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Home My Public Portal About6424 GOLDEN WEST AVE_Electrical__ DB DBS-5A 3.55 APPLICATION FOR ELECTRIC PERMIT I •5A DIVISION OF BUILDING AND SAFETY Deportment of County Engineer �/o, Ciol D FJDUGS County of Las Angeles ADDRESS' 6 `�� /r ✓ WM.J. FOX. COUNTY ENGINEER CASSATT D.GRIFFIN. SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL INNEAREST 1 C 7_7'PERMIT FEES CROSS ST. L J NUMBER EACH FEE LIGHT OUTLETS OWNER L ` C) RECEPTACLES MAIL ADDRESS WALL SW ITCHES TOTAL OUTLETS 51t $ '�U CITY TEL. NO. ELEC.��R��A��NN/GES I J:---tV' I 25 ELECTRICIAN � C 6 ECiC.CKSI TErSSO 25 ADDRESS 1' S /Z L-, /ALF Sl S r,KW EA Q, CITY R.0S TEL. NO. FIXTURES / 5 V LICENSE NO. 6 NUMBER OF LIGHT CIRCUITS - DISTRICT NO. I GROUP I ZONE I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS ,� MOTORS 7 - NUMBER HORSEPOWER FEE INSPECTION R CORD NEW MVD. HP OVER INC. EACH 112&LESS $ .25 I12 2 .50 2 5 1.00 5 15 1.50 15 50 2.50 S 50 200 5.00 U +- U/ E` ! L i misc. O 5 L- NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING $1.00 / U FIXTURES $1.00 ( 00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ 3 .1 DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THATI HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING -! ELECTRICAL WIRING. �',� i I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL WNER OF THE ABOVE POWER DESCRIBED RE:IDENTIA PROPERTY 01 UTILITY CO.NOTIFIED 1 TQ SIGNATURE i � OF PERM ITTE ( FINAL ' t7 WILLIAM J. FOX. COUNTY ENGINEER VALIDATION A. C.VEIT, CHIEF ELECT. INSPECTOR ^ -7 347 .1 _J-,L09L' i 1 78A863-CE906 9.99 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER �y BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER CAB SATT D. GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CNEAREST ROSS ST. ?tf PERMIT FEES ITEM NUMBER I EACH FEE OWNERMAIL jj�� V r {., OUTLETS: $ $ /y ADDRESS 3 /T .S `116-U /� LIGHTS RECEPT SW.� ,) .10 i! LIGHTING FIXTURES 10 V CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .50 ADDRESS ' ELEC.SPACE HTRS. DISHWASHERS CITY 0.�� \ TEL. N -J' O' GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. IJ 4r� MOTORS: OVER INC. H.P. DISTRICTNO. GROUP ZQNE PROCESSED BY O— I/2 .25 � I / 1/2- 2 .50 INSPECTION RECORD 2- 5 1 1.00 5— 15 1.50 IS— 50 2.50 50-200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICED-600V 1.00 SERVICE OVER 600V 5.00 _ f4� kr MISC. WIRING PERMIT 1.00 D v _ FIXTURE PERMIT 1.00 1 OD SUPPLEMENTARY PERMIT .50 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS 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. I HERE CEDBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR _WIRING - 7- / LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES —( CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE -`>Vt:/ UTILITY CO.NOTIFIED OF PERMITTEE` FIN�ATL� 3, ?OF CK MO r( va� 1 SUPERVISING EL THUR C. CTRICAL.ENGINEER CK MQ `CASH// �_E044t> �j DEC 17 2 A 3.00 r WORKERS'`�e a °"�L � �� '°'�' I hereby tI � Iont to self GAPPLICATION FOR ELECTRICAL PERMIT Insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES T L-s BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C-) Policy No. Company POR A",UCANT TO ML IM ❑ Certlfled copy Is hereby furnished. New Residential Bldgs. b Pools EACH NO. FEE ADDRESS ❑ Certifled copy Is filed with the county building Inspec- 1 d 2-Fnmlly, Sq. Ft. = $ LOCALITY TE.MP� C- tion department. Multi-faintly Sq. Ft.�T STT Residential Swimming Pools CRCSS ST. Date Applicant- 01NNER OR /rt Q� FIRM NAME CERTIFICATE OF f7ZMPTION FROM WORKERS' MAIL COMPENSATION INSURANCE Outlets: Rec�lght SG2._First 20 READDSS J' f d/l slInvolved I. (This section need not'be complted If the work Iolved by Total NoAdditional CITY Tel. No. rr the permit Is for aa hundred dollars (=100)or{ver.) � 7 FLAN CHECK I certify that In the performance of the work for which this APPLICANT permit Is Issued, I shall not employ any person in any manner so as to become sublett to the Workers'Compensation Lighting Flxtures First 20 ADDRESS Total No. Additional toA61 oilcan C•�'�/�' CITY Tel. No. Fixed Appliances Not Over 1 HP PERAAIT NOTICE'T APPLICANT: 1f, after nraklnq fhI2 Cerlfflcate of Uj'�i/ rCpi(lSji �p Exemption, you should become subject to the Workers' Range— Heater_D.W. ,f Compensation provisions of the Labor Code, y6u must forth- Qven — Dryer —W.M.— ADDRESS pl)//c with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. CrTy p Tel. No.Fir/–O/j.1 Hood — Fan — CHher— ' LICENSED CONTRACTORS DECLARATION - Disp. — Room Air Cond. �UOR OR 7/ 1''lYf Clau$� I hereby affirm that I am Ilcerned under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business fib* PPa ge App DISTRICT NO. N BY and ProfesMons Code,and my license Is In full force and effect. A rotor 8 la IEances V b Stu 8 Type HP, KW, KVA, or KVAR' License Number,/ „ � Llc. Class Up to 1 Incl. FINAL V �� ver 1 to 10 Ind. DATE � '� VALDATFON Contractoc� . Date Over 10 to 50 InGI, FINAL ❑ 1 am exempt under Sec Over 50 to 100 Inc, BY Ckf B.BP.C. for this reason Over 100 Date: Services, Swbd., MCC 8 Ponelboardt / J 0 -.200 Amp. Under 600 V J Signature 201 - 1000 Amp. Under 600 V I, �t ❑ Over 1000 Amp. or Over 600 V Exemption for Reg, Malnt. Elect. f SINGLE FAMILY Temp. Power Pole 8 Appurterlantes r O1129 A HOME OWNER-BUILDER DECLARATION Signo a o 0 0 `Z 1 hereby affirm that I am-exempt from the Contractor's License Add n Branch Circuwith One Branch C rcu y , Low for the following reason (Section cult 7031.5, Business and Additional Sin --- 255 O Professions Code): ❑ 1, as owner of the-property, will do the work and the Mlac.ConduItl$Conductors ° ° 0 2 5 E. O structure Is not Intended cr offered for sale (Section Other (See Complete Fee Schedule)_ , o 3 3'08'4 41 70 , Business and Professions Code}. t r CONSTRUCTION LE=NDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued PERMIT FEE (Stib-Total) (Sec. 3097, Clv. C.). PLAN CHECKING FEE Lenders Name PERMIT I.SS11 I NG♦�E Lenders Address I certify that I have read this application and state that +4 TOTAL FEE Jr0 above Information Is correct. I agree to comply with all County ordlrvonces and State laws regulating Electrical wiring, and hereby author) representatives of this County to enter upon the above�(i property for Inspectlon purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE f ignaturo �.rml,;.r Date COUNTY OF LOS ANGEL TENPLE CT7.'Y _ 2 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORXS 9701 LAS TUNAS EL 0508 1303140040 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 ETT: LE93AL ID: _ FEES PAID BU=ING ADDRESS: ON FILE 6424 GOLbRN WEST AV FEE DESCNIPTION: "t- QUANTITY: II_OM:, AMOUNT: TEMP O7+ 917801419 ASSESSOR INFORMATION NUMBER: NEAREST; CROSS STREET: 5 83-025-010 Al PERMIT ISSUANCE FEE ,27.80 THOMAS PAGE: 597 OLID: Al LACALSTY: TEMPLE CITY CA L8 200 AMP PANELS, MCC 1.00-PAN 38.90 TENANT: TOTAL FEES 66.70 ISSUED ON: PROCZSSED BY: PLAN BY: 03/14/13 SR QWNRR: TEL. 190: F FIN L CODE: SHAPIRO, BEA 6424 GOLDEN i{B<`4T AV - TEMP 917801419 D-PSCRION 017 WORL UPGRADE SERVICE PANEL TO 200 AHP APPLICANT: TEL. NO: - . TO, LANH VAN (626) 309_-9623- 4841 TEMPLE CITY BL SPECIAL CONDITIONS: TEMPLE C= CA 91780 CONTRACTOR: TEL. 90: APPROVALS BATE INSPECTOR SIGNATURE ALAN SERVICE COMPANY (626) 309-96,23- _ 4841 TE2G'IS = BLVD LIC. NO TEMSPORARY POWER POLE TEMPLE CITY CA 91780 648308 + - UND IIMD CO ARCHITECT OR W012 EER: TEL. NO: UFERGRODND LIC. NO: ROU(JH RO WTRT1AC3 , MAZ:NJKA= I= PL.A32'IC Y/H [4TAL Y/N UTILITY COMPANY MIDI i I I I + ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508 j