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Home My Public Portal About5019 DALEVIEW AVE_Electrical__ B LEB /]D• -APPd9� �9�6� �LEC37�C�4d PL RMIY LJ COUNTY OF LOS ANGELES / DEPARTMENT OF COUNTY ENGINEER BUILDING e BUILDING AND SAFETY DIVISION O JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY ' COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST FOR APPLICANT TO FILL IN CROSS OUTLETS NO. EACH $ FEE S $ OWNER MAIL qq LI GHT TOT y FIRST 20 20 lT ADDRESS 20 OVER CITY �7 TEL. N_0. SWITCH Z .10 PLAN CHECK LIGHTING TOTAL FIRST 20 20 , Ga APPLICANT FIXCl OVER 20 ADDRESS TURES .10 APPLIA CES CITY TEL. NO. PERMIT RANGE_DRYER_WTR. HTR._ APPLICANT STA. COOK OISP. F.A.U. ADDRESS oor SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH._ ) LICENSE NO. CLASS. FAN_OTHER / 1.00 O 1 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. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR D - 1 100 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO .00 RESIDE IN, THE ABOVE DES HIDED RESIOENTI AL PROPERTY. i - io B SIG NATURE 10 - 50 5.00 OF NATP ER BET V IT 50 - 100 10.00 DISTRICT N�O{.7 CLASS GROUP ZONE _ / PROCESS SR/O CTE S�S,ED�BY O 100 - 500 ISOO ",®b' " L r / ""-` r v SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS i �j1,A(� / �j,? SERVI CENOT OVER 600 VOLTS OR 200 AMP ko, 2.00 SERVICEOVER 600 VOLTS OR 200AMP 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 3.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING G, _�7- 97/h77 ` PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 2 88 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL JOS PH C• ROOH N TOTAL FEE , A SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. M4O.� CASH Ij 5 2 '7;II i`Mnf i n 2 D 85 D(D v SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663 DBSSA 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN .qvl �[�// //��.�Ci�qp�f�e�.n , _)a /�8&31- ADDRESS 6 O, Z/ I1-l/L/b',� RECEIVED BY READY FOR GATE ISSUED FIRST INSPECTION CITY /-wli� TEL N .? J 64 COUNTY LICENSE NO. EXPIRES 3O -!%f 8D D ADDRESS PERMIT FEES g ( iCitf NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST V CROSfi 9T. RECEPTACLES WALL SWITCHES OWNER �I I/�� / �'- ✓ �... TOTAL OUTLETS 5c ,�_ b �C� MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO, FIXTURES 5 =n 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS L (p 1'_ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS 3 AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB NUMSER HORSEPQWER FEE I ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw MvD. HP oVER I INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/p 6 LEDs S .25 SIGNATURE O �� 1 I/¢ 2 .50 PER M ITTE /// 2 5 1.00 INSPECTION RECORD 5 is 1.50 is so 2.50 50 200 5.00 _ 200 500 10.00 SOp I 1000 15.0❑ -L OVER 1000 20.00 0 M.G. BET/FRED. CHANGER-HP WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% Dc DRIDJ \ _ MOVED MOTORS (75% Of DRmJ /NbL- MISC. 7AI�»r� SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSP/E�CTORIGNAME WIRING $1,00 / CONDUIT FIXTURES $1.00 �. WIRING SUPPLEMENTARY .50 FIXTURES / POWER TOTAL FEE rB.g UTILITY CO. NOTIFIED FINAL ,/may/G� 7- •76g663-CE806 101 72 APPLICATION MR ELEeTROCAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER LOB BUILDING AND SAFETY DIVISION ADDRESS LOCALITY 1 NEAREST . FOR APPLICANT TO, FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER OR FIRM NAME �f /'+ v ✓ LRECEP7. - 6 MAILFIRST 20 26ADDRESS T TOTALOVER 20 CITV TEL. N0.CH U .10 PLAN CHECK LIGHTING FIRST 20 25 FIXAPPLICANT TOTAL 10OVER 20 ADORESS TURES . RESIDENTIAL APPLIANCES CITY TEL. NO, PERMIT RANGEORYER. WTR HTR._ APPLICANT STA. COOK_DISP. F.A,U._ ADDRESS SPACE HTR. AIR GOND. CITY TEL. NO. CLOTHES WASH. DISHWAS H._ LICENSE ORREG. NUMBER CLASS. FAN_OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND .STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS. TRANSFORMERS RATING WITH Al COUNTY ORDINANCES ANO STATE LAWS REGULATING IND, HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE B TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE y 1 - 10 3.00 DESCRIOED RESIDENTIAL PROPERTY, p, O PERMI TEE 10 - 50 500 SIGNA TUREeg 50 - 100 1000 0 DISTRICT NO. DOES ED BY LAI 100 - 500 1500 B h Z SIGN. GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTO SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE SERVICE NOTOVER 600 VOLTS OR 200 AMP 3.00 UNOERSLAB WORK SER'VI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL /R;,.7L� PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE, ' 300 3' TOTAL FEE PLAN CHECK VALIDATION CK. NY O. CASK PERMIT VA'LIDATI N CK. M.O. CASH 2 7 OnRMAR 28 2 n 5.5 0 Acj3 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 7SA663 DBS 5A 11-60 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ��T COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER . DISTRICT NO. GROUP ZONE PERMIT NO. FOR AFPLICANT TO FILL IN .� ELECTRICIAN—�" ' /��/� RECEIVED BY READY FOR DATE ISSUED ADDRESS O( dp��n/ �Y/L'/4iA+�j FIRST INSPECT I ON CITY COUNTY LICENSE NO. EXPIRES 6 BUILDING PERMIT FEES ADDRESS NUMBER EACH FEE LOCALITY LIGHT OUTLETSNEAREST RECEPTACLES 119 CROBBST. WALL SWITCHES / / OWNER /(/l/i� '✓Ir� TOTAL OUTLETS Se 9 O 1 r MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL NO. FIXTURES - - 5 C ' I ACKNOWLEDGE THAT 1 HAVE READ TH19 MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS (.> r 'AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS 3 AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HOFEE RSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw Mvo. HPI ov6q I iHc. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/x a LEBR $ .25 SIGNATURE OF/�j�yLi1' ✓/1..YA/_/�� GN6/ I/x 2 .50 PERMITTE 2 s 1.00 INSPECTION RECORDS //, 5 is 1.50 / / U 1s so 2.50 �t 1 ' 50 200 200 500 1 O.00 _ �/ tib_.-�'!/�'! -��•JQ� -%'v 500 1000 15.00I_?_/, OVER 1000 20.00 M.G. SET/FRED. CHANGER-HP /�-3 A-7 WELDERS: AC-KVA GENERATORS - KW TRANSFORMERS - KVA _ TEMP. MOTORS (75% DF ORI0.) 4'L-- MOVED MOTORS (75% OF DRID.) � A, MISC. SIGNS NO. NO.TRANS. I APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT ` FIXTURES X1.0❑ WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE e�I �1 UTILITY CO. NOTIFIED ��/i � .�J FINAL �{/�r" ��/ 77 WORKERS' COMPENSATION DECLARATION6663 10/81 APPLICATION FOR ELECTRICAL PERMIT 883 I hereby affirm that I have a certificate of consent to self - CE-8066 insure, or o certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lob, Com.,) .policy No. Com ani <:; /� d FOR APPLICANT TO FILL IN JOB ` �Y P Y- Certified ca is hereby furnished. � EACH NO. FEE ADDRESS/�0 /L� PY Y New Residential Bldgs. 8 Pools / Certified copy is filed with the county building inspec- 18 2-Family, $q. Ft. $ LOCALITY— Iple L lion department. - Multi-family$q. R. — 'NEAREST /�"mil Residential Swimming Pools ROSS ST. l0 1r�T WNER OR Date Applicant FIRM NAME (SO CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec••�ight_SW. Z 'MAdl- /�O COMPENSATION INSURANCE First 20 ADDRESS (This section need not be completed if the winvolved work by Total No. Additional IT �( Tel. No. the permit is for one hundred dollars($100)or less.), I certifythat in the performance of the work for'which this PL N CHECK - P APPLICANT permit 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 Tel. No. Date Applicant Fixed Appliances Not Over'l HE PERMIT u 1 NOTICE TO APPLICANT: If, after making this Certificote of APPLICANTIZ Exemption, you should become subject to the Workers' Range_ Heater_D.W. — N e Geri) Compensation provisions of the Labor Code, you must forth- Oven _ Dryer _ W.M.— ADDRESS ¢-3 Sa with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. CITY Tel. No. LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other— Disp. _ Room Air Cond. LICENSE M f70a Class.g hereby affirm that am licensed under provisions of Chapter 9 REG. NUMBER Ju G.FI (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PRO SED BY and Professions Code,and my license is in full force and effect. Power Appara lus 8 Large Appliances >. 2 J Size 8 Type HP, KW, KVA, or KVAR 0 License Numb^er. 3 75 fJ // Lic Class Up to 1 Incl FINAL O J (/ /{PI _p Over I to 10 Incl. DATE 7 O VALIDATION 0 Contractor All! � N Date Z O - v ❑ Over 10 to 50 Incl. H FINAL I am exempt under Sec Over 50 to 100 Inc. BY B.BP.C. for this reason Over 100 H Services, Swbd., MCC 8 PonelboordsD Z Date: 0 - 200 Amp, Under 600 V Signature 201 - 1000 Amp. Under 600'V - Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp, Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION 9 9'8 2 8 A Sign with One Branch Circuit I hereby affirm that g r exempt son Secti the Contractor's License }e'er e e le Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits # 2 Professions Code): Misc. Conduits 8 Conductors 3.�5 I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ D ` 'e re:e 1 3j, 5 0 60 7044, Business and Professions Code). 215-8 3 CONSTRUCTION LENDING AGENCY - I herebypffirm`that there is a construction lending agency for - the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) .. (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name — PERMIT ISSUING FEE Q; Lender's Address I certify that I have read this application and state that the I TOTAL FEE - 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 obov entioned prop ty inspect[ urposes. Ji�_� i^ —�� -G% -SEE REVERSE FOR EXPLANATORY LANGUAGE pigna une of Permit e Date 3