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Home My Public Portal About9306 BLACKLEY ST_Electrical__ 76A6t3-CE8061-68 APPLICATION F ERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING • BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE, COUNTY ENGINEER t COLEMAN W JENKINS, SUPERINTENDENT OF BUILDINGLOCALITY NEAREST FOR APPLICANT TO FILL IN JCROSS ST _ �y� NO EACH FEE RECEPTiT_"a $ $ OWNER �f 1\ �9wt MAIL LIGHT Z!!Z TOTAL FIRST 20 � O 20 Q (�0 ADDRESS SWITCH 1� OVER 20 -l"It) 10 e.,91 E0 CITY TEL NO PLAN CHECK LIGHTING TOTAL FIRST 20 20 APPLICANT FIXTURES OVER 20 10 ADDRESS RANGE—DRYERA!!!�WTR HTR — CITY TEL NO STA COOK DISP 1-_F A U CO,4TRAC r0R SPACE HTR AIR COND ADDRESS r CLOTHES WASH �OISHWASH _ CITY,S � q)i �SJTEL NO FA NZ! OTHER • 1 00 LICENSE NO 4�J,7 CLASS MOTORS TRANSFORMERS RATING IND HEATERS ETC HP KW KVA I HEREBN ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 - i 1 00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 I - 10 3 00 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO D. 10 - 50 5 00 RESIDE IN THE ABO V OESCRIPED RESIDENTIAL PROPERTY O SIGNATURE U 50 - 100 10 00 OF PERMITTEE Im 100 - 500 15 000 DIST CT NO I G-41UP O � RO�yESS.ED BYSIGN rj TUBE A SIGN AND ONE CIRCUIT 3 00 1 ILD C a MARQUEE ADDITIONAL CIRCUITS 1 00N NOTES Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE POLE & APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED � PERMIT ISSUING FEE 2 00 1 UTILITY CO NOTIFIED 11 SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL 7-A1�- TOTAL FEE JOSEPH C ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION cK M O CASH LAC'O4 7 5 5 NTI2 0 2 D , 1 9.4 0NSEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE I ��Vl 76Ah63-CEBOj6 §-67 APPLICATION FOR ELECTRICXMM COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE. COUNTY ENGINEER COLEMAN W JENKINS, SUPERINTENDENT OF BUILDINGLOCALITY ]NEAREST FOR APPLICANT TO FILL IN CROSS ST NO EACH FEE Lam' $ $ OWNER RECEPT MAIL LIGHT TOTAL FIRST 20 20 ADDRESS SWITCH_ OVER 20 10 CITY TEL NO ,,0p LIGHTING TOTAL FIRST 20 20 CONTRACTOR FIXTURES OVER 20 10 ADDRESS �Q RANGE—DRYER—WTR HTR — CITY ' y'�01�V TEL NO "/' O STA COOK_DISP F A U LICENSE NO J �� 163 e SPACE HTR AIR COND D I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH _DISHWASH WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING FAN-OTHER 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF MOTORS TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO IND HEATERS, ETC HP KW KVA RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY SIZE & TYPE OVER TO SIGNATURE 0 - 1 1 00 OF PERMITTEE _ a 1 - 10 3 00 DISTRICT NO G13QUP 'ZOPR CE_ S ED BY OV 10 - 505 00 d " 20 O 50 - 100 10 00 NOTES W 1 00 - 500 15 00 a N TUBE ORSIGN GAS SIGN AND ONE CIRCUIT 3 00 MARQUEE ADDITIONAL CIRCUITS 1 00 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP j 5 00 TEMP SERVICE POLE &APPURTENANCES / 3 00 B'O APPROVALS DATE INSPECTOR'S SIGNATURE TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT ISSUING FEE 2 00 WIRING FIXTURES SUPPLEMENTARY ISSUING FEE 1 00 POWER AUTHORIZED PERMIT FEE UTILITYCONOTIFIED PLAN CHECK FEE (50% PERMIT FEE) FINAL -.1 TOTAL FEE JOSEPH C ROOHAN SUPERVISING ELE ICAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDCK ATION M 0 CASH - - L1CO4 4 8,6% APR 30 5.00- v SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A663-CE806,10/74 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES / DEPARTMENT OF COUNTY ENGINEER FADDRESS T��1p Q L BUILDING AND SAFETY DIVISION s • ITY QNEAREST /gyp FOR APPLICANT TO FILL IN CROSS ST `� �7Q'7 OUTLETS NO EACH I FEE OWNER OR f ^ I FIRM NAME RECEPT� $ $ MAIL � �� ADDRESS Q LIGHT TOTAL FIRST 20 �Q / �1y� TEL NO SWITCH OVER 20 I� b ()EJ C PLAN CHECK ��O IRST 20 O APPLICANT � ' LIGHTING TOTAL FIXTURES VER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO PERMIT RANGE DRYER_WTR HTR APPLICANT [ G'. C STA COOK DISP F ASU ADDRESS361, SPACE HTR AIR COND CITY //// ,t5�- TEL NO --IDD/ Q1` CLOTHES ASH DISHWASH REG CENUMBERpQ 3 �L CLASS FAN -dam __BOTHER /1 Y� D I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 111 V 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 0" 1 - 1O 300 DES CRIPED RESIDENTIAL PROPERTY O U PERMITEE 10 - 50 500SIGNATURE �' ` OC) U 50 - 100 1000 LJ DISTRICT NO ROCSED BY a- cn 1 00 — 500 1500 (J V Z SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE I s R'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVI CENOTOVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK r SERVI CE OVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT TEMP SERVICE, POLE, &APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES POWER AUTHORIZED - �L -'O UTILITY CO NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES ' PLAN CHECK FEE PERMIT ISSUING FEE y S TOTAL FEE PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION cK M 0 CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 39 0 ^•�'-' �^ ~ + 1 hereby affi mrn hatAK�COMa certificate of DECLARATION on entlOto self Insure, CE-803 10/81 APPLICATION FOR ELECTRICAL PERMIT ..�� CE-806G or ,j; of WdTr'<s's' CorRpensation Insurance, or a certified COUNTY OF LOS ANGELES , BUILDING AND SAFETY copy thereof 6Sec 3800 Lab C) POI cy No ; Company FOR APPLICANT TO FILL IN- JOB ❑ Certified copy is hereby furnished, New Residential Bldgs & Pools EACH NO FEE ADDRESS aj/ Certified copy Is bled with the county building Inspection 1 & 2-Family, Sq Ft $ — $ LOCALITY` `de 'department Multi-family Scl Ft — NEAREST p �ATf CROSS STSResidential Swimming PoolsDateApplicant OWNER OR`FIRMCERXEMPTIO*ROM ORKERS', �,r MAIL COMPENSATION INSURANCE Outlets Rec Light — Sw ADDRESS 2 d not be completed First 20 50 (This section n� p eted If the work Involved by the Total No Additional CITY, Tel No permit Is foi..'ne hundred dollars ($100) or less) I certify tt twin the performance of the work for which this permit 4 APPLICANT CHECK is issuer I shall not employ any person in any manner so'as' to becor Additional subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS a ° D Total No —� CITY Tel No Date Applicant ' l Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT If, after making this Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ DW _ APPLICAN ,-provisions of the Labor Code you must forthwith comply with such Oven —,Dryer--,W M , ADDRESS p a provisions or this permit shall be deemed revoked Top _ FAU WH Other_ LICENSED CONTRACTORS DECLARATION � CITY- Hood Fan Tel No;ZfZ—J f1& I hereby affirm that I am licensed under provisions of Chapter 9 DispRoom Air Cond" LICENSE OR (commencing'with Section 7000) of Division 3 of the Business and REG NUMBER ;74j Class Professions Code,and my license is in full force and effect Power Apparatus& Large Appliances DISTRICT NO PRO D BY �t�� Size& Type HP,KW,KVA,or KVAR y License Number Lic Class A— Up to 1 Incl O FINAL -V Over 1 to 10 Incl DATE VALIDATION Contractor, ate /'V/X/0 Over 10 to 50 Incl ❑ I am e empt undr Sec Over 50 to 100 Inc BY AL W B&PC for this reason Over 100 Q„ Services,Swbd,MCC& Panelboards , _� Z 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« SINGLE FAMILY Temp Power Pole& Appurtenances 1 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 1 hereby affirm that I am exempt from the Contractor's License Law ACCTA for the following reason (Section 703,1 5, Business and Professions Additional Sign Branch Circuits Code) 3307 1?.2.55 ❑ 1,as owner of the property,will do the work and the structure Misc Conduits& Conductors 1 ITEMS is not Intended or offered for sale (Section 7044, Business Other (See Complete Fee Schedule) 5 and Professions Code) - TOTAL _�- ® CONSTRUCTIOWLEqrsrs --NDING AGENCY CHECK 17.25 I hereby affirm that there Is a construction lending agency for the Cftt'N GE .00 performance of the work for which this permit is Issued(Sec 3097, PERMIT FEE _ (Sub-Total) Civ C) PLAN CHECKING FEE Lenders Name I I0000'0001 10/ 4/89 PERMIT ISSUtNG-FEE1 U2 n Lender's Address ' btu J J 1 AM 11:16 I certify that I have read t application and state that the above TOTAL FEE , Information Is correct I r to comply with all County ordinances ° and State laws re la Electrical wiring, and hereby authorize representatives i ounty to enter upon the above-mentioned prop ty for In t purposes SEE REVERSE FOR EXPLANATORY LANGUAGE i Signature Fkrmittee D