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76A663-CES06 B-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS G70 E,��/Lor-1Du�A'�
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY T m p��-
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. LOSM B
RECEPT. �_ l TOTAL NO. EACH FEE
� f OUTLETS FIRST 20 $ 2O S GU OW NER^DR O !l6
LIGHT Ir
A DD'L ADDRESS SA (✓I�
SWITCH.'2 OVER 20 .10
LIGHTING TOTAL IF)RST 20I .20 U CITY TEL. NO.
FIXTURES OVER
2
R 20 R
1 ov 10 ELECTRICIAN
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
RB SP. STA.COOK
CITY TEL.NO.
IMULdIAS AUTO.-WASH. STATE
SPACE HTRS. STA.APP.I Yx H.P.MAX.) ,50 LICENSE NO.
MOTORS: OVER NOT OVER H:P. DISTR NO. GROUP I rN T P 5E BY
0 1 1.00 n.
1 3 1.50 INSPECTION RECORD
3- B 2.00
B 15 2.50
.15 50 3.00 }
50 , I00 5.00 O
SIGNS: NO.TRANS.
NO."MR.
rOr
SERVICE O-600V-NOT OVER 200A 1.00 W
SERVICE 0-60OV-OVER 200 A. 2.00 S
h
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 6 .� U
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECT R'B SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 7'
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE P 1
DESCRIBED RESIDENTIAL PROPERTY, POWER
SIGNATURE ,l UTILITY CO.NOTIFIED .`�� .. ..�
OF PERMITTEE A
FINAL
LIDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LAGO1514OCT 16 2 D 320
'°"° °°° °° APPLICATION FOR ELECTRICAL PERMIT 'I
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN. SUPT OF BuILDINa LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Ael
CROS$ST
PERMIT FEES OWNER
1 T E M NUMBER EACH FEE MAIL
OUTLET ' E S ADDRESS Ze
LIGHT9 RECEPT. BW. 2l .10 ZO
LIGHTING FIXTURES 1D CITY TEL. O
ELEC. RANGES CLO. DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS—/e S^ /
ELEC.SPACE HTRS. DISHWASHERS CITV Q TEL.NO. _Tl 7
GARBAGE DISPOSERS AUTO.. STATE 'T %�
WASHERS STA.COOKING UNITS A LICENSE NO. J G
MOTORS: ovER INc. H.P. DISTRICTIPO.. G OU ZONE P ESSED BY
0 — Y, .25 O 11
I= - 2 .50 d g / INSPECTION RECQRD
2 5 1.00
S Is 1.50 �i`✓+ u
15 — 50 2.50 V p
SO — 200 5,00 ~
u
w
SIGNS: NO TRANS. N
NO. LAMPS
Z
SERVICE 0.600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 ! Q
FIXTURE PERMIT 1,00 jD 6
SUPPLEMENTARY PERMIT .50
TOTAL FEE S a
/
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION -APP
ROVALS ,A/TE/ INS/P/EC%R'S SI GNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT fl- _p , 4"
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _
ELECTRICAL WIRING. WIRING v
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNT AND STATE OF FIXTURE$CALIFORNIA OR TH 1 AM THE LEGAL OW O T E ABOVE
DESCRIBEDPROPERTY. POWER
SIGNATURE UTILITY COFINAf
VALIDATION ARTHUR C.VEIT.
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
L1(:o5654 -� AFR18 2D 2 .80
d
]GAG B3-CEBOB 1/]0 APPLICATION FOR ELECTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS B/jp{4Q(,V
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING L3
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. S
OUTLETS NO. EACHFEE
OWNER
LIGHTRECEP ._� 5 S MAIL
LIGHT_ TOTAL
FIRST 20 20
"OR
7O Q.(7 BV(
CITY � TEL. NO.
-243
SWITCH OVER 20 ,10
- PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES .10
OVER 20 AOORESS
APPLIANCES CITY TEL. NO,
PERMIT
RANGE-DRYER-WTR. HTR._ APPLICANT
STA. COOK_DISP._F.A.U._ ADDRESS
SPACE HTR. AIR GOND. CITY TEL. NO.
CLOTHES WASH._DI SHWASH._ LICENSE N0, CLASS.
FAN_OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
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. XP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O - 1 it
LICENSED AS REQUIRED BY L09 ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT AM THE LEO. OWNER OF, AND INTEND T.
1 - 10 RES DE IN, THE ABOVE- p�PIPED E910E NilAL PROPERTY, r
SIGNATURE CL
10 - 50 OF PERMITTEE 0
50 - 100 y.
OI SrTRICTNO. LA99 Gp ZONE PR C Y O
100 - 500 JI
V
SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: k' f.^ A)r/ LULU
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOT OVER 600 VOLTS OR 200 AMP aw
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600 VOLTS OR 200AMP 5.00
TEMP.POWER POLE
TEMPSERVICE,POLE, &APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR REC ERT. SYSTEM 3.00 ,
ROUGH CONDI UT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEET
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE
FINAL
SUPPLEMENTARY PERMIT ISSUING FEE 100
�]..�L JOSEPH C. ROOHAN
TOTAL FEE A, VY SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH
8r AUG 4 2 c 6.00-
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
L -lMlfr6!kC(11 S-1t�II I p
78A663-CE806 10-62 APPLICATION FOR ELECTRICAL PERMIT X1.1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING A.
BUILDING AND SAFETY DIVISION ADDRESS 070 ]-
GARB.
JOHN A. LAMBIE. COUNTY ENGINEER C
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
NEARESTqFOR APPLICANT�.TO FILL IN CROSS ST.RECEPT,y 1 TOTALNO. EACH E . ClIII( OUTLETS 'FIR6T 20 6.20 6 �(] OWNER 0 L�} / RucxT V 1 MAIL (�Ax. )I S3 �AOOL ADORE65 �'tBVER 20 .IDTEL. NO.LIGHTING TOTAL FwsT 20 .20CITY FIXTURES ' A°o'L 10 ELECTRICIANRANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS�J5 A Y �OISP. BTA.COOKACITY TEL. NOD18HWA8H. AUTO.-WASH. STATE `SPACE HTRS. bTA.APP (Yz H.P.MAX.) .50 LICENSE NO. li
MOTORS: OV of OVER H.P., DISTRI��NOO GROUP ZONE P1 1.00 / C�jj - ,
1 3 ,.50 � J INSPECT
ION RECORD
3 S 2.00
4111,-'�7 r-% 14 -e�(l/�\ o
B 15 2.501 S " P / V
✓ be
is 50 3.00 / O:
60 ,100 5.00 , (i�Ii i
SIGNS:
NO.TRANS. •yam
NO.LAMPS ^ ��• '//�L� //�
SERVICE 0.60OV-NOT OVER 200A 1.00 Go _L'677 Lp ,— 7 /OM �"-
SERVICE O.60OV-OVER 200 A. 2.00 • 0
hSERVICE OVER 600V 5.00 LA - '- •' -
MISC.
PERMIT ISSUING FEE 2.00 .L o0
SUPPLEMENTARY PERMIT ISSUING FEE' 1.00 -
TOTAL'FEE • 6 < .1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLIC TIONt' INSPECTOR'S SIGNATUREAN0 STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYIWITH ALLCOUNTYORDINANCES AND STATE LAWS REGULATINGIELECTRICAL WIRING. I1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ORLICENSED ASREQUIRED BY LOS ANGELES COUNTAAND STATE OFCALIFORNIA OR THAT 1 THELEGAL OWNER OF HE ABOVEDESCRIBED RESIDENTIA PERTY. (SIGNATURE ��i OF PERMITTEEFINAL
� V LIDATION ARTHUR C. VEIT
( CK, MO CASH - SUPERVISING ELECTR I CAL,ENGINEER .
:L4 8 9Z MAY29 2 e 1 430- v
_ .
TBABSS CEBOB 10-62 APPLICATION FOR EEL CT ICAL PERMIT
COUNTY OF LOS ANGELES ly
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER /J
WILLIAM A. JENSEN, SUPT of BUILDING LOCALITY l—
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. -4�� ,
RECEPT. /0 TOTAL NO. EACH I FEE
OUTLETS FIRST 20 $20 $ q O�
LIGHT �C MAIL I/
swlrcH OwoD'L ADDRESS
VER ZO .1D
GHTING
LTOTAL rlRsr 20 .20 CITY TEL..NO.
I
FIXTURES AOOt 10 ELECTRICIAN
OVER ZO
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK / p
CITY TEL. NO. 6 p
DISHWASH. AUTO WASH STATE O /
SPACE HTR.
. STA.APp.(y H.P.MA%.) ,$O LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE PROCESSED BY
0 - ,A.L 4`? 1.00
p° J�( cam(
1 3 1.50 INSPECTION RECORD
3 8 2.00 1•
a
e Is 2.50 O
V
15 50 9.00 p�
50 100 5.00 O
SIGNS, NO.TRANS. 16UL
NO. LAMPS
N
z_
SERVICE O-SOON-NOT OVER 200A 1.00
SERVICE 0.600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 (f[
SUPPLEMENTARY PERMIT ISSUING FEE 11.00 _
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE I 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 ANO/OR K Y,
LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 A THE LEGAL OWNER F THE ABOVE
DESCRIBED RESIDENTIAL PERTY. POWER
SIGNATURES .(..•i n UTILITY CO.NOTIFIED 1
OF PERMITTEE / ���/%%/""""' _ 7-11)
s /
FINAL R /&4
l / I✓ / LI ARTHUR C. VETT
V CK MOO CAS CASH SUPERVISING ELECTRICAL ENGINEER
9 7 1 2 2 JUN 4 2 D 5.5 0
r
70A663-CESOB 10_62 APPLICATION FOR ELECTRICAL P RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 6U ILDING /�I �— n
BUILDING AND SAFETY DIVISION ADDRESS (/
JOHN A. LAMBIE, COUNTY ENGINEER C
WILLIAM A. JENSEN, SUPT OF BVIIDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN
FXTURES
TOTAL NO. EACH FEE
OUTLETS rIRST 20 $ $ D OWNER(D MAILADD'L ADDRESS
20 ,1D
TOTAL CITY TEL. NO.
FIRsr 20 ,}j .20 ADDtER 20 .10ELECTRICIANO.DRYERS WTR.HTRS. I.00 ADDRESS 'Jp
GARB.DISP. STA.COOK CITY TEL. NOv ,� 0 J I
.
DI3HWASH. AUTO..WASH. STATE
SPACE HTRS. STA.APR.('A H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRIICT NO. GROUP ZONE PROCESSED BY
0 , 1.00 v _— / e lli A
1 3 1.501 1 1 INSPECTION RECORD
3 a 2.00
9 — 15 2.50 O
15 50 3.00
50 100 5.00 O
SIGNS, NO.TRANS. IIIUaLLL
NO. LAMPS y
z
SERVICE O.6o6V.NOT OVER 200A 1.00 r
SERVICE 0.60OV OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE S
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVAL$ DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT A
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL REF[FY. POWER
SIGNATUREOF PERMITTEE- �J� - UTILITY CO.NOTIFIED / Al
FINAL L A
V ✓ VALIDATION ARTHUR C. VEIT
V
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
/ 9 7 1 1 JUN 4 2 D 3.40-
WORKERS' COMPENSATION DECLARATION C76A663E-806 ID,BI APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self CE-806G
-insure, 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 :'s I�
Certified co is hereby furnished. EACH NO. FEE ADDRESS 1070 C v V VZO A DW A
PY Y New Residential Bldgs. 8 Pools
❑ Certified copy is filed with the county building inspec- 18 2-Family, Sq. Ft. $ — SLOCALITI�"�µ.t ( CL
tion department Multi-family Sq. Ft. — 'NEAREST
Residential Swimming Pools CROSS ST.
Dole—Applicant OWNER OR
/ FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: RecyC�Light�Sw.� "MAIL /)
COMPENSATION INSURANCE ADDRESS
(This section need not be completed If the work involved by First 20
the permit Is for one hundred dollars ($100)or less.) Total No. Additional CITY Tel. No.29
certify that in the performance of the work for which this PLAN CHECKAPPLICANT
permit is issued, I shall not employ any person in any manner
so as to become subject to the Workers'Compensation Laws. Ughling Fixtures First 20 ADDRESS
Total No. Additional
Dote Applicant CITY Tel. No.
NOTICE TO APPLICANT: If, after making this Certificate of Fined Applianc Not Over 1 HP 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._ ADDRES
with comply with such provisions or this permit shall be Top _ FAU —W.H.
deemed revoked. _ _ CITY Tel. No.
Hood Fan Other_
LICENSED CONTRACTORS DECLARATION CITY
I hereby affirm that I am licensed under provisions of Chapter 9 Dista. _ Room Air Cond. LICENSE REG. NUMBER Class.
(commencing with Section 7000) of Division 3 of the Business power Apparatus 8 Large Appliances DISTRICT NO. P C SED BY �,
and Professions Code,and my license is in full force and effect. p�
Size 8 Type HP, KW, KVA, or KVAR r 0 d
License Number Lic. Class Up la 1 Incl. FINAL V
Over I to 10 Ind. DATEro VALIDATION K
Contractor Date Over 10 to 50 Incl. FIN
A O
❑ am exempt under Sec. Over 50 to 100 Inc. BY u
8.8P.C. for this reason _ Over 100 W
Date: Services, Swbd., MCC 8 Panelboor s
0 -200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V
;9.1 6 1. 1'A
❑ Over 1000 Amp. or Over 600 V
Exemption for Reg. Mainz. Elect. #'e • e'e e 'Z
SINGLE FAMILY Temp. Power Pole 8 Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I-e s Z Q ZJ
hereby affthe folthatlow g r exempt from the Contractor's License Additional Sign Branch Circuits e•o - 2G255
Low-for the following reason (Section 7031.5, Business and
Pro ssions Code):
Misc. Conduits 8 Conductors
I, as owner of the properly, will do the work and the 0228-B5
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 Q
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
ordinances and State laws regulating Electrical wiring, and
hereby authorize repres ntatives of this County to enter upon
the ab a-m ntioned p aperty for inspection purposes.
p, / ,� _ - SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permute ' Date