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Home My Public Portal About5628 BALDWIN AVE_Electrical__ (2) 768663-CE306 ,0,72 APPLICATION fOR ELEaRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FADDRESS BUILDING AND SAFETY DIVISIONZV TY 7 T / R FOR APPLICANT TO FILL IN ST. GdiL OUTLETS NO.. EACH FEE OWNER OR FIRM NAME 27 p,y/ " RECEPT.,/W $ $ MAIL ,p LIGHT�� TOTAL FIRST 20 25 ADDRESS OVER 20 :340 CITY TEL. NO. SWITCH_ - .10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT � OVER 20 ADDRESS FIXTURES _ .10 RESIDENTIAL APPLIANCES CITY TEL. NO. PERI T RANGE DRYER WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS / � V SPACE HTR. AIR COND. CITY ,"' TEL. NO -# . 3) •?� CLOTHES WASH. DISHWASH. RI=G.NSE OR CLASS. l40 FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 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 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 1 — 10 3.00 OESCRIBED RESIDENTIAL. PR ERTY. PERMITEE 10 — 50 5.00 SIGNATURE O 50 — 100 10.00 DISTRICT NO. PROCE ED BY tJ 100 — 500 15.00 "fes SIGN.., GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSP OR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE. SERVICENOTOVER600VOLTS OR200AMP 3:00 - UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING -7-Al TEMP LIGHT OR RECEPT, SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL ;`."Y-wry`, ,"J,tr r, r,,I .. PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 e7�f TOTAL FEE 1-71 /70 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION " CK, M.O. CASH 1� L 19 2 D SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ' 76A653 DBS 5A 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY � � �� COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR 1APPLICAPIT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. .5", 8r7 ELECTRICIAN ADDRESS /jam �Q' j� (�U�� RECEIVEDFIRSTINSPECTION DY FOR DATE ISSUED CITYrLY� �.�B �/ TEL.NO. G y r �7� r- 7 /� COUNTY LICENSE NO A 4 LTi EXPIRES ✓ BUILDING a( PERMIT FEES ADDRESS / CJ FEE NUMBER EACH LOCALITY ilil/le/KJ vl/�*�f LIGHT OUTLETS /�`' NEAREST RECEPTACLES 7 CROSS ST. _ WALL SWITCHES DWNER r TOTAL OUTLETS so $ MAIL ! ELEC. RANGES 25 e� ADDRESS ELEC. HEATERS 25 CITY TEL NO. FIXTURES 5 _ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE 18 CORRECT NUMBER OF LIGHT CIRCUITS f 3 AND AGREE TO COMPLY WIT14 ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR IrAM THE LEGAL OWNER FEE NEW MvD. HP OVER IND. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. / 1/40 V/a A LESS 111 .25 +I / ` 81GNERMIT EE J V/a 2 .50 PERMITTEE a s 1.011 iTNSPECTION RECORD 5 1s 1.50 15 so 2.511 50 200 5.00 200 Sao 10.00 J 6D0 loom 15.00 Z OVER 1000 20.00 (!I M.G. BET/FREQ. CHANGER-HP WELDERS"AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF CRIS-) MOVED_MOTORS (75% OF DR10.) MISC. SIGNS No. NO.TRANS. N0. N0.LAMPS APPROVALS FOR EACH PERMIT" DATE INSPECTOR'S NAME WIRING $1.00 1,06 CONDUIT FIXTURES $1.00 / n WIRING SUPPLEMENTARY .50 FIXTURES V !- %rl POWER i TOTAL FEE > UTILITY CO.NOTIFIED I FINAL • I I 95A553 D58 5A 7-51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1 { COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT NO. GROUP ZONE PERMIT NO. FOR APPLICANT-j L N!J / 3G 3 ?c ELECTRICIAN I 'T �L� -° RECD BY READY FCR DATE ISSUED ADDRESS �...�— FIRST INSPECTION ^/+STEL 4/ �(NOyI/ �(a� COUNTY LICENSE NO. XC EXPIRESY�� BUILDING P�,Q� J(/ �[� �f 7��` PERMIT FEES ADOREeB (P fd5 v` 111 C/ FEE ov— Ca LOCALITY lsr-12, Lj. `�✓G✓ r� NUMBER EACH 'LIGHT OUTLETS NEAREST CROSS 9T. RECEPTACLES ��++ WALL SWITCHES OWNER/C! 7 �f:�rf / "v-�i1� IJs'•G TOTAL OUTLETS 5c $ MAIL ELEC. RANGES 85 ADDRESS/ r �u -'•'vel-�}t C ELEC. HEATERS 25 CITY /�-�J X" ll xTEL. N�'1J"C13I FIXTURES 5 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. NEW MVD. HP OVER INC- EACH Us i LESS .25 SIGNATURE OF = K ��& Y2 2 .513 PERMITTEe c r 2 5 1.130 INSPECTION RECORD 5 15 1.50 15 50 2.SO /,��., y. 50 200 5.00 L �Q.I- cc +�/C�G G / O G4&T 200 Sao 10.00 710 �r d y TN /--v J—CJ d Sao loco 15.00E E ` Z OVER 1000 20.00 to M.G. SET/FREQ. CHANGER-HP It WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG-) MOVED MOTORS (75% OF CRIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO.LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT. WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES / POWER TOTAL FEE 5 / �.-UTILITY CO.NOTIFIED ( FINAL �Y3�S��iAa�T v WORKERS'COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G ` insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES 7e-14 & 6 BUILDING AND SAFETY or a c t' i thereof (Sec. 3800, Lab. C.) � � Pacific National Policy No. Company FOR APPLICANT TO FILL IN JOBg >�� Certified copy is hereby furnished. Ins. CO. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS 5-X, _24 fC! fsv�✓�/ ® LOCALITY ' Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ tion department. h J, Multi-family Sq. Ft. — NEARESTCROSS / l �/„ rU Date Applicdnt” C 4� a�' Residential Swimming Pools OWNER OR y �(J FIRM NAME _ - 7Jdp CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw—E y� COMPENSATION INSURANCE L /, `U ADDRESS First 20 (This section need not be completed if the work involved by Total No. Additional CITY mei U 7t Tel. No. the permit is for one hundred dollars ($100) or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any personin any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT G. & S. ELECTRIC Exemption, you should become subject to the Workers' Range_ Heater_D.W. — Compensation provisions of the Labor Code, you must forth- Oven — Dryer W.M.— !� ADDRESS 531 S. Atlantic Blvd. with comply with such provisions or this permit shall be Top FAU k W.H. — Hood Fan _Other— 7� 283-6317 deemed revoked. CITY Monterey Park Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER 24857 Class.C�-� (commencing with Section 7000) of Division 3 of the Business DISTRICT N PR ESSED BY and Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances `g`, Size &Type HP, KW, KVA, or KVAR' d6 (f�j License Number 2.48057 Lic. Class C10 Up to 1 Incl. FINAL (' a<x S T ELECTLC Over 1 to 10 Incl. DATE A D QN Contractor s- Over 10 to 50 Incl. FINA o o ® ® o U ❑ I am exempt under Sec. Over 50 to 100 Inc. BY ® ® �j 4.,7 Am B.&P.C. for this reason Over 100 4 Date: Services, Swbd., MCC&Panelboards S a} UL ° ° ° 3 IL 7 5 cs 0 -200 Amp. Under600V 2-85 Signature (/— 201 - 1000 Amp. Under 600 V 0 5' Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): ElI, as�owner of the property, will do the work and the Misc. Conduits&Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ ► 7044, Business and Professions Code). CONSTRUCTION LENDING 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 (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE 7 above information is correct. I agree to comply with all County ordinances and State laws r ulating Electrical wiring, and hereby aut 'riz present, i es of this County to enter upon the above- a rLed prop y for ins ection purpo es. SEE REVERSE FOR EXPLANATORY LANGUAGE An �J JS ?(81fignature of Per it a ate