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HomeMy Public PortalAbout5616 BALDWIN AVE_Electrical__ 76A663 DBS SA 3-SO APPLICATION FOR PERMIT P DEPARTMENT OF BUILDING AND SAFETY.-- ELECTRIC 1 COUNTY OF LOSS ANGELES (/ WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN -DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN�Y/.� .��/1!,°r'_•Y'.;v h":"3_--' � f� / �� A r r /� � RECEIVED BY READY FOR DATE/ 199UED ADDRESS/9/1',q4Ao) �. -fl f_+I--'I`I'(-°�.�`,�-;r, FIRST INSPECTION ! �r`�m-•i CITY4.6'_',.,-L<R`Z�..^rb;� �j TEL.NO. I O CUNTY LICENSE NO.d) A T: EXPIRES ) � BUILDING PERMIT FEES ADDRESS [[ QQ NUMBER EACH FEE LOCALITY 14J-" �J LIGHT OUTLETS NEAREST l / RECEPTACLES CROSS ST. WALL SWITCHES OWNER TOTAL OUTLETS ��d Sr 9 p^-,, . MAIL ELEC. RANGES 29 ADDRESS ELEC. HEATERS 25 �J CITY TEL. NO. FIXTURES G.� 5 / n 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS M19C. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS V,5-AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS - AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOB NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER FEE > NEW MvD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. �f V2 S LESS $ .25 9113NATURE OF %z 2 .50 PERMITTEE i z s 1.130 tINSPECTION RECORD." 5 15 1.50 _ 15 50 2.50 50 200 5.00 200 500 10.00 J 500 1000 15.00 Z OVER 1000 20.00 a M.G. BET/FREIJ. CHANGER-HP Ix WELDERB:AC-KVA O GENERATORS - KW TRANBFORMER9 - KVA TEMP. MOTORS (75% OF DRID•) MOVED MOTURB (75% OF DRID.) MISC. SIGNS NO. NO.TRANS. APPROVALS N0. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 l J CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES n_ �,_ POWER TOTAL FEE $ f°lC UTILITY CO.NOTIFIED FINAL 0 78A888-CE8067•SB APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER .BUILDING AW��/ yENUE BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING ;LOCALITY L� T FOR APPLICANT TO FILL IN NEAREST pmmu r.,E ,�. CROSS ST. I T E M NUMBER EACH FEB OWNER /�c n g C LIGHTS TS. RECEPT. 8W. E.1O f-..IADDRESS �W!(� h ,IV/ LIGHTING FIXTURES 10 CITY TEL. NO. ELEC. RANGES CLO. DRYERS 1 ELECTRICIAN WATER HEATERS .$O ` ADDRESS SSA L ELEC.SPACE HTRS._ DISHWASHERS f CITY TEL. NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA. COOKING UNITS .23 11 LICENSE NO. MOTORS: OVER INC. H.P. O— 1/2 25 DISTRIC�10. G ONE PROCESS D BY .I� pi 1/2— 2 .50 MMMON RE ON CORD 2— 5 1.00 i 0— •15 1.50 i 15— 50 2.50 50—200 5.00 SIGNS: NO..TRANS. �y+ •�/ ,p /%` ,�y r(G'("!Y f NO. LAMPS 'I 1 / / .l'A' 7/��// Pf fCAJ.�L -SERVICE 0-600V l.00 , SERVICE OVER 600V 5.00 MISC. /,v A IN Roo K-) WIRING PERMIT 1.00 y FIXTURE PERMIT 1.00 _ /S/�`J'' SUPPLEMENTARY PERMIT '.50 R/Q_ /IWffl W TOTAL FEE S APPROVALS I I HEREBY ACKNOWLEDGE THAT I.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 COUNTY AND STATE OF FIXTURES CALIFORNIAOWER ALIFORNIA OR THAT I AM THE LEGAL OWNERB OF THE AOVE ' DESCRIBED RESIDENTIAL PR TY SIGNATURE UTILITY Cd.NOTIFIED OF PERMITTEE FINAL vALIDACT ARTHUR C. VETT, _ cE Mo cwBH SUPERVISING ELECTRICAL ENGINEER Ll(;04 5 4 0 APR 6 2A 2.0 0 � J 7BAS63-CEBOS 10-60 APPLICATION FOR ELECTRIC L PERMIT COUNTY OF LOS ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING r//� $��� �- BUILDING AND SAFETY DIVISION ADDRESS ..s(O JOHN A. LAMBIE, COUNTY ENGINEER � WILLIAM A.JENSEN,SUP T OF BUILDING, LOCALITY 7C� 9 NEAREST FOR APPLICANT TO FILL IN' CROSS ST.md"'K PERMIT FEES OWNER 1 T E M NUMB " EACH FEE MAIL ADDRESS ��/� (cf/y�/� �� /�j•!f'� OUTLET j�J r�- $ - .$ d LIGHTS. RECEPT./i SW.: .10' CITY0 2 TEL. NO. LIGHTING FIXTURES ;.10 ELEC.RANGES CLO. DRYERS, ELECTRICIAN. WATER HEATERS .So ADDRESS ' ELEC.SPACE HTRS. DISHWASHERS •. CITY -TEL NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS ,2$ LICENSE NO. ' MOTORS. OVER INC. Hip. fDT CT GRTOUP ONE PR' CE .FAD l' 0— va .28 _d1 — 2 s0 INSPECTION RECORD 2— s 1.00• i, rrip (--j$--I ,—.j?� a Is— so .2.so.. m_NO TRAN I., 5.00 SIGNS: NO.LAMPS SERVICE 0-600V 1.00 010 SERVICE OVER 600V $.00 M ISC. WIRING PERMIT 1.00. �'"/cCe! - FIXTURE PERMIT 1.00 lam/ SUPPLEMENTARY PERMIT ,S0 ,,. TOTAL FEE E $� I HEREBY.ACKNOWLEDGE THAT I HAVREAD THIS APPLICATION APPROVALS DATE INSPEC7.O t8 SIGNATURE. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 'WIRING S j I HEREBY'CERR TIFY THAT I AM PROPERLY' REGISTERED AND/O LICENSED AS REQUIRED BY LOS ANGELES'COUNTY AND STATE OF FIXTURES 7.7 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL P PKITTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL �d VALARTHUR C.VE 1410 CK Mo CABI.1 SUPERVISING ELECTRICAL ENGINEER- , i�'J04g 111��i `>6 . 2 . 5.00 - �'.. 76A553 DB5.5A 11.55 APPLICATION FOR ELECTRIC PERMI� 1 DIVISION OF BUILDING AND SAFETY 01 Department of County Engineer BUILDING j County of LOS Angeles ADDRES r 0 p2 JOHN A.LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. NUMBER Q� Q OWNER r®� LIGHT OUTLETS MAIL RECEPTACLES ADDRESS WALL SWITCHES FEE C CITY TEL.NO. TOTAL OUTLETS @ 5¢ $ ELECTRICIAN ELEC.RANGES 25 ELEC. HEADDRESS ATERS 25 q CITY TEL. KW EA STATE FIXTURES 5 LICENSE NO. -2i(/p LS 1_/ 0 � MOTORS DISTRACT NO. JGROUPI ZONE I READY FOR INSPECTION NUMBER HORSEPOWER FEE ...✓� NEW I MVD. HP OVER INC. EACH INSPECTION RECORD 1�&LESS $ .25 1h z .50 / / 2 5 1.00 �.- 1-41 / UdvT ti.e_/1 S 15 1.50 �'TL�'�"✓t/.�� � �6�Co � 15 50 2.50 50 200 5.00 MISC. — e V NO.SIGNS NO.TRANS. NO.SIGNS NO. LAMPS FOR EACH PERMIT: WIRING $1.00 QQ FIXTURES $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ DATE 1NSPECTOR'S SIGNATURE 1 HEREBY 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 / 1ICHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LENSED AS REQUIRED BY LOS ANGELE COUN, AND STATE OF CALIFORNIA OR THAT�IfLEG OW OF THE ABOVE POWER DESCRIBED RESIDENTI SIGNATURE OF PERM TTEE UTILITY CO.NOTIFIED o JOHN A.LAMBIE.COUNTY ENGINEERATION ARTHUR C.VEIT,CHIEF ELECT.INSPECTOR CK MO CASH 15-'3 MZ CASH OGT 9 2 125 1 WO R KER S'COMPENSATION DECLARATION CE806 � APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self' COUNTY OF LOS ANGELES -AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or ©_ a certified copy thereof(Sec.3800,Lab.C.) FOR APPLICANT TO FILL IN JOB (q ` Policy No. Company ECNO. FEE ADDRE 1N K ❑ New Residential Bldgs.&Pools Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. — Is LOCALITY C` ��i C. t ❑ Multi-family Sq. Ft. NEAREST Certified copy is filed with the county building inspection CROSS ST 13 p iJ'C department. Residential Swimming Pools OWNER OR � FIRM NAME .• U-- 1/U; Date Applicant Outlets: Rec.—Light—Sw. AIL First 2 &21) ADDRESS S 11, _ w1h CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. 14Additional CITY L1 Tel No. s� COMPENSATION INSURANCE PLAN CHECK - APPLICANT (This section need not be completed if the work involved Lighting by the permit is for one hundred dollars ($100) or less.) Fixtures First 20 ADDRESS " Additional G �+ i' Total No. I certify that in the performance of the work for which this CITY � Tel No. 0 ,permit is issued, I shall not employ an Fixed Appliances Not Over 1 HP ¢ Y S p y y person in any manner PERMIT Q LLJ so as to become subject to the Workers' Compensation Laws. Range_Heater D.W. APPLICANTv?• CL Oven _ Dryer_W.M. ADDRESS 'i to Date Applicant Top _ FAU _W.H. V Hood — Fan —Other CITY3 Ct Tel No. (4g NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond.— LICENSE OR 1 Exemption, you should become subject to the Workers' REG.NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. P E Elp BY with comply with such provisions or this permit shall be Size&Type.HP,KW, KV.A,or KVAR /f deemed revoked. Up to 1 Incl. k ALv c7C/Over 1 to 10 Incl. &0 DATE 1 f LICENSED CONTRACTORS DECLARATION l T/ rG,/ VALIDATION Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. BY FINAL 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 ness and Professions.Code, and my license is in full force and effect. Services License Number Lic.Class 0-200 Amp. Under 600 V 201-1000 Amp.Under 600 V Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following.reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): Misc.Conduits&Conductors I -as_owner of the property, will do the work and the Other (See Complete Fee Schedule)— 5 0 4,4 A structure isnot intended or offered for sale (Section 7044, Business and Professions Code). o ° 0 ° © 2 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 2 o - 1 8.00 for theerformance of the work for which this permit is PERMIT FEE (Sub-Total) issued(dc. 3097,Civ.C.). ' 0 0 0 1 8.0 0 tJ- Lender,'" Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address 043.0-81PERMIT ISSUING FEE 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 above-mentioned property for inspection purposes. SEE'REVERSE.FOR EXPLANATORY LANGUAGE Signature of Permitt a r Date