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Home My Public Portal About9657 CRAIGLEE ST_Electrical__ 76A663-CE806 10/72 APP UCAMN FOR ELECTMAL pEU°3Wr COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS LOCALI TY� ' FOR APPLICANT TO FILL IN NEAREST CROSS ST. NO- EACH / EEE ET$ OWNER M j 5 $ FIRM NAME RECEPT.. G MAIL r FIRST 20 25 ADDRESS , LIGHT TO AL ��/� T� 11 CITY TEL. N / �•t) SWITCH OVER 20 Ip PLAN CHECK FIRST 20 APPLICANT - - LIGHTING TOTAL .25 - OVER 20ADDRESS FIXTURES .10 RESIDENTIAL APPLIANCES CITY' TEL. NO. PERMIT _ dQ RANGE DRYERWTR. HTR._ APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. • AIR COND. CITY TEL. N0: �}� CLOTHES WASH. DISHWASH. RESE OR G.N UMBER CLASS.G"/ FAN OTHER - 1.001. HEREBY AC KNOWLEDGE 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 O - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY A STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER O THE -ABOVE 1 - 10 3.00 C� DESCRIBED RESIDE N7 eRPERTY. �•O PERMITEE V 10 - 50 5.00 - - SIGNATURE_ O 50 - 100 10.00 DISTRICT NO. PROCESAED BY ILLA75 ' 100 - 500 15.00 KA r .t'.•Y�� 2-1 SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTORS SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 - TEMP. POWER POLE SERVICE NOTOVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK SERVICEOVER 600,VOLTS OR 200AMP 10.00, ROUGH CONDUIT TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING o "i -7L 9), ,TEMP LIGHT OR RECEPT. SYSTEM 3.00 - FIXTURES POWERAUTHORIZED ` - UTILITY CO.'NOTIFIED y/ 77 y.- FINAL ,/ -�, / AI PERMIT FEE (SUB TOTAL) NOTES: - - PLAN CHECK FEE PERMIT ISSUING FEE 13.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 0 6 2�,�UL �6 2 a 1 2.0 0 � SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE _ �' 76A563 DBS 5A 11-49 - APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY wool 91%0 4"llih COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT NO. GROUP ZONE PERMIT NO. FOR APPLICANT TO FILL IN ELECTRICIAN d. RECEIVED BY READY FOR DATE ISSUED ADDRESS ZZ / �� FIRST INSPECTION / Z _ _CITY TEL. NO. of B O 9 v� COUNTY LICENSEIf NO. fS EXPIRES BUILDING � _ ADDRESS Com' PERMIT FEES NUMFEEBER I OUTLETS EACH LOCALITY LIGHT Sc $ NEAREST CROSS ST. RECEPTACLES 5 FIXTURES s OWNER , I D WALL SWITCHES 5 O MAIL ADDRESS ELEC..RANGES 25 ELEC. HEATERS 25 CITY TEL. NO. ' MISC. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: TOTAI APPLICATION AND STATE THAT THE ABOVE IS CDRRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. NUMBER HORSEPOWERFEE I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NEw MVD. HP OVER I INC. EACH ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER Vp & LEGS .25 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. $ %2 2 .50 SIGNATURE OFI . X, 2 5 1.00 PERMITTEE VVV` ___ ///YYY I S 15 1.So INSPECTION RECORD As so 2.50 so 200 5.00 200 Soo 10.00 500 1 DDO 15.00 R OVER 1000 20.00 Z M.G. SET/FREQ. CHANGER-HP 19 WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS TYPE: NO.TRANS. TYPE: NO: LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 D� CONDUIT '2---2_— G / FIXTURES $1.00 / p� ® WIRING _ —q =� SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ / UTILITY CO. NOTIFIED FINAL v WORKERS'COMPENSATION DECLARATION 1.6-663 n P p C /A 5�MN FO •2p ECT OMIC /�1 p F-")O(21H) />\LI T CE-806G.(2-80) , G=J lr ll'L� /i�l Il U V I!" I1�C LS IL-LS *v- IIS (�1 tL• If�L�1�IIClB I hereby affirm that I have a certificate'of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab.C.) FOR APPLICANT TO FILL IN JOBa Policy No. Company EACH NO. FEE ADDRESS s Q`t t r�4Z Certified copy New/Residential Bldgs.&Pools is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY vo OL 0*1 Multi-family Sq. Ft. — NEAREST 7- ,N 'Certified copy is filed with the county building inspection CROSS ST ;� .till department. Residential Swimming Pools'. OWNER OR i' crj FIRM NAME lz .— Date Applicant Outlets:-Rec. Light Sw. 9Aloi�L MAIL 3 First 20 ADDRESS t CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional' CITY Tel No.7 3* COMPENSATION INSURANCE a —;7/� CL PLAN CHECK d APPLICANT O (This section need not be completed if the work' involved U by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS Additional O Total No. I certify that in the performance of the work for which this Fixed Appliances e N t Over 1 HP CITY Tel IV o. U permit is issued, I shall not employ any person in any manner PERMIT so as to become subjects to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT d' Oven Dryer_W.M._. ADDRESS i Z Date 3 � Applicant. CA _Top FAU _W.H., pp CITY Tel N ' Hood '_ Fan _Other. NOTICE TO APPLICANT: If,'after'making this Certificate of Disp. Room Air Cond-� .. �� LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER Class Compensation'provisions of the Labor Code,.you must forth- Power+Apparatus& Large Appliances DISTRICT NO. PRO SSE BY Type.with comply with succi provisions or this ,permit shall be Size&Te.HP,KW,KVA,or KVAR p� �� VALIDATION deemed revoked. t U to 1 Incl. Up FINAL LICENSED CONTRACTORS.DECLARATION Over 1 to'10 Incl. DATE ^�� Over 10 to 50 Incl. l O ' I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc., FINAL BY 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 ness and Professions.Code, and my license is in full force and effect. Services License Number Lica Class 0-200 Amp. Under 600 V , 201-1000 Amp. Under 600 V Contractor, -Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that 'I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits i ness and Professions Code): o Ivi Misc.Conduits&Conductors z 0 3 3 7 A 411 I,.as owner of the property, will do the work and the Other (See Complete Fee Schedule)— structure is not intended or offered for sale (Section # o,o.o 0 0 2 7044, Business and Professions Code): CONSTRUCTION LENDING AGENCY i 2 0,0.2 3 4 0 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit iso;o'o 2 3.4 0 ca): issued (Sec. 3097,Civ.C.). PERMIT'.FEE (Sub-Total) Lender's Name0 PLAN CHECKING FEE (One-Fourth Permit Fee) ,71 Gt-81 Lender's Address PERMIT ISSUING FEE 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 hereb authorize representatives of-this County to enter upon the ve-mentioned pro arty for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE ignature of.Permittee Da WORKERS'COMPENSATION DECLARATION 76A663 /� O� (� (� �(' 0� n /�/� CE-806G (2-80) •l'i�ll PHIL =slMN FOR ELECTW� ALS PERNT 'Ifl I hereb4 affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES A D SAFETY insuie, or im certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab. C.) , FOR APPLICANT TO FILL I ' SOB .' Policy No. CompanyEACH NO. E ADDRESS g+ New Residential'Bldgs.,&Pools — ,Certified copy,is hereby furnished. 1 &2-Family,Sq. Ft. $ $ LOCALITY Multi-family Sq. Ft. — NEAREST y ❑ Certified copy is filed with the county'building inspection CROSS ST.�� 8„ yp Residential Swimming Pools' department. OWNER OR FIRM NAME Date Applicant Outlets: Rec.A Light &• Sw' AIL First 20 r � ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No: Additional CITY I Te1.No. COMPENSATION INSURANCE �� } PLAN CHECK a APPLICANT O (This section need not be completed if the work involvedQ by the permit.is for one, hundred dollars.($100) or less.) Lighting Fixtures First 20 ADDRESS, AdditionalIt Total No. O 1 certify that in the performance of the work for which thisCITY Tel No. y_ Fixed Appliances Not Over 1 HP V permit is issued, I shall not employ any person in any manner PERMIT- so so as to become subject to the Workers' Compensation Laws.' Range_ Heater_D.W. APPLICANT d Oven Dryer'—W.M: ADDRESS Date Applicant Top. _ FAU _W.H.. Hood._ Fan, _Other— CITY Tel No. NOTICE TO.APPLICANT: If,after making this Certificate of Disp. ,_ Room Air Cond._ - LICENSE OR Exemption, you should .become subject to the Workers' REG. NUMBER Class Compensation provisions of.the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. P. ED BY with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or KV AR deemed revoked. r Up to 1 Incl. . FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE FINAL Over 10 to 50'Incl. VALIDATION. F( I hereby affirm that I am licensed under provisions of Chapter' Over 50,to 100 Inc. FINAL BY 9 (commencing with Section 7000) of Division"3 of the Busi- -Over 100 ness and Professions:Code, and my license is in full force and effect. Services License Number Lic:Class 0-200 Amp. Under 600 V 201-1000 Amp. Under 600 V Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION.. Temp.Power Pole&Appurtenances Sign with One Branch Circuit I 'hereby affirm that' 1' am exempt from the Contractor's Additional Sign Branch Circuits. License Law for the following'reason (Section 7031.5, Busi- ness and Professions Code): Misc.Conduits&Conductors z 3 2 7,7 A' 1, as owner of the property, will,do the work and the Other (See Complete Fee Schedule)— structure,is not intended'or offered for sale (Section # o o.o o o 2 7044, Business and Professions,Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 2 0 AGENCY -12.5 Q for the performance'of the work. for which this permit is PERMIT FEE (Sub-Total). °io"o 1 2 'Jr Q 'issued(Sec. 3097,Civ.C:). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Feel 1 202-80' Lender's Address PERMIT ISSUING FEE _ 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 her authorize representatives of this County to enter upon th a ove-mentioned pro4qrty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE nature of Permittee at 76A6 WORKERS'COMPENSATION'DECLARATION CE-806G (2-80) A11"P UCh1MN FOR •LS 1L-EC II IIS AL PEfNUC/ T I hereby affirm that I have a certificate of consent to"self COUNTY OF LOS ANGELES BULLDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a-certified copy thereof(Sec. 3800,Lab.C.)- FOR APPLICANT TO FILL IN' JOB , Policy No: Company ' - ADDRESS /�L New Residential Bldgs.&Pools. EACH NO. FEE. C, Certified co is hereby furnished. � — $ LOCALITY j PY � 1 &2-Family,Sq. Ft. ��g C t Multi-family Sq. Ft. — NEAREST j Certified copy copy is filed with the county building inspection CROSS ST f") Cf C- ' department. Residential Swimming Pools OWNE R'ORn FIRM NAME ® Date Applicant Outlets: Rec.i Light Sw. ;F, MAIL �r (- First 20 ADDRESS A-.7 7 /Ve �bTC nAl CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. AdditionalCITY � r Tel No. COMPENSATION INSURANCE PLAN CHECKQ/T7 •% �t 0- APPLICANT APPLICANT O (This section"need not be,,completed if the work ,involved '• Lighting Fixtures First 20• v �' U by the permit is for one hundred dollars ($100) or less.) ADDRESS. Additional cc Total No, O I certify that in the.-performance of the work for which thisCITY Tel permit is issued, I shall not em Fixed Appliances Not Over 1 HP No. P employ Y an Y Person in any manner . . /� PERMIT W so as to become subject to,the Workers' Compensation-Laws. Range_ Heater_D.W. APPLICANT a. Oven _ Dryer_W.M._ ADDRESS �at��`�'�^Applica r+%L��yf "'- TOP.. — FAU.—W.H. — Z 1 �� Hood — Fan —Other CITY Tel No.. 11 NOTICE TO APPLICANT: If, after making this Certificate of Disp. _'Room Air Cond. LICENSE OR' Exemption, you should become subject to the Workers' REG.NUMBER "Class Compensation provisions of the Labor Code,,you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCE SED BY, with comply with such provisions or this permit shall be Size&Type,HP,KW,KVA,or KVAR deemed revoked. I ' - p 0 Up to 1 Incl. - - Over 1 to 10 Incl. -DATFINAE �� j LICENSED CONTRACTORS DECLARATION ' Over 10 to 50 Incl. a; rZ VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to,100 Inc.. FINAL .9 (commencing with Section 7000) of Division 3 of the,Busi- Over 100 BY + •ness and Professions.Code, and my.license is,in full force and effect. Services' License Number Lic`Class 0-200 Amp.'Under600 V J/ 1-1000'Amp.Under 600 V Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DEC,LARATION'. wTemp. Poer.Pole&Appurtenances.._ ti -Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7631.5, Busi- Additional Sign;Branch Circuits o.9 b 8 5,4 ,A ness and Professions Code): #`.o 0:0 0 o 2 Misc.Conduits'&Conductors , tl .I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— 2 0 0 3 Q structure is not intended or offered,for sale (Section 7044, Business and Professions Code). o 0 0 3 O 7 O"U CONSTRUCTION LENDING AGENCY _ I hereby affirm that there is a construction lending agency a for the performance of the work for which this permit is F' (Sub-Total) 1 0,'1 3.—8 2. - PERMIT EE issued (Sec. 3097,Civ.C.). -Z 0 Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE r3 I certify that I have read this application and state that the TOTAL FEE a above 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 property for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Signature (/Permittee Date