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HomeMy Public PortalAbout9167, 9167 1/2 LAS TUNAS DR_Electrical__ DOS-5A 3-SS APPLICATION FOR ELECTRIC PERMIT 1i DMSION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles FLkD ING WM.J. FOX. COUNTY ENGINEER ESSCASSAT-T D.GRIFFIN. SUPT OF BUILDINGLITY FOR APPLICANT TO FILL IN• NEAREST PERMIT FEES cRoss ST. NUMBER EACH FEE n 1 OWNER L I C C So if LIGHT OUTLETS RECEPTACLES MAIL // �; / A,f •�L<j/1�/¢.rJ' /"� ADDRESS // WALL SWITCHES TOTALOUTLETS _ 5¢ $ CITYf+TEL NO _ ELEC RANGES 25 ELECTRICIAN 0/26 _ELEC HEATERS 25 ADDRESS KW EA CITY 4/-1y 4-0 e TEL NO.5 FIXTURES 5 LICENSE NO NUMBER OF LIGHT CIRCUITS - DISTRICT NO. GROUP NE I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS I S16A/ MOTORS lS� vvv NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD HP I OVER I INC I EACH I/2&LESS $ 25 1/Z 2 50 2 5 1 00 5 15 1 50 15 50 2 50 50 200 500 MISC. NO.SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING $100 V'ti FIXTURES $1 00 SUPPLEMENTARY 50 APPROVALS ALS TOTAL FEE S Z DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY c WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING 1 t7 ELECTRICAL WIRING. 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE r UTILITY CO NOTIFIED OF PERMITTEE W FINAL WILLIAM J. FOX. COUNTY ENGI R VALIDATION A.C.VEIT.CHIEF ELECT. INSPECTOR 0455, SEP 21 2 2.00 n 76A663C- CE8068 1=,75 APPLICATION R ELEC RICAL PERMIT BUILDING AND SAFETY DIVISION// j+� FOR APPLICANT TO FILL IN JOB V-7 Z \S N FResidential Bldgs & Pools EACH NO FEE ADDRESS , Sq Ft $ - $ LOCALITY RE r_rY q Ft CROSS ST `6( esidential Swimming Pools OWNER OR •� ` FIRM NAME Outlets Light, Switch& Receptacle MAI L First 20 ADDRESS 4nAAA010i QAu o Additional CITY Tel No J PLAN Lighting Fixtures APPLICANTK a First 20 ADDRESS Additional CITY Tel No PERMIT Fixed Appliances Not Over 1 HP APPLICANT VSA- 19-l`LC ~Ill Range Heater_ D W 99655— / A,,� -rum pks Oven Dryer W M ADDRESS G� '�77 Top FAU WH CITY �� Tel No D&7-07 >- Hood Fan REG NUMBER 3� ��B Class e-10 o� Disp. A C. � I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 0 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY U Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING W Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING, vi Up to 1 Incl Z I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND(4R Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF C CALIFORNIA OR THAT 1 AM THE LEGA WNER OF THE ABOVE Over 10 to 60 Incl. DESCRIBED RE IAL PTY Over 50 to 100 Incl. PERMITEE Over 100 SIGNATURE D ISTRICT NO ��C D BY Services 0CY � 0-200 Amp Under 600 V 6 201 - 1000 Amp Under 600 V PPROVALS D E INSPECTOR'S Over 1000 Amp or Over 600 VSIGNATURE OWER POLE Temp Power Pole&Appurtenances LAB WORK Sign with One Branch Circuit Additio I SignBranc Qircuits CONDUIT Other) `� AUTHORIZED PERMIT FEE (Sub-Total) C_O NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL 3 �7 PERMIT ISSUING FEE TOTAL FEE N, NOTES �sr.t-4a. rr-t r+ r��r.�raAp,If_A'�P(� I 0 V EeK-V*Lff)Ai10N--CK-----t71 6 CASH PERMIT VALIDAITICK M O CASH FOLICY HOLDER: �-��'''��� 9 8 0��Af� 9. 2 n 9.0 0 '&"-tc; POLICY I WABER: D.B.B.SA 25M SETS 10-47 PP ICATION FOR P DEPARTMENT OF BUILDING AND SAFL�Y APPLICATION+�+4 �� a�� COUNTY OF LOS ANGELES WM. J. FO CHIEF ENGINEER Q NAME DISTRIC O. GROUP ZONE PERMIT � �--y17 ��.. ADDRESS WU CITY nn TEL.NO RECEI BY FIRST IN CATE ISSUED CERT.NO. O� EXPIRES A APPLICANT FILL IN HEAVILY OUTLINED PORTION OM x JOB DESCRIPTION OF WOE -ADDRESS NUMBER OR OUTLETS ON CIRCUITS LOCALITY ;-v&4 oid AL Cx*tv LOCATION BY ROOMS NEAREST - LIGHT OUTLETS JSW. PLUGS FOtT CROSS ST CIRCUIT A B C D I E IT G H It NAME S ZMAIL 3 ADDRESS O CITY TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGF,LES COUNTY CERTIFICAT OF UAL ICA ION.. ELECTRICIAN. I AM THE LEGAL OWNER F THE PROP F,fiTY DESCRIBED ABOVE OWNER. 41p oNs f '44F - 4.4, Q E7 ii O TOTAL Z' NO. OF OUTLETS 2- $ 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 $ UTILITY CO.NOTIFIED �.,-- TOTAL FFA FINA d 0 76A663 DBS 5A 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRI1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FI IN DISTRIr NO. GROUP ZONE PERMIT NO. ELECTRICIAN \ 1N c—i K—e�6/M _ /� RECEIVE BY READY FOR DATE ISSUED ADDRESS t� �{,.�.. !J �D FIRST INSPECTION CITY Q, G'+I+7 TEL. NO �i COUNTY LICENSE NO. EXPIRES BUILDING 17 I I / �,. J PERMIT FEES ADDRESS b .Sl, NUMBER EACH FEE LOCALITY v LIGHT OUTLETS S NEAREST CROSS ST. ` RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS 5c $ MAIL / ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY• • TEL. NO.-� FIXTURES 5 1 HEREBY ACKNOWLEDTHAT 1 HAVE READ THIS MISC APPLICATION AND STATE "THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS / �S AND AGREE TO COMPLY WITH'ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I- CERTIFY THAT I POSSESS THE ABOVE VALID LOS NumBER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. NEW MVD. HP OVER I INC. EACH 1/2 &LESS $ .25 SIGNATURE OF x, + Q 1/2 2 .50 PERMITTE w� 2 5 1.00 INSPECTION RECORD 5 15 1.50 15 50 2.50 so 200 5.00 200 500 10.00 500 1000 15 00 Q Z_ OVER 1000 20 00 (� M. G. SET/FREQ. CHANGER-HP 0 WELDERS AC-KVA GENERATORS-KW TRANSFORMERS-KVA _ TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (75%OFORIG.) MISC SIGNS NO. NO. TRANS. APPROVALS NO NO LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT- CONDUIT � _ WIRING $1 00 WIRING / i w� 1017'( ►1. FIXTURES $1 00 v 6 ,, 14 �r�q jy• SUPPLEMENTARY .50 FIXTURES �iW WI POWER TOTAL FEE $ 33,S UTILITY CO. NOTIFIED rr ® FINAL 1 ` 7SA663 DBS SA 11-49 APPLICATION FOR PERMIT s DEPARTMENT OF BUILDING AND SAFETY ELECTRIC � COUNTY OF LOS ANGELES SWILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. �} ELECTRICIAN RECEI711, 'B READY FOR DATE 16SUED ADDRESS /"'= FIRST INSPECTION ^/ _ �v a CITY TEL. NO. ! 7yBUILDINGjr /�/" COUNTY LICENSE N EXPIRES ADDRESS i Lr / + PERMIT FEES FEE NUMBER GUTLFTS EACH LOCALITY LIGHT Be $ NEAREST CROSS ST. RECEPTACLES 5 FIXTURES 5 OWNER WALL SWITCHES 5 I MAIL Q �y ELEC. RANGES 25 I ADDRESS a ELEC. HEATERS 25 CITY TEL. NO. MISC I HEREBY VCKNOWLEDGE HAT I HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: TOTAL 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. NUMBER HORSEPOWERFEE 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NEW MVD. HP OVER INC. EACH In ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER _ r I/2 s LESS $ .25 OF THE RESIDENTIAL,: RI;PEPTY DESCRIBED ABOVE. ZX V2 2 .50 SIGNATURE OF ^ , PERMITTEE 2 5 1.00 1 d 5 1 s l.so INSPECTION RECORD is so 2.50 so 200 5.001 200 Soo 10.00 _ Soo 1000 15.00 J OVER 1000 20.00 Z M.G. SET/FREQ. CHANGER-HP LIr WELDERS' AC-KVA GENERATORS - KW O TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% DF ORIG.) MISC. SIGNS TYPE: �� N0.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 $ �/" V UTILITY CO. NOTIFIED FINAL �ij —� .tr✓'� WORKER'S'COMPENSATION DECLARATION CE-806G (2-80) APPLICAT-ION FOR ELECTRICAL PERMIT CE-606 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.) - I 1 192-71-3080-2 Ins♦ Co• FOR APPLICANT TO FILL IN JOB Policy No Company EACH NO FEE ADDRESS of the West New Residential Bldgs &Pools ❑ ,Certified copy is hereby furnished. 1 &2-Family,Sq Ft $ — $ LOCALITY Temple City ' ® Multi-family Sq Ft — NEAREST Certified copy'ls filed with the county building inspection CROSS ST department Residential Swimming Pools OWNER OR , 11-6-81 Edwards Electric FIRM NAME ` Date Applicant Outlets Rec_Light Sw MAIL i First 20 ADDRESS : CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY Tel No COMPENSATION INSURANCE PLAN CHECK a (This section need not be completed if the work involved A APPLICANT by the permit, is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS Additional I certify that in the performance of the work for which this Total No CITY Tel No j _ Fixed Appliances Not Over 1 HP U perm'ite:s-issued; I-shall not employ any person on any manner PERMIT so as to become subject to the Workers' Compensation Laws.- Range_ Heater_D.W APPLICANT' Edwards Electric d Oven _ Dryer_W M__ ADDRESS a _ N FAU _W.H - •Date � - Applicant Top _ 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 — 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 �Q Up to 1 Incl. Over 1 to 10 Incl DA EL 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 l ness and Professions Code; and my license is in full force and t effect Services 257191 C-10 0-200 Amp. Under 600 V License Number Lic.Class Edwards Elect Ju 1982 201-1000 Amp Under 0 V Ed Contractor ��� � Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp Power Pole&Appurtenances 1 I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit Ljcense Law for the following reason (Section 7031 5, Busi- Additional Sign Branch Circuits 24 7 7 A ness and Professions Code) Misc.Conduits&Conductors ❑ I, as owner of the property, will do the work and these 2 Other(See Complete Fee Schedule)— , 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 0 /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 / ' V I certify that I have read this application and state that the TOTAL FEE IVO 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 forinspectionpurposes SEE REVERSE FOR EXPLANATORIY LANGUAGE 4-6-81 Signature of Permittee Date