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Home My Public Portal About6354 GOLDEN WEST AVE_Electrical__ 7eAee3A3 eoeA. APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES ' DEPARTMENT OF COUNTY ENGINEER BUILDING 9 (j�S Lb BUILDING AND SAFETY DIVISION LOCALI TY NEAREST OR APPLICANT TO FILL IN CROSS ST. `, OUTLETS FE OWNER ST£V � J RECEPT. 1 $ MAIL � RJ Z ^y,1� I FIRST 20 3 D ADDRESS 4� LIGHT TOTAL n SWITCH !� OVER 20 CITY rC� (i TEL. N0. PLAN CHECK LIGHTING TOTAL FIRST 20 D APPLICANT FIXTURES OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TSL. NO. PERMIT } r RANGE DRYER_WTR. HTR. AP LICANT W STA. COOK DISP. F-A.U. ADDRESS' 1/1 a t SPACE HTR. AIR COND. CITY O►- TEL. NO J-p CLOTHES WASH. DISHWASH. LICENSENO. CLASS FAN OTHER O f HERESY ACKNOWLEDGE THAT I HAVE. READ THIS APPLH:ATION MOT ORI, TRAMSFORA{[RS RATIMS L AMD STAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY o WITH AL COUNTY ORDINANCES AND STATE LAWS RF9ULATINS H, IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIR INS. SIZE S TYPE OVER TO I HERESY CERTIFY THAT I AM PROPERLY RESISTtREQ AMD/bN 0 - 1 LICENSED AS REQUIRED 4Y LOS AM9ELES COUNTY AND STAT[ OF CALIFORNIA OR THAT I AM THE LEGAL OWN¢h OF, AND INTEND TO 1 - 10 RKSFDIE IN, THE ■OV[ DESCRIBED �IALPROPERTY.RESIDE 10 - b0 SIGNATURE OF PERMITTEE b0 - 100 ' DISTRICT NQ. CLAIf TONE PROCESSED BY 100 - 500' /Q" SIGN' GAS SIGN AND ONE CIRCUIT NOTES: TUBE, OR MARQOEE ADDITIONAL CIRCUFYS SEAVICENOTOV-ER 600 VOLTS OR 200AMP APPROVALS DATE scors"DR'S Sm"TURE SERVICE OVER 600 VOLTS OR 200 AMP TEMP.POWER POLE TEMP SERVICE,POLE, h APPURTENANCLS UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM ROUGH GONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FES (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE �Y FINAL ,j 7 PERMIT ISSUING FEE TOTAL FEE PLAN CHECK VALIDATION CK. M.Q. CASH PERMIT VALIDATION cK. M.0-. CASH "A«,C CICASNJls/,. APPLICATION FOR ELECTRICAL PERMIT BUILDIN AND S.4 VISION FOR APPLICANT TO FILL IN A e G G W s.D New Residential Bldgs.& Pools EACH N0. FEE ADDRESS 1 &2 Finally Sq. Ft. — $ LOCALITY Multl-famlly Sq. Ft — NEAREST Resldentlel Swimming Pools CROSS sT. OWNER OR FIRM NAME Outlets: Llpht,Switch&Receptacle MAI L 3 Flrtt 20 _oma ADDRESS rr Addltlbnel CITY TSI. No: 34 PLAN CHECK Lighting Fixtures APPLICANT First 20 N ADDRESS Additional CITY Tel. No. PERMIT Fixed Appliances Not O r 1 HP APPLICANT Renee_ HeeterD.W. ADDRE Oven _ Dryer W.M. [ c Top _ FAU W.H. T.I. No. Hood Fen LICENSE OR Db A C Q REG. NUMBER Q ` CIM. R CS 1 HtR911 THAT 1 HAV< R.A.THIS APPLICATION ANO /TATL THAT THC AOVK 10 CORR<OT AND AGIRtt TO COMPLY 0 Power Apparatus& Large Appliances WITH ALL COUNTY OR DINAN CZ • AND ■TATL LAW RSOuLATIN. 1 ILKCTRICAL WIR1N0. (; Slze&Type HP, KW, KVA,or KVAR oW Up to 1 Incl. 1 HK R KEY C■RTIFY THAT 1 AM PROPSRLY -1/T11IRRD AND/OR Cq Over 1 to 10 Incl. ucKN■<D AN RKQU1RKD By LOS ANDtLXS COUNTY AND /TAT■ OF CALIFORNIA OR THAT 1 AM TH■ "SAL OWNSR OF TH■ ANOV■ Over 10 to 60 Incl. DR-RIA..Rt■1 NTIAL PROPIR T. , Over 50 to 100 Incl. PERMIT[R Over 100 alaRArURe DISTRICT NO. ROC ED B Services 0-200 Amp. Under 800 V / 201 - 1000 Amp. Under 600 V APPROVALS DATE Over 1000 Amp.or Over 600 V NACT UR TEMP. POWER POLE Temp. Power Pole &Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES POWER AUTHORIZED ( PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED h PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL L5---25--27 PERMIT ISSUING FEE TOTAL FEE NOTES N CHECK VALIDATION CK. M.O. CASH PERMIT V LDA M.O. CASH 8•� 3 21 1 0.0 0 76A663-CEB-06 10/72 APPLICATION /-FOR EL RICAL PERMIT r COUNTY OF LOS ANGELES / i► DEPARTMENT OF COUNTY ENGINEER ADDRESS �r�� 0/9 �vs• �'�"S Y BUILDING AND SAFETY DIVISION .�• V� LOCALITY 7 NEAREST FOR APPLICANT TO FILL IN _ CROSS ST. OUTLETS NO. EACH FEE OWNER OR $ Is FIRM NAME a . $ q .r' RECEPT._ MAIL FIRST 20 25 ADDRESS Q LIGHT TOTAL / /� OVER 20 CITY ». d C'tJ y TEL. NO. SWITCH_ .10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT FIXTURES OVER 20 .10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. RANGE DRYER WTR. HTR. PERMIT APPLICANT I IF'7G'.s;,4 57 ar STA. COOK DISP. F. U. ADDRESS /O/ ✓CL 'Q SPACE HTR. AIR CO NO CITY /{j TEL. NO J CLOTHES WASH. DISHWASH. REOR G.NSE UMBER L CLASS'—/ FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE TH I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND, HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE 1 — 10 3.00 �U^ DESCRIP,ED RESID L PROPER O PERMITEE U 10 - 50 5.00 SIGNATOR o 50 - 100 10.00 v DISTRICT N0. PROC SED O/Y W 100 - 500 15.00 SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPE OR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER 600VOLTS OR200AMP 3.00Q n UNDERSLAB WORK SERVICEOVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEIPT. SYSTEM 3.00 FIXTURES ! `' POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: w,2 t t PLAN CHECK FEE PERMIT ISSUING FEE 3.00 -30c_-) TOTAL FEE O] PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 1 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE L r T T T WORKERS'Cor,�Er(sA�JON DECLAAA71ON 7ar�'��. 'aH1 ~ APPLICATION FOR ELECTRICAL PERMIT 1 of — that I hayd a oerftfioete of cone tb self hare, X, df Worlcara' Compermthm'Insuranoe, or a oetttffed COUNTY OF,LOS ANGELES BUILDING AND SAFETY ' Dopy &n-ed{Seec..�38o0•Lab,C.) Pdiby �[ r�mper�, x lNfl wa APPUGAWr TO FKL w JOB Ced_oopY i.4 furnished, Nweby Nevy Reelde r*BVdpa S Poole EACH NO. Fl E erUfl C 6opy' b flied wlfth the county bufldfnp 1'& 2-Ferritty,S%Ft $ — LOCALmy "-fend y S4 Ft rEAR1 5T 6F1088 87. bete Applicarrf Reeiderrtlei +MPG NAW OYV1•EA CERTrFICgTE OF EXEfytPllON FROM WORK Outieta Rea Liptrt svY,1(/r�—//) / v . ` COMPENSA'llOf�N$LWWXE I . Q ( •eabon neo not b*'compl�t.d H the work hrvotvrad by the TotW'No! `. Addklorud CfTY C• TSI p6milt is,for one hundred dotWrp($166).or�). PLAN CHECA I certff� tf%t to the pedormence of the work for:whbh thie permit ApPUCANT 6 i¢sued, 1 shall not OcViby,any per000 In.arry,dibmer.,ea.as to beconfe eub)ect to the ltbdcera'Compeoaation Laws Lbhbnp F txm . Flret 20' ADDRESS r -rotEf foo. Addttionel Orry 7e1,Na' NE777Cfi'.TQ AI (CANT:;tf, after meidnp ttrle .'CertffiOEte of Fbced.App"ices Not Over 1.HP PEF T r �➢� You*-lid bec&-subs-Vo the VybrherA'Compa-EHon . . Rarappy Fieater�� D.W. A7p—F NT =prov)pfofb of the-Labor Code,'ybU hLW forthw(th c n#y.y+tth ouch Oven Ryer W-4— ADDRE38 prgvki"or tile permit shall be deem6dmw4®d. Top FAU WH r LJCENSED CONTRACtORS DECLAA.QION - Hood Fan btbbr— " r.N)*y atnrrt,.that f. afn-Iicer4eed under-provteiore.'oi chapter 9 NW --Aodtn Atr Cond. F1E13 NLS (cornnxmdnp.wfth 36oOco 7000) of DiviNon 3 of the Buslrasa and Prdeeeiais Code,and rtry license is frn-Ul force and effect -Paws,apparatus sk Larpe Appliances DOTFdC-r NO. &zb A 1YN HP,KW,K�or K\M•R �• LJcertse Lio.Gew . Up to 1'Jnd F1NAL'' orrtraotor Date Air'110.10 l4cl, .:_ -- DATE .. . �r Over 10 to,60 arid., L.J:•_Lam exeh•rpt-ande(Seo. r Over 60 to•1D0-Ino. • _ CCJJ BAPS for this reason Over 100 ' P services swbdt MCC d Penellboartie Z Dam 0-200 Amp.under eco v SWnab— 20'i - tboo• inp.Under ebo v Over 1000 Amp.or Over 800 v . Lderriptforr for Rbg.Mshrt Etat $�Npl FAMILY'' Temp.Power foie-,&Appurtenances HOME OWNER-f3ULDER DECLARATION SiQrt wrtth,Ono BranQh C)rcuft y I hereby affirm that I am exempt from the C;cht dare License IBw T ` for tie reason(Sec-tion 7031.6•Bueinesa and Proteeabrre Addffionet g+ench Circuits r ACCT• 681.00 4 ae-ocvn9r.of the property,wfJI do ttie worts and the strucfue b not Intended or offered for sate (seatron 7044, Bu**" Other(See Complete'Fee'Sohed ) T1 LT Y ba' ' anal d Protesons Code): �_ -iQ GONSTRLK=N LENDING AGENCY eft 4t7.1JV I hereby edftrTnthat there fa s coosttttotton f6r4lnp epancy for the 1 perfwm of the work for 44htch thle pormft Ib faeued(Sea 3097, PERMIT FEE - (Sub-TOWJ) CIv.G`). PLAN CHEO"O.FEE V�P A_r"lR1lJ i 9I 1fiI91 LendWa Name PERMUT Is$uING FEE 9089 ' ' 1 Aft 9;12 I cer'(ffy ttrat I have read this aper mboa land stabq he the above TOqAL Flformat n Is oorrecL I egr&e to pwVy wfth a3 County ordhrar>cee and StEdb kawa repukAnq Electrioaf ,wlrlhp, and hereby aut wrtre represerrts&ves of this Canty to enter upon the above-mentioned moo ' SEE REVERSE FOR EXPLANATORY LANGUAGE re ktee Date