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HomeMy Public PortalAbout9082 LAS TUNAS DR_Electrical__ DBs;P-� 12-54 76 APPLICATION FOR ELECTRIC PERMIT 1 DIVISION OF BUILDING AND SAFETY �---, Department of County Engineer County Of LOS Angeles r UILDING ^ � WM. J. FOX, COUNTY ENGINEER DDRESS CASSATT D. GRIFFIN, SUPT OF BUILDING —��' FOR APPLICANT TO FILL IN LOCALITY / F NEAREST PERI►i1a FEES CROSS STQLG- 6�*6A' FEE �} Sr tl4i , MAIL NUMBER EACH OWNER G/ I s ljzLp LIGHT OUTLETS � � RECEPTACLES ADDRESS 3 4 WALL SWITCHES TOTAL OUTLETS 50 S CITY TEL NO + ELEC RANGES 25 ELECTRICIAN /L ELEC. HEATERS 25 ADDRESS KW EA CITY TEL NO PQ FIXTURES Z 5 .. LICENSE NO `O NUMBER OF LIGHT CIRCUITS DISTRICT NO GROUP ZONE I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS NUMBER HORSEPOWERFEE INSPECTION RECORD NEW MVD HP OVER INC EACH _ Y2&LESS $ .25 Ih 2 50 2 5 1 00 5 15 1 50 15 50 250 50 200 500 misc. NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT' WIRING $1.00 FIXTURES $1.00 B'C� SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ �3 a DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY 0 INANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING 1 HEREBY CERTI T AT 1 AM PROPER EGISTERED AND/OR FIXTURES LICENSED AS REO IRE BY LOS ANGELES C NTYND STATE OF CALIFORNIA OR H I AM TH L GA 0 ER OF THE ABOVE POWER DESCRIBED RESID NT L PROPER Y. \ UTILITY CO.NOTIFIED SIGNATURE I �S OF PERMITTEE FINAL WILLIAM J. FOX.COUNTY NGINEER VAL TtO�` o 7 x �R� f C N4 .LL O U PU1 2 7 2 2.3 0 ID BY �l DEPUTY,% ® Y 4 76A663-CE806 12/75 7 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS 1-182 Le Limit' DaMs It FOR APPLICANT TO FILL IN LOCALITY .q �ANew Residential Bldgs & Pools EACH NO. FEE NEAREST 1 & 2-Family, Sq. Ft. $ .025 — $ CROSS ST. OWNER OR r Multi-family Sq. Ft. _ 02 — FIRM NAME Residential Swimming Pools 20.00 MAIL ADDRESS 9aa? R. Lag �Pjjnan 'Outlets: Light, Switch & Receptacle CITY.,, Tel.No. First 20 •50 PLAN CHE K Additional .30 APPLICANT ADDRESS Lighting Fixtures x. First 20 .50 CITY Tel.No. Additional .30 PERMIT APPLICANT 1 Fixed Appliances Not Over 1 HP ADDRESS Range—Heater_DA. f CITYjan Tel.No. Oven_Dryer_W.M._ q 287,0477 Top FAU W.H. LICENSE OR_ REG.NUMBER 51206 Clas . r 10 R Hood_ Fan IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Dlsp._A.C. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY :I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING .y ELECTRICAL WIRING. �QPower Apparatus& Large Appliances Size & Type HP, KW, KVA, or KVAR I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 0. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF G Up to 1 Incl. 2.00 CALIFORNIA OR THA1 I AM THE LEGAL OWNER OF THE ABOVE U Over 1 to 10 Incl. 5.00 [1ESCRIFED RESIDENTIAL PROPERTY.Over 10 t0 50 Incl. 10.00 PERMITEE P7 1 e -- W J Over 50 to 100 Incl. 20.00 SIGNATURE W Over 100 30.00 DISTRICT NO. PROCESSED BY Services Q 0- 200 Amp. Under 600 V 12.50 INSPECTOR'S 201-1000 Amp. Under 600 V 25.00 APPROVALS DATE SIGNATURE d Over 1000 Amp. or Over 600 V 50.00 TEMP.POWER POLE I LU �.. Temp. Power Pole & Appurtenances 10.00 UNDERSLAB WORK Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2.00 WIRING (Other) FIXTURES POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL PERMIT FEE (Sub-Total) NOTES PLAN CHECKING FEE (One-Fourth Permit Fee) PERMIT ISSUING FEE a 4. TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. MO. CASH tJ U SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE / 76A663-CE60610/74 APPLIC OFOFOR1 IjCTRICAL P MIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS � h270- /-"na.�S BUILDING AND SAFETY DIVISION _ LOCALI TY�� FOR APPLICANT TO FILL IN CROSS NEARESST. Cts OUTLETS NO EACH FEE OWNER OR / 1 O� $ $ FIRM NAME / �s RECEPT_ MAIL LIGHT TOTAL FIRST 20 25 ADDRESS SWITCH OVER 20 10 Cl TY TEL. NO. PLAN CHECK LIGHTING TOTAL 1 10 FIRST 20 25 APPLICANT FIXTURES I OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO. PERMIT RANGE DRYER_WTR. HTR APPLICANT %Ll STA COOK DISP F A U. ADDRESS SPACE HTR. AIR COND. CITY /.7,� 7 TEL NO 0136/., CLOTHES WASH DISHWASH. LICENSE GEN UMBER& q(�O CLASS (_^� Q FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND 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 BY LOS ANGELES COUNTY AND STATE OF y. CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE 1 - 1O 300 DESCRIPED RESID IAL PROPERTY V PERMITEE + 10 - 50 500 SIGNATURE O) U 50 - 100 1000 LLJ DISTRICT PROC SSED BY �- 100 - 500 1500 y SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPE OR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK SERVI CE OVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 500 WIRING 7-7.5-'9Z 5�7; TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES L � POWER AUTHORIZED r } 1 .d/ft�Y �v)C UTILITY CO. NOTIFIED ," FINAL � 7 PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE ' 300 TOTAL FEE FEF, WAIVED PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 CASH 1 5751'2NOV 44U D .O0 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE , 7GA663 DBS SA 11-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC- COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUPI ZONE PERMIT NO. ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRESS FIRST INSPECTION _ CITYTEL. COUNTY LICENSE NO..o62 EXPIRES V BUILDING / PERMIT FEES ADDRESS ` �( NUMBER OUTLETS EACH FEE LOCALITY rtq i[3 HT Sc $ NEAREST CROSS ST. RECEPTACLES - 5 r FIXTURES s OWNER WALL SWITCHES 5 AMAIL DDRESS OI ELEC. RANGES 25 ELEC. HEATERS 25 - CITY TEL. NO. MISC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: TOTA1 APPLICATION AND STATE 'THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES SAND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. NUMBER HORSEPOWER 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS. FEE NEW Mvo. HP OVER INC. EACH ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER V2 S LESS $ .25 OF THE RESIDENXAL OPERTY DESC IBEO ABOVE. I/2 2 .50 SIGNATURE OF 2 5 1.00 PERMITTE46,0 5 15 1.513 INSPECTION RECORD 15 50 2.50 50 2013 5.00 200 500 10.00 so13 1000 15.430 Q OVER 1000 20.00 Z M.G. SET/FREQ. CHANGER-HP (7 WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% GF GRIG.) M ISC. SIGNS TYPE: NO.TRANS- TYPE: NO. LAMPS APPROVALS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $7,4343 CONDUIT FIXTURES ;S1,pp WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ UTILITY CO.NOTIFIED A h A FINAL 7fAd"-C98063-152 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS ,(J JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY ,,r FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. N 4 TR i)l ITEM_ NUMBER EACH FEE OWNER OUTLETS: /fJ $ MAIL LIGHTS RECEPT. SW. 10 ,10 ADDRESS LIGHTING FIXTURESt0 CITY TEL NO. 4401 -ELEC.RANGES CLO.DRYERS ELECTRICIAN (�p WATER HEATERS .50 ADDRESS dtJ 'C ELEC.SPACE HTRS. DISHWASHERS CITY TEL. NO. GARBAGE DISPOSERS AUTO.- STATE 'I/ -!7 WASHERS STA COOKING UNITS .25 LICENSE NO. G� MOTORS: OVER INC. H P. DISTRICT NO. JGJROUP ZONE P ESSED BY 0— 1/2 ! .25 1/2— 2 .50 INSPECTION RECORD 2— 5 loo s— t5 Iso Is-- 50 2.50 50-200 Boo SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-60OV 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 ._. SUPPLEMENTARY PERMIT .150 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS 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 1 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 DESCRIBED RESIDENTIAL ROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE 2)P, ATION ARTHUR C.VEIT, CK Mo CASH SUPERVISING ELECTRICAL ENGINEER LG3754u; OCT 9 2 A 625 m 76A663_CE806_B_S7 APPLICATION FOR ELECTRIC PERMIT 1. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 7 BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES ITEM NUMBER EACH FEE OWNER ' o S t..,v A; OUTLETS: > . $ $ MAIL /A LIGHTS RECEPT. 1C SW. C .10 ADDRESS /� J LIGHTING FIXTURES /�` .10 ��� CITY n-4,111.J21/4 TEL.NO.y/ 7 OU `, ELEC.RANGES CLO.DRYERS ELECTRICIAN J 11141 I,.{ WATER HEATERS .50 ADDRESS �S ..L, RN DCS ELEC.SPACE HTRS. DISHWASHERS (/ GARBAGE DISPOSERS AUTO.- CITY / TEL.NO. 4-9 13 WASHERS STA.COOKING UNITS ,25 STATE LICENSE NO. MOTORS: OVER INC. H.P. DISTRICT GROUP ONE READY FOR INSPECTION 0 — i/2 .25 +/Z — 2 .50 IIVSPECTION RECORD 2 — 5 1.00 i o 5 — 15 1.50 A "=- 15 — 50 2.50 G 50— 200 5.00 SIGNS: NO.TRANS. , - ✓ 4 {t'�., "' J NO.LAMPS SERVICE 0.600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 I FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .5TOTALFEE $ / APPROVALS IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLLIICATIDATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPCONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATIELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY T AT I AM PROPERLY REGISTERED AND/LICENSED AS REQUIREV BY LOS ANGELES COUNTY AND STATE FIXTURES R TH , I AM THE LEG NER OF THE ABO DESCRIBED RESIDENT%L PROPE TY) POWER SIGNATURE 1 /' UTILITY CO.NOTIFIED OF PERM[TTE FINAL ALIDATION ARTHUR C.VEIT. CK�O CASH SUPERVISING ELECTRICAL ENGINEER - M2-63 5'; FEB 20 2 A 625 � �76A663-CE806 4 65 APPLICATION FOR ELECTRICAL PERMIT r COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUP T OF BUILDING LOCALITY / NEAREST FOR APPLICANT TO FILL IN CROSS ST RECEPTACLE, TOTAL No EACH FEE OUTLETS I FIRST 20 $.20 $ OWNER LIGHT J} MAIL SWITCH ADD'L 10 ADDRESS OVER 20 TOTAL FIRST 20 .20 CITY TEL. N LIGHTING 1 FIXTURES FIXTURES )( ADD'L 10 CONTRACTOR OVER 20 RANGES CLO DRYERS WTR HTRS 1.00 ADDRESS �' SIS GARB DISP. STA.COOK CITY 7—, ( TEL.NO. T-o V S3 DISHWASH AUTO-WASH. STATE G 3 SPACE HTRS BTA.APP.('/.H P.MAX.) 50 LICENSE NO. -( (O MOTORS OVER NOT OVER H P. DIST ICT NQ. Gqppf ZONE P CESSED BY O 1 1.00 1 3 1 150INSPECTION RECORD 3 a 200 8 15 250 15 50 3 00 O 50 100 500 V oe SIGNSi NO TRANS O NO LAMPS SERVICE 0.60OV-NOT OVER 200A 1.00 00 d N SERVICE 0.60OV-OVER 200 A. 2.00 Z SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 200 O O SUPPLEMENTARY PERMIT ISSUING FEE 100 TOTAL FEE 6C) APPROVALS DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT , !♦ �1/� A �, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING V v v 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO POWER RESIDE IN,THE ABOVE D RISE E51 IAL PROPERTY ,p SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE FINAL 0CK LIDATION JOSEPH C.`ROOHANMO CASH SUPERVISING ELECTRICAL ENGINEER LAL 7 2 5 3-0 Nov 10 2 D 3.00- 1 76A663-CE806 3-69 [/�, APPLICATION FOR ELECTRTIAX L PERM COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE $ $ OWNER RECEIPT._ MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS SWITCH OVER 20 10 CITY TEL.NO. CHECK LIGHTING TOTAL I FIRST 20 20APPLICANT FIXTURES } OVER 20 ,10 ADDRESS RANGE DRYER_WTR. HTR. CITY TEL.NO. 12 STA COOKDISP. _F.A.U. CONTRACTOR- SPACE HTR_ AIR COND ADDRESS S CLOTHES WASH._DISHWASH. CITY 7 TEL.NO FAN OTHER 1.00 LICENSE NO. CLASS. 0 MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TD WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF } 1 - 10 3 00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO CL, RESIDE IN, THE ABOVE DESCRIBED RESID TIAL PROPERTY, 10 - 50 500 / U SIGNATURE 50 - 100 10A0 OF PERMITTE F- 100 - 500 15.00 DISTRICT NO. GROUP ZONE PR C SSED BY U W SIGN,GAS SIGN AND ONE CIRCUIT 3.00 © N TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES, SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTORS SIGNATURE TEMP. POWER POLE o UNDERSLAB WORK O ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE 2.0 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE Fee waived: JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION / 44"_= SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A663-CE806 1/70 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 2 Las Tuaas Dr. BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY T.C.COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING Tv IIIIIII NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO EACH FEE OWNER T.C. Chamber Of Commerce RECEPT_ $ $ MAIL LIGHT TOTAL FIRST 20 PO ADDRESS 5827 T.C. Blvd. CITY T.G. TEL. N0. SWITCH OVER 20 10 PLAN CHECK LIGHTING TOTAL FIRST 20 20 APPLICANT FIXTURES OVER 20 10 ADDRESS APPLIANCES CITY TEL. . PERMIT RANGE DRYER_WTR. HTR. - APPLICANT STA. COOK DISP. F A.U. ADDRESS SPACE HTR. AIR COND. CITY __C EL NO. CLOTHES WASH. DISHWASH. LICENSE NO. Q 3 CLASS yd FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THATTHE 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 1 AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL 0 ER OF, AN INTEND TO I - 10 300 RESIDE IN, THE GRIP,ED RE ENTI PROPERTY 10 - 50 500 SIGNATURE OF PERMITTEE 0 50 — 100 1000 DISTRICTNOCV� r16�GROUP E PRO ESS Imo' /Vs0 � V 100 - 500 1500 I� SIGN, GASL� N SIGN AND ONE CIRCUIT 300 NOTES: TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 100 SERVI CENOTOVER 600 VOLTS OR 200 AMP 200 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AM P 500 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 300 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 300 ROUGH CONDI UT Xmas Street Decorations WIRING 50 sockets PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) UTILITY CO NOTIFIED PERMIT ISSUING FEE 200 FINAL /1 i, SUPPLEMENTARY PERMIT ISSUING FEE 1001 1 JOSEPH C. ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER, PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M o CASH I An 7 6 7 1' 110V 1 8 2 D .00— Fee waived: /� SEE BACK OF APPLICA TIO ity- acZ dTI LE hoes-G9806 4-60 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS w t� s JOHN A.LAMBIE,COUNTY ENGINEER h cc WILLIAM A.JENSEN, SUP'TOF BUILDING LOCALITY FOR APPLICANT TO FILL.IN NEAREST CROSS ST, PERMIT FEES OWNER E— h 1 T E M NUMBER EACH FEE MAIL OUTLETS: 5 $ ADDRESS LIGHTS RECEPT. SW. .10 LIGHTING FIXTURES 10 CITY T NO ELEC.RANGES CLO. DRYERS ELECTRICIAN S WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY '- k TEL.NO. GARBAGE DISPOSERS AUTO.- STATE `� \ D WASHERS STA.CO)KING UNITS .25 J LICENSE NO. MOTORS: OVER INC. H.P. DISTRICT 0. 1 qROUP I ZONE I PR CESSED BY O — I/2 .25 c-) Z) V2 — 2 ,50 INS CTION RECORD 2 5 1.00 a 8 IsI.sO 0 Is — 50 2.50 O 50 — 200 5.00 W NO TRANS, a SIGNS: NO. LAMPS / Z SERVICE 0.800V 1.00 SERVICE OVER GOOV 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS 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 1 HEREBY CERTIFY THAT 1 AM PROP Y GIST AND/OR LICENSED AS REQUIRED BY LOS ANGE S NTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM T E LEG L O NER THE ABOVE DESCRIBED RESIDENTIA PRO POWER SIGNATUREUTILITY CO. NOTIFIED OF PERMITTE FINAL �0 DATION ARTHUR C.VETT. CK O CASH SUPERVISING ELECTRICAL ENGINEER U�Co 2 6 6 0 FEB 16 2 0 2 .0 0 Temple City Chamber of Commerce Christmas Lights 76A663_CES06 468 . APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES , DEPARTMENT OF COUNTY BUILDING AND SAFETY DIVISION 82 Las Tunas Blvd. F Grn JOHN A. LAMBIE, COUNTY ENGINEER 7`�COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGY FOR APPLICANT TO FILL IN Hart Ave. NO $AC $ FEE OWNER Temple City Chamber o ommercMAILe RECEPT,_ LIGHT TOTAL FIRST 20 20 ADDRESS 5827 Temple City Blvd. ',SWITCH_ OVER 20 10 CITY Temple City TEL. NO. 266-3101 PLAN CHECK (LIGHTING �TOTAL FIRST 20 20 APPLICANT FIXTURES OVER 20 10 ADDRESS RANGE-DRYER_WTR.HTR.- CITY TEL NO STA COOK_DISP._F.A U - CONTRAC rOR Horstmann SPACE HTR AIR COND. ADDRESS 4835 N. Ryland Ave. CLOTHES WASH _DISHWASH,_ CITY Temple City TEL. NO. 444-3928 FAN-OTHER 1 00 LICENSE IJO 181053 CLASS. C-10 MOTORS,TRANSFORMERS RATING IND HEATERS, ETC HP. KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITO H ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 0 - 1 1 00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3 00 LICENSED AS REQUIRED BY LOS ANGELE4,IeIOUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL R OF, AND INTEND TO 10 - 50 5 00 RESIDE IN, THE RIFE SIDENT L PROPERTY 50 - 100 10 00 SIGNATURE a OF PERMITTEE U •100 - 500 15 00 CC DISTRICT NO GROUP ZONE PROCESSED BY p SIGN,GAS SIGN AND ONE CIRCUIT 3 00 TUBE, OR W MARQUEE ADDITIONAL CIRCUITS 1 00N NOTES: Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE, POLE, &APPURTENANCES 3 00 APPROVALS' DATE INSPECTOR'S SIGNATURE TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2 00 UTILITY CO NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE JOSE C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION 7 5 2 3;�R DEC 5 4 0 D' .Q p EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A663-CE80611/70 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING /) BUILDING AND SAFETY DIVISION ADDRESS !/ COLEMAN W. JENKINS SUPERINTENDENT OF BUILDINGLOCALITY ai NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO EACH FEE $ $ OWNER RECEPT_ MAIL D� LIGHT TOTAL FIRST 20 25 ADDRESS CIT TEL N0. SWITCH OVER 20 10 PLAN CHEC FIRST 20 25 APPLICANT LIGHTING TOTAL OVER 20 ADDRESS FIXTURES 10 APPLIANCES CITY TEL. N0. PERMIT RANGE DRYER_WTR HTR._ APPLICANT STA COOK DISP F.A.0 ADDRESS d SPACE HTR. n AIR COND CITY TEL. N 6��J CLOTHES WASH DISHWASH LICENSE NO. �J / �/� CLASS /t7 FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND 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 & PE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 10p 0-0 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT M THE LEGAL OWNER OF, AND INTEND TO d 1 — 10 300 RESIDE IN, THE E D SCR ED RESIDE NTI PROPERTY O SIGNATURE V 10 - 50 500 OF PERMITTEE 50 — 100 1000 DISTRICT NO lc�ts� ZONE CESSED Q 100 - 500 1500 431-09 - c a SIGN, GAS SIGN AND ONE CIRCUIT 500 NOTES: h Z TUBE, OR '- MARQUEE ADDITIONAL CIRCUITS 100 SERVICENOTOVER600VOLTS OR200AMP / 300 APPROVALS DATE INSPECTOR'S SIGNATURE S ERVI CE OVER 600 VOLTS OR 200 AM P 1000 TEMP POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 500 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 300 ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL z� PERMIT ISSUING FEE 300 JV- TOTAL FEE SENGINEER PLAN CHECK VALIDATION CK M Q CASH PERMIT VA0 CASH 6 0 7 nT 15 2 D SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CE806 11,70 APPLICATION FOR ELECTRICAL PERM COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 082 Las Tunas Drive COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY Temple City NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO EACHFEE OWNER Temple City Chamber of Commerc $ RECEPT._ MAIL 5627 Temple City Blvd. FIRST 20 25 ADDRESS LIGHT TOTAL � SWITCH OVER 20 1p CITY TEL. NO. PLAN CHECK LIGHTING 1 TOTAL FIRST 20 25 APPLICANT FIXTURES 10 Jy OVER 20 1 1 ADDRESS APPLIANCES CITY TEL NO. PERMIT RANGE DRYER_WTR. HTR. APPLIC N STA COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY W, tZ TEL. N0.3 32-2,2 CLOTHES WASH. DISHWASH. LICENSE NO. 7 16 CLASS.C../ 0 FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND 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 BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO >- I - 10 300 RESIDE N, THE ABOVE DESIBED RESIDENTIAL PROPERTY d SIGNATUREu 10 - 50 500 OF PERMITTE(x� ix SO - 100 1000 DIS17RICTNO CLASS ZONE P ED BY O 100- 500 1500 �� C•� w O SIGN, GAS SIGN AND ONE CIRCUIT 500 NOTES: N TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 100 SERVICENOTOVER 600 VOLTS OR 200AMP 300 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AMP 1000 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 500 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 300 ROUGH CONDI UT WIRING 50 anckets FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED UTILITY CO NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 300 JOSEPH C. ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER. e PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 CASH FEE WAIVED: �J , / e uLo 3 ? NOV 22 4 0 D ,&o� EE B'A CK F PPL ATION FOR COMPLETE SCHEDULE 76A663-CE806 12/75 APPLICATION O` /7Y 0� ^v C/" r R ELECTRICAL PERM COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB ADDRESS 908 BUILDING AND SAFETY DIVISION FOR APPLICANT LOCALITY Temple Jew Residential Bldgs& Pools EACH NO. FEE NEAREST 1 & 2-Family, Sq. Ft. $ .025 — g CROSS ST. SUltana Multi-familyS Ft' 02 — OWNER OR q FIRM NAME Petrillo Residential Swimming Pools 20.00 MAIL ADDRESS 9082 )utlets• Light, Switch & Receptacle CITY rit Tel.No. _ 47,47 First 20 .50 PLAN CHECK Additional .30 APPLICANT ADDRESS -ighting Fixtures First 20 .50 CITY Tel.No. Additional .30 PERMIT APPLICANT :Ixed Appliances Not Over 1 HP ADDRESS Range_Heater D.W 41-S R_ San Gahripd Fklud. CITY1 1 Tel.No. 0477 Oven_Dryer_W.M _ — LICENSE OR Top _ FAU _W.H REG.NUMBER Clas _ Hood Fan 1 HENEBI ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Disp._A.C. AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 'ower Apparatus& Large Appliances ELECTRICAL WIRING Size& Type HP, KW, KVA, Or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AHD/OR LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Up to 1 Incl. 2.00 CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE 0. 5.00 OESCRIrED ZRESNTIAL PROPERTY O Over 1 to 10 Incl. Over 10 to 50 Incl 10.00 PERMITEE V SIGNATUR Over 50 to 100 Incl. 20.00 Ing Over 100 30.00 DISTRICT NO. 17,/ OC SED BY Q services V 0- 200 Amp. Under 600 V 12.50 IN CTOR'S 0. 201-1000 Amp. Under 600 V 25.00 APPROVALS DATE SIGNATURE Vf Over 1000 Amp. or Over 600 V 50.00 TEMP.POWER POLE Z emp. Power Pole& Appurtenances 10.00 UN DERSLAB WORK ;Ign with One Branch Circuit 10.00 ROUGH CONDUIT \dditional Sign Branch Circuits 2.00 WIRING Other) FIXTURES POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL IERMIT FEE (Sub-Total) NOTES ILAN CHECKING FEE (One-Fourth Permit Fee) IERMIT ISSUING FEE TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH 0,9.8,-,jj .2D 2 ® 6L,0 ♦-46 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE Y---- -6 � , 1,863-CEB66/-60 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 40 BUILDING AND SAFETY DIVISION ADDRESS Y 1 4.bt JOHN A.LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUP'TOF BUILDING LOCALITY , v FOR APPLICANT TO FILL IN cRosss PERMIT FEES OWNER .So 1 TE M NUMBER EACH FEE OUTLETS $ MAIL /1 . LIGHTS RECEPT. BW, .10 A ADDRESS "l LIGHTING FIXTUREq 1311 S .10 $^D CITY ' TE N ELEC.RANGES CLO. DRYERS ELECTRICIAN � WATER H EATER S .50 ADDRESS 10 Jy ELEC.SPACE HTRB. DISHWASHERS CITY E TEL.NOM GARBAGE DISPOSERS AUTO.. I STATE �7 p WASHERS BTA.COOKING UNITS .25 S LICENSE NO. MOTORS: OVER INC. H.P. DIST ICT O. GRO P ZQNE P ESSED BY V2 r vz — 2 ,S0 INSPECTION RECORD 2 — 5 1.00 CL 1.50 Ov Is — so 2.50 0 SO — 200 5.00 V W SIGNS: NO TRANS. a NO.LAMPS N Z SERVICE 0.600V 1.00 O SERVICE OVER 600V 5,00 MISC. WIRING PERMIT 1.00 D FIXTURE PERMIT 1.00 p0 SUPPLEMENTARY PERMIT .50 TOTAL FEE S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT 2 36` ELECTRICAL WIRING. WIRING �' I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES �G CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDE TIAL PROPS POWER SIGNATURE UTILITY CO. NOTIFIED t0 nifL�y OF PERMITTE FINA , IDATION ARTHUR C.VETT. C MO CASH SUPERVISING ELECTRICAL ENGINEER L,o 9 8 7 5 DEC 16 2 D 5.7 0 �° r 76A663-cE606 9-64 APPLICATION FOR ELECT ICA PERMIT COUNTY OF LOS ANGELES DEPARTMENT UILD NG AND SAFETY DIV SIONER BADDRESS AS ✓/JAS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS, SUPT OF BUILDING LOCALITY [NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT TOTAL NOtEACH FEE /� LIGHT y OUTLETS FIRST 20 20 $ OWNER J u�'(� - LIfI_v IA ADD'L .10 ADDRESS (,f� SWITCH OVER 20 TOTAL r CITY TEL.NO. LIGHTING � FIRST 201 .20 FIXTURES I ADD'L 10 ELECTRICIAN OVFR 20 RANGES CLO.DRYERS WTR HTRS. 1.00 ADDRESS / ��:r i `•- ih(' GARB.D18P. STA.COOK CITY TEL NO. D J DISHWASH AUTO.-WASH STATE SPACE HTRB BTA.APP ('/a H.P.MAX ) .50 LICENSE NO MOTORS OVER NOT OVER H P. DISTRICT NO GROUP ZONE I PR E D BY O 1 1.00 1 3 1.50 INS ECTION RECORD 3 a 2.00CL G, O s 15 2.50 v 15 50 3.00 OC 0 50 100 5.00 () W SIGNS: NO.TRANS In d NO.LAMPS z Z SERVICE 0.60OV-Nor OVER 200A 100 SERVICE 0.60OV-OVER 200 A. 1200 SERVICE OVER 600V 5.00 MISC. : PERMIT ISSUING FEE 2.00 cc SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT ¢--, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING L� ELECTRICAL WIRING. WIRING ® IS � �:'•t1J I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALI PO RNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN, THE ABOV SCRIBED RESIDENTIAL PROrxA_-Ao-A-0 v POWER SIGNATURE UTILITY CO.NOTIFIEDOF PERMITTEEv- FINAL / IDATION JOSEOH C- ROOHAN QK/,MO CASH SUPERVISING ELECTRICAL ENGINEER I� 0 8 �.;2 CCT 1 2 D 6.0 0- MPLE CITY 76A663A-CE806A 4/72 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEBUIRLDING AND SAFETY DIVISION NT OF COUNTY ER BUILDING 082 Las Tunas Dr. ADDRESS N EA LOCALITY Temple City NEAREFOR APPLICANT TO FILL IN RE CROSSS T. Sultana OUTLETS NO EACH FEE $ $ OWNERre le Cit Chamber of Commerce 7 RECEPT._ MAIL FIRST 20 ADDRESS 2 Temple Cit Blvd LIGHT TOTAL CITY T le Cit TEL NO 286-3101 SWITCH OVER 20 PLAN CHECK LIGHTING 1TOTAL FIRST 20 APPLICANT - I FIXTURES OVER 20 ADDRESS ' RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR HTR_ APPLICANT Creative Disiplay CO STA COOK DISP F A.0 ADDRESS 11258 Ramona Bl. SPACE HTR. AIR CON Cl TY El Monte TEL NO "3-6155 CLOTHES WASH DISHWASH. LICENSE NO.2490 6 CLASS C-10 FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO 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 & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF V CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 - 10 RESIDE IN, THE A DESCRIPED w R SIDE NTIAL PROPERTY y SIGNATURE 10 - 50 OF PERMITTEE 50 - 100 DISTRICTNO. VSS ZONE PR SED BY 100 - 500 5, OB SIGN, GAS=AND ONE CIRCUIT NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS SERVICENOTOVER 600 VOLTS OR 200 AMP APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AMP TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM ROUGH CONDI UT Xinas Light Spry. WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED �l PLAN CHECK FEE , PERMIT ISSUING FEE FINAL _ TOTAL FEE I MA wp-,Ivm PLAN CHECK VALIDATION CK M O � CASH PERMIT VALIDATION CK M O CASH 4 5 4t"-'NOV 26 4 v D 113 0 AJC WORKERS'COMPENSATION DECLARATION S(I CE 806G (2-80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES C BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof Se 3800, Lab C.) O Q��,{� P ��1n& FOR APPLICANT TO FILL IN JOB Yol'�y�. r^� ompany ' l New Residential Bldgs &Pools EACH NO FEE ADDRESS S A�' -72APgtr lJ Certified copy is hereby furnished 1 &2-Family,Sq Ft $ — $ LOCALITY m pZ e, 1744 Multifamily Sq Ft — NEAREST Certified copy copy is filed with the county building inspection / ? Residential Swimming Pools CROSS ST department OWNER O R FIRM NAME Daw-1Appljcant B �i ,1 �L Outlets Rec•Light_Sw � �(] MAIL First 20 ADDRESSEF CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY Tel No COMPENSATION INSURANCE } PLAN CHECK APPLICANT 0 �- (This section need not be completed if the work involved Lighting Fixtures First 20 � U by the permit-is for one hundred dollars ($100) or less.) Additional ADDRESS it Total No 0 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 PERMITp.> T MSG W so as to become subject to the Workers' Compensation Laws. Range_ Heater_D W. _ APPLICANT Ci LGA K n Oven _ Dryer_W M._ ADDRESS a 6d/�— P,4� Z Date Applicant Top _ FAU _W.H CITYHood Fan _Other 7J-10el No — � NOTICE TO APPLICANT If, after making this Certificate of Hoo _ Room Air Cond. LICENSE OR rryy �j Exemption, you should become subject to the Workers' REG NUMBER Class Z Q Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO PROCE ED BY with comply with such provisions or this permit shall be Size&Type HP, KW, KVA,or KVAR deemed revoked. Up to 1 Incl �� tJ r FINAL Over 1 to 10 Incl. DATE LICENSED CONTRACTORS DECLARATION VALIDATION Over 10 to 50 Incl G 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 / 1 �/JS • / <D J 0-200 Amp Under 600 V (� a (J License Number Ltc.Class — _�. i t 20 1-1000 Amp Under ont a tor©�Q1 A4, 461� Date �" 9 I Over 1000 Amp.or Overr600 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 201 9,2A I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— structure is not intended or offered for sale (Section a 7044, Business and Professions Code). # o 0 0 0 o 2 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 2 o 0 1 1.50 for the performance of the work for which this permit is PERMIT FEE (Sub-Total) �6 issued(Sec 3097,Civ.C) 0 0 0 1 1.50 civ Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) ' 0615-81 Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL 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 Signature of Permittee Date t