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Home My Public Portal About5621 GRACEWOOD AVE_Electrical__ 768663-CE805 10i72 APPLICATION FOR ELi t AL "EMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 'OB BUILDING AND SAFETY DIVISION ADDRESS v�- LOCALITY 1,21 r. NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH 11 FEE OWNER OR RECEPTI-5 $ �� J FIRM NAME Cl$ MAIL ' FIRST 20 z� a 0O ADDRESS s 1./vr. ee_6Cl' J LIGHT TOTAL a p SWITCH �_ OVER 20 { j 0 /` CITY 1%,�M �F `f T TEL. N0. 1 �o J PLAN CHECK FIRST 20loto APPLICANT LIGHTING TOTAL '� OVER 20 ADDRESS FIXTURES �� .10 RESIDENTIAL APPLIANCES CITY TEL. NO. RANGE DRYER_WTR. HTR._ PERAPPLICANT mL /(.J� V I�GK.� STA. COOK DISP. F.A.U. ADDRESS Z C X146 R/NC-7c N op SPACE HTR._ �i AIR COND. CITY 63 t{/ C TEL. NO. 6P(1,5_ / CLOTHES WASH. DISHWASH. LICENSE OR 9s-.L�/� /156 REG. NUMBER 7 CLASS. FAN-]—OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION J AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED Y LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE } 1 - 10 3.00 PESCRIP:ED RESIDENT L PROPERTY./ CL. PERMITEE C U 10 - 50 5.00 SIGNATUREi O 50 - 100 10.00F- DISTRICT N0. PROCES ED BYi� W 100 - 500 15.00 /( C//JG[, < l✓ to Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'SSIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE v SERVICENOTOVER600VOLTS OR200AMP / •-4�U ` UNDERSLAB WORK SERVICE OVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING �j TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE sof TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK/ M.O. CASH 6 2 b r-_,tAm 14 U 1 2 6.3 5 d!j,� SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE J f � 76A663 DBS 5A „-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC ��' COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRESS FIRST INSPECTION CITY TEL. NO. COUNTY LICENSE NO. EXPIRES BUILDING PERMIT FEES —ADDRESS -- NUMBER OUTLETS EACH FEE LOCALITY. t•�+Cd(jty�/ � TL� LIGHT 5c $ _NEAREST CR OSS ST.LjA j/ AR-f RECEPTACLES_ 5 FIXTURES 5 S- OWNER WALL SWITCHES 5 `} MAIL ADDRESS S/�4!,I ELEC. RANGES 25 --- ELEC. HEATERS 25 CITY*,& oil C-0 . TEL_NO. - MISC. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: TOTAL APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIOKTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. NUMBERHORSEPOWER I CERTIFY THAT I POSSESS THE ABOVE VALID LOS New MVD. HP FEE oven I INC. EADR ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER /a S LESS $ 25 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. )y v' I/a 2 .SO SIGNATURE OF 7S r j 2 5 1.00 PERMITTEE L✓ I� _ s is 1.50 INSPECTION RECORD is 50 2.50 --" r 50 200 5.00 _ 200 500 l 1.130 500 1 GOO 15.00rI A J _ OVER 1000 20.00 - Q I Z M.G. SET/FREQ. CHANGER-HP (o WELDERS: AC-KVA R r7AWIV m GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF ORIO.) MISC. SIGNS TYPE: NO.TRANS. TYPE: NO. LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 I L-' CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ �'C UTILITY CO.NOTIFIED FINAL Des S-A 4-46 APPLICATION FOR PERMIT D_EP,ARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC Z NAME WM. J. FOX CHIEF ENGINEER DISTRICT NO. GROUP I LONE PERMIT NO. Q _ U ADDRESS I- RECEIVED BY READY FOR DATE ISSUED U _CITY TEL.NO. FIRST INSPECTION COUNTY CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK DDRE ' V `� NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS JSW. PLUGS FIXT CROSS ST. CIRCUIT A JB C D E F G H XkNAME 42ela—U 6t ZAIL 3DDRESOITY.. TEL.NO. (V 1 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. i AM THE"GAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS — — a z E3 a i TOTAL NO. OF OUTLETS $ 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 $ UTILITYCO.NOTIFIED TOTAL FEE FINAL 7APPLICATION FOR PERMIT 6A663 DB6 BA 25M SETS 71-48 DEPARTMENT OF BUILDING AND SAFETY ELECTRIC i COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT NO. GROUP I ZONE PERMIT NO. FOR APPLICANT TO FILL IN ELECTRICIAN L-rJ= C t ! ( RECEIVED BY READY FOR DATE ISSUED _ FIRST INSPECTION ADDRESS CITYTEL. NO. � >� ' BUILDING LICENSE NO.4 EXPIRES ADDRESS �^- DESCRIPTION OF WORK FEES LOCALITY NUMBER OUTLETS EACH CROSS LIGHTS Sc $ O STREET RECEPTACLES 5 FIXTURES 5 Ijj 13WNER WALL SWITCHES 5 MAIL .ADDRESS ELEC. RANGES 25 ELEC. HEATERS 25 CITY TEL. NO. MISC.' I CERTIFY THAT I POSSES THE ABOVE VALID LOS NUMBER OF CIRCUITS INSTALLED: ANGELES COUNTY LICEN LIGHTS RECEPTACLES MOTORS 7se_ ELECTRICIAN. v NUMBER HORSEPOWER FEE NEW MVD. HP OVER I INC. EACH I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- I/2 & LESS $ -2S ERTY DESCRIBED ABOVE. %2 2 .5o 2 5 1.00 OWNER. 5 15 1.50 INSPECTION RECORD is so 2.50 50 200 5.00 200 500 10.00 500 1 000 15.013 J Q OVER 1000 20.00 'z M.G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (7S% OF ORIG.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS TYPE: NO.TRANS. TYPE: NO. LAMPS APPROVALS PERMIT FEE DATE INSPECTOR'S NAME FOR ISSUING PERMIT: CONDUIT q� WITHOUT FIXTURES $1.00 I WIRING ��- 1-- (`�( _ WITH FIXTURES 1.25 Z' FIXTURES SUPPLEMENTARY .SO POWER TOTAL FEE $ UTILITY CO.NOTIFIED FINAL DEC TION ', 'aff1 n that have cert care of coos 7� 10/81 APPLICATION FOR ELECTRICAL PERMIT �F"hereby aff)rm that I have a certfflcale of consent to self �-�- Insbre, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certlfled copy thereof Sec. 3800, Lab. C.) P "Company P IK FAD FOR APPLW"TO FILL M JOB /�►�� Certified copy Is hereby furnished. Resldentlal Bldgs. 8 Pools EACH NO. FEE New �+ Certified copy Is filed with the county bull ng Inspec- 1 8 2-Family, Sq. Ft.�— _ —Is LOCALITY 64121 tion department. Multi-family Sq. Ft. — NIEAFdiST /4,,_� Residential Swimming Pools GROSS ST' f ' ~r"c Date Applicant r '' OOW 5Z ORFIRV1 CERTIFICATE OF EXEMPTION WORKERS' Outlets: Regis Llght�Sw� �t COMPENSATION INS NCE ADDRESS Flrtt 20 (This section need not be competed IF the work Invohred by . Additional the permlit Is for one hundred dollars (=100)or bss.) Total No CITY Tel. No. I certify that In the performance of the work for which this RAN 1str11 r permit Is Issued, I shall not employ any person In any manner APPLK:4NT to as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS117 p /` Addltionalr �� Off` Date Applicant Total No.Ilcnnt Fixed Appliances Not Over 1 HP CfTY � Tel. No.%7 `7 NOTICE TO APPLICANT: If, after making this Certlflcate of Ap rte, 1 S0� Exemption, you should become subject to the Workers' Range_ Heater_D.W. Compensation provisions of the Labor Code, you must forth- Oven — Dryer W.M. —_ ADDRESS AX IM&Tnj withcomply with such provisions or thta permit shall be Top FAU W.H. — deemed revoked. Hood Fan Other— CITY /A Tel. No. LICENSED CONTRACTORS DECLARATION DispRoom Alr Cond. U�'SE OR Clan. l hereby affirm that . I am licensed under provisions of Chapter 9REG. NUMBER (commencing with Section 7000) of Division 3 of the Busirtasa Power Apparatus 8 Large AppliancesDISTRICT NO. BY and Professions Code,and my license is in full force and effect. ( Size 8 Type HP, KW, KVA, or KVAR 5-�d License01 Number1 Ll�c. Class Up to 1 Incl. FINAL O Co a1-Klclr A I rww_"Dat# U er 1 to 10 Incl. DAA — VALIDATION ❑ �_ Over 10 to 50 Incl. FI I am exempt under Sec. Over 50 to 100 Inc. BY p_ B.BP.C. for this reason Over 100 z Date: Seryices, Swbd., MCC 8 Ponelboards 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V n Exemption for Reg. Malnt. Elect, ,# SINGLE FAMILY Temp. Power Pole 8 Appurtenances i1 -.- 6350 HOME OWNER-BUILDER DECLARATION Sign with One Branch Clrcult 1 hereby afflrm that I am exempt from the Contractors License Additional Sign Branch Circuits '0 0 0 6 3 5,0 Law for the following reason (Section 7031.5, Business and Professions Code): c22-1 L 8 6 ❑ I, as owner of the o will do the work and the Misc. Conduits 8 Conductors Porto.41 _ Complete Fee Schedule Com lSee structure Is not Intended or offered for sale (Section Other ( P ) 70 , Business and Professions Code). N1111. 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) (Sec. 3097, Clv. C.). PLAN CHECKING FIS Lenders Name A4 PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE rd above Information Is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and here authorize representatives of this County to enter upon thea ve-menti�Aro for Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signa re of Perm ee Dote G