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76A663 DBB 3A 11 49 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �� I
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
ELECTRICIAN L. — / 171 1 / ( —5-7
RECEIVED BY READY FOR DATE ISSUED
ADDRESS I FIRST INSPECTION
CITY TEL.NO �Q
COUNTY LICENSE �/�0��NO EXPIRES ADDRESS da'VCAA
PERMIT FEES N'�¢
NUMBER OUTLETS EACH FEE LOCALITY /
�L LIGHT 5c $ NEAREST
CENS
RECEPTACLES 5 _ fJ
FIXTURES 5 O OWNER
WALL SWITCHES 5 MAIL/
ELEC RANGES 25 I ADDRESS
ELEC HEATERS 25 CI / Q . Fy/T I NG
MISC
NUMBER OF CIRCUITS INSTALLED I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
TOTAL 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 HORSEPOWER FEE I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NEw MVD HP OVER INC EACH ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
V2 & LESS 25
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
$
I/2 2 50 SIGNATURE OF
2 5 100 , PERMITTE e'� -` _'��•
5 15 1 50 � INSPECT N RECORD
15 so 250 v
50 200 5 00
200 500 1000 _
BDO 1000 1500 J
OVER 1000 2000 ,/ Z
M G SET/FREW CHANGER HP [�
WELDERS AC KVA
GENERATORS KW O
TRANSFORMERS - KVA
TEMP MOTORS (75% OF ORIG)
_ MOVED MOTORS X75% OF DRIG)
MIBC
sIGNs
TYPE NO TRANS
TYPE N0 LAMPS APPROVALS
FOR EACH PERMIT DATE INSPECTOR 9 NAME
WIRING ti $1 OO CONDUIT
FIXTURES $1 00 WIRING
SUPPLEMENTARY 50 FIXTURES
1POWER
TOTAL FEE $ '- 139UTILITY CO NOTIFIED
FINAL
78A863 C�Boe ,0,74 APPLICATION '�J]Rp�`�E'/(L'ECTR AL PERMIT
4'�/��•_
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS —_54:l> 44
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST ,n a. �-e
OUTLETS r NO EACH FEE OWNER
NAM �N
$ $
RECEPT MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS Q
OVER 20 CIT �t TEL NO
Et
SWITCH 10 PLAN CHECK
LIGHTING
FIRST 20 APPLICANT
�
TOTAL 25 ADDRESS
FIXTURES t OVER 20 Ip
RESIDENTIAL APPLIANCES clrY TEL NO
RANGE DRYER_WTR HTR" PERMITAPPLICANT
STA COOK DISP F A U ADDRESS
SPACE HTR AIR COND CITY NO
CLOTHES WASH DISHWASH LICENSE OR CLASS
REG NUMBER
FAN OTHER 100 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
0 — 1 100 LICENSED AS RED IRED BY LOS ANGELES COUNTY AND STATE OF >_
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE 13-
DESCRIFEDDE NTIAL PROPERTY C:)I — 10 300 C.>
zPERMITEE I=
10 — 50 500 SIGNATURE F—
U
50 — 100 1000 uA
DISTRICT 001 ROCES7ED BY
CL
100 — SOO 1 J 00
d U
SIGN GASSIGN AND ONE CIRCUIT Soo APPROVALS DATE INSPECTO941SIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 1001 TEMP POWER POLE
SERVICENOTOVER600 VOLTS OR 200AMP 300 UNDERSLAB WORK
SERVICEOVER600 VOLTS OR 200AMP 1000 ROUGH CONDUIT
TEMPSERVICE POLE &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED �+J
FINAL
PERMIT FEE (SUB TOTAL) NOTES
'r
PLAN CHECK FEE
PERMIT ISSUING FEE 300 S u
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M o CASH
~ 4 5`3 r-1 3 2 9.0 0 ♦�o
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663 CE806 10,74 APPLICA O R ELE"CAL PERMIT
t COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS g R
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE OWNER OR
$ $ FIRM NAME C7 WK7
\ RECEPT_ MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS 0
CITY t TEL NO
SWITCH_ OVER 20 1p
PLAN CHECK
LIGHTING l TOTAL FIRST 20 25 APPLICANT
FIXTURES iD
Jy
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR APPLICANT
STA COOK DISP F A U ADDRESS
SPACE HTR AIR COND CITY TEL NO
CLOTHES WASH DISHWASH LICENSE ORCLASS
REG NUMBER
FAN OTHER 100 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
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF �.
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE
DESCRIFEIDENTIAL PROPERTY
1 - 10 300 C..7
PERMI E
10 - 50 500 SIGNAT
F-1
U
50 - 100 1000 LLJ
OISTRIC PRO SSED BY N
100 - 500 1,00 �� O o 1Z
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPEC SSIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVICENOTOVER600 VOLTS OR 200AMP 300 UNDERSLAB WORK
SERVICE OVER 600 VOLTS OR200AMP 1000 ROUGH CONDUIT
TEMPSERVICE POLE &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300 5D
TOTAL FEE O
PLAN CHECK VALIDATION c'k M Q CASH PERMIT VALIDATION CK M 0 CASH
27Ot-0ML e-b 2 0 -900A�k
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ^ v :
76A663_CE80610,76 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER gooREss
BUILDING AND SAFETY DIVISION
LOCALITY
---
, NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS N0, EACH FEE OWNER OR
j $ $ FIRM NAME -
REC EPT.f MAIL - -
FIRST 20 25 _ ADDRESS
LIGHT TOTAL
CITY TEL. NO..', '
SWITCH_ OVER 20 10
PLAN CHECK
LIGHTINGFIRST 20 25 APPLICANT
TOTAL ADDRESS
FIXTURES OVER 20 10
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT '
RANGE DRYER_WTR. HTR._ APPLICANT -''y'° - ✓w_ -
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR, AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE OR
REG. NUMBER CLASS.
FAN - OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 1 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 �
O - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Q
CALIFORNIA ORTHAI I AM THE LEGAL OWNER OF THE ABOVE U
1 - 10 3.00 DESCRIPED RESIDENTIAL PROPERTY. LLI
10 - 50 5.00 P E R M I T E E
SIGNATURE .
50 - 100 10.00
DISTRICT N0, PROfESSED Y
100 - SOO 15.00
SIGN, GASLLI
SIGN AND ONE CIRCUIT 5.00 APPROVALS ;DATE INSPECTOR'S SIGNATURE F-
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE, POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 ¢f }
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
6.5
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76,4563 DBS SA 7 s, APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY ELEC
r
COUNTY OFF LOS LOS ANGELES
WILLIAM J FDX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN
DISTRICT GROUP ZONE PERMIT NO
r% IA-1 CC-?` 666
ELECTRICIAN
RECE VED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION 7 (/,., ..-
CITY TEL. NO -�-+""
COUNTY LIOEI SE NO EXPIRES BUILDING
ADDRESS � � =h j,'�fT
/I
PERMIT FEES A /C'
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES ¢, CROSS ST
WALL SWITCHES OWNER ,,,w4 J ln+ .P -a-t ¢
TOTAL OUTLETS Sr $ -05 40 MAIL
ELEC RANGES 25 ADDRE�SyS''' -'}�,/�.�jy / yf'� '�
ELEC HEATERS 25 CITY / �Z:W /-�' Ir// TEL NO
FIXTURES 9 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC APPLICATION AND STATE THAT THE ABOVE 19 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 I POSSESS THE ABOVE VALID LOS
NumsrR HORSEPOWERANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
FEE
NEW MVD HP OVER INC EACF, OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
U= & LESS $ 25 SIGNATURE O
1/2 2 s0 PERMITTEE -
2 s 1 00 INSPECTION RECORD V
5 15 1 50
is s0 250 '1 " JL —
_ s0 zoo 500
�-
200 Sao 1000
' -1
_ 500 1000 1500 / Z
OVER 1000 2000
2
M G BET/FREQ CHANGER HP
WELDERS AC KVA
GENERATORB KW
TRANSFORMERS KVA
TEMP MOTORS (75% OF DRIB) _
MOVED MOTORS (75% Or DRIG)
MISC
8113 N S
NO NO TRANS.
APPROVALS
NO NO LAMPS T
DATE INSPECTOR 9 NAME
FOR EACH PERMIT
WIRING 01 00 CONDUIT /)
FIXTURES $1 DO WIRING
i c
SUPPLEMENTARY SO FIXTURES
POWER
TOTAL FEE f� UTILITY CO NOTIFIED
FINAL
r anthony. . . -f')Pke ul ll '/ [�
76A663 CE806 1171 APPLICATION FOR ELECTRICAL PERMIT lul
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
212 Farago Ave.
BUILDING AND SAFETY DIVISIONDO
LOCALITY Temple City
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
FFIXTURRES
TS NO EACH FEE
OWNER Mr. Jack Brown
$ $ MAIL
TOTAL IRST 20 2 25 50 ADDRESS aS Ob
2 CITY TEL NO 44 2- 6440
OVER 20 1pPLAN CHECK
APPLICANT
TOTAL FIRST 20 1 252 OVER 20 ADDRESS
1 10
RESIDENTIAL APPLIANCES CITY TEL NO
RANGE DRYER_WTR HTR PERM—APPLIT
Cobine Electric Co.
STA COOK DISP F A U ADDRESS 1607 Chestnut St.
SPACE HTR AIR COND CITY Alhambra TEL NO 2820 1
CLOTHES WASH DISHWASH LICENSE NO 84CLASS c-10
FAN OTHER 100I 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
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO O
1O 1 300 3 . 00 RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY V
SIGNATURE
10 — 50 500 OF PERMITTEE
50 — 100 1000
DIS RIOT NO CLASS E S B L!J
1 00 — 500 1500 37 ; 3
N
Z
SIGN GAS=,,GN ONE CIRCUIT 500 NOTES
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER 600 VOLTS OR 200AMP 300
APPROVALS DATE INSPECTOR S SIGNATURE
SERVICEOVER 600 VOLTS OR 200AMP 1000
TEMP POWER POLE
TEMPSERVICE POLE &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONDIUT
WIRING
FIXTURES
PERMIT,,FEE (SUB TOTAL)
3 ?5 POWER AUTHORIZED
UTILITY CO NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 300
TOTAL FEE 6.75
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH
L;' ,o 7, 6 2 4- AUG 21 2 0 617 J~
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE U
WORKERS COMPENSATION DECLARATION 63
CE806G (2 801 APPLICATION FOR ELECTRICAL PERMIT
CE 8
I hereby affirm that 1 have a certificate of consent to self C6UNTY OF LOS ANGELES BUILDING AND SAFETY
insure or a certificate of Workers Compensation Insurance or
a certified copy thereof(Sec 3800 Lab C)
FOR APPLICANT TO FILL IN
JOB
Policy No Company EACH NO FEE ADDRESS
DNew Residential Bidgs &Pools _
Certified copy is hereby furnished 1 &2 Family Sq Ft $ $ LOCALITY
❑
CROSST
S
r
Certified copy is Bled with the county building inspection Multi family Sq Ft
department Residential Swimming Pools OWNER OR
FIRM NAME
Date Applicant Outlets Re4-1Light3 Sw MAIL (IL4
First 2 e-
CERTIFICATE OF EXEMPTION FROM WORKERS Total No Additional CITY Tel No
COMPENSATION INSURANCE PLANCHECK a
}
(This section need not be completed if the work involved APPLICANT p
by the permit is for one hundred dollars ($100) or less) Lighting Fixtures First 20 ADDRESS U
Total No Additional it
I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No 0
permit is issued I shall not employ any person in any manner PERMIT ()
so as to become subject to the Workers Compensation Laws Range_ Heater_D W APPLICANT7/Yt W
Oven _ Dryer_W M ADDRESSN
Z
Top _ FAU _W H 1 ,/ 76
Date Applicant '7
Hood — Fan _Other_ CITY Tel No
NOTICE TO APPLICANT If after making this Certificate of Disp _ Room Air Cond_ ILICENSE OR
Exemption you should become subject to the Workers REG NUMBER Class
Compensation provisions of the Labor Code you must forth Power Apparatus& Large Appliances DISTRICT NO PROCESSED BY
with comply with such provisions or this permit shall be Size&Type HP KW KVA or KVAR i � Q
deemed revoked & /
Up to 1 Incl
FINAL �
/�
LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl DATE —Z-61VALIDATION
Over 10 to 50 Incl
I hereby affirm that I,am licensed under provisions of Chapter Over 50 to 100 Inc FINAL
9 (commencing with Section 7000) of Division 3 of the Busi Over 1BY rV-t'
ness and Professions Code and my license is in full force and `
effect Services
License Number Lic Class 0 200 Amp Under 600 V
201 1000 Amp Under 600 V
Contract o 1/ ate Z� Over 1000 Amp or Over 600 V
HOME OWNER BUILDER DEC ARAT ON Temp Power Pole&Appurtenances
I hereby affirm that I am exempt from the Contractor s Sign with One Branch Circuit
License Law for the following reason (Section 7031 5 Busi Additional Sign Branch Circuits
ness and Professions Code)
Misc Conduits& Conductors -9 4 6 2
I as owner of the property will do the work and the Other (See Complete Fee Schedule)—
structure is not intended or offered for sale (Section # o \ 2
7044 Business and Professions Code)
CONSTRUCTION LENDING AGENCY 2�0 4 0
I hereby affirm that there is a construction lending agency I
for the performance of the work for which this permit is PERMIT FEE (Sub Total)
issued (Sec 3097 Civ C) - ° ° 2 4 czi
Lender s Name PLAN CHECKING FEE (One Fourth Permit Fee) 0 2 8—8 2
1
Lender s Address PERMIT ISSUING FEE o ra *t
y�. 0 0 0 i b
I certify that I have read th application and state that the TOTAL FEE 1 o 0 o i
above mf tion is co ect a ree to comply with all`County N N o a-
ordma es a d State I w re ulating Electrical wiring and l o g
here b a ri e r pr s ativ s of this County to enter upon _ Op -1 J o C4
the o on d r ert for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE N O O
N
i
�V1syn/ s 2 1 CH
1 o e Date
it �