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Home My Public Portal About9416 GIDLEY ST_Electrical__ yewge�.crsoi+y-ee APPLICATION FOR ELECTRIC -PERMIT BUMANG &M SAFETY DMSION Dep-ftd ed Cc—l7 — ISU1LDING Com t7 of"AaQLm ADDRXSS JOHN A. LAMBIE. CourrrY ENaimmut CASSATT D. GKIMN, ■ur^r or oumDINa LOCALITY NEAREST' 1 FO LICANT tb FILL IN CROW FEQS NUMBER OWNER LIGHT OUTLETS ►TAIL ADORtM RECEPTACLES . WALL SWITCHES FEI CITY TOTAL OUTLETS 4 15s! ELECTRICIAN ELlSC.f1ANGkS 215 ADDmu, ELEC. HEATERS 215 C17Y KW EA. STAT; FI U E8 D UCXN81 NO� OTORS DISTRICT O. GROUP 7,PNE ■xADT tbn 1hsP[CT1o11 NUMB" I HORSEPOw R FIE �7 Nirw IJdYD. HP OV[R I INC. [ACH f/ 8 umsIp .215 INSPECTION BECORD 2 -50 2 D 1.00 D 115 1.150 115 DO 2.150 Do 200 15.00 misc. NO.SIGNS NO.TR.{NS. NO,SIGNS NO, LAMPS FOR EACH PERMIT: WIRING PERMIT $1.00 FIXTURE PERMIT 1.00 fft� SUPPLDA ENTARY .150 AHOVAW T T DATE 111 PECTOR S SIGNATURE I H EBY TIAlluLED E THAT I HAYE READ tHip A P C.A ION CONDUIT AXP STATE TIiAT THE A11QYE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAMS REIGULATING WUMNG 4 A2- ELECTRICAL WIRING. Rll(TURIiS 1 HfRERY CERTIFY THAT 1 AM PROPERLY RgGISTHRED ABO/OR LICEMAED AS REOVIRED BY LOS ANGaEb COUN ABU STATE OF POw KR CALIPOjINIA OR THAT IA4 E LS Qwx OF THE 00 DESCRIBED RESIDENTIAL TY, UTILITY CO.NOTIFI S1GNATVRE OF PERMITTEE RIVAL tiAj NI B 16. }�T,m� O A RTH U R C VE IT. UNTY 41N /V7- atlt•ne�rlalNa$LtcnilcwL li�Narrv�a YO CASH LACO 6 9 9 5 APR 9 2. 4-30 b 75AG a-a7 APPLICATION FOR ELECTRIC PERMIT ` c oulm OF Los "am_ DEPAETBMW OF COUNTY ENGDYP-F.H BuILDIN4 BUELDING AND SAFETY DMMON ADDREBB JOHN A.LAMBIE,COUNTY ENarNa R CASB TT D.GRIMM,Sur r o�DUILDIN6 LOCALITY FOR APP__LICpk.NT TO FILL IN N � p� 0 UGHT9 rdEC30-TAMLRE svvrTCJi Ri lyzid PAIL ADDRESS TOTAL OUTLETS 10 401 RRC. RARS[S, WATER HEATERS, cr DTRER Dann 5O ELECTRICIAN RUC. SPACE ■EATERS, STArY.DEQ fJIITS, SARSAS[ CO-OK- DISPOSERS, ADDRIraa AD TO r.■■*■■ DIF"ASEn .25' Q UGHTIIIG F=RU 10 CITY / Tl�N L9 MOTORS STICENO. �O HORSEPOWER ovni IMC DIST READY roa amm-m■ a Lz r .2 5 �- 2 .50 INSPECTION BECOBD s 5 1.00 a — 15 1.50 15 — 150 2.50 50 200 5.00 SILiG J QNd 90.TRA" NO.LAMPS SERVICE o-e0ov 1.00 OO BER! Ca OVER 4100V 5.00 WIRING PERMIT 1--00 FIXTURH PERMIT 1.00ERMI SUPPLEMENTARY PT .50 APPBOYAIS TOTAL FEE ISATti IN11PrrCToe S SLaluTu 1 HMMT AC"DWL.EDGE THAT I HAYE READ THIS APPUCATI N RIE Allq ITTATE THAT THE ABOVE IS CORRECT AND AGREE TO 'CO�P{.T CoN•DU1T W1TH ALL COURTY ORDINANCES AND STATE LAWS REOUTATIMG ELECTRICAL WIRING. WIRING LIC HEREBT SED AS RE�UIR�EDT�T I AN LOS ANGELES LT NTT AND STATE REGISTERED /OF ll FlX7lJRH8 CALIF RNIA OR THAT I A■ THE GAL OF THE ABOVEVVER DESCRIBED RUIDENTIAL SI GM r UTILITY CO.NOTIFIED OF PEIL FINALyg� CouNNT Y ENau Bl. �ATIpN l3U�vir�G 1a7&Mawr_SNautme �a CASH s 2 APR 2 4 2 A0 r WORKER'S COMPENSATION DECLARATION 20-Mg DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self Insure, or a oertiflcate of WW*ar's Compenaatlon Insurance, or a cartlfled COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. oopy thereV(Sec.38W Lab.C.) Rol lay No. gym, POR A"!-W-ANr TO MU IN ❑ Certified copy Is hereby fumfehed. New Reeldentfal BM&S Poole NO. EACH FEE LOCALITY / r 1 S 2-Farnffy,S4.PL $ EJWled — i CerDopy V filed wfth the county bufidUig lrrepeotion departm—t Muitlmlf fay Sq.Ft. — ST. De1e . Reeidentlal Swlmrning Pools ASSESSOR Applkt PACE PARC& CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rsa_Light Sw. Cy—OR COM PENSAT?ON INSURANCEFIP�I HALE 9 /G We section need not be completed If the work Involved by the Bret 2D MAL Total No. Additional ---S8permit Is for'ona hundred Ilars(3100)or lees.) I certify that In the parlor ce of the work for which this permit CTkT Is Issued, I sIftl p any person In any manner so as to CHECK become eublwrs'Compensation Laws. tine � F9 rat aPP NT LIl C �� ToW No Ad�tbnal ADDRESS ' 7'�RESIDENTIAL APPLSANCES NOT OVER 3 HP.NOTICE TO If, atter making this Certlfloate of CffYR/� .'VGA T't"°. pL o Exemption,yoaub)sot to the Worker'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of a, you must forthwith comply with such T Ic— provlelom or tI be deemed revoked. PONef APP°��S l�rQe APptlenoesORS DECLARATION Stze S Type HP,KW,KVA,or KVAR ADDRESS ,-1 '72- U A I hereby affirm that I am licensed under provlplons of Chapter 9 Over 3 to 10 Ind.d 90 I 10 to np p (commencing with Section 7000) o1 Division 3 o1 the Business and CffY �� Tal-Na /11 OBZ 11 Professions Code,and my Iloense Is In full foroe and effect. Oyer UCE?QE OR Oren X30 to 100 Ind. REG.Nl1NBEFt /q7 _ gyC�' / a Over 100 DS8TASCT NO. PRO .f Lloenae Number Llc.Class Sarvk>s,Swbd.,MCC✓f Panelboards _�z7 -.Tr a: Contractor DeYe /0-399 Amp.Under 800 V FNAL DTE 1 7 0 ❑ O�Q 1000 Amp.Under 900 V BALM I em exempt under Seo. 1000 Amp.or Over SW V FINAL TIJ I;E -LU3 - 95 a B.SP.C.for this reason BRANCH CIRCUIT FEES BY r lECX 11 0•' Z Date: 16A,or 20A,12OV,Lighting or Recept 1 To 10 Branch Ciroufts — &gnaturre 11 To 40 Brsrroh C#oulfa F-1Branch Clircutts Exemption for Rag.Mah t Ekeat. 15&20A,208V To ZA4orsM Ctralits SINGLE FAMILY Temp.Power Pole S Appurtananom HOME OWNER-BUILDER DECLARATION with One Brena,aroutt ,q? 1 0111.'16 I hereby affirm that I am exempt from the Contractor's License Law ��rr 7� y for the following reason (Seotlon 7031.5, Business and Professions Additional Blgn Brarroh Cirautts 9C.r .r _ Code): �363 98.713 ❑ I,as owner of the property,will do the work and the structure Mien.Conduits d Conductors T[�+ Is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) , 1 I 1 u FO and Professions Code). Ti ITAL 93 - 70 CONSTRUCTION LENDING AGENCY rL ( ri MAI I hereby affirm that there Is a constructlon landing agency for the performance of the work for which this permit Is Issued (Sec. 3097, PERMIT FEE (Sub-Totaf) (, Civ.C.) C PLAN CHECKING,FEE (� Lender's Name PERMfT ISSUINQ FEE trt�r �rSiF 4987 1 I certl}ys I have read this 9.*Icaiion and under penalty of pudury state TOTAL FEE r" C lI� that the Information le correct. I agree to comply with all County and State k"regulating Eletri ooal wiring,and hereby authortze 70 of this County to enter upon the above-mentbned property L/ for purposes- Yrs / I SEF REVERSE FOR EXPLANATORY LANGUAGE PeFYarrEE L DATE C�I rYORKER'S COMPENSATION DECLARATION 7c°DPW(12-01) APPLICATION FOR ELECTRICAL PERMIT 1 hereby affirm that I have a oortlflcete of consent to @elf Insure, or a oeftflct'p.of Work*r's Compensation Insuranos, or a certmed COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. oopy thereof(Seo.3800 Lab.C.) Poky No,1, L-91 My ,, �� POR ,Pt�� I�AT TO IN EJ Certified copy Is hereby furnished. New Residential Bldg.&&Pools NO. 4EACH FEE LOCALITY copy le filed with the county 1 h 2�amlty,3q.R = i $P-5" W.Fc 7 L e — MAP BOOK Muttl-family Sq.Ft U,8T. C / r S,+ Data 4 Applloent Rerlderttial Swimming Pools A83EB80R I'll P►ACa CEA7IRCATE OF EXEMPTION FROM WORKER$' OubeW Rea L,.. Sw. , 'i OWNffI Ofi COMPENSATION INSURANCE Fins d Q BO (This section need not be oompleted H the work Invoh+ed by theTotal No. Add � ADortE88 0 e perrnft to for one hundred dollars(1111 DO)or leas.) I cerdty that In the performanoe of the work for which this permit CITY r T*L No. is Issued, I shall not employ any person In any manner so as to PLAN CHECK beoorne subject to the Workers'Compensation Laws. Ugh-tIng Fbduree First 20 APPLLGANT C S C Total No. Addttlonal ADDRESS � �,�/� P310 4� Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of" CLTY L .A. TeL No. Exemption,you should become subject to the Workers'Compermatton OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith oomply with suchPEFMT Power &��"lances AP ANf I`I f '03- 0 IJ✓C provislons or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Stu&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that'I em licensed under provisions of Chapter 9 Over 3 to 10 Ind. (oommencing with Section 7000) of Division 3 of the Business and CITY T.�Na Professlons Code,and my license Is In full forop and effect. Over 10 to 60 Ind. LIC8,�8E DR. Over 60 to 100 Ind. RRI NUWBER 9 6P d License Number Llo.ease 630 968 Oyer 100 DtBTFUCT NO. BY S Servfoee,Swbd.,MCC&P&D&boerde �v Q ColiDt�e 0-399 Amp.Under 900 V RNA DATE ❑ 1 em exempt under VALIDATION 400-1000 Amp.Under 900 V _ V Over 1000 Amp.or Over 900 V R NAL LLI BY d B.aP.C.r«tt,ls reason BRANCH CIRCUIT FEES to 16A,or 20A,12OV,Llghdng or Racept / G z 1 To 10 Branch Circutb Sig na>vre 11 To 40 Breach Ctcufts 41Or Man Branch Ctajtn F-1Exemptionfor Flet'.Maint Elect 1 0A,2ODW To 277V Br.Ctrcults SINGLE FAMILY Temp.Power Pole&Appurtenances `■i HOME OWNFR-BUILDER DECLARATION g�with One Branoh Circuit I hereby affirm that 1 am exempt from the Contraotor's License Law 103.90 for the following reason (Section 7031.6, Business and Professions Adm lc;u Sign Branch aroults Jv.� Code): 1 Ili ❑ 1,as owner of the Mho.Conduhs&Conductors { � Property,will do the work and the structure -f � Is not Intended or offered for rile (Seotlon 7044, Business Other(See Complete Fee Schedule) TOTAL 108 -�t�6 and Professions Code). ' CHECK 1u a7.W) CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performancs of the work for whloh this permit le Issued (Sea. 3087, PERMIT FEE (Sub-Total) Ctv.C.) PLAN CHECKING FEE V+nnI vtr�1 312' 1?4 LerKW's Name PERMIT 13SUING FEE 4 1 AM11:51 Altwd*rosd th and under perutty of purfury stale TOTAL FEE fa I spree to oompfy with all County aws ng Eleetrloal wiring,end hereby authortre the above mentioned property SEE REVERSE FOR EXPLANATORY LANQUAQE 910NATlWIE OFF4 DATE .WWORKFI'S COMPENSATION DECLARATION 240019 DPW(12-01) APPLICATION FOR ELECTRICAL PERMIT I�rereby afArm that I have a certificate o1 consent to self Insure, 78A883 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(Seo.3800 Lab.C.) 1�y/J /y///-� /� Policy No/4t° Company .+�'�V e^ ZS'' 10 PM APPt1Gxr TO P11 rN JOB Is hereby furnished. NO. EACH FEE LOCALITY SPS' New Reelderttlal Bldpe-S Pools — 3 i �/=.d1 S 2 famly,Sq.Ft Dopy Is fied,wfttt the county building NEAREST dbPartrnent cc Mufti-famlly Sq.PL pbsg ST. Deis �lfl 3y �fAPPl Reeldentlal Swimming Pooh Aster YAP BOOK PARE RaR a OR CERTIFFCATE OF EXEMPTION FROM WORKERS' Cutlets:Reo Light S�►. pQ J RFU KENkW COMPENSATION INSURANCE Fl;* , fr (This eeotlon need not be completed h the work Involved by the 20 ADDRESS Is for one hundred dollars($100)or fa".) Total No. Add1tforud I certify that In the performance of the work for which this permit CITY TsL No. Is Issued, I shall not employ any person In any planner so as to pt V1 q ECK y � b"9 subject to the Worken' COm��}d Lfghf9 Rxtrree F�20 APPUC.wi C�/V� 7 /p— �'6 AP��a��/ / Total No. Addltlonal l! ADDRESS Deis ` NOTICE TO APPLICANT: fl, after making this Certificate ofFEEN DENTd APPLIANCESNOr 3 HP. CITY 662 CJS TeL No. Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. provisldns of the Labor Code, you must forthwith comply with such Power APPS argo&LAPAP APPtJrryfT. provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Stze 8 Type HP,KW,KVA,or KVAR ADDRESS J+r' r I hereby affirm that I am Ilcensed under provisions of Chapter 9 Over 3 to 10 Ind. (commencing with Section 7000) of Division 3 of the Bustneea and CITYAMW O>� Tk N. Q Professions Code,and my license Is In full force and effect. Over 10 to 60 Ind• LCENGE OR Cita d /� w /� Over 60 to 100 Ind. REG-NUYBIEe Lbertse Number v /— Y y{ r/ Ov100 Dt8TR1CT NO. p BY T LJo.Geaa� er d4 VCC rds CC corttrsator/C f+ 4�'(%✓U�/ i Ud�� `—G.� ��V L o 400-1000 Amp.Under 600 V X V ❑ I am exempt under Seo VAlJDAT10N Over 1000 Amp.or Over 800 V / fLU 1 B.BP.C.for this reason BRANCH CIRCUIT FEES Date: 16A,or 20A, 120V,Lighting or�ePt- Z 1 To 10 Branch Ciroults She 11 To 40 Branch CMrcuits 41 Or Mon Branch Clroudts ❑ Exemption for Reg.Malate Elect. ISA,W&208V To 277V Br.Carats SINGLE FAMILY Temp.Power Pols 8 Appurtenanow ACCT.i HOME OWNER-BUILDER DECLARATION Sign,with one Branch Clrouft 3M3 170.55 1 hereby affirm that I am exempt from the Contraotors License Law for-the following reason (Section 7031.6, Business and Professions Addttlortal Slgn Branch Circuhs 1 ITEMS Code): i ❑ I, as owner of the property,will do the work and the structure Misc.Conduits 3 Conduatnre TOTAL J-�� r_y Is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Sohsdule) , (Xc/l 170.5; and Profeaalons Code). AlCIVOGE CONSTRUCTION LENDING AGENCY I hereby affirm that there is a constructlon lending agency for the perfoC once of the work for which thl permit Is Issued (Sec. 3007, PERMIT FEE {Sub-Total) Ll IY�+J1 10J 1 f93 PLAN CHECKING FEE � 1 AM 7:53Lernders Nan. G PERMIT ISSUING FEE Lenders Address I certify that I haw mad this applIcath n and under perwFty of pudury state TOTAL FEE that the above Infornwbon is correct- I agree to compFy whh all County ord#nanoee and State laws regulating Electrical wiring,and hereby authorize rnpreeentstfvee of thia County to entBr upon the above-nentiored property �Oees fJ - SEE REVERSE FOR EXPLANATORY LANGUAGE r— OF PBeaT M DATE