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Home My Public Portal About9955 DUFFY ST_Electrical__ 76A663 DBS 5A 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES , WILLIAM J. FOX, CHIEF .ENGINEER FOR PLI ANT TOIL IN DISTRICT NO. GROUP] ZONE PERMIT NO. ELECTRICIA RECEIVED BY READY FOR DATE ISSUED ADDRESS i= FIRST INSPECTION CITY TEL. NO. l J COUNTY LICENSE NO.. EXPIRES. BUILDING- ADORES PERMIT FEES - . FEE ' NUMBER EACH LOCALITY / LIGHT OUTLETS. - NEAREST . CROSS ST. RECEPTACLES ' WALL SWITCHES OWNER .TOTAL OUTLETS 5c. $ MAIL - ELEC. RANGES 25 ADDRESS ELEC. HEATERS- 25 CITY TEL. NO. FIXTU B"' ' 1' HEREBY ACKNOWLEDGE THAT I 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 NUMBER HORSEPOWERANGELES COUNTY LI NSE, OR [:AM THE LEGAL OWNER NEW MVD. HP OVER NC. FEE EACH OF THE'RESIDENTI -PROPERTY ESCRIBED 'ABOVE. I I ' 1/2 &LESS S .2S SIGNATURE OF 1/2 2 ,50, � •PERMITTE 2 S 1.00 INSPECTION RECORD- 5 15 1.50 15 50 2.50 S6, 50 200 5.00ol J (/ 200 500 . 10.00 500 1000 15.00I�u,�t/ OVER 1000 20.00 M:•G. SET/FREQ. CHANGER-HP _ R' WELDERS:,AC-KVAIC GENERATORS-KW L_ / /I��•L��✓ A�n� S'�.ui,7,�� TRANSFORMERS-KVA ' TEMP. MOTORS (75%OF MOVED MOTORS (75%of ORIG.) MISC. SIGNS No. No. TRANS. I APPROVALS NO. NO. LAMPS ' DATE" INSPECTO R'E'NAME FOR EACH PERMIT: ,. CONDUIT WIRING 1 $1:00 FIXTURES $1.00 I WIRING SUPPLEMENTARY .50 'I FIXTURES I ' G POWER - TOTAL. FEE $ :1 —UTILITY CO. NOTIFIED ® ( FINAL 76ASS3 DBS SA 3-50 APPLICATIONS FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ERLEUTRIC WILLIAM J. FOX, CHIEF ENGINEER TO ILL IN DISTRICT NO. [3ROUP ZONE PERMIT NO. FOR A7LIC �NT ' y S-1 13, ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRESS .� FIRST INSPECTION CITY _ .�iN..�/ L. N O. -.'y(l �"' s v--7 i —�- r � / COUNTY LICENSE NO. EXPIRES BUILDING PERMIT FEES ADDRESS i FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST 4 CROSS ST. .� RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS 50 $ U.4 MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 J CITY EL. NO. FIXTURES / 5 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 ORDJNANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FEE NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL P OPERTY D SCRIBED A VE. I/ & LESS $ .25 SIGNATURE OF I/2 2 .50 PERMITTEE l 2 S. 1.00 INSPECTIONf RECORD 5 15 1.50 T5 50 2.50 _ 5O 200 5.00 _ 200 500 10.00 Q 500 1000 15.00 Z OVER 1000 20.00 M M.G. SET/FREQ. CHANGER-HP m WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF ORm.) MISC. SIGNS NO. ND.TRANS. APPROVALS NO, NO. LAMPS _ .DATE INSPECTOR'S NAME FOR.EACH PERMIT: WIRING $1,30 &-oCDNDUIT FIXTURES $1.00 WIRING / ��"— S0 _ SUPPLEMENTARY .50 FIXTURES o POWER TOTAL FEE $ UTILITY CO.NOTIFIED n FINAL 76A663-CES06-10.56 -A Il P L I d(/--U TMU V FOR R L E C T 11 W�C Il E[I tl D tl UA T BUILDING AND SAFETY DIVISION - ar Department of County Engineer FDR County of Los Angeles ( a ►/ (' p JOHN A. LAMBIE. COUNTY ENGINEER C 1 CASSATT D. GRIFFIN. SUPT OF BUILDING K - '•`--^` - FOR APPLICANT TO FILL IN e PERP1lIT FEES TM OWNER LIGHTS` ,� RECEPTACLES SWITCHES . NUMBER I T E M EACH I FEE MAIL ADDRESS I - ADDRESS ti.. TOTAL OUTLETS S' 10 S r-. 1 r, ELEC. RANGES, WATER HEATERS, CITY t'V(/P k- �`✓ Y TEL. NO�C C;. CLOTHES DRV ERS .50 T� IELECTRIIAN d, ELEC. SPACE HEATERS, STAT'Y: COOK- ING UNITS, GARBAGE DISPOSERS, ADDRESS. AUTO WASHERS, DISHWASIHER- .25 .LIGHTING FIXTURES '•ip CITY' TEL, NO. MOTORS - STATE LICENSE NO. DISTRICT O ; GROUP ZONE I RE' HORSEPOWER - NREADY FOR INSPECTION H.P. OVER INC. I/z &LESS .25 c; 1/2 - 2 - .50 INSPECTION RECORD g 2 — 5 1.00 5 15 1.50 �FF 15 50 2.50 - G 50 200 5.00 - MISC.- SIGNS I NO.TRANS . NO.LAMPS SERVICE O-600V 1.00 SERVICE OVER 600V 5.00 WIRING PERMIT 1.00 F" FIXTURE PERMIT 1.00 h; SUPPLEMENTARY PERMIT .50 .APPROVALS• TOTAL FEE $ DATE IN SIGNATURE I HEREBY ACKNOWLEDGE THAT [.HAVE READ.THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO. COMPLY `'. CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.. WIRING �` Ms r d•- I HEREBY CERTIFY T 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REOUI$ D Y LOS A ELES CO TY AND ST TE OF CALIFORNIA OR THAT AM THE/L GAL 0 NER OF TH ABOVE POWER DESCRIBED RESIDE TIA PROPERTY. SIGNATURE UTILITY CO. NOTIFIED OF PERMITTEE JOHN A. LAMBIE , I,IDApN ARTHU C.VETT, COUNTY ENG11 C Mo CASH SUPERVISING ELECTRICAL ENGINEER, �:: AiO:1 0.4.2- :AU.1.2 6.4 rj . WORKERS'COMPENSATION DECLARATION C -603 10/81 n PPUCATION 2®R Ep (�CTMI A PERNT I hereby affirm that I have a certificate'of'consent to self insure, -ao6G /�U �r III I� L�LSI� l� LLQ L� IIF711 . or a certificate of Workers' Compensation lhsurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy the;gof(Sec.3800,Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN, JOB ❑ Certified copy is herebyfurnished. EACH NO. FEE ADDRESS G! New Residential Bldgs.& Pools ❑ 1 & 2-Family,Sq'.Ft. $ _ $ LOCALITY �s -T Certified copy is filed with the county building inspection department. Multi-family Sq.Ft. NEAREST CROSS ST. GI Date Applicant Residential Swimming Pools OWNER OR 1 / FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec� Light L Sw. J/ MAIL COMPENSATION INSURANCE ADDRESS This section need not be completed if the work involved by the First 20 ( P CITY Tel.No. �_ ' permit is for one hundred dollars($100)or less.) Total No. Additional ..� I certify that in the performance of the work for which this permit PLAN CHECK APPLICANT 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 1 HP PER NOTICE TO APPLICANT: If, .after making this Certificate of 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 provisions or this permit shall be deemed revoked. Top — FAU _ W.H. LICENSED CONTRACTORS DECLARATION Hood Fan OtherCITY G �AeTel. _ I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE OR (commencing with Section 7000) of Division 3 of the Business and REG.NUMBER 2�'a Class. Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO. PROCE D BY �J Size& Type HP,KW,KVA,or KVAR a License Numbe✓« Class <' l� Up to 1 Incl. FINAL U a Over 1 to 10 Incl. DATEVALIDATION O Contract .-ate Over 10 to 50 Incl. ❑ FINAL I-- I am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C. for this reason Over 100 Q. Services,Swbd.,MCC& Panelboards t N Date: 0- 200 Amp.Under 600 V Signature. 201 - 1000 Amp.Under 600 V " Over 1000 Amp.or Over 600 V E] Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole& Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuits I hereby affirm.that I am exempt from the Contractor's License Law �L� `g B Sign ranc for the following reason (Section 7031.5, Business and Professions Additionalh Circuits ;�I�-• �•}• ��t Code): 1 1 24.r. ❑ I,as owner of the property,will do the work.and the structure Misc.Conduits & Conductors IITEMS— Other(See Complete Fee Schedule) is not intended or offered for sale (Section 7044, Business TOTAL 24 = 70 and Professions Code). CHECK 224 n f - _ft 'p 0 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction'lending agency for the CHANGE .0 performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). PLAN CHECKING FEE Lender's Name r PERMIT ISSUING FEE 1i57 1^ AM 7:4*9 Lender's Address 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 toenter up the above-mentioned property f spection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signa of Permittee Date