HomeMy Public PortalAbout9629 CRAIGLEE ST_Electrical__ 76A663-CE806 6/74 QPPdMl YMN FOR ELECTG3 AL PER U L�....
COUNTY OF LOS ANGELES -
DEPARTMENT OF COUNTY ENGINEER JOB QL C3 r'
BUILDING AND SAFETY DIVISION ADDRESS ! (p
LOCALITY `� ��,
NEAREST
FOR APPLICANT TO FILL. IN CROSS ST.' �i 1'�
OUTLETS N0. EACH FEE OWNER OR
- $ $ FIRM NAME - '•�
RECEP+ MAIL
FIRST 20 ADDRESS
LIGHT TOTALS `�' /
CITY. TEL.
SWITCH .314 OVER 20 J m PLAN CHECK -
- FIRST 20, APPLICANT -
LIGHTING TOTAL
� OVER 20 i ADDRESS
FIXTURES j_. `9_
RESIDENTIAL APPLIANCES CITY TEL. No.
PERMIT
RANGE. DRYER_WTR. HTR. APPLICANT �-
STA. COOK DISP. F.A.U. r ADDRESS
SPACE'HTR. AIR CO NO. CITY CTEL. N0.� % }/
-CLOTHES WASH. DISHWASH. L EG. NUMC. NUM RBER - Z :CLASSe'•-/(�
R
FAN. I OTHER mea I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
t 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. - ELECTR 6CAL WIRING.
SIZE & TYPE OVER 'TO
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR -
O - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALI FORN'IA OR THAT. I AM THE LEGAL OWNER OF THE ABOVE CIL
1 - 10 3.00 DESCRIP.ED RESIDENTIAL PROPERTY. p
PERMIT[ t
C7
_ 10 - 50 5.00 - SIGNATURE !' ..G�'r•�9'Y'` O
50 - 100, '19.00 - DISTRICT NO. ROCE4 ED BY W
d
loo - 500 15:00 Z
c —
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 .APPROVALS DATE - INSPECTO SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE - -
SERVICENOTOVER 600VOLTS OR200AMP101 1 L UNDERSLA_BWORK
SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
/j�
TEMP SERVICE, POLE, &APPURTENANCES. 5.00 WIRING /%` �[�
w
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES - -
POWER'AUTHORIZED
UTILITY Co. NOTIFIED '
FINAL
I
PERMIT FEE (SUB TOTAL) NOTES-
PLAN CHECK FEE
PERMIT ISSUING FEE
TOTAL FEE '
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. cnsH
650 ?AY - Z 2 5.8 5 `
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
(�V v
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY �Ml WILLIAM J. FOX, County EngineerD!5 T NO. GROUP tPEFOR APPLICANT TO FILL IN �ELECTRICIAN sRIEC IVED BY READY FOR ADDRESB f" _ _ / FIRST INSPECTIONC1TY TEL ��$�,/,r1/
' V
COUNTY LICENSE NO. EXPIRES BUILDING
PERMIT FEES ADDRESS
FEE �
NUMBER EACH LOCALITY _
LIGHT OUTLETS NEAREST
RECEPTACLES CROBS ST.
WALL SWITCHES OWNER
TOTAL OUTLETS 5c $
MAIL +► ��
ELEC. RANGES 85 ADDRESB
ELEC. HEATERS 25
CI .��� �fd//JL� TEL. NO.d �D /�'r
FIXTURES n a led5
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS '
MISC. 44 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER GHT CIR ITB AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS i CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEw MVD. HP OVER ' INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I/2 & LESS .25 SIGNATURE OF
I/2 2 .60 PERMITTE —
2 B 1,130 INSPECTION RECORD
5 1s 1.So
is 50 2.50
_ 50 200 5.00
200500 10.00 J
_ 5Q0 1000 15.00 z
OVER 1000 20.00 !'
M.G. SET/FREQ. CHANGER-HP Q'
WELDERS: AC-KVA O
_ GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORtG•)
MOVED MOTORS (75% OF DRIG.)
MISC.
SIGNS
NO. NO.TRANS.
NO. NO. LAMPS APPROVALS
FOR EACH PERMIT: DATE INSPECTOR'S NAME_
WIRING $1.00 CONDUIT
FIXTURES $1,00 WIRING
SUPPLEMENTARY ,50 FIXTURES
POWER
A —
TOTAL FEE $/ O 0 UTILITY CO.NOTIFIED i
FINAL
76A663 DBS#5A 4-52
COUNTY OF LOS ANGELES APPWCATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY ,
WILLIAM J. FOX. County Engineer TRMC
FOR APPLICANT TO LL
DISTRICT NO. GROUP ZONE PERMIT NO.
FILL
IN
ELECTRICIAN (gFZ�U // 7-7X �
ADDRESS 1VI RECEIVEDBY FIRST INSPECTION DY FOR DAT IBS/U�,oD
CITY v. TEL. NO. '� &44
COUNTY LICENSE NO. EXPIRES d— BUILDING
PERMIT FEES ADDRESS G2
FEE
NUMBER EACH LOCALITY J • �+
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST.
WALL SWITCHES _ OWNER
TOTAL OUTLETS SC MAIL
ELEC. RANGES S5 ADDRESS
ELEC. HEATERS 2B C' O CITY TEL. NO.
FIXTURES S b'
I 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 LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR i AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
%2 6 LESS $ .25 SIGNATURE OF
I/2 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
5 is 1.50
_
is 50 2.50
_ 50 200 5.00
200_ 500 10.00 J
_
7—
500 1000 15.00 Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA _
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.'
SIGNS
NO. NO.TRANS. - A TS
L
NO. NO. LAMPS APPROVALS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 (1 CONDUIT
FIXTURES $1,00 —!� WIRING --7—Z-77 /
SUPPLEMENTARY .50 FIXTURES
POWER ,rl
TOTAL FEE $ ! / UTILITY CO.NOTIFIED 1
SSS777 11/Y!//// FINAL
7GA663 DBS#5A 2-53
Ao�
76A663-CE806 9-64 APPUCAUMN FOR REC71D(CrLo E
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDIN
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN I CROSS ST.
RECEPT. TOTAL NO. EACH FEE .��✓
OUT}���EEETS FIRST 20 $.20 $ OWNER
LIGHT MAIL
A DD'L .f0 ADDRESS � a
SWITCH. I OVER 20 -
LIGHTING
TOTAL , FIRST 20I .20 h Y EL. Z
FIXTURES }�=I ADD'L 10
ELECTRIL IAN
OVPR 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESnKcz
GARB.DISP. STA.COOK ,1
CITY • r)
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(+/z H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT N . UP ZONE. PRO SSED By
0
-
O 1 / 1.00
1 3 1.50 INSPECTION RECORD
3 8 2.00 a
O
S 15 2.50 V
15 50 3.00 OL
O
50 100 5.00 V
W
SIGNS: NO.TRANS
NO.LAMPS H
SERVICE 0.60OV-Nor OVER 200A 1.00
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 $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE - INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH AL OUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRI WZIG'
WIRING
I EBv4DC
yQ/_,�,, y��,,�.w�,�,R FIXTURES
LICE E AR �K,u'/r�5'RIl TE OF
CALI OR A OR THAT LEGAL OWNEROF, AND INTEND TO
REST E IN, THE ABO ED RESIDENTIAL PERT7� POWER
IS
IGNATU UTILITY CO.NOTIFIED
OF TU
FINAL
(DATION JOSEPH C.
CK MO CASH SUPERVISINGG ELECTRICAL
TRICAL ENGINEER
LHO o 8 0 10 F1AR 2 8 2 D 3.8 0- G
WORKERS'COMPENSATION'GECLARATION 76A663 10/81 ►APPUCAMON
�hereb 'affirm that Dave a ce'ttificate ofconsent fo' self insure, CE-So6G `s ` '®R ELECTMCAL PERNT,
4 �.
or a certificate of Workers' Compensation'Insuranoe,'or acertified (J ^ p \�3 . COUNTY OF LOS ANGELES '. BUILDING AND SAFETY
copy thereof(Sec.'3800,Lab. C.)
Policy'No. - `, Company - FOR APPLICANT TO FILL 1N - - JOB -
❑ Certified copy is hereby furnished. EACH' NO. FEE ADDRESS'
New Residential Bldgs.& Pools
Certified copy is filed'with the'county building inspection 1 & 2-Family, Sq.Ft. $ $
LOCALITY
department. Multi-family Sq.Ft: NEARESTCROSS ST. .TIuo' Co` ✓
Date /. . Applicant/#f+V'u
Residential Swimming Pools: OWNER OR
'''e� t;,'FIRM NAME r✓ rl'l
CERTIFICATE OF EXEMPTION FROM WORKERS' 2 "� ; .` S is U. MAIL
COMPENSATION INSURANCE Outlets:;Rec, Light. Sw. - :, ADDRESS' ,
,(This section need not be completed if the work involved by the First 20
permit is.for one hundred dollars ($100)or less.) Total No. Additional
CITY Tel.No.
PLAN'CHECK P
I certify that in the performance of the work for which-this permit APPLICANT
is issued, I shall,not employ.any.person ip any,manner so as to
become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS
Total No. Additional CITY Tel.No.,
Date Applicant Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT:,:If, after making 'this Certificate of
Exemption,you should become subject to the Workers'Compensation Range Heater_ D.W. APPLICANT
p Y ,
provisions'of the Labor Cade, you must forthwith comply with such Oven Dryer W.M._ ADDRESS Z
�-f 16
provisions or this'permit shall'be deemed revoked." Top FAU W.H.
No.gbo'y9-7
LICENSED_ CONTRACTORS DECLARATION Hood Fan Other_ CITY Tel.
I hereby affirm that.l am licensed under provisions of Chapter 9 Disp. LICENSE OR �/'Z _
L Room Air Cond. _ }REG'NUMBER J D J Class.
(commencirig with Sectiori 7000) of Division 3 of the Business and •
Professions Code,and my license is in full force and effect. Po pP ef
Large pp DISTRICT NO. PROCESSED BY
Z Size&-Type HP,KW,KVA,or.KVAR
License Number J Lin.Class \ V
Up to 1 Incl. . FINAL
�j Over 1 to.10 Incl: DATE 0
Contractor ate^ , 9 VALIDATION• 0
❑ Over 10.to 50 Incl. FINAL ~
1 am exempt under ec. Over 50 to 100 Inc. gY U
W
-B.&P.C.for this reason Over 100 CL
N
Services,SWbd.,`MCC&,-Panelboards Z
i 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 2HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby affirm that I am exempt from the,Contractor's License LawI+
for the following reason(Section 7631.5,B6siness'and Professions Additional Sign Branch Circuits CT a47
Code):
3307 49075
Misd:Conduits&:Conductors
I,as owner.of the property,will do the work and the structure , q 'qy�
is not intended or offered for sale (Section 7044, Business ' Other(See Complete Fee Schedule) Pt�S�p a sIGliel2(tom �jt ,
and Professions Code):'' D TOTAL 1 RL �, 9�= d'5
CONSTRUCTION LENDING.AGENCY _ . MIC' .49.75 .1
I hereby affirm that there is a construction lending agency for the
performance of the work-`for which this permit is issued(Sec.3097,- PERMIT FEE (Sub-Total) "' "00
Civ.C.).
PLAN CHECKING FEE q 5/18/89
: Lender's Name � '' b bti �i
PERMIT ISSUING FEE r ;-amayy�
Lender's A :►3W 1 M110211
1 certify at I ve read this application and state that the above. TOTAL FEE
inform Ion is rrect.read
comply with all County ordinances
and tate la s regulating Electrical wiring, and hereby authorize
re esentat' as of 4,y
tto enter upon the above-mentioned
p perty r in ses.
SEE REVERSE FOR,EXPLANATORY LANGUAGE
SigKature of Permittee Date
TIOIN
;,.,� r WORKERS ave'a' NSAicate DECLARATION CE-806G
10/81 /�nn TION FOR ELECTRICAL
ECTRI A PERMIT
CE-aosG bW I�Ir II CI lL-I� �a lLe LS II'!'/II
I hereby affirm that I have'a' certificate.of`consent fo self insure, ,
or a certificateof Workers: Compensation Insurance, or a certified . COUNTY OF LOS ANGELES. BUILDING AND SAFETY }
cop t ex eof ec.3800,Lab: C) _
POIICy'N8:'.^ +COmpahy• - d FOR APPLICANT TO FILO IN' 'JOB
ADDRESS
furnished. .,EACH.-. NO. - FEE
❑ Certified copy,ls hereby New Residential Bldgs.&Pools"
/1�Certih 1. copy Is filed'with the county building inspection
1 & 2-Family, Sq.Ft. $ — $ LOCALITY " 04tA
t
department: Multi-family Sq.Ft: NEAREST
C` CROSS ST12
Date �� Applicant Residential Swimming Pools OWNER oR,//'
.; .. .. •. L•`'�. �.`• `.''� FIRM NAMECc�C/QYl O/A...er..
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec� Light Sw. AIL .. q
COMPENSATION INSURANCES +. ADORES f ,t�6 /_
,.(This section need,not be completed.if.ahe work.involved by,the G3' First 20
,Total No. Z Additional CITY. �, Ce T Tel:No. 2�
permit is for,one hundred dollars($100)or less.)' -
I.certify that in the performance;of..:the work,for,,which this•permit ., APPLICANT
PLAN CHEC
is.issued,,I shall not employ any.person In any manner so as to S I
.become subject to the Workers'Compensatloh,Laws. Lighting Fixtures First 20; ADDRESSP/
t, / Additional
Total No: r CITY J Tel.No.�
Date Applicant -a 0- GQ ?,Ps
Fixed Appliances Not Over 1 HIP PERMIT��
NOTICE .TO. APPLICANT : If, after, making this Certificate of APPLICANT'
Exemption,you should become subject,to the Workers',Compensation Range_ Heater_'D.W.
provisions.of•,the Labor,Code, you'must forthwith comply with such Oven ,Dryer W:M:_ ADDRESS
provisions or,this permd shall tie,deemed revoked. Top, FAU . W.H. _
LICENSED CONTRACTORS DECLARATION CITY,' Tel.'Nb.
Hood Fan Other_
..I hereby affirm that I am licensed under provisions of Chapter 9 ''ll LICENSE OR
- — Sv L Class.
(commencing with Section 7000) Disp. :Room Air Cond.,of Division 3 of the Business and REG.NUMBER -,Sk. � �.�-��•
Profession§`Code,and my•license is in full force'and effect. DISTRICT NOPROC E BY
• .Power Apparatus&Large;Appliances �
Size& Type HP,KW,KVA,or KVAR �•Ug 0
License Number Lic.Class,6 Up 16'11-Incl. FINAL V
i I7 Over 1 to 10 Incl.
� DATE _ VALIDATION
Contractor " ow .1� Date — Over 10 to 50 Incl.
❑ FINAL' (�
I am exempt under Sec. Over to 100 Inc. By
..,. ,.. Over 100 � .. . �'
1. B,&P.C.for this reason _ - N
Services,Swbd.;MCC&Panelboards " a -
Date: 0- 200 Amp:Under 600 V
Signature 201 - 1000 Amp.Under 600 V -
Over 1000 Amp.-or Over 600 V. I"1NT.T
❑ Exemption for Reg:Maint Elect. -,ts
f Lill
�.�
SINGLE FAMILY Temp Power Pole& Appurtenances
HOME OWNER-BUILDER DECLARATION .. 1 ITE15 -
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 Professions ..Additional.Sign Branch,Circuits TOTAL ., 25 PO
Code):
E1 1,as owner-of the property,will do the work and the structure Misc.Conduits&,Conductors A
is not intended or offered for sale (Section 7044,.Busine'ss Other(See Complete Fee Schedule) — CHANGE eI�U
and Professions'Code).
CONSTRUCTION LENDING AGENCY0LIDJ_�hGi 3/22/8t
I hereby affirm that there is a construction lending agency for the 1a
performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) �. o 20432 AMID-?
Civ.C.).
PLAN CHECKING.FEE.
Lender's Name
PERMIT ISSUING FEE
Lender's Address
I certify that I have read this application and state that the above TOTAL FEE
information is correct. I agree to comply with all County ordinances
and, State,,laws regulating:Electrical wiring, and hereby authorize
represon fives of this County to enter upon the above-mentioned
pr p y or inspection purposes.
SEE REVERSE FOR.EXPLANATORY LANGUAGE
ignature of Permittee Date