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HomeMy Public PortalAbout4800-4816 BALDWIN AVE_Electrical_08-26-1983 COUNTY OF LOS ANGELES APPLICATION FOR PERMIT DEPARTMENT OF COUNTY ENGINEER E L E C T It I C 1 DIVISION OF BUILDING & SAFETY WILLIAM J FOX COUNTY ENGINEER FOR APPLICANT TO �FILL IN DISTRICT NO GROUP ZONE PERMIT NO ELECTRICIAN �� JJ� sy/C.C_lc ADDRESS �` V C4F�'t f �" Y /Y r Ali A� RECEIVED BY READY FOR DATE ISSUED �a� FIRST INSPECTION CITY ♦�"�,_ .1 ,YIc 2 O Yp tta TEL NO- -y0-d'" -7Ik7 PA 1, COUNTY LICENSE NO �I [ EXPIRES u�'7Q/�� BUILDING a ]/ / ADDRE88 V C� � � t^L�- td PERMIT FEES c-/FEE NUMBER EACH LOCALITY LIGHT OUTLETS 16 r RECEPTACLES 4 NEAREST T t3—,, WALL SWITCHES ' OWNER elam,YA 2'�l` TOTAL OUTLETS 5c $ S S MAIL ELEC RANGES 1 25 ADDRESS ELEC HEATERS 25 O CITY TEL NO FIXTURES � 5 FIXTI HEREBY ACKNOWLEDGE THAT 1 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 CIRCUIT AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER NEW MVD HP O VER INC MACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE a LESS $ 25 S-o SIGNATURE OF 1 I/z 2 50 s^0 PERMITTE 2 5 1 00 1 1 INSPECTION RECORD 5 15 1 50 15 so 2 so �- so 200 5 00 ' 7 S3 / ��Sa2viC.iBa � 7d A..nA v�A! 200 500 10 00 ,q 500 1000 1 15 00 a OVER 1000 20 00 TErzA o 7.3 ve/ �� M G SET/FREQ CHANGER HP WELDERS AC KVA GENERATORS KW TRANSFORMERS KVA TEMP MOTORS (75% of ORIG ) MOVED MOTORS (7r.% OF ORIG ) MISC SIGNS NO NO TRANS APPROVALS NO NO LAMPS FOR EACH PERMIT PlkTE INSPECTOR 8 NAME WIRING $1 00 CONDUIT l FIXTURES $1 00 WIRING FIXTURES v SUPPLEMENTARY 5O POWER �O � TOTAL FEE $ UTILITY CO NOTIFIED FINAL `' .t —ZE6 76A 603 DBS# EA 4 52 76A-Z<e. D139 SA 3 50 APPLICATION FOR PERMIT - DEPARTMENT OF BUILDING AND SAFETY ` COUNTY OF LOS ANGELES WILLIAM J FOX, CHIEF ENGINEER e FOR APPLICANT TO FILL IN DISTRICT O GROUP ZONE PERMIT NO ELECTRICIAN RECEIVED BY READ FCrR DATE ISSUED ADDRESS FIRST INSPECTION i o - CITY ,i/ � n hs TEL NO Igo //�► B COUNTY LICENSE NO O/I 6 EXPIRES BUILDING 21�/0 �„j� I/I„ PERMIT FEES ADDRESS ! FEE t NUMBER EACH LOCALITY 4. LIGHT OUTLETS NEAREST OF vl�f �* CROBS ST RECEPTACLES - WALL SWITCHES OWNER TOTAL OUTLETS Sr 41 J D MAIL ELEC RANGES 85 ADDREBB B ,— ELEC HEATERS 25 CITY TEL NO FIXTURES 6 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 FE EANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD HP OVER INC EACH OF THE RESIDENTIALIPROPERTY DESCRIBED ABOVE I/ & LESS $ 25 SIGNATURE OF I/2 2 50 PERMITTEE 2 B 1013 INSPECTION RECORD 5 is 1513 is 60 2 50 50 200 500 2OD BOO 10 Q0 500 1000 15130 Z OVER 1000 2000 M G BET/FREq CHANGER HP WELDERS AC KVA O GENERATORS KW TRANSFORMERS - KVA TEMP MOTORS (75% aF ORIG) MOVED MOTORS (75% OF ORIO) MISC l SIGNS NO NO TRANS APPROVALS NO NO LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT WIRING $1 00 CONDUIT FIXTURES !st 00 D WIRING SUPPLEMENTARY 50 FIXTURES POWER TOTAL FEE III ® UTILITY CO NOTIFIED /'4,—1-- FINAL ('— � 1 7GA663 CE806 3 69 S'N-Q9 /1Vf rx vir epi �yJ 4? APPLICATION FOR ELECTRICAL PERIVCIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ADDREISS OO O DE COUNTY ENGINEER LE MAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY 1 NEAREST FOR APPLICANT TO FILL IN CROSS ST NO EACH FEE iz $ $ OWNER � C,IL RECEIPT MAIL LIGHT {��,CJ T/O+TA�L FIRST 20 �� ADDRESS SWITCH-7� OVER 20 Q 10 0 CITY TEL NO je= PLAN CHECK LIGHTING TOTAL FIRST 20 Q Oo APPLICANT FIXTURES } OVER 20 10 o ADDRESS RANGE_DRYER_WTR HTR CITY TEL NO STA COOK_DISP F A U CONTRACTOR SPACE HTR AIR COND ADDRESS d �v CLOTHES WASH _DISHWASH CITY I_OVa TEL NO Z �/ FAN OTHER 1 00 LICENSE NO CLASS �/ U MOTORS TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND HEATERS ETC HP KW KVA AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 0 O - 1 1 OO O IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR >_ICENS ED AS REQUIRED BY LOS ANGELES COUNTY D STATE OF Q 1 - 10 3 00 0 O CALIFORNIA OR THAT THE LEGAL OWNER INTEND TO U RESIDE IN THE A E DESC ]BED RESIDENT L TY 10 - 50 5 00 SIGNATURE C 50 - 100 10.00 OF PERMITT U w 100 - 500 1500 DISTRICT NO GR�O?UP�7 IOO�NE ROC SED BY CL SIGN GAS �AD GN AND ONE CIRCUIT 3 00 TUBE OR MARQUEE DITIONAL CIRCUITS 1 00 NOTES SERVICE NOT OVER 600 VOLTS OR 200 AMP 00 3 .61c, SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTORS SIGNATURE TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT k-l7 -71 141,14 WIRING PERMIT FEE (SUB TOTAL) 0 FIXTURES POWER AUTHORIZED PLAN CHECK FEE (507 PERMIT FEE) PERMIT ISSUING FEE 00 3 �U UTILITY CO NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL � 7/ TOTAL FEEJOSEPH C ROOH �! Q SUPERVISING ELECT NGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M O CASH SEE BACK OF 4PP1 irATION FOR fOMPi M'14 HEIIULE '^ AU613 z o1 -3 p 90N 76A663 CE806 1 67 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS09'9 'oota 06 JOHN A LAMBIE COUNTY ENGINEER ` COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST RECEPTZl TOTAL NO EACH FEE OUTLETS FIRST 20 $20 SWITCH $ OWNER LIGHT J} MAIL ADD L 10 ADDRESS OVER 20 0 Q1l TOTAL FIRST 20 20 3, &Q CITY TEL NO LIGHTING/dl FIXTURES FIXTURES SJJ( ADD L OVER 20 10CONTRACTOR RANGES DRYERS WTR HTRS 100 ADDRESS C-i GARB DISP STA COOK CITY D t- TEL NO,332- DISHWASH AUTO WASH STATE / SPACE HTRS STA APPL 50 LICENSE NO cZ11tZ MOTORS OVER NOT OVER H P DISTRICT N G UP Z /E� PRO ED B 1 3 150 INSPECTION RECORD - 3 8 200 8 15 250 15 50 300 } IL s0 100 Soo SIGNS NO TRANS NO LAMPS �V �! ` I O SERVICE O 600V NOT OVER 200A 1 00 ,g , uj CL SERVICE O 600V OVER 200 A 200 {y /, } V) SERVICE OVER 600V 500 f / 17� 1 e OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 200 T AJ �0A, -6 , SUPPLEMENTARY PERMIT ISSUING FEE 1001 APPROVALS DATE INSPECTOR 8 SIGNATURE TOTAL FEE 11 �- A I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAI OWNER OF AND INTEND TO POWER RESIDE IN THE ABOVE DESCRIB D RESID TI L PROP RTY SIGNATURE UTILITY CO NOTIFIED d 7A 14N - OF 1 OF PERMITTEE FINAL / "'�G'�7 VA IDATION JOSEPH C ROOHAN SUPERVISING ELECTRICAL ENGINEER CK MO CASH L. Lo° 1440 A,c1g 2 D 1660 76A663 CE806 1 67 "APPLICATION FOR ELECTRI AL PERMI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS i JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY NEAREST ` FOR APPLICANT TO FILL IN CROSS ST {� RECEPT 1 TOTAL NO EACH FEE OUTLETS FIRST 20 $ 20 $ OWNER�W • LIGHT J} MAIL SWITCHADD L 1O ADDRESS OVER 20 TOTAL FIRST 20 20 CITY TEL NO LIGHTING 1 FIXTURES FIXTURES J( ADD L 10 CONTRACTOR OVER 20 RANGES DRYERS WTR HTRS 100ADDRESS UL Ales 4 L&Lq�o 1-i GARB DISP STA COOK CITYCfb(!)(--,77TEL NO DISHWASH AUTO WASH STATE SPACE HTRS STA APDL 50 LICENSE NO (� MOTORS OVER NOT OVER H P DISTRIC f�$r QUP ZONE P O FES O 1 100 ♦ d 1 3 150 INSPEVTION RECORD 3 a .200 a 1 sz 50 15 s0 300 a 50 100 500 SIGNS NO TRANS Z NO LAMPS OD O SERVICE 0 600V NOT OVER 200A 100 a SERVICE O 600V OVER 200 A 200 Z SERVICE OVER 600V 500 - OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 200 oc SUPPLEMENTARY PERMIT ISSUING FEE 1 004, APPROVALS DAT. INSPECTOR Y BIGNA. TOTAL FEE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERS LAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING 09-un�r `' rAIJ-I?_l1�CJ�\ I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR V LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR TH I AM THE LEGAL OWNER OF AND INTEND TO POWER RESIDE IN THE AB V DE BED RESIDENTIAL PROPE TY SIGNATURE UTILITY CO NOTIFIED OF PERMITTEE FINAL -<&7 �LIDATION JOSEPH C ROOHAN C MO CASH SUPERVISING ELECLEC TRICAL ENGINEER LAU'0 0 7 4 6 SEP 2 0 2 D 8,60 i l ` 76A863 CE806 1 67 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY 1Gt�1\ NEAREST FOR APPLICANT TO FILL IN CROSS ST V RECEPT TOTAL NO EACH FEE •�� LIGHT OUTLETS FIRST 20 $20 $ OWN ER MAIL SWITCH20 CITY TEL NO IADD L 1O ADDRESS TOTAL OVER 20 �� FIRST 20 LIGHTING 1 FIXTURES _ FXTURES J( ADD L 1O CONTRACTOR OVER 20 .. 11 ap RANGES DRYERS WTR HTRS 1 00 ADDRESS W, W N GARB DISP STA COOK CITY A, 9Z200TEL NO DISHWASH AUTO WASH STATE /7 SPACE HTRS STA APPL 50 LICENSE NO ` O I MOTORS OVER NOT OVER H P DISTRICTN UP N P U 0 1 too + 3 150 INSPEC ON RECORD 3 a 200 8 15 250 15 50 300 d 50 100 500 0 SIGNS 4 NO TRANS _ 99 Q NO LAMPS f0.� SERVICE O 600V NOT OVER 200A 100 W SERVICE O 600V OVER 200 A 200 d. N SERVICE OVER 600V 500 ? OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING FEE 100, APPROVALS DATE INSPECTOR 8 SIGNATURE TOTAL FEE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSEAS WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING I HEREBY CERTIFY THATI AM PROPERLY REGISTERED AND/OR FIXTURES r LICENSED AS REQUIRE LO GELES COUNTY AND STATE OF CALIFORNIA OR THAT I M E O NER OF AND INTEND TO POWER RESIDE IN THE ABOV A SIGNATURE UTILITY CO NOTIFIED A OF PERMITTEE FINAL %LA LIDATION JOSEPH C ROOLEC OMO CA8H SUPERVISING ELECTRICAL ENGINEER LAW 7 � 5� Sc��O � 0 1 8.Q�� Iq Awklvl� l 76A663 CE806 1/70 O APPLICATION FOR ELECTRIC�LPERMV' C COULVTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �� BUILDING AND SAFETY DIVISION ADDR Ess JOHN A LAMBIE COUNTY ENGINEER LOCALITY COLEMAN W JENKINS SUPERINTENDENT OF BUILDING NEAREST FOR APPLICANT TO FILL IN CROSS ST Vr (tifrt OUTLETS NO EACH FEE $ $ OWNER RECEPT_ MAIL LIGHT TOTAL FIRST 20 PO ADDRESS 3 s­Q OVER 20 10 CITYS d�� TEL N kl SWITCH PLAN CHECK LIGHTINGFIRST 20 20 APPLICANT TOTAL ADDRESS FIXTURES OVER 20 10 APPLIANCES CITY TEL NO PERMIT RANGE DRYER WTR HTR_ APPLICANT QWi� h6' i STA COOK DISP F A U ADDRESS,)- SPACE DDRESSSPACE HTRAIR COND CITY S g �1rif ry(j TEL NO a"S�SC)(O CLOTHES WASH DISHWASH LICENSE NO f?_> CLASS C�S FAN OTHER 100 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 8 TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO 1 — 10 300 RESIDE IN THE ABOVE DESCRIPED RESIDENTIAL PROPERTY SIGNATUREI DL 10 - 50 500 OF PERMITTEE 0 50 - 100 1000 DISTRICT N CLASS GROUP IZONE PROC D Y W 100 — 500 1500 S SIGN GAS=SIGN ONE CIRCUIT / 300 NOTES LCL LI TUBE OR Z MARQUEE ADDITIONAL CIRCUITS / 100 SERVI CENOT OVER 600 VOLTS OR 200 AMP 200 APPROVALS DATE INSPECTOR S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AM P 500 TEMP POWER POLE TEMPSERVICE POLE &APPURTENANCES 300 UNDERSLAB WORK TEMP LIGHT OR RECEPT SYSTEM 300 ROUGH CONDIUT WIRING FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED PLAN CHECK FEE (507 PERMIT FEE) UTILITY CO NOTIFIED PERMIT ISSUING FEE 200 FINAL SUPPLEMENTARY PERMIT ISSUING FEE 100 J SEPC ROOHAN TOTAL FEE SUPERVI ING ELECTRICAL ENGINEEP A PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION cK Nt 0 CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKERS COMPENSATION DECLARATION 63 toter APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE CE 88066 \ insure ora certificate of Workers ,Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800 Lab C ) Policy No Company FOR APPLICANT TO FILL IN JOB ❑ Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS n.V ❑ — Certified copy is filed with the county building mspec 1 1 & 2 Family Sq Ft $ $ LOCALITY tion department Multi family Sq Ft — NEAREST CROSSST Date Applicant OWNER OR Residential Swimming Pools FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERSOutlets Rec Light! �w MAIL _ COMPENSATION INSURANCE -ADDRESS (This section need not be completed if the work involved by First 20 the permit is for one hundred dollars ($100)or less ) Total No / Additional CITY � �� �/ Tel No t� I certifythat in the performan ce thek for which this PLAN CHECK P APPLICANT permit is issued I shall not emn in any manner o so as to be com su ect to thepens i ws Lighting Fixtures First 20 ADDRESS ����/ ¢� Total No Additional CITY�' Tel No Date ApplicaFixed Appliances No Over 1 HP PERMIT NOTICE T APP ICANT If afis Certific a of Exemption y u should becoo the W rkers Range_ Heater_D W _ APPLICA Compensation provisions of thyou must forth Oven _ Dryer _ W M — ADDRESS with comply with such provisions or this permit shall be Top EAU —W H — deemed revoked CITY Tel No LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other_ Disp Room Air Cond LICENSE ,5j � Class G� I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER o0 (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO PBY and Professions Code and my license is in full force and effect RO >_d �f Size & Type HP KW KVA or KVAR , � p�.-� no - License Number azo' Lic Class ddUp to 1 Incl FINAL V � / � Z' Over 1 to 10 Incl DATE Contractor. Date 3"f Q / l C� VALIDATION 0 ❑ Over 10 to 50 Incl N FINAL I am exempt under Sec Over 50 to 100 Inc BY �,._ d B 8P C for this reason Over 100 h Date Services S A MCC& Panelboards ► /� �y�� 0 200 Amp Under 600 V Signature 201 1000 Amp Under 600V ❑ Over 1000 Amp or Over 600 V Exemption for Reg Maint Elect i 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 t Professions Code) � F-1I as owner of the property will do the work and the Misc Conduits 8 Conductors 8 2 `a 7 R structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ ► # o o o 0 o 2 7044 Business an ro essions o I CONSTRUCTION LENDING AGENCY r 2 to ° 1 9 9 0 1 hereby affirm that there is a construction lending agency for o 0 40 1 9 9 0 X0 the performance of the work for which this permit is issued PERMIT FEE (Sub Total) (Sec 3097 Civ C ) 1 PLAN CHECKING FEE 213-82 Lender s Name PERMIT ISSUING FEE Lenders Addres r 1 certify that lave read this application and state that the TOTAL FEE ` above info r tion/is correct I agree to comply with all County ordinances nd tate laws regu ting EI r I wiring and hereby au on representat of to enter pan the abov m boned pr p f ns o p/urpos g 7 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permi ee ate WORKER S COMPEtJSATION DECLARATION 200019 DPW(12 91) APPLICATION FOR ELECTRICAL PERMIT I hereby°affirm that I',ave a certificate of consent to self Insure 76A663 if 0 or a certificate of Worker s Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C) Policy Cy No/ S� Company SADDRESS 7W7FOR APPLICANT TO FILL IN JOB p�yl `8CO L 4V/ Certified copy is hereby furnished New Residential Bldgs &Pools NO EACH FEE �� El Certified $ LOCALITY Certified copy Is filed with the county building Inspection 1 &2 Family Sq Ft t� department Multifamily Sq Ft CROss s7 Date o]"g/— ,(2,Applicant s Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCE CERTIFICATE OF EXEMPTION FROM WORKERS Outlets RecLight Sw OWNER OR COMPENSATION INSURANCE FIRM NAME (This section need not be completed First 20 MAIL the work Involved by the Total No Additional ADDRESS permit Is for one hundred dollars($1000)or less) I certify that in the performance of the work for which this permit CITY Tel No is issued I shall not employ any person In any manner so as to become subject to the Workers Compensation Laws Lighting Fixtures --7 First 20 q PLICANT CHECKLAN Total No 7 Additional ADDRESS Date Applicant R ID T �gpptCEES t�0 OVER 3 HP NOTICE TO APPLICANT If after making this Certificate of j ` , r S 0 CITY Tel No r Exemption you should become subject to the Workers Compensation OT ER ANC S N T VER 3 HP provisions of the Labor Code you must forthwith comply with such PERMIT f �, e1i �+^77O provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances APPLICANT�J Iv v�(r LICENSED CONTRACTORS DECLARATION Size&Type HP KW KVA or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl (commencing with Section 7000) of Division 3 of the Business and CITY Professions Code and my license Is In full force and effect Over 10 to 50 Incl >„ Over 50 to 100 Incl LICENSE OR .31i'i Class a REG NUMBER ��// License Number_hlC36 7 LIC Class +� I Over 100 DISTRICT NO P C SED BY O Y�r Services Swbd MCC&Panelboards .5� ���� oc ✓ �j(�S'�n��l 1�� `02 — 0 399 Amp Under 600 V FINAL 0 Contractor ate DATE ElI am exempt under Sec 400 1000 Amp Under 600 V VALIDATION W Over 1000 Amp or Over 600 V FINAL d B&P C for this reason BY BRANCH CIRCUIT FEES Cf) Date 15A or 20A 120V Lighting or Recept Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits El Exemption Or More Branch Circuits Exemption for Reg Maint Elect 15A 20A 208V To 277V Lighting Br Circuits , AC SINGLE FAMILY Temp Power Pole&Appurtenances I ACCT, g HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit AC I hereby affirm that I am exempt from the Contractors License Law g 3303 we 010 for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits Code) 1 ITEMS ❑ I as owner of the property will do the work and the structure Mlsc Conduits&Conductors TLITAL 88 ® 050 Is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) trrHEC{�V and Professions Code) ' VUe�Q CONSTRUCTION LENDING AGENCY ut"t►tWI .00 I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is issued (Sec 3097 PERMITFEE (Sub Total) Civ C) 0000—OMI 4/29/96 Lender s Name PLAN CHECKING FEE 6101 1 FM 9:37 Lender s Address PERMIT ISSUING FEE 2 Q A ©I certify that I have read this application and under penalty of purjury state TOTAL FEE bUl that the 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 above mentioned property for inspection purpo es SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTEE DATE r� l 76A663 CE 806R 10/77 APPLICATION FOR ELECTRICAL PERMIT 01 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERJOB QtRz rj k� BUILDING AND SAFETY DIVISION ADDRESS vv FOR APPLICANT TO FILL IN LOCALITY New Residential Bldgs &Pools EACH NO FEE SS ST W 1 &2 Family Sq CRO Ft $ 025 — $ OWNER OR v- Multi family Sq Ft 02 — FIRM NAME tit DN I" Residential Swimming Pools 2500 MAIL ADDRESS I Q I 2 Outlets Rec Llght_Sw _ CITY Purbpti Tel No V3 First 20 50 PLAN CHECK Total No Additional 30 APPLICANT ADDRESS Li6Mting Fixtures First 20 50 CITY Tel No Total No Additional 30 APPPERLICANTIT k t Fixed Appliances Not Over 1 HP ADDRESS 2> �a hcP IC Y` Range—Heater_D W CITY Tel No Oven _Dryer—W M Top —FAU —W H LICENSE G NUMBER Class Q Hood_Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp — Room Air Cond 250 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING Power Apparatus&Large Appliances Size&Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM >'^ Up to 1 Ind 2 50 THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY EO Over 1 to 10 Incl 500 v Over 10 to 50 Incl 1250 PERMITTEE o Over 50 to 100 Inc 2500 SIGNATURE 7� t Over 100 4000 DISTRICT NO PROCES ED BY y Services S z 0 200 Amp Under 600 V 1250 d INSPECTOR S 201 1000 Amp Under 600 V 2500 APPROVALS DATE SIGNATURE Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE UNDERSLAB WORK Temp Power Pole&Appurtenorces 1000 Sign with One Branch Circuit10 00 ROUGH CONDUIT rcurt Additional Sign Branch Circuits 200 WIRING 2 -?_7-7 Misc Conduits&Conductors 1000 FIXTURES Other(See Complete Fee Schedule) POWER AUTHORIZED UTILITY CO NOTIFIED FINAL PERMIT FEE (Sub Totals Z3 NOTES PLAN CHECKING FEE (One Fourth Permit Feel PERMIT ISSUING FEE $700 '7 TOTAL FEE PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATIONCK M O CASH ` 7 3 8 E-_1 EB 17 2 0 8 O SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663C`C1EE06B 12,75 APPLICATION FOR ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN JOB FResidential Bldgs & Pools EACH NO FEE ADDRESS Scl Ft $ — LOCALITY q Ft CROSS ST wimming Pools OWNER OR FIRM NAME Outlets Light Switch& Receptacle MAI L ADDRESS First 20 Additional CIT Tel No PLA C C Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel No PERMIT Fixed Appliances Not Over 1 HP APPLICANTcl Range Heater_ D W ADDRESS �i a Oven _ Dryer W M Top FAU W H CITY Tel N y } a Hood Fan LICERNSE OR N UMBER D Cla 1 � Disp A C EG � 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ TH A�CAT ION Q AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY V Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LLl Size&Type HP KW KVA or KVAR ELECTRICAL WIRING CL. Up to 1 InclZ I HEREBY CERTIFY THAT I AM PROPERLY REGI ERED ANO/OR Over 1 to 10 Incl LICENSED AS REQUIRED By LOS ANG ELE/y UNT AND STATE OF CALIFORNIA OR TH T 1 AM �i WNE F THE ABOVE Over 10 to 50 Incl DESCRIBED R. R U Over 50 to 100 Incl PERMITEE Over tOO SIGNATURE Services DISTRICT NO P CESSD BY 0 200 Amp Under 600 V 201 1000 Amp Under 600 V APPROVALS D E INSPECTOR S SIGNATURE Over 1000 Amp or Over 600 V TEMP POWER POLE Temp Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES / POWER AUTHORIZED 744t:V- PERMIT FEE (Sub Total) UTILITY CO NOTIFIED PLAN CHECKING FEE (One Fourth Permit Fee) FINAL S"3���C4r! PERMIT ISSUING FEE ITOTALFEEAp NOTES III t PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK M O CASH 5 1 3 CEEB b �' a . 2 0 U A 46 ple c 768663 CE806 10/72 APPLICRTISWVP9R=E LECTRICAL PER IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS 4POo 7 LOCALITY t NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLETS NO EACH FEE OWNER OR $ Is FIRM NAME RECEPT_ MAIL LIGHT TOTAL FIRST 20 25 O ADDRESS 010 Cl TY % TEL NO SWITCH �- OVER 20 p PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT OVER 20 ADDRESS FIXTURES 10 RESIDENTIAL APPLIANCES CITY TEL No PERMIT RANGE DRYER_WTR HTR_ APPLICAN STA COOK DISP F A U ADDRESS l (5 ' I ��- SPACE HTR AIR COND CITY TEL NO :1"Z--k CLOTHES WASH DISHWASH RECENSE OR G UMBER g 6 CLASS Q--Lo FAN OTHER 100 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 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE r 1 - 1O 300 DESCRIPED RE E IAL PROPERTY O PERMITEE J V 10 - 50 800 SIGNATURE CC O 50 - 100 1000v DISTRICT NO PROC EDB w 100 - 500 15 oo SIGN GAS SIGN AND DINE CIRCUIT 500 APPROVALS DATE INSPECTORS SIGNATURE TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICE NOT OVER 600'VOLTS OR 200 AMP 300 UNDERSLAB WORK SERVICEOVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT TEMPSERVICE POLE &APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES POWER AUTHORIZED UTILITY CO NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 300 TOTAL FEE O PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDA ION CK M O CASH ` 5 5 %c'-' r QGT 7 2 © 4 9 0 ezlo SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE I WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, 76A663 or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 3800 Lab. C.) Policy No.' Company FOR APPLICANT TO FILL IN JOB ADDRESS El Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE Certified copy is filed with the county building inspection 1 &2-Family,Sq. Ft. $ $ LOCALITY dedepartment. Multi-family S Ft. NEAREST P Y q CROSS ST. Residential Swimming Pools ASSESSOR Date Applicant MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._ ht Li Sw. OWNER OR COMPENSATION INSURANCE g FIRM NAME First 20 (This section need not be completed if the work involved by the MAILTotal No. Additional ADDRESS permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY Tel No is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel No. Exemption, you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP, KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. d (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. Over 50 to 100 Incl. LICENSE OR Class. O REG.NUMBER V Over 100 DISTRICT NO. PROCESSED BY W License Number Lic.Class J Services,Swbd.,MCC&Panelboards LL 0-399 Amp.Under 600 V FINAL } Contractor Date DATE � ❑ 400-1000 Amp.Under 600 V I am exempt under Sec. Over 1000 Amp.or Over 600 V FINAL VALIDATION B.&P.C.for this reason EBRANCH CIRCUIT FEES BY 0 CL Date: 15A,or 20A, 120V,Lighting or Recept. 2 1 To 10 Branch Circuits W Signature 11 To 40 Branch Circuits N El41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp. Power Pole&Appurtenances # <s � HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits J3 Code): ❑ I, as owner of the property, will do the work and the structure Misc.Conduits&Conductors TOTAL a is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) , and Professions Code). I CONSTRUCTION LENDING AGENCY t• I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ. C.) PLAN CHECKING FEE SIM 1 , Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the 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 above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTEE DATE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9812240001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (818) 285 0488 EXT LEGAL D FEES PAID BUILDING TR 03698 4800 BALDWIN AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 91780 ASSESSOR NFO-O B NEAREST CROSS STREET LOWER AZUSA 8585 009 015 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B5 LOCALITY TEMPLE CITY K1 SIGNS, OUTLINE LGT 3 00 SIG 116 55 TENANT TIRE TOTAL FEES 144 30 ISS PROCESSEDP BY EXPIRES 0 N 12/24/98 UT 12/24/99 OWNER TEL NO FINAL DATE FINAL BY CO E BUTTLE, BILLIE / P 0 BOX 6702 LOS OSOS, CA Urnwl T 0 0 ILLUMINATED WALL SIGNS AP 0 LOCAL NEON CO , INC (310) 978 2000 12536 CHADRON AVESPECIAL CONDITIONS HAWTHORNE, CA I ES CO CONTRACTOR TEL NO 0� ��A APPROVALS DATE INSPECTOR SIGNATURE LOCAL NEON CO INC (310) 978 2000 !i 12536 S CHADRON AVE LIC NO TEMPORARY POWER POLE HAWTHORNE CA 90250 C61 D42 O UNDERGROUND CONDUIT ARC ECT 0 UFER GROUND LIC NO / 1111111 ROUGH CONDUIT L , ROUGH WIRING /Z Fc-5) MAIN E p � 0 O PLASTICTER Y/NLINE METAL Y/N KS) o ITY COMPANY NO O 0 0 ® ®y 46��c SepvEl Yha���t * ADDITIONAL DATA ON FILE REPORT ID DPR265 ROUTE TO BS0508 ` I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0304290008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS TR 03698 4800 BALDWIN AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 91780 ASSESSOR NEAREST CROSS STREET LOWER AZUSA 8585 009 015 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 'GRID B5 LOCALITY TEMPLE CITY JZ MOTORS, 10HP 2 00 MOT 39 30 NA LN OTHER PNL 0 399 AMPS 1 00 PAN 38 85 ISSUED ON PROCESSED EAGLE SMOG CHECK TOTAL FEES 105 90 04/29/03 JK 10/26/03 OWNER TEL NO FINAL DATE FINAL B CODE BUTTLE, BILLIE bl a P 0 BOX 6702 LOS OSOS CA OF WORK INSTALL 30AMP SUBPANEL 8 ELECTRICAL FOR SMOG CHECK BUSINESS APPLICANT TEL N TEAM CONSTRUCTION (626) 786 2347 2509 EUCLID CRESCENT SPECIAL CONDITIONS UPLAND 91784 _ _CONTRACTOR TEL NO APPROVALS DATE INSPECTOR S TEAM CONSTRUCTION (626) 786 2347 2509 EUCLID CRESCENT E LIC NO RY POWER POLE UPLAND CA 91784 627142 B UNDERGROUND CONDUIT t4 \ \ ARCHITECT OR ENGINEERTEL NOUFER! (--� r'i A�� ROUGH WIRING LIC NO / - / -� �� '�� ROUGH CONDUIT n i r--l—� 11 l l/7 MA N WATER LINE _ PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIEU REPORT ID DPR265 ROUTE TO BS0508