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HomeMy Public PortalAbout9549 GARIBALDI AVE_Electrical__ 7U683{!E08 -67 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER eu1LDINa BUILDING AND SAFETY DIVISION ADDRXSS JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPILRIN-MMM NT 0r BUIL.DINe LOCALITY NEAREBT C1ROGS 15T. Q• RECEFIT. TOTAL NO EACH FEE ouTL" FIRST so 0.10 OWNER LIGHT WAIL, (WITCH rl ADD'L t0 ADDREM OVER TOTAL FIRST 10 .10 CITY Td NO. LIGHTING 1 FI [B FIXTURIM Jr AOD'L .10 CONTRACTOR OVER 20 RANQIS DRYN" WTR-MTRS. 1.00 ADDRElS •AXIL DUV.. STA.COOK CI NO DINTWASH. AUTO.-WASH. STAT[ SPACE HTR[,Z ETA. APDL. .e0 LIC[NSI( NO. MOTORS, own NOT OVWt Hr. Di N G E P o t 1.00 1 a 1.eo INSP ON R ORD a e 1.00 a is 1.eo 15 e0 3.00 50 100 e.00 O V tlaNs� NO.TRAPM oC NO.L.AiIE SaRVICIE 0.600V-NOT OVER 100A 1.00 lie d SIRVICi 0.e00v-Ovot 100 A. 1.00 2 SKRVICK qam eoov 5.00 Z OTHER (SEE COMPLETE FEE SC-MDULE) r "T IMUING FIR 1.00- S41PPLLMWTARY rlcRMrr IMUIt'IG Ftrs 1.00 oA TOTAL FBE 1 HEIQSY ACKNOWLEDGE THAT 1 HAVE RiAD THIS APPLICATION UNDERSLAB WORK AND'ETAT[THAT THE ABOVE IS CORNECT AND AORSZ TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING [L[CTRICAL WIRING. WIRING .i I HKRBY CEIlTIFY THAT I AM PROPERLY REOIST'KpRD AND�O✓t FU(TU ggs LJ CENSER Al REOUIR[D DY LOS ANGELES COUNTY AND TI OF CALIFQPN1A OR THAT I AM THE LEGAL OWNQ OF,AND I D TO rOWm RESIDE IN,THE MOVE Ism"! L SIGNATURE UTILITY CO.?4CT1FIILD r` OF P[RM1 FINAL LIDATION JO p kN MO CASH SUMMISING fflZoUTRICAi ENGUNIUM 9 8 9 8�o .Rei ,, 2 0 920~ V •"••' °s•.A • m APPLICATION FOR PEBMTT DEPA,RTbM OF BUILDING AND SAFETY Com OF LOS ANGELES ELECTRIC 1 WILI- AM J. FO CHIEF QNGINE[R FOR APPLICANT TO FILL IN DISTRICT NO. GROUPZONE PERMrr NO. ELff RICIAN - - --5- / Lel- //q RZCEIVED MY READY FOR DAT[ ISSU<D DDR— FIRST INSPECTIOH CIT-Y. - TEL H Z% IR RUILDIHQ Jr • PE T FEES' ADDREw to ! FEE Q 11UMAKR OUTLETS EACH LOCALITY (iv Ll G HTs 15C N UR WT ` cROss'T. P �L RECTAC-" 6 XZ _ FIXTURES a OWNER l L 1 WALL ~TCHKS 8 MAIL S 13-M RANGma 16 ADDRESS H[ATIMM 15 Z' C L NO 3'}f� .c. NUMBER OF CIRCUITS INST►� rr�i I H[RZaY ACKNOWLEDGE THAT I HAV[ RX-AD THIS APPLICATION AND STATE THAT TH[ ADOVE IS CORRiOT G G AND ARKX TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATZ LAWS REGULATING aZCTRICAL WIRIN0. uMroetjQR8KPOWKRI Cl32TIFZ Y THAT 1 POSSESS THR ADOVVALID LOS FEi AN(3KL= COUNTY LICENSE, OR I AM THE LKAKAL OWNa! P OVER M XACH OF THK RESIDENTIAL PROPERTY DXSCR ADOVIL a Lir• 18 II .00 81GHPC Or 2 C 1.00 4 e la 1.50 INSPECTION RECORD e a0 1.e0 :oo 5.00 100 e00 10.00 800 1000 15.00 J OvZR 1000 10.00 M.G. SET FR GER-HP [LDtRS AC-KVA GENERATORS - KW , TRANSFo URS KVA TRMP. MOTORS 75of oR1a. MOVED MOTORS 7 of RIu. SIGNS TYP[t - NO. TRANS. TYP[I NO. LAMM APPROVALS D TZ INSPECTOR'S NAME CONDUIT b 1 WIRING 1.00c- FIXTURES 1.00 O o WIRING SUP FU[TURKS POWER TOTAL FEEuT1uTY co. NonpqKDj • FINAL COUNTY OF LOS ANGELES APPLICATION FOR PERMIT DEPA£.TMENT OF COUNTY ENGINEER ELECTRIC 1 DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, COUNTY ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. /17 ELECTRICIAN �' ' S —t Z� �3 ADDRESS r ,.� 11 RECEIVED BY READY FOR DATE ISSUED '' u FIRST INSPECTION CITY COUNTY LICENSE NO. RES BUILDING L[ PERM FM ADDRESS w NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES R S T. ool WALL SWITCHES OWNER TOTAL OUTLETS SC MAIL ELEC. RANGES 23 ADDRESS ELEC. HEATERS 25 FCITY TEL. NO. FIXTURES 5 © MISC. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 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 LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGIAL OWNER NEw MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. _ Vza LESS $ .25 SIGNATURE OF _ I/z 2 .50 PERMITTEE, 2 5 1.00 INSPECTION RECORD 5 15 1.50 15 50 2.50 50 200 5.00 ,/ 200 500 10.00 j. i J -4 500 1000 15.00 Q Z OVER 1000 20.00 n, M.G. SET/FREQ. CHANGER-HP R' WELDERS: AC-KVA GENERATORS "KW 7, TRANSFORMERS-KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS NO. NO. TRANS. APPROVALS. NO. NO. LAM 11 DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 �!�J CONDUIT FIXTURES $1.00 WIRING _ SUPPLEMENTARY .50 FIXTURES - POWER TOTAL FEE $ UTILITY CO. NOTIFIED - - FINAL 75A 889 008# 5A. 4-52 I _ Wb V,} S'COMyP,ENSATION IO DECLARATN 79-800 ,�e1 APPLICATION FOR ELECTRICAL PERMIT `* %' I t�rL)by�+affirm Ileit I heve�4t„oertftJ,oete of concert to. eeff tiaure, CE-8000V` qI a of VVorkere' Hort Irretag•or a certified COUNTY OF LOS. ANGELES BUILDING AND SAFETY PdiCyv C�PertY FORAPPLK'J,Nf TO FILL IN / hereby fumbtred. Jam: Now Rsoden{iel B{� h d Foch EACH NO. FEE [� GerdW cony p fled with the,pbunty px.Wrog1 8 2 Fam?N,sc Ft '� f i $ _ S LOCALITYMdtl-famrty Sq.Ft, NEAREST t/ CFKM ST. APPI� Reeiderrtiet 8wimmlhg Pooh QWNER OR NAME Crrf�T1F7CATE OF F>XEMPTiON FROM VVORKERS, COMPENSATION 1NSL143AJ _ Outieta;Rec Ught—Sw_-- ADDRESS i O �M.ectk>rrme4 not be compi.t�If the work trrvoNed•by OwFlret 20: ` "par nit is for'ohm hundred dol"($100)or leer notal No Addlt3onAL _ CfTY dL4A. eL.No CHECK I oar*that,In',tL*pmfo'rrnance of the work,ror +nfct,.'ttib permitAsiic b lm u , I shall not employ Perm In'etrY' to ac to ' become eub}errt to the workm'-Co(�n Laws. Lighting Fbrturee First 20 ADDRESS - Total No, Adde1 CfT1 .No Date Apokaht Fixed Apo.a K.Not O�'ef 1 HP PERWT NOTICE TO APPLIGANf:.'If, after 'making' thlQ •CertfflcaLe of r Eicemptio4,yt+ir ehdrldbeconre eubJeat b the'VVorkara`(.orrpuatiorL AF4Lx1�NT Range—, Heater—•QW. T prbvleione of t)w Labor trade, you --W forthwith --PrY with euoh Oven Dryer — W M.'� ADDRESS 4LI ii 1-rn Q -or this bemift shall be deen{ed moire¢.' Top — FAU — W-11 cry — WCENSED COWMACTORSFbod — Fen _r Other, OR �./ 1.here[ affirm'that 1 am-iVoermed under provle of,Chapter B • Dbp. — Room,Al,OQnd. — a co o PrbfeeAiortie with Sectbn.7000)of Dlvl9bn 3 bf tho BLAnew and ; Oode Qnd my lioerree le to idl forge and effectPOW&F ANwrab d Large Appllerx�ee otaTwcT Na/ PFKXA= � � � C�o s Type ,KW,K10, Imo( . License Timber Ua Gime r:Up to 1 Ind, RN4. �1L[c �� over 1 to_10'U-d. WJDATION Contraotor� r Arc, Date I' .--��'O\ler 10 tQ 60 Jod. RtJA� . i ern .pt Lu,dr Sec Quer 60 to 00 Ino BY BhP:C..for thb re9non T too Servi�eN Swbd,.MCC d PanNboenid Date: Q'-200 Arrp.Under 800 V z � 201 -,1boo Arte.Under eQb V _ - Over 1000 Amp.or Oyer 800 V Exertption for lieq:Mairrt.Elect - SINGLE FAMILY Temp,Power Poi&& Appurteasnceq•. +� HOAACz OWNER BUDDER DECLARATION SiQfi;with Oris Brarroh Clrcift AOCT.0 I hereby effitm tftat I am exempt from ttte Oontreotore Law AddRimtel Sign Branch Ctrnrtts rt' - .0 for tjie folkrwt,g•rpaea,(Section 7- a1.6,Asea and Profeeelgrts .. _ -Code): T Miep.Conducts Conductors '4 ae owner of the property,w10 do the work and the sthxt" ' b not Intended or offered fpr safe (Section 70414.BuglnQea other(dee Cornpiefe Fee.3otredufe) and Pr¢(eeebne Code). , - 1 V I�. �J,i VEL CONSTRUCYION.LENDING A MCK' 95.02 1 hereby afittm tfWi tpere Is-a oormtru tlon Iendlnq agency for the pwbmmrm at the work for whicb this permit is issued ISec.3097, PERNVT FEE (Sub-Total) 00 Ctv.C.). r PLAN CHECKING FEE J lA.�.R.�I�JUl ���y�A� Lender a Nemo PERMIT ISSUIN'q FEE �iW VJ Loader's ABdreea T7av I certify that I:heseread Ilia appboatbn and Ota* that the above TOTAL FEE intorrnatbri la oorrect.I agree to cm#y with all County ordinances and State laws mVAtl,p Electrical wlrtrp, and hereby agthortze mpreeer>tatives of this bounty to eater upon the aboe-mentbnad pro�for InspectionpO°� SEE REVERSE FOA EXPLANATORY L��NQUAGE f U Sign4h.ue of T . WQF(ERS'COMPENSA7n0N DECLARATION 7aAae9 10/81 I h@retU',affirm That I neve a oertt(ioate d consent to eek iner.ve, �-6084 APPLICATION FOR ELECTRICAL PERMIT « s d Workers' Ganpendati)n Ineurarrce, or a oertfNed COUNTY OF LOS ANGELES BUILDING.AND SAFETY oopy torec((Sec, �ot}L.ab,C.) Fbiljy tjp• FO(i APPLr- T To R-L INADDBES8. ' New Realdenml B6g&'awkh the omTfy binding • EAOH. No. FEE tow -n Certkted copy le.fled• . 1 8 2-FeinRy,$q.Ft c f3 s LOCAJJ Y t J� Mufti famlfy,9q Ft CNEAREST E �y 8T . Date Reeideatlel Swlmming Pcole -OWNER OR C OF.E)TM"ON FROM.WORKER$'. FMAL >R� £ COMPENSAT ON,l INSLJR r-,E_ Ootieta Rao T I#rt w, ;ADDFtEBS Q �ectbn r1Md rtat p.cornp{eted.�f tfli rroric trnotved by the Total No. Addkbnal u-FAt eL No pbFmk kr fdr orn twr�rid dQllere(4100) qr s) + PLM CHECK :1 o4rtffy that In the performence`pf the uoFk•for whb)a Pernik APPLIC11ff fa Teslas r"r cot drr +oy arr�.p—Io4 fn'eny manner Vo an to t000rrb a)b)ect-to th6'Wurkere'(`omperitiatbn Levee Lx)fTbn0 Ftdaea Fl*20 APDF+ Ss; _ Total No. CfTY . tel.Na Data Arlt bbwd.ApWnoep Not fiver 1 RP NQ�ICE- TO 'APPLX�A ff; afihta er' )dng. tfttd CetfM1oe rbe d APPUCAN Ex pttgn,you ehbu4 become wb)ect to.the�Norkbra Cmripeheatlon P_r�T-- 1-)eater. aW. : Pro A&rm of die•Labor.Code, you mdat:ibr&N6 oorry W" auct, Oven Dryer W-K ADIIFg S "Vo'Ae or thfa PwTe Ahad be deem&d revisited_' Tbp FAU W11. t v -rLrENSED CONTR,Ac, OFt$DECL_ARATK)R J-Ic d Fan,• Other_ CITY Tel.No atfb i l that I ani'Ibe(5eed under. provraione of Chapter 8F _ Room Air Cqr • — i r_0� F OR 1 (o*rnencttg wkh Secb6n 7000r d DNfabn 3 d theee BuMneand FEQ a°" C Rib(osAbrre Opde,and rrry Ilceneb b,'b full force and e(foa Power Appwutue Starge Appltanoee btm)(T Na srce a.Ima Hi ,KW,KVy or Kit JLbenes Number Lb.Glass A)p to 1 Ind. FINAL dyer i to i a Incl. DATE Q W.LIDATI4N n' Gontre`ttor ��Over tp to 60 hitt_ }-� r FINAL' f�f I em exempt under.Sec. -Oyer 60 tb .100 Inc BY �-r- ..Over 100 eL ' N RAP,G for`this r$aeon,�. , Swvbee,Swbd,MCC h Pm-.6 arde. 0-200 Ahip.Under 600 V, ' Signature 2Q1 -1000.Artip_Under 600 V Over fOOb Amp.or Over 600 V T Earerrtption for Fieg.'Malrtt Elect S]NpLF•FPIdv(ILY-. Temp.Payer Pole h AppurtwWKxe HOME.QWKER-BUILDER,DECLARATtON Sign Wft1r OneBrarioh Ctraft - I hArebY WM that I ArYf bmnpt front the Cgrrtrao{Or?e Lberm Lsw for thg ungTaaaon(Seatlgrr 7p1.6,BLmInges and,Pro(eaabrm -AddR sign Branch Orcutn �IWri rtel Mieo cor,dtrrre a'�or,d�,ctora 33n7 . 95.02 I,ae owner of the property,WIA do the work And the structuretae h 1 T1'G7ip !e not Intended or offered.ior sale (Section 7044, Buahses other(See CarirPlE+te Scede) �Al �+-y and ProfeeeiorA Code). 1!11AL . .Vim" 1 60NR Rl1CT10N LANDM.(v( NOY O� f7�f J-bbiot5 ,-&Mrm that there IS a Ienth d]ng.agonoy for e 7>•'.V1 periorh�anoe,otthe work for,voifoh ft-de permk to beued(Sec,3097, PERKT FEE (Syb laksl) 00 CN.G'. PLAN CNECKINC3 Fly La'nders Name KRRJ7.F1JNi 0/ q PERMfT 1.48UIrJ0 FEE Lendar~s Addrdsa 4983 I certf}y that I'have read this app(bati r and state that the above romL FEE ;- '-knf matbn le aorn9ci I avree to tornpty wfth aft C xirt ,ortittarbge And Stshe Iewe regulrzffng E6d iaal yArtru and hereby aut-" 'representatives d thfa Cormty to enter upon the atone-rrentforled Property for purpoeea SEE REVERSE FOR EXPL kWORY LAhGUAOE ' Date WORKEMY C°"'PE' '°''°E '°" 7WM 10/81 ARRLICATIO» FOR ELECTRICAL PE 41T •u �� I wow affrm.that I have-a certtfbate d coneert to serf hieue,, ��� q'e oerttflbate of WorkersCornp� Ineurnnoe, or a oerdfied COUNTY OF L,OS ANGELES BUILDING AND SAFETY oopy ttAeoi(Sea 38 0,Lab. C.) R;Bgy Plq � •+kl. FOR APPLxua TO FILL_N .100 t - Aoorss New Reefderttlal Bldg&d F�CH P 8 FEE Y 'Cert( .copy Is flied wfh thb oou.rttY buHdb-c 1 S 2-fpm@y,Sq.rt NEAREST , Mutd-family S4 Ft caosS 8T. f Reeddairw 8wkrmkp Poole 0VAEA OR . WJW CERTlFICA OF EXEMPTION rFtoM WOFtKERB' Outlets:Roo—Llgtt —Sw.,-,- + ; s COMPENSAYTON INSURANCE (Thh,�ctiop need not be oornpletad f tfio work Int~by the Flrat'20 _ permft fa for one hundred doflero(=100)or deli) Total No. AddMonal. CITYPLAN CHEI'-K No. I certify,that In the performance of tfie.wort for which file pefrrtft APPUGANT is isat*, I "I' wrrpby any Peraon.fri any manner so ae to become arf) to the Workera'Comp—bon Cetive. Llgh Fixtures Flrat 20 ADDRESS Total Na MY. CITY Tel Na Appli NOTICE TO. APPLJCIWT' efier me} drrp firs .Certtflcate o1 Ftxed AMIlances Not Over 1 HP Fll T Enemptkln you should become arboct to the Wnrcerq'� P4nGeHeeler_ D.W. prpvI:6" of To Labbr Code, you rrtrat kxthwtth cbrnpfy with_ afoh Oven'y Dryer — W.M._ ADDRE 10, Al, Ch W, proMona or this permlt shall be deemed revoked Top FAU __W.l-L — Cn Y '/ (tCEN9ED CONTRACTORS-DECIARA7lON Hood Fan Other__-_ I,'hbreby af#tM Pwd I am floensed udder MN10orre of,Ghapber 9 Dbp.. _.--Roorn Atr Coed. t LMBER CIA- /J 0. '(oommendng wTth Section 7oobY or DlvWon 3 of the �IiArK ed andREC3N ' Profeeaiorp Code,and my hoer, a le In full force anddffgbt r Power Apparatus 8 Large Appllanoee Dk9TRK7Na Cr PROCESSED Stze d Type HP,KW,KV^or KVkR IIJ� Lberme Number Lk,Ct" O• Up to t Lo. FINAL CCC777 Over 1 to 10 Ind. DATE Coreotor a bier 1-0 to 60 Incl. 1 FINAL I am exempt ruder Seo. Over 60 to 100 aro. BY B.SP.C.for thle reason —�'O%w 100. N Dates Services,Swbd;MCC d Pranelboerde r Z 0-.200 Amp.Under 6400 V loo- SIv*turq 201 - 100-0 Amp.Under 800 V Over 1000 M-p.or Over-80.0,v - C E>wnptbrn for Reg.Melnt.Elect SINGLE FAMILY Temp.Power Pole S Appurterrarroee 2 HOME OYaZF-BUILDER DECLAI ATK)N Sign wkh One Branch Chaff, hereby efflrm that I am b)rompt from the Contractors Lbenee Lew, AMA for the fn8atiying reason(Sedlon 703.1;6,BLAIneee,and Profesalane ���Sign Branch Ctroufs. • �): � - - ="! 95.4 ` MFso❑• 4 as owner d the property Co xkIra a CorIfctora wll do'tie work and the stricture Other (See Corrnplete Fee 3ohedrte) b'nc amended or offered for rile (Seddon 7044, Buelneee y�,�wl wry end Profeeai.Code). , 1 V��1ALy .02 CONSTR.LCMON LENDING AGENCY 4fCL14 95.0 I hereby afflrm then ttnem is s oonetruatbn Ienckv agency for the Cwm .00 pedomwx:n e of the work for which tits permf Is bared(Sea 30197, . PERMIT FEE (3u¢Total) /77 C�V. C) - '• PLAN{:FiECI(1NG FEE _ �,�yop/ �,p Lenderd Nemo S+�fM+ ��1 Q+1 9/0 7 PE. MFf ISSUING FEE - �t wl,� A ��yy..�� Ladders Address 4%4 1 Amiom I certify that 1 have reed tine appllcatlon and state that the Qbare TOTAL FES . hfgrmatlon Ia oorrect I agree io oompty wtth ell County ordhor— - and State fawn refluiating Electrical MAA. arid hereby auff-b:e represertt�tives d.tib Courty to eimer upon the eboy -mermigned property for irpr pupoees' _ SFE REVERSE FOR EXPLANATORY LANGUAGE_ of PerTr>rttee WORKERS coMPEr�SARotJ DECLARATION '°"°� 10/81 APPLICATION FOR ELECTRICAL -PERhMT ' I h>�by afffrna that I h" CE-B060 of conewt to sad here, .or a cerdfftata'of Workers' Compensation Ursuranc,% or a oWdfied COUNTY QF LO$ ANGLES BUILDING ANB + � oop9►thereof( 3� Lab.G) - p_��� h'oR AhnjC NT'. Fu.'N toe t . furliehed.• �j, (�• New Reakientlal Bk4s.t; EACH. NO. FEE ADDRr © cerufi&d .dopy to•J1IQd wtth 0 oau,tr bueiry.�,epedttor, 1 a 2-Famlfy,sq Ft 1.13 T $ — 3 Loc wTY P ST. Rea clopqLtrrent mutt[-famlly Sq_Et — NF1�ST oaof f k>aut Ci�d �' _ ee Dere identiel SWmmfr Podia . pA • . FrA l CERTIFQATS OF EXEMFA TION FROM WOFf}CFRS' COMPENSATION INSURANCE DUtletfs Rao—Light (Thta onp 6"tlon rood not"ciatad Y the work 6eoKad by the Ffret 2a, Cl tTY el:No. parmK Is for one undr6d ddhar•1(s 10 1)or Iasi) total No. Additionei I certify flat to ttie perforTnenoe of the work for.whbn this pwTrV AOPLkkPLAN CkW to issued, I &hall pot gnx?loy airy pereon,In arty mahner eo as fa . bec6tre -b)ect to the Cornpenpatibn Laws LJpihtlng Fbctures Flret 20. ADDRESS Datekrard Tata1 No.- Additional CFTY Tel.No. App4NQTK;E TuO.'AP ?UCAW: Noro, after T .this OerUfi<xta of Appllehoae Not over'1 t fP .4 PEFW , .F�m)d6h,yoslkouO become eub)ec�td V-0 W&icera'Corrpk dionRare— Hedter— b.w. provieiorre of 6a Labor'Code, yob fnuet forthvyftt>oorrtpty with ouch 4 dveri Dr-Y& y W.M._ ADDF)E$3 ' prWhbris'or Chic perrnft shall6e deemeq retivlced. Top FAU WJ-L — OrTY _ UC ENS i�'�yIRAOTO93 1FgL { Hood Fan r Othq— S . - I hiereby affirm.(Laf'I'am Ilowobd under prov*ons of Ohapter Dlep. — F3oorn Atr CondL REQ /119 S OFI �1 (corrxnerrdnq'wtth'Recbw 7060) Df•`DhvMslon 3 of the (3lreinesa.and iJ Ptotesaions Code;and rrry Ikrww Is k)fun,force aqd effectFier d LAW Apo � DSTFUCT N0. 11Y - (� ? Stze S Type HP,- W,K'04 or,KVAA. L lm-Me Nu!mmbeerf(1 �f Lb Claes C Up to 1 lrpl. FINAL Contractor f!N "spa Oyer 1 to TO Irtd. DATE HUDAM LLQ Over 10 to 60 lgct FINAL ` ❑ I am exempt under Seo. Over 60 m 100 tnc. BY 44 . 8AP.C,for ttile reason Over 100 tv f!� • - ServlCee,Swbd.,MCG S PgnNboards - ..- - .- ... - . Z -Data; , + 0-209 Arne:Under-, OQ V 'i Signature 201 - 1000 Arhp.UrxW 8Q0 1. Ovist 1000 Amp.or Or'er 800 V. p t)aamption for Req.Malr)t,Elect l SINGLE FAKtILY Temp-Powgr Pole d Appurier�1, I HOME OWNER-BUILDFR DECLARATION ` I bereby aMrm I:bat I am exempt from tbe.Contr>}otpre LJcenee LaW Stan with Orae Branch Clrcatt I kr the folkxvfrp reaa0n(SadJori 703L6, Buefna"� and,Protgagior�e AdS SW Brenoh Circrrtte Cade: _ ) 3.�l17� 9S.02 - , . ,�;car,auns a � • E. 1,as•owner of the property,will dA the work and the stnxifure 1 ' Ip not hjeodQd or offered for.¢eie (Sect n 7044,-.Bueineee Other.1��T�te� uW and Prof�a,gns CQde). 'r1Qi'AL 9,154 02 CONSTRUCTION LENDING AOENCY bfG41'1 "M OIL I bereby affirm-that two Is a construction Iarding ww" fbr the IrtlAt� •M pWormence•of the work for whhoh thfe pertnR Is issued(9&-'3087, PERMrT FEE (34b-Tptel) _ 4�Y77�. w Ctv. tr.). PLAN CHEC40hJ(3 FTrFR.r�itA.rl' Lender&tJerne , 0/ ��nn wry PF-RmFT ISSUCJ i FEE - - ?7QJ 4 1U`V1 Lender& Addreaa I der* $kat I'here reed this appfbatign and atatp that the above TOLkL FEE Ir>forTnaY)on la torrent I agree to comply wfth al Courrty ordinancea and Staie Tawe regulabng E Vocal Wrtig, and.herepy autfbrtre repre4ertathes Of this County eater upon the above-menbongd Prop& for I - q SEE REVER8,=FOR EXPLARAPORY,L.ANOUA0 Of Permittee