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76A6S3-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
-,COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /,
BUILDING AND SAFETY DIVISION ADDRESS (/ _
JOHN A. LAMBIE, COUNTY ENGINEER 1
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. la e
RECEPT, TOTAL NO. EACH FEE
OUTLETS FIRST 20 $20 S OWNER
LIGHT MAIL
ADD'L .i0 ADDRESS
SWITCH. OVER 20 -- --- --_.--
TOTAL CITY TEL. O.
LIGHTING FIRST 20 .20
FIXTURES ADIR 2D'LO 10 ELECTRICIAN
OV - - - -
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS / ef lo
GARB.DISP. STA.COOK
CITY TE O.J
DISHWASH. AUTO.-WASH. STATE `
SPACE HTRS. STA.APP.IV:H.P.MAX.) .50 LICENSE NO. J~
MOTORS: OVER NOT OVER H.P. NE PROCESSED BY
SO 1 1.00
+ 8 +.50 INSPECTION RECORD
s s 1 12.00
8 15 2.50 - - -
1a 50 8.00 -- - - --
D.
50 100 5.00 _- - - -- - O
V
SIGNS: NO.TRANS.
NO.LAMPS
SERVICEO-SOOV-NOT OVER 200A +.00 V
w
SERVICE O-SOOV-OVER 200 A. 2.00 a
N
SERVICE OVER a00V 5.00 Z
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 11.00
TOTAL FEE f
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DAT! 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY L ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I E LEGAL OWN E OVE
DESCRIBED RESIDENTIA RTY. POWER
SIGNATURE CO.NOTIFIED
OF PERMITTEE
FINAL
LI O CASH ARTHUR C. VETT
MO CAS
SUPERVISING ELECTRICAL ENGINEER
CK
l
f
76AG63 CBS 6A 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRIC NO. GROUP ZONE PERMIT NO.
ELECTRICIAN A-1 f-R— CS/ �.y,� t �f P r 01.
ADDRESS /O 3 $ �-�J�,'(,�� k �,�,y (�ti� RE EIVED BY READY FDRR DATE ISSUED
FIRST INSPECTION
pp r,(��A U � J
CITY Sda- b' CII— a Q TEL. NO. 4 -01)
pp� , -dl /y ` 7
COUNTY LICENSE NO. 7 EXPIRES BUILDING
PERMIT FEES
ADDREH9
-- FEE •l". !, .
NUMBER EACH LOCALITY
LIGHT OUTLETS ` NEAREST Y 11
CROSS ST
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS Sc $ IC) MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES` / y �p� {/.vrl A `� I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
V
MISC A` vl^/ OK APPLICATION AND STATE THAT THE ABOVE 19 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 HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
/2 6 LESS $ .25
1 SIGNATURE OF�� ��• s ��,�� ...��IJ�,y, ,(3
I/2 2 .50 PERMITTEE
f
2 5 1.00 INSPECTION RECORD/
S 15 1.50
is so 2.50
50 200 5.00
-- 200 SDO 10.00
soG 1000 15.00 ������.�� � •-r—O IN�l.�7'1ZiYL Q
z
OVER 1 000 20.00 �I 1' c
M O. BET/FREQ. CHANGER-HP vJ No r_o f�� PLFr-r�
WELDERS: AC-KVA O
GENERATORS - KW i1 - �' O R P, /J,6—
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (7S% OF ORID.)
MISC.
SIGNS
LNO. NO.TRANS.O. NO. LAMPS APPROVALS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
CONDUIT
WIRING $1.00 oo
FIXTURES $1,00 - WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE ® /O UTILITY CO.NOTIFIED /w crllit
FINAL v
76A663 DBS SA 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN
DISTRICT NO. GROUP ZONE PERMIT NO.
s qpQ�
ELECTRICIAN 2(14 AQr X @ C �^�• RECEIVED BY READY FOR DATE ISSUED
ADDRESSI, FIRSAT�1"PPECITION (py`
CITY S, .�J��„Q�}��- TEL. NO.L,ryL.I,,�O 46'7-1 /� - �
COUNTY LICENSE NO. 7 I EXPIRES 30-S:L BUILDING I'y� O
ADDRESS ,/
PERMIT FEES Q
NUMBER EACH FEE _LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES 2 CROSS STJ
. CLQ ,f w�*tel '
WALL SWITCHES OWNER
TOTAL OUTLETS to D Sc MAIL U
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS c 25 CITY TEL. NO.
FIXTURES IS 5 n 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IH 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 LOB
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
i LESS $ .25
SIGNATURE OF
I/Z 2 .50 PERMITTEE '
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 60 2.50 / / ,/ �(' 1/
50 200 5.00 z" `1�Q er /I/)O
200 500 10.00 V JQ
500 1 000 15.00 - Z
OVER 1000 20.00
_ M.O. BET/FRED. CHANGER-HP //�I� -R'JP r �_ Ao}`)h1L k/71 2_lE�
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG•)
MOVED MOTORS (75% OF DRIO.)
MISO.
SIGNS
NO. ND.TRANS.
APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
CONDUIT
WIRING $1.00 Z
FIXTURES $1.00 60
WIRING
SUPPLEMENTARY .50 FIXTURES (7 l
POWER
TOTAL FEE $ �' 6UTILITY CO.NOTIFIED
FINAL V v
7SA6e3 APPUCAMN Cid MCAL P wir
COUNTY OF LOS ANGELES
';'DEPARTMENT OF COUNTY ENGINEER JOB
a BUILDING AND SAFETY DIVISION ADDRESS
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs &Pools EACH NO FEE NEAREST
1 &2-Family,Sq Ft $ 025 — $ CROSS ST
Multi-family Sq Ft 0 —2 OWNER OR
FIRM NAME
Residential Swimming Pools 2500 MAIL
ADDRESS
Outlets Rec Llght_Sw CIT
First 20 50 PLAN CHECK
Total No Additional 30 APPLICANT
ADDRESS
Lighting Fixtures First 20 50 CITY Tel No
Additional 30 PERMIT
Total No APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS
Range—Heater_D W CITY Tel No
Oven_Dryer—W M_ LICENSE OR
Top —FAU —W H REG NUMBER Class
Hood-Fan —Other— I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Dlsp — 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 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 a
Up t0 1 Incl 250 THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY C
Over 1 to 10 Incl 500 v
Over 10 to 50 Incl 1250 PERMITTEE
Over 50 to 100 Inc 2500 SIGNATURE t
Over 100 40 00DISTRICT NO _ OC D BY 4000L
LJ
Services
z
0-200 Amp Under 600 V 1250 IN CTOR S
201-1000 Amp Under 600 V
2500 APPROVALS DATE SIGNATURE
Over 1000 Amp or Over 600 V .5000 TEMP POWER POLE
00 UNDERSLAB WORK 4a' !
Temp Power Pole&Appurtenan10ces �
10 00 ROUGH CONDUIT Z
Sign with One Branch Circuit 2 00
Additional Sign Branch Circuits WIRING
Misc Conduits&Conductors 1000 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
v
PERMIT FEE (Sub Total) NOTES a ` ft Itt G ! 7 �1faJQ't+
PLAN CHECKING FEE (One-Fourth Permit Fee) O�s�jfgC' /s�D�xr
PERMIT ISSUING FEE $7.00 s� �K 5T//l/t4•P06-X5,5- 7N(7`�'EIZogP ,r '
TOTAL FEE
PLAN CHECK VALIDATION CK I M O CASH PERMIT VALIDATION CK M O CASH
3 4 3 JUL 3 2 U 3 2.0 0,
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - r
i
k6 WORKERS'COMPENSATION DECLARATION 76-663 10/81 q PP ��f�i MON FOR EL4.ECTMCAL PERNT
CE-ao6G L�UIT IL YaLW II�1 IT
,-,0"_!,begeby affir,:ti that I have a certificate of consent to self insure, •
or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thdreof(Sec 3800,Lab C)
'Policy NqL Company FOR APPLICANT TO FILL IN -JOBQ
❑ Certified copy is hereby furnished New Residential Bldgs &Pools EACH NO FEE ADDRESS /C
❑ 1 &'2-Family,Sq Ft $ _ $ LOCALITY
' Certified copy is fled with the:county budding inspection
department Multi-family Sq�Ft NEAREST
CROSS ST
Date Applicant Residential Swimming Pools y OWNER OFf
RM
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec,"Light 4� Sw L MAJL NAME
M COMPENSATION INSURANCE • - ADDRESS
This section need not be coin leted•if the work Involved b the 41`9First 20
( p y Total No S d Additional -0
Tel No
permit Is for one hundred dollars($100) or less)
• PLAN CHECK I
I certify that in the perform4'ap��ype,
rk for which this er n t ; APPLICANT
Is issued, I shall not emplo, i any m nner to • -become subject to the,Worion w Lighting Fixtures First 20 ADDRESS
Total No' eV Additional CITY +T o I
Date AFixed Appliances Not Over 1 HP PERMIT,
fSOTICE TO APPLICANTking this tiflca APPLICANT
Exemption,you should becohe Workers Compensation, Range_ Heater_ DW _
provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W M ADDRESS
pcovlsions or this permit shall be deemed revoked Top — FAU _ WH
LICENSED CONTRACTORS DECLARATION Hood — Fan Other
CITY - Tel'No
_ _
I hereby affirm that I am hcensed under provisions of Chapter 9 LICENSE OR
(commencing with Section 7000) of Division 3 of the Business and' Disp — Room,Air Cond REG NUMBER Class
i
Professions Code,and my license is in full force and effect "Power Apparatus& Large Appliances DISTRICT NO � PRO S BY
'
Size& Type HP,KW,KVA,or KVAR p
a
License Number Lic Class Up to 1 Incl FINAL U
Over 1 to 10 Incl DATE
Date Contractor Dae •• V DATION O ,
❑ Over 10 to 50 InclFINAL r C1
I am exempt under Sec Over 50 to 100 Inc BY W
B&PC for this reason Over 100 d
Date
Services,Swbd,MCC&Panelboards D N
.0- 200 Amp Under-600 V
Signature 201 - 1000 Amp Under 600 V
w - Over 1000 Amp or Over 600^V
Exemption for Reg Maint Elect
' �787,5'A
SINGLE FAMILY Temp Power Pole& Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch'Circult # o+6'0 0 0 2
I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits
for the following reason(Section 7031 5, Business and Professions_ oto 6 `
Code)
o o,o
I,as owner'of the property,will do the work and the structure Mise Conduits& Conductors 6 5 0.0 v
Is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)
and Professions Code) D '0,9,.0 9
CONSTRUCTION LENDING AGENCY -
I hereby affirm that there Is'a construction lending agency for the •r
performance of the work for which this permit Is ssued,(Sec 3097, _ PERMIT FEE (Sub-Total)
Civ C) '
PLAN CHECKING FEE '
Lender's Name
PERMIT ISSUING FEE
Lender's Address 'T
I certify that I have read this application and state that the above TOTAL FEE �� T
information is correct I agree to comply with all County ordinances
and State laws regulating Electrical wiring, and hereby authorize
represen Ives of this County to enter upon the above-mentloried
proper r inspectio oses
SEE REVERSE FOR.EXPLANATORY LANGUAGE ._
gnature o e itte ate