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Home My Public Portal About9979 DUFFY ST_Electrical_09/24/1951 76A663 DBS SA 11-50 - APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX,-.CHIEF ENGINEER DISTRICT NO. GROUP ZONE PERMIT NO. FOR APPkJCAN'�� FILL INAg 1^ I �7 ELECTRIC! RECEIVED BY READY FOR, DATE ISSUED ADDRESS ' FIRST INSPECTION CITY I TEL. NO.• 1 ' n • I COUNT LICENSE NO. EXPIRES- - BUILDING pi PERMIT IfEES FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST - _ - RECEPTACLES CROSS ST. '° r WALL SWITCHES QQ OWNER .%•' TOTALOUTLETS 5a. $ ✓ •d� MAIL- ELEC.'RANGES P5 ADDRES / ELEC.•.HEATERS •25 �� CITY I✓ TEL. NO. FIXTURES' .5; 1, HEREBY ACKNOWLED 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 I CERTIFY THAT I POSSESS THE ABOVE- VALID LOS ANGELES COUNTY LICENSE, OR..I AM THE LEGAL OWNER NUMBER HORS iPOWEF2 FEE NEW MVD. HP OVER INC. . EACH OF THE RESIDENTIA P ERTY ESCRI E ABOVE. 1/z ---------- &LESS $ •,.25 SIGNATURE OF d 1/2- 2 '.'s0 PERM+TTE / z s .1.oo' INSPECTION RECOAD; ' S Is 1.•50 Is 50 2..50 -so 200 S,00 200 - Soo +0.00 - J '500 . +000 Z • I OVER +000 20.00 M. G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA 0 GENERATORS-KW - TRANSFORMERS-KVA - TEMP. MOTORS (7S%OF ORIG.)' MOVED MOTORS (75%OFORIG.) MISC. - SIGNS NO. - NO. TRANS. APPROVALS NO. NO,LAMPS' _ . .I DATE INSPECTOR'S NAME FOR EACH PERMIT: CONDUIT WIRING, $1.00 ",1 - �l/ri ,2G..a A'Zf-� FIXTURES $1.00 WIRING , SUPPLEMENTARY •.SO T FIXTURES ' . ` POWER - TOTAL-'FEE $ ' s UTILITY CO. NOTIFIED ®. .. FINAL �•� - ��/ - DB SS--An,1�2--�4r3p1'.1�2 SSM 7�7rg� .' �T/v AND ® APPUC TION FOR PER DEPARTMENT Y F LOS BUILDING Hl\L SE9Hlril'S . 12T ju& - &Y�1�� SI ll 1 COUNTY Off' LOS ANGELES WM. J. FOX CHIEF ENGINEER ? a NAME (l�ti'nA�� _ DISTRIsCCT NO. GROeUP ZONE PERMIIiT'NO. ADDRESS �� IU DY FOR CITY A ea! TEL.NO. RECEIVED Br FIRST IN INSPECTION DATE ISSUED � COUNTY CERT.NO. v EXPIRES APPLICANT FILL IN HEAVILY OUTLINED-PORTION ONLY JOB (DESCRIPTION OF WORK ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST / LIGHT OUTLETS SW.I PLUGS FIXT CROSS ST. /X CIRCUIT A E C D E` F G�/ H R NAME `3 ADDRESS .. O CITY i TEL.NO/po'J A 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. I AM THE LEGAL OWNER OF THE PROP i ESCRIB ABOVE 7 owN COMIECTIONS -J Q Z_ 17 R O TOTAL S �/ a� NO. OF OUTLETS J" ` $ /�q�, APPROVALS NO. OF FIXTURES $ � ✓ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING �/_ _ 7 fi:*(/ u 17 3 NO. OF RANGES OR HEATERS ffi FIXTURES MISCELL NEOUS $ ` q_ r POWER PERMIT FEE $ / . o';�I, UTILITY CO.NOTIFIED TO AL FEg v /) FINAL WORKERS'COMPENSATION DECLARATION 76-663 10/81 n IPP C/�`T O NI FOR EL�ECTIf'9 C j�L� FERN II I hereby affirm that I have a certificate of consent to self insure, CE-806G U'UI� L� /Y�1II /1'41 or a certificate of Workers' Compensation Insurance, or a certified, COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) Policy No.` _- ompany- �+�� FOR APPLICANT TO FILL IN JOB ❑ Certified copy is herebyfurnished. EACH NO. FEE ADDRESS New Residential Bldgs.&Pools $ — $ LOCALITY e c I ❑" Certified copy is filed`witfi unty'bu' ng in ection 1 & 2-Family,Sq.Ft. — de artrrient. Multi-family Sq.Ft. CROSS ST. NEAREST Residential Swimming Pools OWNER OR Date Appl' C� FIRM NAME V CERTIFICATE OF N FROM ORKERS' Outlets Rec Light Sw. MAIL COMPENSATION INSURANCE .. ADDRESS This section need not be completed if the work involved by the First 20' ( P . permit is for one hundred dollars ($100)or less.). Total,No. Additional CITY Tel.No. , ' PLAN CHECK `I certify that inthe performance work for which.�this permit , «s 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 D Additional Total No. CITY G Tel No. Date Applicant- Fixed Appliances Not Over 1 HP NOTICE'•TO APPLICANT:'If, after making this Certificate of 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 provisions or this permit shall be deemed revoked. Top — FAU W.H. CITY Tel.No. LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ •'1 hereby affirm that 1'am Iicensed.uncl&:provisions of Chapter 9LICENSE OR (commencin Disp. — Room Air Cond. REG.NUMBER _ :(? Class: , g.;with Section 7000) of�Division 3 of the Business and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRICT No. PRC SED BY Size.& Type HP,KW,KVP orKVAR ' License Number 'Lic.Class Up to 1 Incl., FINAL n U Over 1 to 10-Incl. _ DAT . �� r Contractor_ Date (� VALIDATION O Over 10 to 50 Incl. FIN AJ ❑ I am•exempt under Sec. Over 50 to 100Inc.-,,Over ncr, - By W BAP .C.'for.this reason Over 100 N Services,Swbd.,MCC..&Panelboards D Date: 0-200 Amp.Under 600 V. Signature 201 - 1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over.600 V Exemption forReg..Maint.Elect. �'$9`� 5 A SINGLE FAMILY Temp.Power Pole& Appurtenances o'fo 2 HOME OWNER-BUILDER DECLARATION. Sign with One Branch Circuit :o ,0 3 Q Q 1 hereby affirm that ['am exempt from the Contractor's License Law i' for the following reason(Section 7031'.5,Business and.Professions Additional Sign Blanch Circuits Code): 0 ° 03.1'.00C.) ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors 'L Q"(�-8 8 is not intended or offered for sale.(Section 7044, Business Other(See Complete Fee Schedule)._ D and Professions Code). CONSTRUCTION LENDING AGENCY I 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) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE 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 to enter upon the above-mentioned property for inspection purposes. SEE REVERSE-FOR EXPLANATORY LANGUAGE Signature of Permittee Date . WORKERS' COMPENSATION DECLARATION 10/81 APPUCAMN .FOR ELEC TMICad PERNT I hereby affirm_,that I have a certificate of consent to self CE-806G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New'Residential Bldgs. & Pools EACH NO. FEE ADDRESS Certified copy is filed with the county building inspec- 1 &.2-Family, Sq. Ft. $ — $ LOCALITY tion department. / Multi-family Sq.'Ft. — NEAREST Residential Swimming Pools CROSS ST. Date�T t Applicant �6 6 OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL Outlets: Rec Light Sw. COMPENSATION INSURANCE ADDRESS s need not be completed if the work involved b First 20 (Thisection np Y Total No. Additional CITY Tel. No. .the permit is for one hundred dollars($100)or less.) I certifythat in the performance of the work for which this PLAN CHECK P erAPPLICANT 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 q n �J Total No. Additional �" [�0`]I�4pplicant `".�0� ,� /� CITY Tel. No. Date Fixed Appliances Not Over,I HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Exemption, you should become'subject to the Workers' Range_ Heater_D.W. Compensation provisions of the Labor Code, you must forth- Oven Dryer W.M.— ADDRESS '54f 3 with comply with.such provisions or this permit shall be Top FAU W.H: — deemed revoked. Hood Fan _Other_ CITY�� Tel. N-01,91,�'' LICENSED CONTRACTORS DECLARATION LICENSE OR Disp. 1 as"Air Cond. Class. I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER 0 (commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. PR ED BY 0- and Professions Code,and my license is in full force and effect. V Size&Type HP, KW, kVA, or K R' C License Number �� Lic. Class f0E=--U0 to 1 Incl. ?.Ci FINAL 0, rs3 R� —,I Over 1 to 10 Incl. DATE l ' � � Contractor •<-�n� Date (XJ �J VALIDATION 0 ❑ Over 10 to 50 Incl. FIN W I am exempt under Sec. Over 50 to 100 Inc. BY B.&P.C. for this reason Over 100 Z Dat Services, Swbd., MCC& Panelboords 0 -200 Amp. Under 600 V/4" D 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 . HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): ❑ I, as owner of the property, will do the work and the Misc: Conduits & Conductors structure is not intended or offered for sale (Section Other (See.Complete Fee Schedule)— 2 9 9.6 A 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY #.0.0 0 o o,2 I hereby affirm that there is a construction lending agency for ° ° 3 Z 5 0 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) 1 (Sec. 3097, Civ. C.). PLAN CHECKING'FEE ° ° o 3 2 5 0 5 Lender's Name .�,2 0.-�-8 6 PERMIT ISSUING FEE Lender's Address a 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 hereby authorize representatives of this County to enter upon the abave-mentionedj6roperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 4 Signai re of rmittee Date D.B.S.-17 25M SETS 6-46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBINU J Wm.J: FOX.CHIEF ENGINEER NATURE OF ,INSTALLATION DISTRICT No._ GROUP ZONE P RMiT.NO. ROUGH FIXTURES COMPLETE . HEATER CESSPOOL -I SEPTIC TAN RECEIVED BY READY FOR DATE-ISSUED' FIRST INSPECTION GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY l NAME 1� �^"�-- ADDRESS W i ADDRESS r�-�� C• ` LOCALITY n v O - -NEAREST d CITY �f dtfi' TEL.NO. 1 CROBB ST. - w/ COUNTY �' ./ - �• ' CERT.No. EXPIRES 'W NAME LOCATION OF-SEPTIC TANK, OR CESSPOOL z MAIL �� a 3: A D D R ESS / NORTH O CITY TEL.No. a .✓G 1-AM THE LEGAL P089E980R OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. - PLUMBER I AM THE LEGAL OWNER OFTH PROPERTY DESCRIBED - ABOVE. y �.�r.G� OWNER 1117 N CORRECTIONS SOUTH J DESCRIPTION. OF WORD z BATH TUB FURNACE /i SHOWER DISHWASHER ( `LAVATORY, L REFRIGERATOR, . KITCHEN SINK li WATER SOFTENER - - FLOOR SINK SAND TRAP - SLOP SINK FLOOR DRAIN WASH TRAY. URINAL ,APPROVALS. _WATER CLOSET DRINKING FOUNTAIN' DATE - irbaPecTOR's NAME WATER HEATER - DENTAL LAVATORY ROUGH PLUMBING I//O --,3/- I METER GAS SODA FOUNTAIN. GAS PIPING I•L ( / Iv'�//>S OUTL GAS VENT . CESSPOOL TOTAL NUMBER OF FIXTURES V SEPTIC TANK CE88P00� f+EPT[C TANK SEWER $ µ UTILITY CO.NOTIFIED 16 J ✓�Q-�/� I/�t/7� TOTAL FEE FINAL