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HomeMy Public PortalAbout9662 CRAIGLEE ST_Electrical__ COUNTY OF LOS ANGELES ' APPUCATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY ELECTRIC WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN RECEt ED I3Y READY FOR DAT IBS ED ADDRESS D — FIRBT INSPECTION 73 CITY _ n TEL NO.v W S-7 Z, � - 1 , COUNTY LICENS NO. 49 EXPIRES p7 tj� BUILDING PERMIT FEES ADDRESS r� Z - -- FEE L1�/ e' NUMBER EACH LOCALITY LIGHT OUTLETS �_ NEAREST RECEPTACLES i CROSS SIT. , WALL SWITCHES OWNER / TOTAL OUTLETS 5C 41 -f MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL NO. FIXTURES 1 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 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBERHORSEPOWER FEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER New MVD. HP D ER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/2 s UEss .25 SIGNATURE OF 1/2 2 .50 PERMITTEE--= —�� �= -- 2 5 1.00 INSPECTION RECORD 5 15 1.50 47 15 5O 2.50 Z,.�r - _ 50 2D0 5.00 200 SOD 10.00 ,j _ 500 IDOD 15.00 �p AA `y t a -- OVER lOOO - Z .. M.G. SE '/FREQ. CHANGER-HP 7"L -- 6-H,110,411) f7 ` Q' WELDERS:AC-KVA `/ 09,{y /p 0 `'I/ ;-7W-W' O 'GENERATORS - KW. �✓ y IS I f'v��"�"q'.,1'�`"1q-r Adpyff TRANSFORMERS - KVA / ' # 4 TEMP. MOTORS (75%-GF awr,.) YJ' MOVED MOTORS. (75% OF CRID.) MISC. - SIGNS NO. NO.TRANS. NO. APPROVALS NO. LAMPS FOR EACH PERMIT: j DATE e7 INSPE C TOR'S NAME WIRING $1,pD - CONDUITFIXTURES $1.00$1.00 ,LC) f) _ WIRING SUPPLEMENTARY .50 FIXTURES t POWER _ TOTAL FEE UTILITY CO.NOTIFIED FINALA T6A663 DES#5A 4-52 �,,, ° � 76A663-CE806 102: aG°�P C�AMN F e Q ELEV QLD PERPMU COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY E-NGINEER'' )OB �} BUILDING AND SAFETY DIVISION ADDREss. NEAREST ,�` FOR APPLICANT TO FILL IN _ CROSS ST / OUTLETS NO. EACH FEE. ' OF OR $ $ FIRM NAME ✓.'_.� �•! �L y :j/"YA> /.�L ac.'N+. RECEPT'._ MAIL - ADDRESS' FIRST.22 0 LIGHT TOTAL .25 CITY _ �; (� ' •TEL. NO. '` •,.�' ,�.0 'J ' OVER 20 .•.10 { SWITCH_ _ _ PLAN CHECK FIRST 20 29 APPLICANT ` LIGHTING 1 TOTAL .',ADDRESS. FIXTURES'' OVER 20 - .10 .. RESIDENTIAL APPLIANCES CITY Y,EL: No. RANGE DRYER WTR. HTR._ PERMIT r' :APPLICANT STA. COOK DISP. F.A.U. - .ADDRESS - - SPACE HTR. AIR COND. ., CITY TEL-. NO. CLOTHES WASH. •-DISHWASH. LICENSE OR CLASS. .REG. NUMBER 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.', H.P. KW. KVA. - ELECTRICAL W-IR ING. 51ZE & TYPE OVER TO,o - I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR O — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER 'OF THE ABOVE. _r ` 1 - 1O 3.00 DESCRIFED RESI.DEN l_ PROPERTY,,' PERMITE•E ///� q ! O 1 0 - $0 5.00 C;" V - I SIGNATURE. ��� - oz 50 - 100 10.00 O I— DISTRICT, NO. '; ROCES D BY W 100 - 500 1,5:00 SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE 'INSPECTO - `SIGNATURES• TUBE, OR I ' MARQUEE ADDITIONAL CIRCUITS' - ,1.00 _ TEMP. POWER POLE SERVICENOT OVER 600VOL''TS.OR200AMP / 3.00 0 UNDERSLAB WORK' SER'J6CE•OVER 600 VOLTS OR,200AMP 10.00 ROUGH CONDUIT , TEMP SERVICE, POLE,.&APPURTENANCES 5.00 , WIRING - I/ /r 7's, 1f .r � . TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER aAUTHOR I ZED UTILITY CO.,NOTIFIED �1�_ FINAL PERMIT'FEE (SUB TOTAL) NOTES: 1 PLAN CHECK. FEE SS PERMIT ISSUING FEE 3.00 b - TOTAL FEE U PLAN CHECK VALIDATION CK. M.O. CASH PE.RMIT.VALIDATTIIQN CK. M.O. CASH 3 25. 0 6.0 0 � = SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE, 76A663-CE806'1°2/75 QppdOC�AMN FOO Q EL EC TMC AL PE�°3M /COUNTY OF LOS ANGELES o RTM ENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS FOR PP 1 ANT FI N LOCALITY New Residential Bldgs & Pools EACH NO. FEE NEAREST 1 & 2-Family, Sq. Ft. $ .025 — $ CROSS ST. OWNER O Multi-family Sq. Ft. •02 — FIRM NAME Residential Swimming Pools 20.00 MAIL �T� ADDRESS SAME Outlets: Light, Switch & Receptacle CITY Tel.No. _ First 20 •50 PLAN CHECK Additional .30 APPLICANT ADDRESS Lighting Fixtures 50 CITY Tel.No. First 20 Additional .30 PERMIT ri.P�T��+ HCCAPPLICANT Fixed Appliances Not Over 1 HP ADDRESS '2034 .N. PECK RD. Range_Heater D.W._ CITY Tel.No. Oven=Dryer—W.M. 579-7989 LICEN O Top FAU X'W.H:_ REG.NUMBER 265094 Class. C-10 Hood_ Fan ___ 1 50 2:00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Disp—A.C. ___ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY W ITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Power Apparatus& Large Appliances ELECTRICAL WIRING. Size& Type HP, KW, KVA, or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ` LICENSED AS RED IRED BYLOS ANGELES COUNTY AND STATE OF r Up to 1 Incl. '2.00 CALIFORNIA OR THAI -I AM THE LE L 0 NER OF THE ABOVE &L OESf.R IFED RESIDE PR R Over 1 to 10 Incl. 5.00 � Over 10 t0 50 Incl. 10.00 PERMITEE SIGNATURE Over 50 to 100 Incl. 20.00 Over 100 30.00 DISTRICT NO. 0 OC SED B 0 Services LU 0- 200 Amp. Under 600 V 12.50 IN CTOR'S ®. 201--1000 Amp. Under 600 V 25.00 APPROVALS DATE SIGNATURE Vi Over 1000 Amp. or Over 600 V 50.00 TEMP.POWER POLE m UNDERSLAB WORK Temp. Power Pole& Appurtenances 10.00 Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2.00 WIRING (Other) FIXTURES POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL PERMIT FEE. (Sub-Total) - NOTES PLAN CHECKING FEE (One-Fourth Permit Fee) PERMIT ISSUING FEE $6.00 450 TOTAL FEE 10.`5 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION MO. CASH i 6576t'-APR 13 2 o: .1 0.5 0..,&98 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - WORKERS' COMPENSATION DECLARATION ,;:. 76A663 10/81 CE-806G .• d'l PUC/fV0•U®IICI FOR ELECT ICA E 11118 T ,.I hereby affirm that I have a certificate:of, 'consent to self insure, or a.certificate.'of Workers' Cornpensation Insurance,or a certified COUNTY OF'.LOS ANGELES.. BUILDING,AND SAFETY copy thereof(Sec.,3800,Lab;C:) Policy No:.,.. is Com panyr .- .. - FOR APPLICANT.,TO'FILL IN JOB " _ ADDRESS.` Certified copy,is hereby,furnished New Residential Bldgs.& Pools EACH NO. FEE' • 1 & 2-Family,S Ft. $ $ 'LOCALITY, * NEAREST ,f Certified copy is 'filed with-the county' building inspection y' q — ...department'•,,e Multi family Sq.=Ft. CROSS ST. ResidentialSwimming Pools ' ".;Date " �'- -• Applicant - • -• OWNER OR� b^ ,ia:_o.,_. ,• FIRM.NAME r C ct o v ' CERTIFICATE OF EXEMPTION;FROM WORKERS,..,,. MAIL,Red Light Sw."—. MAIL. -COMPENSATION.INSURANCE .I ADDRESS'- `7 ;;(Tms,sectin need,not be completed if the! First 20 _i CITY + Tel.N permit is for one hundred-dollars,($100)or less,) Total No. Additional i Z6` Ll 7• J certif that•'in,the performance.of'.the_work,+for which: his,permit PLAN CHECK y .APPLICANT s issuedl,shall,not,employ,any person in any.manner-so as to. become subiectao.the Workers'.Compensation Laws:. ' Lighting Fixtures First 20`' z ADDRESS• .- :. AdditionaI , r Total No. � ' CITY Tel No. Dat �/ o APP,lican y• . ,.,NOTICE, ,TO,. APPLI ANT., If;. after, making- this °Certificate .of xed Appliances Not Over 7 HP PERMIT (<' Exemption,Youshould become subject;to the:Workers'Compensation Range_ Heater_ D.W• —.. ' APPLICANT :. provisions'of<the.L'abor•Code,Fyou,must forthwith comply4,with such Oven Dryer _'W.M.'_' ADDRESS provisionsbr this permit shall be,deemed revoked Top; FAU W.H 6 LICENSED,CONTRACTORS DECLARATION; . Hood Fan . Other• CITY Tel:' I,:hereby affirm that I am'licensed.under provisions of Chapter 9 LICENSE OR NUM .• _•.- x .. - Disp..— Room Air Cond. —-; - Class. ' (commencing with Section 7000)of Division 3-of the Business and. Professions Code,and my; is in-full.force and'effect: Power.App. g ppl •:} • DISTRICT B P C SSED•BY ER `"' . •-. V` aratus'&,Lar e A liances _ Size&Type HP,KW,KVA, or KVAR Q' 0 ' O License Number • Lic.Class Up'to 1•Incl.. , FINAL y 1 ' U Over 1 to 10 Incl N, 1 DATE •: � Contractor' Date t Over 10 to 50.Incl. FINAL VALIDATION " 0 I am exempt-under Sec: t" • Over.50;to 100 Inc. gY V B.&P.0,for•this reasonOver 100,' a' + N Services Swbd MCC"& Panelboards' q Z Date: , 0 '200 Amp.,Under 600 V Signature' 201 -1000 Amp:Under 600 V Exemption for Reg Maint Elect. °a 5C Over 1000 Amp.or Over 600 V t SINGLE-FAMILY ' Temp.Power Pole&.Appurtenances. -HOME OWNER-,BUILDER DECLARATION: O Branch r ' - - ' ' ., .. .: Sign with One Branch Circuit I hereby`.affirm that I am exempt from th`e.Contractor''License Law" Additional.Sign;Branch'Circuits,_, , 'tom i for the,following'reason(Section,7031.5;'Busine'ss,and Professions' •r" , f((`i 25 . 0 Co ej: .. s i Misc Conduits& Conductors. •l,as owner of the property,Mll•do the work;and the structure' Is not intended or offered.for sale(Section 7044,Business -Schedule),,. Other(See Complete Fee and Professions Code): CONSTRUCTION LENDING AGENCY 1 hereby affirm,that there is a construction lending agency for the 0010070 - = f 1 performance of the work for which this permit is issued(Sec:3097, PERMIT.FEE t. (Sub-Total) qf Civ. C.).' �3 t. PLAN•CHECKING FEE Lender's Name'' PERMIT ISSUING FEE V. Lender's Addres Jr. � I certify that I have 'read this application and state that tphe above ___ TOTAL FEE t _ 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 REVERS .- E FOR EXPLANATORY.LANGUAGE, Signature o Pe7rrilittee Datef t WClnKERS'COMPENSATION DECLARATION 76-663 10/81 APPLICATION 2®R ELECTRICAL EC RICA PE MI `:p ti affirm that I have a cgrtificate of, consent to self insure, CE-Bose l!e l�y/ti1 II I I� L�L�L��o II L� I� If 11 tl ora certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy jhereof(Sec.3800,Lab.C.) Policy No. Company FOR APPLICANT TO'FILL IN - -JOB Certified copy is hereby furnished.- New Residential Bldgs.& Pools 1 EACH NO. FEE ADDRESS pC 1 & 2-Family,Sq.Ft. $ $ LOCALITY Certified copy is filed with the county building inspection department: Multi-family Sq.Ft. _'NEAREST CROSS,ST.. Date Applicant, Residential Swimming Pools OWNER OR /� FIRM NAME CERTIFICATE'OF EXEMPTION FROM'WORKERS'-,, _601 3b MAIL t COMPENSATION INSURANCE, Outlets:Rec Ligh Sw: >�C'� ADDRESS`� . :(This section need not be completed if the work involved by the.- First 20 Total No/ f Additional Jr CITY . Tel.No. ✓r- •permit is for one,..hundred dollars($100)or less.) ` PLAN CHECK J certify that ih the performance:,bf.the work for which'this,-permit APPLICANT is„issued, I,shall not.employ any-persomin any manner-so as to become subject to the Workers'Compensation.Laws.' Lighting Fixtures First 20 ADDRESS i �) Additional Total No.,Yl� CITY Tel.No, Date,.. 'gppi icant - --,NOTICE.'TO -APPLICANT:'�If, after making this- Certificate of Fixed Appliances Not Over 1 HP ' PERMIT Exemption,you should become subject to the Workers'Compensation Range ,:Heater D.W. APPLICANT provisions of the•Labor Code, you must forthwith.comply with such Oven ,;DryeW.M. , ADDRESS , provisions or this permit shall'be deemed_revoked. Top FAU W.H. CITY Tel.No. ,LICENSED CONTRACTORS DECLARATION. Hood Fan Other_ I hereby affirm that I am licensed under provisions ,of.Chapter 9 - / LICENSE OR Disp. Roo Air Cond. ! :(commencing.'with Section 7000)of Division.3.,of the Business and REG.NUMBER _ Pass. Professions Code,and my license is in full.force, and effect. DISTRICT NO. PRO S BY Power Apparatus& Large Appliances Size & Type HP,KW,KVA,or.KVAR 0 License Number Lic.Class Up to 1 Incl. FINAL V �L Over 1 to 10 Incl.., DATE Contrac- tor Date VALIDATION 0 '`•Over 10•,to 501nc1. U FINAL I am exempt under Sec, Over 50 to 100 Inc.- �- B.&P.0 Over 100 for this reason r Services,Swbd.,MCC&Panelboards Z Date: 0- 200 Amp.Under 606 V 45 D — Signature 201 - 1000 Amp.Under 600 V Over 1000 Amp. or Over'600 V Exemption for Red.Maint.Elect.. SINGLE FAMILY Temp.Power.Pole& Appurtenances .. HOME OWNER-BUILDER,DECLARATION Sign with One Branch Circuit' I hereby affirm•that I am exempt from the Contractor's License Law {{t a- for the following reason(Section 7031.5, Business and Professions. Additional Sign Branch Circuits Code): `i 671.513 Misc..Condu its'&'Conductors I,as owner of the property,will do the work and the structure 1 ;:-'�0i 16 of intended or offered for sale(Section 7044,Business Other_(See,Complete Fee Schedule) and rofessions Code)., D i4f A „ d`_} _-rs CONSTRUCTION LENDING AGENCYs-_(_t, 167.50 I hereby affirm that there is a construction lending agency for the . r performance of the work for which this permit is A. issued(Sec.3097, PERMIT�FEE •(Sub=Total) = Civ.C.): PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE 5t> -• Lender's Address 2532Sf AMID.�s 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 proper for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE tiv1 � - ign ure ol Permitt a Date