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76A663 CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER �j''
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY `"QM \Q.
NEAREST
FOR APPLICANT TO FILL IN CROSS ST O S R
RECEPT TOTALNO I EACH FEE
OUTLETS FIRST 20 / $20 $ OWNER �
LIGHT MAIL
ADD L -� ADDRESS
SWITCH 10
OVER 20
LIGHTING `
CITCv. TEL NO '
T-TOTALFlasr 20 20 Y \'E^FIXTURES OV R 20 ADD L 10 ELECTRICIAN
f
RANGES CLO DRYERS WTR HTRS 1001 ADDRESS
GARB DISP STA COOK
- - CITY TEL NO
DISHWASH AUTO WASH STATE
SPACE HTRS STA APP ('/.H P MAIC) 50 LICENSE N t
MOTORS OVER NOT OVER H P DISTRICT NO G OU ZONE P ESSED BY
O 1 100 1 I
1 3 150 INSPECTION+ ,RECORD _
3 8 200
15 50 300 r o (f v >_
IL
50 100 500 Q
SIGNS NO TRANS Ix
NO LAMPS t0'
SERVICE O 600V NOT OVER 200A too 0
a
SERVICE O 600V OVER 200 A 200, N
Z
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 1 00
TOTAL FEE Is 04
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 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 A8 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE C -
DESCRIBED RESIDENTIAL PROPERTY POWER
SIGNATURE �"1n. � UTILITY CO NOTIFIED —7--r-1i 1
OF PERMITTE -
FINAL
IDATION ARTHUR C VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LA'k I o 3 n 0 2�. APR 13 2 D 2 90-
CE806I1/70 APPLICATION FOR ELECTRICAL ,PERMIT LJ
COUNTY OF LOS ANGELES
DEPAII2TMENT OF COUNTY ENGINEER BUITADDREs -4936 Fiest J-c�BUILDING AND SAFETY DIVISION /�COLEMAN W JENKINS SUPERINTENDENT OF BUILDINGTYTe le Cit —
TFOR APPLICANT TO FILL IN ST"" Azusa
OUTLETS NOEACH FEE
OWNER Stevenson
RECEPT MAIL
LIGHT. TOTAL -
FIRST 20 ADDRESS
CITY TEL NO 286w
SWITCH OVER 20 10
PLAN CHECK
FIRST 20 1 APPLICANT '
LIGHTING TOTAL
FIXTURES
OVER 20 10 ADDRESS
APPLIANCES CITY _TEL NO
PERMIT
RANGE DRYER_WTR HTR_ APPLICANT Warr Electric
STA COOK DISP F A U ADDRESS15834 Workman
SPACE HTR YlAIR COND CITY La Puente - TEL N0333-5918
CLOTHES WASH DISHWASH LICENSE NO 249210 CLASS C-,rlo
FAN OTHERn O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE 15 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
Q – 1 100 LICENSED AS REQUIRED BY L05 ANGEL S COUNTY AND STATE OF
CALIFORNIA OR THAT I A TH LEGAL WNER OF AND INTEND TO >-
1 – 10 300 RESIDE IN THE A.
y RISE RESIDENTIAL PROPERTY O_
SIGNATURE O
10 — 50 500 OF PERMIT EE —
50 – 100 1000 DISTRICT NO CLASS ZONE 7 R E BY O
100 - 500 1500 O / W
a
N
SIGN GASSIGN AND ONE CIRCUIT 500 NOTES +. Z
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CENOT OVER 600 VOLTS OR 200 AMP ✓ 5_0
APPROVALS DATE INSPECTOR S SIGNATURE
S ERVI CE OVER 600 VOLTS OR 200 AM P 1000
TEMP POWER POLE
TEMPSERVICE POLE &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONDIUT
WIRING Ap�–�
FIXTURES O ��27
PERMIT FEE (SUB TOTAL) / POWER AUTHORIZED
UTILITY CO NOTIFIED
PLAN CHECK FEE a � —
FINAL
PERMIT ISSUING FEE
JOSEPHC ROO
TOTAL FEE U� SUPERVISING EL I L ENGINEEP
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION
CK M 0 CASH
81670--m 7 2 ® 1: 800
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
DSS SA 2�[SyN�SETS
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8'Y A.4LA TMENT iV H ®1C Sl9.l l➢11VILL\ll A1QllY Ate.l'1Y1➢./1L S `+`ELECTRIC
�°9•X�•�L�Y E®1N Y'lD� ��YL1�i8 t1.
COUNTY OF LOS ANGELES Y LECT IC
M J FOX CHIEF ENGINEER
zIJAntFUBN ECTRIC DISTRICT NO GROUP ZONE PERMIT NO
Q NAME
33 94 P-
U
ADDRESS GARVFY (-Al P, prjoNTAT4,
gA
U CITY TEL NO / RECE VED Y READY FOR DATE ISSUED
W COUNTY FIRST INSPECTION
CERT NO EXPIRES
APPLICANT FII. IN/i&AVILY O LINEI9 POR'T'ION ONLY
JOB
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS Isw PLUGS FIXT CROSS ST
1 f
CIRCUIT A B C D E F X NAME
y MAIL
ADDRESS
O
CITY / TEL NO
1 AM THE LEGAL POSSESSOR OF THE ABOVE/LOS
ANGELES COUNTY CERTIFICAT OF QU r CATN
ELECTRICIAN
1 AM THE LXGAL.OWNER OF��PROPERTY DESCRIBED
ABOVE
OWNER
CORRECTIONS
J
Q
Z
C7
TOTAL
NO OF OUTLETS $ APPROVALS
S?I NO OF FIXTURES $ S DATE INSPECTOR S NAME
NO OF MOTORS HIP $ CONDUIT
NO OF SIGNS TRANS $ WIRING 9 Y
NO OFi2'§'S R HEATERS $ FIXTURES
MISCELLANEOUS H $ POWER //11
PERMIT FEE $ UTILITYCO NOTIFIED (p` 30
TOTAL FEE ffi D FINAL
7SA663 DBS 5A 11 50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP I ZONE PERMIT NO
Is" ?4 ,0 3
ELECTRICIAN &l RECEIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION
CITY TEL NO Z
COUNTY LICEN NO } EXPIRES b BUILDING
ADDRESS
PERMIT FEES
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
CROSS ST A_"'L_.P� r-ok-1
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS _L Sc $ MAIL
ELEC RANGES 25 ADDRESS
ELEC HEATERS 25 CITY TEL NO
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY 13ROINANCEB
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD HP OVER INC EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
Iii 6 LESS $ 25 SIGNATURE OF
Vz 2 50 PERMITTEE
2 5 loo INSPECTION RECORD
5 15 1 5o
15 50 250
50 200 Sol]
2130 1500 1000 J
500 1 1000 1500 Z
OVER 1000 2000 L7
M G SET/FREQ CHANGER HP
WELDERS AC KVA O
GENERATORS KW
TRANSFORMERS KVA
TEMP MOTORS X75% OF ORIG) —
MOVED MOTOR9 (75% OF ORlr)
MISC
SIGNS
NO NO TRANS
APPROVALS
NO NO LAMPS
FOR EACH PERMIT DATE INSPECTOR S NAME
WIRING $1130 U Q CONDUIT
FIXTURES $1 OO (f U WIRING -�'(d-I,
SUPPLEMENTARY SO rIXTURES
POWER
TOTAL FEE $ UTILITY CO NOTIFIED
./ FINAL A£�fi..+
WORKERS COMPENSATION DECLARATION CE806G (280) APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELESBUILDING AND SAFETY
insure or a certificate of Workers Compensation Insurance or
a certified copy thereof(Sec 3800 Lab C)
FILL
Policy No Company FOR APPLICANT TO EACH IN NO FEE DDRESS
O
Certified copy is hereby furnished New Residential Bldgs &Pools1 &2 Family Sq Ft $ — $ LOCALITY
0 Certified co Multi family Sq Ft — NEAREST
copy is Bled with the county building inspection CROSS ST
Residential Swimming Pools
department OWNER ORS
FIRM NAME
Date Applicant Outlets Rec,2_Light - SwMAIL
First 20 440 1 ADDRESS
CERTIFICATE OF EXEMPTION FROM WORKERS Total No 1 4!9 Additional CITY - Tel No
COMPENSATION INSURANCE PLA CHEC d
APPLICANT O
(This section need not be completed if the work involved Lighting Fixtures First 20 G d U
by the permit is for one hundred dollars ($100) or less) g ADDRESS
Additional
Total No p
I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No
permit is issued I shall not employ any person in any manner PERMIT W
so as to become subject to the Workers Compensation Laws Range_ Heater D W APPLICANT CL
Oven _ Dryer_W M ADDRESS f/1z
Date%/ LApplicant Top FAU _W H i CITY Tel No
Hood _ Fan _Other
NOTI E TO APPLICANT after making this tificate of Disp _ Room Air Cond_ LICE ORIf
Exemption you should become subject to the Workers REG NUMBER Class 0—
Compensation
Compensation provisions of the Labor Code you must forth Power Apparatus& Large Appliances DISTRICT NO PROCE SED BY
with comply with such provisions or this permit shall be - b r
deemed revoked Size&Type HP KW KVA or KVAR �i e4/
Up to 1 Incl
FINAL
Over 1 to 10 Incl
LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl �J 1 DATE 8 9 J VALIDATION
O
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 100 BY �.�
ness and Professions Code and my license is in full force and 01
effect Services s �r
License Number I Lic Class 0 200 Amp Under 600 V / /'
201 1000 Amp Under 600 V �c7
Contractor Date Over 1000 Amp or Over 600 V
HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances
I hereby affirm that I am exempt from the Contractors Sign with One Branch Circuit
License Law for the following reason (Section 7031 5 Busi Additional Sign�Branch Circuits
ness and Professions Code) ;23938A
Misc Conduits& Conductors ,
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 ) # 0 0 0 0 0 2
7044 Business and Professions Code)
CONSTRUCTION LENDING AGENCY 2 °IO1570
I hereby affirm that there is a construction lending agency s
for the performance of the work for which this permit isPERMIT FEE (Sub Total) e o o 570'
issued (Sec 3097 Civ C) O � ,� ,� _8
i
Lender s Name PLAN CHECKING FEE (One Fourth Permit Fee) i
Lender s Address PERMIT ISSUING FEE rO
i I certify that I have read this application and state that the TOTAL FEE 0
above information is correct I agree to comply with all County 1
ordinances and State laws regulating Electrical wiring and
hereby authorize representatives of this County to enter upon
if above mention e property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Perm tee ate