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76AG63 CES08 11 SIAPPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �^
BUILDING AND SAFETY DIVISION
ADDRESS
r]OHN A LAMIE Couaty eer [rte
CI[SSA1T D GRWIN Snp t of ylldt� LOCALITY
FOR APPLICANT TO FILL IN CROSSNEARE$ c `
PERMIT FEES
ITEM NUMBERI EACH FEE OWNER ff
OUTLETS $ $ MAIL
LIGHTS RECEPT SW 10 ADDRESS
LIGHTING FIXTURES to CITY { TEL NO
ELEC RANGES /--- CLO DRYERS l ELECTRICIAN r Q 1(1/-"f
WATER HEATERS C 50 ADDRESS
ELEC SPACE HTRS DISHWASHERS
GARBAGE DISPOSERS AUTO CITY-5,4-1V TELLS N a/'Z-
WASHERS STA COOKING UNITS 25 STATE
LICENSE NO
MOTORS OVER INC H P
DISTRICTGR READY FOR INBPECTION
O — 1/z 2 S7
1/2 — 2 50
2 — 5 100
INSPECTION RECORD
5 — 15 150
15 — 50 250
50— 200 500
SIGNS NO TRANS
NO LAMPS
SERVICE O 600V 100 QO
SERVICE OVER 600V 500
MISC
WIRING PERMIT 1 00 Q Q
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTAL FEE o APPROVALS
1 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES CO TY AND STATE OF FIXTURES
CALIFORNIA OR THAT IA L L 0 ER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL P R
SIGNATURE UTILITY CO NOTIFIED /Q -
OF PERMITTEE—
FINAL
VALIDATION ARTHUR C YEIT
CK Mo CASH SUPERVISING ELECTRICAL ENGINEER
I
x 'To5 4 3 6 00. OCT 2 2 A 250 El
y
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76AG63 CES06 1056 APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DMSION
Deportment of County Engineer BUILDING
County of Los Angeles ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN $UP T OF BUILDING LOCALITY41
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PERMIT FEES
OWNER J(/ w
LIGHTS RECEPTACLES SWITCHES �/+mofji
NUMBER 1 T E M EACH FEE MAIL
ADDRESS
TOTAL OUTLETS $ 10 $
ELEC RANGES WATER HEATERS CITY EL NO
CLOTHES DRYERS 50
ELEC SPACE HEATERS STAT Y COOK ELECTRICIAN 1
ING UNITS GARBAGE DISPOSERS ADDRESS
AUTO WASHERS DISHWASHER 25
LIGHTING FIXTURES 10 CITYkZ TEL N
MOTORS STATE P
LICENSE NO
HORSEPOWER
H P OVER INC DISTRNO GRO P � READY FOR INSPECTION
1/7 @ LESS 25 /
Ih — 2 50 INSPECTION CORD
5 15 1 50 GV
15 50 250
50 200 500
MIBC
SIGNS I NOT ANS
NO LAMPS
SERVICE O 600V 1 00
SERVICE OVER 600V 500
WIRING PERMIT 100
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50 APPROVALS
TOTAL FEE S DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
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 I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL P ERTY I
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE
FINAL
JOHN A LAMBIEA ATION ARTHUR C VEITE
COUNTY ENGINEER cic Mo CASH SUPRVISING ELECTRICAL ENGINEER
325k� 27 2 A 220to
k
76AG63 CES06 1066 APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DMSION
Deportment of County Engmeer BUILDING
County of Los Angeles ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS
PERNIIT FEES
OWNER
LIGHTS RECEPTACLES SWITCHES
NUMBER 1 T E M EACH FEE MAIL
ADDRESS
TOTAL OUTLETS $ 10 $
ELEC RANGES WATER HEATERS CITY TEL NO
CLOTHES DRYERS 50 ELECTRICIAN I..J
/ ELEC SPACE HEATERS STAT Y COOK �e
ING UNITS GAR 6A2X AISPOSERS �A ` ADDRESS [i
AUTO WASHERS DISHWASHER 25 a(J
LIGHTING FIXTURES 10 CITY TEL N
MOTORS STATE �7 i
LICENSE NO
HORSEPOWER
H P OVER INC DISTRIQTKIO IGTl --����II����P �/ J READY FOR INSPECTION
1/2 @ LESS 25
2 50 INSPECTION RECORD
2 — 5 foo
5 15 1 50
15 50 250
50 200 500
MISC
SIGNS I NO TRANS
NO LAMPS
SERVICE O 600V 100
SERVICE OVER GOOV 500
WIRING PERMIT too
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50 APPROVALS
TOTAL FEE S DATE INSPECTOR S SIGNATURE
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
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 I 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 RESIDENTIAL PR P RTY /J
SIGNATURE ��� UTILITY CO NOTIFIED
OF PERMITTEE C- ---- -e
FINAL
JOHN A LAMBIE ATION ARTHUR C YEIT
COUNTY ENGINEER cK MO CASH SUPERVISING LECTRICAL ENGINEER
�,2 3 1 IN JUN 26 2 A .75
76A663 CES06 1056 APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DMSION
Department of County Engineer BUILDING ,, r/�
County of Los Angeles ADDRESS Q t -
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN Ross ST
PERMIT FEES
OWNER /✓�,
LIGHTS RECEPTACLES JAI SWITCHES
NUMBER I T E M EACH FEE MAIL
rn1
TOTAL OUTLETS $ 10 $
ADDRESS� W
ELEC RANGES WATER HEATERS CITY TEL NO
CLOTHES DRYERS SO ELECTRICIAN
ELEC SPACE HEATERS STAT Y COOK
IN UNITS GARBAGE DISPOSERS ADDRESS
AUTO WASHERS DISHWASHER 25
LIGHTING FIXTURES 10 CITY TEL NO I
MOTORS STATE I
LICENSE NO
HORSEPOWER
H P OVER INC A DISTRICT NO GROUP Z NE I READY FOR INSPECTION
1/2 8 LESS 25
1/2 2 50 INSPECTION RECORD
2 — 5 100
5 15 1 50 ✓/ r //�
15 SO 250
50 200 Soo
MISC
SIGNS I NO TRANS
NO LAMPS
SERVICE O 600V 1 00 '00
SERVICE OVER BOOV Soo
WIRING PERMIT 100 0
FIXTURE PERMIT 100 I .00
SUPPLEMENTARY PERMIT 50 APPROVALS
TOTAL FEE DATE INSPECTOR S SIGNATURE
LCALIFORNIA
BY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
L COUNTY ORDINANCES AND STATE LAWS REGULATING
CAL WIRING WIRING
EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
NIA OR THAT I AM E LEGAL OWNER OF THE ABOVE POWER
ED RESIDENTIAL�RO TY I UTILITY CO NOTIFIED
URE RMITTEE ld"=
FINAL .f 1
JOHN A LAMBIEATION ARTHUR C VETT
COUNTY ENGINEERSUPERVI81Nd ELECTRICAL ENGINEER
CK MO CASH
1903 00, JM162 A 6.95
e
WORKERS COMPENSATION DECLARATION 863 loiel APPLICATION FOR ELECTRICAL PERMIT
I herbyy CE affirm that I have a certificate of consent to self CE 806G '
insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof (Sec 3800 Lab C )
Policy 4p iRRK) 82'rompany!�3nmFOR APPLICANT TO FILL IN JOB
Certified co is hereby furnished EACH NO FEE ADDRESS f
PY Y � New Residential Bldgs & Pools
dCertified copy is filed with the county building inspec 1 & 2 Family Sq Ft $ — $ LOCALITY
tion department Multi family Sq Ft — NEAREST
CROSS ST ,
���C�fc Residential Swimming Pools OWNER OR
NA
Date 24plicant
FIRM ME
CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec�Light Sw� / MAIL
COMPENSATION INSURANCE �� d{7 ADDRESS f
This section need not be com leted if the work involved First 20
( p b Y J Total No Additional P CITY�� Tel No s—
the permit is for one hundred dollars ($100)or less ) jg
I certifythat in the performance of the work for which this PLAN CHECK
P � PPLICANT
permit is issued 1 shall not employ any person in any manner ,
so as to become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS
Total No Additional
Date ` Applicant CITY Tel No
,
Fixed Appliances Not Over 1 HP
NOTICE TO APPLICANT If after making this Certificate of ( PERMIT
Exemption you should become subject to the Workers Range_ Heater_D W APPLICANT
Compensation provisions of the Labor Code you must forth Oven _ Dryer — W M e. ADDRESS
with comply with such provisions or this permit shall be _ Top FAU —W H NX
deemed revokedHood Fan _Other_ /� CITY Tel No y
LICENSED CONTRACTORS DECLARATION g!/ LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp Room Air Cond REG NUMBER Q t Class
(commencing with Section 7000) of Division 3 of the Business power Apparatus& Large Appliances DISTRICT NO PROCESSED BY
and Professions Code and my license is in full force and effect d
Size & Type HP KW KVA or KVAR O
License Number3Q011,`—::n Lic Class Up to 1 InclA /I V
FINAL �i *,(�J' Im
ContractorDate \`L—\—�� Over 1 to 10 Incl DATE "� VALIDATION O
s Over 10 to 50 Incl
❑ FINAL
am exempt under Sec
Over 100{
Over 50 to 100 Inc BY w
B 8P C for this reason t�R
i e \�,_�_� Services Swbd MCC & Panelboards ► Z
0 200 Amp Under 600 V
Signature %//s / 201 1000 Amp Under 600 V
❑ Over 1000 Amp or Over 600 V
Exemption for Reg Maint Eject
SINGLE FAMILY Temp Power Pole& Appurtenancesy
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 d r
Law for the following reason (Section 7031 5 Business and 7 3 2 5 A
Professions Code) `
❑ I as owner of the property will do the work and the Misc Conduits &Conductors o e o o 0 2
structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_
7044 Business and Professions Code) ° ° 3 7 7 5
CONSTRUCTION LENDING AGENCY
'F o o a 3 7 r7 a
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) t 205-83
(Sec 3097 Civ C
PLAN CHECKING FEE
Lender s Name 0
PERMIT ISSUING FEE
Lender s Address
I certify that I have read this application and state that the TOTAL FEE
above information is correct I agree to comply with all County
ordinances and State laws regulating Electrical wiring and
hereby authorize representatives of this County to enter upon
the r erty for inspection purposes
� SEE REVERSE FOR EXPLANATORY LANGUAGE
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Signs re o�errnt�tee ��
Date
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