HomeMy Public PortalAbout6432 GOLDEN WEST AVE_Electrical__ 76A663-CE8064-60 APPLICATION FO ELECTRI AL PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION
JOHN A.LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUP'TOF BUILDING LOCALITY^ 'LT
NEAREST j
FOR APPLICANT TO FILL IN cRoss sT
PERMIT FEES OWNER
1 TE M NUMBER EACHFEE MAIL
OUTLET S 10 S ' �� ADDRESS I
LIGHTS , RECEPT. SW.
LIGHTING FIXTURES _3 .10 30 CITY TEL.NO.
ELEC. RANGES CLO. DRYERS ELECTRICIAN
WATER HEATERS .50 ADORES
ELEC.SPACE HTRS. DISHWASHERS CITY i EL.NO. C�
GARBAGE DISPOSERS AUTO.- STATE `
LICENSE NO.
WASHERS STA.COOKING UNITS .25
MOTORS: OVER INC. H.P. DIST,R -T 0. I GROUP- ZONE I PRO ESSED BY
0 — I/z .25 �-�
vz — 2 .50 INSPECTION RECORD
>-
2 5 1.00 O
5 — 15 1.50 U
15 — 50 2.50 0
H
50 — 200 5.00 ICJ
NO TRANS.
SIGNS: NO. LAMPS ►: /� !1 V I✓ Z
SERVICE O.600V 1.00
SERVICE OVER 600V
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT ,50
TOTAL FEE 6'
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS 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 ,?rleR
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR e,.
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 2 L
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTI ROPERFY. q POWER
SIGNATURE UTILITY CO. NOTIFIED
OF PERMITTE
FINAL
IDAT(ON ARTHUR C.VEIT.
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
76A58b-CK5O8 S-ag
APPLICATION FOR ELECTRICAL PERM
•COU?4Y OF LOS ANGELES
DEPARTM NT OF COUNTY ENGINEER BUILDING /.
BUILDING AND SAFETY DIVISION ADDRESS z c
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH F[[ Q
III a OWNER L L OJMns
RECEIPT ADDRESS N-E /� J
LIGHT TOTAL FIRST 20 /0 .20 O A
SWITCH 10OVER 20 10 CITY /7 TEL.NO Q1 73
PLAN CHECK
LIGHTING TOTAL FIRST 20 2 ,20 APPLICANT
FIXTURES }_Z QUER 20 ,t0 ADDRESS
RANGE_DRYER_WTR. HTR. CITY r TEL.NO.
STA. COOKDISP. F.A.U. CONTRACTOR �G ,SE T
SPACE HTR_ AIR COND. ADDRESS jkfJr] (?11,CR 046C
42
CLOTHES WASH. DISHWASH. CITY AM E TEL.NO.4 'j
FAN OTHER 1.00
LICENSE NO. ASO 7 CLASS. I
MOTORS,TRANSFORMERS RATING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IN CORRECT AND AGR[[ TO COMPLY
SIZE h TY�E OVER TO WITH ALL COUNTY ORDIMANCES AND BTATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED NO/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STAT[OF
1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IM, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O
10 - 50 5.00 _ V
SIGNATURE w
50 - 100 10.00 OF PERMITTEE O
100 - 800 15im DISTRICT MO. GROUP ZO PR [
SIGN, OR z
GAS SIGN AND ONE CIRCUIT 3.00 v O 'D5
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 800 VOLTS OR 200 AMP 2.00
SERVICE OVER 800 VOLTS OR 200 AMP 8.00
TEMP SERVICE, POLE, IN APPURTENANCES 3.00 APPROVALS DAT[ ![RCTOWS SISNATUK
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL)
POWER AUTHORIZED
PLAN CHECK FEE (80% PERMIT FEE)
PERMIT ISSUING FEE 2.00 0_0UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
JOSEP
TOTAL FEE ATO
SUPERV151N0 ELE EA
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
3 5 529 JAN3 0 2 D 4.40-
SEE BACK OF APPLICATION FOR COMPLETE FE[ SCHEDULE -rt�
78A663-CES08-I I-$7 A P P L I C A T I O N FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES 1
DEPARTMENT OF COUNTY ENGINEER gDDRHss(N
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, County Engineer
CASSATT D. GRIFFIN, Supt of Building LOCALITY
NEAREST ... ....:. ....�
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES
1 T E M NUMBER EACH FEE OWNER ' '-
OUTLETS: $ $ MAIL / + s
LIGHTS RECEPT. SW. ") .10 oC.S7 ADDRESScr Imo} +`•-:.-
LIGHTING FIXTURES .10 ' CITY °`-- '".. TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN > � U t'- t•.: - A
WATER HEATERS .50 ,,��✓✓
ADDRESS
ELEC.SPACE HTRS./ DISHWASHERS
GARBAGE DISPOSERS AUTO.- CITY TEL.NO.
WASHERS STA.COOKING UNITS .25 STATE
LICENSE NO.
MOTORS: OVER INC. H.P.
DISTRICTN0. R UP Z READY FOR INSPECTION
1/2 — 2 .50
z - 5 1.00 INSPECTION RECORD
5 — 15 1.50
15 — 50 2.50
SC — 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
TOTALFEE $ n APPROVALS
I HEREBY ACKNOWLEDGE THAT 1 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 �.7
CHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR �-
LIENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTI PROP%�'RTY. J
SIGNATURE �. �1y'1—G'.iJ (j _ _ UTILITY CO. NOTIFIED
OF PERMITTEE ,
FINAL nr
DATION ARTHUR C.VEIT.
(CK� MO CASH SUPERVISING ELECTRICAL ENGINEER
LAC0 3 3 1 8 SR JUL 2 9 2 A 4.0 0 :9
78A668 DBS SA a-49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC �
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
' RECEIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION
F
CITY • �(, TEL. NO I "O
/ /
COUNTY LICENSE NO. EXPIRES D BUILDING A
PERM FEES ADDRESS WE s T /A,y E
NUMBER I OUTLETS EACH FEE LOCALITY OL.Ar/ / 'rY
S LIGHTS 5C $ NEAREST / MON e
RECEPTACLES 5 I CROSS ST. r(s A G:
,LL'S FIXTURES 5 OWNER ,L, T a
✓� WALL SWITCHES 5 I MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25
CITY TEL. NO.
MISC. I I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
' - NUMBER OF CIRCUITS INSTALLED:
IJ APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES eC. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER HORSEPOWER I CERTIFY THAT i POSSESS THE ABOVE VALID LOS
FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER I INC. EACH
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
'/s a LEss $ .25
I/2 2 .50 SIGNATURE OF
PERMITTEE
2 5 1.00
5 is 1.50 INSPECTION RECORD
15 50 2.50
50 200 5.00
200 500 10.00 f
500 1000 15.00 ^+ J
OVER 1000 I 20.00 n r,f Z
M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA a FEFE
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% of ORM.)
MISC.
SIGNS
TYPE: NO. TRANS.
TYPE: NO. LAMPS APPROVALS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
CONDUIT
WIRING
$1.00
FIXTURES $1.00 WIRING
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE $ YO UTILITY CO. NOTIFIED 7-1
FINAL
76AG62 DBS sA s-49 S APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN
DISTRICT NO. GROUP I ZONE PERMIT NO.
I
ELECTRICIAN
CEIVED BY READY FOR DATE ISSUED
ADDRESS1 u n / FIRST INSPECTION �
CITY �,. T.E h� TEL. NO -R'1 �./y� -
COUNTY LICENSE NO. /D 2 EXPIRES �.}D;,,5(J BUILDING
PERMIT FEES ADDRESS
NUMBER OUTLETS EACH FEE LOCALITY ! e Aj PA JE
LIGHTS 5C I$ NEAREST J
CROSS ST.
RECEPTACLES 5
FIXTURES 5 OWNER i4 TLES
WALL SWITCHES 5 MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 I CITY TEL. NO,
MISC. ( 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED: APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER HORSEPOWER I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH
OF THE RESIDENTIAL PROPERTY DESCRIBED A OVE.
_ v&LESS $ 2s
'/z 2 .50� SIGNATURE OF 1
PERMITTE
2 5 1.00 s"' -
5 15 1.50 INSPECTION RECORD
15 50 2.50
50 200 5.00
200 500 10.00
500 1000 15.00 ..1
OVER 1000 I 20.00 Z
M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA Q
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
misc.
SIGNS
TYPE: NO. TRANS.
TYPE: NO. LAMPS APPROVALS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
CONDUIT
WIRING $1.00
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ UTILITY CO. NOTIFIED 04
FINAL 4 •-✓^'. ...-
; � haafi � ' '0'81
I hm; at I e c ont to self � APPLICATION FOR ELECTRICAL PERMIT
Irtsurb; oy� cerifflcate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
0r..0cer IagI copy thereof (Sec. 3800, Lab. C.) , r
Policy No. Company FOR APPMUJCANWr TO PRL IN. JOB
A
Certified copy Is hereby furnished. New ResldentJol Bldgs. 8 Pools EACH NO.
L = LOCALITY 7—L
Certified copy is filed with the county baNding Irrspec- I $2-FamLly, Sq. Ft.
tlon department. Multi-fomfly Sq. Ft. trFT
t ResldCROSS ST. /Gentfal Swimming Pools oyyt,��
Date Applicant Fi RM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rbc�Llght Sw. AL
COMPENSATION INSURANCE ,Z R
First 70 ADD
(This section reed hof be completed tf the work Involved by Total No:_ Addltlortal CITY 1CTel. No.
the permIlt is for one hundred dollars($100)or 4"s.) p CHECK
{ I certify that In the performante of the work for which this ApptCArF
permit Is Issued, I shall not employ any person In any manner 1
so as to become subject to the Worken Comti
pensaon Laws. Lighting Fixtures Flnt 20 ADDRESS
_ Total No. Additional CITY TeL No.
Date 11canT - `- Fixed Appliances Not Ove+• 1 HP per
NOTI TO ICANT: If,• aftmaking this Certificate of Appf
Enemptlon, you should become subject to the Workenl' Range_ Heater_D.W.
Compensation provisions of the Labor Cede, you must forth- Oven Dryer —W.M. ADDRESS
with comply with such provisions or this permk shall be Top FAU —W.H. —
deemed revoked. CITY e44 etiT Tel. Nb,
LICENSED CONTRACTORS DK ARAT10N Hpod —Fan —Other_ L�SFOR rt
1 hereby'afflm5 that I am licensed under provisions of Chapter 9 -0Isp. _ Room Air Cond. R[G !ER � d Class. fJ
(commencing with $&ction-7000) of Dlvloon 3 of the BWlneriDISTRICT NO. PROCE B
and Professions Code,and my license Is In full force and effect. Power Apparatus 8 Large Appllapces _
Size 8 Type HP, KW, KVA, or KVAR'
License Number' LIC. Class C-1 T Up so 1 Incl. FINAL 7 V
�' �Ddte' D --"— � 1 to 10 Incl. DA� `` ('. 0 VALIDATION
Contractor Over 10 tb 50 Incl.
FI
I am bxempt under Sec. Over 50 to 100 Inc. BYfy
�
B.&P-C_ for this reason Over 100
Dote Services, Swbd., MCC&Panelboards -
0 -200 Amp. Urtdet 600 V
Slgnaturw201 -i000 Amp. Under 600 V
❑ Over 1000 Amp. ar Over 600 V
Exemptlon'for Reg. Malnt. tlect.
SINGLE FAMILY Temp. Power Pole 8 Appurtenances
HOME OWNH2 BUILDER DECLARATION Sign with One Branch.Clrquit
I hereby affirm that l am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits 3 0 811 A
Prof-emlons Code): 2
Mlsc. Condulh 8 Conductors
1, as owner of the properly,.will d0 the work and the
structure Is not Intended or offered for sale (Section &r (Sqpe Complete p Fee Schedule)_- Poo. 2y o 2 7;7\5j
7044, Buslness and Professions Code).
CONSTRUCTION LENDING AGENCY 0 0 0 2 7 j 5 j
I heroby affirm that there Is a constructlon lending agency for3-0-8-4
the performance of the wor}c for which this permit Is [shied PERMIT FEE (Sub-Total) � 7'
(Sec. 3097, Clv. C_).
PLAN CHECKING FEE
(.enders Name
PERMIT ISSUING FES
_Lenders Address -I, I •
1 certify that I have read this application and state that the TOTAL FEE -,
above Information u correct. I agree to comply with all County
C
rdinances and State laws regulating Electrltal wiring, arld
hereby outhorize.ropresentatives of this County to enter upon
the abovo-me tinned property for Inspection purposes.
SEE REVEIEtSE FOR EXPLANATORY LANGUAGE
SI m