HomeMy Public PortalAbout6362 GOLDEN WEST AVE_Electrical__ -76A663-CE6061.68 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS �L
JOHN A. LAMBIE, COUNTY ENGINEER p
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY O ry
NEAREST `�
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
RECEPT:.�(•fir OWNER tZE
1
1\ MAIL
LIGHT TOTAL FIRST 20 .20 G ADDRESS LQ C-
SWITCH OVER 20 .10 CITY ,. PLC C_lr4 TEL. No.,;2;f4
�TOTAL, PLANCHECK
LIGHTING FIRST 20 .20 C APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE—DRYER—WTR.HTR.— CITY TEL. NO.
STA.COOK DISP.—F.A.U._ CONTRACTOR
SPACE HTR. AIR COND. ADDRESS KV
CLOTHES WASH. DISHWASH._ CITY TEL. NO. G
FANOTHER 1.00 LICENSE IJO. CLASS.
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
0 - t 1.oo C1 ELECTRICAL WIRING.
771
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.001 t
AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
A OR THAT I AM THE LEGAL O NER OF, AND INTEND TO
10 - 50 5.00 N, T OVE DESCR RESIDENTIAL PROPERTY. Q
RE u
50 - 100 10.00 ITTEE
Ix
100 - 500 15.00
CT NO. GROUP ZONE O ESSED BY VTUBE,GOR SIGN AND ONE CIRCUIT 3.00 �'Cv- `I dMARQUEE ADDITIONAL CIRCUITS 1 .00 Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 J..I SERVICE OVER 600 VOLTS OR 200AMP 5.00d C.', ' e ,TEMP SERVICE, POLE, &APPURTENANCES 3.00PROVALS DATE INSPECTOR'S SIGNATURE
OWER POLE
kFE
AB WORK
ONDUIT
PERMIT FEE (SUB TOTAL)
S
PLAN CHECK FEE (50� PERMIT FEE)
UTHORIZED
PERMIT ISSUING FEE 2.0000.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 TOTAL FEE JO EP C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
6 Jit]29 2 D 4.4.0-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
76AS63-CEBOG-6-57 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS /
JOHN A.LAMBIE,COUNTY ENGINEER I
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERMT FEES
OWNER
LIGHTS f' RECEPTACLES SWITCHES
NUMBE ITEM EACH FEE MAIL
L ADDRESS
TOTAL OUTLETS $ .f0 i
ELEC. RANGES, WATER HEATERS, CITY TEL NO.
CLOTHES DRYERS .50 r.' ,e,
ELEC. SPACE HEATERS, STAT-Y. COOK- ELECTRICIAN
ING UNITS, GARBAGE DISPOSERS, ADDRESS !.. ,J. ,+�
AUTO WASHERS, DISHWASHER .25
LIGHTING FIXTURES .10 CITY r ' TEL.NO.
STATE
MOTORS LICENSE NO. ! V
HORSEPOWER DISTRICT NO. G Z,L�Nj READY FOR INSPECTION
H.P: OVER INC.
1/2&LESS .25
1/2 2 .50 INSPECTION RECORD
2 — 5 1.00
5 — 15 1.50
15 50 2.50
50 — 200 5.00
MISC.
SIGNS" I NO.TRANS
NO.LAMPS
SERVICE O-600V 1.00
SERVICE OVER 600V 5.00
WIRING PERMIT 1.00 CJ
FIXTURE PERMIT 1.00 ,
SUPPLEMENTARY PERMIT .50 APPROVALS
TOTAL FEE Is ;:E16d
I 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
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 THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTI L PRO
SIGNATURE I I ( UTILITY CO.NOTIFIED
OF PERMIT TE FINAL
JOHN A.LAMBIE, LIDATION ARTHUR C.VEIT,
COUNTY ENGINEER c MO GASH SUPERVISING ELECTRICAL ENGINEER
_GIL 3 0 3 R F317 2 A 5.0 0
DDS 5A 25M SETS 1-4B APPLIC-43710A4 FOR PERh'��9P.
�
DEPARTMENTDEPARTMENT ®F BUILDING AND SAFETY
COUNTY OF LOS ANGELES � I�
WM. J. F X CHS ENGINEER
Fz,5
NAMk T . ROUP� NZOE PERMIT .
DISRICTNOGNOCITY RECEIVED BY READY FOP. DATE ISSUEL)
w COUNTY TEL.NO. FIRST INSPECTION
CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED POItTI N ONLY
DESCRIPTION OF WORK JAODDRESS f'75 y[a d L t7 E"/U V/
NUMBER OF OUTLETS ON CIRCUITS LOCALITY TL• ► p Z. C"' /,�/
LOCATION BY ROOMS -
NEAREST
_LIGHT OUTLETS SSWPLUGS FIXT C OSS ST•
.
`CIRCUIT A �_1 C D E F" G I H w NAME k v
W
z MAIL j_ ADDRESS `�U/V/ / IU /6J
G
CITY TEL.NO.AT 7T`"
I AM THE LEGAL POSSESSOR OF THE ABOVE LO5
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
C•LECTRICIAN.
I AM THE LEGAL OWNER OF'CME E°FtOP5RTY DESCRIBED
ABOVE
011i F.'C^n.
CORRECTIONS
I
J
Q
Z
L7
O
TOTAL,
NO. OF OUTLETS $ '- APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. Q CONDUIT
NO. OF SIGNS TRANS. $ WIRING
1. NO. OF RA GcS EATERS $ FIXTURES
ISCELLANEOUS $ POWER
PERMIT FEE ; UTILITY CO.NOTIFIED
TOTAL FEE FINAL
D.B.S.SA 2SM SETS 10-47 APPLICATION FOR PERMIT
,DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
M. J. FOX. CHIEF ENGINEER
DISTRICT NO. GROUP ZO_ NE PERMIT NO.
NAME
U ADDRESS
(Y
I' � RECEIVED BY READY FOR DATE ISSUED
�U CITY TEL.NO. ` FIRST INSPECTION
J COUNTY
IJ CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS 7 >
NUMBER OF OUTLETS ON CIRCUITS LOCALITY J
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS JSW. PLUGS FtzT CRO S ST. i
CIRCUIT A B C ( D E F G IH m NAME +
y MAIL
ADDRESS
O +-
--` CITY t .. -1 ,,.�_ TEL.NO.
-q
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AY THE LEGAL OWNER OF THE PROPERTY DESCRIS
ABJVG
1
OWNER.
CORRECTIONS
J
- Q
Z_
C7
O
TOTAL
NO. OF OUTLETS s 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 _
PHRMIT FEE A$ UTILITY CO.NOTIFIED
TOTAL, IB FINA
WORKERS'COMPENSATION DECLARATION, 7&k6§°°°""°' APPLICATION FOR ELECTRICAL PERMIT O
I hefeby..affirm.that I knave a cgrtlfkate'of-k onsen7 to self C37
Injure, or a cwMq:yte of Wsjrkers' Compensation Insurance,- COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
or a certifi*ed copy there
�of (�ec. 3800, Lab.-C.)
Pgllcy No 7. P12 1 h�_Company� ��(�dSL1L FOR APFL1CANT TO PILL R1 JOB
❑Certifled copy Is hereby furnished. New Residential Bldgs. 8 Pools EACH Nb. FEE ADORE
Certified copy Is filed with the county building inspec- 1 8 2-Famlly, Sq. Ft. $ — S LOCAUTY��
Multl-famlly Sq. Ft. t�57
tion department. y ��� CROSS� L
Date Applicant�O
Residential Swimming Pools
/ NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' e if' ^ �L
COMPENSATION INSURANCE Outlets: R Light--//_Sus. �( ADDRESS
First 20
(This sectlon need not be completed if the work Imrohred by Total No. Additlonal CIT' Tel. No.
the permit Is for one hundred dollars (=100)or Iess.) PIAN CHEU
I certify that in the performance of the.work for which this APPUC Nf
permit Is Issued, I shall not employ any Person In any manner Lighting Fixtures Flat 20 ADDRESS
so as to become subject to the Workers Compensation Laws. Additional
Total No. CITY Tel. No.
Date Applicant Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION
Exemption, you should become subject to the Workers' flange— Heater—D.W. —
Compensatlon 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. —
deemed revoked. CIZg
Hood — Fan —Ctther— TY Tel. No.
LICENSED CONTRACTORS DECLARATIONDljp.. — Room Air Cond. 011�CZ 6 3
I hereby affirm thatder I am Ilc6rw3d unpravlzlofu of Chapter 9 �
(commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRI Y d
and professions ,and my Ilce i11c.
Ifull force and effect.
Size 8 Type HP, KW, KVA, or KVAR 0
License Number Class Up to 1 Incl. Fl NAL 0
Contractor e d - Over 1 to 10 Incl. DATE ALD ION 0
❑ Over 10 to 50 In . lul
FINAL ~
I am exempt under Sec. Over 50 to 100 Inc. BY W
B.BP.C. for this reason Over 100 d
Services, Swbd., MCC 8 Panelboards ' 1n
Date: Z
0-200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V
❑ Exemption for Reg. Malnt. Elect. Over 1000 Amp. or Over 600 V ,7
SINGLE FAMLLY Temp. Power Pole 8 Appurtenances y
HOME OWNER-BUILDER DECLARATION ACT■r
I hereby affirm that 1 am exempt from the Contractor's ticense Sign with One Branch Circuit
Law for,the following reason (Section 7031.5, Business and Additional Sign Branch Circuits W7 29.20
Professions Code):
❑ I, as owner of the pr will do the work and the NK• Condults 8 Conductors 1 ITEMS
structure Is not Intended or offered for sale(Section 70.1, Other jSee Complete Fee Schedule)_ TOTAL 29 - 20
Business and Profeulons Code). CFECY, 29.20
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there Is a construction lending agency for {lAwl •00
the performance of the work for which thi! permit Is Issued PERMIT FSE (Sub-Total)
(Sec. 3097, Civ. C-).
PLAN CHECKING FEE MOD—OW1 1/26/1
Lender's Name PERMIT ISSUING FEE1-3 9512 1 AM 10:12
Lender's Addreu n
I certify that I have rood this application and state that the TOTAL FEE r
above Informatlon Is correct. I agree to comply with all County
ordinances and State laws regulating Electrical wirlhg, and
hereby authorize representatives of this.County to enter upon
the abov entlon for Inspection purposes. SEE�y�E FOR EXPLANATORY LANGUAGE
Ig. re of Per ee Date ms
r
COUNTY OF LOS ANGELE.S TEMPLE. C= G 0508 EI CURICAL PERMIT
DEPART[CKNT OF PUBLIC NOR" 9701 LAS TUNAS RL 0508 1311060036
BUILDING AND SAFETY / LAND DEVSLOPMlUTT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 STT:
LEGAL ID: FEES PAID BUILDING ADDRSS:
ON FILE 6362 0OLDKN WEST AV
FES DESCRIPTION: QUANTITY: DON: AMOUNT: TEW CA 917801420
ASSESSOR INFQRDQ=ON W1103ER: _ ,- NEAREST CROSS STREET: VAL
5383-020-002 Al PERMIT I530ANCS FSE 27.80 TIK14 S PMS: 597 ORSD: Al L)CAI Y: TSI4PLE CITY CA
P2 PC RES FV<lOIW - 153.90
TENANT: P3 INVRTR RES PV<10A1 27.90 YSSUSD ON: PROCESSED BY: PIAN BY:
TOTAL FESS 209.60 11/06/13 SR
09RER: TEL. NO: FINAL DATE FINAL BY: CODS:
RIFFET MICHAEL - (818) 530-3373-
6362 OOLDEN HEST AV
TEMP 917801420 DESCRIPTION OF WOR=
SOLAR PV SYSTEM 5.4 IST INSTALLEn ON CARPORT AT A RESIDENTIAL
ARE 20 MODULES
APPLICANT: TEL. NO:
SAND DA.P2N[E (310) 667-1154- _
7020 MIDDl- URY RD SPECIAL mms:
WEST H-Eld 91307
CONTRAC'T'OR: TII,. NO: APPROVALS DATE INSPECTOR SI0IUL7.VRE
SOL RE ABLE (888) 882-2661-
1223 WILS'IIRE BLVD., STE 272 LIC. HO TEMPORARY POWER POLE
SANTA MONICA, CA 90403 842003 -
ONDEROAOUND CONDUIT
ARCFIITECT OR EMINEER: TEL. NO: UFER GROUND
LIC. NO: CONDUIT
ROOM HIR39G
. MA37y WATER T.
PLASTIC Y/N METAL YIN
COMP NOTIFIED
REPORT ID: DPR265 ROUTE TO: BSOBOB