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Home My Public Portal About9171 LAS TUNAS DR_Electrical__ 76A6633J.896 W/70 APPLICATION FOR ELECTRICAL PERMW COUNTY OF LOS ANGELES Moog DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY Ci NEAREST FOR APPLICANT TO FILL IN CROSS ST, L_ OUTLETS NO EACH I FEE OWNER T C� .tom Z RECEPT_ $ Is, MAIL LIGHT TOTAL FIRST 20 25 ADDRESS CITY TEL. NO. SWITCH_ OVER 20 10 PLAN CHECK LIGHTING •TOTAL 10 FIRST 20 25 APPLICANT FIXTURES OVER 20 ADDRESS , I APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER^WTR. HTR APPLICANT STA. COOK DISP ,F.A U ADDRESS,Z SPACE HTR_ AIR COND. CITY ` �� `� TEL. NO CLOTHES WASH DISHWASH. LICENSE No. CLASS. FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AN0 STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING I 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 RED IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND IN END TO 1 - 10 3 00 RESIDE IN, T AB DESCRI RESID NTIAL P PERTY a (�t T 10 - 50 500 SIGNATURE V OF PERMITTEE 50 - 100 1000 DISTRICT NO L SS ZONE Ssay, O 100 - 500 1500 wa SIGN, GAS TUBE, OR SIGN AND ONE CIRCUIT 500 NOTES: N Z ' - f MARQUEE ADDITIONAL CIRCUITS 100 SERVICENOTOVER600VOLTS OR200AMP ' 300 ,3C)o APPROVALS DATE INSPECTOR'S SIGNATURE S ERVI CE OVER 600 VOLTS 0 R 200 AM P 1000 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 500 UNDERSLAB-WORK TEMP LIGHT OR RECEPT. SYSTEM 300 ' ROUGH CONDIUT WIRING FIXTURES '1 POWER AUTHORIZED PERMIT FEE (SUB TOTAL`) '? QV UTILITY CO NOTIFIED PLAN CHECK FEE �j FINAL �� --7, PERMIT ISSUING FEE 300 JOSEPH C. ROOHAN ' TOTAL FEE - 60 SUPERVISING ELECTRICAL ENGINEER. PLAN CHECK VALIDATAON CK M O CASH PERMIT- A�ION cK M 0 CASH I :L 1 3-L-'N0V :L 2 Q 1 1.0 0 A q-1 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE i 76AS63 DBS SA 11-49 - APPLICATION FOR PERMIT DEPARTMENT OF.BUILDING AND SAFETY COUNTY OAF LOS ANGELES L ECT m1%0*p ��j/1 WILLIAM J. FOX, CHIEF ENGINEER, �� ! DISTRICT NO. GROvp ZONE PERMfT NO. F ,FOR APPLICANT.TO FIL-L,'IN,a dELECTRICIAN t{- 7pj�7f4_ . RECEIVED 6Yi READY FOR ATE: IBSUED _ O.DDRES _ Q� v FIRST INSPECTION CITY �,( � TEL NOAlil-44p !`I t/ COUNTY LICENSE NO. EXPIRES _ 3Z�tS BU I LD ADDRESS o+ X111 PERMIT FEES FEE NUMBER OUTLETS EACH LOCALITY v LIGHT 5D $ NEAREST CROSS ST. )-4'- ltJrit.T d Q!� RECEPTACLES 5 �' , 1 FIXTURES 5 7 OWNER ,2,q 1, WALL SWITCHES 5 MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CI,1 I&CrU tn 1 A a_tTEL. NO. MISC. I HEREBY ACKNOWLEDGE THAT 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 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NEW MVD. HP OVER INC. EACH ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER V2 & LESS .25 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. $ %2 2 .50 SIGNATURE OF F.J / 2 5 1.430 PERMITTEE / ./J^Ldwf 5 15 1.50 INSPECTION RECORD 15 50 2.50 50 1 200 5.001 _ -.7- 500 1O.OD _ Soo 1 1 000 15.001 J OVER 1000 20.00 Z M.G. SET/FREQ. CHANGER-HP (,g WELDERS: AC-KVA I a GENERATORS - KW 0 TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF ORI(3.) MISC, SIGNS TYPE: NO.TRANS. .I TYPE: NO. LAMPS, :x�- -� APPROVALS FOR EACH PERMIT: - DATE INSPECTOR'S NAME WIRING $1.00 ( 6 CONDUIT Wil\ FIXTURES $1.00 do WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ UTILITY CO. NOTIFIED FINAL 76A663 DSS SA 3-513 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRIX. GROUP ZONE PERMIT NO. FOR APPLICANT TO FILL IN 4 F cZ„ - & 92 ELECTRICIA 441 � �� I RECE E BY READY FOR DATE IBSUED ADDRESS cc w u w�qq � FI NSPECTION CITY TEL NOW -6 A' O I� COUNTY LICENSE NO. b EXPIRES t9.A~I BUILDING PERMIT FEES --DRE98 FEE NUMBER EACH LOCALITY Ka LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES WALL SWITCHES OWNER ! I+N`— 9A4 " TOTAL OUTLETS 5c I$ MAIL ELEC. RANGES 25 ADDRESS v ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER FEE NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY D SCRIBED ABOVE. I/ a LESS III .25 SIGNATURE O V2 2 .50 PERMITTEEs z s 1.00 .d INSPECTIONJRECORD f � 1 5 13� is 1.50 I is V 50 2.50 ,1 60 ;�'' 200 5.00'200 1 BOO 10.00 oidspAp 1000 15.00 +{ A+ Z g K'OAR'+11300 20.00 .h M.O. SET/FREQ. .CHANGER-HP •/3 p 0! 4 WELDERS: AC-KVA /' O GENERATORS_- KW TRANSFORMERS - KVA TEMP. MOTORS (75% OR oR1O.) MOVED-MDTORB (75% OF DRIG.) '+'• MISC. SIGNS NA. NO.TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 CONDUIT FIXTURES $1,00 WIRING \ SUPPLEMENTARY ,50 FIXTURES POWER TOTAL FEE S UTILITY CO.NOTIFIED ) FINAL ]-I -1 7"663 DSS SA 25M SETS 11-49 APPLICATION FOR PERMITa1'G'-t-c�e DEPARTMENT OF BUILDING AND SAFETY G COUNTY OF LOS ANGELES ELECTRIC 1 t'� Y WILLIAM J. FOX CHIEF ENGINEER DISTRICT NO. GROUP ZONE PERMIT NO. FOR APPLICANT TO FILL IN ELECTRICIAN RECEI- ED,BY READY FOR /DATE ISSUED FIRST INSPECTION ADDRESS CITYall NO. 'q- T of LICENSE NO. EXPIRES _3O"' V ADDNG RESS DESCRIPTION OF WORK NUMBER OUTLETS EACH FEES LOCALITY CROSS 6� LIGHTS Sc $ STREET /_'ar* 6 RECEPTACLES 5 1 FIXTURES 5 OWNER n� WALL SWITCHES 5 ADDMAIL RESS aj4 J . ELEC. RANGES 25 ELEC. HEATERS 25 CITY TEL. No.Lo 5 Q MIS( I ( 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB NUMBER OF CIRCUITS INSTALLED: ANGELES COUNTY LICENSE. LIGHTS RECEPTACLES MOTORS ELECTRICIAN. NUMBER HORSEPOWER FEE NEW MVD. HP OVER INC. EACH I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- 1/2 s LESS $ .25 ERTY DESCRIBED ABOVE. I/2 2 .50 2 5 1.00 OWNER. 5 is l.so INSPECTION RECORD is s0 2.50 so 200 5.001 zoo soo 10.130 Soo 1000 15.001 J a _ OVER 10110 20.00 M.G. SET/FREQ. CHANGER-HP �� /v,• � jj WELDERS: AC-K\(A GENERATORS - KW ,y�, TRANSFORMERS - KVA C-C T�Gi 5�'VVUJ) " TEMP. MOTORS (7S% OF ORIG•) */1704- /1 � ��S/��'L.- �4J/4/d, w* MOVED MOTORS (7S% OF ORIO.) 41-1e��, - 9 MISC. ajfgLy1 /,A-Z . SIGNS4F 4f TYPE: NO.TRANS. /r TYPE: NO. LAMPS APPROVALS PERMIT FEE DATE INSPECTOR'S NAME FOR ISSUING PERMIT: CONDUIT WITHOUT FIXTURES $1•130 WIRING WITH FIXTURES Q-010I r2 o FIXTURES SUPPLEMENTARY .50 POWER TOTAL FEE $ UTILITY CO. NOTIFIED 04-4 FINAL ✓ �� d1�P.1 c C l Ty 76A663-CE806 9-66 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �� BUILDING AND SAFETY DIVISION ADDRESS S JOHN A. LAMBIE, COUNTY ENGINEER /� COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY (�. NEAREST ✓ FOR APPLICANT TO FILL IN CROSS ST. RECEPT. _1 TOTAL NO EACH FEE ♦! JI(l OUTLETS I$.20 $ O OWNER �P�Q r(J�iyEj� LIGHT FIRST 20 MAIL SWITCHOVER 20 ADD L 10 ADDRESS TOTAL FIRST 20 .20 O CITY TEL. NO. LIGHTING FIXTURES FIXTURES ADD L10 CONTRACTOR 6 dA OVER 20 RANGES DRYERS WTR HTRS 40yp0 1.00 00 ADDRESS ,4/ f'off'oIffj'1000W,4,o:�45,41 vF I GARB DISP STA COOK CITY T. C TEL. NO. 07- DISHWASH AUTO-WASH STATE �J J SPACE HTRS STA. APPL .50 LICENSE NO. J (O MOTORS OVER NOT OVER HP DISTRICT N ]—GROUP Z NE PR ES D BY O 1 �2 1.00cc 1 3 150 INSPECTION RECORD 3 8 200 f F 8 15 2.50 15 50 300 per„ 50 100 500 0 SIGNS NO TRANS NO LAMPS 0 _ I'T SERVICEO.600V-Nor OVER 200A 100 a SERVICE 0.60OV-OVER 200 A. 200 N Z SERVICE OVER 600V 500 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING FEE 100 APPROVALS DATE INSPECTOR'S SIGNATURE TOTAL FEE $ 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING -WIRING `,^ 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM T LEGAL OWNER OF AN INTEND TO POWER RESIDE IN,THE ABO DES 1 ED RE IDEN ER RO E TY SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL ( ,.�L�1 0 CA JOSEPH C.SI ROOHAN LEC CK O CASH SUPERVISING ELECTRICAL ENGINEER ��8389- MAY 5 2 D 1 2.50- 6 e Ty 76A663-CE806 9-66 APPLICATION FOR ELECTRICAL .PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS .L JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY Ti NEAREST FOR APPLICANT TO FILL IN CROSS ST. C / RECEPT. jTOTAL NO EACH FEE OUTLET $ $ OWNER � Y Ty��F� S FIRST 20 .20 LIGHT MAIL SWITCH ADD L 10 ADDRESS OVER 20 TOTAL FIRST 20 .20 CITY TEL NO. LIGHTING 1 FIXTURES FIXTURES )( ADD L OVER 20 10 CONTRACTOR rJ eC /f/C RANGES DRYERS WTR HTRS 100 ADDRESS V IV r F J GARB DISP STA COOK CITY l ` + TEL NO f� DISHWASH AUTO.-WASH STATE SPACE HTRS STA APPL .50LICENSE NO MOTORS OVER NOT OVER H P. DIST�2I N P P D B O 1 100 1 3 150 INSPECTION RECOR 3 B 200 8 15 2.50 15 50 300 CL } so 100 500 /f ^�. -d .� u i F,`^ Cir--.,/,I .io ,_J•-� •;�' �"i't; � SIGNS NO TRANS / O NO LAMPS SERVICE 0.600V-NOT OVER 200A '100 QQ SERVICE 0.600V-OVER 200 A 2.00 h Z SERVICE OVER 600V 500 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2 00 Q SUPPLEMENTARY PERMIT ISSUING FEE 1001 1 APPROVALS DATE INSPECTOR'S SIGNATURE TOTAL FEE i�_3 IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK /� F ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING1- ELECTRICAL WIRING WIRING 1 HEREBY CERTIFY THAT I 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 r ' RESIDE IN,THE ABOVE DESCRI D RESIDENTIAL RO TY �-'- SIGNATURE UTILITY CO NOTIFIED C9OF PERMITTEE a 2l FINAL IDATION JOSEPH C. ROOHAN / CKJ MO CASH SUPERVISING ELECTRICAL ENGINEER Ll!,LO 87 3 I- MAY 1 2 D 3.0 0~ a f 76A663-CE806 I I/70 APPLICATION - FOR ELECTRICAL PERMIT " U COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 7ADRE NG ()/ �) ��j UK� BUILDING AND SAFETY DIVISION S lL COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING TY ST FOR APPLICANT TO FILL,IN ST ZO 434 L OUTLETS NO EACH I FEE $ $ OWNER RECEPT_ MAIL FIRST 2025 ADDRESS jfj-P LIGHT TONAL CITY _ TEL NO SWITCH j OVER 20 10 PLAN CHECK , LIGHTING TOTAL lo � FIRST 20 25 .Q—) APPLICANT ' _- OVER 20 ADDRESS- FIXTURES e 10 APPLIANCES CITY TEL NO. ' PERMIT L RANGE DRYERWTR HTR. APPLICANT AL Ne 5 I e l^[ L STA COOK DISP F A U ADDRESS 9^!' r SPACE HTR AIR CONX�_ / CITY Te j•I/) .{ (_( TEL' NO CLOTHES WASH DISHWASH LICENSE NO CLASS.G�O 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 I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING SIZE & TYPE OVER TO i I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 10 /n O, LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF V CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO >- 1 — 10 300 RESIDE IN, THE AB/O/E DESCRIBED RESIDENTIAL PROPERTY O 10 - 50 5001 SIGNATURE // �i�✓ v OF PERMITTEE G�-w SO - 100 1000 DISTRICT NO CLASS ZONE O ESS ED O 100 - 500 1500 /v g uj CL SIGN, GAS SIGN AND ONE CIRCUIT 500 NOTES: N Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1001 SERVICE NOTOVER600VOLTS OR200AMP 300 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICE OVER 600 VOLTS OR200AMP 1000 TEMP POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5 D UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 300 ROUGH CONDIUT WIRING FIXTURES PERMIT FEE (SUB TOTAL) -POWER AUTHORI;ED • UTILITY CO. NOTIFIED PLAN CHECK FEE 3 PERMIT ISSUING FEE 300 FINAL JOSEPH C. ROOHAN TOTAL FEE 9.�"' SUPERVISING ELECTRICAL ENrlNEEP, PLAN CHECK VALIDATION CK O CASH PERMIT VALIDATION cK . CASH _40 YYY i L—AL;p 2 5.4 0: '24 - 2 D 9.25 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ' 76AG63_CE806 1/'p APPLICATION FOR ELECTRICAL ERM T C � CGUNTY OF LOS ANGELES 1?iPARTMENT'OF COUNTY ENGINEER 7NEAREST 1 BUILDING AND SAFETY DIVISION j S �cffL//!5 {✓r JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING FOR APPLICANT TO FILL IN L'/J4/ OUTLETS NO EACHI FEE OWNER RECEPT-4— $ -e $ MAIL LIGHT- -2 To SAL FIRST 20 41 ADDRESS CITY TEL. NO. SWITCH_ OVER 20 }p PLAN CHECK LIGHTING FIRST 20 p APPLICANT TOTAL ADDRESS FIXTURES �_ OVER 20 10 APPLIANCES CITY TEL. NO. RANGEDRYER_WTR HTR PERMIT APPLICANTC' STA COOK DISP F.A U 1 ADDRESS �L} SPACE HTR Al R COND. CITY ;j_597 CLOTHES WASH. DISHWASH LICENSE NO 57 9 K CLASS. 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 e� J O - 1. 100 /ZY.d LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF V�✓A CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO �� ll 1 - 10 300RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY SIGNATUREd®® J_ 10 - 50 500 OF PERMITTEE dLti1 � fJf� 50 - 100 1000 DISTRICT NO ICLASS IGROUP IZONE PRO E E Y � 100 - 500 1500 F SIGN, GAS SLLJ IGN AND ONE CIRCUIT 300 NOTES: 0 2 = s �- Ali D_ TUBE, OR /�J to MARQUEE ADDITIONAL CIRCUITS 100 FO ICG. t4l , 2P ? _ a SERVICENOTOVER600VOLTS OR200AMP 200 SERVICEOVER 600VOLTS OR200AMP / /��/] APPROVALS 6ATE INSPECTOR'S SIGNATURE POWER POLE TEMP SERVICE, POLE, &APPURTENANCES 300 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 300 ROUGH CONDIUT 7 WIRING FIXTURES PERMIT FEE (SUB TOTAL) PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE UTILITY CO. NOTIFIED y/ FINAL SUPPLEMENTARY PERMIT ISSUING FEE 100 JOrSEPFrC. RoofiAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M D CASH .IRO. 2 .3 2 ti AUG2 Q z D 2 5.5. 0�(N/1/�_�F SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ._ � - (� DS 5-A a-al 2SM APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT NO. WIRING FIXTURES• FOR READY RECEIVED BY DATE 188 D RANGE :HEATER POWER r' _ FIRST INSPECTION s r SIGNS 1I AlISCELLANEOUB.. - APPLICANT FILL IN HEAVILY'OUT'LINED POR�TTIONONLYJOB �✓//, /J A ;ADDRESS r _ F te.!/,i' ♦ d'/�jl' A�Ci(Iff NAME U ��rrr o Ic ADDRESS ,/� _ ;� ,;, LOCALITY I !`�e1{ir[�l�e NEAREST lCITY / .i`'�y JC /.� EL.NO.Jj/ �/ CROSS ST. II //`,/ yI COUNTY !e C• NAME /p/3/t CERT.NO. EXPIRES`..�/?d/''7� jw,.� DESCRIPTION OF WORZ MAIL D• ADDRESS NUMBER OF OUTLETS ON CIRCUITS O LOCATION BY ROOMS CITY . TEL.NO. 1 LIGHT OUTLETS SW PLUGS FIXT 1• AM THE L&AL POSSESSOR OF THE-(ABOVE LOS [ -- ANGELES COUNTY CERTFICATE OF QUA SIF/CATION. CIRCUIT A B C D E F G H � ErLECTRICIAN LIVING ROOM �f --------- I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED DINING ROOM ABOVE BRFST.RM. _ ---_—_— - f OWNER. BATH ,CORRECTIONS r ENT.HALL 1 HALL NO. _-_-_-_--__-___- �(�1 1r !J llC r _CCF/!"l C & FRONT PORCH OUTSIDE 1 , KITCHENi ,� SERV.PCH. -----_-_---_ ,r "� --- -- a BDRM.NO. - Z CLOSET ' BDRM.NO. r; e •j�` CLOSET �t _ —— —— �1' 4 I TOTAL ! 4 NO. OF OUTLETS - � $ � APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS ,H:.P.' $ CONDUIT O_ -�/� NO OF SIGNS TRAN S. $ " WIRING NO OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER GG PERMIT FEE $ UTILITY CO.NOTIFIED/J—6 _L/ / TOTAL FEE }$ FINAL lU �-,/� W J WORKERS'COMPENSATIONDECtiARATION CE806G (z-BO) APPLICATION FOR ELECTRICAL PERMIT J ? I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFE insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec 3800, Lab C) 192—/e1-3080-2 Ins. Co. FOR APPLICANT TO FILL IN JOB Policy No. Company EACH NO FEE ADDRESS 9171 Las Tunas of the West New Residential Bldgs &Pools Certified copy is hereby furnished _ 11&2-Family,Sq Ft $ — $ LOCALITY ® Multi-family Scl Ft — NEAREST Certified copy is filed with the county building inspection CROSS ST Residential Swimming Pools department Edwards • OWNER OR 4_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 } PLAN CHECK a APPLICANT (This section need not be completed if the work involved O by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First ADDRESS Total No Additional Cc I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No � II— permit is issued, I shall not employ any person in any manner PERMIT W so as to become subject to the Workers' Compensation Laws Range_ Heater_D.W. APPLICANT d Oven _ Dryer_W.M ADDRESS EdWards Eleetrie, to Date Applicant Top _ FAU _WH. 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 r with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or KVAR deemed revoked. Up to 1 Incl FINAL / /� LICENSED CONTRACTORS DECLARATION Ov.Vr 1 to 10 Incl DATE (�L VALIDATION • Over 10 to 50 Incl I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc, FINAL BY 9 (commencing vAth 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 257191 Lic Class C-10 0-200 Amp. Under 600 V Edwards ElectEAc Ju 1982 201-1000 Amp Under Contractor e Over 1000 Amp or Overr 6 6000 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 1 ness and Professions Code)- 2 4 7 6,8 A Misc Conduits&Conductors ❑ I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— • • • • • 2 structure is not intended or offered for sale (Section 7044, Business and Professions Code). • 0 0 0 0 0 • z CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency U, 4—•8 1 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 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 t/k• rc,cc�,y _4-6-81 Signature of Permittee Date