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76A6B8 GEB487.BB APPLICATION FOR .ELECTRIC RIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 7E.A�R
1 �� /�J�
BUILDING AND SAFETY DIVISION U 'v
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING
,t ,bFOR APPLICANT TO FILL IN � r7 Z A /1 4> ,
PERMIT FEES
I T E M NUMBER EACH FEE OWNER Jfi G
OUTLE ��yy $ $ MAIL r2
LIGHTS' • RE.EP,T. BW,. .Lr .1O ADDRESS p
LIGHTING FIXTURES -10 o2D CITY l fJ L //��••�7 TEL. NO.�� d 7�d�
ELEC. RANGES CLO. DRYERS ELECTRICIAN l/
W A T E R H EATERS .50 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 P BY
O— 1/2 .25
1/2— 2 '5O INSPECTION RECORD
2= 5 1.00 A
5— 15 1.50 � �
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 .SO
TOTAL.FEE $ Q APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT n
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSEDAS REQUIRED-BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT t AM THE LEGAL-O NER OF THE ABOVE POWER
DESCRIBED RESIDE IAL PROF Y.
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE FINA6
v.-"Y '� / �- •-�""-"-•��
ATION ARTHUR C. VETT,
CASH SUPERVISING ELECTRICAL ENGINEER -
L-0 2 .6 8 .7'V; FEB 2 4 2 A
320 �
J
i
.76A653-CFaQe12-58 APPLICATION FOR ELECTRICPERMIT
- R
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS-4f!!3: L1� 1
JOHN A.LAMBIE,COUNTY ENGINEER --�^
CASSATT D.GRIFFIN,SUPT of BUILDING LOCALITY G ,
.FOR APPLICANT TO FILL IN NEAREST
CROSS ST. C�� •�
PERMIT FEES OWNER G d A.IG
I T E M NUMBER EACH FEE -
OUTLETS: g g MAIL 1
LIGHTS RECEPT. SW. 10 ADDRESS
LIGHTING FIXTURES .10 CITY TEL.NO.C.- 0;k--7 1P tt
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS 50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS vf
CITY EL.NO.
GARBAGE DISPOSERS AUTO.-
STATE
WASHERS STA COOKING UNITS 25 LICENSE NO
MOTORS: OVER INC. H P DISTRICT NO. GROUP ZONE PROCESSED BY
0— 1/2 .25 _L. A,
lie— 2 50 INSPECTION RECORD
2— O 1.00 ` b
5— 15 1507Z:)
15— 50 250
Ls
50-200 200 5.00
SIGNS: NO TRANS
NO LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 500
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE I sl APPROVALS
1HEREBY ACKNOWLEDGE THAT' I 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
ELECTRICAL WIRING.
WIRING
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA ORTHAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE jQgjjjj
FIN�TPA�TTL��^777��� �-'Y co
®P VALIDA ST.
UR ERVIS1 G ELETHUR C. CTRICAL ENGINEER
CK 'MO CASH
a 1 .50
76AG63-FEBoe 7-BB APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER fBUILDING,5�L3
BUILDING AND SAFETY DIVISION DDRESS '9 L L F_ LL
JOHN A. LAMBIE, COUNTY ENGINEER T�
CASSATT D. GRIFFIN, SUPT OF BUILDING OCALITY '04' �1
NEAREST
FOR APPLICANT TO. FILL IN` CROSS ST. G�l�� Z V1.4
PERMT FEES
1 T E MNUMBER -EACH FEE OWNER � ' •%
•OUTL S. $ 'v� MAIL p
LIGHTS RECEPT SW. O $.f0 �v ADDRESS O J'� ��DIV���LI(i} Q�S
LIGHTING FIXTURES -10 2 d CITY11= PA-1 / T TEL. NO.4r— �J /V J
ELEC. RANGES , CLO. DRYERS ELECTRICIAN
WATER H EATERS .50 _ ADDRESS '
ELEC.SPACE HTRS. DISHWASHERS
CITY TEL. NO.
GARBAGE DISPOSERS AUTO.- ,
STATE
WASHERS STA. COOKING UNITS .25 LICENSE NO.
MOTORS: AOVER ' INC. H.P.
DISTRICT NO. GR(� P ZONE. ED BY
.25 ��
A-1
1/2— 2 .50 INSPECTION RECORD
2— 5 1.00
5-1 1s 1.50
Is— 50 2.50
501-200 5.00
NO. TRANS.
SIGNS:
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-
1 HEREBY ACKNOWLEDGE THAT I HAVE 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
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 OF THE ABOVE- POWER
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE
UTILITY CO.NOTIFIED
OF' PERMITTEE
-FINALI I
A ATION ARTHUR C.•VEIT,
CK Mo CAaH SUPERVISING ELECTRICAL ENGINEER
,�0 3 3 8 0 MAR 1 2 2 A 8.4.5
766663A-CE806A 4/72 APPLICATION OR ELECTRICAL PERMIT CITY �oF.T.•C.
CiOUNTY OF LOS ANGELES
,DEPARTMENT OF COUNTY ENGINEER, BUILDING.
BUILDING AND SAFETY DIVISION ADDRESS L83 N. �I 110WI All-9--
LOCALITY TEMPL- CITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST,
OUTLETS NO EACH FEE SCHEFFING DonuD
OWNER ��Lkl. 1��
RECEPT._ MAIL
FIRST 20 ADDRESS
LIGHT TOTAL - �'�'Q
OVER 20 CITY � �',yTYT.EL. N0. yyp
^7183
SWITCH= _ PLAN CHECK
LIGHTINGFIRST 20 APPLICANT
TOTAL
OVER 20 ADDRESS
FIXTURES
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT 'IF-AM HGC
RANGE DRYER_WTR. HTR._ APPLICANT T� �T
STA. COOK DISP. F.A.U. 'ADDRESS 2034 N PECK RD
SPACE HTR. AIR COND. - CITYTEL. NO.579-7982
CLOTHES WASH. DISHWASH. LICENSE,NO. 265094 CLASSC-20 '
FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY C
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V
IND HEATERS, ETC. HP KW KVA ELECTRICAL WIRING
SIZE N TYPE OVER TO 0
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR �
0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF (�
- CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO LV
/ RESIDE IN, THE ABOVE DESC IPED RESIDENTIAL PROPERTY. N
1 — 10 ®�S/�{
10 — 50 OF PERMRITTEE W 2 '31
2(5
SIGNATU
50 — 100
DISTRICT NO. 96w4Y6 ZO E P OCE BY
100 — S00
SIGN, GAS SIGN AND ONE CIRCUIT NOTES: ,
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVICENOTOVER600VOL
TSOR200AMP
APPROVALS DATE INSPECTOR'S SIGNATURE
44
SERVI CE OVER 600 VOLTS OR 200 AM P ,
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES
• UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM
ROUGH CONDIUT
WIRING
FIXTURES -• ,
POWER AUTHORIZED
PERMIT FEE (SUBTOTAL) 0UTILITY CO. NOTIFIED
i
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE
TOTAL FEE
I
PLAN CHECK VALIDATION CK M 0 - cAs PERMIT VALIDATION' CK M.0 • CASH'
5"5-'3AUG . 9 .2 0- 10.5 A
WORKERS'COMPENSATIONDECLARATION
CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT
CE-806
I hereby affirm` that I have *a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation Insurance,or
a certified copy thereof(Sec. 3800,Lab. C.)
FOR-APPLICANT TO FILL IN JOB /LJ �
Policy No. - Company
New Residential Bldgs.&Pools //EACH NO. FEE ADDRESS 'a. �4t ''
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 Residential Swimming Pools OWNER 0
CROSS ST
department. FIRM NAME ` 'C,
Date----------, Applicant ,Outlets• Rec.—Light_Sw MAIL G
First 20 ADDRESS D /k," !E
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITYL C Tel No`/
COMPENSATION INSURANCE: t 4 }
PLAN CHECK d
APPLICANT O
(This section need not be completed if the work involved
by the permit is for one hundred dollars ($100) or."less.) Lighting Fixtures First 20 ADDRESS
Additional
Total No. Q
I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY el No.• U
permit is issued, I shall not employ any person in any manner PERMIT � '/'�� lL
so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT V" a,
t Oven _ Dryer_W.M. ADDRESS CnZ
Date Applicant - Top _ FAU _W.H.,_
Hood _'Fan —Other—
NU
Other_ CITY Tel No.
NOTICE TO APPLICANT: If, after making this Ce tificate of -Disp. — Room Air Cond._ 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. - PROCESSED BY
with comply with such provisions or this permit shall be Size&Type HP,KW,•KVA,or KVAR
deemed revoked.. 3 1
Up to 1 Incl. FINAL
S DECLARATION Over 1 to 10 Incl. DATE
• Over10 to 50 Incl. r'�
LICENSED CONTRACTOR ' VALIDATION
• r
I FINAL
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. 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
License Number Lic.Class 0-200 Amp. Under 600 V
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
License Law-for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits
ness and Professions Code): '
Misc.Conduits&Conductors ,214 1,8.21A
1, as owner of the property, will do'the work and the Other (See Complete Fee Schedule)— #-o X0'0 0 0 2
structure is not intended or offered for sale (Section
7044, Business and Professions Code).
CONSTRUCTION LENDING AOENCY 2.o,-.- 1 1.5 0 `
I hereby affirm that there ,is a construction lending agency
for the performance of the work for which this permit is !oI0•;o.1 1.50' c
issued(Sec. 3097,Civ.C.). PERMIT FEE (Sub-Total) 0 6-Q'1 r—8 2 .
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)
Lender's Address PERMIT ISSUING FEE O
I certify that,I have read this application and state that the TOTAL FEE ! L�
above information is correct. I agree to comply with all County
ordinances and State laws, regulating Electrical wiring, and
hereby authorize representatives of this County to enter upon
the above-mentioned pro erty for inspection put oses SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee at