The URL can be used to link to this page

Home My Public Portal About9718 LAS TUNAS DR_Electrical__ 76A663-CE806II/70 APPLICATION FOR ELECTRICAL PAMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS W18 Las Tunas Drive COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY Temple City NEAREST FOR APPLICANT TO FILL IN CROSS ST. N0. EACH $ FEE OUTLETS OWNER TEMPLE CITY CHAMBER Or' COMMERC RECEPT._ MAIL LIGHT TOTAL z5' FIRST 20 ADDRESS CITY TEL. NO. SWITCH OVER 20 .10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT OVER 20 ADDRESS FIXTURES .1p APPLIANCES CITY TEL. N0. RANGE DRYER_WTR. HTR._ PERMIT APPLIC NT STA. COOK DISP. F.A.U. ADDRESS64 > SPACE HTR. AIR COND. CI TY LV t TEL. NU.]) CLOTHES WASH. DISHWASH. LICENSE NO. 7f3 CLASS.L° FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 1 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 >- 1 - 10 3.00 RESIDE IN, THE ABOVE DES BED SI NTIAL PROPERTY. d tDISTRICTNO RE O 10 - 50 5.00 ITTEE' �� 50 - 100 10.00 O CLASS Z0� PRO SED BY100 - 500 15.00 _ aSIGN, GAS SIGNAND ONE CIRCUIT 5.00 7� Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 Z SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 d ROUGH CONDIUT Xmas Street Lighting WIRING f Iyam! FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 JOSE H C. ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER, PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. CASH FEE WAIVE City, an ger a �� iDii 2 2 D '00 s SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CES061/70 APPLICATION FOR ELECTRICAL PERMIT u COUNTY OF LOS ANGELES DEPARTMENT BU LDING ANDD SAFETYCOUNTY DIVISIONENGINEER BUILDING ADDRESS 9718 Las Tunas Drive JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING Temple NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE $ $ OWNER CE RECEPT._ MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS Cl TY TEL. NO. SWITCH_ OVER 20 10 PLAN CHECK LIGHTING TOTAL FIRST 20 20 APPLICANT FIXTURES 10 OVER 20 ADDRESS APPLIANCES CITY TEL. NO. RANGE PERMIT DRYERWTR. HTR._ APPLICANT Wfzl 9jfl4 l/ STA. COOK DISP. F.A.U. ADDRESS SPACE HTR, AIR COND. CITY TEL. NO. �/ 3 CLOTHES WASH. DISHWASH. LICENSE NO. l6,5 CLASS. jd FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING W ITH 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 — I 100 LICENSED AS REQUIRED BY LOS ANGELES C TY AND STATE OF CALIFORNIA OR THAT I A THE LEGAL OW P-41T, AND INTEND TO 1 — 10 300 RESIDE IN, TH OVE P,ED ESI EN7 L PROPERTY. >- a 10 - 50 5.00 SIGNATURE O OF PERMITTEE V 50 - 100 10.00 � DISTRICTNO CL¢Sj5 GROUP ZONE PRO E BY 1 00 - 500 t 5.0o i / ) Lf L R C) SIGN; GASa SIGN AND ONE CIRCUIT 3.00 NOTES: TUBE, OR y h MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CENOT OVER 600 VOLTS OR 200 AMP 2.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AM P 5.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 3.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 Xmas Street Lighting ROUGH CONDIUT WIRING 25 sockets FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) UTILITY CO. NOTIFIED - .. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL JOSEPH C. ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER. PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. CASH 1 nrl_ �i 8 l n ,k,V1 g 2 p Fee waived: •00 ity anager � SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE "hT,,', v.l.'I'v 76A663A-CE806A 4/72 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 9718 I,as Tums Dr. LOCALITY Tem le Cit NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNE'Tem Cit Chamber of Commerce RECEPT._ $ $ MAIL FIRST 20 ADDRESS 2 Temple Cit Blvd LIGHT TOTAL CITY Temple Cit TEL. NO. 286-3101 SWITCH OVER 20 PLAN CHECK LIGHTING TOTAL FIRST 20 APPLICANT )1 TAL FIXTURES OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. RANGE DRYER-WTR. HTR.- APPLIICANT Creative Display Co. STA. COOK DISP. F.A.U. ADDRESS 11258 Ramona Bl. SPACE HTR. AIR COND. CITY TV Monte TEL, NO. 443-6155 CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY C7 MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING U IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO (Z> I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR II__ 0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF W CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO LL 1 - 1O RESIDE IN, THE VE OESCRIPED ESID NTI L P OPERTY. C/)10 - 50 SIGNATURE - Z OF PERMITTEE 50 - 100 DISTRICT NO. ASS ZONE OC SS ED BY 100 - 500 5.08 SIGN, GASSIGN AND ONE CIRCUIT NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS SERVICENOT OVER 600 VOLTS OR 200 AMP SERVICEOVER600VOLTS OR200AMP APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMPSERVICE,POLE, &APPURTENANCES TEMP LIGHT OR RECEPT. SYSTEM UNDERSLAB WORK ROUGH CONDI UT Xims Liaht Serv. WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE �7PERMIT ISSUING FEE FINAL TOTAL FEE IVE) PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 4 5 1 . W tit? 4 - U 76A663-CE806 f0/7A � `. APPLICA 1 F� ELECTRICAL PERMIT COUNTY OF LOS ANGELES _ DEPARTMENT OF COUNTY ENGINEERAooaess BUILDING AND SAFETY DIVISION LOCALITY X17 FOR APPLICANT TO FILL IN CROSSS T y I'le,'L Ale OUTLETS NO. EACH FEE OWNER OR $ $ FIRM NAME RECEPT._ MAIL FIRST 20 25 ADDRESS LIGHT TOTAL CITY TEL. N0. SWITCH OVER 20 10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT FIXTURES 1p OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. RANGE DRYER_WTR. HTR._ PERMIT APPLICANT 1it,tV15,44k, a STA. COOK DISP. F.A.U. AODRESSi/-- SPACE HTR. AIR COND. CITY I71 >;' TEL. N CLOTHES WASH. DISHWASH. REG. NSMBE�4 �jrJ �'H CLASS. (.y FAN OTHER 1.00 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 IN TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGI9 TER D AND/OR O - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AN BT E OF CALIFORNIA OR THAI I AM THE LEGAL OWN OF HE ROVE r CL_ 1 - 1O 3.00 DESCRIPED RESIDE AL PROPERTY. O U PERMITEE 10 - 50 5.00 SIGNATURE CD F-- 50 - 100 10.00 w DISTRICT r OCE SED BY a 100 — 500 15.00 i1 z 6 SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECT? SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CE NOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED /C UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES; PLAN CHECK FEE PERMIT ISSUING FEE 3.001 1 TOTAL FEE FEE WAIVED PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH / 4 mgV 4 4 v U .� SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE D35 SA 25M SETS 7-47 - DEP�aR'I'IEN�''T' OF BUILDING AND SA :'I'�' APPLICATION 'OR 'E' COUNTY OF LOS ANGELES Ei"LEi I W 1. FOX F CH EEN INEfiR a NAME ^F DISTRICT NO. GROUP I ZONE PERMIT NO. � US V ;• ADDRESS.J. I RECEIVED BY READY FOR DATE ISSUED U CITY TEL.NO. 2 6 FIRST INSPECTION f J COUNTY II j CERT.NO. Q ,.� EXPIRES R APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORD I DDRESS NUMBcR OF OUTLETS ON CIRCUITS OCALITY LOCATION BY ROOMS EAREST LIGHT OUTLETS SW.I PLUGS ROSS ST. ^ s C"iRcUrr A E3 C D E F G H NAME l�✓ MAIL ADD ADDRESS CITY TEL.I�20. _ 1 AM THE LEGAL P_OSSES`SOR OF THE ABOVE LOS NGELES COUNTY flFJJCAYSj OF QUALIFICATION.. / ELECTRICIAN. L AM THE EMAL OWNER OF Tr1E FROPER'Y DESCRISkM ABOVE OWNER. CO :MUONS a J z c I 9 TOTAL u , NO. OF OUTLETS _1 D APPROVALS { NO. OF FIXTURE'S / % - $' DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANF.OUa $ POWER 3 PERMIT FEE $ % S UTILITYCO.NOT[FIED TOTAL FEE FINAL 76A663-cE80612-65 �,Q,�1�� APPLICATION FOR ELECTRICAL PERMIT 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. RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 S.20 $ OWNER LIGHT MAIL SWITCH ADD'L ADDRESS OVER 20 .10 LIGHTING FIRST 20I .20 CITY TEL.NO. ��FIXTURES ADD'L CONTRA TOR OVER 20 .10 RANGER DRYERSWTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY GALP TEL.NO. QC_l)) DISHWASH. AUTO.-WASH. STATE SPACE HTRS. BTA. APPL. - .50 LICENSE NO. L MOTORS: OVER NOT OVER H.P. DISTRICT NO. GRO P ZE PR CESSED BY O 1 1.00 &_ 7� I 9 1.50 INSPE TION RECORD 0a 9 8 2.00 U VCS r A � 8 15 2.50 Q 15 50 9.00 v W O_ 50 100 5.00 N Z SIGNS: ` NO.TRANS NO.LAMPS •,� �'y� SERVICE 0.600V-NOT OVER 200A 1.00 SERVICE 0-60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE TOTAL FEE IHEREBY ACKNOWLEDGE THAT 1 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 I 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 RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. - SIGNATUREd^ • UTILITY CO.NOTIFIED OF PERMITTEE _ FINAL VALIDATION JOSEPH C. ROOHAN �CK MO CASH SUPERVISING ELECTRICAL ENGINEER Lr tvQ 7 0 4 9 O F I:U 8 2 D 4.0 0- DSS APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX, CHIEF ENGINEER DISTRICT NO. GROUP ZONE PERMIT NO. Z 4 NAME U s ADDRESS _ t' RECEIVED BY READY FOR DATE ISSUED uU CITY TEL.NO. I FIRST INSPECTION J COUNTY W CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK ADDRESS NUMBER OF OUTLETS ON CIRCUIT$ LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLET JSW. PLUGS I FOOT CROSS ST. CIRCUIT A 113 IC D E F GIH I W NAME Z MAIL 3 ADDRESS O _ CITY TEL.NO. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS J D O sTOTAL NO. OF OUTLETS S I � �% APPROVALS NO. OF FIXTURES $ _ _ DATE INSPECTOR'S NAME_ NO. OF MOTORS f� H.P. $ CONDUIT NO. OF SIGNS TRANS. _$ WIRING _ NO. OF RANGESORHEATERS _$ FIXTURES MISCELLANEOUS $ POWER 4 PERMIT FEE $ UTILITYCO.NOTIFIED TOTAL FEE FINAL 76A663-CE$06 4-68 APPLICATION FOR ELECTRIL PERMIT 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 FOR APPLICANT TO FILL IN NEARESTCROSS ST. NO. EACH FEE RECEPT._ $ $ OWNER MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS SWITCH_ OVER 20 .10 CITY TEL. NO. PLAN CHECK LIGHTING TOTAL FIRST 20 .20 APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGE—DRYER—WTR.HTR._ CITY TEL. NO. STA.COOK_OISP._F.A.U._ CONTRACTOR rJ� �rjL� • SPACE HTR. AIR COND. ADDRESS CLOTHES WASH._DISHWASH._ CITY ! ,�, TEL. NO. T S�y3JL FAN—OTHER 1.00 LICENSE NO. Af/ CS"-�3 CLASS. C -/Q MOTORS.TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPEOVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 0 - 1 1.00 ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS RED IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL ER OF, AND INTEND 70 10 - 50 5.00 RESIDE IN, THE ABOV f.RIBE ESIDE�AL PROPERI AL PROPERTY. U 50 - 100 10.00 SIGNATURE OF PERMITTEE O 100 - 500 15.00 F- S CT GROUP Z NE PR CESSED BY w SIGN,GAS SIGN AND ONE CIRCUIT 3.00 r d TUBE, OR MA ROU EE Z ADDITIONAL CIRCUITS / 1.00 G C 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 INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING PLAN CHECK FEE (50% PERMIT FEE) FIXTURES POWER AUTHORIZED PERMIT ISSUING FEE 2.00 ,2- ®C UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL �C f.✓ TOTAL FEE LCL' JO EPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M,0. CASH PERMIT VALIDATION 0 M.O. CASH Lht,o 7 2 7 4 NOV 14 25.0 O N EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE Temple City Chamber of Commerce Christmas Lights 76A663-CEE06 4-68 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 9718 Las Tunas Drive JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST NO. EACH FEE CROSS ST. Golden West Ave. RECEPT._ $ $ OWNER Temple City Chamber of Commerce MAILLIGHT TOTAL FIRST 20 .20 ADDRESS 5827 Temple ity Blvd. SWITCH_ OVER 20 .10 CITY Temple City TEL. NO. 286-3101 PLAN CHECK LIGHTING �TOTALFIRST 20 .20 APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGE_DRYER—WTR.HTR._ CITY TEL. NO. STA.COOK_DISP._F.A.U._ CONTRACTOR R. P. Horstmann SPACE HTR. AIR COND. ADDRESS 4835 N. Ryland Ave. CLOTHES WASH._DISHWASH._ CITY Temple City TEL. No. -392 FAN—OTHER 1.00 LICENSE IJO. 181053 CLASS. -1 MOTORS.TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 0 1.00 ELECTRICAL WIRING. - 1 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR 1 - 10 3.00 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL 0 OF, AND INTEND TO >_lO - 50 5.00 RESIDE N, THE A PED DENTIA PROPERTY. C:) 50 - 100 10.00 SIGNATURE U OF PERMITTEE C= 100 - 500 15.00 �- DISTRICT NO. GROUP ZONE PROCESSED BY w SIGN.GAS SIGN AND ONE CIRCUIT 3.00 CL TUBE, OR U MARQUEEZ 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 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.o0 FINAL TOTAL FEE JOS PH C. R OHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION 7534 DEC 54 "I.J D 0" Ic :E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76AS63-CES0611/70 APPLICATION FOR ELECTRICAL PERMI COUNTY OF LOS ANGELES i . I DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY elf" -/ FOR APPLICANT TO FILL IN NEAREST CROSS ST, I a CA�LL OUTLETS NO, EACH FEE � v !ye5 IT $ $ RECEPT. OWNER_ MAIL FIRST 20ADDRESS LIGHT TOTAL 2S CITY TEL. NO. SWITCH_ OVER 20 ,10 PLAN CHECK FIRST 20 25 APPLICANT LIGHTING TOTAL OVER 20 ADDRESS FIXTURES 10 APPLIANCES CITY TEL. N10) RANGE DRYER_WTR. HTR. PERMITAPPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. Cl TY T CLOTHES WASH. DISHWASH. LICENSE NO. CL FAN OTHER 1.00 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 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 2 1 - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED R IDENTIAL PROPERTY. O SIGNATURE U 10 - 50 5.00 OF PERMITTEE 50 - 100 10.00 DISTR TNO. CLASS ZONE PRO�EIED BY O 100 - 500 15.00 V/I) �r r� a SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: h Z TUBE, OR MARQUEEADDITIONAL CIRCUITS 1.00 SERVICE NOTOVER 600 VOLTS OR 200 AMP 3.00 tJ APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FI XTU REQS l 1 PERMIT FEE (SUB TOTAL) POWER AUTHORIZED UTILITY CO. NOTIFIED PLAN CHECK FEE }FINAL ERMIT ISSUING FEE 3.00 06 JOSEPH C. ROOHAN OTAL FEE SUPERVISING ELECT AL NGINEEP. PLAN CHECK VALIDATION CK. 'm.0. CASH PERMIT VALIDATION CK. 0. CASH co L ? 3 3 OCT 2 8 2 D (5,Q Q BACK OF APPLICATION FOR COMPLETE SCHEDULE - 76AG63-CESOG 3-69 (W APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING C1 BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY f FOR APPLICANT TO FILL IN NEAREST CROSS ST. NO. EACH FEE $ $ OW N E R RECEIPT._ MAIL LIGHT TOTAL FIRST 20 •20 ADDRESS SWITCH OVER 20 .10 CITY TEL.NO. CHECK LIGHTING TOTAL FIRST 20 ,20APPLICANT FIXTURES OVER 20 ,10 ADDRESS e RANGE DRYER WTR. HTR. CITY TEL N0. t STA. COOK_DISP._F.A.U. CONTRACTOR SPACE HTR. AIR COND. ADDRESS ,p s CLOTHES WASH.-DISHWASH. CITY ( ` TEL.NO. 3 -Z Z FAN_OTHER 1.00 LICENSE NO. Zq 36 CLASS. e 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 TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 1 - 10 3.00 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO a RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. 10 - 50 5.00 L SIGNATURE 50 - 100 10A0 OF PERMITTEE C 100 - 500 15.00 DISTRICT NO I GROUP ZONE P SED BY u LL " SIGN GAS SIGN AND ONE CIRCUIT 3.00 0 Z TUBE, OR 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, BI APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAS WORK ROUGH CONDUIT WIRING ` PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED t PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED r SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL JOSEPH C. ROOHAN r. TOTAL FEE Fee waived: SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION/ PERMIT VALIDATION BASIN 00NSE7 7 NOV 12 4 0 D .00- SEE E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE - � WpRKERS'COMPENSATION DECLARATION I 7 DPW 3/87 APPLICATION FOR ELECTQICAL PERMIT O I hereby a rm that I have a certificate of consent to self CE.80W insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy-is hereby furnished. New Residential Bldgs. & Pools EACH TNO. FEE ADDRESS �❑Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. LOCALITY tion department. Multi-family Sq. Ft. NEAREST CROSS ST. GCA e` t ,e;s Residential Swimming Pools ODate Applicant WNER OR . FIRM NAME S .Yu`µq a k o"_.0 CERTIFICATE OF EXEMPTION FROM WORKERS' _ IL + Outlets: Rec Light Sw. COMPENSATION INSURANCE Z ADDRESS ( 5��3 •�►4 P 11 Total NoFirst 20 " 2_129-37t This section need not be completed if the work involved b . � Additional CITY ''�,Z+-i tra Tel. No. the permit is for one hundred dollars($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Worke s' Laws. g g Q r Additional Total No. CITY , Tel. No. Date ApplicFixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' Range— Heater—D.W. — APPLICATION Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS with comply with such provisions'or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other_ CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR Disp. _ Room Air Cond. — Class. I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. P C ED BY d and Professions Code,and my license is in full force and effect. Size&Type HP, KW, KVA, or KVAR c. License Number Lic. Class Up to 1 Incl. : FINAL U Over 1 to 10 Incl. DATE _Z4f- �!' VALIDATION cc Contractor Date Over 10 to 50 Incl. U a FINAL I am exempt under Sec. Over 50 to 100 Inc. BY U.1 &P.C. for this reason a B. Date. Services, Swbd.OMCC&Panelboards 0 6 7,9 A Z �. 0-200 Amp. Under 600 V # 0 0 0 0 0 2 — Signature 201 - 1000 Amp. Under 600 V J.°,° 1 200 Exemption for Reg; Maint. Elect, Over 1000 Amp. or Over 600 V o o ,o'120,0, SINGLE FAMILY Tem Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION P• PP 0 9�1 4, 8 8 1 hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Prof 'ons Code): 7, as owner of the property, will do the work and the Misc. Conduits&Conductors .structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)_ 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 issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name • PERMIT ISSUING FEE ' Lender's Address TOTAL FEE Z I certify that I have read this application and state that the 11 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 ov ntione property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date ®'