Loading...
HomeMy Public PortalAbout10046 GREEN ST_Electrical__ o- � + APPLICATION FOR ELE RIC PER IT 1 COUNTY OF J ANGELES DEPARTMKNT OF COUNTY ENGINK iR. euILDINa �e ffLDINQ AND •AF1TY DP.151ON ADD o YC&4 � JOHIN A. LAMBIK,Cou1WrY ENa1N>[r�e If'► l.r/ T" WILLIAM A.JENS:FN,PUPT OF I3UI IHa L,p TY FOR APPLJCAkT TO FILL IN Ncno Hr. I1 OF PE DW FMS ' / ITUM HUidam 1 sAaH FI[ OWNER O a1 rs DL d Y z ao Ikmm nlje nv. T .10 LIGI-MNO ErV=11EB 0 .10 4 Calt TU..NO. yjcc.RA11Qis CLO.DRrw ELEC7RldTANd WATXR HKATKR■ .50 ADDRE," /1 K rn FAC=H7'RS. DIlHWASH VM CITYT!FU±! d J TEL NO. G SAMA09 Dl-SP663 SAlll'O.- WASOX" ti 000lvHQ uxrrs 2' YsWCrmN"NO. MOTORS: ov>ae aa. 11T7eZ GELP4JP 1 7 6— '/* .RD �L7 � p vs— 2 .60 WSPB=Ol E£CQHD Y— 1! 1.00 0 he 6— 16 1.60 15— 60 260 so—soo 6.00 >` B[GNH: Ho. „�' No,tuns simVICE O-EOOV 1.00 iloo 6ERVICI#OVER p00Y 6.06 a+e M 18C. i WIRING PERMIT 1.00 Q FIXTURHPERMIT - 1.00 SUPPLEMENTARY PERMIT .60 TOTAL FFE I H[RIHY ACKHOWLIPOR THIN I HAVt,RLD TH It APPUCKATION APPROVAL.E DATS vtSRCTO7V1 S10HATURI AHD STATR THAT THI ASOYlt IS OORRM37 AND AQWM TO CObU-&.Y VY1TH ALL. COUKTY ORaINANCiS AmD *I'AT< LAWS RIaULATINa CONDUIT a KC'ft IAL'WIRIHO. I KMUCIY C7RTIfY THAT 1 AM rsmxmctLY R*aiSi7711m AkD/opt WIRING - LIC,"daM AS R=ODUUZ I9Y LOS ANQrL_ COUNTY AND STAT= OF !='IJC-fURdA 3 CALIFORHI*. OR THAT 1 AY THR LXQAL AAONt D[SCR77m RTf[DXNTIAL. rR0ruycTY. P rwER H I O NATU RE UTI L'Ty co-NOTIFIED OF PERM I IL L11 RAL mY34AT ATION $RTHUR C.V GASii UPERVIBIN0 ELBCTRICAI E a1NSE1t LAto6351 �3 SP 13 2 0 7.90 F- 7CA862-CISOa 10-00 APPLICATION .FOR ELE RICAL PERMIT COUNTY OF LOS ANGELES DEPARMENT OF COUNTY ENGINEER .% BUILDING BUILDING AND SAFETY DIVISION ADDRESS O JOHN A. LAMBIE. Couxry ENGINEl;R WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY EAREST FOR APPLICANT TO FIJ_LIIN cRoas sr. j PERMIT FEES,f OWNER j I T Z Y NUY R [ACH FQ MAIL OUTETSi s. s ADDRE.BS L LIOHTO RZCZrT. Sw. .10 CI'1-Y TEL NO. LIGHTING FIXTURES .10 [LZC- RANORS CLO. DRYERS ELECTRICIA/N� WATZR HRATZRS .150 ADDRESS vV 3 rt"n/ s RIC.STACK HTRS. DI■HWASHIRS i' CITY c !K TEL NO. GARawoc DUWOX y Au7O.- STATE WASHZRS STA.COOKINo uNrrs .20' LICENSE NO. T 9 l;f tr V MOTORS. OVKR INC- H.P. DISI]r NO GROUP I ZON7. ESSED BY 0— V, 1 .25 ,L— 2 150 INS P ION RECORD 2— a 1.00 a— 115 _ 1.150 0 is— 150 2.150 p� 150— 200 15.00 0 BIGNSI NO TRANS. NO.LJ.YTS 2 SERVICE O-EOOV 1.00 SERVICE OVER eOOV 15.00 M IHC, WIRING PERMIT 1.00 FIXTURE PEFMIT 1.00 SUPPLEMENTARY PERMIT 150 TOTAL, FEE >s - I HLRLSY ACHNOWLZDOZ THAT 1 HAV= RLAD THIS AyrUCAT10N APPROVALS DATZ IRITZCTOR'■■IONATURZ AND STATZ THAT THL AEOVE V CORRLCT AND AGREZ TO COYTLY CONDUIT wIN tTH ALL COuHTY oRDANc" AND STATZ L-Awi RLouLATima IL[cnuCAL wIRINu. WIRING I HZRLRY CLICCIFY THAT I AY PROTirmy RLOISTZRED AND/OR LICZNSZD AS RZQULRID SY LAS ANOM S COUNTY AND � Z CATOF prmru�g CALIFORNIA OR THAT I AY THE LADAL OWt�i Of D THE AOYZ DZSCRIEZD RZSID,2 7Z* POWER BIGNATURQ f -� ..-� UTILITY CO.NOTIFIED OF PERYITTH FINAL ,1M�J ON AI�TH u R C, V= v L/ YOo CAWi $UPSRVLBiNG ELRCTRICAI. ENO1NSER :�,r 5 2 D 1 .22 5 W01;KERS'COMPEN5AT]ONDECLARATION CE-66 APPLICATION FOR-ELECTRICAL PERMIT I hereby affirm that I hgve ■ certiflcate of consent to self COUNTY OF LOS AbIGE LES' BUILDING AND SAFETY insure, or N certlflca�a of Workers'Compensation Insurahce,or "fl a certtfled cgpy hereof(Sec-3800,Lab.C.) FOR APPLICANT TO FILL IN V JOB Policy No. Company. EACH NO. FEE ADDRE New Residential,Bldgs.&Pools Certified copy is hereby furnished- 1 &2-Femily,Sq. Ft. $ LOCALITY ❑ Mufti-famlly Sq. Ft. moi•// Certified copy is filed with the county bulldfng hupettlon CROS$ST department. Residential Swimming Pools OWNER OR DateFIRM NAME ©,v L Appilcsnt Outlets: Rec.-Light Sw.'L Q MAIL 1rft 20 ADDRESS CERTIFICATEOF EXEMPTION FROM WORKERS' Total No.Z� Additional IQITY T. COMPENSATION INSURANCE PLAN CHECK ydJ1/� (ThIs walon need not be �let,ed if the evo� APPLICANT by the peamjt is for one h doaua ($ rt 20 100) or lees. L4Qhting FJz—tuTotal N.. �+frai�— Additional ADDRESS 1 jt18�/t� I certify that in,the performance of the work for which this Fix ApplLences Not Over 1 HP CITY x—pq 2 oC0b�j 0 permit is Isaued, I shall not employ any person In any manner, to a$�to become subject t(? the Workers Compensation Laws. Range_HeatePERMIT r D.W. APPLICANT Da � , LU �w — Dryer_, W.M. ADDRESS % P47PDlicantvVt ) Top _.FAU _WH. Z ./ CrTY Tel No. - Hood _ Fan _Other NOTICE TO APPLICANT: If, after making thla Certificate of Disp. _Room Air Cond� C E*emption, you should bptome subject to the Workers' RE .NUMBER 4V. Compensation provisions of the Labor eoda, you must forth- Pow@T Apperatus& Large App IIane'as DISTRICT NO. PRO IED BY with comply with such provisions or thjs perraft shall be deemed,revoked. Size&Type HP, KW, KVA,or KVAi6� Up to 1 Incl. 15 FINAL Over t to 10 lAcl. DATE LICENSED CONTRACTOR$DECLARATION Over 10 tb,50 Incl. � �J VALI DATION I hereby � that I am licensed under p F4N-AL provisions Of Chapter Over 60 to J00 Inc. BY 9 (commencing with Section 7000) 0 Divisiob 3 of the I3us1- T neu.and ProfeWona.Code, and my. Heegse L in full force and Over 100 effect. Serva�s Li Nu Lie.Cla0-200 Amp.1Under 600 V 201-1000 Amp. Under 600 V C � 7 Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances I hereby affirm that I am exempt from the Con0actor's Sign with One Branch Circuit 1,I1cen" Law-for the'followdh¢ reason (Section 7031.5, Busi- Additional Sign Branch Clrcults -nese and Prpfesaions irode): f, Mkc.Condults&Conductors I, as owner of the property] will do-the work and the Othof(See Complete Foo Schedule') 2(1 �1 A structure is .not intended or offered for sale. (Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY # 0-6 e o o 2 I hereby affirm that there is a construction lending agency for the perform&nce of the work for.welch this permit V 2 ° ° 1 4,00 I issued(Sec. 3097,Clv.C.): PERMIT FEE ISatrTotelj lender's Naroo PLAN CHECKING FEE (One-Fourth Permit Fee) 0 0 0 0.0 6 j Lender's Address .. PEBMIT ISSUING FEE I certify that I have read this application the state that the TOTAL F-EE abbve information Is correct,I agree to comply with all County erd and State laud.regurating Electrical wiring, and are y e thorize r resentetives of this County to enter upon, e ov men n Property.(or trop on purposes. - SEEREVERSE FOR EXPLANATORY LANGUAGE ' of ttee Date