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Home My Public Portal About5609 GRACEWOOD AVE_Electrical__ 76A663 DBS 5A 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC 1 WILLIAM J. FOX, CHIEF ENGINEER DISTRICT-NO. GROW FOR APPLICANT TO FILL IN � �.-� ZN PERMIT NO.R ELECTRICIAN - db RECEIVED BY READY FOR DATE ISSUED ADDRESSrr FIRST INSPECTION A CITY {r � 1. TEL. NO. COUNTY LIC&SE NO., EXPIRES BUILDING SS r PERMIT FEES ADD ti FEE NUMBER EACH EE LOCALITY \/ LIGHT OUTLETS NEAREST S7r`�' CROSS ST. Y RECEPTACLES S _S WALL SWITCHES OWNERA4622:44AU! TOTAL OUTLETS ^ Sc $ " MAIL b ELEC. RANGES 25 ADDRESS � ELEC. HEATERS 25 CITY /'( I� �,a1%�\': TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS („i AND AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS ( AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. �/ 1/2&LESS $ .25I SIGNATURE OFJ. .�"I�fi� - s2 1/2 2 .50 PERMITTE / 1 el..t.-t,xT 2 5 1.00 INSPECTION RECORD 5 15 1.50 15 50 2.50 50 200 5.00 200 Soo 10.00 ..l Soo 1000 15.00 Q Z OVER 1000 20.00 M. G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA 0 GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS ((75 O ohm. MOVED MOTORS (75%OF OR1c.) MISC. SIGNS NO. NO. TRANS. APPROVALS NO. NO. LAMPS � FOR EACH PERMIT: CONDUIT DATE INSPECTOR'S NAME ' WIRING I $1.00 FIXTURES $1.00 WIRING SUPPLEMENTARY 50 FIXTURES POWER TOTAL FEE $ UTILITY CO. NOTIFIED ® FINAL A663 DBS-5A 3•55 APPLICATION FOR ELECTRIC PERMIT 1 DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING �/�� ,a> WM.J. FOX. COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN. SUPT OF BUILDING Ilk LOCALITY �'� :�,� !�-r--�=-•r FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. NUMBER EACH FEE � LIGHT OUTLETS OWNERAl L D RECEPTACLES ADDRESS WALL SWITCHES '. Y TOTAL OUTLETS _ 5¢ $ CITY i=lC, TEL.NO. ELEC. RANGES 25 ELECTRICIAN _ELEC. HEATERS 25 ADDRESS KW EA CITY TEL.NO. FIXTURES 5 LICENSE NO. NUMBER OF LIGHT CIRCUITS - DISTRICT`IU,O. I GROUP I ZONE. READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS NUMBER HORSEPOWERFEE N INSPECTIORECO D NEW MVD. HP OVER I INC. EACH 1/2&LESS $ .25 1/2 2 .50 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5.00 MISC. NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH-PERM IT: WIRING $1.00 FIXTURES $1.00. SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ 't... DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PL CATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. 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 AM THE LEGAL 9WNER OF THE ABOVE POWER DESCRIBED RESIDENTI L, gOPERTY SIGNATURE Y,/ /� UTILITY CO.NOTIFIED OF PERMITTEE '�`�� FINAL ° s r�� WILLIAM J. FOX, COUNTY ENGINEER VALIDATION Ff A. C.VEIT.CHIEF ELECT. INSPECTOR �n 7 i J Ln �fY oB 5-A 12-43 25M ,APPLICATION FOR PERMIT I DEPARTMENT OF BUILDING AND SAFETY ELECTRIC � COUNTY OF LOS ANGELES M. J. FOX CHIEF ENGINEER zDISTRICT NO. GROUP I ZONE PERMIT NO. Q NAM O /✓�:? �; ADDRESS CITYTEL.NO. RECEIVED BY READY FOR DATE ISSUED w FIRST INSPECTION .! COUNTY W CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLYJOB s DESCRIPTION OF WORK ADDRESS✓ -- P 'C - :J`C NUMBER OF OUTLETS ON CIRCUITS LOCALITY ,�'` '� LOCATION BY ROOMS NEAREST LIGHT OUTLETS Isw. PLUGS IFIXT CROSS ST. CIRCUIT A B C D E F G H m NAME w z MAIL 3 ADDRESS O CITY TEL.NO. AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION., ELECTRICIAN. I AM THE OWNER OF THE PROPF,RTY DESCRIBED ABOVE OWNER. CORRECTIONS a _ Z J � 0 TOTAL NO. OF OUTLETS $ APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. ff $ WIRING NO. OF'12AN@ES OR HEATERS I $ FIXTURES E LLANEOUS $ POWER IT FEE $ UTILITYCO.NOTIFIED FE FINAL OB 5-A 12-43 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER F�ADDRESS p, DISTRICT NO. GROUP ZONE PERMIT NO. r7 ,�, RECEIVED BY READY FOR DATE ISSUED TEL.NO. FIRST INSPECTION . . EXPIRES APPLICANT FILL IN HEAVILY OUTLINEDPORTIONONLY DESCRIPTION OF WORK ADDRESS T['%3 I �' NUMBER OF OUTLETS ON CIRCUITS LOCALITY 7- LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS FIxT CROSS ST. CIRCUIT A B C D I E F G H W NAME w — Z MAIL 2 3 ADDRESS o CITY TEL.NO. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICAa$-OFtQUALIFICATION.. ELECTRICIAN. /( I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED t ABOVE OWNER. r CORRECTIONS J Q _Z L7 O e TOTAL e NO. OF OUTLETS $ 'S S" APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ UTILITY CO.NOTIFIED TO FE -� FINAL 76AS63 DBS SA 7-51 APPLICATION FOR PERMIT DEPARATMENT OF BUILDING AND SAFETY ELECTRIC 1 COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT NO. GROUP ZONE PERMIT NO. FOR APPLICANT TO F,LL IN ELECTRICIAN —�- - -- RECEIVED BY READY FOR DATE ISSUED ADDRESS "I, I FIRST INSPECTION CITY TEL. NO. W 4.,/ ,•J COUNTY LICENSE NO. EXPIRES BUILDING ADDRESS CJ (� f' L'7"�1q1QU� Vl• PERMIT FEES _ ---- FEE LOCALITY U r A NUMBER EACH '/ LIGHT OUTLETS CROSS ST. L I ✓ F OR F NEAREST �/� RECEPTACLES WALL SWITCHES OWNER_ TOTAL OUTLETS Sc $ "� - MAIL �y ELEC. RANGES 25 ADDRESS ELEC. HEATERS t ' 25 _ CITY TEL. NO. FIXTURES _ 5 (') 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. 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 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NuMeER HORSEPOWERFEE ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER NEW MVD. HP OVER INC- EACH OF THE RESIDENTIAL PROPERTY DESCRIBE ABOVE. t 1/2 6 LESS $ .25 BIGNAT URE OF I/2 2 .50 PERMITTEE 'A_ I 2 5 1.00 INSPECTION RECORD 5 is 1.50 15 so 2.501 _ 50 200 5.00 _ 200 _ 500 10.00 500 1 000 15.013 - Z OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP WELDERS:AC-KVA 0 GENERATORS - KW TRANSFORMERS_- KVA _ TEMP. MOTORS (75% OF DRIG.) MOVED MOTORS (75% Or DRIG.) MISC. � Al 51GNS N0. NO.TRANS. ; APPROVALS NO. NO. LAMPS y- DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1,00 _ CONDUIT FIXTURES $1.00 1 rWIRING.:;' SUPPLEMENTARY .50 FIXTURES / POWER _ TOTAL FEE $ ',y UTILITY CO.NOTIFIED " FINAL �/ ` — WORKER'S COMPENSATION DECLARATION DPW c,2-o,, APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have ■ certlflcate of consent to self Insure, or a cerUflcate of Worker's Compensation Insurance, or a oertlfled COUNTY OF LOS ANGELS' DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) Policy No. Company POO APPM-ANT TO ra.L IN AnOROsEl 360 CertlRed copy Is hereby fumbhed. New Reeldwrtfal Bldgs.8 Pools NO. EACH FEE LOCALITY ❑ I Crt1 8 2-F m ,Sq.PL — i $ ei}led copy la tiled wCh the oormty building napeaUon NEAREST deparbnOnt Mult1-family 8q.FL — cflo88 ST. Date Appllcant Reeiderrttal Swimming Pools MAP BOOK PAGE PAACa CEFMFICATE OF EXEMPTION FROM WORKERS' Outlets.PAC _LightSpy, FIRM N COMPENSATION INSURANCE FIRMJJIE (rhls seotfon need not be completed If the work Involved by the Rrrt ASD.88 mft `=LJQQD perIs for one hundred dollars($1110)or leas.) Total No. Addrdonal I certify that In the performance of the work for which this permit CITY Tel-NO le Issued, I shall not employ any person In any manner so as to PLAN CHECK became subject to the Workers' Compensatlon Laws. LJghdng Flxtursa Rrat 20 APPLICANT Total No. Add6onal ADDRESS Date Applicant RESIDENTIAL APPILANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY TsL140� Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. PERi[IT provisions of the Labor Code, you must forthwith comply with such Power Apparatus 8 Large Appliances provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION 8txe h Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am Iloenead under provisions of Chapter B Over 3 to 10 Ind. (commencing with Bectlon 7000) of Division 3 of the Business and CITY Tr No Profesa]one Code, and my Iloense Is In full force and effect. Over 10 to 60 Ind. LICENSE OR Gess. a Oyer 80 to 100 Ina. REO.NLXABER Over 100 D{8TR1CT N0. BY S LJoxrue Number LJc.Clare rO � BWVLI?W Contractor Date �' P O ❑ I am exempt under Sec. 400-100b Amp`.'U"ln"der C00 V Q W Oyer 1000 Amp.or Over 800 V FWAL VALIDATION Q. B.BP.C.for tits reason BRANCH CIRCUIT FEES BY (n Dale: 16A,or 20A, 120V,LJghtlng or Reoept Z 1 To 10 Branch Clrouhs Stgrat:un 11 To 40 Branch Circuits F-141 Cr Mon Branch Cl dt. Exemption for Beg.Maim Batt. 1GF�20A 20BV To UN Br.Ctcults SINGLE FAMILY Temp.Power Pole A Appurtenartcee ` HOME OWNER-BUILDER DECLARATION Sign with One Brarah Clroutt ACCT.i affirm I hereby arm that I am exempt from the Contractor's Lloense Law Ln for the following reason (Section 7031.6, Business and Professions Add k)nal Sign Branch Ctrcufte 6.5.60 Code): F1 NI,as owner of the Misc.Conduits S Conductors 1 ITEMS TTTproperty,will do the work and the structure Is not Intended or offered for sale (Bectlon 7044, Business Other(See Con-pletsa Fee Sohadule) TVTNo0' and Professions Code). CHECK 65.6 CONSTRUCTION LENDING AGENCY �)yE ■00 I hereby affirm that there Is a construction lending agency for the ��T7�7G performance of the work for which this permit Is Issued (Sec. 3087, PERMrf FEE (Sub-Tata]) Q Cly.C.) PLAN CHECKING FEE 030&—DW1 5/ 2/96 Landau Name PERMIT ISSUING FEE 7,306175 1 AM11:21 Landers Address I oerttfy that I have reed this app6carion and under penalty d purjury state TOTAL FEE that tiie above Informatipn b mToot I agree to comply with all County ordnarKm and State Is"regulating EleotriaeJ wiring,and hereby authortze repreeentaUvee of Uda County to enter upon the above-mentioned property for I fw SEE REVERSE FOR EXPLANATORY LANGUAGEeaaNATURE DATE