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HomeMy Public PortalAbout5521 CLOVERLY AVE_Electrical__ /JI 1 I8A883`CE80810 e, APPLICATION F14 ELECT VAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING n BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN, SUP T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST I T E M NO I EACH FEE n J OUTLETS (FIRST 20) $20 $ OWNER t e0, LIGHTS RECEPT SW MAIL 't A OUTLETS (ADD L UNITS) f0 ADDRESS �`� !r: 4J �'P/ .. LIGHTS RECEPT SW LIGHTING FIXTURES (FIRST 20) 20 CITY TEL NO LIGHTING FIXTURES (ADDITIONAL) 10 ELECTRICIAN RANGES CLO DRYERS WTR HTRS 1001 ADDRESS / GARB DISP STA COOK CITY TEL NO DISHWASH AUTO WASH STATE SPACE HTRS STA APP (yy H P MAX) 50 LICENSE NO MOTORS OVER NOT OVER H P DISTRICT NO GROUP ZO P ESSEvD O 1 100 1 3 150 INSPECTION REC RD 3 8 200 G d O 8 15 2 50 V 15 50 300 0 50 100 500 rd W a SIGNS NO TRANS Nq NO LAMPS L SERVICE O 600V NOT OVER 200A 100 SERVICE O 600V OVER 200 A 1200 SERVICE OVER 600V 5 00 ' MISC PERMIT ISSUING FEE 200 SUPPLEMENTAFtY PERMIT ISSUING FEE 100 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 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 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY POWER SIGNATURE 1 UTILITY CO NOTIFIED 0 07 OF PERMITTEE // /� / FINAL / t VALIDATION RTHUR C `VEIT OKMO CASH ISSMO CASH ELECTRICAL ENGINEER LACO 1'6 2 5Q� X16 2 'D 8.50— U DES 5A 3 55 APPLICATION FOR ELECTRIC PERMIT OBS 3A DIVISION OF BUILDING FIND SAFETY Department of County Engmeer ,_ County of Los Angeles BUILDING �S �e i,• ' WM J FOX COUNTY ENGINEER ADDRESS CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST ,o�z NUMBER EACH FEE �+ OWNER (/ T Pf V VC -7 LIGHT OUTLETS MAIL RECEPTACLES ADDRESS WALL SWITCHES TOTAL OUTLETS 5¢ $ CITY TEL NO ELEC RANGES 25 ELECTRICIAN //+�� hC9 _ELEC HEATERS 25 ADDRESS 3 V ' P 5 KW EA CITY ��J a TEL NO FIXTURES 5 LICENSE NO O NUMBER OF LIGHT CIRCUITS - DISTRICT GROUP Z '� READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS f MOTORS 3, s d NUMBER HORSEPOWER IFEE INSPECTION RECORD NEW MVD HP OVER I INC EACH I c 1/1 a LESS $ 25 1/2 2 50 2 5 1 00 5 15 1 50 15 50 2 50 50 200 1 500 MI C Q tv P►� ��� G p NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING $100 FIXTURES Si 00 SUPPLEMENTARY 50 APPROVALS TOTAL FEE $ I DATE INSPECTOR S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM OF THE ABOVE POWER DESCRIBED RESIDE TIAL P ER UTILITY CO NOTIFIED SIGNATURE OF PERMITTEE FINAL WILLIAM J F X, O TY ENGINEER VALIDATION A C VEIT,CHIEF ELECT INSPECTOR ACO 7 1 2 812, AUG 2 4 2 11 .0 0 y DBS6563 A95j� APPLICATION L.ICAT'ION FOR ELECTRIC PERMIT 1 DIVISION OF BUILDING AND SAFETY Department of County Engmeer J�_ County of Loa Angeles BUILDISS I /r� C�Cl/F/r' L� WM J FOX, COUNTY ENGINEER CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST NUMBER EACH FEE LIGHT OUTLETS 27 OWNER X MAIL RECEPTACLES �� ADDRESS WALL SWITCHES TOTAL OUTLETS i 5¢ S CITY TEL NO ELEC RANGES 25 ELECTRICIAN /q _ELEC HEATERS 25 ADDRESS CO 4 O d 'J KW EA o CITY ,� /i4-.J/4 /�/r,�.�/1- TEL NO T,6 JZ 2l0 7 FIXTURES 75 vo LICENSE NO NUMBER OF LIGHT CIRCUITS - DISTRICT NO I GROUP I ZONE READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD HP F.VER INC EACH 1,� IN n�V 7- 'C'm ?ak vov" IRI-r. e5%4 i I�8 LESS S 25 .fr vC,Q 1/Z 2 50 2 5 1 00 -nN' (��- .� 5 15 1 50 .�[�X�w� 15 50 250 50 200 5 00 . ]Jrj c- u1 t! C-,P n we I> rno la IA a IV I e.1 LJ LD MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING S1 00 -- FIXTURES SI 00 SUPPLEMENTARY 50 APPROVALS TOTAL FEE I S DATE INS ECTOR S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROPERTY SIGNATURE r, UTILITY CO NOTIFIED S�' OF PERMITTEE �1 FINAL WILLIAM J FOX, COUNTY ENGINEER VALIDATION A C VEIT, CHIEF ELECT INSPECTOR 8 5 9 4'; OCT 3 - 2. 1 4 8 5'� ;8 DBSS�A,3'SS ■, APPLICATION FOR ELECTRIC EMIT MIT 1 DI?4TIS' ON OF BUILDING AND SAFETY .r Deportment of County Engmeer County of Los Angeles BUILDING WM J FOX COUNTY ENGINEER ADDRESS CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST LIGHT OUTLETS NUMBER EACH FEE OWNER MAIL RECEPTACLES ADDRESS WALL SW ITCHES TOTAL OUTLETS 5¢ S CITY TEL NO ELEC RANGES 25 ELECTRICIAN ELEC HEATERS 25 ADDRE KW EA CITY VaSAA +t•/r1c� TEL NO FIXTURES 5 I LICENSE NO NUMBER OF LIGHT CIRCUITS - DISTRICT NO ROUP aO READY FOR INSPECTIONNUMBER OF RECEPTACLE CIRCUITSMOTORS IG 0 NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVO HP OVER INC I EACH ` �/2&LESS S 25 _ 1/2 2 50 2 5 1 00 0 5 15 1 50 15 50 250 SO200 500 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING Si 00 B"t� FIXTURES S1 00 SUPPLEMENTARY 50 APPROVALS TOTAL FEE Is I� DATE INSPECTOR S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING t-- IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED 1 A SIGNATURE p, OF PERMITTEE FINAL WILLIAM J FOX. COUNTY ENGINEER VALIDATION A C VEIT.CHIEF ELECT INSPECTOR 5 5,2 9L APR 27 2 2.6 5 '" i DS5 SA 25M SETS 1-48 x I�EP�AR�tudEN'� APPUf !MN FOR PERMIT OF BUHMM AND SAFETYCOUNTY OF LOS ANGELES � CTRIC NAME DQ:3TRIG'i NO. 0f20UP ZONE „PERMIT NO. �a ADDRESS a — CITY a n TEL.NOSY RECEIVED BY FIRST INSPECTION /READY FOR DA�T�EISSUED „1 COUNTY X30-50 Id CERT NO MXPIR@8 11� �gAPPLICANr FL6 L INHEAVELY OUTLINED PO�'I'L N ONLY�S% DESCiRI ON OF W®FX ADDRESS ,•/ NUMBER OF OUTLETS ON CIRCUITS LOCALITY temple Cat LOCATION BY ROOMS ' NEAREST LIGHT OUTLETS SW PLUGS RIXT S ST Cloverl CIRCUIT �► !3 C DIE F (3 H Id NAME StaLukes 'H 11 Z MAIL L' ADDR 1n O T L NO CITY 1 AN THE LEGAL POSSESSOR O THE ABOVE LOS ANGCJLM COUNTY CERT FICAT OF QUALIFICATION. ELECTRICIAN I AM TIME LMM.OWNER OF THIS P$RTY DESCRIBED ASOVIS ��(1� ��'!!rrpp��gg ��77 OWNER` �,aOI=C IONS i `+. Q Z_ - [9 LL lY D pNOO:lF TLETS $ S APPROVALS XTURES $ DATE INSPECTOR'S NAME TORS H P $ CONDUIT NO OR SIGNS TRANS $ WIRING NO OF RANGES OR HEATERS $ FIXTURES I A $ POWER PERMIT FEE >$ UTILITYCO NOTIFIED J_OTAL I= FIN&6 e DBS 5A 25M SETS 1-4B _MP Wa'N®N FOR PERI T ty)rPARJlN1- OF DpHMM AND SFqp COUNTY OF LOS ANGELES �i���� I� 9 FA/M F C ENGINER Z 7DislrfUCT NO. GROUP ZONE PERMIT NC !f a NAME - R.R.J nes Electric C •gyp / } 0 ADDR&ss 925 Meridian F. U cITMso SSA ena TEL NO y �cE'; D, FIRST INSPECTION DY FOR A�Iss � „1 COUNTY —0 " {` I/ '7 lil CERT NO EXPIRE �i A�P�PipiN')ri WORK U L IN MA�.x OUTLINED POI 21V ONLY .>5"/ Y CAA oVv, JOB DESQ,RE i Oa7OF ORK ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY Temple Ulty LOCATION BY ROOMS NEAREST LIGHT OUTLETS ISW PLUGS FIX-1 C S OT CIRCUIT A B C D E I F IG H NAME St.Lukes Church ADDRE 2017 e a 9 t Broadway CITY y TEL NO 1 AM THE LEGAL POSSESSOR OF f E ABOVE LOS ANG9LZ6 COUNTY CfiRTIFIC/tT,E O. IFICATION 50- Out et 1 �V/ SCIDESC i AN THS LEGAL OWNER OF THE PRO DESCRIBED �p p®OYE g 3 OWNER J — Q Z_ _ O NO. OF OUTLETS APPROVALS NO OF FIXTURES $ DATE INSPECTOR'S NAME NO OF MOTORS H P $ CONDUIT NO OF SIGNS TRANS $ WIRING NO OF RANGES OR HEATERS $ FIXTURES E LA U $ POWER PERMIT FEE $ UTILITYCO NOTIFIED OTAL w FINA D8S S-A 6-46 ' !1 gD�P3AC0TION FOR PEPJW DEPARTMENT OF OS BUILDING SAFETY 1 Ed.LIJLEYiC1�TY' RI+:�aCu.+ss M Jt,FOX CHAEF ENGINEER z ,NAME +A a DISTRICT NO.- GROUP ZONE PERMIT NO. _B _ -_ / ✓_�/ � U ADDRESS l CITY TEL NO . Q RECEIVED BY READY FOR FIRST INSPECTION DATEISSUED WCOUNTY CERT N d EXPIRES g� APPLICANT FILL IN HEAVILY OUTLINED PORTI N O X JOB gDESCRE xaON OF WORK ADDRESS d NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS ISW PLUGS FIXT CROSS ST CIRCUIT A B C D E F G H a! NAME Z MAIL r ADDRESS ° 90�+� CITY � TEL N 1 AM THE LE POSS OR OF THE ABOVE LOS ANGELES COON CERTIFI T6 OF QUALIFICATION ELECTRICIAN I AM THE LEGAL OWNER)OF THE PROP DESCRI ABOVE \ Y OWNER ' Q.Oim C'1'IONS ' J Q Z_ C7 O TOTAL NO OF OUTLETS $ Ll. L �y APPROVALS + NO OF FIXTURES ffi 7ir DATE INSPECTOR'S NAME 4 NO OF MOTORS H P ffi CONDUIT NO OF SIGNS TRANS ffi F WIRING NO OF RANGES OR HEATERS ffi FIXTURES MISCELLANEOUS $ _POWER PERMIT FEE ffi may/ � � UTILITY CO NOTIFIED TOTAL FEE / — �+ FINAL 4f r 76A663 CE 8e6R 9/76 APPLICATION FOR ELECTRICAL PERMIT t' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB ADDRESS 5521 N. C 1 over 1 BUILDING AND SAFETY DIVISION t+ FOR APPLICANT TO FILL IN LOCALITY Tem� 1 e City t New Residential Bldgs &Pools EACH NO FEE NEAREST 1 &2 Family Sq Ft $ 025 — $ CROSS ST Broadway Multi family Sq Ft 02 — OWNER FIRM NAOMRE St. Luke the Evangelist Ch. Residential Swimmin Pools 2000 MAIL g ADDRESS P.O. BOX 798 Outlets Rec Light Sw _ CITYTemFle I Tel No 786-0918 First 20 50 PLAN CHECK Total No Additional 30 PAPPLICANT ADDRESS\ r r Lighting Fixtures First 20 50 1 CITY Tel No Total No Additional 30 PERAPPIT LICANT / Fixed Appliances Not Over 1 HP ADDRESS ) Range_Heater_D WCITY L I C 0093Tel No Oven —Dryer—W M_ ' LICENSE OR Top —FAU —W H REG NUMBER 120228 Class C-20 Hood=Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE r / Disp — Room Air Cond 2 00 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN t ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING Power Apparatus&Large Appliances •(1 Size&Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS i REQUIRED BY LOS ANGE ES COUNTY AND STATE OF LIFORNIA'OR THAT I AM Up to 1 Ind 2�� THE LEGAL OWNER 0 ABOVE DESCRIBED 1M AL PROPERTY G9=!C. Over 1 to 10 Incl 500 Over 10 to 50 Incl 1000 PER Over 50 to 100 Inc 2000 SI ATURE V 1Z30 00 Over 100 DI'M ICT NO� P$OCES�ED BY O Services U M 0 200 Amp Under 600 V 12 50 INSP TOR us 201 1000 Amp Under 600 V 25 00 APPROVALS DATE S9NATURE Z Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE UNDERSLAB WORK Temp Power Pole&Appurtenarces 1000 Sign with One Branch Circuit 1000 ROUGH CONDUIT Additional Sign Branch Circuits2 00 Circuits ,t WIRING Misc Conduits&Conductors 1500 FIXTURES Other(See Complete Fee Schedule) POWER AUTHORIZED UTILITYCO NOTIFIED / FINAL PERMIT FEE (Sub Total) 5 0 NOTES �� 6v47 PLAN CHECKING FEE (One Fourth Permit Fee)i 0 S" (? l�ff�Z--- PERMIT ISSUING FEE $600 00 TOTAL FEE 12.00 4 o rN U 69, Nb PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION o u CKO MO CASH �7 O O o N 3l a790 G7 �� 0 0 o N 'n SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE TL Of i r r 7GA663 CE 80616/78) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB ' "Z-1 7 New Residential Bldgs &Pools EACH NO FEE ADDRESS !i LOGS L 1 &2 Family Sq Ft $ 025 — $ LOCALITY Multi family Sq Ft 02 — NEAREST Residential Swimming Pools 25 00 CROSS ST OWNER OR y1J / ' FIRM NAME S U Outlets RecLLight Sw - A IL 50 / ADDRESS ` First 20 Total No Additional 30 CITY Tel No PLAN CHECK APPLICANT Lighting Fixtures First 20 50 ADDRESS Additional 30 Total No CITY Tel No t Fixed Appliances Not Over 1 HP PERMIT r/ Range_Heater_D W APPLICANT �IWOV LSC✓ � � Oven_Dryer_W M— ADDRESSG` r���t�{ - Top —FAU — W H CITY Hood—Fan _Other Disp —Room Air Cond 2 50 / c�'J � R GNSE NUMOBER , Class r I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances , TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS Size&T yp 2 SO w REGULATING ELECTRICAL WIRING Up to 1 Incl - I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 Over 1 to 10 Incl 5 00 LICENSED AS RECUIRED P101 ANGELES NTY DS TE OF Over 10 to 50 Incl 12 50 CALIFORNIA OR THA THE LEGA OW E F T ABOVE Over 50 to 100 Inc 25 00 DESCRIBED RI IDEN AL OPERTY Over 100- 4000 SEE IGN TATU SIGNURE N Services _ DISTRICT NO PR CESSED Z 0 200 Amp Under 600V 12 50 201 1000 Amp Under 600 V 25 00 �7 V Over 1000 Amp or Over 600 V 5000 Temp Power Pole&Appurtenances 1000 d 0 Q 010,6 A Sign with One Branch Circuit 1000 G Additional Sign Branch Circuits 200 INSPECTION > INFORMATION u Misc Conduits&Conductors 1000 ON REVERSE i5 0 A. A Other(See Complete Fee Schedule) SIDE' u Z # 000002 d p o 0 910,60 PERMIT FEE (Sub Total) o 0 0 10.6 0 Z PLAN CHECKING FEE (One Fourth Permit Fee) O PERMIT ISSUING FEE $700 O c 62 2 7 9 � J TOTAL FEE , > � r INSPECTION FINALED W date71a"� +�j By wW2, ©s 76A663 CE-806(11 /78) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB rR.sidential l Bldgs.&Pools EACH NO. FEE ADDRESS i ,Sq. Ft.— I .025 — $ LOCALITY' Sq. Ft. .02 — NEAREST 25.00 CROSS ST. wimming Pools OWNER OR FIRM NAME Light Sw. MAIL First 20 .50 ADDRESS Total No. Additional 30 CITY Tel, No. PLAN CHECK APPLICANT Lighting Fixtures First 20 .50 ADDRESS Additional 30 Total No. CITY Tel. No. Fixed Appliances Not Over i HP PERMIT APPLICANT Range_Heater_D.W. Oven—Dryer_W.M. ADDRESS 'Top _FAU _ W.H._ CITY 'Tel. No Hood_Fan —Other LICENSE OR Disp._Room Air Cond. 2.50 REG.NUMBERClass. I HEREBY ACKNO ,LEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO d Slze&T e HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS YP REGULATING ELECTRICAL WIRING. U 2.50 UUJI p to 1 Incl. 5.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Incl 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 25.00 DESCRIBED RESIDENTIAL PROPERTY. 09 Over 50 to 100 Inc. Q Over 100 40.00 PERMITEE G2 SIGNATURE 0 IL Services DISTRICT NO. PROCESSED BY 0 200 Amp. Under 600 V 12.50LU 201-;1000 Amp. Under 600 V 25.00 f Over] 50.00 000 Amp.or Over 600 V z O Temp. Power Pole&Appurtenances 0.00 Q Sign with One Branch Circuit 10.00 0 Additional Sign Branch Circuits 2.00 INSPECTION > INFORMATION v Misc.Conduits&Conductors 10.00 ON REVERSE i Other(See Complete Fee Schedule) u „. SIDE z .t ;' V R � a ; Q. PERMIT FEE (Sub-Total) } `! z' PLAN CHECKING FEE (One-Fourth Permit Feei O I'D PERMIT ISSUING FEE $7.00 J Q TOTAL FEE – > INSPECTION FINALED o�c ' W date: By a (2)s 76A663 GE 6°616/76) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB C.LO New Residential Bldgs &Pools EACH NO FEE ADDRESS J /'. /�- 1 &2 Family Sq Ft $ 025 — $ LOCALITY T Multi family Sq Ft "_ 02 — NEAREST CROSS ST Residential Swimming Pools 25 00 OWNER OR - FIRM NAME L Outlets Rec Light Sw MAIL First 20 50 1 ADDRESS Total No Additional 30 CITY Tel No PLAN CHECK APPLICANT Lighting Fixtures First 20 50 ADDRESS Additional 30 _ Total No CITY _ Tel No Fixed Appliances Not Over 1 HP PERMIT Range_Heater_D W APPLICANT Nj,(,, OI-A4 L 1[C 7-, Oven_Dryer_W M— ADDRESS — a � til - Top —FAU — W H CITY . C__ Tel No Hood_Fan —Other LICENSE OR Disp —Room Air Cond _ 2 50 REG NUMBER 1p 414) Class C IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND-STATE LAWS 2 50 REGULATING ELECTRICAL WIRING Up to 1 In1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O S LOver 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF RC Over 10 to 50 Incl 12 50 CALIFORNIA OR THAT I AM E LEGAL OWNER OF THE ABOVE Over 50 to 100 Inc 2500 _ DESCRIBED RESIDEN AL PR ERY 40 00 PERMIT EE Over 100 SIGNATURE Services 1 2 50 DISTRICT NO ROCES)ED BY 0 200 Amp Under 600V 201 1000 Amp Under 600 V 25 00 Over 1000 Amp or Over 600 V 5000 Z -O Temp Power Pole&Appurtenances 1000 Q Sign with One Branch Circuit 1000 Additional Sign Branch Circuits 2 00 INSPECTION > a INFORMATION Misc Conduits&Conductors 1000 ON REVERSE z Other(See Complete Fee Schedule) SIDE Z @ 0 3-7.4 A I)rAd/0, 4 W ri,VQ # 000002 PERMIT FEE (Sub Total) -2 PLAN CHECKING FEE (One Fourth Permit Feel O ° ° ° 1'Q 0 v r PERMIT ISSUING FEE $700 G 09.21 -78 - J TOTAL FEE > INSPECTION FINALEDW date —a� —2 By r Os 76A663 CE 806(11 /78), APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES^ BUILDING AND SAFETY W, FOR APPLICANT TO FILL IN JOB n J H NO FEE ^� - ADDRESS_ New Residential Bldgs & EACH Pools $ H O $ LOCALITY x. 1 &2 Family Sq Ft ." Multi family Sq Ft 02 — - NEAREST " 25 00 CROSS ST _Residential Swimming Pools OWNER OR- FIRM R FIRM NAME C Outlets Rec Light Sw MAIL ADDRESS ;- 50 First 20 --Total No - -Additional30 _ CITY_ Tel No .�.. �.- PLAN CHECK + APPLICANTr -- � Lighting Fixtures First 20 50 " M ADDRESS ~Total No^ ~- Additional 30 CITY Tel No Fixed Appliances Not Over 1 HP- _ - PERMIT +r Range=Heater—D W APPLICANTT ► i OL/l/1 L G ADDRESS Oven_Dryer_W M — o v Top —FAU — W H CITY Hood_Fan Other_ LICENSE OR 4- Disp —Room AirCond = 250 + REG NUMBER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA t Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS`CORRECT'AND AGREE TO it Size&T e HP KW KVA or KVAR COMPLY-WITH ALL'COUNTY'`ORDINANCES-AND-STATE"LAWS'r a yp 2 50 REGULATING ELECTRICAL WIRING O, Up to 1 Incl '_ - I HEREBY CERTIFY THAT]`AM PROPERLY REGISTERED AND70R 0' Over 1 To 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF B,r Over 10 to 50 Incl 1250 CALIFORNIA-OR THA T,I AM E LEGAL OWNER,OFt'T ABOVE 25 00 DESCRIBED RESIDE AL PRO R Y Over 50 to 100 Inc PERMITTEE Over 100 4000 SIGNATURE Services _ - DISTRICT NO PROCES ED BY = - 0 200 Amp Under 600V 12 50 .�--- t _ 201-1000 Amp Under`600 V 25 00,50 00 r Over 1000 Amp or Over 600 V Z Temp Power Pole&Appurtenances' 1000 a F Sign w 10 00 ith One Branch Circuit ., Additional Sign Branch Circuits 1 ' ' e 2 00 _.INSPECTION ._ _ > ; INFORMATION Misc Conduits&Conductors 10 00" _ Other(See Complete Fee'Schedulel' , a ON REVERSE "z � .L. At 7/ - _--SIDE, WZ '0 3&,7-A. PERMIT FEE 1 )Sub'Total) #Fo o otoxo2 T ' s PLAN CHECKING FEE lone Fourth Permit Feel 1 0 210 0,1.0,0,Q, . ' PERMIT ISSUING FEE $7 00 �F; ') 4`-'_0 s o o o 1, 0 Q Q , TOTAL FEE > O'a1 4-,80'^ v INSPECTION FINALEDLu _ � date Z 3��� BY -- --•--ti,/ ©s "+ 76A663C- CE8068 12,75 APPLICATION FOR ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION /J FOR APPLICANT TO FILL IN JOB 7Residential Bldgs & Pools EACH NO FEE ADDRESS Sq Ft $ — $ LOCALITY �jup�/c' G l %q Ft — NEAREST CROSS ST Residential Swimming Pools OWNER OR FIRM NAME L / C�l/�G194 Outlets Light, Switch &Receptacle MAI L ADDRESS First 20 Additional CITY Tel No PLAN CHECK APPLICANT Lighting Fixtures First 20 ADDRESS Additional CITY Tel No Fixed Appliances Not Overt HP APPLICANT Range Heater_ D W Oven Dryer W M ADDRESS /Z/2 ,,( �( Top FAU W H CITY I Tel No Hood Fan LICENSE OR O REG NUMBER (p Class L' � Disp A C I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION Q ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY V Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LLI Size&Type HP KW KVA,or KVAR ELECTRICAL WIRING N U to 1 Incl z P I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE Over 10 to 50 Incl DESCRIBED RESIDENTIA PROP T Over 50 to 100 Incl PERMITEE Over 100 SIGNATURE Services DISTRICT NO RO ESSED Y � p � 0 200 Amp Under 600 V 201 1000 Amp Under 600 V APPROVALS DATE IN ECTOR'S Over 1000 Amp or Over 600 V TEMP POWER POLE -KIGNATURE Temp Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING / FIXTURES POWER AUTHORIZED PERMIT FEE (Sub Total) UTILITYCO NOTIFIED pin PLAN CHECKING FEE (One Fourth Permit Feel FINAL — — /J/ PERMIT ISSUING FEE r p^n TOTALFEE s _ NO-LES. U l PLAN CHECK VALIDATION CK MO CASH PERMIT-VALIDATION CK M O , CASH N 8 5 1 SEP 15 2 © 9.O O e", �✓lam APPLICATION FOR ELECTRICAL PERMIT 1 1 76q 663 CEB06 10/72 � COUNTY OF LOS ANGELES DEPARTMENT BUILDING AND SAAFE YY DIV SIONER Boa �r�"� LO v g',elt ADDRESS J Al' LOCALITY 7'� C NEAREST FOR APPLICANT TO FILL IN CROSS ST r OUTLETS NO EACH I FEE OWNER RM NAME )� S RECEIPT S Is MAIL LIGHT TOTAL FIRST 20 25 ADDRESS - � CITY TEL NO SWITCH OVER 20 tp PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT FIXTURES OVER 20 ADDRESS 1� RESIDENTIAL APPLIANCES CITY TEL NO RANGE /DRYEPIT WTR HTR_ —APP LIICANT .,Jr STA COOK DISP F A U ADDRESS SPACE HTR AIR COND CITY 7-4:f- TEL NO CLOTHES WASH DISHWASH LICENSE OR CLASS �� 0 REG NUMBER FAN OTHER 100 1 HEHEBI 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 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 r 1 - 10 300 OESrRIfED RESIDE TIA2L :y C� O PERMITEE 10 - 50 500 SIGNATURE ✓t O 50 - 100 1000 I DISTRICT NO1.5H�CE ED BY W 100 - 500 1500 /1 a N [/ Z SIGN GAS SIGN AND>ONE CIRCUIT 500 APPROVALS DATE INSPECT 'S SIGNATURE TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICENOTOVER 600VOLTS OR200AMP 300 UNDERSLAB WORK SERdICEOVER600VOLTS OR200AMP 1000 ROUGH CONDUIT TEMP SERVICE POLE, &APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT SYSTEM 300 DC) FIXTURES ` POWER AUTHORIZED ` UTILITY CO NOTIFIED , < FINAL ✓ /5 PERMIT FEE (SUB.TOTAL) I NOTES PLAN CHECK FEE PERMIT ISSUING FEE 300 QQ TOTAL FEE OZ PLAN CHECK VALIDATION CK M Q CASH PERMIT VALIDATIONcK M o CASH 6 '0 6,rx-'JUN 5 2 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ` i _ APPLICATION FOR ELECTRICAL AIR�IT 76A663A-CE806A 4/72 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS LOCALITY � NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLETS NO EACH FEE �. $ $ OWNER RECEPT- MAIL LIGHT TOTAL FIRST 20 ADDRESS CITY TEL NO SWITCH_ OVER 20 PLAN CHECK LIGHTING FIRST 20 APPLICANT TOTAL FIXTURES OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO RANGE DRYER_WTR HTR PERMIT APPLICANT L 4,5G7l STA COOK DISP F A U ADDRESS,12 JW aV SPACE HTR AIR COND CITY 7. TEL NO CLOTHES WASH DISHWASH LICENSE NO CLASS Q FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 0 MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V IND HEATERS ETC HP KW KVA ELECTRICAL WIRING SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR � 0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF V CALIFORNIA OR THAT I AM THE TAL OWNER OF AND INTEND TO 1 - 10 RESIDE N THE AB E OE C PED RESIDENTIAL PR RTY N Z 10 - 50 SIGNATURE OF PERMITTEE / 50 - 100 JDISTRICTNO jClAkjS ZONE PR SS BY 100 - 500 cb SIGN GAS SIGN AND ONE CIRCUIT NOTES TUBE OR MARQUEE ADDITIONAL CIRCUITS SERVICE NOTOVER 600 VOLTS OR 200 AMP APPROVALS DATE INSPECTOR'S SIGNATURE' SERVICE OVER 600 VOLTS OR 200 AMP TEMP POWER POLE TEMPSERVICE, POLE, &APPURTENANCES TEMP LIGHT OR RECEPT SYSTEM UNDERSLAB WORK ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO NOTIFIED PLAN CHECK FEE PERMIT ISSUING FEE FINAL TOTAL FEE D PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M 0 CASH 3 3 SSFP 24 2 a 9.0 0 A. o 768663-CE80610,72 APPLICAT O FOR ELE TRICAL PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 'OB +� BUILDING AND SAFETY DIVISION ADDRESS �° L o EL LOCALITY c ` NEAREST t , 1 FOR APPLICANT TO FILL IN CROSS ST OUTLETS NO EACH FEE OWNER OR $ $ FIRM NAME , C i RECEPT_ MAIL LIGHT TOTAL FIRST 20 25 ADDRESS OVER 20 _ CITY TEL NO SWITCH_ 10 PLAN CHECK LIGHTINGTOTAL FIRST 20 25 APPLICANT FIXTURES OVER 20 10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO PERMIT RANGE DRYER_WTR HTR APPLICANT D L L ee7 I STA COOK DISP F A U ADDRESS (/f SPACE HTR AIR CONO CITY C i TEL NO - CLOTHES WASH DISHWASH LICENSE OR REG NUMBER 6 Q CLASS C.-1 FAN OTHER 100 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 HP KW KVA ELECTRICAL WIRING SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM E LEGAL OWNER OF TH BOVE >_ 1 - lO 300 DESCRIPED RESID NTIAL O ERTY a_ O U PERMITEE 10 - 50 500 SIGNATURE I azO H 619123 50 - 100 1000 v DISTRICT NO PROCES ED BY uJ a 100 - 500 1500 �y 3 N t C/ Z SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPEC 'S SIGNATURE TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICE NOTOVER600VOLTS OR200AMP 300 UNDERSLAB WORK SERVICE OVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 500 WIRING TEMP LIGHT OR RECEIPT SYSTEM 300 QQ FIXTURES POWER AUTHORIZED UTILITY CO NOTIFIED FINAL 6 PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 300 Q TOTAL FEE PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH i ar, 1 5 3 4'13 JUN 7 2 0 6.0 O A SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE -rE".o.cE c/ -ry {� 76A663-CE80611/70 APPLICATION FOR ELECTRICAL PERMIT LJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILD ING BUILDING AND SAFETY DIVISION ADDRESS COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY , G NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLETS NO EACH FEE $ $ OWNER RECEPT_ MAIL FIRST 20 25 ADDRESS LIGHT TOTAL CITY TEL NO SWITCH OVER 20 10 PLAN CHECK LIGHTING TOTAL FIRST 20 26 APPLICANT OVER 20 ADDRESS FIXTURES 10 APPLIANCES CITY TEL NO PERMIT RANGE DRYER_WTR HTR APPLICANT i VOL," ZLEcT, STA COOK DISP F A U ADDRES A i SPACE HTR AIR COND CITY L'/Tr• TEL NO CLOTHES WASH DISHWASH LICENSE NO O CLASS r 0 FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVEIS 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 REOU IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO } 1 - 10 300 RESIDE IN THE ABOVE DE IFED RESIDENTIAL PRO RTY 0 SIGNATURE u 10 - 50 500 OF PERMITTEE d' 50 - 100 i000 DI STRI CT NO ICLQS ZONE PR ESS ED BY U 100 - 500 1500 LU CL SIGN GASN SIGN AND ONE CIRCUIT 500 NOTES - � � Z TUBE OR MARQUEE ADDITIONAL CIRCUITS 1 00 ' SERVICENOTOVER 600 VOLTS OR 200AMP 300 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER600VOLTS OR200AMP 1000 TEMP POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 500 1 UNDERSLAB WORK TEMP LIGHT OR RECEPT SYSTEM 300 DO ROUGH CONDIUT WIRING C. '�!� �`� FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 300 JOSP t OOHAN ER TOTAL FEE D r) SUPV11 I G ELECTRICAL ENGINEEP PLAN CHECK VALIDATION CK M O CASH PERMIT VA A;Tl<yN/ cK M D CASH � V 6'3 a-8 4° JUN 2 2 D d.a Q N ap SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE y 761663-CE80611/70 -APPLICATION FOR ELECTRICAAPRIMIT i COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING ,^I L �,r/� BUILDING AND SAFETY DIVISION ADDRESS (J COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLETS NO EACH FEE $ $ OWNER LIGHT TONAL RECEPT_ MAIL � / FIRST 20 25 ADDRESS - CITY LTEL NO SWITCH OVER 20 10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT FIXTURES OVER 20 10 ADDRESS APPLIANCES CITY TEL No PERMIT r� LC RANGE DRYER HTR APPLICANT G STA COOK DI SP F A U ADDRESS ao SPACE HTR AIR CONDCITY TEL CLOTHES WASH DISHWASH LICENSE NO a CLASS FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS TRANSFORMERS RATING ,I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS ETC HP KW KVA ELECTRICAL WIRING SIZE & TYPE OVER TO I HEREBY CER Y THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 i 100 LICENSED AS R UI ED BY LOS ANGELES COUNTY AND STATE OF -57 CALIFORNIA OR HAT I AM THE LEGAL OWNER OF AND INTEND TO �- 1 - 1O 300 �Oi/1 RESIDE IN H�VESCRIPED RESIDENTIAL PROPERTY O 10 - 50 500 [,� (/f SIGNATURE 0 OF PER MITT E Of SO - 100 1000 DISTRICT NO LASS ZONE PROC E YULI O V 100 - 500 1500 C CL SIGN GAS SIGN AND ONE CIRCUIT 500 _ NOTES h TUBE, OR ? MARQUEE ADDITIONAL CIRCUITS 100 SERVI CENOTOVER 600 VOLTS OR 200 AMP 300 {� TE SERVICE OVER 600 VOLTS OR 200 AMP 1000 /!!/ APPROVALS DATE t INSPECTOR'S SIGNATURE (�(!, MP POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 500 UNDERSLAB WORK TEMP LIGHT OR RECEPT SYSTEM 300 ROUGH CONDIUT Q.-I WIRING FIXTURES i PERMIT FEE (SUB TOTAL) POWER AUTHORIZED UTILITY CO NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 300 JOSEPH C ROOHAN TOTAL FEE �, D SUPERVISING ELECTRICAL ENGINEEP PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK m0 CASH F 1G4a>~ JUL 27 z 38.C}13 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE r 76A663-CE808 3-69 r -: c 1 7-Y V" APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE, COUNTY ENGINEER i COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY J FOR APPLICANT TO FILL IN NEAREST CROSS ST NO EACH FEE $ $ OW NER RECEIPT MAIL I ADDRESS LIGHT TOTAL FIRST 20 20 CITY TEL NO SWITCH OVER 20 10 PLAN CHECK LIGHTING TOTAL FIRST 20 20APPLICANT FIXTURES } OVER 20 10 ADDRESS RANGE_DRYER_WTR HTR CITY TEL NO STA COOK DISP F A U CONTRACTOR ,• L ,�FC7 I SPACE HTR^-AIR COND ADDRESS J r CLOTHES WASH _DISHWASH CITY , 'g:f , TEL NO - FAN OTHER 1 00 LICENSE NO 4 Z1.3 to A1,9 CLASS CZ MOTORS TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND HEATERS ETC HP KW KVA AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Y o. ELECTRICAL WIRING 0 — 1 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF 1 — 10 3 00CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE ES CRIBEA RESIDENTIAL PROPERTY O 0 V 10 - 50 500 SIGNATURE iv 50 - 100 10A0 OF PERMITTEE "v '�� V ft 100 - SOO 1500 DISTRICT NO ��ZONE �jPR CE SE V rL N SIGN,GAS SIGN AND ONE CIRCUIT 3 00 z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES 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 INSPECTORS SIGNATURE TEMP POWER POLE UNDERSLAB WORK c ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE 2 00 �L� UTILITY CO NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL � �© JOSEPH C ROOHAN TOTAL FEE SUPERVISING ELEq ENGINEER PLAN CHECK VALIDATION CK M o CASH, PERMIT VALIDATIONM o CASH JA�y „'S 3. 9 t P- Jif 3 2 0 .0`0^` a SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE - 7"663 APPLICATION FOR ELECTRIC PERMIT 54 DBS SA 12 DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Lob Angeles BUILDING WM J FOX COUNTY ENGINEER ADDRESS t,J , �,�'I CASSATT D GRIFFIN SUP T OF BUILDING `r� �'�WN FOR APPLICANT TO FILL IN LOCALITY PERMIT FEES NEAREST CROSS ST - � NUMBER EACH FEE c LIGHT OUTLETS OWNER p1 RECEPTACLES MAIL ADDRESS WALL SWITCHES - TOTAL OUTLETS 5! $ CITY XEL NO ELEC RANGES 25 ELECTRICIAN J - ELEC HEATERS 25 ADDRESS KW EA CITY TEL NO FIXTURES 5 '� LICENSE NO NUMBER OF LIGHT CIRCUITS DISTRICT NO GROUP ZONE IREADY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS �� aOO MOTORS NUMBER HORSEPOWER FEE I INSPECTION RECORD- '- NEW ECORD- '-NEW MVD HP OVER INC EACH &LESS S 25 If2 ` 2 50 _ 2 5 100 _ d/ _ 5 15 150 15 50 250 —F 50 �-200-1-5 00 � MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING $100 --4- FIXTURES 100 --4-FIXTURES $1 00 r SUPPLEMENTARY 50 ------tttt�� APPROVALS TOTAL FEE $J DATE INSPECTOR S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS rCO RRECT'AND AGREE TO COMPLY _WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY SIGNATURE UTI LITY CO NOTIFIED OF PERM ITTEE '51 FINAL - WILLIAM J FOX. COUNTY ENGINEER VALIDATION ' 2 1 4 C) .7 5 t Y5 9 2 OCT 3 - T. � Vlr 1 ✓ - � r .10 � �UTY lLd'ih � 76A663-CEB06 B-62 APPLICATION FOR ELECTRICAL PE MIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �- BUILDING AND SAFETY DIVISION ADDRESS e, A'✓P JOHN A LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN, SUP T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST IP/ a RECEPT TOTAL NO EACH FEE /+ OUTLETS FIRST 20 $20 $ OWNER R 0S Ol LIGHT D MAIL 3 , ADD'L 1O ADDRESS SWITCH OVER 20 TOTAL CITY vll,$ TEL NO LIGHTING F7R8T20 20 FIXTURES ADD'L 1O ELECTRICIAN 1-. v1� r T D OV R 2O RANGES CLO DRYERS WTR HTR9 100 ADDRESS V GARB DISP STA COOK CITY jeSy., t,f TEL NO DISHWASH AUTO WASH STATE / SPACE HTRS STA APP (1/2 H P MAX ) 50 LICENSE NO (e MOTORS OVER NOT OVER HP DIST wCT GR UP ZONE P ESSED BY O 1 too �L� 1 3 150 INSPECTION RECORD M 8 15 250 15 50 300 - �l r 50 100 500 fi SIGNS NO TRANS OC NO LAMPS Q SERVICE 0 600V NOT OVER 200A 1100 1 U W d SERVICE O 600V OVER 200 A 200 h Z SERVICE OVER 600V Soo — MISC PERMIT ISSUING FEE 1200 60 SUPPLEMENTARY PERMIT ISSUING FEE 100 TOTAL FEE $ LBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR a SIGNATURE TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYCONDUIT LL COUNTY ORDINANCES AND STATE LAWS REGULATING CAL WIRING WIRING EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ORD AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES NIA OR THAT I AM THE LEGA OWNER OF THE ABOVE ED RESIDENTIAL P PERTY r POWER URE UTILITYCO NOTIFIED MITTEE p ,y FINAL .7 d VALIDAPIE& ARTHUR C VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER LHL,0 3 7 A E-G JUL 16 2 D 2.6 0 N Q L RE' NT OF BCOUNTY OF IA)S,AN AND sA r M J 1 GI E R i ZDISTRICT NO. GROUP ZO E PERMIT NO. Q NAME / F 7o U ADDRESS �� /(`, -2 U CITY a adena T� NOS 99242- RECEIVE? FIRST READY INSPECTION S-- Li SUED CERT COUNTY 4 EXPIRE+s 6-30-49 /X� �.-yl APPLICANT F.L IN $BVI Y OUTLINED PDKMN ONLYJOB 2tft s DEsSC MON OF WORK ADDRESS L C NUMBER OF OUTLETS ON CIRCUITS LOCALITY Temple Cly ` LOCATION BY ROOMS NEAREST Br&adwa y LIGHT OUTLETS SW PLUGS FUC't ST CIRCUIT A B C D E F G3 H w NAME r s a Z MAIL ADDifESB .? O CITY emple Cit, TEL NO 1 AM THE LEGAL POSSCSSOR THE ABOVE LOS ANIBELES COUNTY C[R'TIFI TErO�UALIFICATION IELECTRICIAN O J AE�M THE SAL OWNER OF THE P PE;RTY DESCRIBED { OWNER CO13BO.GC IONS J Q _Z [7 O No OF OuTLSTs $ -0 APPROVALS NO OF FIXTURES $ DATE INSPECTOR'S NAME NO OF MOTORS H P $ CONDUIT NO OF SIGNS TRANS $ WIRING NO OF RANGES OR HEATERS $ 1 FIXTURES 11SCELLANlaugsL $ POWER PERMIT FEE T $ C� UTILITY CO NOTIFIED OTA �' 0 FIN S'2/r( 768663-CE80610/72 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB LaY�QL BUILDING AND SAFETY DIVISION LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLETS NO EACH FEE OWNER OR ale$ $ FIRM NAME RECEPT MAIL LIGHT TOTAL FIRST 20 25 ADDRESS CITY TEL NO SWITCH OVER 20 10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT FIXTURES OVER 20 10 ADDRESS RESIDENTIAL APPLIANCES CITY JJ TEL NO PERRANGE DRYER_WTR HTR APPL111CANT 1 STA COOK DISP F A U ADDRESS, SPACE HTR AIR COND CITY c TEL NOVyrp CLOTHES WASH DISHWASH LICENSE OR REG NUMBER Ij/.0 CLASS -/p FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 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 THAT I M THE LEGAL OWNER OF THE ABOVE >_ i 1 - lO 300 DESCRI PED RES DE NTI PROPERTY a- CD PERMITEE / 4_9� U 10 - 50 500 SIGNATURE "^� O� 50 - 100 1000 ~ DISTRICT N PROCE D BY 100 - 500 1500 d - SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVI CENOTOVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK 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 UTILITY CO NOTIFIED _ 3 FINAL -60 Al PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 300 TOTAL FEE PLAN CHECK VALIDATION CK M 0 CASH PERM ALIDATION c M 0 CASH 9 1 3NMY 10 0� 6.0 0 a�a SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - r i C�' 76A663 CE 80616/78) APPLICATION FOR ELECTR AL PER , T_ COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDRESS '�Z ®� "r— New Residential Bldgs &Pools EACH_, NO FEE 1 &2 Family Sq Ft $ 025 — $ LOCALITY 7,11,(f,. `Multi family Sq Ft ' 02 — NEAREST CROSS ST A Residential Swimming Pools 25 00 OWNER OR -y FIRM NAME Outlets Rec Light Sw - MAIL First 20 50 ADDRESS Total No Additional 30 CITY l Tel No PLAN CHECK APPLICANT Lighting Fixtures First 20 50 ADDRESS Additional 30 Total No CITY Tel No Fixed Appliances Not Over 1 HP PERMIT �m D _ / APPLICANT Al ZSND ✓� }.�Range_Heater_D W ADDRESS (�v IOven=Dryer_WMTop —FAU — WH CITY l No `�Hood_Fan _OtherLICENSE ORDisp _Room Air Cond 2 50 REG NUMBER Class1 HEREBY ACKNOWL DGVE READ THIS APPLICAPower Apparatus&Large Appliances TION AND STATE THAT THE ARRECT AND AGREE TOSize&Type HP KW KVA or KVAR COMPLY WITH ALL COUNTYCES-AND STATE LAWS2 50 REGULATING ELECTRICAL WIRINUp to 1 Incl I HEREBY CERTIFY THAT I LY REGISTERED AND/OROver 1 to 10 Incl 500 LICENSED AS REQUIR LOSCOUNT ND STATE OFOver 10 to 50 Incl 1250 CALIFORNIAOR T T AM TW F TH ABOVE IRS 'Over 50 to 100 Inc25 00 DESCRIBED RESID TI PROPEROver 100 40 00 PERMITEESIGNATURE'Services DISTRICT NO COCESS BY 0 200 Amp Under 600V 12 50 �Q 201 1000 Amp Under 600 V 25 00 Over 1000 Amp or Over 600 V 5000 Z 1000 FINFORMATION Temp Power Pole&Appurtenances Sign with One Branch Circuit 1000Additional Sign Branch Circuits 200TION > " ' Misc Conduits&Conductors 1000 ERSE zOther(See Complete Fee Schedule) E u Z x'601 5A ' - g # 0 0 0 0 0 2 PERMIT FEE (Sub Total) 2 ° 0 1 2 0 0 Z PLAN CHECKING FEE (One Fourth Permit Feel O g;� - 12005 PERMIT ISSUING FEE V $7 00 c 0808-79 J TOTAL FEE INSPECTION FINAL D oc W date By 6 es 76A663-CE80610-61 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. I T E M NO. EACH I FEE OUTLETS: (FIRST 20) $20 $ OWNER LIGHTS RECEPT. SW. MAIL OUTLETS: (ADD'L UNITS) 10 ADDRESS LIGHTS RECEPT. SW. LIGHTING FIXTURES: (FIRST 20) ,20 CITY TEL. NO. ` LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN RANGES CLO.DRYERS WTR.HTRS. 41.00 r ADDRESS - GARB.DISP. STA.COO - --- -- ------- CITY TEL. NO. DI$HW+4SH. AUTO.-WASH. _STATE SPACE HTRS. STA.APP.(+/i H.P.MAX.) .SO LICENSE NO. - L. MOTORS: OVER NOT H.P. DISTRICT NO. GROUP ZONE PROCESSED BY O 1 1.00 1 3 1.so INSPECTION RECORD >- i 3 8 2.00 0 8 15 2.50 111 J 15 50 3.00 u- 50 100 5.00 SIGNS: NO.TRANS. .. NO.LAMPS O D. SERVICE 0.60OV-NOT OVER 200A 1.00 W SERVICE 0-60OV-OVER 200 A. 2.00 ~ SERVICE OVER 600V 5.00 misc. -- PERMIT ISSUING FEE 2.00 - SUPPLEMENTAFtY PERMIT IS UING FEE, 1.00. TOTAL FEE $ ` I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE TH.i;e THE ABOVE 15 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL CO NTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL RING. WIRING I HEREBYC�RTIFY THAT 1 AM PROPERLY REGISTERED AND/OR /• LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR:,THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE `� UTILITY CO.NOTIFIED _ OF PERMITTEE—.---_- ___-___ L.P`' FINAL VALIDATION ARTHUR C. VEIT SUPERVISING ELECTRICAL,ENGINEER ' CK MO CASH 1 ... �-.. ' a .. 76A663 DBB SA 11-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND,SAFETY ���� 1 COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. 76 ELECTRICIAN A CT .41 1,362 RECEIVED BY READY FOR , DATE ISSUED ADDRESS _ W 14 � FIRST INSPECTION CITY n� TEL NO� (^IAIQ f,�l// n �� —rO COUNTY LICENSE NO EXPIRES ADDRESS A-1 C 1 C_L V5R L PERMIT F ES FEE NUMBER OUTLETS EACH LOCALITY LIGHT Sc $ NEAREST CROSS BT ,,ppyy RECEPTACLES S o/ FIXTURES 5 OWNER L U C8,6L WALL SWITCHES 5 MAIL ELEC RANGES 25 ADDRESS ELEC HEATERS 25 CITY TEL NO MISC 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF CIRCUITS INSTALLED TOTAL APPLICATION AND STATE THAT THE ABOVE IB CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING NUMBER HORSEPOWER I CERTIFY THAT I POSSESS THE ABOVE VALID LOS FEE N_Ew MVD HP �n OVER INE EACH ANGELES COUNTY LICENSE, O 1 AM THE LEGAL OWNER ,p ;AAAI S) %2 & LESS $ 25 = OF THE RESIDENTIAL PROPER DESCRIBED ABOVE %2 2 - 60 SIGNATURE OF ,� 2 5 1 00 PERM ITTE 5 15 73O INSPECTf/ I ,ON RECORD 15 50 250 50 200 5 00 S , 200 500 1000 SO ' 500 1000 15 00 OVER 1 GOO 20 00 -7 Z� M G SET/FREQ CHANGER-HP wf9 WELDERS AC-KVA GENERATORS KW TRANSFORMERS - KVA ' TEMP MOTORS (75% OF ORIG) ✓ _�� ,a MOVED MOTORS (75% OF ORiG) MISC SIGNS TYPE NO TRANS. T PE a NO LAMPS APPROVALS C FOR EACH PERMIT DATE INSPECTOR'S NAME WIRaNG $1.00 CONDUIT FIXTURES $100 WIRING �. SUPPLEMENTARY 50 FIXTURES POWER k� TOTAL FEE �t � $ UTILITYCO NOTIFIED FINAL t DBS SA 25M SETS 1-45 MPaL6YON FOR PE1r DEPARTMENT OF BUILDMaND SAFKff COUNTY LOS ANGELES ELECTRIC IVfJ, EQN, G F f171 E NAME DISTRICT NO. GROUP ZONE PERMIT NO. r ADDRESS 925 Meridian 1 Cr �`7`J /," .� } J CITY SQ Pasadena TEL NOS 92242 IRECEIVED6BY READY FOR DATE ISSUED c //j FIRST INSPECTION CERT NO 6 ®CFiR{$SJLtne 50 !/if//COUNTY g.��AyPg l�'�LwAN FFII.�L IN HFAdI.x OUTLINED P'OWMN ONLY JOB DESC oI HON OF T OFF ADDRESS.AK SA Clve-oly NUMBER OF OUTLETS ON CIRCUITS LOCALITY Temple Cit LOCATION BY ROOMS NEAREST roa Way LIGHT OUTLET Isw I UGS I FIXT CROSS ST CIRCUIT A S C D I E F G IH 1: IAMESt Lukes School N Z MAIL 451 So Clpverly AD 3 0 clTv TEL NO 1 AM THB LEGAL POSSESSOR F THE ABOVE y, AN6�LBE COUNTY CBRT !C TE O QUALIFICATION l90 e� ELECTRICIAN f Ald THE LEAAL.OWNER OF THE OPIZRTY DESCRIBED ABOVE OWNER CORRECTIONS Z E9 G/.✓. 7 r, .ss.o S /b tc 3 � NO OF OUTLETS s APPROVALS NO OF FIXTURES $ DATE INSPECTOR'S NAME NO OF MOTORS HIM $ CONDUIT �p-2 S^u NO OF SIGNS TRANS S WIRING NO OF RANGES OR HEATERS $ FIXTURES A U ffi POWER Tye V� PERMIT FEE $ )Iv UTILITYCO NOTIFIED TOTAL FEEp' FINA DBS SA 2SM SETS 1-4B "UCAI11rI'►N '[!',OR 1llE1DA,f' T DEPARTMENT OF BIDING AND SAFFff -TECT IC COUNTY OF LOS ANGELES, J R F 02igEg [:25 NAME 1 DISTRICT NO. GROUP ZONE PERMIT NO. ADDRESS Q � 'r� RECEIVED BYREADY F R DATEISSUED CITY " THLNO FIRST INSPECCTION COUNTzz CERT NO t3XP1RYS •�` P CL APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB IDESCRHYHON OF WORK ADDRESS A NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW PLUGS FIXT ICROSS T CIRCUIT A B C D I E F G I H E NAME k191lnn� 6 Z MAIL ADDRESS CITY L O I 1 AN LEGAL POSSeBSOR OF THE ABOVE LOS AN69LES COUNTY CBRTIFIC B OF QlIA1sIFiCAF10 ELECTRICIAN I AM THE LN"L OWNER OF THI; PROPF�RTY DESCRIBED ABOVIK OWNER CORRECTIONS wave a V 'r r b n Y ,es K Aa t t Gee J'7 9 o NO. OF OUTLE'T'S r $ APPROVALS [NO O OF FIXTURES DATE INSPECTOR'S NAME O OF MOTORS H P $ CONDUIT O OF SIGNS TRANS $ i WIRING OF RANGES OR HEATERS FIXTURES $ POWER ERMIT FEE $ IUTILITYCO NOTIFIED w � TOTAL FEE m IN pr De" 6-as ,APPLICATION FOR PERMIT <<� � AR�11iENT ®� ��aL��G AN® sAFE�rY COUNTY OF LOS ANGELES ELECTRIC WM J FOX CHIEF ENGINEER z NAME DISTRICT NO. GROUP ZONE !PERMIT NO. ADDRESS v 1� / /A Z 4, DU CITY TEL NO REC iVED BYE- READY FOR DATE ISSUED FIRST INSPECTION A COUNTY W CERT NO EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORD A DRESSa gq1-ice)r(4A0AAlf (i/A .s NUMBER OF OUTLETS ON CIRCUITS LOCALITY 7 I � LOCATION BY ROOMS ��//� �,• ' NEAREST LIGHT OUTLETS ISW I PLUGS FIXT CROSS ST ��LCTI dPR•Y�►oV d� ��� CIRCUIT A B C D E F {G H R' NAME (fi? ihJ" 6 Ot1r►i1'I/L/�G MAIL 3 ADDRES,�S`�,}-Qy� / /� O CITY ,r�-�v mj ��,±� TEL NO 4A9 q Y 1 AM THE LEGALbPOSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATZ�FOF *QUALIFICATION. ELECTRICIAN I AM THE LEGAL OWNER OF THE PROPFJT ' DESCRIBED ABOVE l,'' �� 4± OWNER COIIRECftONS J _ — a z p 0 TOTAL NO OF OUTLETS $ APPROVALS NO OF FIXTURES $ Q DATE INSPECTOR'S NAME NO OF MOTORS' H P $ CONDUIT NO OF SIGNS TRANS $ WIRING NO OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ UTILITYCO NOTIFIED TOTAL FEE FINAL, WORKERS' COMPENSATION DECLARATION :2o-ootvDPW 3iaz APPLICATION FOR ELECTRICAL PERMIT I hereby affirm 4idt'I have a certificate of consent to.self ce s006c nstJ or a certificate of Workers' Compensation Insurance, COUNTY OF.LOS ANGELES DEPT. OF PUBLIC WORKS or cerJtifi d'copy the e f (Sec. 38000,,, Lob. �C.) t l cNo O,G �D anyellyg f,��/ q FOR APPLICANT TO FILL IN JOB fs +� lo ❑Certified copy is hereby furnishe�5047y New Residential Bldgs. & Pools EACH NO. FEE ADDRESS L� (�jCertified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ _ $ LOCALITY 1 �•! V tion d part nt. 0 Multi-family Sq. Ft. NEAREST �7 d2, Residential Swimming Pools CROSS ST.NER OR ,,//r �+ �� Date ` Applicant �`-' "�� g FOIRM NAME IN � �S („ CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL E `� D,�/ COMPENSATION INSURANCE ADDRESS �l YT1 This section need not be completed if the work involved b First ti CITY ( P Y Total No. Additional ed� 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 this 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 Additional Total No. CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION lC t�0 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 ✓rl,6 s with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other— CITY Tel. o�` f LICENSED CONTRACTORS DECLARATION LICENSE R Disp. — Room Air Cond. REG. NUMBER Class. I hereby affirm that I am licensed under provisions of Chapter 9 33 �l (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PR SED BY >_ and Professions Code, and my license is in full force and effect. nn d Size &Type HP, KW, KVA, or KVARv Q Licye—nse Nu ber °cam 3V_/ Lic. Class Up to 1 Incl. FINAL U Over 1 to 10 Incl. DATE /0,Z / VALIDATION cc Contract Date Over 10 to 50 Incl. FINAL H ❑ I am exempt under Sec. Over 50 to 100 Inc. BY Q W Over 100 B.&P.C. for this reason a- (1)Services, Swbd., MCC & Ponelboards ► Z Date: 0-200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit _ Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): 1 7 Ell, as owner of the property, will do the work and the Misc. Conduits & Conductors _ Other See Complete Fee Schedule 3 x; � t T 3 �. structure is not intended or offered for sale(Section 7044, ( P )— , - ii '�*—°z--' � — �—•° Business and Professions Code). nn `•t••t=t�l: a �6✓ ts._.. O 11_p a CONSTRUCTION LENDING AGENCY .0� 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 1 I@ e_If —y{r; r' i�`•,' _ Lender's Name PERMIT ISSUING FEE Lender's Address TOTAL FEE 3 I certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances and State laws regulating ectrical wiring, and hereby authorize representati of thi ounty to enter upon th�a�boheS-mentione ope y or ins ec ion purposes.041 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date ©s iy WORKERS COMPENSATION DECLARATION 763 I0i81 ' APPLICATION FOR ELECTRICAL PERMIT - I hereby affirm that I,have a certificate of consent to self CEE 8 8066 / insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES / BUILDING AND SAFETY or a certified copy thereof (Sec 3800 Lab CC ) b` Policy No 00 ' Company Z C N l FOR APPLICANT TO FILL IN ADDRESS Pol Certified copy is hereby furnished New Residential Bldgs & Pools $ EACH NO FEE LOCALIT 1 & 2-Family / Certified copy is filed with The county building inspec- Y S q Ft $ Y e T tion department Multi-family Sq Ft 'NEAREST p�� �� CROSS ST Date 4— G Q Applicant JL 4sA '.0 Residential Swimming Pool ,OWNER OR J '/ FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw_ MAIL COMPENSATION INSURANCE ADDRESS First 20 (This section need not be completed if the work`involved by Total No Additional CITY Tel N - r the permit is for one hundred dollars ($100)or less ) I 'certify that n the performance of the work for which this PLAN CHECK Y ie P APPLICANT f 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 - /+pplicantFixed Appliances Not Over 1 HP PERMIT ;7N,) 424 -el- Exempt, NOTICE TO APPLICANT If, after making this Certificate of APPLICANT SEH on you should become subject 'to the Workers I Range_ Heater_D W Compensation provisions of the Labor Code, you`must forth Oven _ Dryer _W M — ADDRESS 1 '6, ocr1 '/1Ji_ with comply with such provisions or this permit shall be Top _ FAU —W H — 7 deemed revoked I I., Hood _ Fan _Other_ CITY 0NQ� - Tel LICENSED CONTRACTORS DECLARATION LICENSEOR I hereby affirm that I am licensed under provisions of Chapter 9 Disp _ Room Air Cond-— REG NUMBER Q Class (commencing with SectionO7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO PROLES BY >_ and Professions Code and my license is in full force and effect 0. �— n Size &Type HP KW KVA, or KVAR 0 License Number Y6 VS1 - —jLic Class wvjL Up to 1 Incl FINAL V cc Contractor/?e' ��"riDate 7r � OJ �Q Over 1 to 10 Incl DATE Nj/�/,A _ -VALIDATION O ❑ Over 10 to 50 Incl V FINAL / I am exempv under Sec Over 50 to 100,1nc BY !'` r /-��G d B`&P C for this reason Over 100 _// A ` Nf Services, Swbd MCC& Ponelboards f QtO�J Date 0 - 200 Amp Under 600 V r 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 om exempt from the Contractor s License Additional Sign Branch Circuits z 2 9 0 A Law for the following reason (Section 7031 5 Business and Professions Code) � ti `` I as owner of the property will do the work and the Misc Conduits &Conductors # 0 0 0 a 0+ structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)- 2 0 0 p 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 r -' -PERMIT FEE -'(Sub-Total) - (Sec 3097 Civ C ) PLAN CHECKING FEE r- Lender s Name PERMIT ISSUING FEE_ Stt Lender s Address �j ,r I certify that I have read this application and state that the TOTAL FEE _ t Z, above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring and 7 hereby authorize representatives of this County to enter upon ` the above mentioned property,for inspection purposes a SEE REVERSE FOR,EXPLANATORY LANGUAGE I , Signature of Permute Date 'V\