HomeMy Public PortalAbout9650 CRAIGLEE ST_Electrical__ 76A663-CE806 4-63 Int�:D�LI UCA 11 M V FOR ELIECU O)�I(�"A D Rin T
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COUNTY OF LOS-ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION wDDREss
JOHN A. LAMBIE,.COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY
ffi 1•.•. m �•:F NEAREST
FOR APPLICANT TO FILL IN .CROSS ST.
'b RECEPTACLE TOTAL NO. EACH FEE '
1 OUTLETS FIRST 20 $.20 $ OWNER
LIGHT J} MAIL
SWITCH ADD'L 10 ADDRESS
OVER 20
TOTALCITY TEL. NO.
LIGHTING 1 FIXTURES FIRST 20 .20
FIXTURES 1 ADD'L 10 CONTRACTORS
OVER 20
9 t
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS y
GARB.DISP. STA.COOK C `�
CITY -" EL. NO.
DISHWASH. AUTO.-WASH. STAT
SPACE HTRS. BTA.APP,I'/.H.P.MAX.) .50
LICENSE NO. �
. 3
MOTORS: OVER NOT OVER H.P. DISTRICT NO. G.R.OUP ZONE MOSSED BY
O 1 1.00
1 3 1.50 INSPECTION RECORD
3 S 2.00
8 15 2.50
a.
15 50 3.00 0
V.
SO 100 5.00
DC
SIGNS: NO.TRANS O
NO. LAMPS
W
V
{
SERVICE 0.60OV-NOT OVER 200A / 1'.00 ' a
t�
SERVICE 0.60OV-OVER 200 A. 2.00 Z
SERVICE OVER 600V 5.00 -
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE - 2.00 -
SUPPLEMENTABY PERMIT ISSUING FEE 1.00
TOTAL FEE $ APPROVALS DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
- I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR. FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ND STATE OF
CALIFORNIA OR THA AM THE LEGAL OW F D INTEND TO �. POWER
RESIDE IN,THE AB V ESCRIBE RESID L PERTY. -
SIGNATURE _ UTILITY CO:NOTIFIED d .. �
OF PERMITTE E—al FINAL
VALIDATION JOSEPH C. ROOHAN
CK' MO CASH SUPERVISING ELECTRICAL ENGINEER
i
o0 84 ew MAR 19 2 D 3.00
v
76A663 GE-80616/78) b"' P UV7! T50 ®R MOM IS��M�•J�\} L�AL Ply VURrn�/N T
COUNTY OF LOS ANGELES u BUILDING�,NDSAFETY
JOB
New Residential B FOR APPLICANT TO FILL IN ADDRESS o. / 45
Idgs.&Pools - ' EACH NO. FEE. �� `�
1 &2-Family,Sq. Ft. $ .025 — $ LOCALITY i
Multi-family Sq. Ft: .02 — NEAREST:
0 CROSS ST. I ��
Residential Swimming Pools 25.0OWNER OR
FIRM NAME wI
Outlets: Rec Light Sw. • MAIL
First 20 .50 ADDRESS "n t .
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 Y6�-�-j/.
Oven=Dryer_W.M. ADDRESS .o!���/��//�
Top _FAU W.H._ CITY •' Tel. No
Hood_Fan —Other LICENSE OR
Disp._Room Air,Cond. 2'50 REG.NUMBER �� Class• �/o
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL COUNTY ORDINANCES AND*STATE LAWS
Size&Type HP, KW, KVA,',or KVAR REGULATING ELECTRICAL WIRING. �g
Up to 1 Incl. 2.50
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF U
Over 10 to 50 Incl. 12.50 CA FO R THAT AM THE LEGAL WNER OF THE ABOVE
Over 50 to 100 Inc.'
25.00 DESCRIBE RES DENTtAL PROPERTY.
40.00 PERMIT EE
NAT
.Over 100 SIGURE
Services DISTRI NO VC`CE5§ED BY g
0-200 Amp,.Under 600 V 12.50
201-1000 Amp. Under 600 V 25.00
Over 1000 Amp.or Over 600 V 50.00 Z
p
Temp. Power Pole&Appurtenances 10.00 Q
Sign with One Branch Circuit 10.00
Additional Sign Branch Circuits 2'00 INSPECTION >
ke
Misc.Conduits&Conductors INFORMATION
1 0.00 ON REVERSE x
Other(See Complete Fee Schedule) SIDE. . Z `3 2 x„16 0 A
4 0 0 0 0 o2
PERMIT FEE (Sub-Total) 2 a o 1 9.50
Z
PLAN CHECKING'FEE (One-Fourth Permit Fee) O 'a o o 1 Cf]JG'0 is
PERMIT ISSUING FEE $7.00 G 01,26-79
J
Q
TOTAL FEE -IJ >
r-
INSPECTION FINALED �j
date: BY
i`
WORKERS'COMPENSATION DECLARATION- 4E-806G-663 ,0,81 APPLICATION''FOR ELECTRICAL PERMIT
I hereby"affirm than l have a'certificiVe of condent to self,i4sure,
or a certifidate of W&kers' Compensation Insurance,'or a certified- COUNTY OF,LOS ANGELES BUILDING AND SAFETY
copy thereof(Sec.3800,Lab.C.1 Q'• ) /� p�
Policy No.�.ZZ� 'o 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 inspection
1 &2-Family,Sq.Ft. $ — $ LOCALITY'
department. Multi=family Sq.'Ft. — NEAREST
�� � 9&�o Residential Swimming Pools OWNER OR
7— 'CROSS
Date _ Applicant 1�
.,... . .. ,.,. - .. ' .. FIRM NAME.. �/
CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL /
COMPENSATION INSURANCE, t Outlets:Rec Light � Sw. . 1) ADDRESS
'section need not-be completed if the work involved b the
First 20
(This p y e Total No. Additional CITY Tel.No.
permit is for one hundred dollars($100)or less.)•, • .
- PLAN'CHECK
1 certify that'in the performance,of.the work:for which this-permit APPLICANT '
. is.issued, 1,shall not employ any„person,in any'manne.r so as to
become subjectto the'Workers'Compensation Laws.,' Lighting Fixtures First 20 i• ADDRESS..
Total No.' s Additional CITY Tel.No
Date Applicant Fixed Appliances Not Over 1 HP PERMIT
NOTICE JO. APPLICANT: If, after -making*..this Certificate of
Exemption,you should become subject to the Workers)Compensation Range_ Heater_ D.W. y APPLICANT
provisions of the;Labor Code, you must-forthwith comply with such Oven Dryer _ W.M. ADDRESS Z _
provisions or-this permit shall be deemed revoked.: Top :FAU •_ W.H. /j� Q,n
9 .v
GITY f (.r�✓� Tel.No /(�
LICENSED CONTRACTORS DECLARATION Hood Fan Other_
I hereby affirm,that I am licensed under provisions, of Chapter,9 LICENSE IJ
Disp: — Room Air Cond. C7`? Class.
(commencing with Section 7000) of Division 3 of the Business and REG.NUMeE_R` / p'�J ,L7'
Professions Code,and my license is in full force and effect. Power-:Apparatus& Large Appliances DISTRICT N PRC SED
r.*
Size& Type HP,KW,kVA,or KVAR
. .
License Number Lic.Clase ' Up to 1 Incl. FINAL U
Over•1 to 10 Incl. DATE (t' d .
O
Contractor ID� » s Date ���9� 1 VALIDATION
❑ Over 10 to 50 Incl - H
FINAL
I am exempt under Sec. Over 50 to,100.Inc. BY W
B.&P.C. for this reason Over 100
/
Services,SwZbd.,MCC& Panelboa�ds D }�t �9�� ` �I,'
Date'.. ,0- 200.Amp.Under 600 V \
Signature 2C!'1_' 1OOD Amp.Under 600 V „
Over.1000 Amp.or Over 600 V.
Exemption for Reg:Maint.Elect.
SINGLE FAMILY Temp Power Pole &.Appurtenances 3.07 27■40
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby affirm that I am exempt from the Contractor's License Law.' 1 ITEMS
for the.following,reason(Section 703 1.5, Business and Professions” Additional-Sign Branch Circuits
Code): + TOTAL 27
®40
" Wk.Conduits & Conductors CHECK, '
❑ I,as owner'of the property,will do the work and'the structure + CHECK, 27.411
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) rr u� Ce
and Professions Code). : D 4[7f I GE ■�� -
.. i•
CONSTRUCTION LENDING AGENCY -
I hereby affirm that there is a construction lending agency for the t�t� i. 4
performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) VVOO-000 1 4/15'/91
Civ. C.),
.
PLAN CHECKING FEE 01E9 1, RSI. : 9
Lender's Name
-PERMIT ISSUING FEE
Lender's Address o
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
representatives of this County to enter upon the above-mentioned
prop. for ins ctio purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
%griatureo6f Permittee Date