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Home My Public Portal About9179 FORTSON DR_Electrical__ 76AS63 DBS SA 7-51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY � � � COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRI�'"CT O. GROUP I ZONE PERMIT NO. i -� ELECTRICIAN REC VED BY READY FOR_ DATE ISSUED ADDRESSFIRST INSPECTION CITY COUNTY LICENSE NO. EXPIRES BUILDING ADDRESS PERMIT FEES FEE LOCALITY r -r / _ NUMBER EACH _ LIGHT OUTLETS NEAREST Ffi C.. / T p RECEPTACLES CR099 9T. �'1 WALL SWITCHES _ OWNER Q TOTAL OUTLETS 5c $ MAIL G r.� ELEC. / +/�RANGES 2S _ADDRESS I ( / 9 4--` ��G k_-is 6 J Die . ,,t,-'�•� ELEC. HEATERS 25 CITY ( 6_M('LP_ Cl 1 ( TEL. NO.A) y/"d6J / FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I 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 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER ANGELES COUNTY LICENSE, ❑ 1 AM HE LEGAL OWNER FEE NEW MVD. HP OVER INC. EACH OF THE RESIDENT AL PROPER Y OE9 IBED ABOVE. _ �/Z S LESS $ .25 SIGNATURE O , 1/2 2 .50 PERMITTE 2 s 1.00 INSPECTION RECORD 5 15 1.50 IS, 5O 2.50 50 200 5.00 200500 10.00 J S00 1 000 15.00 Q -- Z OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA ❑ GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) — --- MOVED MOTORS (75% OF ORIG.) MISC. �C SIGNS NO. NO.TRANS. ' NO. NO. LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME ,. WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING r ��'r•� �- t �lA� ' SUPPLEMENTARY .50 FIXTURES _ POWER TOTAL FEE $ l UTILITY CO. NOTIFIED }� _ // FINAL 76A663-CE806 8/63 APPLICATION FOR ELECTRICAL. / ERMIT COUNTY OF LOS ANGELES . DEPARTMENT OF COUNTY ENGINEER BUILDING c ''J r p BUILDING AND SAFETY DIVISION ADDRESS ! Q/� 0 JOHN A. LAMBIE. COUNTY ENGINEER 11 WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY -�ty.�- /e NEAREST FOR APPLICANT TO FILL IN CROSS ST. Cdi. IJV/7-29- RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 $20 $ OWNER G[ K ?7 LIGHT MAIL ' _ ADD'L ADDRESS SWITCH. OVER 20 f0 TOTAL CITY TEL.NO. LIGHTING FIRST 20 .20 FIXTURES ADD'L �( Y G �-CZe t OVFR 20 .10 ELECTRICIAN n ( �G RANGES CLO.DRYERS WTR.HTRS. 1,00 ADDRESS ' , 2 ,/ Ce-u ��C✓c-b GARB.DISP. STA.COOK CITY y✓✓(� TEL.NO. XC9 p 1 DISHWASH. AUTO-WASH. STATE //yy�� SPACE HTRS. STA.APP.(yy N.P.MAX.) .50 LICENSE NO. V MOTORS: OVER NOT OVER H . DISTRICT NO. GROUP I ZONE I P OCESSE/�B-Y O 1 1.00 1 . 3 1.50 . INSPECTION RECORD s 8 2.00 a 8', 15 2.50 0 15 50 3.00 O 50 100 5.00 V W SIGNS: NO.TRANS d NO.LAMPS In Z SERVICE 0.600V-NoT OVER 200A 1.00 SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 ocs SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE ® �" L.ALIFORNIA EBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT A LL COUNTY ORDINANCES AND STATE LAWS REGULATING CAL WIRING. WIRING EBY, CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR o�•� • - Tf D A8 REQUIRED BY L08'ANGELES COUNTY'AND STATE OF FIXTURES NIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE _ ED RESIDENTI RTYPOWER URE UTILITY CO.NOTIFIEDMITTEE rG FINAL 7 17�r7'9 CLIDATION ARTHUR C. VEIT CKMO CASH SUPERVISING ELECTRICAL ENGINEER LAI' 4 1SEP 2 3 2 D 3.00- �b r UT 76A663-CE806 8-62 APPLICATION FOR 'ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING pp�.,�pp �J BUILDING AND SAFETY DIVISION ADDRESS r /_� e-W A� f JOHN A. LAMBIE, COUNTY ENGINEER ` f WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY ��aC c, C NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL NO. EACH FEE r OUTLETS FIRST 20 $.20 $ OWNER -1-z-K LIGHT 1 MAI DRESS t ' OVER 20 .10 ADDRESS �CA' ,.t�q LIGHTING .. ��.� �.� TEL. NO. 14c 6,Ift 6 O LIGHTING TOTAL F1Rsr 20 f ,2o CITY A FIXTURES 1 I AOWL 10 ELECTRICIAN 4��1�— OV R 20 Q�Q /� y1Y CJI./� RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS V V O(G' L � 7 �"e,"A-e5 GARB.DISP. STA.COOK /� L 4�,, & CITY 2* TEL. NO. 1 DISHWASH. AUTO.-WASH. STATE SPACE HTRS. BTA.APP.(1/z H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICTNO. GROUP ZONE PROCESSED BY O 1 1 1.00 �7 • �O 1. T - �4.r� -+-.�-r 1 s 11.50 INSPECTION RECORD 3 8 2.00 �i��,�� •1�iJ 8 15 2.503_ /' C 15 50 3.00 CL 50 too 5.00 O v SIGNS: NO.TRANS NO.LAMPS O ISERVICE 0-60OV-NOT OVER 200A 1.00 CJ W SERVICE 0.60OV-OVER 200 A. 2:00 a N SERVICE OVER 600V 5.00 Z MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS ry A DATE INSPECTOR'S SIGNATUREI AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY /'J tA, T1 � .,�'/ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT _ AAN u"✓+/l'' /W7. ELECTRICAL WIRING. WIRING 't ) rf� 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNT 713 STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL WN O THE ABOVE DESCRIBED RESIDENT[A ROPERT . POWER SIGNATURE I UTILITY CO.NOTIFIED OF PERMITTEE FINAL 7 5LIDATION ARrtHUR C. VEIT ✓" MO CASH SUPERVISING ELECTRICAL ENGINEER X3'1 31AM25 2 D 3.80! ogs 5 6-4-p ,APPLICATION FOR. PERMIT DEPARTMENT OF RYJII.DING AND SAFETY �- ��TE�� COUNTY OF LOS ANGELES WM. J. FOX CHIEF ENGINEER Q NAME DISTRICT NO. GROUP ZONE FE]RRMIT NO. ADDRESS Q b� I*1 �� / </ WU CITY TEL.NO. RECEIVED BY FIRST INSPECTION DY FOR DATEISSUED COUNTY 4! CERT.NO. ;L60 b EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORK ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS Fll[T CROSS ST. CIRCUIT A B C D E. F G H 0: NAME ul Z MAIL 3 ADDRESS O CITY TEL.NO. D 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. ELECTRICIAN. I AM THE(EGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS J Q Z_ 2 TOTAL ,( �o� R7 NO. OF OUTLETS $ 416 APPROVALS NO. OF FIXTURES $ I DATE INSPECTOR'S NAME NO. OF MOTORS H.P. ( $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES /EI MISCELLANEOUS $ POWER PERMIT FEE ��y $ / UTILITY CO.NOTIFIED TOTAL FEE v t� A Q FINAL �� I�-11,., - .I��vvuvk, WORKERS' COMPENSATION DECLARATION 3 10/81 APPLICATION FOR ELECTRICAL PERMIT C hereby affirm that I have a certificate of consent to self insure, CE-806G or.a.;certrficate of Wor14 ,ycompensatlon Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy tteereof(Sec 3809,"Lab (5) Policy No Company FOR APPLICANT TO FILL IN JOB ❑ Certified co is hereby furnished EACH NO FEE ADDRESS PY Y New Residential Bldgs & Pools F-11 & 2-Family, Sq Ft $ — $ LOCALITY Certified copy is filed with the county building inspection department. Multi-family Sq Ft — NEAREST CROSS ST Date Applicant Residential Swimming Pools OWNER OR J4 A 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 theFirst 20 permit is for one hundred dollars($100)or less.) Total No _161�1_ Additional CITY I certify that in the performance of the work for which this permit PLAN CHECK is Issued, I shall not employ an APPLICANT p y y person in any manner so as to become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS Additional Total No. CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO, APPLICANT. If, after making this Certificate of Exemption,you should become sublect•to the Workers'Compensation Range_ Heater_ D.W. i APPLICANT provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W M _ ADDRESS provisions or this permit shall be deemed revoked . Top, — FAU _ WH _ CITY el No LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR (commencing with Section 7000) of Division 3 of the Business and Disp. — Room Air Cond\ REG NUMBER Glass Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO PRO(Ni;S�P BY Size& Type HP,KW,KVA, or KVAR f 0 License Number Lic Class Up to 1 Incl. FINAL U Over 1 to 10 Incl DATE -Z Ct _ VALIDATION 0 V Contractor Date Over 10 to 50 Incl ❑ FINAL I am exempt under Sec Over 50 to 100 Inc W B.&PC for this reason Over 100 a� � Date Services,Swbd,MCC& Panelboards ® Z 0- 200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V Exemption for Reg Maint.Elect SINGLE FAMILY Temp.Power Pole & Appurtenances ^.• HOME OWNER,-BUILDER DECLARATIONSign with One Branc '- _ h Circuit I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits ��{ I =g for the following reason(Section 7031 5, Business and Professions - _ Code): '3307 11 �]1 I,as owner of the Misc.Conduits & Conductors property,will do the work and the structure 'I j E�`;W. is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code) ® TOTAL 30 - 150 CONSTRUCTION LENDING AGENCY - 'CHEK K a;J I hereby affirm that there is a construction lending agency for the i performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) j> - CHANGE• ,C�_) Civ.C). PLAN CHECKING FEE Lender's Name �� " PERMIT ISSUING FEE �3 0130)'�r�' �)_f 113/12/913 Lender's Address ' �7 W`!-2 1 AN -7:"y I certify that I have read his application and state that the above TOTAL FEE 0- information is correct I agree to comply with all County ordinances and State laws,regulating Electrical wenn , nd hereby authorize re seg atives of this my to enter upon he above-mentioned a inspection roses �1 .O SEE REVERSE FOR EXPLANATORY LANGUAGE ermi a Date