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Home My Public Portal About10030 GREEN ST_Electrical__ 7eA0 e7-C`e0e l:"e APPLICA O�FR LECTR CAL PERMIT CO'VNTY OF LOS ANGELES - DEPARTM79NT OF COUNTY ENGINEER JOB Op}ZF4S10030 ,GQ j3 T D N D A Y D VISION FOR T 0 FILL IN LOCA IT I TY New Residential Bldg[III Pool/ EACH NO. FEE NEAR T 1 A 2-Flirrtlly,Sq. Ft. -025 — CROSS 5T.OWNi-=R OR fi�S IV Muhl-family Sq. Ft. 02 — FIRM NAME Residential Swimming Pools 20.00 MAIL ADDRESS Outlets: Light,$witch&Rec*Ymie GI Tel.No. FIrtt 20 .50 PLAN CHEL;Pw Additlwwd .30 APPLICANT ADDRESS Ughtlrq Fixtures FIrrt?Q .80 CITY Tel.No, Additional •90 PERMIT APPLICANT Fixed Appliances Not Over 1 HP ADDRESS Renge_Heetar D.W. CITY Tel.No. Oven_Dryer—W.M.— OR L Top _ FAU W.H._ REO.NUMB Class. dHooFel —7 1REREEY ArKNOWLEDeE THAT I HAV[ READ THI* APPLICATION Dhp—A.C. 2.00 AND /TXT E THAT THEABOVE IE CORRECT AND AGREE TO COMPLY WITH ALL COU MTY 0RDL4A MC ES ANO aTATF LAWS REGOLATINe [LLCTk ICAL MIRIN/. Pow�dr ApparetLu h I" A� anes pllc Size&T HP,kW, KVA, of KVAR I HEREBY- CERTIFY TH^T I AM FROPEHLY REf1/TER[D AMD/OA y� F� LICF"Eb Al REQUIRED BY LQ/ ANe[LU COUNTY AND /TATE OF '"• .—, ` p t0 1 Incl. ,2.00 CALIFORNIA OR THAI 1 AM THE LEE AL OWNER Or THB ALOVE A. -Over 1 t0 10 Incl. 6.00 DEtCRIPED R[/ ROP[R7Y. f, Over•10 to 60 Ind. 19.010 PERMITEE F ` 20.00 Si G. ATURE N Over 60 to T00 Inc-1. a Over 100 80.00 tDTRIC O. OCSerom J/ u1 0- 200 Amp. Udder 600 V 12.50 INSPECTOR'S Q6 164 201 1000 Amp Undir600 V 26 00 APPROVALS DATE SIONA FURE Over }000 Amp. or Over 600 V .00 P.POWER POLE v Temp. Power Pole&Appurtapances X0.G0 UNpERSLAB WORK Sign with One BrbnI4 Clrcult 1I ROUGH CONDUIT Addltignal $Ign Branch Urpltis 21W WIRING (Other} FIXTURES POWER AUTHORIZED UTILITY CO.NOTIFIE15 FINAL , PERMIT FEE 1Sub-notal) NOTES PLAN CHECKING FEE (One-Fourth Pemllt Faef PERMIT ISSUING FEE ><6.00 TOTAL FEE PLAN CHIE K VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. MO. \ 317-1-M16 Q It f.00AM SJEk ■ACK OF AFFLICATION FOR COMPL.RT[SCHEDULE �JI'1 ---�— T— COMM OF LOS ANGEM APPLICATION FOR PERMIT DEPARTKWT OF COUNTY ENGINM DIVISION OF BUILDING & SAFETY ELECTRIC 1 WHJ.IAM rm COMM IIicmq& FOR APPFILL 1N DISTRICT NO. GROUP ZONE FERMR' NO. ELECTRICIAN-,/-, - A- 1 U �� RECEIVED My READY FOR DAT[ ISSUED ADDRESS FIRST FNSPECTION CI No V, COU K NQ, IMPIRIM =3= le) PE$�'r FEES Fu L� 1 NUMBER EACH LOCALITY LIGHT OUTLETS NEARI7T RECEPTAMMS CBM p EP WALL SWITCHES OWNER TOTAL OuTLrrS NAI L REC. RANGES 23 ADDRESS RIG HEATERS in Z FIXTUREa a d CITY TEL O. MI 1 HERESY THAT 1 HAVE READ THIS A"ucAnON AND STATE THAT THE ABOVE Il CORRECT NUMBER OF LIGHT CIRCUITS AND ,Alda TO COMPLY WITH ALL COUNTY ORDS MUMMKR OF RECEFT AND STATE LAWS REGULATING ELECTRICAL WRING- MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUbmKm HORSEPOWER FEE ANGELES COUNTY LI E, OR I AM THE LJMAL OWNER Nrn MvD. HP ovim INC, FAOH lor THI RLIDtr1TIAL GID a tsln 23 SIGNATURE S .30 PQM : is 1.oD MWEC.'TION BECOBD e 15 1.50 13 50 2.30 2cn a0 100 3.00 L vlc4m• 200 300 10.00 J a00 1000 13.00 OVER 1000 20.00 N.G. sirrjprRKq. CHANGER-HP WELDERlz AGK-VA O GENERATORS .KW TRANSFORMERS-KVA TEMP. MOTORS 7 OF opus. MOVED MOTORS 75OF ofuo. M F, SIGNa NO. NO. TRANS. AMOVAW NQ, 14Q. LAMPS FOR EACH MMMM DATE IN 'S NAME WIRING •1.0.0 t' CONDUIT FIXTURES 41.00 d if WIRING SUPPLEMENTARY .50 FIXTURIS POWER TOTAL FEE f 3 j UTILITY CO. NOTIFIED FINAL 74LA 9" DW4 ■A. .Mai 1 ' 76A663A-CE806A 4/72 APPLICATIOi"FO LECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS C)(?,- LOCALITY NEAREST /L/ ��/� FOR APPLICANT TO FILL IN CROSS ST, ��JJ JLT OUTLETS NO. EACH FEE OWNER L RECEPT.;� $ $ MAIL LIGHT TOTAL FIRST 20 ADDRESS CITY TEL. NO. SWITCH__e_ OVER 20 PLAN CHECK LIGHTING 1 FIRST 20 �i� APPLICANT Jy FIXTURES TOTAL� OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. / RANGE DRYER / WTR. HTR._ PERMIT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR, AIR COND. CITY �(�. TEL. NO. CLOTHES WASH./DISHWASH. LICENSE NO. ' CLASS. FAN OTHER2- S1) O 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO O I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF C_7 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO LAJ pJ 1 - lO RESIDE N, THE ABOVE ESCRISED RESIDENTIAL OPERTY. C/) 10 - 50 SIGNATURE OF PERMITTEE 50 - 100 DISTRICTNO. CLASS ZONE R ESSED Y 100 - 500 Q SIGN, GAS SIGN AND ONE CIRCUIT NOTES: ,` - TUBE, OR MARQUEE ADDITIONAL CIRCUITS SERVICE NOT OVER 600 VOLTS OR 200 AMP APPROVALS DATE INSPECTOR'S SIGNATURE SERVICE OVER 600 VOLTS OR 200 AMP TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES UNDERSLAB WORK TEMP LIGHT OR RECEPT, SYSTEM ROUGH CONDIUT -} WIRING ��`/LLQ .f..�•'...i:.._. _ r FIXTURES f'-*--- ---^� POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE _ FINAL � PERMIT ISSUING FEE TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cW M.O. CASH 49 ? ,u 5 U 17.5vj WORKEA'S COMPENSATION DECLARATION 20-0010 DPW(12-91) 76bE3 APPLICATION FOR ELECTRICAL PERMIT 1 hereby affirm that I have a certificate of consent to self Insure, or a certlfloate of worker's Compensatlon Fnsuranos, or a oer(Ifled COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) Policy No. Company FOR APPLICAMT TO Fal.W �t13 Certttled'copy he heretry fumistmed. New ReeldwTdal Bldgs_S Pooh NO. EACH FEE LOC.UJTY ❑ CerttMd copy b filed with the county bu3dlnq Inspect)on 1 S 2-Family'Sq.Ft — $ $ ra nREeT department Muttl-fsmUy Sq.Ft. — CRo68 ST. Date Residential Swimming Pools � / PAGE a� 1A1111 vti✓ CERTIFICATE OF EXEMPTION FROM WORKS S' Ods;Rec.,4-0' Ught-4 Sw. oY+r�EAOR COMPENSATION INSURANCE rat 2D (This section need not be oompleted If the work Invgtvsd by the Total No. FlAddFtlonal � ADDFEBs permtt Is for 6n}hundred dollars(t100)or Isar.) I certify that In the pertormanoe of the work for whish this permit r . Tal' Is Issued, I shell not employ any person In any manner so as to PLAN CHECK become suplect to the Workers' Cpmpensatlon Laws. Lighting Fbduree Rrat 20 APPUCANT Total No. Addhional ADDRESS Date Applk�arrt RESIDENML APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after maklrtg this Certificate of CITY Tet No. Exemption,you Mhould become subject to the Workers' Compenaatfon OTHER APPLIANCES NOT OVER 3 HP. provlelgns of the Labor Code, you mutt forthwith comply with such P provisions or this permit shall be deemed revoked. POS erstua h Large Applfer cee LICENSED CONTRACTORS DECLARATION Sloe S Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter B Over 3 to 10 Ind. (commencing with Sectlon 7000) of Dfvlsfon 3 of the Business and CTTY Tel-Na Professions Code,and my license Is In full force and effect. Over 10 to 60 Ind. LICIT OR Over 60 to 100 Ind. RE&NUMBER CIN � Over 100 Dt8TR1CT ND. BY Llcense Number Llo.Class Services,Swbd.,MCC&P"boarde Contractor Date 0-399 Amp.Under 800 V FLNA Q 400-1000 Amp.Under 800 V ❑ I am exempt under Sec. Over 1000 Amp.or Over 800 V FranL VAUDATION W B.BP.C.for this reason BRANCH CIRCUIT FEES BY Date: 16A,or 20A,12OV,LlghtN or Reoept Z — 1 To 10 Branch Clrcuft. Signature 11 To 40 Branch Chufts 41 Or More Branoh Circuits - -� ❑ Exemption for Reg.Matnt.Elect 16A,20A,206V To ZrN Lighting Br.Ctnnds SINGLE FAMILY Temp.Power Pole&Artwmuioee - ? HOME OWNER BUILDER DEGLA ATION Sbn with One Branch C7routt - -- - - - ACCT.i I hereby affirm that I am exempt from the Contractor's License 1-&w for the following reason (Section 7031.6, Business and Professions Addhional f3lgn Branoh Cb utb 4,: Cod54e): tir,7+J,]i 7�-['FsS .45 I,as owner of the property,will do the work end the structure Misc.Corlduf s S Conductors 1 ITEMS Is not Intended or offered for safe (Section 7044, Business Other(See.Complete Fee Schedule) -. .. UAL ..a 5 and Professions C(>de). , - - CI 5.4.45 CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the .tll1 performance of the work for which this permit Is Issued (Sec.3087, PERMIT FEE (Sub-Total CN.C.) LPLAN CHECKING FEE r 0004-OQ1 6/10/93 Lenders Name a ^ �� PERMIT ISSUING FSE p� 0196 `t AM 0:51 Lenders Address I owtffy that I have reed this applloation and under penalty of purjury state TOTAL FEE that the above Information Is oorrect. I agree to comply with al County ordtnamcseAnd State laws regulating E}ectr{cai wlring,and hereby authodze representalfvee of this County to eater upon the above-mantkxned property p�Poe�• SEE REVERSE FOR EXPLANATORY LANGUAGE d. - r OF PER&1`rVzL-- TE