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HomeMy Public PortalAbout5221 FARAGO AVE_Electrical__ 75AGO3 CE9061059 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING ) Farago BUILDING AND SAFETY DIVISION ADDRESS 21 l�7T e JOHN A LAMBIE COUNTY ENGINEER WILLIAM A JENSEN SUP T OF BUILDING LOCALITY Temple City FOR APPLICANT TO FILL IN NEAREST Freer PERMT FEES CROSS ST 1 T E M NUMBER I EACH FEE OWNER Robison OUTL $ $ MAIL LIGHTS RECEPT SW p8 10 8o ADDRESS LIGHTING FIXTURES 8 10 80 CITY TEL NO ELEC RANGES CLO DR RS ELECTRICIAN Conlee & Son Electric WATER HEATERS 50 ADDRESS1030 No Grandview Ave„ ELEC SPACEHTRB DISHWASHERS CITZO. San GabrielTEL NoAto0-200 GARBAGEDISPOSERS) AUTO STATE WASHERS STA COOKING UNITS �r 1 2 25 50 LICENSE NO 137567 C X10 MOTORS OVER INC HP DISTRICT GROUP XNE I PSSwr ' O— 1/2 25 1/2— 2 50 INSPECTION RECORD 2— 5 100 5— 15 150 15— 50 250 50-200 500 157 SIGNS NO TRANS NO LAMPS SERVICE O BOOV too QQ SERVICE OVER 600V 500 MISC 1 WIRING PERMIT 100 1.00 FIXTURE PERMIT too 1 00 SUPPLEMENTARY PERMIT 50 TOTAL FEE S 1 O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA ORTHAT 1 TH `LEGAL OWNER OF THE ABOVE y` DESCRIBED RESIDENTI PR PER ` POWER SIGNATURE UTILITYCO NOTIFIED s1 OFPERMITTE / nxQu M FINAL �I ®P (7ATON ARTHUR VETT r cK Mo CASH SUPERVISINN G ELECTRICAL ENGINEER L 1-,o 7 9 7 2 D 7 1 L� {� 76A66'CE806 110/72 i;APPLICATIi�N ?dk ELE�T I AL PERMIT u COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB ` 1 i lZ BUILDING AND SAFETY DIVISION ADDRESS �! �'� LOCALITY I 1 C..bCrt r NEAREST FOR APPLICANT TO FILL IN CROSS ST OZTLETS NO EACH FEE OWNER CM t FIRM NAME RECEPT led MAIL S $ �� ADDRESS ��--� ✓ J� CA LIGHT TOTAL FIRST 20 25 CITY / TEL NO SWITCH `L © OVER 20 10 PLAN CHECK s I � APPLICANT LIGHTING FIRST 20 25 TOTAL ADDRESS FIXTURES ZOVER 20^ 10 RESIDENTIAL APPLIANCES CITY I TEL NO -� RANGE DRYERPERMIT_WTR HTR APPLICANT STA COOK'_ DISP F A Uf ADDRESS SPACE HTR AIR COND \ CITY TEL NO OR CLOTHES WASH DISHWASH R GENSE UMBER U V CLASS ' FAN - 100 / /� I HEHEBI ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION V 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 IN TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 Q U LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE `r 1 - 10 300 OEscRIf ED RESIDENTIAL PROPERTY a PERMITEE 10 — 50 500 SIGNATURE O 50 — 100 1000 DISTRICT NO PROCESS D BY W 100 — 500 t 0o OQ y C/ Z_ ,SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTO SIGNATURE TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 _ TEMP POWER POLE SERVICENOTOVER 600 VOLTS OR 200AMP 300 UNDERSLAB WORK SERVICEOVER 600VOLTS OR200AMP 1000 ROUGH CONDUIT TEMPSERVICE POLE &APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES I POWER AUTHORIZED UTILITY CO NOTIFIED ` r FINAL PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 300 �Q I TOTAL FEE PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M o CASH 1 2 SEP 26 2 © 8 ®fin SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76AG63C CES0813 I2/75 APPLICATION FOR ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN JOB �� New Residential Bldgs &Pools EACH NO FEE ADDRESS 1 &2 Finaily Sq Ft $ — $ LOCALITY Multi family Sq Ft — NEAREST Residential Swimming Pools CROSS ST OWNER OR FIRM NAME Outlets Light Switch &Receptacle 6 ADDRESS , First 20 -in A 190010 Additional CITY Tel No ' PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS , Additional CITY AQQ0,0,jtjITeI No PERMIT1 If Fixed Appliances Not Over 1 HP APPLICANT AA 1 Range Heater D W ^ ADDRESS Oven Dryer W M Top FAU WH CITY Tel No Hood Fan LICENSE OR REG NUMBER Class O Disp AC c� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I- Size&Type HP KW KVA or KVAR ELECTRICAL WIRING W UUp o_ p to 1 Incl I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE Over 10 to 50 Incl DESCRIBED RESIDENTIAL PROPERTY Over 50 to 100 Incl PERMITEE Over 100 SIGNATURE DISTRICT NO ROCESSE BY Services ^ a 0 200 Amp Under 600 V J 201 1000 Amp Under 600 V APPROVALS DUE INSPECTOR S Over 1000 Amp or Over 600 V SIGNATURE TEMP POWER POLE Temp Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub Total) UTILITY CO NOTIFIED PLAN CHECKING FEE (One Fourth Permit Fee) FINAL PERMIT ISSUING FEE N NOTES TOTAL FEE PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK M O CASH 8 4 5 AjP 6 2 ® 2 3.y C) A�- r WorCOMPENSATION DECLARATION 63 10/81 APPLICATION FOR ELECTRICAL PERMIT I herby affirmm that I have a certificate of consent to self CE CE 8 806G r irsurt- 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 ADDREnl� O Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE SS u� J-) f r S — '(� ,� '� ` Certified copy is filed with the county building m 1 & 2 Family Y q Ft $ $ LOCALITY tion department Multi family Sq Ft171 NEAREST i CROSS ST Residential Swimming Pools OWNER OR Date Applicant Q_ CERTIFICATE FIRM NAME DUe CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec_JLight Sw_ IL COMPENSATION INSURANCE ADDRESS fav First 20 6 (This section need not be completed if the work involved by Total No� Additional � CITY Tel `No the permit is for one hundred dollars ($100)or less ) PJAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued I shall not employ any person in any manner �l f� so as to become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS VW r�(Q,(), - Total No Additional CITY Tel No Date Applicant Fixed Appliances Not Over 1 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 with comply with such provisions or this permit shall be Top _ FAU —W H — CITY Tel No deemed revoked Hood Fan _ Other_ 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 Power Apparatus & Large Appliances DISTRICT NO PROC �BY S >_ and Professions Code and my license is in full force and effect /�� O. Size & Type HP KW KVA or KVAR 1 (J O License Number Lic ClassUp to 1 Incl FINAL U DATE + 19 Over 1 to 10 Incl VALIDA N O Contractor Date Over 10 to 50 Incl FINAL U U I am exempt under Sec Over 50 to 100 Inc BY IW IL B &P C for this reason Over 100 N Date Services Swbd MCC & Ponelboards ► (� VII 0 200 Amp Under 600 V � + Signature 201 1000 Amp Under 600 V /1 ;9,1 1 7 8 A Over 1000 Amp or Over 600 V Exemption for Reg Maint Elect # o o c o e 2 SINGLE FAMILY Temp Power Pole &Appurtenances I • 0 1125 HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit j 1 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 e e o 1 12 5 Ions Code) as owner of the property will do the work and the Misc Conduits &Conductors F12 0 6-84 structure is not intended or offered for sale (Section i Other (See Complete Fee Schedule)_ ► 7044 Business 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 PERMIT FEE (Sub Total) (Sec 3097 Civ C ) PLAN CHECKING FEE Lender s Name /� PERMIT ISSUING FEE (J - Lender s Address ^ 1 certify that I have read this application and state that the TOTAL FEE a( 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 uponhe a ove menton property for inspection purposes 1 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date