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Home My Public Portal About9410 GIDLEY ST_Electrical__ 7GAee2-Can0e-7-X@ APPLICATION FOR ELECTRIC PERMIT ], BUUXOG AND SAFETY DIVISION Depoxftusnt of County aU1LDINa . Com of Los A avlms ADDN:LQS JOHN A. LAMBIE, COUNTY$NDimm3m CA*SATT D.GRIMM,SuT'T oR sul Ilra LOCALITY F FZ APPLJ_CAM TO FILL IN CRo�sr, t [FRICIPTACJ-146 OWNER PAIL r HT OUTLETS ADDRESS LL 5WITCHEH FEJT CITY NO TOTAL OuTLrra a ELECTRICIAN .C. RANGES 25 ADnh' i ELEC. HEATERB Ya CITY N . KW EA G PATE FIXTURES LICKNBE NO. MOTORS DISTRICT NO. PROUP ZONt I aunt roo tea►acTION mums HORSEPOWER IEEE S 1/0 'Z N[W MVD. HP F OVIR I INC, aJ.CH Lays .215 TNSPI=ON BSCOBD 2 .a0 2 is 1.00 a to talo 117 150 g.150 150 200 a.00 misc. NO.SIGNS NO.TRANIi. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING P[RMIT 11.00 FLXTURE PERMIT 101.00 OUPPLEMEN ALRY .aO APPROVALS TAI, FEE O DATE ixaPBCTOR S SIGNATURE HERiT ACKNOWLEQGE THAT I HAVE READ THIS APP TION CONDUIT AND STATE 7T}iAT THE ABOVQ IS CORRECT AND AGREE COMPLY WITH ALL CbUNTY ORDINANCES AND STATE LAMS REGULATING WIRING ELECTRICAL WIRING. AILD/OR FIXTURED I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWUR CALIFORNIA QQR THAT I AN THE LEGAL NQR- OF THE ABOVE DESCRIBED RESIDENTIA PE UTILITY CO.NOTIFIED SIGNATURE ` OF PERMI-I--- IE. �-mm FINAL OUNTY NG NB[l:R A�ON UrDiVlllN CAL ENGIN YO CATH In LALO6 9 9 4 APR 9 2 4.3 0 n 76A6"-CX°6°'L-11' APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELS8 D s DEPARTMENT OF COUNTY ENGINEER BUILDING I ( D 1 S^ BUILDING AND SAfFKTY DIVISION JOHN A.LAMBIE,CouxrY Eisiamxxit C41SATr M QRLIFFIX ou-r cF surLou. WCLmr 0 A FOR APPLICANT TO FML IN NEwRsaT L V E!Z L PEE IIT fig ITZ24 NUm5XR1 [cacti Q OWNER OT $ RCpT. /W 141 .10 111 (- J LIGHTING FIXTURES .,O CITY U n rr RANGEs CJ.O.DRYA" ELECTRICIAN W A T[R H[A T[R S .50 ADDRESS n rr BPAC[HTRI. DI"WASHR! CITY TH—NO. GAALAQI DISPOs[Rl AUTO.- STATE / WABH[Rl BTA,COOKING UNITS .20 LICENSE NO. MOTORS: ovER INC. H.P. 0— +1[ 25 L — -e V2— 2 .250 INSPECTION BECOBD 2— 5 1.00 Is— its ,.po- ,s— 50 2.50 4 50-200 5.00 BIGNB: NO.TRA-Hs. Nd,LAMrs I SERVICE O-600V t.00 SERVICE OVER 500V 5.00 MISC. WIRING MIRMIT 1.00 _ FIXTURE PERMIT 1.00 SUPPL2JIENTARY PERMIT .50 TOTAL FEE 4, 15, 70 APPBOVAIS 1 HQlPBY ACANdWL mam THAT 1 HAV[ READ THIS APPLICATION DAT[ INsrECTOR•■SIGNATURE AND STATIC THAT TH[ ABOVE 1■ CO RAECT AND Ab HI[ TO COMPLY WITH ALL COUNTY ORDINANCES AND STAT[ LAWR R[GULATING CONDUIT EL[CTRICAL WIRING. 1 H[R[lY CIDm FY THAT I AM PRO PIALY REGI ANDWIRING �oR LICENSED Al RXQUIRJM sY LOG ANG. COUNTY /TAT[ Or FIXTUFMS CALIFORNIA OR THAT 1 AM 71iI 7Dl F THE MOVE DESCRIe[D READ POWHR SIGNATURE LMLITY.CO.NOTIFIED OF PERM ITTE OF XX�MATIONUR C. VEIT. ` ax MD CASH Ur[RVI�ING LiCTRICAL ENGINRLR t8 3.1 4, Ju-1 22 2 A 15 .7 0 I �eA�eaCEeoetE-e• APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOB ANGELEB DEPARTMENT OF COUNTY ENGINEERBUILDING BUILDING AND SAFETY DIVISION ADDRHBS le E4 JOHN A.LAMBIE,COUNTY ENGIN®e rh,� CASSATT D.GRIFFIN,larT of sU1LDING LOCALITY 17 FOR APPLICANT TO FILL IN N P-A REST Clio eM IIJ {� PERMff FEES !1c OWNER I T[Y tum-"F-EACH FII olrrLErH: s MAIL uGHn PT. Sw. tp 0 ADD LIGHTING FIXTURES .10 CITY L.No — d E,Rg RANGE/ CLO.DRYnu ELECTRICIAN 11J, S WATER HEATERS .00 ADDRESS KLJM SPACE HTRS, DISHWASHLt1 CITY r' TEL NO. awldAo[DISPOSERS wUro.- STATE / WAANZRA UTA.COOKING UNfrS •215 MOTORS: ovot INC. H.F. 0— v. .25 v,— 2 .DOW=—ON RECORD 2— 13 1.00 •`.�► 4 Q'O 4J Ei�� D— iD 1.150 15— 50 2.130 Ob—200 8.00 91GNB: NO.TRANS. NO.LAMPS (' �"� SvwICE 0-800V 1.0.0 0 0 . SHRVICE OVER GOOV 13.00 YISC. WILING PERMIT 1.00 FIXTURE PERMIT 1.00 p T SUPPLEMENTARY PERMIT ..60 Q g7L.1 pr• f 0 TOTAL FEE s p APPROVALS 1 H HZ tZSY ACKNOWLEDGE THAT I AV[ READ THIS APPLICATION DATE INSPICTOR•S SIGNATURE AND STATE THAT THE AEOVE IS CORRECT AND AGREE TO COMPLY WrrH ALL COUNTYORDINANCES AND STATE LAWS REGULATING CONDUIT ILICTRICAL WIRING. WIRING I HERESY CERTIFY THAT I AM PROPERLY AND/Oft AND�O LI CETISID AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTU REB CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE AIOY[ D[SCRIELD RESID[NTIAI. PRO POWER t SIGNATURE UTILITY CO.NOTIFIED OF PERM11TTE FINAL I /-1 L_ to <D OF, ATION gIlTHUR C. VETT. I CK Mo CASH UPERVIStNG LECTRICAL ENGINIZR I. s ; i26 2 A 2.60 I r l� 10WORKERS' that COMPENSATION DECcare of cons 76A663 DPW 3197 APPLICATION FOR ELECTRICAL PERMIT O I hereby affirm that L have a certificate of consent to self Insure, or a certificate of Worker'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec. 3800, Lab. C.) Pg1Lcy No Company FOR APPUCAM TO PILL N JOB o Certlfled copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. X001 95;120�x ❑Certified copy Is filed with the county building Inspec- 1 8 2-Family, Sq. Ft. $ _ $ LOCALITY tion department. Multl-family Sq. Ft. NEAREST CROSS ST. Date Appl Icant Residential Swimming Pools IRM NAPAE CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL COMPENSATION INSURANCE Outlets: Ref Light Sw._ ADORFM First 20 (This section need not be 4ompleted H the work Involved by Total No. Additional CITY el. No. the permH fle Is for one hundred dollgrs (=100) or as.) PLAN CHEUc I certify that In the performance of the work for which this APPLICANT permit Is Issued, I shall not employ any Person In any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Worker Compensation Laws. Additional Date—&App tal No. CITY / Tel. No. 7 Ilcant ed Appllarces Not Over 1 HP p�T NOTICE TO APPLICANT: If, after making this Certfflcate APPLIC-ATKXJ Exemption, you should become subject to the Worker' Range— Heater—D.W. — Compensatlon provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR Disp. — Room Air Cond. NUMBER Class. I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business Parer Apparatus 8 Large Appliances DISTRICT NO. P BY d and Professions Code,and my license is In full force and effect. p Size 8 Type HP, KW, KVA, or KVAR0 LJcense Number LIc. Claes Up to 1 Incl. FINAL U Over 1 to 10 Incl. DAA Q—(�p—� VALIDATION 0 Contractor �+te Over 10 to 50 Incl. ❑ FINAL I am exempt under Sec Cher SO to 100 Inc. BY LLI B.BP.C. for this reason Over 100 d Seryices, Swbd.,•MCC 8 Fla naIboo rds , Date: 0-200 Amp. Under 600 V 0 Z— Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Molnt. Elect. Over 1000 Amp. or Over 600 V '7 SINGLE FAMILY Temp. Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION AUT.i I here affirm that I am exempt from the Contractor's License Sign with One Branch Clrcult ss Law for the following reason (Section 7031.5, Busineand Additional Sign Branch Circuits 31.W Professions Code): 1 ITBE ❑ 1, as owner of the property, will do the work and the WK Conduits 8 Conductors TOTAL _3 I _ 00 structure Is not Intended or offered for sale(Section 7041, Other (See Complete Fee Sch lei Business and Professions Code). , tC�E31.W 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 PERMIT FEE (Sub-Total) Q (Sec. 3097, Civ. C). 11/27/90 PLAN CHECKING FEE �11J 1 �1�•�G Lender's Name PERMfT ISSUING FEE O Lende's Address I certify that I have read this application and state that the TOTAL FEE Do above Informotlon 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 property for Inspection purposes. / SEE REVERSE FOR EXPLANATORY LANGUAGE S gnatu Perm Date ms WORKERS'COMPENSATION DECLARATION 20-0019 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE 806G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ❑Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS .. ❑Certified copy is filed with the county building inspec- 1 8 2-Family, Sq. FL LOCALITY$ _ $ l' tion department. Multi-family Sq. Ft. NEAREST CROSS ST. Date Applicant Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL COMPENSATION INSURANCE First 20 ADDRESS (This section need not be completed if the work involved by Total No. Additional CITY Tel. No.�� , the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'Compensation Laws. Additional - Total No. CITY Tel. No. Dater' I- / Applicant _'; �✓y! NOTICE TO APPLICANT: If, after making this Certificate Uf' ed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Range_ Heater—D.W. APPLICATION Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. CITY Tel. No. Hood — Fan —Other— LICENSED CONTRACTORS DECLARATION LICENSE OR Disp. — Room Air Cond. — Class. � I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER (commencing with Section 7000 of Division 3 of the Business DISTRICT NO. PROCESSED BY 0 • ( g ) Power Apparatus& Large Appliances � and Professions Code,and my license is in full force and effect. U Size &Type HP, KW, KVA, or KVAR �.•'�.�., License Number Lic. Class Up to 1 Incl. FINAL J Over 1 to 10 Incl. DATE VALIDATION LL Contractor Date Over 10 to 50 Incl. FINAL >_❑ I am exempt under Sec. Over 50 To 100 Inc. BY Q B.&P.C. for this reason Over 100 Services, Swbd., MCC& Panelboards , a Date: 0-200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V H ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Mainz. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION •'r I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Sche ule)_ , Business and Professions Code). _ CONSTRUCTION LENDING AGENCY y` I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE above 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 property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE OP S gnatur of PeFrfitte Date WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) 76A663 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, 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.) T r ry Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS ❑ Certified co Is hereby furnished. NO. EACH FEE PY Y New Residential Bldgs.&Pools $ $Ft Sq. . LOCALITY ❑ — Certified copy is filed with the county building inspection 1 &2-Family, _ NEAREST "- department. Multi-family Sq.Ft. CROSS ST. _ Date Applicant Residential Swimming Pools ASASPEBSSO PAGE - PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Z OW ER OR n Outlets:Rec._Light Sw. 1 FIM NAME 1-y—N f i�Z{" COMPENSATION INSURANCE v v (IL I First 20 AIL J (This section need not be completed if the work involved by the Total No. Z' Additional A DRESS permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit Cl Tel.No.,G fes!"' C is issued, I shall not employ any person in any manner so as to PLAN CH Lighting Fixtures First 20 APPLICANT become subject to the Workers' Compensation Laws. 9 9 —"— _ Total No. Additional ��L/ JVW�' ADDRESS Date Applicant fJ RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. L / _ PERMIT ''1 n �f./V aye ijJ provisions of the Labor Code, you must forthwith comply with such APPLIC T ( p i f N — � � provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR A RESS �3 S Crl$ L�'TTC I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. CITY nn /, (commencing with Section 7000) of Division 3 of the Business and Tel.No. 0.C�� S '"" Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE OR , ) } Over 50 to 100 Incl. REG.NUMBER < i; Class. L_ n d �+ Over 100 DISTRICT NO. _ PRO BY License Number ` 1�7 Lic.Class �" r LJ /� Services,Swbd.,MCC&Panelboards o cc Con ractor `'UJ��1( �"f� u(4 Date 0-399 Amp.Under 600 V FINAL DATE O 400-1000 Amp.Under 600 V VALIDATION ]� I t under Sec. LV L. t..: Over 1000 Amp.or Over 600 V FINAL d Bam exemP.&P.C.for this reason BRANCH CIRCUIT FEES BY z Date: 15A,or 20A,120V,Lighting or Recept. — 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuit ❑ 41 Li More Branch C uits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Cir its T�1fnf SINGLE FAMILY Temp.Power Pole&Appurtenanc 333 51.30 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 1 ITEM t I hereby affirm that I am exempt from the Contractor's License Law Ca i for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circ s c TOTAL +- .�+ F-1Code): _ t/ ft Misc.Conduits&Con dors /— CNECK 51.30 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 Comple Fee Schedule) , ` GHANI and Professions Code). CONSTRUCTION LENDING AGENCY Q��01 C/i ,b� I hereby affirm that there is a construction lending agency for the .J 1 7 performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) ZC� U,1 ( (fj 1 AM1D:,}v Civ.C.) PLAN CHECKING FEE Lender's Name _ PERMIT ISSUING FEE ) Lender's Address ) I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above 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 property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTEE I DAIJF