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Home My Public Portal About10667 FREER ST_Electrical__ 78AB89-CE809 10_89 _ APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES ELECTRIC V7 DEPARTMENT OF COUNTY ENGINEER BUILDINGx/� BUILDING AND SAFETY DIVISION ADDRESS /11�oAol=+ JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS$T. OWNER i T E M NUMBER I EACH FEE OUTLETS:• , $ $ MAIL LIGHTS / RECEPT. ��{SW. 10 C ADDRESS LIGHTING FIXTURES 10 CITY r TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .50 ADDRESS / (nf,�s ELEC.SPACE HTRS. DISHWASHERS CITY TEL. NO. � ,� %J j GARBAGE DISPOSERS AUTO.- STATE V (y c V V o, WASHERS STA.COOKING UNITS .25 U LICENSE NO. d O q, MOTORS: OVER INC. H P. DISTRICT NO. GROUP ONE P ESSED Y 0— +/z .25 v2— z so INSPECTION RECORD 4 2— 5 1.00- 5 .00-S— 15 1.50 15— 50 / 2.50 50-200 5.00 NO.TRANS. SIGNS: NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. � WIRING PERMIT 1.00 f FIXTURE PERMIT 1.00 •� SUPPLEMENTARY PERMIT 50 TOTAL FEE S �� 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A LICATION 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. ' I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. � POWER SIGNATURE OF PERM TTEE /r iT �+�' UTILITY CO.NOTIFIED 27/$J`�/ p e FINAL ®F DATION A THUR C.VEIT, arc Mo CASH SUPERVISING ELECTRICAL ENGINEER, ' LAC•o 6 3 4 0 '5 SEP 1 _j 2 D 7 .8 I N 76A663-CE8061-67 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT NG BUILD NG AND SA ETY DIV DIVISION FADDRESSJOHN A. LAMBIE, COUNTY ENGINEER /^COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGYG Au e FOR APPLICANT TO FILL IN CROSS ST. ONS RECEPT. 1 TOTAL -NO. EACH FEE OUTLETS FIRST 20 $.20 $ OWNER O l0 LIGHT J} MAIL SWITCHADD'L 10 ADDRESSIJIE7 ` p OVER 20 ci 4:N 1 TOTAL FIRST 20 .20 CITY TEL.NO. LIGHTING S FIXTURES FIXTURES 1 ADD'L1O CONTRACTOR OVER 20 RANGES DRYERS WTR.HTRS. 1.00 ADDRESS GARB.D18P. STA.COOK CITY TEL. NO. DISHWASH.. AUTO.-WASH. STATE - SPACE HTRS. BTA. APPL. .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT NO. GFjrl* ZONE PR E SED Y 0 1 1.00 ,6 -�/ Al 1 3 1.50 INSPECTION RECORD 3 8 2.00 8 15 2.50 15 50 3.00 - a 50 100 5.00 0 SIGNS: NO.TRANS OL NO.LAMPS O SERVICE 0-600V-NOT OVER 200A 1.00 (J W SERVICE 0-600V-OVER 200 A. 2.00 d N SERVICE OVER 600V 5.00 z OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT I6 UING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE TOTAL FEE $ 6 I HEREBY-ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERS LAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH.CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING U�{/I y�A,7�r-_Ill;ll —J/IIII��d'.f IJ /I/IL I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Y • V'�"'v �v LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 M THE LEjpID O ER OF, AND TEND TO POWER RESIDE IN,THE ABOV SCRIBED N IA ROP yyQp �d SIGNATURE UTILITY CO.NOTIFIED .1,, _4,s I tY/_ ST H I� OF PERMITTEE FINAL -w I '6,11'tv1Y/t% -"may VALIDATIQW JOSEPH C.SI ROOEC CK MO (`CA6H SUPERVISING ELLECTRICAL ENGINEER LCIS03 w 7 ui,T2n 2 D 2.0 `0 76A663-CE806 9-66 APPLICATION FOR ELECTRIC L- ERMIT Y r�II�--I'III U COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST n S BUILDING AND SAFETY DIVISION , JOHN A. LAMBIE, COUNTY ENGINEERI COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING / FOR APPLICANT TO FILL IN RECEPT. TOTAL NO. IEACH FEE LIGHT OUTLETS FIRST 20 $.20 $ --- E "ere MAIL SWITCH ' , OVER 20 .10 ADDRESS (J� ere 5 / l TOTAL' CITY - TEL. NO.441- / LIGHTING 1 FIXTURES FIRST 20 .20 FIXTURES f Z _ to CONTRACTOR J OVVERER 20 2 RANGES DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY ,NO. DISH WASH. AUTO.-WASH. STATE SPACE HTRS. STA. APPL. .550 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE PRO SSED BY O 1 1.00 J e'o 1 3 1.50 INSPECTION RECORD 3 s 2.00 �y 8 15 2.50 411--/z-, k '-7 ,, 15 50 3.00 > 50 100 5.00 V SIGNS: NO.TRANS NO.LAMPS O H SERVICE 0.6OOV•NOT OVER 2O0A 1.00 W a SERVICE 0.6O0V•OVER 200 A. 2,00 N _z SERVHER (OECOMPLETE 5.00 PLL TE FEE SCHEDULE) O PERMIT ISSUING-FEE YT 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE TOTAL FEE ffi 0 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING __ ELECTRICAL WIRING. WIRING r 16 92 I / .; J� 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 THE LEGA WNER OF, AND I TEND TO POWER RESIDE IN,THE ABOVE SCRIBED R TI PROPE Y A^^ n SIGNATURE /� 'UTILITY CO.NOTIFIED di t t ./ � OF PERM ITTE I v pp -.•�( ry� FINAL VAUDAT� JOSEPH C. G ELEGY SUPERVISING ELECTRICAL ENGINEER CK MO CASH 1 0 7 3 UOT6 2 0 3.80- WORKERS'60Ir1P NSATION DECLARATION n 76- 10/81 CE-606806G APPLICATIONOR ELECTRICAL PERMIT 4 14ier4by`�rm trat"l hale a•certi4:cate of consent to self insure, + • . efdlceil4icate`of WorkersCompensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy tRereof(Sec 3800,Lab C.) e Policy No.- •Company FOR APPLICANT TO FILL IN 'JOB ,0 ' EACH NO FEE ADDRESS Certified copy is hereby furnished � New Residential BldgFt. $$ LOCALITY & Pools — . ❑' Certified copy is filed with the county building & 2-Family,Sqlding inspection — department. Multi-family Sq.Ft NEAREST CROSS ST Date Applicant Residential Swimming Pools OWNER OR Q FIRM NAME CERTIFICATE OF'EXEMPTION'FROM.WORKERS' - Outlets Rec 11 Light'L& Sw MAIL ` COMPENSATION INSURANCE ADDRESS (This section,need not be completed,if the work involved by the ALT First 2O K ;CITY Tel No.., permit.is for one hundred•dollaLTJ rs ($100)or less.) Total No. �'� Additional I certifythat in the erformance of the work•for, which this permit PLAN CHECK p P �- 'APPLICANT is issued, I shall not employ any person in any manner so as to become subject to,the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS Total No Additional CITY Tel.No. •. Date Applicant e Fixed Appliances Not Over 1 HP NOTICE• -TO APPLICANT. If, after making this Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ DW APPLICANT* • provisions of the Labor Code,you must forthwith comply with such Oven Dryer _ W M ADDRESS AN provisions or this permit shall be deemed revoked. + Top FAU _ W.H LICENSED CONTRACTORS DECLARATION Hood — Fan _'Other_ CITY' Tel Nob If I.hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR Disp — Room Air Cond. /�j Class (commencing with Section 7000) of Division 3 of the Business and REG NUMBER, Professions Code,and my license is in-full force and effect Power Apparatus& Large Appliances DISTRICT NO' _ PROCESS BY Size,& Type HP,KW,KVA,or KVAR 0 License Number • 13 7's-Zig Lic.Class Up to 1 Incl FINAL n V �,,1� Over 1 to 10lncl DATE /•� ��qf. �/ /w (J VALIDATION 0 Contractor-, / . Date Over 10 to 50 Incl ...... V ❑ I am_ exeMpt under Sec. . Over 50 to,100 Inc gy W Over 100 a- B&P.0 for this reason U) Services,Swbd,MCC& Panelboards Z D e 0=200 Amp.Under,600 V Signature 201 - 1000 Amp.-Under 600 V ❑' Over 1000 Amp.or Over 600 V Exemption 4Reg.Maint Elect SINGLE FAMILY Temp Power Pole & Appurtenances ;27942A HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ` fl I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits fi•0 for the following reason (Section,7031 5,Business and Professions 0 9 t Code). ❑ Misc Conduits& Conductors I,as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044, Business Other (See Complete Fee Schedule) 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(Sec 3097, PERMIT FEE (Sub-Total) Civ.C) _ PLAN CHECKING FEE a ; Lender's Name PERMIT ISSUING FEE Lender's Address C I certify'that I have read this application and state that the above••' TOTAL FEE 3 6t sa 'information is correct. I agree.to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of'this County to enter upon the above-mentioned prnty for mspecti oses. SEE REVERSE FOR EXPLANATORY LANGUAGE r Si ature of Permittee Date