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Home My Public Portal About9628 CRAIGLEE ST_Electrical__ 7-7-/J 15 5 76A663-CE806 11/70APPMCAU o M .FOR ELEUR91Cad.•.pEQ 11ll if I I. COUNTY OF LOS ANGELES ll LJ DEPARTMENT.OF COUNTY ENGINEERAN * UILDING• BUILDING AND SAFETY DIVISIONDDRESS d .c OCALITY c P� COLEMAN W. JENKINS, SUPERINTENDENT OF BU FOR APPLICANT TO FILL INEAREST --- �vl �lROSS ST. /G r L T-OUTLETS N0. EALH $ WNER RECEPT._ MAIL / FIRST 2025, ADDRESS LIGHT TOTAL CITY TEL. NO��_f-�j , SWITCH OVER 20 to PLAN CHECK FIRST 20 25 APPLICANT LIGHTING TOTAL FIXTURES OVER 20 �� 'ADDRESS � IID APPLIANCES CITY TEL. NO. RANGE. DRYERWTR. HTR. APPLII ANT STA. COOK DISP. IF.A.U. ADDRESS p ' SPACE HTR. AIR COND. CITY EL. NO. L'JQ JD CLOTHES WASH.' DISHWASH. LICENSE NO. -5 CLASS. FAN OTHER 1.00 I 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 THAT I AM THE LEGAL OWNER OF, AND INTEND TO 7- • 1 - 10 � � 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDE NTI PRO PERTY. O 10 - 50 5.00 SIGNATURE ///, U OF PERMITTEE v` � �� OC 50 - 100 10.00. O DISTRICTNO. ICLASSPROCESSED4.NE ' BY r 100 - 500 15.00 4P) E wo SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: - N Z TUBE, OR — MARQUEE ADDITIONAL CIRCUITS 1.00 ' SERVICENOTOVER600VOLTS OR200AMP 3.00 . APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600VOLTS OR200AMP 10.00 TEMP.POWER POLE TEMP.SERVICE,POLE, &APPURTENANCES 5.00 . UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) . UTILITY CO. NOTIFIED ' PLAN CHECK FEE FINAL ilzq- PERMIT ISSUING FEE 3.00 d'0 J SE!PH C. ROOHAN TOTAL FEE _ �,� SUPER ISING ELECTRICAL ENGINEER. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALID ION? CK. M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE f_SE_ `' �-N ° _17� a `� 5 V • 76A663 DBS 5A 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING ARID SAFETY COUNTY OF LOS ANGELES ELECTRIC WILLIAM J. FOX, CHIEF ENGINEER FOR, P LICANT.TO FILL IN DISTRICT O. GROUP ZONE PERMIT NO. ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRESS - FIRST INSPECTION CITY TEL.NO. COUNTY LICENSE ND. �� EXPIRES BUILDING PERMIT FEES _ADDRESS a FEE o NUMBER EACH LOCALITY ' LIGHT OUTLETS NEAREST fie RECEPTACLES l _CROSS ST. WALL SWITCHES C .OWNS /' TOTAL OUTLETS 5c $ Z O MAIL ELEC. RANGES 25 ! ADDRESS ELEC. HEATERS 25 CITY TEL. NO. .FIXTURES 8 Q I HEREBY ACKNOWLEDGE THAT I 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 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBERHORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW Mvo. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESC IBED ABOVE. !/;2 a LESS $ .25 SIGNATURE OF I/2 2 So PERMITTE _ itis 2 5 1.00 INSPECTION RECORD 5 15 1.So 15 50 2.50 50 200 5.00 2013 500 10.00 Q 500 1000 15.00 Z OVER 11300 20.00 2 M.G. SET/FREQ. CHANGER-HP WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% Or ORIS-) MOVED MOTORS (75% or oRIG.) M ISC. SIGNS NO. NO.TRANS. APPROVALS • NO. NO.LAMPS FOR EACH PERMIT: DATE I�NSgPPEECTOR'S NAME WIRING $1.130 v l,/ CONDUIT Z—Z �lA�-&,./ FIXTURES $1.00 (j (7 WIRING (— 7:1 K n{-� SUPPLEMENTARY .50 FIXTURES -POWER TOTAL FEE $ UTILITY CO.NOTIFIED FINAL -1 vl/1 ,VI %WORKERS' COMPENSATION DECLARATION 76A663 10/6t n Pnp C n T50H FOR ftp (zCTM n P21D�(\(1�� t by 6ffiir ri'that I_have a.certificate of consent to self CE-806G G�1 IT LS !�1 pV FOR LS LLL ll 111 L�1 LSII�1IV11 insure, _-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 ❑ Certified copy is filed with the county building inspec-, 1 & 2-Family, Sq. Ft. $ _ $ LOCALITY NEAREST tion department. Multi-family Sq. Ft. CROSS ST. Residential Swimming Pools OWNER OR Date Applicant FIRM NAME CERTIFICATE OF EXEMPTION FRO ERS' `'' MAIL. Outlets: Rec'� Light�Sw._ COMPEN RANCE ADDRESS_ This section need not be com leted if the work involved b First ti V ( P Y Total No. � CITY � Tel No. the permit is for one hundred'dollors ($100)or less.) Additional that in the performance of the work for which this PLAN CHECK `I certify 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 O ADDRESS ` Additional Total No. CITY Tel. No. Date Applicant' Fixed.Appliances Not.Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this icate of APPLICANT Exemption, you s6nuld b'e_coa� s o 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 H: — deemed revoked. Hood _ Fan. ✓Other_ CITY Tel. No. . LICENSED CONTRACTORS DECLARATION 2 LICENSE OR I.hereby affirm that l am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER Class. (commencing wit �.9f Division 3 of the Business DISTRICT NO. PROCE E BY p� and Professions C `ar yc�pse is in full force and ect. Power Apparatus & Large Appliances O Size & Type HP, KW, KVA, or KVAR' V License Numb LiJr� c. Class Up to 1 Incl. FINAL Over 1 to 10 Ind: DATE �. VA ATION ��- Contractor Date Over 10 to 50 Incl. ❑ FINAL W'. I nd Sec. Over 50 to 100 Inc.-. BY Over 100 _ _ U) B.&P.C. for this reason - z_ Services, Swbd., MCC& Panelboards Date: 0-.200 Amp. Under 600 V _ p' @50Q7 A Signature r-� 201 - 1.000 Amp. Under 600 V °# o o e o 0 2 Over 1000 Amp. or Over 600 V SING70 0 mExemption for Reg. M i o A . Power:Pole &A HOME OWNER-BUILDER DECLARATION _v Sign with One'Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits 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) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name fl PERMIT ISSUING FEE U Lender's Address O� 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 authori representatives of this County to enter upon the above- n .rop for " ection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE i nat e of Permittee D6te