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Home My Public Portal About9026 LONGDEN AVE_Electrical__ 76A663E, CE&06B,2/75 &P UCAT ®GV ELEVTUU VWL pERMY /�1'11�''11111I ,• - LJ BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN JOB New Residential Bldgs & Pools EACH NO. FEE ADDRESS J ' J Aug 1 &2 Finaily Sq Ft $ — $ LOCALITY ? ' -- Multi-family Sq Ft — NEAREST Residential Swimming Pools CROSS ST L OWNER OR FIRM NAME Outlets Light, Switch & Receptacle MAI L First 20 2 ADDRESS v� ig Additional `, CITY % Tel No Z PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional 5 CITY Tel No ' PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range_ Heater_ D W. Oven _ Dryer 4af�l W M. ADDRESS 12 Top FAU W H. CITY Tel No Hood Fan LICENSE OR O Disp A.C. `J� I REG NUMBER Class C-D I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION C) AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING � C/) �'U Up to 1 Incl 10 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl j4. /V LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PROPER Y Over 50 to 100 Incl. PERMITEE Over 100 SIGNATUR'1� .jL ,��I��/;; Services DISTRICT NO I PWCES BY D�t BY 0-200 Amp. Under 600 V CJ 201 - 1000 Amp Under 600 V APPROVALS D INSPECTOR'S SIGNATURE 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 FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITYCO NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL 9 d PERMIT ISSUING FEE 4 J6 INOTES TOTAL FEE [�� 30 -•3 Q02CGVPv PLAN CHECK VALIDATION CK MO "CASH PE l ,I VALIDATION CK MO CASH 58 9 A L J DEC 9 1 4B U i6 76A663 DBB SA 11-a9 -' APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �� COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT. GR O P ZONE PERMIT NO. ELECTRICIAN as F. Walton � •.� � �! / O RECEIVED Y READY FOR DATE ISSUED ADDRESS 604 Acacia Ste FIRST INSPECTION CITY San Gab. TEL. NO. AT 68583 1 1 2 — D — S COUNTY LICENSE NO. 1104 EXPIRESBUILDING ADDRESS 1622 Longden StreetPERMIT FEES .{.�� NUMBER I OUTLETS EACH FEE LOCALITY Temple City 14 LIGHT Sc 111 70 NEAREST 18 CROSS BT. RECEPTACLES 5 9O 14 FIXTURES 5 70 OWNER Roy Hansen WALL SWITCHES 5 65 MAIL 1 ELEC. RANGES 25 25 ADDRESS 1 ELEC. HEATERS 25 25 CITY TEL. NO. MISC. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: TOTAL 6 APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS 1 RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS - AND STATE LAWS REGULATING ELECTRICAL WIRING. NUMBER HORSEPOWER FEE I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NEw MvD. HP OVER INC. EAC" ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER '/2-6 LESS .25 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. $ %2 2 .50 SIGNATURE OF 2 S 1.00 PERMITTEE 5 15 1.So INSPECTION RECORD is 50 2.50 50 200 5.00 200 BOO 10.00 c cz��c Soo 1000 15.00 o T E Al//h 10 Q OVER 1000 20.00 p Z M.O. SET/FREQ. CHANGER-HP U' WELDERS: AC-KVA t it GENERATORS - KW 11474t' O TRANSFORMERS - KVA TEMP. MOTORS (75% OF DRIG.) ` d� MOVED MOTORS (75% OF ORIG.) MISC. SINS TYPE: NO.TRANS' TYPE: NO. LAMPS APPROVALS FOR EACH PERMIT: L DATE INSPECTOR'S NAME WIRING $1.100 1 00 CONDUIT FIXTURES $1.00 1 00 WIRING SUPPLEMENTARY .50 FIXTURES \ `.S O f•' POWER TOTAL FEE # 5 45 UTILITY CO. NOTIFIED FINAL ��L O- COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN 1� -� '"( 71174 7 RECEyyV D BY READY FOR DATE ISSUED ADDRESS / FIRST INSPECTION CITY TEL NO. / COUNTY LICENSE NO. EXPIRES BUILDING PERMIT FEES ADDRE8B e _ FEE 00�� [I („J NUMBER EACH LOCALITY .O a v�a4 LIGHT OUTLETS NEAREST RECEPTACLES pp�'� CROSS ST. d11 s 0 AonD FA le O1 6 e�RAWALL SWITCHES OWNER p se t3 TOTAL OUTLETS Sc $ MAIL ELEC. RANGES 25 ADDRESS ys 40 ELEC. HEATERS 25 CITY )epb% OL , TEL NO-Ar FIXTURES 5 e 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MIS*. 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 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. %2 & LEe8 $ .25 SIGNATURE OF I/2 2 .50 PERMITTEE4�1/1 r 2 s 1.00 INSPECTION RECORD 5 is 1.50 is 50 2.50 50 200 5.00 200 300 10.00 J 500 1000 15.00 Q Z OVER 1000 20.00 M G. SET/FRED. CHANGER-HP WELDERS*AC-KVA GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORI(3.) MOVED MOTORS (75% OF aRlo.) _ MISC. ' SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMITS DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT 't FIXTURES $1.00 _� _ WIRING �/_ M74 SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE 5 Z S UTILITY CO.NOTIFIED -- p FINAL 76A663 DBS#5A 4-52 WORKERS'COMPENSATION DECLARATION CE-806G (2-80) civ APPLICATION , FOR ELECTRICAL PERMIT ' CE-806 I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES `� BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or / a certified copy thereof(Sec 3800,Lab C.) FOR APPLICANT TO FILL IN ,JOB Policy No- Company EACH NO FEE ADDRESS / , + e1,I New Residential Bldgs &Pools _J ❑ Certified copy is hereby furnished 1 &2-Family,Sq Ft $ — $ LOCALITY !:� i L�� 11 L Multi-family Sq,Ft — NEAREST 1�L Certified copy is filed with the county building inspection CROSSST, ❑ department Residential Swimming Pools / J � OWNER OR L FIRM NAME Date Applicant 'Outlets Rec_Light_Sw ADDRESS 0 First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No ' Additional CITY Tel No _ COMPENSATION INSURANCE / PLAN CHECK APPLICANT 0 r (This section need not be completed if the work involved U by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS CC' Additional I certify that in the performance of the work for which this Total,No CITY Tel No Fixed Appliances'Not Over 1 HP permit is issued, I shall pot employ any person in any manner - PERMIT / L) so as to become subject to the Workers' Compensation Laws Range_ Heater_D W APPLICANT / . / V CL Oven Dryer_'W M._ ADDRESS ?" r - Z- `y Top FAU _W H42 /bate ApplicantTop _ Fan _Other CITY �j L,6„_ t�Tel No Zq �— � NOTICE TO APPLICANT If, after making this Certificate of Disp _ Room Air Cond.— 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 PROC SED BY with comply with such provisions or this permit shall be Size&Type HP, KW, KVA,or KVAR deemed revoked Up to 1 Incl e, FINAL Over 1 to 10 Incl DAT /— / — LICENSED CONTRACTORS DECLARATION VALIDATION Over,10 to 50 Incl FINAL I hereby affirm that I am licensed under provisions of Chapter' Over 50 to 100 Inc FI 9 (commencing with Section 7000) of Division 3'of the Busi- Over 100 ness and Professions Code, and my license is in full force and - c effect Services j License Number Lic Class 0-200 Amp Under 600 V / 201-1000 Amp Under 600 V Contractor Date Over 1000 Amp or Over 600 V ` 1 - 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 ness and Professions Code) Misc Conduits&Conductors - �2'68,b A El 1, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— o'o-oto 0 structure is not intended or offered for sale (Section # i 2 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY 2,0�0 2.3 5 0, I - 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) o�o Io 2 3 5 0 IJ issued(Sec 3097,Civ C ) 01 Lender's Name PLAN CHECKING FEE (One-Fourth Permit Feel � l�'.20=82 Lender's Address PERMIT ISSUING FEE S I certify that I have read this application and state that the TOTAL FEE above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize repres ntatives of this County to enter upon the above-mentioned pe for rnspecturposes. SEE REVERSE FOR EXPLANATORY LANGUAGE i,zo-,qz . rgnature of Permittee Date