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HomeMy Public PortalAbout6027 BALDWIN AVE_Electrical__ D.B.S.SA 25M SETS 10-47 �NIUMION FOR PEi RHM DEPARTMENT OF BUILDING AND SAFF.T'� ias�++������� COUNTY OF LOS ANGELES WM. J. FOX' CHIEF ENGINEER a NAME J� //�� /��F�° p' DISTRICT NO. GROUP -ZONE PERMIT NO. U ADDRESS k +y f 44��� - N .A*W 1di 3`l a n J 3 y' U CITY -L.At..; x. TEL.No-4*i0 -%l8 ' 'R=OvFD BY READY FOR DATE ISSUED W _ FIRST INSPECTION , S_ J COUNTY �� YI CERT.NO. EXPIRE6 APPLICANT FILL IN HEAII&Y OUTLINED PORTION ONLYJOB JOB DESCRIPTION OF WORK ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITYi�t�1 .c LOCATION BY ROOMS J LIGHT OUTLETS ISW. PLUGS FI ' CROSSSST. J 1..P, ri�djxj�(// _ /) • CIRCUIT A JE3 Ic I D E F IG IH 1 W NAMER9 n x MAIL 3 ADDRESS O CITY TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF �QCIALIFICA 110N.. ELECTRICIAN. 110 N THE&EGAL OWNER OF THE PROPERTY DESCRIBED OWNER. CORIIECTIoNs ..� z TOTAL NO. OF OUTLETS 90 $ 4,0 APPROVALS) ryoke NO. OF FIXTURES $ .05— 11DATE INSPECTOR!$NAME � Z NO. OF MOTORS H.P. $ CONDUIT r �/ NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTUREB MISCELLANEOUS $ POWER PERMIT FEE $ ?_ 5 UTILITY CO.NOTIFIED C rIr TOTAL FEE b 7 �►: FINAL "rJw�C/'•'4�7 •(2j uj � 78'A863-CE806 8/63 APPLICATION. FOR ELECT AL PERMIT�' , COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS Ap- 7 JOHN A. LAMBIE, COUNTY ENGINEERa7l_0- WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITYNEARESTFOR APPLICANT TO FILL IN CROSS ST. (i(f RECEPT,`O� TOTAL NO. ,LIGHT TS FIRST 20 'f'� S 2O $ /� �� MWLER' !SWITCH. 6o OAREftVER 07I :10 lj�O OO" ADDREBs 4O (LIGWTING TOTALFIRST 20' c 0 .20 CITY �/� TEL.NO'FI.XTURES } /�. OV DR 20 0 .10 Q� rELECTRICIAN A.!/ o0RANGES CLO.DRYERS .WTR.HTRS. '1.00 ADDRESS .O'/GARB.DIBP. STA:COOKCITY/1.05 d G� TEL:NO .D18HWASH. AUTO.-WASH. STATE /� `/'/2SPACE HTRSBTA.APP.(V.H.P.MAX.) .50 LICENSE NO. MOTORS,, OVER NOT OVER H.P. DISTRI T GROUP Z NE P C E O f ' 1.00 1 5 1.50 ,yam ,; INSPECTION R,mE;,CORD,���R S S 2.00 L:/ ." f. fir°•� v i!°Q .A/a-V'r P ' 8 1.5 2.50 d is . SO 5.00 ?LI// / ' - N SO 100 5.00 /;1 1/ ' I� ' � SIGN81 NO.TRANS• /��,1',.• r7 � � NO.LAMPS r vx XI, /. • Z SERVICE 0.600V,N0'r OVER 200A 1.00 j � C "AA-4". .� SERVICE O-SOOV-OVER 200 A. z 12;00 ! g V SERVICE OVER SOOV 5.00 ; �' • AY MISC. PERMIT ISSUING FEE 2.00 ����� ' r'� I�Ir' f 11 !'r► {y��' SUPPLEMENTARY PERMIT ISSUING FEE 1.d0 Aa* ,�i� TOTAL FEE - 1 HERE�K ACKNOWLEDGE THAT I HAVE READ THIS AFPLI TION APPROVALS``' .DATE i IN OR'S BIGMAT una AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL-COUNTY ORDINANCES•AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING -�LL R 1 HEREBY CERTIFY THAT 1 AM PROPERLY•REGIBTERFA AND/OR LICENSED AS REQUIRED BY LOS ANGELES.'COUNTY AND STATE OF FIXTURES 0`yl CALIFORNIA OR' THA 1 AM THE LEGAL OWNER OF THE ABOVE - F. DESCRIBED RESIDE 1 PROPS !. POWER JJ' ��rr(� /... g SI'GNATUR ~ UTILITY CO.NOTIFIED / ✓Yjnr"��� d-AJ OF PERMITT FINAL I ,V DATION AR'rHU 'C. VEIT O CASH SUPERVISING ELECTRICAL ENGINEER LAQ-3:7 2 1 SEP 14 2 D 8 4.5 0 76AG63-CESO6-7-56 APPLICATION FOR SLECTRICPERMIT 4 ' BUILDING AND .SAFETY DIVISION I Deportment of*County Engineer BUILDING ;! County of_Los Angeles* ADDRESS V, / JOHN A.LAMBIE..COUNTY ENGINEER f f .V= ' CASSATT D.GRIFFIN,BUP'T OR BUILDING M�MLOCALITY w� NEAREST FOR APPLICANT TO FILL IN CROSS ST. PEB1Vl<T FEES ; R R OWNERMAIL ' + LIGHT OUTLETS ADDRESS RECEPTACLES �ny WALL SWITCHES �. FEE CITY. TEL.NO.A t i V TOTAL OUTLETS .0 5¢. $ ELI-CTRICI N P14 V ELEC.RANGES 25 ADDRESS ELEC.HEATERS 25 CITY TEL..NO' ++ F-���✓ C KW EA L. STATE FIXTURES 5 LICENSE NO, f MOTORS DISTRICT O. GROUP ZONE READY FOR INSPECTION NUMBER HORSEPOWERS I �I � N W I MVD. HP OVER INC. EACH >i•g LESB $ ' ..2'5 INSPECTION RECORD ' 2 .50. ! w ' 2 5 1.00 5 15 •1:50' 15. 50 2.50 50 200 5.00 If' MISC. NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH.PERMIT: L WIRING PERMIT $1:00 -FIXTURE PERMIT $1.00 ;SUPPLEMENTARY •d-led I —A. +5' sO C? APPROVALS T.OTAL.:FEE $ _DATE. INSPECTOR'S SIGNATURE 1. HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AFT III 'CONDUIT d AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALLsCOUNTY ORDINANCES AND STATE LAWS_ REGULATING- WIRING ELECTRICAL WIRING. FIXTURES 1 HEREBY CERTIFY THAT 1 Ail PROPERLY REGISTERED AND/OR a1I.CENSED AS REQUIRED BY LOS-ANGELES V.NTY AND STATE.OF POWER CALIFORNIA OR THAT AM THE LEGA .BIER OF T ABOVE DESCRIBE .D RESIDP:R R E UTILITY CO.NOTIFIED •�. SIGNATURE 4• 4 FINAL .OF PERMITTEE :.J,OHN A.LAMBIE. ATION 4RTHUR C.VEIT. ' 1'COUNTY ENGINEER CK MO CAeH UPERV,.IHING ELECTRICAL ENGINEER �h ":J'un^.u!...t-:.�.1.6.�,__.._._s9.�.'"s::'W'i`�-�__..._.:�-.�11._.ru..,.._`AY,...x_-._t-.:Z^'Y-y,:.1.LL•K3�.�....�'.tis_.:i.-1:��5.1:i:.a.�T u:4e:ie___:_x.✓:•u:A.: �_':�i.iL:s�N:�a'Y.��'7i.-oLYr f9_�iC 'T v ? 4, 7AA 63 APPL DBS-5A.3-S5 ICATION' FOR ELE"GTRIC PERMIT DIVISION OF BUILDING,AND SAFETY Departmiii:Ifof Courity-Erml—er Caunty. of Los Angoles BUILDING �j A.-7 WM.J. FOX,COUNTY'ENGM-EER CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY FOR-APPLICANT TO FILL IN­ NiAhii`l! PERMIT- FECA. CROSRST. NUMBER I EACH FEE OWNER A LIGHT OUTLETS RECEPTACLES Z.MAIL, ADDRESS WALL SWITCHES TOTAL OUTLETS rl.44 so $ •cftY ',IfEL.NO. ELEC.RANGES. 23ELECTRICIAN 26 ,?ELEC. HEATERS v25mm . ADDRESS 4II:eod CITY 'TEL. NO. N EA A% .0.1 . I tlXTURES' 5 LICENSE NO. NUMBER OF LIGHT CIRCUITS IDISTR.ICT NOOUP JF!4READY,FOR IHSPFdTIOK- a GR NMBER OF RECEPTACLE'CIRCUfts- I%- MOTORS' NUMBER HORSEPC6hfF'RFEE INSPECTION RECORD NF* MVD. -HP OVER .'INC. 'EACH YZ&LESS $ .25 2 .50 2 5. 5 lis •V.50 15 50 .2.50 50 206 !r.00 MISC. NO.'*SIGNS NO.TRANS.' NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING $4.00 FIXTURES $.1'.00 SUPPLEMENTARY- -.50 APPROVALS TOTAL FEE DATE INSPECTOR'S SIGNATURE' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MPLIdAT ON CONDUIT AND 'STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING. WIRING ELECTRICAQW.IRING. I HEREBY CERTIFY THAT I AM.PROPERLY REGISTERED AND/Olt FIXTURES LICENSED AS REQUIRED .BY LOS ANGELES COUNTY -AND STATE Of CALIFORNIA • OR.. THATA AM THE I�RftL OWNER OF-fHE ABOVE POWER DESCRIBED RESIDENTIAL'PROPERTY UTILITY CO.NOTIFIED SIGNATURE. I L OF PERMITTEE FINAL WILLIAM J:FOX.CO.UNTY ENGINEER VALIDATION A.C.-VEIT.CHIEF-ELECT.INSPECTOR 8 5 L& 0 11.1' SEP HE S-A 6-46 ,APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WM. J. FOX. CHIEFiENGINEER a NAME 1 DISTRIC�NO. GROUP ZONE PERMIT NO/.- 0 ADDRESS .5 V A ff - Q 'V"-l�'?J�'`[wr`IeLt f-,L �/J �-� �� //REC ! ✓ ��Y.� 9 CITY z r ' d-&- TEL.NO./1'( f�•REIVED BY FIRST INSPECTION READY FORDATE SUED W, CE T.NO. �/ ;� ' EXPIRES ��� 10PLICANT FILL IN HEAVILY OUTLINED PORTION ONLYNJOB r DESCRIPTION OF WORD ADDRESS .5p � �t�•�-. NUMBER OF OUTLETS ON CIRCUITS LOCALITY 1-21r, 1 LOCATION BY ROOMS NEAREST a LIGHT OUTLETS 8W. PLUGS 171' CROSS ST. A �^I-,A--•,1G U/IA n ,.- `, / CIRCUM' A B C D E F G H 191 NAME WMAIL r •3 3 ADDRESS ( O CITY TEL.NO. I AM THE LEGAL�.s . l ANGELES COUNTY CERTLFICE�S)1T OF QUALIFICATION SOR OF THE-ABOVE LOB �r y ELECTRICIAN. E 'R ��• "`` _� I AM 7Tffi LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS �;A tA�)tM.g, r L"7X-I1JRt�4 ?y T CGJ'+�. �LL:Y�-_iZ.S_G'r�/u��fi `'� �Y" i7/S•'Y r:LS l'/o?' ter•- aG���7� C.t. 1 ' 7 w. r1r J ,c�.�/u ,.• 3 ?A z Gvti•,..,� �rr�rrt. [NOOF OUTLETS /�iQ $ APPROVALS FIXTURES ,s%(1 $ G DATE INSPECTOR'S NAME MOTORS / H.P. $ CONDUIT SIGNS TRANS. $ WIRING RANGES OR HEATERS $ FIXTURES LANEOUS $ POWER FEE $ UTILITY CO.NOTIFIEDEE d FINAL .SIJ i,` i DB S-A 7-40 ASM APPLICATION• FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WM J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT No. WIRING FIXTURES SERVICE I �/ "R'/ECEIVED BY READY FOR DATE ISSUED RANGE HEATER POWER J/ 6, FIRST INSPECTION SIGNS MISCELLANEOUS 9 _ APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY Z � JOB a NAMEI ` 0 4 ADDRESS FADDRESS `+ 7 i LOCALITY J CITY /iJ ad j 4r�TEL No. r CROSS STs /_,(_j � W COU CER NO. Q� EXPIRES �/ � 0: NAME DESCRIPTION OF WORK 3 MAIL NUMBER OF OUTLETS ON CIRCUITS ADDRESS rj O LOCATION BY ROOMS CITY TEL No. I LIGHT OUTLETS I SW.I PLUGS IFIXT. I AM THE LEGAL POS SSOR OR JHE ABOVE LOS CIRCUIT j q I B C D E I F ( G Iy H I ANGELES COUNTY CERTIF �TE O Q�ALIFICA`TIC / LIVING ROOM _I ��� � ELECTRICIAN. I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED DINING ROOM __ T ABOVE. BRFST. RM. I owrteR. BATH CORRECTIONS ENT. HALL HALL NO. FRONT PORCH OUTSIDE _ _KITCHEN SERV. PCH. J Q BDRM. No. Z CLOSET O BORN. NO. CLOSET TOTAL NO. OF OUTLETS S APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H. P. $ CONDUIT NO. OF SIGNS TRANS. S WIRING NO. OF RANGES 09eFlBAMIFS ® B Z FIXTURES MISCELLANEOUS $ POWER IPERMIT FEE $ "0 eJ UTILITY CO.NOTIFIED TOTAL FEE $ 14,5-1 FINAL 76A663-CES06 B-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 'l BUILDING AND SAFETY DIVISION ADDRESS ;� JOHN A. LAMBIE. COUNTY ENGINEER _+ I-, (,L JE �! WILLIAM A.JENSEN, SUP �"/T OF BUILDING LOCALITY � /� NEAREST FOR APPLICANT TO FILL IN cRoss sT. ,\ f TOTAL NO. EACH FEE REC EP T. r7 _ OUTLETS FIRST 20 $ 20 $ r ® OWL ENER A � G _ LIGHT MAIL y/ ADD'L .10 ADDRESS ? /Q/ SWITCH. OVER 20 / ., CITY Z % TEL.NO. LIGHTING TOTAL l FIRST 20 .20 FIXTURES1 ADO'L .10 ELECTRICIAN .(l," �C OVER 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESSO GARB.DISP. STA.COOK CITY O.S - TEL. NO. A Ui" DISHWASH. AUTO.-WASH. STATE SPACE HTRS. BTA.APP.('/=H.P.MAX.) .50 LICENSE NO. I MOTORS: OVER NOT OVER H.P. DIST T N " ONE P C BY - O 1 1.00 Q I 3 t.so INS RECORD 3 S 2.00 S' 1S 2.SO 15 50 3.00 IL 50 100 5.00 0 SIGNS: NO.TRANS. OG NO.LAMPS O fV SERVICE 0.600V-NOT OVER 200A 9.00DoUJ SERVICE 0.60OV-OVER 200 A. 2.00 d SERVICE OVER 600V 5.00 ? MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE (y 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS 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 1 AM PROPERLY REGISTERED AN131OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA O4THAT MTHELE LOWNER OF THE ABOVE DESCRIBED RESOPERTY, n POWERrp ,(SIGNATURE UTILITY CO.NOTIFIED '/-6 fJ 4-OF PERMITT VALIDATION ARTHUR C. VEIT r MO CASH ` SUPERVISING ELECTRICAL ENGINEER CK 5 2 0 SCP 4 2 D 4.20- 76A663C- CAE8068 17.,75 APPLICATION FOR.ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN JOB �7 7',yS Bldgs.&Pools EACH NO. FEE ADDRESS 6o12, 1Ve Baldwin Ave. Sq. Ft. $ — $ LOCALITY Tp•Y1 fVq. Ft. — NEAREST CROSS ST. T ^q i Trp Residential Swimming Pools OWNER OR FIRM NAME first B �31 T.(' Outlets: Light,Switch& Receptacle MAIL First 20 ADDRESS �')]O 1T B n .7 7rp. Additibnal CITY 1- i Ur Tel. No. PLAN CHEjCK APPLICANT Lighting Fixtures First 20 ADDRESS Additional CITY Tel. No. PERMIT Fixed Appliances Not Over 1 HP APPLICANT 146rnles Range Heater_ D.W. ADDRESSDrive Oven Dryer W.M. Top FAU W.H. CITYQ_'TI _ Tel. No. i Hood Fan LICESE OR REG.NNUMBER 22796? Class. C--10 O Disp. A.C. c.1 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY Q Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V Size&Type HP, KW,KVA,or KVAR ELECTRICAL WIRING. LLI a. Up to 1 Incl. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR z Over 1 to 10 Incl. 18 QQ LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF �^ CALIFORNIA OR THAT 1 AM THEILEGAI) R OF TH ABOVE Over 10 to 50 Incl. DESCRIBED RESIDENT�L PROPER .Over 50 to 100 Incl. PERMITEE Over 100 SIGNATURE IV DISTRICT NO. PR CE ED BY Services ti 0-200 Amp. Under 600 V 201 -1000 Amp. Under 600 V APPROVALS DAINSPECTOR'S A SIGNATURE Over 1000 Amp.or Over 600 V TEMP. POWER POLE Temp. Power Pole&Appurtenances UNDERSLAB WORK �, f Sign with One Branch Circuit ill Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING i r 11 FIXTURES � ' /I POWER AUTHORIZED j PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE NOTES TOTAL FEE j';22.50 PLAN CHECK VALIDATION CK. CASH PERMIT VALIDATION cK. M.O. CASH sef 5'9 6C'-I SEP 2 . 2 0 2 2.5 0 =; 7 - y� WO1.RKERS'COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT �+i F 8i re'o affirm that I have a certificate of consent to self CE-806G insure, ora certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified-copy theceof(Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB / Certified copy is hereby furnished. New Residential Bldgs. & Pools 1 &'2-Family, 9• Ft. $ $ LOCALITY c-i— e EACH NO. FEE ADDRESS S _ Certified copy is filed with the county building inspec- of 761 tion department. Multi-family Sq. Ft. NEARSST. kJ Date Applicant Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec tight Sw. MAIL COMPENSATION INSURANCE ADDRESS First 20 (This section need not be completed if the work involved by Total No. Additional CITY Tel. No. the permit is for one hundred dollars($100)or less.) PLAN CHECK I certify that in the performance of the work for which thisd' APPLICANT permit is issued, I shall not employ any person in any mannerVA so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No.— /J CITY Tel. N . Date Applicant Fixed Applianc Not Over 1 HP PERMIT IV NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Exemption, you should become subject to The Workers' Range_ Heater—D.W. Compensation provisions of the Labor Code; you must forth- Oven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top FAU —W.H. CITY Tel. No. deemed revoked. Hood _ Fan _Other LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Can& REG. NUMBER Class. (commencing with Section 7000) of Division 3 of the Business .DISTRICT NOPRO SSED BY Power Apparatus& Large Appliances >_and Professions Code,and my license is in full force and effect. /� q„ Size&Type HP, KW, KVA, or KVAR' �/ O License Number Lic. Class Up to 1 Incl. FINAL U Over 1 to 10 Incl. DATE �f���` i V IDATION O Contractor Date FIN G� !i � ❑ Over 1'0 to 50 Incl. Lam exempt under Sec. Over 50 to 100 Inc. B UJ 0. B.&P.C. for this reason Date: Over 100 Z Services, Swbd., MCC$ Panelboards ► � � 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. 218-14A SINGLE FAMILY Temp. Power Pole&Appurtenances #,e e o • a G HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ( e.e 7J 5 ; I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits e�e'a Law for the following reason (Section 7031:5, Business and 1 3.5 0 0 Professions Code): 'l, as owner of the property, will do the work and the Misc. Conduits &Conductors Q'�I, 1 85 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 o Lender's Address 3 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 re slating Electrical wiring, and hereby authorize representa 'v of this County to enter upon the aa of, r for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE .Si nature of Permitt Date WORKERS'COMPENSATION DECLARAIEJIe I 76A663 1t9/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a-certificate of consent o self "CE-8066 l f insure, or a c8rtificate of Workers' Compensation,Insurancb, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a 2'ertified copy thereof (Sec. 3800, fab. C.) - , Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY V i std All11 tit'J NEAREST 9 tion department. Multi-family Sq. Ft. CROSS ST. M-1 1,t = Residential Swimming Pools OWNER OR a Date Applicant FIRM NAME riry�-. BeJr& -91 iz>'C ti CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw.� MAIL COMPENSATION INSURANCE ADDRESS (This t blFirst 20 ( s section neenoe completed if the work involved b Y Total No. Additional CITY ICri4 Tel. No.,2�� tZ the permit is for one hundred dollars ($100)or less.) 1 certify that in the performance of the work for which this PLAN CHEC Y P APPLICANT �1 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. 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. Hood — Fan —Other— CITY 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 Class. (commencing with Section 7000) of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PROCESS BY and Professions Code,and m license is in full force and effect. J y Size&Type HP, KW, KVA, or KVAR' 5, O License Number Lic. Class Up to'1 Incl. FINAL r Over 1 to 10 Incl. DATE Contractor Date VALIDATIA O Over 10 to 50 Iricl. FINA y I am exempt under Sec. Over 50 to 100 Inc. BY, LU 64 B.&P.C. for this reason Over 100 -_ z 1J�,9 A Date: Services, Swbd., MCC& Panelboards AT a0 © s d 2 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V 2 5 ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances e • • 2 &5 O 5 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 1, 1 6--8 5 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): I, 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) v (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 correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize represent ttves of this County to enter upon the above-mentione"pro er'for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ,ii•nature of Permi a Date WORKERS'COMPENSATION DECLARATION 10/81 APPLICATION FOR ELECTRICAL PERMIT F-rP ,af that, 1 .nave a certificate of consent to self CE-806G CE-806 .;P ' a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY o. !certified coray thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB Certified co is hereby furnished. EACH NO. FEE ADDRESS 01 r to copy y New Residential Bldgs. & Pools Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ — $ LOCALITY , V, C tion department. Multi-family Sq. Ft. — NEAREST ��Q J 7 CROSS ST. 0Ino �`UL Date Applicant Residential Swimming Pools OWNER OR CERTIFICATE OF EXEMPTION FROM WORKERS' FIRM NAME EJIsf Ca �15�" V� i� .�,� ° Outlets: Rec m3-N Light Sw. MAIL s2 COMPENSATION INSURANCE First 20 �J<{(j ADDRESS (This section need not be completed if the work involved by Total No. d CITY Tel. No. Z the permit is for one hundred dollars ($100)or less.) Additional If sem© AY I certify that in the performance of the work for which this PLAN CHECKAPPLICANT ' permit is issued, I shall not employ any person in any mann r _ so as to become subject to the Workers' ompensatio a Lighting Fixtures First 20 ADDRESS f o Total No. Q Additional CITY Tel. No. Date J1 Applicant i Fixed Appliances Not Over l HP NOTICE TO APPLICANT: If, after making this Certif ate 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.— 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_ p' Dis _ Room Air Cond. LICENSE OR I.hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER Class. (commencing with Section 7000) of Division 3 of the Business e A Apparatus& LargAppliances DISTRICT NO. P G and Professions Code,and my license is in full force and effect. power App � �ED BY 3 CJ Size &Type HP, KW, KVA, or KVAR e License Number Lic. Class Up to 1 Incl. FINAL n= Over 1 to 10 Incl. DAT Contractor Date VALIDATION Over 1D to 50 Incl. FI AL LLd I am exempt under Sec. Over'50 to 100 Inc. B B.&P.C. for this reason Over 100 Date: Services, Swbd., MCC& Panelboards 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V d ❑ 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): I, 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 ® o o a a r 1 hereby affirm that there is a construction lending agency for o a ,q the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) .(Sec. 3097, Civ. C.). 1,04-86 PLAN CHECKING FEE TL Lender's Name �aJ �,l1 J PERMIT ISSUING FEE Lender's Address 010I 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 representativ of This County to enter upon the above-mentioned pope or inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permitte Date i WS'COMPENSATION DECLARATION 76A663 ,D,B, APPLICATION FOR ELECTRICAL PERMIT �•�eli�c'affirmfirm that I have a certificate of consent to self CE-806G r. insu?e, or a 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 `(9�1'i Mee ❑ Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY •elo - L tion department. Multi-family Sq. Ft. 'NEAREST CROSS ST. 1L 007 Date Applicant, Residential Swimming Pools OWNER OR _ vs FIRM NAME r CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ AMAIL DDRESS COMPENSATION INSURANCE First 20 ip (This section need not be completed if the work involved by Total No. Additional CITY Tel. No. the permit is for one hundred dollars(;100)or less.) I certifythat in the performance of the work for which this PLAN CHECK P 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 TeI o. 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. — Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS l with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood _ Fan —Other_ CITY 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 Class. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PRO CE S BY and Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances �, �`S( Size&Type HP, KW, KVA, or KVAR License Number Lic. Class Up to 1 Incl. FINAL 63 Over 1 to 10 Incl. DATE ! ^��!( VALI TION Contractor Date Over 10 To 50 Incl. C/�J FINAL U ❑ I am exempt under Sec. Over 50 to 100 Inc. BY LLI Over 100 B.&P.C. for this reason VLJ Services, Swbd., MCC &Panelboards �/t,/a poll. Date: 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. G 1 8 3 5 A SINGLE FAMILY Temp..Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One.Branch Circuit • • • • • 2 1 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 • 2 7.7 5 {Professions Code):. l� I, as owner of the property, will do the work and the Misc. Conduits&Conductors = / • • � 27,75� structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , 7044, Business and Professions Code). Q lk 1 2-8 5 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 U Lender's Address I certify that I have read this application and state that the TOTAL FEE 1 above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representat' s this County to enter upon the ab ve-mentioned p p rt r inspection purposes.. ._� � SEE REVERSE FOR EXPLANATORY LANGUAGE � � J S nature of Permit t Date i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1404300007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 6561 LT: 7 BL: .001 UN: .002 1 6019 BALDWIN AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802240 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: WOODRUFF 18587-032-001 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl I IFI 120V, 15/20A BR CKTS 1.00 BR 17.30 (TENANT: IG1 OUTLETS-LGT,SW,RECP 2.00 OUT 4.00 (ISSUED ON: PROCESSED BY: PLAN BY: 1 1G2 LIGHTING FIXTURES 3.00 LGT 6.00 104/30/14 SR 1 I TOTAL FEES 55.10 1 TOWNER: TEL. NO: 1 (FIN DAT F N BY• DF,: I IFIRST BAPTIST CH OF TEMPLE CITY (626) 286-3125- I 16019 BALDWIN AV 1 � I ITEMP 917801709 I lEssiRI PTIOF WORK 1 I I IBRANCH CIRCUIT, 2 OUTLETS AND 3 LIGHT FIXTURES (APPLICANT: TEL. NO: I I IDAVILA, RAY A (626) 216-7547- I T 12402 N PAL JAY AVE ISPECIAL CONDITIONS: I IROSEMEAD CA 91770 ICONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE 1 INU WAY BUILDERS (626) 216-7547- 11 12402 N. PALJAY AVENUE LIC. NO 1 ITEMPORARY POWER POLE IROSEMEAD CA 91770 771401 * 1 1 I I (UNDERGROUND CONDUIT (ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I I _ 1 1 1 LIC. NO: i IROUGH CONDUIT I I I IROUGH WIRING II 1 1 iv IMAIN WATER LINE 1 I I I I IPLASTIC Y/N METAL Y/N I I I 1UTILITY COMPANY NOTIFIED( I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I i I I I I I I I I I I I I I I I I 1 1* ADDITIONAL DATA ON FILE 1 IREPORT ID: DPR265 ROUTE TO: BS0508 1 1 1 I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1306030009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: I ITR: 6561 IT: 7 BL: .001 UN: .002 6019 BALDWIN AV I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917802240 (ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET: WOODRUFF 18587-032-001 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl G1 OUTLETS-LGT,SW,RECP 9.00 OUT 18.00 I (TENANT: IG2 LIGHTING FIXTURES 4.00 LGT 8.00 (ISSUED ON: PROCESSED BY: PLAN BY: 1 TOTAL FEES 53.80 106/03/13 SR 1 (OWNER: TEL. NO: AL DATE F AL BY: CODE: 1 IFIRST BAPTIST CH OF TEMPLE CITY (626) 286-3125- I 1 16019 BALDWIN AV I 1 ITEMP 917801709 1 C IPTION OF WORK 1 1 1 19 OUTLETS AND 4 LIGHT FIXT9RES I (APPLICANT: TEL. NO: 1 1 IKITTERMAN, JOHN (626) 301-9546- 1 1 1823 S MAGNOLIA AVE 1 ISPECIAL CONDITIONS: IMONROVIA CA 91016 I 1 1 ICONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE IFINISHLINE CONSTRUCTION (626) 301-9546- I 1 1 1823 S MAGNOLIA AVENUE LIC. NO I ITEMPORARY POWER POLE I I IMONROVIA CA 91016 884981 1 I 1 1 (UNDERGROUND CONDUIT I (ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND LIC. NO: i TROUGH CONDUIT I 1 TROUGH WIRING � 1 I IMAIN WATER LINE I A I I IPLASTIC Y/N METAL Y/N I I I (UTILITY COMPANY NOTIFIED( I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I