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Home My Public Portal About5139 BALDWIN AVE_Electrical__ DBS 6 A 246 APPLICATION FOR PERM rEPART1dIENT OF BUILDING AND SAFETY ' ELECTRIC COUNTY OF LOS ANGELES WM J FOX CHIEF ENGINEER DISTRICT NO GROUP ZONE PERMIT NO a NAME aa �� U ADDRESS a 1 � READY FOR DATE ISS—ED' � U CITY TEL NO FIRST INSPECTION� o_ r(/ COUN' b CET NO EXPIRES APPLICANT FILL IN HEAVII.Y OUTLINED VORTION ONLY JOB DESCRIPTION OF WORK ADDRESS Q% _ NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS Isw PLUGS FIXT CROSS ST f L � CIRCUIT A B C D E F G H m NAME P / / 3 MAIL ADDRESS o CITY TEL NO r 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS pNGF.LEB COUNTY CE 1 1 A�QUALIFICATION ELECTRICIAN ' ABOVE LIZOAL OWNER OF THE PROPERTY DESCRIBED OWNER CORRECTIONS a / z n a TOTAL I ' y /�I NO OF OUTLETS $ 6 �t�� APPROMS Q NO OF FIXTURES $ ✓ 6 DATE I-ftoPECTOR S NAME 1 NO OF MOTORS H P $ CONDUIT NO OF SIGNS TRANS $ 1 WIRING NO OF RANGES OR HEATERS $ 0® FIXTURES MISCELLANEOUS $ POWER a� PERMIT FEE z, $ UTILITY CO NOTIFIED TOTAL FEE FINAL 76A663 DBB 5A 7 61 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ` COUNTY OF LOS ANGELES WILLIAM-J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO GROUP I ZONE PERMIT NO ELECTRICIAN [�� - - 00 C7I12--/ RECEIVED BY READY FOR DATE ISSUED ADDRESS �'Jn(/t FIRST INSPECTION CITY (`} TEL NO COUNTY LICENSE NO D EXPIRES ?IJ 'J20 BUILDING �� (/ kPJ � J PERMIT FEES_ _ FEE LOCALITY NUMBER EACH _ LIGHT OUTLETS NEAREST CROSS ST RECEPTACLES ' WALL SWITCHES OWNER_ G�P TOTAL OUTLETS Sc $ MAIL ELEC RANGES 23 ADDRESS ELEC HEATERS 25 CITY _ EL NO FIXTURES 5 I HEREBY ACKNOWLEDG THAT I HAVE READ THIS MISC APPLICATION AND STATE THAT THE ABOVE 19 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 I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER NEW MVD HP OVER INC EACH OF THE RESIDENTIAL�'PROP ER-RTv ESCRIBED ABOVE 1/2 s LESS $ 25 �r SIGNATURE OF I/2 2 SO PERMITTEE 2 S 1 DD INSPECTION RECORD _ s is 1 50 ' is 50 250 r� 1�� SO 200 Soo / V 2oD soD 1000 , J 500 1000 1500 - Z OVER 1000 2000 MG SET/FREQ CHANGER HP m WELDERS AC KVA O GENERATORS KW TRANSFORMERS KVA TEMP MOTORS (75/a OF DRIG) MOVED MOTORS (75% OF DRIG) MISC SIGNS NO NO TRANS APPROVALS NO NO LAMPS DATE INSPECTOR B NAME FOR EACH PERMIT WIRING $1 00 L CONDUIT FIXTURES $1 OO WIRING SUPPLEMENTARY s0 FIXTURES ?POWER TOTAL FEE UTILITY CO NOTIFIED FINAL ✓/�//%)li I ® (q� �+p� ��sy( pp.. ip�� , 76A663 CE805 11 57• �P P L I V A ■ ION FO, ■ 'E L E C T a \I C PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS / ✓ OHN A LAIE County. Engineer C ATT DMB GRIFFIN Sup t of Building LOCALITY NEAREST FOR APPLICANT TO FILL IN cRoss sT I PERMIT FEES 1 T E M NUMBERI EACH FEE OWNER OUTLETS $ $ MAIL ` LIGHTS RECEPT SW 10 ADDRESS LIGHTING FIXTURES 10 CITY ' TEL NO ELEC RANGES CLO DRYERS —ELECTRICI'A'N WATER HEATERS 50 ADDRESS ELEC SPACE HTRS DISHWASHERS p GARBAGE DISPOSERS AUTO / CITY TEL O WASHERS STA COOKING UNITS 25 STATE Alp LICENSE NO MOTORS OVER INC H P O — +/z 25 DISTRIC O I GROUP NE DV ROR INSPECTION +/i — 2 a .90 '' t 2 - 5 100 / INSPECTION RECORD 5 — 15 150 /� `� v -'fir I Nj 15 — 50 250 1J 1J-S 1v=1 L-k- �`��^f Doi,,c r 50 — 200 500 SIGNS NO TRANS L Y✓L� ✓� (,7� �,/p-� NO LAMPS SERVICE O 600V 100 SERVICE OVER 600V Soo MISC x n WIRING PERMIT 1 00 FIXTURE PERMIT } 1 00 SUPPLEMENTARY PERMIT 50 ' TOTAL FEE $ APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP IC DATE INSPECTOR SSIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TOF COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING -y L- tS I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STASE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF TH BOVE POWER �r DESCRIBED RESIDEN�FROFERTY SIGNATURE UTILITY CO NOTIFIED �y OF PERMITTE FINAL ,VAL.IDATIO ARTHUR C VETT CASH SUPERVISING ELECTRICAL ENGINEER I 0 2'9 5 9 SEP 2 1 2 A 2- 5 M ,r , ll� i qW Ll vkaKtr<s that CE 8COMPENSATION DECLARATION 63 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE 8066 insure or a certificate of Workers Com sation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certifi o y thereo�arc 3800 b C ) Policy No any FOR APPLICANT TO FILL IN JOB opy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS �� / 1 & 2 Family S Ft $ — $ LOCALITY �rc:rrtt�f:'dccopy is filed witJhec my building mspec Y qonlepartment Multi family Sq Ft NEAREST CROSS ST Residential Swimming Pools OWNER T OR Date ApplicaFIRM NAME C RTIFICATE OF EXEMPTM WO RS Outlets Rec�Light Sw_ MAIL COMPENSATIONCE First 20 ADDRESS (This section need not be completed if the work involved by Total No�_ Additional CITY Tel No � Q 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 person in 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 Exemption you should become subject to the Workers Range_ Heater_D W i4v Compensation provisions of the Labor Code you must forth Oven _ Dryer _ W M — ADDRESS with comply with such provisions or this permit shall be Top _ FAU —W H — deemed revoked CITY Tel No LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp _ Room Air Canal REG NUMBER Class �— (commencing with Section 7000 of Division 3 of the Business DISTRICT NO PROCESSED 0- and Professions Code and my license is in full force and effect Power Apparatus& Large Appliances n/ 0 Size Type HP KW KVA or KVAR C 8 U License Numb Lic Class v Up to 1 Incl FINAL Q: Contractor, ate Over 1 to 10 Incl DATE _ VALIDA ION 1-- ❑ Over 10 to 50 Incl FINAL W I am exempt under Sec Over 50 to 100 Inc BY Over 100 B &P C for this reason Z_ Date Services Swbd MCC& Ponelboards 0 200 Amp Under 600 V Signature 201 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V Exemption for Reg Maint Elect AR 3 5 b 0 A SINGLE FAMILY Temp Power Pole &Appurtenances o 0 0 0 0 HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit ° o j 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 ° •,° 1 5256 Professions Code) ❑ I as owner of the property will do the work and the Misc Conduits & Conductors J 127-85 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY I 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 above information is orrect I agree to comply with all County ordinances and St e laws regulating Electrical wiring and hereb horiz epresentatives of this County to enter upon thea ove a ned property for inspection purpo es SEE REVERSE FOR EXPLANATORY LANGUAGE Sign e o ermitte Date