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Home My Public Portal About10766 GRAND AVE_Electrical__ 75A883-CEe06 1 1/70 APPLICATION FOR ELECTRI PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FLOCAIITY G QUILDING AND SAFETY DIVISION S rO ] M d COLKMA W. JENKINB N u T FOR APPLICANT TO PILL IN GROSS ST. OUTLETS Nb, XAUI FE OWNER RECEPT.16 �!' ADDRESS b �� LIGHT TOTAL FIRST 20 y6 L/r/ i OVER 20 D CITY t Ic TEL. N0. SWITCFF .10 PLAN CHECK' FIRST 20 LIGHTING LIGHTING TOTAL OVER 20 ADDRESS FIXTURES .10 - APPL ANCES CITY TEL. NO. RANGE DRYER_''WTRR. HTR. APPLICANT PERMIT O v' Gr STA. COOK _4 DISP._ F.AIU. ADDRESS V 3 v 5 Gb tC `.. SPACE HTR. AIR CONO. 4-__l CITY -6 Sf i(.µ -a jIf TEL. NO."61Y.Lt0 CLOTHES WASH. DISHWASH.T LICENSE NO. 1 7 CLASS. G-Ld FAN OTHER 1D0 1 HEREBY ACKNOWLED69 THAT I HAVE READ THIS APlLICATION �J AXD LTATE THAT TH[ AeOV[ 12 CORRECT AND AGR[[ TO COMPLY MOTORS, TRANSFORMER[ RATING WITH ALL COUNTY O4iDl NANCES AND 9-TATE LAW/ REGULATING IND. HEATERS, ETC. HP. KW. RVA. ELECTRICAL WIRING. DIZE a TYPE OVER TO I HERE" CERTIFY THAT 1 AM PROPERLY REGIe TQRFD AND/OR O — 1 1.00 LICENe ED AS REDU IRED MY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 A THE LEGAL MER F AMD INTEND TO app RESIDE IN, THE DEe CRIeE 11 kL PROP TY. O SIGNATURE Are V 10 - 5o 6.00 Off' PERMITTEE OC 50 - 100 10A0 O DIST ICTX CLADe ZO�57 PRO E E r 100 — 600 16.00 D a N SIGN, GAS SIGN AND ONE CIRCUIT 6.00 NOTES: Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1D0 SERVICE NOTOVER 600 VOLTS OR 200 AMP / 9.00 L APPROVALS DAT[ Ufr ECTCwS qw". FL SERVICEOVER 600VOLT SOR200AMP 10 .00' fEMP.POWER POLE TEMP SERVICE,POLE, h APPURTENANCES 6.00 UNDERSLAB WORD( TEMP LIGHT OR RECEPT. SYSTEM DAO ROUGH CONVIUT WIRING, FIXTUR POWER AUTHORS ED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT 138tlING FEE DAO JOSEPH ROOHAN , TOTAL FEE 3UPERVISI ELEC L ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDAT (CK. M.0. CASH 4 5 3 5;3 F823 '2 fl ?.45M SEE SAO( OF APPLICATION FOR COMPLETE SCHEDULE WOfi}(ERS COMPENSATION DECLARATION 79-883 ,aa, APPLICATION FOR ELECTRICAL PERMIT {� I'pereby that I hove a Mtf0caYe 61�cor& +o��lf' blears ° u « a of Vkrkam' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(See 3800,-Leh C.) Popsy tiro. Cornparry FOR ADPL I CANT TO FILL RJ .loo O L}I )►"1 F1Cerlifled copy lb hereby furrriehed. New Residential Bkige.S EACH_ 40. FE ADOREsa LOCALITY ❑ 1 8 2-Farrdty,Sq.Ft Certified copy Is flied with the county building Inepecfion NEAREeT deportment Muft1-famlly Sq.Ft CRCM ST. Date APAibarit ReeldenUel Swimrrdng Pcofs OWNFA OR F FUA NLkW ' CER-1IF}CATE OF EXEMPTION FROM WORKERS' 2 MA p COMPENSATION INSURANCE Outlets Roc— Light S 7 Fire 20 (Thisoneed not be completed k 0) work trnofwd by if» Total No. Additional CITY T L T.I. permit Is fe ffor one hundred dollars (1100)or low.) _ I certify that In the perlbmanee of the work for which this permit pPPLJGwi /LLE�s Is Ised, I shall not employ arty perBon In arry manner so ae to 112-1/ beoome subject to the Vkrkers'Compensation Lawa. Lighting Fbrhues First 20 ADDRESS Dote e { Total No. Addltiorial CITY T Tel.No. NOTICE TO APPLICANT: If, after making this Certof Fixed Appliances Not Over 1 HP mffioate APPUG Exemption,you should become eub)ect to the Ykxkers'Compe+mffiion Range— Heater_ DW _ 'wT provWons of the Labor Code, you must for&wth cam* with such Oven _ Dryer — W.M.— ADDRESS y provisions or this pertNt shall be deemed revoked Top — FAU — W.H. — CfT-Y No. LICENSED CONTRACTORS DECLARATION Hood _ Fan Qttrer— I hereby affirm that I am 5cenaed under Provisions of Chapter 8 D+sp- _ Room Alr Cond. uCEr18E OR (oommenokip with Section 7000) of Dlvlslon 3 of the Busiro,8s and REG,NUMBER C1■■rL Profeasf«rs Code,and my lbw ae Is In full force and effect Po%e APAerathe h Large APDL olSMICr r� O� PROCE Size&Type HP,KW,KW,«K�E4A � NX LJcenee Number Lb Clew Up to 1 Ind. FINAL /t I Date Over 1 to 10 Ind. DA's tau— x� —2� Contract« rnsru ElOver 10 to 60 incl. FlNAL _ I am exempt under Sec. Over 50 to 100 he BY � r ��r.1� BAP.C.f«this reason Over 100 PL Services,S%bd.,MCC h Panelboerds , U) Data 0-200 Amp.Under 600 V Slgneture 201 - 1000 Amp.Under 800 V Over 1000 Amp.or Over 800 V ❑ EmTption for Req.Maim Elect. SINGLE FAMILY Temp.Power Pole d Appurtenances HOME CMR,F-R-BUILDER DECLARATION Stan with One Branch Clrcuk 1 hereby affirm that I am exempt from the Contrac6 a License Lew Additional Sign Branch Circuits ACCT■i for the following reason(Seatlon 7031.6, Buelneee and Profsealone Code): 3307 . ]25. ❑ I,as owner of the mroperty,wdl do the work and the structure Misc.Conduits d Conductors 1 I 1 M Is not tnterded or offered for sale (Section 7044, Buehress Otw(See Complete Fee S�) and Profewbrm Code). TOTAL 12$ _35 CONSTRUCTION LENDING AGENCY QECK uv■35 1 hereby affirm that there Is a oor)struction larding agency for the pwformance d the walk for whlch this permit Is Issued(Sec.3087, PERMIT FEE (Sub-Total) t�Af1lL •� Civ.C.). PLAN CHECKING FEE Lender's Name ��1 7/24/90 PERMIT ISSUING FEE wy�1 Lender's Addroes 2007 1 A 1 7:59 1 certify that I have read this application and stele that the above Tom FEE J hrformafion is correct I agree to cornpfy with all County ordklawee 31 and State leve re�ng Electrical wiring, and hereby authortre representaihes of thYs tothe above-mentioned for Inspection pu SEE REVERSE FOR EXPLANATORY LANGUA13E 14' 7-z1/1"d re of Permittee Date WORKERS'`°^" T'°" ° `�T'°" &k6& °' APPLICATION FOR ELECTRICAL PERMIT I hereby pfflrm Zhao-�I Hdve4 cerlIflcA olrtonient lo self �E-005Gr Insure, or a cert�fl4ate o.6Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APFUCJ►Nf TO to IN ice ®Certlfled copy Is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. RI ADDRESS CJ Certlfled copy Is filed with the county building Inspec- 1 8 2-Fomlly, Sq. Ft. f = ; LOCALITY L tlon department. Multi-famlly$q. Ft. NEAREST ccLL Residential Swimming Pools �5 ST. Date ZZ/T—F?Applicant �, FIRM NAME rf CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rem Llaht Sw._ AAMAJL NA?MS LA COMPENSATION INSURANCE First 20 (This section need not b*completed If the work Invo#vvd by Total No. Additional CITY 7I GI Tel. N�7$� th*permtt Is for on*hundred dollars ($100)or leas.) 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. Date Applicant Fixed Appllarxes Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certiflcate of APPLICAPON Exemption, you should become subject to the Workers' Range— Heater—D.W. — Compensatlon provisions of the Labor Code, you must forth- Oven — Dryer —W.W— ADDRESS with comply with such provisions w this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION LKB�ISE ORMB Dlsp. — Room Air Coed. REG NUER T (v�G Class. I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. d and Professions Code,and my license Is In full force and effect. Size 8 Type HP, KW, KVA, or KVAR �f O Ucense Number Y—flUc. Class Up to 1 Incl. FINAL 0 � �/ �Ce6 /N3 �� Over 1 To 10 Incl. DATE// VALIDATION O Contract Over 10 to 50 Incl. ❑ R NAL 0 I am exempt under Sec. Over 50 to 100 Inc. U W B.BP.C_ for this reason Over 100 d Date: Z Services, Swbd., MCC 8 Panelboardzs , 0-200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V El Over 1000 Amp. or Over 600 V Exemption for Reg. Malnt. Elect. , SINGLE FAMILY Temp. Power Pole 8 Appurtenances 2 HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit ACCT Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits ■T Professions Code): 3307 25"50 I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors 1 ITM structure Is not Intended or offered for sale(Section 7044, Other (See Complete Fee Schedule).._ ' TOTAL 25 . 50 Business and Professions Code). CONSTRUCTION LENDING AGENCY CWCK T5•50 I hereby affirm that there Is a construction lending agency for W the performance of the work for which this permit Is Issued PERMIT FEE (Sub-Total) (Sec. 3047, Civ. a). PLAN CHECKING FEE Lender's Name ODOD—=1 11/14/39 PERMIT ISSUING FEE 6-M Lender's Address /7rCr.7 1 AM10■57 I certlfy that I have read this application and state that the I TOTAL FEE above Information Is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatl as of this County to enter upon the above-mentioned pro for Ion purposes. SE REVERSE FOR EXPLANATORY LANGIJAClE Signa re of Permittee f Date