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76A66C-CE#'806 5-61 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS /ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING ,! ��s
BUILDING AND SAFETY DIVISION ADDRESS A
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY .
NEAREST /�
FOR APPLICANT TO FILL IN cRoss ST. /'-r•
PERMIT FEES OWNER Z
1 T E M_ NUMBER EACH FEE MAIL
OUTLETS: $ S ADDRESS
LIGHTS RECEPT. SW. •1� CITY
LIGHTING FIXTURES TEL. NO.
to ELECTRICIAN �L
ELEC. RANGES CLO. DRYERS {{�� A/
WATER
HEATERS .50 ADDRESS �J 0 JId r
ELEC.SPACE HTRS. DISHWASHERS
CITY TEL NO.
GARBAGE DISPOSERS AUTO.- STATE 2
WASHERS STA.COOKING UNITS ,25 LICENSE NO.
MOTORS: OVER INC. H.P. DIST CT NO. GRO Z P SS'EDMB�
0— v. , 25 1
1/2- 2 .50 INSPECTION RECORD
2— 5 1.00 rL l `°. Z-
5—
- 0
5— 15 1.50 �— V
15— 50 2.50
SO— 200 5.00 O
U
SIGNS: NO TRANS. a
NO.LAMPS N
SERVICE 0-600V
1.00 ?
SERVICE OVER 600V 5.00
misc.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT 50
TOTAL FEE s
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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.
WIRING "r-
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OW F THE ABOVE
DESCRIBED RESIDE PROPER POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL
LIDATION ARTHUR C. VEIT
cK Mo CASH SUPERVISING ELECTRICAL ENGINEER
. :.c8 3 7 6" FLs 4 2 D 2.3 5
76A66C-CE.#'806 5-61 APPLICATION FOR ELECTRICAL P
ERMIT
COUNTY OF LOS /ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. v sst�
PERMIT FEES OWNER
1 T E M NUMBER EACH FEE MAIL
OUTLET S f
LIGHTS Z RECEPT. SW. •10 ADDRESS
CITY
TEL. NO.
LIGHTING FIXTURES 16110 '
ELEC. RANGES - CLO. DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY .TEL NO.
GARBAGE DISPOSERS AUTO.- STA //
WASHERS STA.COOKING UNITS ,25 LICENSE NO. J •Cr �+ '/
MOTORS: OVER INC. H.P. DIS�TRIGFTdP I Z P
1/2— 2 .50 INSPECTION RE ORD
2— 5 1.00 a0
5— 15 1.50 U
15— 50
2.80
0
50— 200 5.00
r. w •
SIGNS: NO TRANS. N
NO.LAMPS Z
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE ;
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND,STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT - -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THA 1 AM THE LEGAL OWNER F THE ABOVE
DESCRIBED RESIDE IAL ROPER Y. POWER
SIGNATUREUTILITY CO.NOTIFIED
OF PERMITTEE
FINAL
VALID QQ ARTHUR C. VEfT
CK Mo CASH SUPERVISING ELECTRICAL ENGINEER
(„ ,sls6y X15 2 0 530
X'7, �
76A663.CE8064.60 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE, COUNTY ENGINEER
-77
WILLIAM A. JENSEN. SUP'T OF BUILDING LOCALITY s'.
MENNEN
FOR APPLICANT TO FILL IN NEAREST
CROSS S7.
PERMIT FEES OWNER
I T E M NUMBER EACH FEE MAIL
OUTLETS: $ S ADDRESS
LIGHTS RECEPT. SW. .10
CITY TEL.
LIGHTING FIXTURES .10
ELEC. RANGES CLO. DRYERS v ELECTRICIAN '
WATER HEATERS .50 ADDRESS A— s P
ELEC.SPACE HTRS. DISHWASHERS CITY 4 TEL.
GARBAGE DISPOSERS AUTO.- STATE
LICENSE NO.
WASHERS STA. COOKING UNITS .25
MOTORS: OVER INC. H.P. DI�ST/R' ICT,NO. GR Z NE PRSSED BY
O — I12 .25 L' �_- 14
i2 - 2 .50 INSPECTION RECORD
>-
2 5 1.00 0-
O
5 — 15 1.50 V
15 — 50 2.50 0
I--
5
50 200 5.00 W
CL
SIGNS: NO TRANS. N
NO. LAMPS Z
SERVICE 0.600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 d
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 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. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER F THE ABOVE
DESCRIBED RES IDEN ROPER POWER
SIGNATURE UTILITY CO. NOTIFIED
OF PERMITTE FINAL
VALIDATIQN--, ARTHUR C.VEIT,
C✓✓ SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
.^� 3 6 " 16 D 1 .50
d J.J
c./
(ERS'COMPENSATION DECLARATION 7e 3 10/81
hereby , th� ,t> e 0, Dareeed to ,�, ,,, APPLICATION FOR ELECTRICAL PERMIT
or a oerifflcate of Yierkm' Comperleaitbn tneursrx e% or a corned COUNTY OF LOS ANGELES BUILDING AND SAFETY
oopy thereof(Sec 3800,Lab.C.) .
Polo Ne.— Conloally FOR APPMANr TO FILL IN
❑ Ce ffl a Dopy is N retry f rnW,d. New Reddential Bides.d Pools EACH NO. FEF /►.�
❑ C*Mied oopy Is fled'wfth the oounty bulkft h apedion 1 a 2-Famty,s4 Ft a — a LOCAISFY
deparhTlent. Muhl-fsmBy$q.Ft � �ppNEARE� .
TT
Date Applbant
Reeldgrlttal Swlmmlrp Poria OR
FIRM NIDE
CERTTFK3ATE OF EXEMP70N FROM WORKERS' � � MAL
COMPENSm� ON INSURANCE Ovtiete:Roo T Llpht Sw.-� // ADDREBs ml ,
MIs sectlon rmood not be gornpWed•If the work Imrotved by the FM 20 T
permit V for clue fuurudwd dollars(6100)4r ieea) TOS Na AddttlotW CTT'�1' L tN7� T. No �
PLAN C1fCK
I oerufy that an the pwfomiarloe of the work for.wh permR
)a leeued, I shall not employ'spy Trity r harry w as,to --I
bec6ma subject tD the Vrbrkars' 4awe. Lighting Ftxtu>3s / First 20 / ADDRESS
l Tptal No. / AddrCITY
Dlbt.Na
� � APAIrt Fixed AppEarlcee Not Over 1 HP.
NOTICE •TO APPL1 H, after this Phi
Exemption,you a-Ad mA*d to the W--ere'Comp-eadon..:._ Range Hester. D.W. — '
prwfaSorp of tha Labor God9r-you musk fordwAth'oompfy wtth such. Ogen Dryer— WM— ADDRESS
provfeione or tufa permit shall Pq deemed rarokecL Top . FAU _ WR .. _ C� Tel.No.
LICENSED CONITiACTO DECLARATION Flood Fan OtherT_ LJOENSE OR
I hereby.afflrm tint I am.liceread wnder._provfalore'd Chapter B D% Room Alr Cond.- d NL I claw
(oonvnanol with Section 7000) of,Dtvlebn $ of'the Quelnese and
Profesaior» end rTiy benae Is In full force prld"elYeat Power Apparatus S Large Applienced. ot9lTnGT No.
Stze&Type HP,KW,KVk,or KV R O Q
Lber»e Number Lb class Lip to tinct. - FINAL
Over 1 to 10 Ind. DATE//' r�
rt Data Over 10 to 60,�-L Fl
❑ I am exempt under Sea, Over 60 to 100 Ino. {t�
BhP1� for thb reason over 100 0•
Services,Swbd,MCC 8 Panemoerds ,
0-200 Amp.Under 600 V
Solaturp 201 - 1000 Arhp.Under 600 V
Over 1000 Amp.or Over,80¢V
❑ Exemptbn for Rep.Habit.Elea -
SINGLE FAMILY Temp.Power Poled Appurtenances y
HOME OWNER-BUILDER DECLARATION Sign wfth
I hereby-efrhM that F PM ex �erript fr= the Czetre"s oonse Law One
for the following reason(SeodW 7061.6,Buefneaa and Prdeea�ons AddbDnaiW
4 as owner of the property,wN do the vytxh and the atnrctlrre Mlea (S eUltb'S btaConFo tots . - `_
b not Irrtended or offered for Bale (Seotiorl 7044, Budr»as
Other(See Compie6e Fee SohediiQ) T'T
..and Protesabne Code).
j . 15 � �c
CONSTRUCTION LENDING AGENCY 15•75
I hereby affirm that there is a consftiboibn lentilre agency for the
perfbrmw-ce'of the work for whbh YNa permIt Is blued(Sea 3087, PERMrr FEE (Srjb-Total)
Cfv.G.).
PLAN CHECf4NG FEE
Lerldere Name �F�''f
PERMIT ISSUING FEE ��'��{{ J �/yy
t r's, 7.41
I oartIrre Addre�e TOTAL FEE
I certify that'I have retd thbepplbation end stele that the above . .
hrfomratbn is correct. I adrea to oompty wfth a]I Cpunty grdYtiencee
and State Electrical whine, and hereby auttiorbe `
14 order upon the above-menboned
for'
orSEE REVERSE FOR EXPLANATORY LANGUAGE