The URL can be used to link to this page

Home My Public Portal About10065 GREEN ST_Electrical__ 7GA663-CE806-58 APPLICATION FOR ELECTRIC PERMIT 1 ' COUNTY OF LOS ANGELES D5PARTMENT OF COUNTY ER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY p FOR APPLICANT TO FILL IN NEAREST PERIVIIT FEES CROSS ST. I T E M NUMBERI EACH FEE OWNER OUTLETS: $ $ MAIL LIGHTS RECEPT. 5W. Z ,10 ADDRESS C? LIGHTING FIXTURES / .10 CITY TEL. NO. ELEC. RANGES CLO. DRYERS ELECTRICIAN WATER H EATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY _^ C TEL. NO. GARBAGE DISPOSERS AUTO STATE p WASHERS STA. COOKING UNITS .25 LICENSE NO. p MOTORS: OVER INC. H.P. 0 DIST RI O. 1 GROUP1 zON i i PROCr¢SSE /D��BY 1/2— 2 3,11 / .so INSPECTION RECORD 2— s 1.00 5— 15 1.50 15— 50 2.50 50—200 5.00 A cl, c-' NO. TRANS. leJI SIGNS: NO, LAMPS 1 SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 7f •.T misc. ! 1 k WIRING PERMIT 1.00 Q 0 n FIXTURE PERMIT 1.00 Q Q SUPPLEMENTARY PERMIT .50 TOTAL FEE $ Q APPROVALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE /INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT —L Ia I ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSEDAS REQUIRED BY LOS ANGELES G UNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM T E EG OF THE ABOVE DESCRIBED RESIDENTIAL PR P T POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL ATION ARTHUR C. VEIT, CK Mo CASH SUPERVISING ELECTRICAL ENGINEER E 'Co 7 2 4 6 DE C 5 2 A 2 .80 M 76A663-CE8O6-70.56 APPLICATION FOR ELECTRIC PERMIT 1 BUILDING AND SAFETY DIVISION Department of County Engineer ADDRESS ,C�Q �, '�' ��bF' t County of Los Angeles JOHN A. LAMBIE, COUNTY ENGINEER ? CASSATT D. GRIFFIN. SUIP'T OF BUILDING LOCALITY _ NEAREST FOR APPLICANT TO FILL IN CROSS ST. � PERMIT FEES OWNER -!'l LIGHTS RECEPTACLES SWITCHES NUMBER I T E M EACH I FEE MAIL ADDRESS TOTAL OUTLETS $ .10 $ ELEC. RANGES, WATER HEATERS, CITY TEL. NO. CLOTHES DRYERS 'SO ELECTRICIAN :r ''r.'..- — r` ELEC. SPACE HEATERS, STAT-Y. COOK- } �/ � ING UNITS, GARBAGE DISPOSERS, ADDRESS ��l.�Z/ Z" ( :�!"R/L'G"✓ �/Lt-( AUTO WASHERS, DISHWASHER .25 r LIGHTING FIXTURES .10 CITY [�,. !�' TEL. 6r �G'/ NO'r 11_y MOTORS STATELICENSE NO. HORSEPOWER H.P. OVER INC. DISTRICT O. GRO ZONE READY FOR INSPECTION 1/2 &LESS .25 A I vz - 2 .50 INSPECTION RECORD 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5.00 M ISC. SIGNSI NO.TRANS NO.LAMPS SERVICE 0-600V 1.00 4c 'f - SERVICE OVER 600V 5.00 WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT •50 APPROVALS TOTAL FEE $ E.. I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 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 I AM THE LEGAL OWNERVOF THE ABOVE POWER DESCRIBED RESIDENTIA4P"MTY SIGNATURE , - -- I/ � �'-"� � �'` UTILITY CO. NOTIFIED OF PERMITTEE FINAL JOHN A. LAMBIE, LIDATION ARTHUR C.VEIT, COUNTY ENGINEER ; cK Mo CASH SUPERVISING ELECTRICAL ENGINEER L10:186701, JM15 2 A 2.00 D.S,S.5a 25M SE-S ,D-47 ��- APPLICATION FOR PERwr DEPARTMENT OF BUILDING, AND SAFETY ELECTRIC COUNTY OF LOS ANGELES �i NAME DISTRICT NO. GROUP ZONE PERMIT NO. W44 bL U ADDRESS v (4 v) 6 UW CITY T NO.CXtir. R—"VED BY READY FOR DATE ISSUED A COUNTY �j,� FIRST INSPECTION ��I id CERT.NO. EXPI \\ APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY 57 JOB DESCRIPTION OF ®YORK ADDRESS C22(V NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS Fl7[T CROSS CIRCUIT A B C D I E F G H _NAME z MAIL ADDRESS O � r` _ CITY fes' TEL.NO. EE1 AM THE L AL POSSE S OF THE ABOVE LOS —— AN COUNTYCERTI A OFVUA�iiy1CATION.." ' f K/EELEECTRICIAAN..�-J 1 AM THE LEGAL 01/V ER OF THE PROPERTY DESCRIBED p ABOVE OWNER, r CORRECTIONS Q z a 0 TOTAL NO. OF OUTLET0 $ APPROVALS NO. OF FIXTURES QATK INSPECTOR'S NAME NO. OF MOTORS H.P. ffi CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS ffi FIXTURES JSCE A O $ POWER PERMIT FEE UTILITYCO.NOTIF4ED TOTAL F Il s ,WORKERS'COMPENSATION DECLARATION 76A663 APPLICATIO CTRICAL PERMITCE-8CE-806G (2-80) O "fl I hereby affirm that I�have'�a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,or a cer4ificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab.C.) FOR APPLICANT TO FILL IN SOB / Policy No. Company EACH NO. FEE ADDRESS �}(/(p� ❑ New Residential Bldgs.&Pools Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY ❑ Multi-family Sq. Ft. NEAREST Certified copy is filed with the county building inspection CROSS ST department. Residential Swimming Pools OWNER OR FIRM NAME Date Applicant Outlets: Rec//^�� / /1Light Sw. l ADDRES UU6 -� First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Z3 Additional b CITY Tel No.3 32- } COMPENSATION INSURANCE d PLA CHEC 0 APPLICANT (This section need not be completed if the work involved U U by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS Total No. Additional O I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. permit is issued, I shall not employ any person in any manner PERMIT L) U so as to become subject to the Workers' Compensation Laws. Range_ Heater D.W. UJ APPLICANT d Oven Dryer_W.M._ to DateApplicant Top _ FAU _W.H. ADDRESS Z _ Hood Fan _L Other CITY VVTel No. NOTICE TO APPLICANT: If, after makin this Certificate of Disp. Room Air Cond._ L LICENSE OR Exemption, you should become subject to the Workers' REG. NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PR CES ED BY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW, KVA,or KVAR 0111-1 Up to 1 Incl. �Y L FINAL Over 1 to 10 Incl. DATE LICENSED CONTRACTORS DECLARATION VALIDATION Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL BY 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 ness and Professions Code, and my license is in full force and effect. Services 0-200 Amp. Under 600 V License Number Lic.Class 201-1000 Amp. Under 600 V Contractor 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 Contractor's Sign with One Branch Circuit Additional Sign Branch Circuits License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): Misc.Conduits& Conductors I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— structure is not intended or offered for sale (Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued (Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE O above information is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authoriz representatives of this County to enter upon e a e-menti ed p ert for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur ittee Date L - -