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Home My Public Portal About10132 GREEN ST_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM ). FOX, County Engineer ELECTRIC 1 FOR APPLICANT TO FILL IN DISTRICT NO. GROUP i ZONE PERMIT NO. ELECTRICIAN2i. E s-- �'�' ``- RECEIVED BY READY FOR DATE I&RUED ADDRESS FIRST INSPECTION r� CITY TEL. NO. COUNTY LICENSE NO. 'r• EXPIRES BUILDINGA f.0 PERMIT FEES ADDRESB Id/ 2/_ NUMBER EACH FEE LOCALITY _LIGHT OUTLETS NEAREST RECEPTACLES CR069 ST. -".�r't f• t . WALL SWITCHES r Q W N E R r'`4"tll!'d a *4�!`r* TOTAL OUTLETS 5c 8 MAIL /� ELEC. RANGES 25 ADDRESS Zd/3 15" ,( ELEC. HEATERS 25 CITY `� TEL. NO. FIXTURES 5 HE� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS misc. APPLICATION AND STATE THAT THE ABOVE 19 CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS J, AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS _ NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER _ FEE NEW MVD. HP OVER INc. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. 1/2 6 LESS $ .25 BIENATURE OF "`r - ✓ I/2 2 .50 PERMITTEE. -- z a 1.043 INSPECTION RECORD 5 16 1.50 15 50 2.50 _ 50 2430 5.00 200 500 10.00 J 500 1000 15.00 Z OVER 1000 20.00 I' M.G. SET/FREQ. CHANGER-HP _ WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA _ TEMP. MOTORS (75°h or ORI6.) _ MOVEp MOTORS (75% OF ORIG.) T MIBC. SIGNS NO. NO.TRANS. NO. NO. LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME W 0 IRING $1. 0 CONDUIT FIXTURES $1,00 '� WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE ! UTILITY CO.NOTIFIED s "7 O FINAL A _ 76A663 DBS#5A 4-52 76A663-CE80612.58 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDINGC BUILDING AND SAFETY DIVISION ADDRESS lolj< <eG. J JOHN A.LAMBIE.COUNTY ENGINEERi CAB SATT D.GRIFFIN,Sup'T of BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST 1'1-7 ^ ' CROSS ST. PERMIT FEES OWNER xk ITEM NUMBER EACH FEE V/� �'` c,/J OUTLETS: s g MAIL LIGHTS RECEPT. SW. .10 ADDRESS LIGHTING FIXTURES .10 CITY EL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN 1/1111*1 W A T E R HEATERS .50 G: ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. DISTRICT NO. GROUP ZONE PROCESSED BY O— 1/2 .25 fA 1/2- 2 .50 INSPECTION RECORD 2— 5 1.00 5— 15 1 1.50 1 15— 50 2.50 50-200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 - SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 _ SUPPLEMENTARY PERMIT .50 TOTAL FEE g / APPROVALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S Sla"A ARE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL. OWNER THE ABOVE DESCRIBED RESI ENTIAL PROPERT POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE FINAL OF DATION ARTHUR C. VETT, CK MSUPERVISING ELECTRICAL ENGINEER O CASH 1_5 _ 7jWORKEA'SCOMPENSATION DECLAAATFON ,oDPW,12-oi, APPLICATION FOR ELECTRICAL PERMIT T'frireby affirm that I have s certificate of consent to self Insure, 79ACE8 or a certificate.of 19orker's Compensation Insurance, or a cerllfled COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DN. copy the4of(Sec.8800 Lab. C.) Policy No. Comparry rroR APPUCANi TO RLL IN JOB ADDRE88 ' /� ❑ CertHled copy is hereby tumlehad. New Residential Bko.&Pools NO. EACH FEE ❑ — i i LOCALITY Certffied oopy Is fled with the county bWk9ng Inspection 1 &2-Famfty,Sq.Ft NEAREST departrne L Mufti-fvnity Sq.FL GROSS ST. DabApplicant Residential Swimming Pcois ASBEBBOR . YAP BOOK PAGE PARC.a CERTIFK:ATE OF EXEMPTION FROM WORKERS' Olrtlete:Rac._Light Sw. owNo-i oR C0MPENMT1dN INSURANCE M Brat 20 (This esction need not be oompleted ff the work Involved by the ,Wapiq�g permtt{e for one hundred dollars(i1-00)or lea.) Total No. Addtdonal I certify that In the performance of the work for which this permit CTTYT=,qPLa7yT1 No. 3` Is Issued, I shall not employ any person In any manner so as to PLAN CHECK become su•bjecj to the Workers' Compensation Laws. UghdW Fixtures First 20 APPUcwT Total No. Add}tloosl • ADDR1=38 Defe Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE.TO APPLICANT: P, after making this Certificate of CITY T«.Na Exemption,you should become subject to the Workers'Compenaatlon OTHER APPLIANCES NOT OVER 3 HP. EFUT provielons of the Labor Code, you must forthwith comply with such P µr prbyislons or this permit shall'be deemed revoked. Power A'pparatue&Large Appliances LICENSED CONTRACTORS DECLAFLAT10N Stze&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Ind. (commencing with Section 7000) of Divlslon 3 of the Business and CITY TsL No. Profeesions Code,and my license is In full force and effect. Oyer 10 to 60 Incl. LIC818E OR t0 100 Ind. REG-NUMBER O� d LJcenee Number Llo.Class T eY j6fE.d.',-MCC&Panetboerda Contractor Date Amp.Under 1300 V DATE Elm400-1000 Amp.Under 800 V U I am exept under Sec• VALIDATION W Over 1000 Amp.or Over 900 V SAL 2 CL B.&P.C.for this reason BRANCH CIRCUIT FEES BY YFlC GT.i Z Date: 16&or 20P"12OV,LlghtiN or RaceM ?��y� 1 To 10 Bruw3, 0?h Ciroults 64.`x0 11 To 40 Branch Circuits 1 ITEM 41Or Mon Bnnoh Ctrcutts Elptiaur Exemon for Reg.Maim t. `I ElecDA,20A,206V To 277V Br.Clrc�� TOTAL 64 - 550 SINGLE FAMILY Temp.Power Pole&Appurtenancee �+�� HOME OWNER$ 4 }O UILDER DECLARATN Sign with One Branch Ctrcuh S1 64.50 I hereby affirm that I am exempt from the the Contractor's License Law for the following reason (Section 7031.6, Buelnees and Professions Additional Sign Branch Circuits V{ATTIC .00 Code): ❑ I,as owner of the property, will do the work and the structure Misc.Conduits&Conductors tt Is not Intended or offered for sale (Section 7044, Business Other(See Comp4eta Fee Schedule) tt�R 1 6/ 6/95 AM r 6n/95 and Profeealona Code). ' 07-6. 1 10%c1 CONSTRU,CN LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Seo. 3097, PERMff FEE (Sub-Total) Cly.C.) PLAN CHECKING FEE Lendur'e Name ` PERMIT ISSUING FEE Lenders Address / J' I certify that I have read this appllc l and under penalty of perjury state TOTAL FEE (� j Cut the above Information b oorrect. I agree to oompfy with al! County ordlrancee and Statdkws requlstlng ElectJioel wiring,and hereby authorize repneerrWives of thle County eir upon the above-mentioned property rp0086• SEE REVERSE FOR EXPLANATORY LANGUAGE PS1•eTT� DATE