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Home My Public Portal About6455 GOLDEN WEST AVE_Electrical__ 76A663-CE80610-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING e BUILDING AND SAFETY DIVISION ADDRESS C,`I�r l�r- JOHN A. LAMBIE, COUNTY ENGINEER r�ll 7 WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Y r`C t•t NEAREST FOR APPLICANT TO FILL IN CROSS ST. C�✓♦i1 07/ RECEPT. TOTAL NO. EACH FEE �1 OUTLETS FIRST 20 $20 $ OWNER C 2 LIGHT MAIL SWITCH. ADD'L ADDRESS OVER 20 .10 TOTAL CITY TEL. NO. LIGHTING FIRST 20 .20 FIXTURES ADD'L .10 ELECTRICIAN OVER 2O RANGES CLO.DRYERS WTR. T.S.H1.00 ADDRESS L GARB.DISP. STA.COOK '7'+ ,, l CITY / /v TEL.NO. 'C DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(+/s H.P.MAX.) ,50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DIST�jICTO. GRIP NE PROCESSED BY O 1 LOO t ,••+•� K 1 3 1.50 INSPECTION RECORD 3 8 2.00 d O 8 15 2.50 v GY 15 50 3.00 Fro 50 100 5.00 W SIGNS: NO.TRANS. Vf NO.LAMPS z SERVICE 0.600V-NOT OVER 200A 1.00 SERVICE 0-600V-OVER 200 A. 2.00 11 SERVICE OVER 600V 5.00 MISC. -<- b L PERMIT ISSUING FEE 2.00 Q SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ I HEREBY ACKNOWLEDGE THAT I 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 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 UTILITY CO.NOTIFIED OF PERMITTEE FINAL -V)h LIDATION ARTHUR C. VEIT 1 SUPERVISING ELECTRICAL ENGINEER CK MO CASH � Ij 6L f / e- 76A663-CE806 3-641 APPLICATION FOR ELECTRICAL' ERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. 4!�O TOTALNO. EACH FEE OUTLETS FIRST 20 5 20 O OWNER LIGHT MAIL ADD'L ADDRESS SWITCH. OVER 20 .10 0 TOTAL CITY TEL. NO. a LIGHTING FIRST 20 .20 FIXTURES ADD'L tO ELECTRICIAN OVPR 20 RANGES CLO.DRYERS WTR.HTRB. 1.00 ADDRESS 02 AA�� `r GARB.DISP. BTA.COOK CITY !ti's/ L. J DISHWASH. AUTO.-WASH. STATE L SPACE HTRB. STA.APP.(y=H.P.MAX.) .50 LICENSE NO. (� MOTORS. OVER NOT OVER H.P. DISTBFCT G7_ OUP NE CESSED B `' O 1 1.00 / / r -G- 1 3 1.50 INSPECTION RECO a 3 8 2.005 .3 o 8 Is 2.50 . y 15 50 3.00 �• = r O 50 100 5.00 I �; , :� a SIGNS, NO.TRANS Z NO.LAMPS SERVICE 0.600V•NoT OVER 200A 1.00 SERVICE 0.60OV•OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 00 SUPPLEMENTAIRY PERMIT ISSUING FEE 1.00 TOTAL FEE s 1HEREBY ACKNOWLEDGE THAT I 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 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS IRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR T TI AM THE LEG OW THE A OVE DESCRIBED R [DEN IAL P Y. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL All' -- VALIDATION ARTHUR C. VEI MO CASH SUPERVISING ELECTRICAL ENGINEER V'L� WORKERS'COMPENSA)ION1IECLARATiON 7BA683 CE-806G (2-80). APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a caftificate of cbnsent to self COUNTY OF LOS ANGELES `�' BUILDING AND SAFETY insure,or a certificate qf-Workers'Compensation Insurance,or / a certifled copy thereof( 3800,Lab.C.) r r ompany- -C C FOR APPLICANT TO FILL IN JOB Policy N 1 New Reeldentlal Bldgs.&Pools EACH NO. FEE ADDRESS 7' Certified copy L hereby furnished., 1 &2-Famlly,Sq. Ft. _ — LOCALITY M-Ccctifled co it with the coU t bull Multi-family Sq. Ft — RY R Y ding inspection CR088 8T department. Fleaidpnfial Swimming Pools OWN R OR Date I llcant l`� n-'r z '� �J FIRM NAME 1 �p - Outlets: Rec._Light Sw. MAIL Ste ' �iFat 20 ADDRESS t;ERTIFICATE OF EXEMPTION-PROM'WORKERS' Toml No.� Additional CITYTot No. COMPENSATION 1NSURA.NCE PLAMCHECK • ('fftla section neednot be complilted if the wort h'tvol�ed Lighting Fixtures First 20 APRLICANT by'the permit is for one hundred doUm ($100) or len.} Addltfonal ADDRESS' TotO No. I certify that In the performance of the work for which thin Fixed Appliances Not Over 1 HP CITY Tel No, 0 permtt is issued, I shall not employ any person in any manner PERMIT. so as to become subject.to the Workers`Compensation Laws. Range_FfwWr D.W._ P ANT4W l Oven Dryer_W.M. AD-DRESS LL N Date/ � Applicant P-191� Top FAU _W.H,� L a , Hood _Fen ._Other_ CITY eToo JlTel NOTICE TO APPLICANT: If, after making th}s Certificate of Dlsp. _ Room Air Cond_ /� _ Exemption, you should become ►ubiect to the Workers' REQ.NUMBER `/ las, Compensation provisions.of the Labor Code, you must-forth- Power Apparatus& Large Appllences D18T ICT NO_ PROCE ED BY with comply with such provisions or this permit (ball be deemed revgkedz Size&Type HP,KW, KVA,or KVA ["'`l J Up to 1 Incl,. . FI iTATEL J V Q I _ Over 1 to 10 Incl. DATE �j LICENSED CONTRACTORS DECLARATION �—n VALIDATION ' � Over 10 to 60 Incl. I hereby affirm that 1 am licensed under provisions of Chapter Over 60 to 100 Inc. FINAL 9 (commencing with Section 7000) of Dfrialon 3 of the Buri- Over 100 BY nese and ISrofesalops.Coda, and my license is in full-fprce and effect. J Services I License Numbs Lic,Clash 'a�/ 0 20Q Amp. Under 600 V 201-1000 Amp.Under 600 V 43 Contractor Date ' T` Over.10Amp,or Over 800 V 1/ 00 -/ HOME OWNER-BUILDER DECLARATION. Temp. Power Pole&Appurte4erlcgs I hereby affirm that I am exempt from the Contractor's Sign With One Branch Clrarlt I License Lew for the following reason (Section 7031.5, Buss- Additional Sign Branch Circuits neas•and Professions Code): I, as owner of thero ill do thik and the Mme'Condults&Conductor 1 8 9.5..A R nem We woOther (See Complete Fee Schedule)— structure Is not Intended or offered for sale (Sectloo # o o.0 0 o2 7044, Buslnam and Professioru Code). CONSTRUCTION LENDIIQG•AQENCY Q o o9.5 I hereby affirm thAt there is a construction lending agency for the performance pf the work for which th16 permit is P5RMIT FEE (SU b-Tota1) p o-o o 9,5 Q Issued (Sec. 3097,Civ.G.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address_ PERMIT ISSUING FEE I _ I certify that I have road this application and state that the TOTAL FEE above information L correct.I agree to comply with all Couety ordinances and State laws regulating Electrical *irllng, and hereby authorize represent uvea of is Cougty to enter upon the abov ro r pectlon parpoaaa. SEE REVERSE FOR$XPLANATOA-Y LANGUAGE' Signature of Permlttee Data I WORKERS'.COMPENSATION DFCLAIZATION CEI30eG (2-60) APPLICATION FOR ELECTRICAL PERMIT I hereby ■form that I have ■ cer"ate of consent to self COUNTY OF LOS ANGELES . AND SAFETY• Insure, or ■ certificate of Workers"Corp tion Insurance,or ■ccopy ereof{SAC. 800,La ` ~�[J �/ FOR APPLICANT TO FILL IN JOB Policy No. Comp • New Residential Bldgs.&Pools EACH NO. FEE All DR Certified coPy Is hereby furnished. l� f � 1 &2-Fernlly,Sq. Ft. sd — � LOGALI[TY EST Certified copy,is filed with the countT inspectign• Multi-family S4. Ft. CROSS ST department. Residential Swimming Pools OWNER OR . ��,/ FIRM NAME DateJ�C;aApplfant Outlets: FiecLight /. 5w� All V �a crit DDRE38. ' CERTIFICATE OF EXEM FROM WORKERS' Total No. Additional. CITY—7,_ C, Tel No? COMPENSATI INSURANCE PLAN CHECK PPLICANT 8 (This section need not be mp hied if the work or lased Lighting Fixtures Flrrt 20 ADDRESS tJ by the permit 4s for one humndrpd doRkrs (SI00) or lap) Additional I certify that it the performance of the work for which this Total NO. CITY Tel No. permit is issued, I shell not employ any penin in tiny manner Fixed Appllencea Not Over HP / E to as to become subject to the Workers' Compensation Lawn. Rangq.___ Heater,D.W. _ P APPPER W Oven _ Dryer_W.M. ADDRESS Date_ . Applicant Top .— FAU _W-H.—� Z flood — Fen _OfiierCITY �� TaINo. NQTICE TO APPLICA-IT: If,.after maldng this Certificate of Dlsp. _ Room Air Cond` LICENSE Exemption, you shbuld become subject to- the Workers' AEG.NUMBER trier Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliandes' 0I$TRICT NO. PRO E d BY with comply with such provhions or this permit shall'be. A deemed revoked. Size&Type Hp,KW, KVA,or KVAR <�;v Up to 1 Incl FINAL ' Over 1 to 10 Incl. DATE LICENSED CON'T'RACTORS DECLARATION VALI DATI N _ Over 10 to 60 16cl: i I hereby affirm that I am Licensed underprovisions of Cb4pter Oyer 60 to 100 Inc. FINAL 9 (commencing with Section 7000) of Dtrislon 3 of The Buil- Over 100 BY nen acid Professlom.Coda, and my License is In full t'ofce and effect. � Services License-Number Lic.Clssi��{ 0 0-200 Amp. Under 600 V � 201-1000 Amp. Under NO Y Contractor Date � Over 1000 rAfnp.or Over 600 V HOME OWNER-BUILDER DECLARATION Tamp. Poyser Pole&Appurtenances I hereby affirm that I am exempt 'from the Contractor's Sign with One Branch Clrcult License Law for the following reason (Section 1031.5,'Buri Additional Sign-Branch Clrcultl ness and Professions Code): Mlsc.Conduits&Conductors FJ I, as owner of the property, wall do the work and the Other($ee Complete Fee Schedule)- 1214 8 6 3 A structure is not intended or offered for sale (Section # 6'b'o o 0,2 7044, Businewand Professions Code). CONSTRUCTJON LENDING AQENCY I hereby affirm that them is,a constFuctlon lending agency .2 °,° 1 1.00 for the performance of the work for which. this permit Is PERMIT FEE (Sub-Total) 0 0 0 issued(Sec. 309,7,Civ-C.). 1.1-b03 Lender's Narrie PLAN CHECKING FEE (One-Fourth Pefrnllt Fee-) k2 �, 8 1 Lender's Address PERMIT ISSUING FEE 00 I certify that I have reed this application and state that the TOTAL FEE above information is correct.I agree to comply with all County ordinances and State laws re"tJng Electric}l wiring, and hereby a horise representatives of this County to enter upon J the■ tJo party for inspection purposgs. SFE-PEVERSE FOR EXPLANATORY LANGUAGE S e-of Permlttee