HomeMy Public PortalAbout9080 LAS TUNAS DR_Electrical__ DBSeOAft•E!S APPLICATION FOR ELECTRIC PERMIT 1
'4DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer BUILDING
County of Los Angeles ADDRESS Q
JOHN A.L.AMBIE.COUNTY ENGINEER
CASSATT D. GRIFFIN.SUPT OF BUILDING LOCALITY a
FOR APPLICANT PLF CCANT TO FILL IN NEAREST
rs
CROSS sT.
NUMBERI
OWNER
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEL.NO.
TOTAL OUTLETS g¢ $ ELECTRICIAN
ELEC.RANGES 28
ADDRESS . A
ELEC. HEATERS 28 n
KEA CITY
W TEL.NO.L
STATE
FIXTURES g Q LICENSE NO. l U
MOTORS DIS-TFUCT NO. I GROUP I ZONE I READY FOR INSPECTION
FEE
NUMBER HORSEPOWER F � +'
NEW MVD. HP OVER INC. EACH
INSPECTION RECORD
J�$LESS $ .25
14 2 .50
2 a 1.00
5115 1.50
1s 50 2.50
80 200 g.00
M ISC.
NO.SIGNS NO.TRANS.
NO. SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00 ��•
FIXTURES $1.00
SUPPLEMENTARY •50 APPROVALS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
-
ANDHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING `I
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIR BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THA 1 AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENT L PROPERTY. ^ UTILITY CO.NOTIFIED 4
SIGNATURE (/�'//
OF•PL ITTE _ FINAL
r R
JOHN A.L•AM IE COUNTY ENGINEER vALIDARTHUR C.VEIT.CHIEF ELECT. INSPECTOR
CK MO CASH
4a 5 4 0 APR 24 2 2.2 0 In
/THIP 2-006
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of CD Engineer DIVISION
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
C 1-
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN
ADDRESS � RECEIVED READY FOR DV 189 D
�' FIRST INSPECTION l
CITY 'r�
COUNTY LICENSE NO. EXPIREB4- SUILDI l{
ADDRESS ® /JS
PERMIT FEES C! /5a
FEE
NUMBER EACH _LOCALITY
LIGHT OUTLETS NEAREST T/p�J
RECEPTACLES CROSS HT.
P
WALL SWITCHES I OWNE:R n //JSfI s
TOTAL OUTLETS sC � MAIL
ELEC. RANGEB V 25 ADDRESS
ELEC. HEATERS ��ryry 25 ddff CITY TEL. NO.
FIXTURES dL B R./
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HPOVERIHC. EACH OF THE RESIDENTIAL OPE TY EBCAISED ABOVE.
1/2 6 l[BH H 25 SIGNATURE OF
I2 2 .50 PERMITTEE
2 s 1.00 INSPECTION RECORD V
s is 1.50
is 50 2.50
s0 200 5.00
200 BOO 10.00
500 1000 15.00 Q
Z
OVER 1000 20.00 ('
M.O. BET/FREQ. CHANGER-HP S/�J'-D,0
WELDERS:AC-KVA O
GENERATORS - KW s
TRANSFORMERS - KVA n n)-ru /' o „o
TEMP. MOTORS (75% OF GRIG.) //1/G /V (�„� P
MOVED MOTORS (75% OF ORIG.) �p' ®® ��r� /d
MISC.
SIGNS
NO. NO.TRANS
APPROVALS
NO. NIM LAMPS
FOR EACH PERMITI DATE_ INBP TOR'BNAME
CONDUIT
WIRING $1.00
- V
FIXTURES $1.00 �' WIRING
UPPLEME TARY .50 FIXTURES
• POWER
TOTAL FEE 0uT1uTY co.NOTIFIED q
FINAL
76A663 DBB#5A 2-53
78A889
DBS•SA 11.88 APPLICATION FOR ELECTRIC PERMIT 1
DIVISION OF BUILDING AND SAFE'T'Y
Department Of County Engineer BUILDING
County Of Los Angeles ADDRESS
JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D.GRIFFIN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PST FEES C OSS ST
NUMBER OWNER
LIGHT OUTLETS
MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY L. O.
TOTAL OUTLETS @ 8
ELECTRICI
ELEC. RANGES 25 ADDRESS d
ELEC.HEATERS 28
KW EA CITY
STATE
FIXTURES 5 LICENSE NO.
MOTORS DISTRICT G QUP I ZONE READYF R INSSPPfi ION
NUMBER HORSEPOWER FEE1 �,..� I J ,�`z 7
NEW MVD. HP OVER INC. EACH
$ INSPECTION RECORD
LESS $ 2s
lei 2 .SO
2 s 1.00
s is 1.50
is 80 2.50
ISO 200 s.00
MISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00 v
FIXTURES $1.00JAO
SUPPLEMENTARY .s0 APPROVALSTOTAL FEE � DATE INSPECTORS SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THISNAND STATE THAT THE ABOVE IS CORRECT AND AGRELY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWSG WIRINGELECTRICAL WIRING.I HEREBY CERTIFY THAT I AM PROPERLY REGISTOR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUN AOFCALIFORNIA OR HA A HE LEG OW VE POWERDESCRIBED RESID 0 RTY.SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE FINAL N v IP
JOHN A.LAMBIE.COUNTY ENGINE yFdrIDATION ARTHUR C.VEIT.CHIEF ELECT. INSPECTOR
_ C MO CASH
` i r1 4 7 1 0 FEB 1 2 2.3 0 �1
WORKER S'COMPENSATION DECLARATION
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 BUILDD ING ANSAFETY �-
insure, or a certificate of Workers'Compensation Insurance,or '
of cqpx ere f(Sec 3800,Lab C)
—3U ITIS. CO. FOR APPLICANT TO FILL IN JOB
Policy No Company EACH NO FEE ADDRESS 9079 Las Tunas
of the West New Residential Bldgs.&Pools
Certified copy is,hereby furnished 1 &2-Family,Sq Ft $ — $ LOCALITY Temple Cit
Certified Multi-family Sq Ft — NEAREST
copy is filed with the county building inspection Residential Swimming CROSS ST Sultana
Pools
department. OWNER OR
FIRM NAME
Date 4-6-81 Applicant 'Edwards Electric , Outlets Rec-_Light Sw MAIL
First 20 ADDRESS
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY Tel No }
COMPENSATION INSURANCE f
PLAN CHECK d
APPLICANT O
(This section need not be completed if the work involved Lighting Fixtures First 20 ADDRESS U
by the permit is for one hundred dollars ($100) or less.) Total No Additional O
I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY. Tel No
permit is issued, I shall not employ any person in any manner PERMIT
so as to become subject to the Workers' Compensation Laws Range_ Heater_D W. APPLICANT W
CL
Oven _ Dryer_WM ADDRESS 2535 S. 3rd Ave. Z
Date Applicant Top FAU _W.H _
Hood Fan _Other_ CITY Arcadia Tel No447-5096
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 C-10
Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT,NLq 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.
FINAL
Over 1 to 10 Incl DATE
LICENSED CONTRACTORS DECLARATION G/ 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 Edwards Elect July 1982 Over 1000 Amp or Over 600 V
HOME OWNER-BUILDER DECLARATION Temp Power Pole&Appurtenances ;?4 7 5 1 A
I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit #'O 0 0 0 0 2
License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ,
ness and Professions Code)
o 0 0 0 0 0 0
Misc.Conduits&Conductors
0 I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— 0 4, 1 4—8
structure is not intended or offered for sale (Section
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 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
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
��— & 4-6-81
Signature of"Permittee Date