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Home My Public Portal About9837 ESTRELLA AVE_Electrical__ 7SA663 GBS SA 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �1`209(Do� WILLIAM FOX, CHIEF ENGINEER / DISTRICT NO. GROUP ZONE PERMIT N FOR LICAN�T F LL IN / J� 'ALS '� 9 ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRESS 1 FIRST INSPECTION I `_ CITY I ' TEL. NO COUNTY LICENSE NO. ' r EXPIRES BUILDING -`Jl PERMIT FEES ADDRESS v r FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES WALL SWITCHES 3 G OWNER /{ TOTAL OUTLETS5c g Z ' MAIL / ELEC. RANGES 25 ADDRESS ELEC. HEATERS 2s CITY TEL NO. FIXTURES I..� ' SS - I HEREBY ACKNOWLEDGE THAT. 1 HAVE READ THIS MISC. .f/�+v '• APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITB AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. A MOTORS I CERTIFY THAT��I 1POSSESS-THE ABOVE VALID LOB NuenecR HORSEPOWER ANGELES COUNTY -fCENSE. OR 1 A� THE LEGAL OW ER HUM .. HP DvcR wc. cACH OF THE RESIDENT AL�PROPERTY DE C IBED ABO I/p s LE3R $ .25 SIGNATURE OF -yc 1 I/z 2 .50 PERMITTEE 2 5 1.00 INSPECTION—RECORD 5 15 1.50 15 50 2.50 / /^ so 200 5.00 �f (�--' (y 200 Sao 10.00 Y/ J Soo 1o00 15.00 /_ / ' Z OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA aj Q — ! D GENERATORS - KW PI- f� TRANSFORMERS - KVA J I� TEMP. MOTORS (75% OF MOVED MOTORS (75% or ORIG.) MISC. sloNs `r Y 6✓ E'R /r /S NO. NO.TRANS. G NO. NO. LAMPB rlIy --,APXROY-FLS FOR EACH PERMIT: DATErr INSPECTOR'S NAME WIRING $1.00 CONDUIT pert! L4� FIXTURES $1.00 WIRING U R RS K Z.- i��f 11 SUPPLEMENTARY .50 FIXTURES POWER v ' TOTAL FEE G UTILITY CO. NOTIFIED ,I / FYI FINAL l I vvI •Y� WORKERS'COMPENSATION DECLARATION 76-603 to/et APPLICATION FOR ELECTRICAL PERMIT {� I hereby affirm that I have a certifzateof consent to self insure, CE-806G 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. Company FOR APPLICANT TO FILL IN JOB EACH NO. FEE ADDRESS ❑ Certified copy is hereby furnished. New Residential Bltlgs.& Pools � _ • ❑ 1 & 2-Family,Sq.FL $ — S LOCALITY -/4� G Certified copy is filed with the county building Inspection department. Multi-family Sq.Ft. — NEAREST G j��/N CROSS ST: !/ Date Applicant Residential Swimming PoolsOWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec_ Light Sw. MAIL COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by the First 20 Total No. Additional CITY Tel.No. permit is for one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit PLAN CHECK is issued, I shall not employ any person in any manner so as.to APPLICANT become subject to the.Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS -/ -�d / r/J /4E G le Total No. Additional CITY Tel.No. Date Applicant r making s of Fixed Appliances Not Over 1 HP PERMIT /n� •�ry� NOTICE TO APPLICANT: If, after making this Certificate of - APPLICANT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ DW. provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M._ ADDRESS I51LfN�'�jN y7GL provisions or this permit shall be deemed revoked. Top — FAU W.H. �7 q.T LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ CITY L'rA Y)�FN Tel, I hereby affirm that I am licensed under provisions of. Chapter 9 Disp. ROOM Air Cond. LICENSE OR •� Glass. G l� (commencing with Section 7000) of Division 3 of the Business and REG.NUMBER J Professions Code,and my license is in full force and effect - Power Apparatus& Large Appliances DISTRICT N PROCESS BV r r;rt �fj� Size & Type HP, KW,KVA,or KVAR x O License Number �nld 7 J Lia Class /�?L[>1 qL/� Up to 1 Incl. FINAL /� U Contractor4- "t�4,6eZR14te a �/' T / V Over 1 to 10 doi DATE I/ U Y ALIDATION ❑ Over 10 to 50 Incl. FINAL F I am exempt under Sec. Over 50 to 100 Inc. W BY B.&P.C.for this reason Over 100 C Services,Swbd., MCC& Panelboards V N Date: 0 - 200 Amp.Under 600 V z Signature 201 - 1000 Amp.Under 600 V ❑ Exemption for Reg.MainOver 1000 Amp.or Over 600 V Maine Elect. SINGLE FAMILY Temp.Power Pole& Appurtenances n , HOME OWNER-BUILDER DECLARATION - Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits HCT.r Code): .._ 33O7 di.O0 ❑ Misc. Conduits & Conductors - I,as owner the property, will do the work and the structure Other(See Complete Fee Schedule) _ ITEM is not intended d or offered for sale (Section 7044, Business and Professions Code). ® TOTAL 36 - 00 CONSTRUCTION LENDING AGENCY CHECK 35,100 I hereby affirm that there is a construction lending agency for the CHANGE .00performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). PLAN CHECKING FEE Lender's Name 13OOO-0001 8/17/90 PERMIT ISSUING FEE -. Lender's Address .D 247 1 AM 7:e'' 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 properly for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE lgnatyr Perml to SDate _..