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76A663 CE-806(11 /78) P®LICATI11 FOR
ELE� C PEWIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY _
FOR APPLICANT TO FILL IN JOB
New"Residential Bldgs.&Pools EACH NO. FEE ADDRESS -/jOC;2 / -
1 &2-Family,Sq. Ft. $ .025 — $ LOCALITY.
Multi-family Sq. Ft. .02 — NEAREST 25.00CROSS ST.
Residential Swimming Pools OWNER OR
FIRM NAME
Outlets: Rec ®Light�Sw. MAIL
First 20 .50 ADDRESS
Total No. .30 CITY; Tel.
�F:
Additional 7
PLAN CHECK '
APPLICANT'
Lighting Fixtures First 20 S0 ADDRESS
Additional .30
Total No. CITY T Tel. No.
Fixed Appliances Not Over 1 HP PERMIT
Range_Heater_ D.W. _ APPLICANT �—
Oven-- Dryer VV.M. ADDRESS AZ
Top _FAU W.H. — CITY Tel.
Hood_FanOther_ J� LICENSE OR q LI
Disp._Room'Air Cond. 2'50 v7 �! REG.NUMBER cX Class.
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
LAWS "Size&Type HP, KW, KVA,or KVAR 2 50 ' REGULATING ELECTRICAL WIRING.
Up to-1 Incl. 1 HEREBY CERTIFY THAT AM PROPERLY REGISTERED ANDTOR
Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Incl. 7250. CALIFORNIA OR THAT�PROPERT
I AM THE_LEGAL OWNER OF,THE ABOVE_'
Over 50 to 100 Inc.
25.00 DESCRIBED RESIDENTI '.
40.00 PERMIT
Over 100 SIGNATURE
Services. DISTRI P ED BY
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
O "
Temp. Power Pole&Appurtenances 10.00
Sign with One Branch Circuit 10.00
Additional Sign Branch Circuits 2.00 li\ISPECTIOPI
INFORMATION v
Misc.Conduits&Conductors 10.00 ON REVERSE z :'_ �,b AOther(See Complete Fee Schedule) SI®E z
r o a 0 o".c
J
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?'o u 4.` 3,0
L
(Sub-Torah ' 'o ") c !I. ?.J (�" ,
z
EE One-Fourth Permit Feel _ O21
'C5 rD
ET $7.00 c
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3,3a'
INSPECTION FINALED i W
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date:-.� R �y BY Os� �-__ _="��-ar
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76A663 CE-806(11 /78) APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB -
New Residential Bldgs.&Pools EACH NO. FEE ADDRESS �.�2 - `
1 &2-Family,Sq. Ft. $ .025 - $ LOCALITY
.Multi-family Sq. Ft. .02 - NEAREST /
Resident ial'Swimming Pools 25.00 CROSS ST.
OWNER OR
FIRM NAME
Outlets: Rec Light Sw. MAIL _.
First 20 .50 ADDRESS
.Total No. Additional .30 CITY Tet. No. -Gd
PLAN CHECK
APPLICANT.
Lighting Fixtures First 20 .50 ADDRESS
Additional .30
Total No. CITY Tel No.
Fixed Appliances Not Over 1.HP PERMIT
APPLICA
Range_Heater_ D.W.
Oven—Dryer W.M. ADDRESS
Top _FAU W.H. CITY __',r/ Tel. -C6r
Hood_Fan —Other LICENSE OR
Disp._Room Air Cond. 2'50 V REG.NUMBER Class.e �<�
I HEREBY ACKNOWLEDGE/HAT I HAVE READ THIS APPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&T COMPLY -WITH ALL'COUNTY ORDINANCES AND STATE LAWS
Type HP, KW, KVA,or KVAR 2 50 REGULATING ELECTRICAL WIRING.
Up to 1 Incl. I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR "tLJj
Over 1 To 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
7777
Over-]0 to 50 Incl. 1 250 CALIFORNIA OR THAT_1 AM THE LEGAL OWNER OF THE ABOVE
25.00 DESCRIBED RESIDENTIAL PROPE
Over 5010 100 Inc. F
Over 100 40.00 PERMQ.
SIGNATURE rpm
Services— DISTRICT NO., IS
ED BY
0- 200 Amp.Under 600 V. 12.500 6
'0'
201-1000 Amp. Under 600 V' 25.00 (J y�
Over 1000 Amp.or Over 600 V 50.00 Z
O
Temp. Power Pole&Appurtenances 10.00
Sign with One Branch Circuit 10.00
Additional Sign Branch Circuits 2.00 INSPECTION >
Misc.Conduits&Conductors '10.00 INFORMATION®N REVERSE a �8 3 r
9 A
Other(See Complete Fee Schedule) SIDE Q
y
. . '9-.o o a (o o '2
1 4150
PERMIT,FEE ISub-Total) b 0 0 9 a 5 0 6
PLAN CHECKING FEE (One-Fourth Permit Fee) Z 01,23-8o
PERMIT ISSUING FEE $7.00 G
TOTAL FEE /34.Ja >
INSPECTION FINALED W
date: -, 2.�'.j , By
76A663 DBS'SA 3-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY --JELECTRIC i
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
RECEIVED B READY FOR DATE ISSUED
ADDRESS / FIRST INSPECTION
CITY TEL. NO. / Z�
u
COUNTY LICENSE NO. .EXPIRES BUILDING
PERMIT FEES ADDRESS /y 2.Id c7 I—N:'
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS �� NEAREST
RECEPTACLES ` CROSS ST. k, !.-.2"o .�
WALL SWITCHESL I I .OWNER M,
TOTAL OUTLETS 4-11 Sc $ 6` MAIL Sp
ELEC. RANGES 25 ADDRESS J
ELEC. HEATERS L 25 e• CITY TEL. NO. -
FIXTURES /? 5 p
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS 'Q- �'t0 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 HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH ,OF THE RESIDE IAL PROPERTY DESCRIBED.ABOVE.
%p 6 LESS .25 SIGNATURE OF
%z 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5.00
200 500 10.00 J
500 1000 I5.00 Z
OVER 1000 20.00 2
M.G. SET/FREQ. CHANGER-HP Q'
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF GRID-)
MOVED MOTORS (75% OF GRID.) -
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS Lj� _
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 e CONDUIT _
v
FIXTURES $1.00 / WIRING
SUPPLEMENTARY ,5p FIXTURES
POWER
TOTAL FEE 9 UTILITY CO.NOTIFIED
FINAL ✓�
• RKCOMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT
CE-8 6G
I herer:j a�firm that at I have a certificate of consent to self insure, �S
C:a certificate of Workers' Compensation Insurance, or a certifiedfp t`a) G COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy t`nereof(Sec.3800,Lab.C.) _ l� V O 9
POlicy.NO..; - Company��� FOR APPLICANT TO FILL IN JOB �1
❑ Certified co is hereby furnished. EACH NO. FEE ADDRESS
PY Y New Residential Bldgs.& Pools
Certified copy is filed with the county building inspection 1 & 2-Family,Sq.Ft. — $ LOCALITY
dep rt m nt. Multi-family Sq.Ft. NEAREST
J CROSS ST.
Residential Swimming Pools
Date ApplicantS�!/ A/. Q OWNER OR FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' � / ] MAIL r� A/
COMPENSATION INSURANCE Outlets:Rec- Light_ Sw. /!, ADDRESS V L 7Y f
(This section need not be completed if the work involved by the First 20 Ittt.���
permit is for one hundred dollars($100)or less.) Total No. Additional CITY Cr�' el.No �f
I certify that in the performance of the work for which this permit PLAN CHECK j
APPLICANT L t;
is issued, I shall not employ any person in any manner so as to
become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS
Additional &
Total No CITY Y Tel.No.
Date Applicant
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 _ Dryer _ W.M._ ADDRESS L•'
provisions or this permit shall be deemed revoked. Top — FAU W.H.
LICENSED CONTRACTORS DECLARATIONCITYI.No.s Z
Hood — Fan Other_
1 hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR
(commencing with Section 7000) of Division 3 of the Business and Disp. — Room Air Cond. REG.NUMBER Class.
Professions Code,and my license is in full force and effect. DISTRICTSS B
Power Apparatus& Large Appliances ..>O' PROCE �=
Size& Type HP,KW,KVA,or KVAR U
License Number S�3 / g 0(i Lic.Class 8 Up to 1 Incl FINAL
Contractor( '/I' -L_C49W- �i*L- & Over 1 to 10 Incl. DATEV-11-190
�1/90 VALIDATION 0
Over 10 to 50 Incl. F
ElFINAL
I am exempt under Sec. Over 50 to 100 Inc. BY
B.&P.C.for this reason Over 100 N
Services,Swbd.,MCC & Panelboards Z
Date: 0- 200 Amp.Under 600 V ® �s
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 F2
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby affirm that I am exempt from the Contractor's License Law r ��
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits
Code): 21-00
❑ 1,as owner of the property,will do the work and the structure Misc. Conduits& Conductors
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) ►
and Professions Code). //ssyy 2 1 a 00
CONSTRUCTION LENDING AGENCY icaTl . 21*00
1 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) Q owe M
Civ.C.).
PLAN CHECKING FEE
0000-0001
Lender's Name PERMIT ISSUING FEE •_ i. d Q �r��� y
Lender's Address_ 3W 1 M Otttt
1 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
property for inspection purpose .
SEE REVERSE FOR EXPLANATORY LANGUAGE
C-/?/
Signature ee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1211260002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID BUILDING ADDRESS: 1
ITR: 15862 LT: 8 I 1 10238 DAINES DR 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802707 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ARDEN 1
18586-027-008 1A1 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY 1
I IF1 120V, 15/20A BR CKTS 4.00 BR 69.20 11
(TENANT: IG1 OUTLETS-LGT,SW,RECP 8.00 OUT 16.00 (ISSUED ON: PROCESSED BY: PLAN BY: 1
1 IG2 LIGHTING FIXTURES 36.00 LGT 60.50 111/26/12 SR
I ILB 200 AMP PANELS, MCC 1.00 PAN 38.90 1 1
(OWNER: TEL. NO: I TOTAL FEES 212.4011FINAL ATE FIN B - CODE: 1
ILI, WILLIAM (626) 458-0041- 1 -
110238 DAINES DR I 1�pd
I
I
(TEMP 917802707 1D RI T N OF WORK
I I 14 BRANCH CIRCUITS, 8 OUTLETS, 36 LIGHT FIXTURES AND UPGRADE 1
1 1 (SERVICE PANEL TO 200 AMP 1
(APPLICANT: TEL. NO: I 1
(LEVY, ADAM (818) 339-8985- I 1 I
113519 HART ST 1 ISPECIAL CONDITIONS:
I
VALLEY GLEN CA 91405 I
II I
I 1
(CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
IA LIGHTING (818) 339-8985- 1
113519 HART STREET LIC. NO 1 (TEMPORARY POWER POLE I I I
(VALLEY GLEN CA 91405 936468 1 1 1 1 I
I 1 1UNDERGROUND CONDUIT I I )/ 1
ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND
LIC. NO: i TROUGH COND T 1 1
I (ROUGH WIRING 1
I !
I - IMAIN WATER LINE I
I (PLASTIC YIN METAL YIN I
I 1UTII,ITY COMPANY NOTIFIED( 1 1
1 I I I I I
I I I I I I
I I I I I I
1 I I I I I
I I I I I I
1 1 I I I I
I 1
REPORT ID: DPR265 ROUTE TO: BS0508 I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS _ 9701 LAS TUNAS EL 0508 1211050036
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 15862 LT: 8 I I 10238 DAINES DR I
IFEE DESCRIPTION.: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802707
(ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSS STREET: ARDEN I
18586-027-008 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY 1
IG1 OUTLETS-LGT,SW,RECP 3.00 OUT 6.00 I I
ITENANT: IG2 LIGHTING FIXTURES 3.00 LGT 6.00 (ISSUED ON: PROCESSED BY: PLAN BY:
1 I TOTAL FEES 39.80 111/05/12 SR I
OWNER: TEL. N0: I (FINAL AT F BY: CODE: I
ILI, WILLIAM (626) 458-0041- 1 I I
110238 DAINES DR I I 1
ITEMP 917802707 I ID CRI TION OF WORK I
I I 13 OUTLETS, 3 LIGHT FIXTURES FOR BATHROOM REMODEL 1
(APPLICANT: TEL. NO: I
IVERED, NISSAN (818) 220-9452- 1
16241 GLADE AVE I 1SPECIAL CONDITIONS:
IWOODLAND HILLS 91367 I I
ICONTRACTOR: TEL. NO: 1 - 1APPROVALS DATE INSPECTOR SIGNATURE I
IS O D BUILDERS INC (818) 343-3520- I 1
118344 OXNARD ST #209 LIC. NO I ITEMPORARY POWER POLE I I I
ITARZANA CA 91356 942085 I 1 1 I
I (UNDERGROUND CONDUIT I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I 1
I LIC. NO: 1 IROUGH CONDUIT I 1 I
ROUGH WIRING )"1
IMAIN WATER LINE I1
IPLASTIC Y/N METAL Y/N I I 1
I (UTILITY COMPANY NOTIFIEDI I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
1REPORT ID: DPR265 ROUTE TO: BS0508 1 I I I
I I I I I I