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Home My Public Portal About9144 HERMOSA DR_Electrical__ °E°°"°"° APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER '1 WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEARESTCROSS -�� PERMIT FEES ITEM NUMBER OWNER EACH FEE MAIL OUTLET — 1/ $ 1O S D ADDRESS LIGHTS RECEPI'. SW. LIGHTING FIXTURES S .10 SQ CITY TEL.NO. ELEC,RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .50 ADDRES -1 ELEC.SPACE HTRS. DISHWASHERS QTY �n TEL. NO. GARBAGE DISPOSERS AUTO.- STATE �( i WASHERS STA.COOKING UNITS .2$ LICENSE NO. MOTORS: OVER INC. H.P. U151 HILT NO. I GROUP I ZONE P F-5 ED BY O— 1/° 25 I/— 2 so INSPECTION RECORD 2— 5 1.00 5— 15 1.50 15— 50 2.50 50-200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE O-SOOV 1.00 SERVICE OVER SOOV 5.00 MISC. WIRINGPERMIT, 1.00 (J Q FIXTURE PERMIT 1.00 () Q SUPPLEMENTARY PERMIT .50 TOTAL FEE S L� G(Q I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE ,NO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT / ELECTRICAL WIRING. ,QyJ la� 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LE AL OW ER OP THE ABOVE DESCRIBE, RESIDENTIAL PERTY. POWER SIGNATUREI. UTILITY CO.NOTIFIED OF PERMITTE FINALV�� '�9O I�tfT IA �I��O ®r , ARTHUR C.VETT. (,rA Moo IO CASH SUPERVISING ELECTRICAL ENGINEER lk 6 2 .o 8 .g 2 A 3.9.0 TBABBS.CEBOG T.BB APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES - DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS -% JOHN A. LAMBIE, COUNTY ENGINEER '7''` A , CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY - / FOR APPLICANT TO FILL IN NEAREST �/ PERMIT FEES cR", ST. !'L-�' 1 T E M NUMBER EACH FEE/ MAIL OWNER'M OUTLET : R SW. /K� $,10 6 / �/ G ADDRESS LIGHTS RECEPt. LIGHTING FIXTURES .10 CITY TEL. NO. ELEC. RANGES CLO. DRYERS '� ELECTRICIAN WATER HEATERS .50 ADDRE$ LT ELEC.SPACE HTRS. DISHWASHERS CITY - - TEL. NO '7 GARBAGE DISPOSERSL AUTO.- 2. STATE �J / - WASHERS STA. COOKING UNITS .25 LICENSE NG, J el- MOTORS: OVER INC. H.P. A DISTRICT O. G UP zONE I P ESSED BY 0— y¢ 25 2 50 INSPECTION CORD 2— 5 1.00 5— IB 1.50 15— 50 2.50 �—�"� ft /r Pv 50—200 5.00 AO ' e) A,,,-- CC ill 1X7_ NO. TRANS. SIGNS; NO. LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 /! () Q FIXTURE PERMIT 1.00 / 0 Q SUPPLEMENTARY PERMIT .50 TOTAL FEE s APPROVALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LIG ION DATE INSPECTOR'S SIGNATURE ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE O COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT (Y /J .! ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES CO NTY ANO STATE OF FIXTURES CALIFORNIA OR THAT 1 A_M THE L GA ER OF THE ABOVE DESCRIBED RESIDENTIA ERTY. POWER SIGNATURE PERMITTEE �� 'UTILITY CO.NOTIFIED � jf FINAL R�' � f� ;Vf ATION ARTHUR C. EIT. E VK p Mo Cwsn SUPERVISING ELECTRICAL ENGINEER � ` LAW 5 9 AUG 21 2 A 4.9 5 .� DOS DEPAAPPLICATION FOR-PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC ' WM. J* "0 CHIEF ENGINEfiR i NAMEMINAtL Nu DISTRICT NO. GROUP ZONE PERMIT NO. U ADDRESS 43 EAST GREEN STREET CITY PASADENA TEL AAFORNIA 'REC IVED BY READY FOR DATE ISSUED FIRST INSPECTION COUN CAMORE AN I- CERT.d CERT.NO. EXPIRES 9-47 APPLICANT FILL IN HEAVILY I#TLINED PORTION ONLY DESCRIPTION OF WORK ADDRESS 1804 E Hermosa - NUMBER OFOUTLETS ONCIRCUITS LOCALITY Temple City, Caiifornia LOCATION BY ROOMS , NEAREST LIGHT OUTLETS SW. PLUG 8 m)rT CROBB Sr. CIRCUIT A B IC I D I E F I G Ili It I NAME Armor Roofing Co Z ADDRESS 100 E Holly,PA4,9d6A?i 3 ° 1 CITY Pasadena TEL.NO. 3-7154 I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANO�yLEB COUNTY CERTIFICATE OF QUALIFICATION.. eLeCTRIaAN. I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. ' CORRECTIONS 1 li ht im Rarfge 1 ex en i n " J Q _Z [7 O TOTAL NO. OF OUTLETS $ APPROVALS NO. OF FIXTURES s - DATE INSPECTOR'S NAME NO. OF MOTORS H.P. S CONDUIT NO. OF SIGNS TRANS. S WIRING NO. OF RANGES OR HEATERS $ FIXTURES I MISCELLANEOUS $ POWER PERMIT FEE S 1 n5 UTILITYCO.NOTIFIED J. TOTAL FEE 1 4 FINAL / DEC TION 76A6 WORKERS'that t I hove a certificate cafe of corse CE863 10/81 APPLICATION FOR ELECTRICAL PERMIT `) by affirm that I have a certificate of consent to self CE-BO6G J� id., 'e,, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) L� pp Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS 1144 H EI�/L��i� ' Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE Certified copy is filed with the county building inspec- 18 2-Family, Sq. Ft. $ — $ 1 LOCALITY TEMPLE ull `A, tion department. Multi-family Sq. Ft. — NEAREST it A Residential Swimming Pools CROSS ST. LSMOWNER OR - `1 u TE Dote—Applicant FIRM NAME 1Y :J E CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec_Light_Sw._ MAIL �,,.77� COMPENSATION INSURANCE First 20 ADDRESS &AM�T sl (This section need not be completed if the work involved by Total No. Additional CITY Lor, AA&ELE j Tal. No.51579 the permit is for one hundred dollars ($100) or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner - so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional Total No. CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HE PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Exemption, you should become subject to the Workers' Range_ Heater—D.W. _ _ Compensation provisions of the Labor Code, you must forth- Oven _ Dryer _ W.M._ ADDRESS O - with comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. - Hood Fan _OtherCITY Tel, No. LICENSED CONTRACTORS DECLARATION _ LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cone. REG, NUMBER Class. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCESSED Y and Professions Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances `/ L Size 8 Type HP, KW, KVA, or KVAR' �K d O License Number Lic. Class Up to 1 Incl FINAL to Over 1 to 10 Incl DATE • _Z VALIDAT N 0 Contractor Date❑ Over 10 to 50 Incl. FIN L~j I am exempt under Sec Over 50 to 100 Inc. BY � B.BP.C. for this reason Over 100 - Z Date: Services, Swbd., MCC 8 Ponelboards 0 - 200 Amp. Under 600 V Signature 201'- 1000 Amp. Under 600 V Exemption for Reg. Mainz. Elect. Over 1000 Amp. or Over 600 V :91 5 2 9 A SINGLE FAMILY Temp. Power Pole 8 Appurtenances # e e see 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License ( - 2550 Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): e e e 2S50'0 I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors 0 2 1 4—8 5 structure is not intended or offered for sale,(Section Other (See Complete Fee Schedule)_ , 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 issued PERMIT FEE (Sub-Total) - (Sec. 3097, Civ. C.). ' •PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE W Lender's Address SV IS , 1 certify that I have read this application and state that the TOTAL FEE - t (� ' above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and her Guth 'ze represent fives of this County to enter upon e a ve- n"oned pr per for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ignoture of P t Date e 1 WORKERS'COMPENSATION DECLARATION 76A663 APPLICATION FOR ELECTRICAL PERMIT CE806G (2801 /Trr /1 IC ELECTRICAL R F'� NGR _ 1 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 co thereof(Sec. 3800, Lab.C.) 192-71-5680-2 FOR APPLICANT TO FILL IN JOB Policy No. Company Ins. CO. EACH NO. FEE ADDRESS 9144 Hermosa of the West New Residential Bldgs.&Pools Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — S LOCALITY Certified co p Multi-family Sq. Ft. — NEAREST - py is filed with the county building ins ection .Residential Swimming Pools CROSS ST department. OWNER OR FIRM NAME Date Applicant Edwards Electric Outlets; Re0._Light_ Sw._ MAIL First 20 ADDRESS - CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No; . COMPENSATION INSURANCE T PLAN CHECK _ d (This section need not be completed if the work involved APPLICANT O Lighting Fixtures First 20 by the permit is for one hundred dollarsAdditional.($100) or less.) ADDRESS, Total No. O I certify That in the performance of the work for which this CITY Tel No. � permit is issued, I shall not em lov an Fixed Appliances Not Over 1 HP p p y person in any manner PERMITW so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. _ APPLICANT. Edwards Electric a Oven Dryer_W.M._ I - ADDRESS3rd N Top FAU _W.H. 2535 Avez Date Applicant Hood Fan _Other_ CITY Arcadia Tel No. 447-5096 _ NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond-_ LICENSE OR Exemption, you should become subject to the Workers' REG. NUMBER Class r-i In 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 deemed revoked. Size&Type HP, KW, KVA,or KVAR Up to 1 Incl. r Over 1'to 10 Incl. FINAL 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 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 BY ness and Professions.Code, and my.license is in full force and effect. Services _ License Number 257191 Lic.Class C-10 0-200 Amp. Under 600 V ' _ 201-1000 Amp. Under 600 V Contractor Fidwar'ds Electulp duly 1982 Over 1000 Amp.or Over 600 V t HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances 1 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): I, as owner of the property, will do the work and the Other Conduits& Conductors Other ISee Complete Fee Schedule)— structure is not intended or offered for sale (Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCYog 4 7 8.3 A 1 hereby affirm that there is a construction lending agency` . for the .performance of the work for which this permit is PERMIT FEE (Sub-Total) `# e.e e e • 2 issued (Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 'o.o o s e o • 2 Lender's Address PERMIT ISSUING FEE o41 [t'-81 1 certify that I have read this application and state that the TOTAL FEE . NO Fee 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 ab ve-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE F>- �a Lai —4-6-si Sign atur of Permittee Date I