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76A663 CES06 f0 61 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPkRTMENT OF COUNTY ENGINEER FNEAREST
ING
BUILDING AND SAFETY DIVISION ESSvla Ak
JOHN A LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUP T OF BUILDING ITY
FOR APPLICANT TO FILL IN ST .�
1 T E M NO EACH FEE /
OUTLETS (FIRST 20) $20 $ OWNER 4
LIGHTS RECEPT SW MAIL O
OUTLETS (ADD'L UNITS) IO ADDRESS V
LIGHTS RECEPT SW
LIGHTING FIXTURES (FIRST 20) 20 CITY 142,169 1, TEL NO
LIGHTING FIXTURES (ADDITIONAL) 10 ELECTRICIAN
RANGES CLO DRYERS WTR HTRS 100 ADDRESS
!I
GARB DISP STA COOK
CITY TEL NO
DISHWASH AUTO-WASH $TATE
SPACE HTRS STA APP (I/a H P MAX ) 50 LICENSE NO
MOTORS OVER NOT OVER HP DIST g1P�T IO GROUP Z E PR SSED BY
O 1 1 00 (ate <
1 3 15 JNXECTION R ORD
r
3 B 200
O
8 15 250 U
G'
15 50 300 O
50 100 500 rW
a
SIGNS NO TRANSH
NO LAMPS L
SERVICE O 600V NOT OVER 200A 100
SERVICE O 600V OVER 200 A 1200
SERVICE OVER 600V Soo
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI ATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
LrSCRIBEDSIDENT L PROPERTY REPOWER
SIGNATURE T UTILITY CO NOTIFIED 1 ✓I
OF PERMITTEE
FINAL
VALIDAT0 ARTHUR C7 VETT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LACO2367k.- a&31 , 2 D 1.50-
78A883 CE608 10 81 APPLICATION FOR ELECTRI AL PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
1 T E M NO EACH FEE
OUTLETS (FIRHr 20) 0 ECCH H $ A� OWNER C?
LIGHTS RECEPT SW _2O (1_L, MAIL
OUTLET (ADD'L UNITS) f0 /1 ADDRESS
LIGHTS RECEPT SW
T�
LIGHTING FIXTURES (FIRST 20) 20 CITY J C G EL NOT
LIGHTING FIXTURES (ADDITIONAL) 10 ELECTRICIAN GU
RANGES CLO DRYERS WTR HTRS 100 ADDRESS
GARB DISP STA COOK
CITY TEL NO
DISHWASH AUTO-WASH STATE
SPACE HTRS STA APP (1/.H P MAX ) 50 LICENSE NO
MOTORS OVER NOT OVER HP DISTRIC 13P ZON P ,'E D
0 t 100 'S ,
1 3 150 INSPECTION RECORD
. r
3 8 200 f
8 15 1250 �. A/1 ,/ / ce
V
15 50 30 / Iv- ef O
50 100 500 CLW
SIGNS NO TRANS J' J/ 0)
NO LAMPS /_, - ZN
A
SERVICE O 600V-Nor OVER 200A 100 /
SERVICE 0-600V OVER 200 A 200
SERVICE OVER 600V Soo
MISC -
�� ��
r p
PERMIT ISSUING FEE 2 00
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE � -
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATI N APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT 7 /
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE L O ER OF•THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY POWER ,�p
SIGNATURE�� UTILITY CO NOTIFIED 4,� 8A JA097 III Ig
OF PERM[
FIJ
NAL
VALIDATI —�) ARTHUR C VETT
S
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
D69 'AliJs1 2 D 13 .7
���2�
D95$-A 4-46 r A PLICATION FOR PERIM
,DEPARTMENT OF BUILDING AND SAFETY Ara aua�ta a v au�iai
COUNTY OF LOS ANGELES ELECTRIC
WM J FOX.-CHIEF ENGINEER
Z DISTRICT NO. GROUP ZONE PERMIT NO.
Q NAME spy
ADDRESS
jtj:CE%f Y READY FOR I DATE ISSUE
CITY TEL NO FIRST INSPECTIONA COUNTY
�y1
W CERT NO EXPIRES ® •i�
APPLICANT FILL IN HEAVILY OUTLINEII PORTION ONLY
JOB
DESCRIPTION OF WORK -ADDRESS/f IS AtC /11/1fo
NUMBER OF OUTLETS ON CIRCUITS LOCALITY e1 I411
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS ISW PLUGS FIXT CROSS STc
CIRCUIT A I B C D I E I F G lH w NAME dill
ZMAIL
ADDRESS
O
CITY , TEL NO
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGKLFS COUNTY CERTIFICATE OF QUALIFICATION.
ELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROOPP�ERTYDESCR BED
B
AOVE �
f (X 09VNER
CORRECTIONS
J
Q
Z_
O
TOTAL i
NO. OF OUTLETS y
S O 0 APPROVALS
I NO OF FIXTURES $ o DATE INSPECTOR'S NAME
NO OF MOTORS H P. $ CONDUIT
NO OF SIGNS TRANS. $ WIRING
NO OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE UTILITYCO NOTIFIED
b
TOTAL FEE ��' �'° FINAL
DB9 5-A 12-44 �M—��0� FOR�
' PERNW
"IIDEP�$TMENT OF BUILDING AND ELECTRIC
D COUNTY OF LOS ANGELES
WM J. FOX CHIEF ENGINEER
a NAME DISTRICT NO. GROUP ZONE PERMIT/NO.
ADDRESS —/ 09
CITY IRECIIVED BY READY FOR DATE ISSUED
J COUNTY A �" FIRST INSPECTION
W CERT NO EXPIRES �� 6
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLYJOB
/
(DESCRIPTION OF WORK —ADDRESS � A��I A Btu
NUMBER OF OUTLETS ON CIRCUITS LOCALITY0
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS Isw I UGS I FIXT CROSS ST ^ ffke A O
CIRCUIT A B C D I E F G 1H R NAME <� 3
Z MAIL
3 ADDRESS
O d'
CITY TEL NOS
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGRI Ir COUNTY CERTIFICATE OF QUALIFICATION.
ELECTRICIAN.
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
I OWNER
CORI6yMONS
I
0
TOTAL
NO. OF OUTLETS $ APPROVALS
1 NO OF FIXTURES $ DATE INSPECTOR'S NAME
NO OF MOTORS H P $ CONDUIT
NO OF SIGNS TRANS $ WIRING ®
NO OF RANGES OR HEATERS $ FIXTURES d
MISCELLANEOUS $ POWER
PERMIT FEE $ C) U UTILITYCO NOTIFIED ( /
TOTAL FEE __ FINAL r
7GA663 DBS 6A 6-49 ® APPLICATION FOR PERM
DEPARTMENT OF BUILDING AND SAFETY � ELECTRIC� �� � � _
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
DISTRICT NO., GROIPJ ZONE PERMIT NO.
FOR APPLICANT TO FILL IN
ELECTRICIAN
RECEIVED BY READY FOR DAT ISSUED
ADDRESS � FIRST INSPECTION `Z� /2/r
CITY TEL NO / f/ry�
COUNTY LICENSE NO EXPIRES BUILDIN
ADDRESS / / Q
PERMIT FEES
FEE
NUMBER OUTLETS EACH LOCALITY it �
1*n LIGHTS 5c Is n NEAREST
CROSS ST
RECEPTACLES 5 •
FIXTURES 5 I .L7 OWNER
WALL SWITCHES 5 MAIL `,.,,
I ELEC RANGES 25
ADDRESS 'q'f 3V,�.G' +G -n 1
ELEC HEATERS 25 CITY FsGt .� .1G g!
ITEL NO
MISC 1 HEREBY�ACKNOWLED E THAT 1 HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS - AND STATE LAWS REGULATING ELECTRICAL WIRING
NUMBER HORSEPOWERI CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD HP OVER I INC EACH
IOF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
vi a LESS $ 25 +
+/x 2 50 SIGNATURE OFA�
2 5 1 00
5 15 1 so INSPECTION RECORD
1 Is so 2 so �wz -
50 200 5 00
200 500 10 00 !-7 D L ! X
Soo 1000 15 00 + .0 O p,1 /
OVER 1000 20.00 Z
M G SET FREQ CHANGER-HP 0
WELDERS AC KVA Q'0
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (75% OF ORIG )
MOVED MOTORS (75% OR ORIG )
MIS-
SIGNS
TYPE NO TRANS
TYPE NO LAMPS APPROVALS p'
FOR EACH PERMIT
DATE INSPECTOR'S NAME
WIRING $1 00 CONDUIT
FIXTURES 1 00 o C;� WIRING '� 2•!��'U ..�G� -
SUPPLEMENTARY 50 FIXTURES
�7 ® POWER
TOTAL FEE $ G. UTILITY CO NOTIFIED / J /
FINAL /a
t,
eOVERS' COMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT
i►hereby,ibffirm that I have a certificate of consent to self CE 8066
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 jv -�+ ` /�
Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS / / .1.
❑ 1 & 2-Family, S Ft $ _ $ LOCALITY
NEAREST Certified copy is filed with the county building inspec- y� q
tion department Multi-family Sq Ft CROSS ST �(� V F✓ m
Date Applicant Residential Swimming Pools OWNER OR /'�
!!// FIRM NAME / r
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec�Light WSW MAIL
COMPENSATION INSURANCE O ADDRESS
First 20
(This section need not be completed if the work involved by Total No Additional - CITY $� el 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 APPLICANT �� G
permit is issued, I shall not ploy any person in any ma er
so as to become subject to th Workers'Compen do s Lighting Fixtures First 20 ADDRESS
Total No Additional CITY Tel No
Date Applican Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT If, fter making this a tate of APPLICANT .-1 QLA 141
Exemption you should be a subject to the Workers' Range_ Heater_D W —
Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — W M — ADDRESS
with comply with such provisions or this permit shall be Top — FAU —W H —
deemed revoked Hood _ Fan _ Other_ CITY Tel No
LICENSED CONTRACTORS DECLARATION LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond REG NUMBER Class
(commencing with Section 7000) of Division 3 of the Business DISTRICT NO PRO BY >_Power Apparatus& Large Appliances c/
and Professions Code, and my license is in full force and effect Tj�64,
�( O
Size&Type HP, KW, KVA, or KVAR �/ v V
License Number Lic Class Up to 1 Incl FINAL O
Over 1 to 10 Incl DATE
Date ate VAII ION b
aOver 10 to 50 Incl FINA W
I am exempt under Sec Over 50 to 100 Inc BY
B &P C for this reason Over 100 Z
Date Services, Swbd , MCC& Panelboards
0 -200 Amp Under 600 V—
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) 2 3 2 Q O A
j, as owner of the property, will do the work and the Misc Conduits &Conductors # 0 0 0 0 0 2
structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_
7044, Business and Professions Code) 1 0 033,00
CONSTRUCTION LENDING AGENCY 0 0 0 0 0 0
j hereby affirm that there is a construction lending agency for Q
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
Lender s Address
I certify that I have read this application and state that the TOTAL FEE 33 ,001
above information is correct I agree to comply with all County
ordinances and State jaws regulating Electrical wiring, and
hereby authorize representatives of this County to enter upon
the above-mentioned pr erty for ection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
, e of P r t Date