATURE TILITY CO.NOTIFIED �+� 1-100F OF PERMITT FINAL V LIDATION JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER CK MO CASH u o1 s o dQ MAY19 2 D 1 3.30- 4 ;664 WORKER'S COMPENSATION DECLARATION 2o-0019 DPW(12-01) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have certificate of consent to eslt Insure, 7enee3 or a certlflcate of Workers Compensation Insurance, or a certified COUNTY OF WS ANGELES DEPT,OF PUBLIC WORKS BUILDING AND SAFETY DIV. 4-t,t ereof(Sec.3P00 Lab. C.) ff Policy Fos AaFtx vrT fro Ru ir+ AADDDRE88 M (0 b _ ❑, Certtfled copy is hereby tumshad. Now ResidenM Bldgs.8 Pcoia NO. EACH FEE $ i LOCIWIY i El -CerMad copy Is filed with th my butldtng Inspection 1 S 2-Famlly,Sq.Ft- NEAStE6T depaft7r10r t, `1 L Multi-campy S9•PIL CAo68 8T. Def& Apel bent �`•�'"� Rssiderttlal Wmming Poofa 38 FAOE•�0 --Pig GER 1FFCATE OF EXEMFTON FROM WORKERS' Outlets:Rec.-SIL-Light ?— Sw. FIRMER OA COMPENSATION INSURANCE LLALL RRL NIJIE (This eeotlon.need not be completed K the work Involved by the Fhni X 88' permit la for one hundred dgllam(=100)or lase.) Total No. A � RE I certify that In the performance of the work for whloh this permit CITY ♦C Tel-No, Is Issued, I shall not employ any person In any manner so as to PI-AN CHECK become subject to the Workers' Compenaatlon Laws. LJght N Fbdvres Fl rat 20 A,PPUC NT Total No. Addttlonal ADDRESS Dais APPit RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO..APPLICANT: If,,after making this Certificate of CITY Tel.No- Ex■mpbon,.you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. POww APPS S Large Appllanoea APPLICANT LICENSED CONTRACTORS DECLARATION Size 8 Type HP,KW,KVA,or KVAR ADDRESS 1-k 0 ex-C.v-,—ttip` I hereby affrrm that I am licensed under provisions of Chapter 8 Over 3 to 10 Ind v (commenoing with Section 7000) of Division 3 of the Business and CITY C— T'i r+0 Professions Code,and my license Is in full force and effect. Over 10 to 60 Ind. . R Oyer 6D to 1D Ind. � 4 L 4 a..a —� a L"nae Number L lc.Claw �+r� Over 100 DOTFOCT NO. 8 Yl ` > b Serves,Swbd.,MCC 8 Panelboerde LL Contractor Dere mp.0-389 AUnder eco V FINAL 0DATE ❑ I em exempt under Sec. 400-1000 Amp.Under 6DO V r�'� W Over 1DDO Amp.or Over 600 V VAIJDATION P FI NAL Il B.BP.C.for this reason BRANCH C FKAJrr FEES BY Z Date: 16A,or 20A,120V,Llghtlng or RecepL + 1 To 10 Branch Clrcults 4tgnedlr 11 To 40 Branoh CIr ❑ 41 Or More Brw)ch Ctrada 2 Exemptkm for Reg.WrrL EIecL 16A,ffiti 20BV To 277V Br.Clads �fCT i SINGLE FAMILY Temp.Power Pols S Appurtenanose R1rA,t ■r —67.213 �7. r1 � HOME OWNER-BUILDER DECLARATION gin with One Branch C#rcuft } a r �t 1 hereby atflm rm that I aexempt from the Contractor's License Law for the following reason (Section 7031.6, Buslneas and Professions AddFtbnal Sign Branch Clrcutts 1 i ITEMS� Cods): ❑ 1,as owner of the property,will do the work and the structure Mlac.Conduct°S Conductors TOTAL 37 - 20 Js not Intended or offs-red for sale (Sectlon 7644, Business Other(See Complete Fee Schedule) , and ProfeaaDECK Cods). y' 67.211 CONSTRUCTION LENDING AGENCY .00 I hereby affirm that there Ia a construction lending ag■noy for the performance ance of the work for whloh this permit Is Issued (Sec. 3087, PERMrr FEE (Sub-Total) jj (� i fi � J PLAN CHECKING FEE 1 L 1I 1AN : Landersm Nae PEJRMfT ISSUING FEE a(O 04 Lenders Address I certffy that I have reed this application and under,penalty of pudury state TOTAL FEE that the above trrforrnsow le correct. I agree to compty with all County ord]nanose and Stab laws regulating Electrtoai wiring,and hKaby authortze repreeentettvee of this County to enter Upon the&boys-rnerrtioned property SEE REVERSE FOR EXPLANATORY LANGUAGE Mz n- 64in� TIAL OF DATE