HomeMy Public PortalAbout9077 LAS TUNAS DR_Electrical__ � 1
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DEPARTMENT OF BiJILIDY1�10 AND sAFL"�Y saa��g J�/��g�
COUNTY OF LOS. ANGELES eggJ
WM.. J. FOX HIEF ENGINEER
NAME ' i' DISTRICT'NO. GROUP ZONE PERMIT NO.
U ADDRESS , r
CITY TEL.NO. P RECEIVED BY READY FOR FIRST INSPECTION
DATE ISSUED
A COUNTY
Y1 CERT.NO. EXPIRES CRC
A kPpPLICANT FILL IN HEAVILY OUTLINED PORTION O Y
JOB
DESCRIPTION OF WORD. JOB
ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY n „7 a$I -fi-
LOCATION BY ROOMS -
NEAREST
LIGHT OUTLETS SW. PLUGS FIXT CROSS ST. q+eT c t
r F
CIRCUIT A B C D E R G H m NAME 6
z MAIL
.= ADDRESS
' O
CITY TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE SOF QUAI�6CATl0 #
ELECTRICIAN.
.. I AM THE LEGAL OWNER OF YHE PROPERTY DESCRIBED
ABOVE
�p�� A 7� OWNER.
Yf CORR.EMONS
L
J
Q
Z_
O
!Y
O ,
TOTAL
NO. OF OUTLETS $ APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS �� $ POWER
PERMIT FEE ✓// ffi `-'v UTILITY CO.NOTIFIED
TOTAL FEE ® ! n FINAL 1��T/
'1YAGGS OB3 eA 19-49 ® APPLICATION FOR PERMIT
DEPARMIENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO.- GROUP ZONE PERMIT NO.
ELECTRICIA
/ RECEIVED BY READY FOR DATE ISSUED
ADDRESS p ,p,�(t/^ �7, n iJ FIRST INSPECTION
CITY ,ejf l:' TEL. NO a Q 0/✓fi'�
COUNTY LICENSE NO. EXPIRES BUILDING
PERMI FEES ADDRESS
FEE
NUMBER I OUTLETS EACH LOCALITY s
LIGHTS 5c $ I .�� NEAREST
CROSS T.
RECEPTACLES 5
FIXTURES 5 : I OWNER
WALL SWITCHES 5 MAIL
��{��
ELEC. RANGES 25 I ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
MISC.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED:
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
Nula3eR HORSEPOWER1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
FEE
HP OVER INC. MACH ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD.
l/ 8 LESS $ .25
OF THE RESIDENTIAL PROPERTY PVSCRIBED AIPOVE.
�
Y.z 2 .SO SIGNATURE OF
I `
2 5 1.00
PERMITTEE
5 Is 1.50 INSPECTION RECORD
15 50 2 50
s0 200 5.00
200 500 10.00
Soo l000 15.00 J_ - - a
OVER 1000 20.00 Z
M.G. SET/FREQ CHANGER-HP
Q'
WELDERS- AC-KVA Q
GENERATORS - KW -
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.) I.
MISC
SIGNS
TYPE: NO. TRANS
TYPE: NO. LAMPS APPROVALS
FOR EACH PERMIT:
DATE INSPECTOR'S NAME.
WIRING $1 00 CONDUIT
FIXTURES $1 00 WIRING
SUPPLEMENTARY ,50 FIXTURES
POWER
TOTAL FEE $ 2_ f'v UTILITY CO. NOTIFIED /f
FINAL —ro ^�
WORKERS'COMPENSATIONDECLARATION
CE-806G (2-B0) APPLICATION FOR ELECTRICAL PERMIT
' y 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
erti c er of(Sec 3800,Lab.C.)
Ins. CO. 'FOR APPLICANT TO FILL IN 3pg
Policy No Company New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 9077 LIS Tunas
of the West
�. Certified copy is hereby furnished 1 &2-Family,Sq Ft $ — $ LOCALITY Temple Cit
Multifamily Sq Ft N AR ST _
Certified copy is filed with the county building inspection CROSS ST
Residential Swimming Pools Sultana
� department OWNER OR
LI-6-81 Edwards Electric FIRM NAME
Date Applicant Outlets Rec_Light Sw MAIL
First 20 ADDRESS
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY Tel No �.
COMPENSATION INSURANCE d
PLAN CHECK 0
(This section need not be completed if the work involved APPLICANT , U
by the permit is for one hundred dollarLighting Fixtures First 20s ($100) or less_) Total No Additional ADDRESS O
I certify that in the performance of the work for which this CITY Tel No
permit is issued, I shall not em person in any manner Fixed Appliances Not Over 1 HP U
P employ Y an Y P PERMIT W
so as to become subject to the Workers' Compensation Laws Range_Heater_DW APPLICANT Edwards Electric p.,
Oven Dryer_W.M ADDRESS N
2535 S. 3rd •Ave. z
Date Applicant Top _ FAC) _W.H. _ �
Hood _ Fan —Other_ CITY - Arcadia Tel No 447-5096
NOTICE TO APPLICANT If, after making this Certificate of Disp _ Room Air Cond._ LICENSE OR C-l0
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 PROCESSED BY
with comply with such provisions or this permit shall be
Size&Type HP,KW,KVA,or KVAR f�
deemed revoked.
Up to 1 Incl FINAL [f
LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE �'/ VALIDATION
Over 10 io 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
License Number 2$7191 Lrc.Class C-10 0-200 Amp Under 600 V 201-1000 Amp. Under 600 V
Contractor Edwards Electlpa�p July 1982 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 4 7 5 2 A
Sign Branch Circuits ^
License Law for the following reason (Section 7031.5, Busi- Additional Sig
ness and Professions Code) '#,0'0 0 0 ' 2
Misc.Conduits&Conductors
0 I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)—
U 0,010 0 0 0'0
structure is not intended or offered for sale (Section
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY 0 4_3 4:-8.1
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 4
I 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 above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
Z, :E. FZ/a� 476-81 '
Signature of Permittee Date