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Home My Public Portal About9677 BLACKLEY ST_Electrical__ V .A -AG 63 DBS 5A 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR A j LICANT TO/FILL IN DISTRIC /NO, GROUP ZONE PERMIT N.O. ELECTRICIAN' a RECEIVED BY READY FOR DATE ISSUED ADDRESS SLA FIRST INSPECTION CITY ��..�y7y�,�Yr�. TEL. Nyi.•..' COUNTY LICENSE NO. / EXPIRES ' BUILDING PERMIT FEES ADDRESS �/�° FEE LOCALITY 4 NUMBER EACH LIGHT OUTLETSNEAREST RECEPTACLES CROSS ST.77 ".lF" /I WALL SWITCHES 9 OWNER f/ • TOTAL OUTLETS 5C $ MAIL ' ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES �. 5 ® 1 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 CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE,. OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. _ !/2 & LEBS .25 SIGNATURE OF ,,<Z� V2 2 .50 PERMITTE 2 5 1.00 INSPECTION RECORD 5 15 1.50 15 50 2.50 1 1 v 152---0' Se ..1.. 9,4m.Ar ` N 50 200 5.00 200 500 10.613 f J SOO 1000 15.00 OVER 100,0 20.00 L7 M.G. BET/FREQ. CHANGER-HP WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% or ants.) MISC. SIGNS NO. NO.TRANS APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 d Q B CONDUIT e FIXTURES $1.00 j 0 B WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ 70 UTILITY CO.NOTIFIED ��''I FINAL ` 114 i, "dol _ CV 76AG63-CE80612.58 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY (o FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. O ITEM NUMBER EACH FEE OWNER OUTLETS: ^7) g $ MAIL LIGHTS � RECEPT.-/ SW. -1Q Q ADDRESS LIGHTING FIXTURES .10 CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN ® WATER HEATER 5 .50 ADDRESS S //1✓--15 ELEC.SPACE HTRS. DISHWASHERS r� TEL. Oefl GARBAGE DISPOSERS AUTO.- STATE �� WASHERS STA.COOKING UNITS .25 LICENSE NO. `� �" imp MOTORS: OVER INC. H.P. DISTRICGROUP ONE 2Mr BY 0— v. 'j-t� .25 S –� 1/2— 2 3 .50 o INSPECTION RECORD 2— 5 1.00 5— 15 1.50 15— 50 2.50 50-200 5.00 SIGN NO.TRANS. NO.LAMPS SERVI 0-600V 1.00 SERVIC OVER 600V 5.00 misc. WIRING PERMIT 1.00 QO FIXTURE PERMIT 1.00 Q SUPPLEMENTARY PERMIT .50 TOTAL FEE S APPROVALS i HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT/ / _ ELECTRICAL WIRING. WIRING <J I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT M -1� /LEGAL OWNER OF THE ABOVE DESCRIBED RESIDE L POWER /. SIGNATURE UTILITY CO.NOTIFIED / A" OF PERMIT.E - FINAL I2 OF VALIDATION ARTHUR C. VEIT, SUPERVISING ELECTRICAL-E ER CK MO CASH ,Uo 7 6 3 n JUN 8 2 A 3 .5 5 j��y'niYGl7✓�� . WORKERS' COMPENSATION DECLARATION CE-806 10i81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirrrt that'I have a certificate of consent to self CE-806G insufe,. or a certificatie of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a.certified2ispy thereof (Sec. 3800, Lab. C.) Policy.No. Company FOR APPLICANT TO FILL IN JOB � Certified co is hereby furnished. EACH NO. FEE ADDRESS copy Y New Residential Bldgs. 8 Pools �, r ❑ 1 & 2-Famil S Ft. $ _ $ LOCALITY ] Certified copy is filed with the county building inspec- Y. q� tion department. Multi-family Sq. Ft. NEAREST CROSS ST. Residential Swimming Pools t) Date Applicant OWNER .6 a� 7 _ FIRM NAMM E CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Re FIRM "Sw:/_ MAIL COMPENSATION INSURANCE 9 ADDRESS 62-2 (GJ (This t bFirst 20 ( is section neenoe completed if the work involved b Y Total No. * /q Additional CITY c Tel. No. �F� the permit is for one hundred dollars ($100)or less.) performance of the work for which this PLAN CHECK I certify <� that in the 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 First 20 2- ADDRESS Total No. 3 Additional CITY Tel. No. Date /,9 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 DISTRICT NO. P CES ED BY pr,•,' Power Apparatus& Large Appliances �— and Professions Code,and my license is in full force and effect. ,arm UO Size &Type HP, KW; KVA, or KVAR ✓ ` U License Number Lic. Class Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE O O VALIDATION Contractor Date Over 10 to 50 Incl. FINAL. W I am exempt under Sec. Over 50 to 100 Inc. BY ` B.&P.C. for this reason Over 100 Z Date: 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. 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 fo the following reason (Section 7031.5, Business and Profe Bions 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 0 01 9 5 0 v I hereby affirm that there is a construction lending agency for 0 1.03=8 6 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 1 certify that I have read this application and state that the TOTAL FEE above information is correct. I agree to comply with all County �r�on.ces and State laws regulating Electrical wiring, and rbythorize repres nt tives of this County to enter upon above-mentioned ro for insp coon purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE gnature of Permittee Date WORKERS;--ICOMPENSATION DECLARATION 76A663 12-Bo, APPLICATION "POR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure;-or a certificate'of Workers'Compensation Insurance,or I a certified copy thereof(Sec. 3800,Lab.C.) l FOR APPLICANT TO FILL IN JOB" Policy No. Company EACH NO. 'FEE ADDRESS lb 27 155erj� /L New Residential Bldgs.&Pools Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY M Multi-family Sq. Ft. — NEAREST /v Certified copy is filed withythhecmy building inspection CROSS ST G� ! Q department. Residential Swimming Pools OWNER OR - �' � _ � ,�� FIRM NAME /6— Date' —?/'Applicant Outlets. Rec Light Sw. 0 S�• J6 MAIL' ' 67 �1 7 First 20 ' ADDRESS / / ; f� CERTIFICATEOF,EXEMPTION FROM WORKERS'- Total No. ,JV Additional b CITY Tel No. COMPENSATION INSURANCE /0 O PLAN CHECK /1 APPLICANT V (This section need not be'completed if the work involved �0 7 6 Lighting Fixtures First 20 ADDRESS by the permit is for'one hundred dollars ($100) or less.) - Cr _• Additional Total No. I certify that in the performance,of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. U permit is issued, I shall not employ any person in any manner PERMIT .y—v W so as to become subject to the Workers' Compensation_Laws. Range_Heater_D.W. APPLICANT ( / !/ i�MOiY. Il Oven _ Dryer_W.M._ ADDRESS z Date Applicant Top _ FAU _W.H. Hood — Fan Other CITY(✓C'Q Tel'No. �70r� _ NOTICE TO APPLICANT: If,�after making this Certificate of Disp. Room Air Cond. LICENSE OR _ y Exemption, you should become subject to the Workers' REG.NUMBER �,/9�j Class e —1,-2 Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. l PROCES ED BY with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or KVAR deemed revoked. �i6 ' Up to 1 Incl. , T�4/ L.Over 1 to 10 Incl. FINAL DATE LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. :1 C VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL r" BY 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. 2t�� Services License Number 3/•l kLia Class C'�D 0-200 Amp. Under 600 V y f . 201-1000 Amp. Under 600 V Contractor.D te' 1' "fid `1C Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp. Power'Pole& Appurtenances I hereby affirm that I am 'exempt -from the Sign with One Branch Circuit Contractor's License Law for"the following reason (Section,7031.5,• Busi- ness and Professions Code):' - • Misc.Conduits&Conductors 0 6 9.9 A I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— structure is not intended or offered for sale (Section # o 0-0 o 2 7044, Business and Professions Code). 'CONSTRUCTION LENDING AGENCY I hereby affirm that'there is a construction lending agency 2.o.0 4 1.0 0 for the performance of the work for which this permit is PERMIT FEE (Sub-Total). 3 41.00 issued(Sec. 3097,Civ.C.)." .• :• Lender's Name PLAN CHECKING'FEE (One-Fourth Permit Fee) 8,11.0—8 1 Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE 6� 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 ve- entioned propevy for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE gnature o ermittee Date