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Home My Public Portal About9221 FLAHERTY ST_Electrical__ 76AG63 D85 SA 7 51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES RELEC ma RIC I WILLIAM J FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN // DISTRICT�tO GROUP ZONE PERMIT NO ELECTRICIAN �� l - ��° -7,-q �' 3 RECEIV D BY READY FOR DATE ISSUED ADORE • FIRST INSPECTION CITY TEL NO n COUNTY LICENSE NO EXPIRES -,36_5 BUILDING /711 PERMIT FEES ADDRESS `7C[bC �(�j e(�►�� u FEE LOCALITY �( NUMBER EACH LIGHT OUTLETS NEAREST 1 RECEPTACLES CROSS ST WALL SWITCHES OWNER ig TOTAL OUTLETS SC $ V MAILS ELEC RANGES 2S AD ►2O DRESS /[�rf� r ELEC HEATERS 25 CITY TEL. NO� 3196 FIXTURES 0 5 O 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC ' APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMB R OF LIGHT CIRCUITS r AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER NEW MVD HP OVER INC EACH OF THE RESIDENTIAL PROPPROP RRIBED ABOVE %2 & LESS $ 25 SIGNATURE OF' f I/2 2 so PERMITTEE 2 B 1 00 INSPECTION RECORD - S 15 1 so is 50 250 _ 50 200 5 00 200 500 1000 S •r J= 11.� J Soo 1000 15 00 Q OVER 11300 2000 Sr I5(o/D Z M G BET/FREq GRANDER HP 7 6, m WELDERS AC KVA 1) At A A' X /A/ , � Gi�� O GENERATORS KW It e 1 /�t P 11/ 1 L "/''/`�?�-' TRANSFORMERS KVA !-4I TEMP MOTORS (75% OF CRIB) MOVED MOTORS (75% OF ORIO) MISC SIGNS NO NO TRANS APPROVALS NO NO LAMPS DATE INSPECTOR B NAME FOR EACH PERMIT CONDUIT WIRING !$1 00 FIXTURES $1 00 WIRING SUPPLEMENTARY 5o FIXTURES 6 POWER TOTAL FEE 5 UTILITY CO NOTIFIED /i1 — rr /tdGJ FINAL COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J FOX County Engineer FOR APPLICANT TO FILL IN DI5TRIC�O GROUP ZONE (o MIT NO I\ A // ELECTRICIAN i Jy l� `� �� ADDRESS L^J e r // p RE EI�BY FIRHTINBPECTION DY FOR DAT �BUEDN' CITY /� CY TEL NO O �ID S7 (/a /L/ COUNTY LICENSE NO 49EXPIRES — BUILDING / 7� ADDRESS ,tze Ida PERMIT FEES FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST r CR088 ST RECEPTACLES WALL SWITCHES OWNER�/U��,�[�'L.l TOTAL OUTLETS 5c MAIL ^ O ELEC RANGES 25 ADDRESS Q�// /(► /1 � ELEC HEATERS 25 CITY r n l"/ �L,/ TEL NO FIXTURES B 1 HEREBY �CKNOWLEDGEd 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 ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER NEW MVD HP OVER INC EACH OF THE RESIDENTIAL OPE EIrG—RIEjED ABOVE '/2 6 LESS $ 25 SIGNATURE OF %2 2 50 PERMITTEE — 2 5 1 00 INSPECTION RECORD 5 15 1 50 15 so 2 so 5o 200 Soo 200 500 1000 J _ 500 1000 1500 Q Z OVER 11300 2000 L7 M G SET/FREQ CHANGER HP WELDERS AC KVA O GENERATORS KW TRANSFORMERS KVA TEMP MOTORS (75% of ORIG) MOVED MOTORS (75% OF ORIG) MISC SIGNS NO NO TRANS. ND NO LAMPS APPROVALS FOR EACH PERMIT DATE INSPEECr'nT13R S NAME_ WIRING $1130 o U CONDUIT FIXTURES $1 00 WIRING Ct ,' �"C SUPPLEMENTARY So FIXTURES POWER TOTAL FEE $ ' UTILITY CO NOTIFIED FINAL 76A663 DBS#5A 4 52 f WORKER'S COMPENSATION DECLARATION 9 DPW 9/89 I herAPPLICATION FOR ELECTRICAL PERMIT hereby 76A66 � y affirm that I have a certificate of consent to self insure, 76A663 or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab. C.) P❑OIICy NO. Company FOR APPLICANT TO FILL IN D A ADDRESS rTr Certified co Is hereby furnished. EACH NO. FEE LOCALITY PY Y New Residential Bldgs.&Pools ❑ $Ft $ S Certified copy is filed with the county building inspectio 1 &2-Family, q. . — NEAREST department. ^ Multi-family Sq.Ft. CROSS ST. Date_ pplicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERSOutlets:Rec._Light Sw. OWNER R R COMPENSATION INSURANCE First 20 _` (This section need not be completed if the work involved by the MAIL permit is for one hundred dollars($100)or less.) Total No. Additional ADDRESS I certify that in the performance of the work for which this permit CITY Tel.No. is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject.to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant 15 OR 20A,120V BRANCH CIRCUITS NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers' Compensation 1 TO 10 INCLUSIVE EACH provisions of the Labor Code, you must forthwith comply with such 11 TO 40 INCLUSIVE EACH PERMIT APPLICANT provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH `r LICENSED CONTRACTORS DECLARATION 15 OR 20A,208V TO 277V LIGHTING EACH ADDRESS ��j C �u1 a_ 1 hereby affirm that I am licensed under provisions of Chapter 9 Q (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No.�� O (� Professions Code, and my license is in full force anda RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR O !2L�7 Power Apparatus&Large Appliances REG.NUMBER Class. _2 O License Number Lic.Class ` Size&Type HP,KW,KVA,or KVAR DISTRICT NO. PROC SED BV U v Up to 3 Incl. / CL e LU Over 3 to 10 Incl. FINAL � Contractor� vJ Date DATE ❑ 7� Over 10 to 50 Incl. VALIDATION I am exempt under Sec. Over 50 to 100 Incl. B.&P.C.for this reason Over 100 FINAL BY �? Services,Swbd.,MCC&Panelboards ate: 0-200 Amp.Under 600 V Signature 201 -1000 Amp.Under600V ❑ r �_L' 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 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 Code): ❑ a °P°I_• I, as owner of the property,will do the work and the structure Misc.Conduits&Conductors "w is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) , )_ r and Professions Code). CONSTRUCTION LENDING AGENCY ;• ;:iti, I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE_ (Sub-Total) Civ.C.) - PLAN CHECKING FEE »'-` I`-'='•- Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the above TOTAL FEE , 3 information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and her y authorize representatives of this County to ter upon the ._.mentioned property for inspection purp es. SEE REVERSE FOR EXPLANATORY LANGUAGE TO SIGNATURE OF APPLI NR AGENT DATE