Loading...
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