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HomeMy Public PortalAbout9934 LAS TUNAS DR_Electrical__ 76Ab63-CE806 9-67 APPLICATION FOR ELECT ICA PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER rBUILDINGBUILDING AND SAFETY DIVISION DRESS l g �JOHN A. LAMBIE. COUNTY ENGINEER -COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGCALITY Q C� NEAREST FOR APPLICANT TO FILL IN CROSS ST RECEPT NO $ACH$ FEE OWNER V .Q �/✓ MAIL LIGHT TOTAL FIRST 20 20 ADDRESS a O V SWITCH_ OVER 20 10 CITY TEL. NO•. LIGHTING �TOTAL. FIRST 20 20 CONTRACTOR �jL cYU ETS1 G—FIXTURES OVER 20 10 ADDRESS �.� C� �d�^� ` /- RANGE_ORYER—WTR HTR.— - CITY L' L TEL R2B "3-4 I S`:4 STA COOK DISP _F.A U _ LICENSE NO t `25 &, 3 SPACE HTR AIR GOND. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH._DISHWASH WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING - FA N_OTHER 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY RETERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUN Y NO STATE OF MOTORS,TRANSFORMERS RATING 'CALIFORNIA OR THAT I AM THE LEGA OWNER N INTE TO IND HEATERS, ETC HP KW KVA RESIDE IN, THE ABOVE D SCRI E D N A PROP TY SIZE & TYPE OVER TO SIGNATURE 0 - 1 - 1 001 OF PERMITTEE d t — 10 3 00 DISTRICT NO GFR—OUP D BY �V 10 — so s oo v O So - 100 10 00 NOTES: W 100 - 500 15 00 G. h .TUBE,A SIGN AND ONE CIRCUIT 3 00 .MARQUEE ADDITIONAL CIRCUITS 1 00 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 JROUGH CONDUIT IRING '(L O ISSUING FEE 2 00 IXTURES SUPPLEMENTARY ISSUING FEE 1 00 ' OWER AUTHORIZED PERMIT FEE TILITY CONOTIFIED PLAN CHECK FEE (50% PERMIT FEE) INALTOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELEC AL ENGINEER PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M o CASH LHi c 2 6 4'G DEC 2 8 2 D 8.0 0 ;EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A663-CE806 9-67 APPLICATIO FOR EL TRICAL 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 LOCALIT NEAREST FOR APPLICANT TO FILL IN CROSS ST NO EACH FEE $ $ OWNER RECEP�3 1 42MAIL LIGHT TOTAL FIRST 20 20 ADDRESS SWITCH OVER 20 10 CITY J1 EL. N LIGHTING TOTAL FIRST 20 ;2D. 20 DO CONTRACTO FIXTURES OVER 20 „;x 10 ADDRESS /` RANGE DRYER—WTR HTR.— CITY , TEL NO33 / JO STA COOK DISP _F.A U '7 /Q' LICENSE NO r� SPACE HTR AIR COND. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH _DISH WAS H. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING FAN-OTHER 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I HE LEGAL OWNER OF, AND INTEND TO IND HEATERS, ETC HP KW KVA RESIDE IN, THE A VE ES07RIBED RE IDENTIAL P OP T SIZE & TYPE OVER TO SIGNATURE 0 - 1 1 00 OF PERMITTE 7� O 1 - 10 J30 Q DISTRICTn f)d1c G UP eNE P C D Y U 10 - 50 – (/lJ"50 - 100 NOTES: W 100 - 500 15 00 h SIGN,GAS SIGN AND ONE CIRCUIT 3 00 TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1 00 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 ISSUING FEE 2 00 WIRING FIXTURES SUPPLEMENTARY ISSUING FE 1 00 ro POWER AUTHORIZED PERMIT FEE UTILITY CO NOTIFIED PLAN CHECK FEE (50% PERMIT FEE) FINAL /O TOTAL FEE JOSEPH C. ROOHAN _ SUPERVISING ELEC ALENGINEER PLAN CHECK VALIDATION CK M'O CASH PERMIT VALIDATION cK M o CASH r AGo- -2 77 1S JAN24 2 0 3 4.14- iEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE y � / 76A663�E806 9-67 APPLICATION FOR ELEC�I�Ir� PE R�,T 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 LOCALITYi NEAREST r FOR APPLICANT TO FILL IN CROSS ST i NO EACH FEE RECEPT _ $ $ OWNE MAIL LIGHT TOTAL FIRST 20 20 ADDRE S SWITCH_ OVER 20 10 CITY TEL. N LIGHTING TOTAL FIRST 20 20 CONTR TO FIXTURES OVER 20 10 ADDRESS RA NG E_0RYER WTR,HTR.— CITY TEL NO STA COOK_DISP. F.A U — LICENSE SPACE HTR AIR COND. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH _DISH WAS H,_ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING FAN—OTHER 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT BIAM THE LEGAL OWNER OF, AND INTEND TO IND HEATERS, ETC HP KW KVA RESIDE IN, THE ABOVE DESCRIBED RES DENTIAL PROPERTY SIZE & TYPE OVER TO SIGNATURE O SIGNATURE �� � 0 — 1 1 00 OF PERMITTEE rL O 1 — 10 3 00 DISTRICT NO. GROUP ONE PR ESSED V� .5 �z _ 10 — so 5 00 e O 50 — 100 10 00 NOTES: �j r 100 — 500 15 00 Ga 106N TUBE, A SIGN AND ONE CIRCUIT 3 00 MARQUEE ADDITIONAL CIRCUITS 1 00 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 B/S� �•// " SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP ER CE, POLE, &fPPURx9NANjAS 3 00 4&.e _ a r—' APPROVALS/ DATE INSPECTOR'S SIGNATURE y TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT A ISSUING FEE 2 00 WIRING FIXTURES ',•' �� SUPPLEMENTARY ISSUING FEE I 1 00 _ POWER AUTHORIZED PERMIT FEE UTILITY CO NOTIFIED q� PLAN CHECK FEE (50% PERMIT FEE) FINAL p JOSEPH C. ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION cK M o CASH ; ' 1 8 6 4� yDv24 2 D 1 8.50- I 3EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 7eA863-CE8061 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 BUILDINGLOCALIT NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT,/a 1I TOTAL NO EACH FEE LIGHT fD S OUTLETS FIRST 20 $.20 $ OWNER J �Q SWITCH O ADR 20 MAIL D L 10 _ ADDRESS OVE TOTAL FIRST 20 /O .20 CITY A TEk. N LIGHTING1 FIXTURES FIXTURES )r ADD L1O CONTRACTO OVER 20 RANGES DRYERS WTR HTRS 1.00 ADDRESS�lOS' GARB DISP. STA COOK O -3 7 jD CITY TEL. . J DISHWASH. AUTO.-WASH. STATE ff SPACE HTRS STA. APDL. .50 LICENSE NO 1 ^�v MOTORS OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE PLROCESSED BY O 1 1.00 0 �� 1 3 150 ^ INSPECTION RECORD s s 2.00 'o -LL-&7-7 8 15 2.50 15 50 300 SO 100 500 SIGNS: NO TRANS OL NO.LAMPS t0 SERVICE 0.600V.Nor OVER 200A 100 0 _ SERVICE 0.600V.OVER 200 A. 2.00 to Z SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1100 APPROVALS DATE INSPECTOR•a SIGNATURE TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERS LAB 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 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT AM HE GAL OWN OF,AND IN ND POWER RESIDE IN.THE A E DES fi,I RESID L R ERT SIGNATURE UTILITY CO.NOTIFIED OF PERM ITTE FINAL IDATION JOSEPH C. ROOHAN C MO CASH SUPERVISING ELECTRICAL ENGINEER L t; 1 2 9 5 O�T2Q 2 D 1 2.0 0, r 76A663C- CES06B 12,75 APPLICATION FOR EL CTRICAL PERMIT - BUIL 1 G AND SAFETY (VISION FOR APPLICANT TO FILL IN. I JO'B EACH NO FEE ADDRESS 3 LI FResidential Bldgs & Pools - e Sq Ft $ — $ - LOCALITYq Ft — NEAREST CROSSST QIAResidenial Swimming Pools OWNER OR • FIRM NAME < Outlets Light, Switch& Receptacle MAIL First 20 ADDRESS _' Additional CITY - Tel No " PLAN CHECK Lighting Fixtures APPLICANT First 20 �. ADDRESS' " Additional' CITY Tel No PERMIT Fixed Appharices Not Over 1 HP APPLICANT Range Heater_ D W Oven Dryer W M. ADDRESS Top FAU W H CITY' r Tel No ,.- -Hood Fan LICENSE O1=: Q Disp A C. REG NUMBER Class I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Q ` AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY V Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LV Size&T ELECTRICAL WIRING Type HPI,, KW, KVA,or KVAR a7 'Up to 1 Incl( ~ I HEREBY CE TIFY THAT,1 AM PROPERLY REGISTERED AND/OR Z Over 1 to 10lncl LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM E LEG L OWNER.OF THE ABOVE t' I er 10 to 50 InCI. DESCRIBED RESIDE ,pR Over 50 to 100 Incl PERMITEE Over 100SIGNATURE Services DISTRICT NO RO SSED B ¢ 0-200 Amp..Under 600 V G 201 =1000 Amp Under 600 V APPROVALS DATE IN CTOR'S Over 1000 Amp or Over 600 V GNATURE TEMP POWER POLE Temp Power Pole&App" pp UNDERSLAB WORK Sign with One Branch Circuit ROUGH CONDUIT Additional Sign Branch Circuits. ' (Other) W,I R I NG ' FIXTURES POWER AUTHORIZED - PERMIT FEE (Sub-Total) UTILITY CO NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT•ISSUING FEE t. TOTAL FEE ,0 NOTES AOd PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDAT.,IONK 'M O CASH I •, - i 3.�:',�,�JVD�_��'' ��;®- ,1:. � V•�.J��'`J�' • 76A663-CE80610/74 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS 3 Q,,, to-o LOCALITYTeiswje C; NEAREST FOR APPLICANT TO FILL IN CROSS ST l OUTLETS NO EACH FEE OWNER NAME 1 1 $ $. _ RECEPT._ MAIL �� FIRST 20 25 ADDRESS LIGHT TOTAL CITY r((x,Ai C& TEL NO. Cl -ff v• SWITCH_ OVER 20 10 PLAN CHECK LIGHTING TOTAL FIRST 20• 25 APPLICA T FIXTURES OVER 20 Ip ADDRESS RESIDENTIAL APPLIANCES CITY TEL. N PERMIT RANGE DRYER_WTR. HTR APPLICANT STA._000K DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY EL NO CLOTHES WASH.* DISHWASH. LICENS R CLASS. REG, NUMBER 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 h TYPE OVER TO I HEREBY CERTIFY T P Y REGISTERED AND/OR 0 — 1 100 LICENSED AS RE BY OS EL COU Y AND STATE OF CALIPORNIA 0 THAI T LEG OWN OF THE ABOVE 1 — 10 3.00 DESCRIBED 91 TI P U PERMIT 10 - 50 500 SIGNATURE c� SO - 100 10.00 w DISTRICT NO. PROCFoSSEO a 100 - S00 10.00 O z SIGN, GAS SIGN AND ONE CIRCUIT 5,00 APPROVALS DATE INSPECTOR'BBIONATURE TUBE, OR _ MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 3,00 UNDERSLAS WORK ' SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMPSEAVICE,POLE, &APPURTENANCES 5,00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: er- PLAN CHECK FEE PERMIT ISSUING FEE 1 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. CASH- 70tog"Im 30 2 9.0 0 A91 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - 76A663 CE 806R 10/77 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES �p �/ DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS (/ ! ! S Irf✓ •S FOR APPLICANT TO FILL IN LOCALITY r' Lr G/r� New Residential Bldgs &Pools EACH NO FEE NEAREST 1 &2-FamilyCROSSST ,Sq Ft $ 025 — $ OWNER OR Multi-family Sq Ft 02 — FIRM NAME j Residential Swimming Pools 2500 MAIL ADDRESS Outlets Rec Light_Sw CITY Tel No First 20 50 PLAN CHECK Total No Additional 30 APPLICANT ADDRESS Lighting Fixtures,. First 20 50 CITY Tel No IT Total No Additional 30 PERAPPLICANT kAA Fixed Appliances Not Over 1 HP ADDRESS Range—Heater_D W — CITY Y49A/ 1 Tel No _Oven_Dryer—W M_ LICENSE OR Top —FAU —W H REG NUMBER f Class Hood—Fan _other— HEREBY ACKNOWLEDGE THAT I HAVE READ,THIS APPLICATION AND STATE Disp — Room Air Cond —, 250 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING Power Apparatus&Large Appliances Size&Type HP, KW, KVA,or KVAI HEREBY CERTIFY THAT CAM PROPERLY REGISTERED AND/OR LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF CALIfORNIA OR THAT I AM a Up to 1 Ind 250 THE LEGAL OWNER OF THE ABOVE DES ED RESIDENT PROPERTY Over 1 to 10 Incl 500 v Over 10 to 50 Incl (t 1250 PERMITTEE Over 50 to 100 Inc 2500 SIGNATURE Over 100 4000 DISTRI�fAO CES ED BY a Services ` Z 0-200 Amp Under 600 V 1250 1 NSPkTOR 7- 201-1000 Amp Under 600 V 2500 APPROVALS DATE S NATURE Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE " UNDERSLAB WORK Temp Power Pole&Appurtenances 1000 Sign with One Branch Circuit 1000 ROUGH CONDUIT Additional Sign Branch Circuits 200 WIRING Misc Conduits&Conductors 1000' FIXTURES Other(See Complete Fee Schedules POWER AUTHORIZED UTILITYCO NOTIFIED FINAL PERMIT FEE ISub Total) NOTES _ PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE $700 17 TOTAL FEE 2— .PLAN —.PLAN CHECK VALIDATION CK, M 0 CASH PERMIT VALIDATION K M O CASH 7 5'5-cD AU 3 31 2 D 2- 4.5 U SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663C- CE806B 12,76 APPLICATION FOR ELECTRICAL PERMIT .• BUILDI AND SAFETY 1 (VISION FOR APPLICANT TO FILL IN JOB p �'-• ,. New Residential Bldgs & Pools EACH NO FEE ADDRESS-' 1 &2 Finaily Scl Ft $ — $ LOCALITY Multi-family Scl Ft. — NEAREST Residential Swimming Pools CROSSSTOWNER OR i FIRM NAME Outlets Light, Switch & Receptacle MAI L First 20 ADDRESS Additional _ CITY Tel No J (J-0 5 PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY - Tel No Fixed Appliances Not Over 1 HP APPLJICANT S�GN �OVL/2ll�lQ/G 'L/�//dGC Range Heater_ DW ADDRESS Oven Dryer W OCG( p Z 13 0 r Top FAU H W H CITY i Tel No T Hood Fan LICENSE OR Disp. A.C. REG NUMBER ,� Class � V 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION Q ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V w Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING c- cn Up to 1 Incl I HEREBY CERTIPY THAT 1 AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE Over 10tO 50 InCI. DESCRIBED RESIDENT( P E TY. Over 50 to 100 Incl PERMITEE Over 100 SIGNATURE �%—_ DISTRICT NO P ED BY Services 0-200 Amp Under 600 V ` 201 - 1000 Amp Under 600 V APPROVALS DATE IN P TOR S SIATURE Over 1000 Amp,or Over 600 V ' TEMP POWER POLE Temp.,Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING p°p FIXTURES POWER AUTHORIZED rPERMIT (Sub-Total) UTI,LITV CO NOTIFIED ING FEE (One-Fourth Permit Fee) �- FINAL ING FEE r NOTES TOTAL FEE PLAN CHECK VALIDATION CK Mo CASH PERMIT VALIDATION QCK MO CASH 1 6 9 1 rMAY ':31 . 2 © �. 8.,5 Q �'� 76A663 CE-606R 9/76 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER SOB U �(1� Tu I) BUILDING AND SAFETY DIVISION ADDRESS "1 FOR APPLICANT TO FILL IN LOCALITY r , e CI. New Residential Bldgs 8 Pools EACH NO FEE CNEAREST ROSS ST 1 &2-Fa -ct t we•�+-7 $ 025 — $ 2-Family,Sq Ft OWNEROR Multi,-family Sq Ft 02 — FIRM NAME heVV Residential Swimming Pools 2000 MAIL ADDRESS Outlets Rec Light ;E;%Sw CITY Tel No- First 20 " . PLAN CHECK Total No Additional __�e' APPLICANT ADDRESS Lighting Fixtures First 20 CITY Tel No IT Total No` 0 Additional lir-38 APPPERLICANT l Fixed Appliances Not Over 1 HP ADDRESS, Range'-L Heater_D W CITY Tel No Oven _Dryer—W M_ LICENSE OR Top —FAU —W H REG NUMBER Class C^tQ Hood—Fan _Other— I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp Room Air Cond 200 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN ANCES AND STATE LAWS'REGULATING ELECTRICAL WIRING Power Apparatus&Large Appliances Size Type HP, KW, KVA,or KVAR ' I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Up to 1 Ind THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY /� —T Over 1 to 10 Incl lc Over 10 to 50 Incl PERMITTEE �> 0 Over 50 to 100 Inc 2000 SIGNATURE Over 100- 3000 DISTRICTNOa PRO SSE Services 0-200 Amp Under 600 V 12 50 INSPECTOR S t�A 201-1000 Amp'Under 600 V i� APPROVALS DAT SIGNATURE Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE UNDERSLAB WORK Tem Power Pole&A 1000 Temp Appurtenances Sign with One Branch Circuit 1000 ROUGH CONDUIT Additional Sign Branch Circuits 200 WIRING Misc Conduits&Conductors 15 00 FIXTURES Other(See Complete Fee Schedule) POWER AUTHORIZED O UTILITY CO NOTIFIED FINAL J `• �' PERMIT FEE (Sub-Total) NOTES 1 2- �� 73vcry' �1AJDW�'iw PLAN CHECKING FEE (One-Fourth Permit Fee), I/11!54CJP PERMIT/ISSUING FEE TOTAL FEE O O PLAN CHECK VALIDATION CK M 0ASH PERMIT VALIDATION CK Nn 0 CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ®s 76A663C- E8 2 06B 1 /75 APPLICATION FOR ELECTRICAL _oC� , . , PERMIT BUILDI AND SAFETY IQ ON ` FOR APPLICANT TO FILL IN JOB / •� New Residential Bldgs.Si Pools EACH NO. FEE ADDRESS 93 410 j u4.A.S 1 &2 Finaily Sq. Ft $ — $ LOCALITY r ,T Multi-family Sq Ft — NEAREST CROSS ST Residential Swimming Pools OWNER OR Q \ FIRM NAME Bre 5 rW�t n Outlets Light, Switch & Receptacle MAIL +C First 20 ADDRESS 4 7 f 5 ! Additional CITY Tel No S_ - PLAN CH K Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel No PE RIT Fixed Appliances Not Over 1 HP APPLICANT J ati • S• � � Range Heater_ D W Oven Dryer _ W M ADDRESS 70 r� Top FAU W H CITY �yL�j� Tel No Hood Fan' LICENSE 011`3 �/L REG NUMBER 7 7 Class Disp A C. c� 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY O Power Apparatus 8& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING F-. Size&Type HP, KW, KVA,Or KVAR ELECTRICAL WIRING `U LJa Upto 1 Incl I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR � Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE Over 10 to 501ncl DESCRIBED RESIDENTIAL ROPE TY. Over 50 to 100 Incl. PERMITEE �` Over 100 SIGNATURE �f Services DISTRICT NO ^_ d ROC SED Y p 0-200 Amp Under 600 V C� 201 - 1000 Amp. Under 600 V APPROVALS DATE IN SI TUBE ECTORE Over 1000 Amp or Over 600 V EMP POWER POLE f Temp Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES SPOWER AUTHORIZED rPERMIT (Sub-Total) UTILITYCO NOTIFIED ING FEE (One-FourthPermitFee) FINAL ING FEENOTES LQ �, CASH PERMIT VALIDATION CK- MO CASH POLICY HOLDER:,�CJ&� 29 2 ® l •v v ©`" POLICY NUMBER: v 7GA663-CES06 4-65 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING l" BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS. SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEARESTcROss sT. RECEPTACLE TOTAL No I EACH FEE FIRST 20 OUTLETS $.20 $ OWNER LIGHT MAIL SWITCH ADD'L 10 ADDRESS OVER 20 TOTAL FIRST 20 .20 CITY TEL NO. LIGHTING FIXTURES FIXTURES ADD'L 10 CONTRACTOR OVER 20 RANGES CLO DRYERS WTR.HTRS 1.00 ADDRESS O GARB.D19P. STA COOK CITY l TEL NO. _d Q DISHWASH AUTO-WASH. STATE �J �f SPACE HTRS STA.APP (l/.H P.MAX ) .50 LICENSE NO ( J MOTORS OVER NOT OVER H P DISTRICT O. E P D O 1 1.00 .^ 'O 1 3 150 INSP TION RECORD 3 8 200 6 15 250 15 50 300 Q V 50 100 5.00 SIGNS- NO TRANS O NO.LAMPS ~ V SERVICE 0.60OV-NOT OVER 200A ! 1.00 O W a N SERVICE 0.60OV-OVER 200 A. 2 00 SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 200 D() SUPPLEMENTARY PERMIT ISSUING FEE 100 TOTAL FEE $ 06 APPROVALS DATE INSPECTOR'S SIGNATURE 1 HEREBY 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 /� r✓`j L^'ti I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM T;;;VlOWNE F,AND INTEND TO POWER RESIDE IN,THE ABOV D A PROPERTY SIGNATURE UTILITY.CO.NOTIFIED D� OF PERMITTE \\\ I1//44;5, FINAL A DATION JOSEPH C. ROOHAN CK O CASH SUPERVISING ELECTRICAL ENGINEER '0 7 8 ' Nov 4 2 D 3.0 0 N Q I 7SA668_CE806_9-57 APPLICATION FOR E L E C T R I C PERMIT. 1� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTL EER BUILDING BUILDING AND SAFETON ADDRESS 9934- E. Las Tunas DrJOHN A.LAMBIE.COUNTER CASSATT D.GRIFFIN.SUPTNG LOCALITY FOR APPLICANT TO FILL IN NEAREST Baldwin PERNIIT FEES ATEM NUMBERI EACH FEE OWNER OUTLETS - $ $ - MAIL LIGHTS ,RECEPT SW 10 ADDRESS LIGHTING FIXTURES 10 CITY ��c�' TEL NO ELEC RANGES ' CLO DRYERS ELECTRICIAI117 e• hannon El Aotri Mans , WATER HEATERS 50 ADDRESS ELEC SPACE HTRS DISHWASHERS GARBAGE DISPOSERS AUTO- CITYMon rold aTEL NO WASHERS STA COOKING UNITS 25 STATE L 0 LICENSE NO 6 MOTORS OVER INC H P , 0 — I/2 25 DIST:! GR UP N� 'READY FOR INSPECTION I/2 — 2 50 INSPECTION RECORD 2 — 5, 100 5 — 15 150 15 — 50 250 50— 200 500 SIGNS NO TRANS NO LAMPS SERVICE 0.600V 100 SERVICE OVER 600V Boo MISC ' 0 WIRING PERMIT 1.00 1 00 FIXTURE PERMIT '1.00 'SUPPLEMENTARY PERMIT .50 TOTAL FEEg APPROVALS t HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICALWIRING. WIRING L HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSEDRAS REQUIRED BY-LOS ANGELES COUNTY AND STATE OF ^ CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED,',RESIDENTIAL POWER SIGNATURE UTILITY CO NOTIFIED OF.PERMITTEE FINAL XA4MATION ARTHUR C.IVEIT. SUPERVISING ELECTRICAL ENGINEER CK M0 CASH � ',�28 5 1 FEB 2'7 2 A 9.0.0 � y 76AG03-CES08.9_57 APPLICATION FOR ELECTRIC PER X91IT 1 COUNTY OF LOS ANGELES DEPARTMENT-OF COUNTY ENGINEER BUILDING 993 E. I' Drive BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY Temple Cit, affl FOR APPLICANT TO FILL IN CROSS sT A es Ave PERMIT FEES I T E M NUMBERI EACH FEE OWNER J. Stewart & V. Harding OUTLETS: $ $ MAIL LIGHTS • RECEPT SW. 10 ADDRESS Z E. Las Tunas Dr LIGHTING FIXTURES .10 CITY Temple City TEL NO ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS SO ADDRESS ELEC.SPACE HTRS., DISHWASHERS GARBAGE DISPOSERS AUTO.- CITY L.A. TEL NO CAl-61-41 WASHERS STA COOKING UNITS 25 STATE58 - STATELICENSENO 12 MOTORS: OVER INC H P �l 0 — I/z 25 DIS RI O. GROUP '/z - 2 50 ZOf E READY FOR INSPECTION � - INSPECTION RECORD 2 — 5 100 5 — 15 150 IS — , 50 250 so— 200 500 SIGNS: NO TRANS 1 p DD NO LAMPS SERVICE 0-600V 100 SERVICE OVER 600V 500 MISC. WIRING PERMIT 1.00 le 0 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE $ 6e 00 APPROVALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT / WITH ALL COUNTY ORDINANCES AND STATE-LAWS' REGULATING ELECTRICAL'WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LE OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL E .% -- SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEr FINAL L' VALIDA ' ARTHUR C.VEIT. CK MO CASH SUPERVISING ELECTRICAL NGINEER - A02 2'.i' 9 JAN 2-7 2- p. 6-0,0 n 70AG53_CESOG_If-", APPLICATION FOR.:ELECTRIC PERMIT - 1 COUNTY OF LOS ANGELES _ DEPARTMENT OF COUNTY ENGINEER" BUILDING BUILDING AND SAFETY DIVISION ADDRESS9934 Ti' OFIIi A. LAMBIE. Co%ly Ra' ®e: 1 C AIT D. GRIFFIN.Built of utldt¢Q LOCALITY Temple City NEAREST FOR APPLICANT TO FILL IN CROSS ST Raldwin PERNIIT FEES ITEM NUMBER EACH FEE-' OWNER On Chevrolet' , ' OUTLETS: $ $ MAIL LIGHTS RECEPT SW .10 ADDRESS LIGHTING FIXTURES 10 CITY [TEL.NO ELEC.RANGES' CLO DRYERS 7 ELECTRICIA G' ricians In J I n W A,T E R HEATERS 50 ELEC.SPACE HTRS. DISHWASHERS ADDRESS Myrt A-Ve GARBAGE DISPOSERS AUTO- - CITY Monrovi a TEL.NOEL 9-2020 1 WASHERS STA COOKING UNITS 25 STATE LICENSE NO 16 0 MOTORS- OVER INC H P _ 0 — V/2 25 DI.S RI _NjGROUPj_Z7RE: READY FOR INSPECTION 1/2 — 2 .50 `5l ` 2 — 5 INSPECTION RECORD � ,1 00 5 — 15 150 3 i L �–� 15 — 5O 2.50 50— 200 Soo C lir SIGNS: NO TRANS • NO LAMPS SERVICE 0-800V 100 1 00 - c SERVICE OVER 600V Soo, MIS2-SEPI t j�1J _ -• - - -- - 4Strink Lite 00 I WIRING PERMIT 1.00 1 00 ' FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT 50 TOTAL FEE $ ' APPROVALS 1 HEREBY ACKNOWLEDGE THAT, 1 HAVE READ THIS APPLICATION DATE INSP TOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE' TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE: LAWS REGULATING ELECTRICAL WIRING. WIRING I 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 POWER DESCRIBED RESIDEN `\t!)OPERTY. SIGNATURE \ \.-_Z• UTILITY CO NOTIFIED OF PERMITTEE i FINAL ' VALIDATION ARTHUR C.VETT, CK MO`, CASH SUPERVISING ELECTRICAL ENGINEER , 0,2'4' 07 A.FEB 13 2 A 1 0.0 0 g t B.S SA 25M SETS 10-47 D 5t�3TME T OF BUIIdD NG AIS APPLICATION FOR I'EI�1V� ]DEP �+ . A, COUrrf OF LOS ANGELES ELECTRIC 1 FOX, CHIEF ENGINEKER xDISTRICT NO. GROUP I ZONE PERMIT NO. Q NAME u ADDftFS9 Z C' WCITY RT` IV BY READY FOR DATE ISSUEfaD 1 COUNTY // FIRST INSPECTION a I1 CERT.NO. Q EXPIfzBS APPLICANT EII.I. IN HEAVILY 'I'LINED PORTION ONLY DESCRIPTION OF WORK ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS JSW. PLUGS FIXT CROSS ST. ' t CIRCUIT A B C D I E F G H Ir NAME,,,j4::2 Z MAIL 3 ADDRESS O CITY TEL.NO. 1 AM THE LEGAL POSSrpSS011 QF THE ABOVE LOS ANGELES COUNTY C0 0 FICATiON.. ELECTRICIAN. I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE A�+�-.rpr� 7� OWNER. �� _ J ' Q _Z [7 O OT L NO. OF OUTLETS 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 Ol HS1'AA 25M 5t1`J 7"1-4"1 '"1p'eV'/7 AND /�y{�,(y p�' '"■'_} - "..�.��ry4C&�Y■AN FOR P14EwKmese�y■� 1 DEPARTMENT OF BU LDIING AND U{'1Jl]ff �1LLY`r.•ELECTRIC al1�i�S- Y ` COUNTY OF LOS ANGELES �LEC 1 RAC PA. FO CHIEF ENGINE R a NAME DISTRICT NO. GROUP ZONE PERMIT NO. ADDRESS G ` 930 CITY- 7: p TEL.NO. azr®� RECEIVED BY REAFIRST INSPECTION FOR,ION DATE ISSUED COUNTY. $ EXPIRES 4 APPLICANT FML IN HEAVMY PORTION ONLY DESCIdIMON OF WORK ADDRL'SS c� //s��'U/� NUMBER OF-OUTLETS ON CIRCUITS LOCALITY C, / L'OCATION'BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS FIXT CROSS,ST. CIRCUIT A' B C D E F G h9 C NAME /,Q C teTLE�lo Z MAIL' cADDRESS O S -J�/ OCITY rA 1IAL 6e . 1AM THE LEGAL POSSESSORE LOSANa€LES COUNTY CERT ATEON. I AAA THE LEGAL 0WHER OF TH$��PER'F�e SCRIBED AwVm �" ' OWNER. COR EQ'1'IONS 7 L LA 9 6 S Cn r� t 1 a o Z a 0 TOTAL / H 3-1 &D 110 1 NO. OF OUTLETS D $ APPROVALS ^ NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. IL I $ CONDUIT NO. OF SIG AN $" WIRING NO. OF RANGES OR HEATERS $ FIXTURES M'SCELL NEOUS $ POWER PERMIT FEE /8 Ll UTILITYCO.NOTIFIED TOTAL FEE FINAL Z i DBS 5A 25M BQTB 7147 MPLYCAMON FOR g'ER1VII1' DEPARTMENT OF BUILDING AND SAFM COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER = NAME ELECTRICAL PRODUCTS CORP. DISTRICT NO. GROUP /ZONE PERMIT NO. S-1 U ADDRESS �'�00 N I47a1n St. f° ' �K U CITY Los Angeles TEL.NO. CA 1-614 RECEIVED BY FIRST INSPECTION READY FOR DATE ISSUED CERT.NO. 12588 EXPIRES 6-30-48 �� APPLICANT FILL IN IIEAVILY OUTLINED PORTION ONLY DESCREMON OF WORD DDREss 2 664 Eo Las Tunas NUMBER OF OUTLETS ON CIRCUITS LOCALITY Temple City LOCATION BY ROOMS NEAREST LIGHT OUTLETS 1SW. PLUGS IFIXT CROSS sT. Baldwin Ave, CIRCUIT A B C D E F G H 0: NAMEMission Chevrol6t 3 ADDRES9100 S. San G brial Blvd, p O CITYSan Gabriel TEL.NO. s 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGgLEB 7FI,C QUALIFIC ION.. CTRICIAN. I AM THS LEGAL.OWNER OF TH9 PR TY DESCRIBED ABOVE OWNER. CORREMONS b I ti c n 2 5,wnp trs ns — a z v D TOTAL NO. OF OUTLETS G APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS 1 TRANS. 4 $ 1 00 WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ OWER PERMIT FEE $ 1 LOOLF�IN�AL CO.NOTIFIED TOTAL FEE 4 2 El /l D88 SA,SBM BETE 7-47 D�'AIiTAENT OF MIL DING AND SAFE'T'Y APPLICATION FOR PERM COUNTY OF LOS ANGELES E-4 L CT is WM. J. FOX CHIEF ENGINEER a NAME ELECTRICAL PRODUCTS CORP. DISTRICT NO. GROUP ZONE PERMIT NO. ADDRESS S CITY LOS Angeles TEL.NO. CA 1-6141 RECEIVED BY READY FOR DATE ISSUED Jm COUNTY FIRST INSPECTION �I CERT.NO. 12588 C45 EMPIRES 6-30--48 APPLICANT FILL IN HEAVILY T'I'LiNED PORTION ONLY DESCRIPTION OF WORD 1.108 DRESS 2464 E. Las Tunas NUMBER OF OUTLETS ON CIRCUITS LOCALITY Temple Cit LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS FIXT CROSS sT. Rowland Ave CIRCUIT A B C I D I E I F IG H E NAME = MAIL 3 ADDRESS O CITY TEL.NO. d 1 AM THE LEGAL POSSES R OF THE ABOVE LOS ANd6�0UNTY.jCER E OF QU FICATIQV ELECTRICIAN. I AM THU LEGAL OWNER OF ROPE,RTY DESCRIBED 1 s e- ac d or z o t aeOve s gn reading OWNER. CORRECTIONS m=LES d J . Q _Z C7 D TOTAL NO. OF OUTLETS $ APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS 1 TRANS. 3 $ OO WIRING NO. OF RANGES OR HEATERS $ FIXTURES r ELLANEOUS $ POWER /JMIT FEE $ �� UTILITYCO.NOTIFIED //AL FEE F FINAL �� DBS SA 11-46 APPLICATION FOR PERMT �• DEPARTMENT_OF BUILDING SND SAFL"1'Y � �������� . . COUNTY OP LOS ANGELES "T WM. J. FOX CHIEF ENGINEER E DISTRICT NO. GROUP ZONE PERMIT NO. NAME U ADDRESSZ 737, ` S tC RECEIVED BY READY FOR DATE ISSUED CITY TEL.NO. L`^� 1 FIRST INSPECTION ILI d CERN NO. EXPIRESt,.i , APPLICANT FILL-IN HEAVILY OUTLINED PORTION ONLYJOB ! / DESCRIP'T'ION OF WORD. ADDREs E �Eu NUMBER OF OUTLETS ON CIRCUITS LOCALITY P C LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS FIXT CROSS ST. CIRCUIT' A B C D E F G H 6' NAME D u � p Z MAIL ,3 ADDRESS '0 O CITY TEL.NO. 1 AM THE LEGAL POSS SOR OF//�T. E ABOVE LOS ANGELES COUNTY CERTI ATE OF UdLIFICATION.. ELECTRICIAN. I AFI THE LEGAL OWNER OF THE PROPERTY D F ABOVE OWNER. COPXECnONS _ J - Q _Z 2 TOTAL No. OF OUTLETS 2, $ /0 I_ APPROVALS NO. OF FIXTURES DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT y� NO. OF SIGNS TRANS. WIRING NO. OF RANGES OR HEATERS FIXTURES MISCELLANEOUS $ POWER ' PERMIT FEE E UTILITY CO.NOTIFIED TOTAL FE U FINAL 76AGGS_CEBOG-6-57 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING , BUII.DING AND SAFETY DIVISION ADDRESS 9931 E. Las Tunas JOHN A.LAMBIE,COUNTY ENGINEER Temple Cit CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY P y NEAREST Baldwin Ave FOR APPLICANT TO FILL IN CROSSST PERNIIT FEES OWNER J.Stewart & V. Hardin LIGHTS RECEPTACLES SWITCHES MAIL �+ NUMBER 1 T E M EACH FEE ADDRESS 100 S• San Gabriel Blvd TOTAL OUTLETS $ .f0 $ ELEC. RANGES, WATER HEATERS, CITY San Gabriel,Cali4L NO CLOTHES DRYERS 50 ELEC SPACE HEATERS, STAT'Y COON- ELECTRICIAN *T �R �+y ING UNITS, GARBAGE DISPOSERS, ADDRESS N. m St ' AUTO WASHERS, DISHWASHER .25 L LIGHTING FIXTURES .10 CITY` TEL NO. CA MOTORS STATE 1rZ�C!O LICENSE NO U88 HORSEPOWER H P: OVER INC (STRICT NO. GROUP ON READY FOR INSPECTION Vz @ LES9 .25 1/2 2 so INSPECTION RECORD 2 — s too s — is 1 so 15 — 50 250 50 200 500 MISC. 1 SIGNS 4 NO.TRANS NO LAMPS SERVICE O-600V 100 SERVICE OVER 600V 500 WIRING PERMIT too 1. 00 FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT .50 APPROVALS TOTAL FEE s 2. W I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY. ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING , I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIR BY LOS ANGE COUNTY AND STATE OF CALIFORNIA OR �T T AM TH L AL OWNER OF THE ABOVE POWER DESCRIBED RE IUENT OP SIGNATURE UTILITY CO.NOTIFIED / OF PERMITT FINAL JOHN A.LAMBIE. .IDATION H U R C.VEIT' SUPERVISING COUNTY ENGINEER MO CASH SUPERVISING ELECTRICAL ENGINEER 4.AC0 2 5 0 903 HAR 31 2 A 2.0 0 Im COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer ELECTRIC DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN �,,� ADDRESS y RECEIV/�ED/�BY READY FOR DATE ISSUED` Ca�\ q' FIRST INSPECTION E ,�p�+J®. CITY TEL NO. CO 9E NO. EXPIRES A PERMIT FEES FEE DDREHB � NUMBER EACH LOCALITY LI GHT�b4b@TB 3 NEAREST RECEPTACLES CROSS ST. WALL SWITCHES ?.2 _OWNER TOTAL OUTLETS 5C !B MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 8 1 HEREBY ACKNOWLEDGE THAT I 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 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw Mvo. HP OVER INC. EACH OF THE RESIDENT[ L PRAAOPERTY DESCRIBED ABOVE. V2 A LESS $ .25 SIGNATURE OF 1�2 2 .50 PERMITTEE- 2 ERMITTEE 2 5 1.00 INSPECTION RECORD 5 15 1.50 T5 50 2.50 SO 200 5.00 200, BOO 1 0.00 ,J 500 1 DOO 15.00 Z OVER 1 000 '20.00 CJ MOVED_MOTORB (75% of Omni.) M.G. BET/FREQ. CHANGER-HP O WELDERS•AC-KVA GENERATORS - KW TRANSFORMERS - KVA Misc. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 r CONDUIT [FIXTURES $1.00 WIRING 1 I )SUPPLEMENTARY ,50 FIXTURES _ POWER TOTAL FEE -UTILITY CO. NOTIFIED FINAL v 7SAs63 Des#SA Cd b 12-53 76A 663-CE808 3-89 / /40 ` CL T ` APPLICATION FOR ELECTR1CAL PERMIT ..jGIOUNTY OF LOS ANGELES =7�- DEPARTMENT OF COUNTY ENGINEER rA LDING BUILDING AND SAFETY DIVISION RESSJOHN A LAMBIE, COUNTY ENGINEERCOLEMAN IN JENKINS, SUPERINTENDENT OF BUILDINGALITY 7-ENLAREST j�f FOR APPLICANT TO FILL IN CROSS ST. �'A, NO. EACH FEE T RECEIPT. $ $ OWNER L�>�T •(jJ�IJ MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS CITY pLe C./ TEL NO SWITCH OVER 20 •10 PLAN CHECK LIGHTING TOTAL FIRST 20 20 APPLICANT ADDRESS FIXTURES OVER 20 10 RANGE_DRYER-WTR. HTR. CITY TEL N0. STA COOK_DISP -F A U CONTRACTOR 1 SPACE HTR AIR GOND. ADDRESS (� � � CLOTHES WASH DISHWASH. CITY + TEL NO "Z'31 FAN OTHER 1 00 LICENSE NO. Z�,/ �3 CLASS.011- MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. ANo 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 DD 1HEREBY CERTIFY THAT I AM PROPERLY REG TERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COU AND TATEOF } I - 10 3 00 CALIFORNIA OR THAT I AM THE LEGAL OWNER , AND TEND TO d RESIDE IN, THE ABOVE DESCRIBED RESIDENTIA ROPE TY., O 10 - 50 500 V SIGNATURE OG 50 - 100 10.00 OF PERMITTEE O 100 - 500 1500 DISTRICT NO. GROUP ZO E PRO ESSED BY ~ SIGN,GAS SIGN AND ONE CIRCUIT 3.00 O `� 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 UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE 2.00 UTILITY CO NOTIFIED / SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL 1 1 TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M 0 CASH PERMIT VALIDATION CK. M.D. CASH ^� 3 7 3 ic- f31 '7 21 D 5.00^' v SEE BACK OF APPI ICATIDN FOR COMPLETE FEE �CHFDUIF J - jL�•'✓�•`� DBS SA 25M SETS 1-48 1xpP CATION FOR PE HrRy DEPARTMNTO COUNTY OF LOS ANGELES ELECTRIC W . J. FOX. CHIEF z DISTRICT NO. GROUP ZONE' PERMIT NO. G NAME /f�� Cp �! f AE U ADDRES J 9Z_ dr/ UCITY TEL.NO. RECEIVED16Y READY FOR DATE ISSUED J COUN / FIRST INSPECTION N CERT.NO. 94 el..-' EXPIRES APPLJCAW FU L IN REAVHLY OUTLINED POWHON ONLY JOB DESCRIP'd'ION OF WORK ADDRESSZ'`� 1 (. b NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST 2z kv LIGHT OUTLETS SW. PLUGS FIXT CR ST. ^ CIRCUIT A IS C D E F G H m NAME IF Yll/Z / Z MAIL / ADDRESS O CITY TEL.NO. 1 AM THE LEGAL POS ESSOR OF THE ABOVE LOS ANGKLIZ3 COUNTY CERTI IC E FIFICATiON7 �7 e ELECTRICIAN. 1 AN THS LXGAL OWNER OF THR PROPF,RTY DESCRIBED ABOVR OWNER. CORRI:,CUONS • J Q z .O .1 NO. OF OUTLETS ffi d APPROVALS NO. OF FIXTURES IS a DATE INSPECTOR'S NAME NO. OF MOTORS H.P. ffi / CONDUIT /,! NO. OF SIGNS � TRANS. ! ffi l Z—Q WIRING NO. OF RANGES OR HEATERS $ FIXTURES MIagjLL,ANMUjj IS POWER PERMIT FEE ffi ZS—UTILITY CO. i T D.B.S.SA 25M SETS I13-47 �,�J A+ CATIO FOR PE 1 DEPARTMENTOF BYJBMC. AND SAFETY , Jai]LEC 1 RIC COUNTY OF LOS ANGELES WM. J. FOX CHIEF ENGINEER _Q NAME Electrical Products Corp. DISTRICT NO. GROUP ZONE PERMIT NO. U ADDRESS 1100 N. Main Street �� 7 �`7C a I — CITY L.A. —7 2 TEL NO. CA 1-6141RECImp BY READY FOR DATE ISSUED .1L FIRST INSPECTION W CERT.COUNTY . 556—B EXPIRES 6-30-'x9 • r a. APPLICANT FILL IN DEAVELY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORD ADDRESS 2464 E. Las Tunas Blvd. , NUMBER OF OUTLETS ON CIRCUITS LOCALITY Temple Cit LOCATION BY ROOMS _ NEAREST LIGHT OUTLETS 19W. PLUGS FIXT CRpsS ST. Golden West Ave. CIRCUIT A• B C D E I F G H W- NAME Mission_Chevrolet Co. x MAIL ADDRESS 100 S.San Gabriel Blvd. CITY San.Gabriel, Cal.TEL.NO. _ 1 AM THE LEGAL POSSESSOR OF- THE: ABOVE LOS AN42ELEWNTY CERTIFiCATFzdOF QUALIFICATION.. a � I I AM THE LEGAL OWNER OF THE PJWFFRTY DESCRIBED ABOVE 1 - SINGE AC H RI JN AL SIN OWNER. RIADING "USED CIS IO CORRECTIONS UMVIVAUJUI TIM a!u_95 UT-1 2 3 aml tan f. p tri s.'* BUILDIi G EMMt IT ' 10 B a z o TOTAL a ' NO. OF OUTLETS APPROVALS NO. OF FIXTURES DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT _ NO. OF SIGNS 1 TRANS. 3 $ ° WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLAN6 US $ POWER PERMIT FEE _ $ 1 ° UTILITY CO.NOTIFIED /I TOTAL FEE 20 W1 FINAL 12 / 76A663 oSB 5A 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT'NO. GROUP ZONE PERMIT NO. ELECTRICIAN !� (� � - tl-3 b RECEIVED BY READY FOR DATE ISSUED ADDRESS _ w ,j '�'I: ?♦ - ..•• v FIRST INSPECTION rt. CITY TEL NO. i i I �'t "" j t/ t � ]t• 3 COUNTY LICENSE NO. ,^ E2SPIRES +' •?) BUILDING ADDRESS ` � '�f..o� L''4C;i•- .. .t... �5£1� ��-= PERMIT FEES • FEE i. NUMBER EACH LOCALITY i ✓"'"': j'+a LIGHT OUTLETS L� NEAREST �i + CROSS ST. RECEPTACLES WALL SWITCHES OWNER h TOTAL OUTLETS MAIL- � • '� ` • ELEC. RANGES 85 ADORE ELEC. HEATERS 25 CITY •} TEL. NO. FIXTURES 44. 5 7 1 HEREBY ACKNOWLEDGE THAT 1 HAVE, READ THIS M19C. 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 COUNTYLICENSE, OR I- AM THE LEGAL OWNER FEE ,` le Mvo. HP INC. EACH OF THE RESIDENT ( P PER DESCRIBED ABOVE.NEW tt V2 6 LESS $ .25 SIGNATURE OF t,-, ^f •.�f�:��¢�ri ,�, 1 t %2 2 .50 PERMITTE 2 5 1.00 /NSPECTION RECO", 5 15 1.50 - -is so 2.50 50 200 5.00 l; 200 SOO 10.00 J 500' 1000 15.00 �•-1FQ a Z OVER 1000 20.00 f O M.G. BET/FREQ. CHANGER-HP Q' WELDERS:AC-KVA ` O GENERATORS - KW .ncs TRANSFORMERS - KVA TEMP. MOTORS (75% OF oRIG•) , MOVED MOTORS (75% of ORIG.) M ISC. SIGNS NO. NO.TRANS. L':. NO. NO. LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.130 ' CONDUIT ---r—�""`X' FIXTURES $1.60 �-" WIRING SUPPLEMENTARY ' .50 FIXTURES i _v, POWER TOTAL FEE � UTILITY•CO. NOTIFIED - FINAL 1 r 76A988-CEe06 3-5e APPLICATION F®R ELECTRIC PERMIT 1 . COUNTY OF LOS ANGELES '• DEP ARTMENT D NG AND SAFETY DIVISION ER ADDRESS 9934 E. JOHN A. LAMBIE, COUNTY ENGINEER Las Tunas Ave CASSATT D. GRIFFIN,6UP'T OF.BUILDING LOCALITY Temple City FOR APPLICANT TO FILL IN NEAREST Rowland Ave PERMIT FEES CROSS ST. 1 T E M NUMBERI EACH FEE OWNER Mission Chevrolet Co MAIL OUTLETS: $ $ ADDRESS 100 S. San Gabriel "Blvd LIGHTS RECEPT. SW. .10 LIGHTING FIXTURES 10 CITY San Gabriel TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN Elect.ProdeCor • WATER HEATERS .50 ADDRESS 1100 N. Main St A L ELEC.SPACE HTRS. DISHWASHERS CITY L.A. 2 TEL. NO. Ch 1-61 1 GARBAGE DISPOSERS AUTO.- STATE lrf l''00 WASHERS STA COOKING UNITS .25 12588 LICENSE NO. MOTORS: OVER •INC H P. DISTRT NO. aROUP I ZONE PR CESSED BY O— 1/2 .25 j b-3 1/2— 2 So INSP TION RECORD 2— 5 too 5— 18 1.50 is— 50 250 150-200 n 2 1500 NO TRANS 1• 0 SIGNS: l NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V Boo MISC. WIRING PERMIT 100 FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT .50 TOTAL FEE $ 2.100 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL 9YViNER OF THE, ABOVE DESCRIBED RESIDENTI OEEZ POWER SIGNATURE UTILITY CO.NOTIFIED - OF PERMITTEpr ' FINAL ®r A ATION ARTHUR C.VEIT, CK Mo CASH SUPERVISING ELECTRICAL ENGINEER L A,.;O 2 A 2.00 76AS63 DBS SA 25M SETS 11-48 APPLICATION FOR PERMIT DEPARTMENT tJF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER h o171 DISTRICTNO. GROUP ZONE PERMIT NO. FOR APPLICANT TO FILL IN ELECTRICIAN Electrical Products Corp, RECEll BY READY FOR DATE ISSUED pgai,,., FIRST INSPECTION � ADDRESS �100 N-.Mn Sto, CITY Los Angeles TEL. NO.CA 1-61 'A51-0 BUILDING LICENSE Nn. EXPIRES 6-30-50 ADDRESS 2464 East Las Tunas Dr. DESCRIPTION OF WORK FEES LOCALITY Temple City NUMBER I OUTLETS EACH CROSS i' LIQHT9 Sc STREET Rowland Ave. . RECEPTACLES 5 i I FIXTURES 5 OWNER Mission Chevrolet Co. WALL SWITCHES 5 I MAIL ADDRESS 100 S. San Gabriel Blvd. ELEC. RANGES 25 ELEC. HEATERS 25 CITY San Gabriel TEL. NO. MISC. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER OF CIRCUITS INSTALLED: ANGELE LINTY LICENSE. LIGHTS RECEPTACLE9 MOTORS o ECTRI CIAN. NUMBER HORSEPOWER FEE NEW MVD. HP OVER INC. EACH 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- _ 1�s 6 LESS $ .25 ERTY DESCRIBED ABOVE. %2 2 .50 2 5 1.00 OWNER. s is 1.501 INSPECTION RECORD is s0 2.s01 50 200 5.00 200 I 500 10.00 500 1000 15.00 1 -j Q OVER 1000 20.00 Z M.Q. SET/FREQ. CHANGER-HP I 0 WELDERS: AC-KVA 0 GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIO•) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS TYPE: signs; 9-valanc6W•TRANS. $ .2 TYPE: NO. LAMPS- APPROVALS � -f-Loocts PERMIT FEE �, '00 DATE INSPECTOR'S NAME FOR ISSUING PERMIT: CONDUIT WITHOUT FIXTURES $1.00 I WIRING WITH FIXTURES 1.25 FIXTURES SUPPLEMENTARY .50 POWER TOTAL FEE UTILITY CO. NOTIFIED l�® �jIrl FINAL 76AG69 Des aA s-49•-(b APPLICATION FOR PERMIT DEPARTM[ENT-,OF BUILDING AND SAFETY COUNTY OF LOS'ANGELES E L EC T R I 1 WILLIAM J:� FOX,•CHIEF ENGINEER DISTRICT NO. GROUP ZONE PERMIT NO. FOR APPLICANT TO FILL IN P S C 2 ELECTRICIAN e! RECEIVED BY READY FOR/' DATE ISSUED" ADDRESS L FIRST INSPECTION CITY TEL. NO. Y 9- - r2 COUNTY LICENSE NO. .O EXPIRES BUILDING .) PERMIT FEES ADDRESS FEE NUMBER I OUTLETS EACH LOCALITY LIGHTS' SC I$ 2NEAREST CROSS ST. Irli f.p Y Io RECEPTACLES 5 I FIXTURES S I 1 OWNER 0/ pLF7^ �U WALL SWITCHES 5 MAIL ELEC. RANGES 25 ADDRESS ' ELEC, HEATERS 25 CITY TEL.- NO. I MISC. _ I HEREBY ACKNOWLEDGE 'THAT 1 HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: 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. NuMeER 'HORSEPOWER I CERTIFY THAT I POSSESS THE ABOVE VALID LOS FEE ANGELES COUNTY LICENSE, OR 1 AM THE-LEGAL OWNER NEW, 'MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESC BED ABOVE. Ya a LESS $ .25 � '/z '• 2 .50 SIGNATURE OF 1 PERMITTEE 2 ' .5 1.00 5 15 1.50 INSPECTION RECORD 15 50 2 50 so 200 5.00 200 500 10 00 500 1000 15 0o •• - `I Q OVER 1000 20.00 - _Z M.G. SET/FRE . CHANGER-HP - ' WELDERS: AC-KVA - 0 GENERATORS - KW TRANSFORMERS '- KVA _ - TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS 75% OF ORIG.) , MISC.' . - SIGNS TYPE: - NO TRANS �., TYPE: NO. : 1 APPROVALS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1 00 U.� CONDUIT .. FIXTURES $1.00 1 U Q WIRING - SUPPLEMENTARY' •50 i FIXTURES ` POWER TOTAL FEE $ UTILITY CO. NOTIFIED y ' - FINAL / WORKERS'COMPENSATION DECLARATION 76A663 , CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT , I hereby aiiltm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate o(ff Workers'Compensation'Insurance,or ' ec Poec' Qo/�0 tV�Compan800,La i FOR APPLICANT TO FILL IN 3pg / p- New Residential Bldgs.&Pools EACH' NO FEE ?,DDRESS Certified copy is hereby furnished 1 &2-Family,Sq 'Ft $ — $ i LOCALITY ❑ Multi-family Sq Ft NEAREST S Certified copy is filed with the count ul ins c o CROSS T �;qrie Residential Swimming PoolsOWNER OR'FIRM NAMEDatpplicant Outlets Rec Light Sw SQ AMAIL DDRESS First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY Tel No -} COMPENSATION INSURANCE PLAN CHECK a APPLICANT 0 (This section'need not be completed if the work involved Lighting Fixtures First_20 - O 0 by the permit is for one hundred dollars ($100) or less.) ADDRESS Total No Additional 0 I certify that In the performance of the work for which this Fixed Applian es Not Over 1 HP CITY Tel No permit is issued, I shall not employ any person in any manner PERMIT G ��%G�(�� q / W so as to become subject to the Workers' Compensation Laws. Range_ Heater_D W APPLICAN vG'L� a Oven'_ Dryer_W M ADDRESS to Date Applicant Top _'FAU. _W.H. \ 4 Hood Fari _Other_ CIT 1-N O NOTICE TO APPLICANT If, after making this Certificate of Disp. _ m RooAir Cond._ LICENSEOR /l/ J Exemption, you should become subject to the Workers' REG NUM13EPU, Class Compensation provisions of-the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT�NOO .. PR SE BY with. comply with such provisions or this permit- shall-be deemed revoked.. Size&Type HP,KW, KVA,or KVAR � � Up-to 1 Incl ' Over 1 to 10 Incl - FINAL LICENSED CONTRACTORS-DECLARATION DATE " U ►9 ' r r VALIDATIO ,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 0-200 Amp Under 600 V License Number Lic Class _ 201-1000 Amp.Under 600 V Contractor Date Over 1000 Amp,or Over,600 V ; HOME OWNER-BUILDER DECLARATION Temp Power Pole&Appurtenances I hereby affirm that 1 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) J#to 0 0 0 0 2 Misc Conduits&Conductors 1, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— 2 0 0 Q Q, structure is not intended or offered for sale (Section 7044, Business and Professions Code). o' e CONSTRUCTION LENDING AGENCY o• O O .. 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) .0 j7.2 2—'8 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 above information is correct I agree to comply'wdh all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the aboveArrentioneo property for inspection purpo s SEE REVERSE FOR EXPLANATORY LANGUAGE Signa ure of Permittee Date