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Home My Public Portal About10244 GREEN ST_Electrical__ 76A663-CE806 11.0/74TEtITLE My APPLICATION APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS 10 LOCALITY Temple NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS No. EACH FEE OWNER OR FIRM NAME Bums RECEPT. 7 $ $ MAIL LIGHT_ TOTAL FIRST 20 .JT 25 2 75 ADDRESS qa.Tne �y /dd/� CITY TEL. NO-44,8-6860SWITCH OVER 20 ip PLAN CHECK 25 FIRST 20 APPLICANT LIGHTING TOTAL .25 OVER 20 ADDRESS FIXTURES ---i- .10 RESIDENTIAL APPLIANCES CITY TEL. N0, PERMIT RANGE DRYERWTR. HTR._ APPLICANT STA. COOK DISP. F.A.U. ADDRESS 15834, workmAll SPACE HTR. AIR COND. CITY LEL Puente TEL. NO. CLOTHES WASH. DISHWASH. 1 1- 00 LEGENUMBER,2 Q CLASS. FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 100 LICENSED AS REQUIRED BYLOS ANGE ES COUNTY AND STATE OF } CALIFORNIA OR THAI I A THE lE AL OWNER OF THE ABOVE CL 1 — 1O 3.00 OE 5 CRIPED RESIDEN IAL ROPERT CD U PERMITEE 10 - 50 5.00 SIGNAT F-- U 50 - 100 10.00 Lu DIS NO. OC SSED BY 0- v) 100 - 500 15.00 /7 Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS V DATE INSPECT SSIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING _ TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED - - UTILITY CO. NOTIFIED -R R FINAL PERMIT FEE (SUB TOTAL) 4 no NOTES, f, PLAN CHECK FEE PERMIT ISSUING FEE 3.00 OO TOTAL FEE 7.. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 337rJUL 9 2 0 7.0GA",- SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A66S-CES06-9-57 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENTUNG AND SAFETY DIVISION AllRE'ss JOHN A.LAMBIE.COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITYMMI 1� y NEAREST -/ FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES I T E M NUMBER EACH FEE OWNER �- 7q MAIL 0L GHTS T!•• ECEPT. SW a A0 a ADDRESS ' LIGHTING FIXTURES .10 CITY TEL NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS RBAGE DISPOSERS AUTO.- CITY TEL.N 00 WASHERS STA.COOKING UNITS ,25 `J STATE / LICENSE NO. ! vr/ 4=?—Id MOTORS: OVER INC. H.P. DISTRIC NO. GR.QUP Z NE� READY FOR INSPECTION 0 - 1/2 .25 1/2 - 2 .50 INSPECTION RECORD 2 - 5 1.00 5 - 15 1.50 15 - 50 2.50 50- 200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00vo SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 Q SUPPLEMENTARY PERMIT .50' TOTAL FEE a APPROVALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LICATION 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 CE Y THAT I AM PROPERLY ISTERED AND/OR -� LICENSED AS GU ED BY LOS ANGELES TY AND STATE OF FIXTURES CALIFORNIA 0 TH T I M THE LEG L E OF TH ABOVE POWER DESCRIBED RE EN IAL OPERT . SIGNATURE /,/, UTILITY CO.NOTIFIED OF PERMI `� FINAL �' M MO SH ARTHUR C.VETT. CK l CK MO CASH SUPERVISING ELECTRICAL ENGINEER 12688 APR 8 2 A 920 ION M-00 19 firm that I have of consent to r6AM �) APPLICATION FOR ELECTRICAL PERMIT I hereby nttlrm that I have a oertltloate of consent to self Insure, or a certlfloatn of Worker's Compensatlon Insu ce, or a oertllled COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy ther/�O 3800 C.) Pricy Ndi II COmIMnY r'Of1 APPLr–M T TO RLL M A.F111 /D ❑ New Residential BkV&8 Pool@ NO. EACH FEE LOCALITY Certified Dopy l@ hereby Tumlehed. — i i f 1 h 2-Famlly,Sq.P Certified copy l@}1bd with the coon rapectlon — NFT d 11ufti-famlly Sq.PL epee ST. Date O Appllcant ReeickmtW 8w1mmIng Poofa ASSESSOR AAP BOOK PAGE Rgca OMNCERTIFICATE OF EXEMPTIO-N FROM WO Outletx Roc.—Light SW. Fl �PJA N„� COMPENSATION INSURANCE Flrat 20 uA■ (This&action need not be oomplete� If the work Involved by the ADDRESS permit Is for one hundred dollars(11ss 00)or le .) Total No. AdIdonel 'Q I oertlfy that In the performance of the work for which this permit CITY T O Is Ieaued, I shall not employ any person In any manner so as to PLAN ty-iECK become subject to the Workers' Compensatlon Laws. LVfng Fbduree Rrat 20 APPU-V+T Taal No. Addtbnal ADDRESS Date AppllcoM RE8#NT1AL APPLLANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Td.Na Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the La4gr Code, you must forthwith oompty with such A rr proVlelohs or this permft shall be deemed revoked. Power APPS ��AppOerrcee LKCE D CONTRACTORS DECLARATION Stre d Type HP KW,KVA,or KVAR ADDRESS $ / I hereby'nttlrm that I am licensed under provisions of Chapter B _ pw 3 to 10 Ind. (commencing with Seotlon 7000) of Division 3 of the Business and CITY T� Profeselons Code,and my license Is In full force and effect. Over 10 to 60 Ind. L CENISE OR Over 50 to 100 Ind. RED-NUMBER C— � License Number 0,9 "l IJc.Claes Over 100 DISTRCT NO. �y p eY 8 1 Service&,Swbd.,MCC S Panebboerda •(/O I= Contractor Date / 0-399 Amp.Under 900 V PAS 400-1000 Amp.Under 900 Vj L VALDAT}ON U El am exempt udder Seo LU Over 10110 Amp.or Over 900 V FWAL d B.hP.C,for tole reason BF1AtJCFI C4RCU1T FEES BY CDZ Date: 16A,or 20A,126V,l.lghting or Receipt — 1 To 10 Branoh Clroufta Sl9nature 11 To 40 Branch Circuits ❑ 41 Or Mon Branch Clrarllt Exemption for Req.Malnt Elect- 1EA,20A,208V To 2T7V Br.ChL t SINGLE FAMILY Temp.Power Pole h Appurtenances HOME OWNER-BUILDER DECLARATION & with One Branch Ciroutt I hereby affirm that I am exempt from the Contractor's License Law – L for the following reason (Seotion 7031.6, Business and Profeeelom Additional Sign Brsnoh C1rcuRs Code): _ ❑ I,as owner of the Property,will do the work and the structure Mac.Conduf s S Conductors Is not Intended or offered for sale (Seotlon 7044, Bualneaa Other(See Complete Fee Schedule) —and Professlons Code). CONSTRUCTION LENDING AGENCY I hereby &Mrm that there Is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097, PERMrT FEE (Sub-To* Ctv. C.) PLAN CHECKING FEE ,.'_.f... Lender's Name 44 PERMfT ISSUING FEF sc Lender's Addraee 2 I certify that I have reed this application and under penalty of purdury state TOTAL FEE d that the above Information is oohed. I agree to comply with all County ordinances and 567regiul*ting E}eotrbal wirtng,and hereby authorize repme th my to enter upon the above-mentioned ply for I SEE REVERSE FOR EXPLANATORY LANGUAGE 8KWATUFE OF PSAfTTEE DATE