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Home My Public Portal About9087 LONGDEN AVE_Electrical__ 76A663-CE606-7.56 APPLICATION FOR ELECTRIC PERMIT BUILDING AND SAFETY DMSION Deportment of County Engineer 7ADDRESS County of Los Angeles JOHN A. LAMBIE, COUNTY ENGINEERCASSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL IN CROSS ST. PERMT FEES NUMBER OWNER LIGHT OUTLETS MAIL ADDRESS C-/ �• RECEPTACLES J VWALL SWITCHES FEE CITY / O i TEL. NO. TOTAL OUTLETS @ 5¢ $ i ELECTRICIAN !� ELEC RANGES 25 ADDRESS ez ELEC HEATERS 25 CITY TEL. NO KW EA STATE LICENSE NO. X71 FIXTURES 5 r MOTORS DISTRICT NO GROUP 1i ZONE READY FOR INSPECTION NUMBER HORSEPOWER FEE �Y i NEW MVD HP OVER INC EACH 1/2 IN LESS $ .25 INSPECTI N RECORD 1/Z 2 50 A7, 2 5 1 00 5 15 1 50 E 15 50 2.50 LZ� ` ha A/,ow 50 200 5 00 /,,�/r �� V 2 Al-rh',IS 4 MISC NO SIGNS NO TRANS. NO SIGNS NO LAMPS FOR EACH PERMIT WIRING PERMIT $100 FIXTURE PERMIT $100 SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY � i WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABO DESCRIBED RESID PER TY UTILITY CO NOTIFIED SIGNATURE Vv vrli y - OT rg FINAL JOHN A. LAMBIE, VALIDA-r( ARTHUR C.VEIT. COUNTY ENGINEER CK MO CASH SUPERVISING ELECTRICAL ENGINEER ;', 7863 vii 6 2 2.65 76A689•;E806.7.88 APPLICATION FOR ELECTRIC, PERMIT BUILDING AND SAFETY DIVISION Department of County Engineer BUILDING County of Los Angeles ADDRESS A-- D6 JOHN A. LAMBIE. COUNTY ENGINEER �• T. CASSATT D.GRIFFIN, SUPT OR BUILDING LOCALITY FOR APPLICANT TO FI"MITLL IN CROSS ST. D PERMIT FEES //�I NUMBER OWNER /T. A.-j-Vb 1V ' LIGHT OUTLETS MAIL ADDRESS RECEPTACLES `� WALL SWITCHES FEE _ CITY O� TEL. NO. TOTAL OUTLETS ® U S / ELECTRICIAN +- �` ELEC RANGES 25 ADDRESS Cd .0 /� /Y ��,//7 ELEC HEATERS 25 CITY H /( / TEL NO.6: D� KW EA STATE LICENSE NO. FIXTURES 5 .r MOTORS DISTRICT N GR UP O •E READY FOR INSPECTION NUMBER HORSEPOWER FEEJ� I � NEW MVD HP OVER INC EACH 1/2&LESS S .z5 INSPECTION RECORD 1/Z 2 .50 2 5 1 00 5 15 1 50 15 50 2 50 50 200 Soo A14 MISC 7- f/S ,j01w r NO SIGNS NO TRANS. NO SIGNS NO. LAMPS FOR EACH PERMIT WIRING PERMIT $1 00 FIXTURE PERMIT $100 / SUPPLEMENTARY .50 APPROVALS TOTAL FEE S DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING FIXTURES I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTER D AND/OR LICENSED AS REQUIREDAY LOS ANG C TY A ST TE OF POWER CALIFORNIA OR THAT AM THE GA N R ABOVE DESCRIBED REST NTI PROPERTY UTILITY CO.NOTIFIED SIGNATURE OF PERMIT T FINAL JOHN A. LA VALIDATION ARTHUR C.VEIT. COUNTY ENGI&ZtR SUPERVISING ELECTRICAL ENGINEER CK MO CASH L1kCo 7 4 7 4 APR 2 3 2 2.4 5 in S OBS �9EIDAItTls'IENT OF BiJILIBIING AlmSAFETY ��'�'I®�T FOR PER16'I�l° � COUNTY OF LOS ANGELES �� WM. J. FOX CHIEF ENGINEER Q NAME DISTRICT NO. GROUP I ZONE PERMIT NO. U ADDRESS _/ 12- RECEIVED ZRECEIVED BY READY FOR DAT ISSUED Oil COUNTY 1 U CITY TEL.NO. / FIRST INSPECTION l m CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINE® PORTION ONLY / DESCRIPTION OF WORK / JAll R I- 1�7 .3 - L Id e- Ii NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST /LIGHT OUTLETS JSW. PLUGS FIXT CROSS ST. G /1 e Q Y L CIRCUIT A B C D I E I F G I H ll� NAME O 7 d Z MAIL s� 3 ADDRESS "��j- ,[ B 7 1 0 C/ t/ O CITY ell', ` G TEL NC, r- 2- :5.37 \ 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. r - ELECTRICIAN. I AM THE LEGAL OWNER OF THE P.ROPERTI DESCRIBED ABOYR OWNER. ' CORREC HONS ' J Q Z P O TOTAL T NO. OF OUTLETS $ O APPROVALS NO. OF FIXTURES E DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT I NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ Z UTILITY CO.NOTIFIED TOTAL FEE6 0 FINAL ,� WORKERS'COMPENSATION DECLARATION CE-806 10181 /ja [p�(�LECATO®N [FOR IEp E� ll lip ��n (j I�Fa^l�p f�G►B57 ` • `�-' +• CE-806G !�1[rlT v LS ll� /x,115 lf"LSIMIl�9tl ll I Hereby affirm that"I •hake a certificate of consent to self � insure, or a certificafe of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lab C ) J Al 60 Policy No Company�� FOR APPLICANT TO FILL'IN JOB % ) Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS o L�(fs/ G Certified copy is filed with The county building inspec- y, q — LOCALITY 1 & 2-Famil S Ft � $ —' $ � � Tion department Multi-family Sq Ft NEAREST Residential Swimming Pools CROSS OWNER T ' Date Applicant FIRM NAME ERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw_ MAIL COMPENSATION INSURANCE J ADDRESS First 20 (This section need not be completed if th'e•work involved by Total No Additional CITY Tel No the permit is for one hundred dollars ($100)or less:) - that in the performance of the work for which this PLAN CHECK I certify P APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws Lighting Fixtures First•20 ADDRESS Total No Additional - CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP > NOTICE TO APPLICANT If PERMIT after making this'Certificate of- APPLICANT C C[r ✓ f� Exemption, you should become subject to the Workers' Range_ Heater._D W Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — W M — ADDRESS e ,4ag with comply with such provisions or this permit shall be Top _ FAD —W H — / � �� deemed revoked Hood _ Fan _Other_ CITY Tel No LICENSED CONTRACTORS-DECLARATION LICENSE OR q j hereby affirm that I-am licensed under provisions of Chapter 9 Disp _ Room Air Cond REG NUMBER Class e, /to (commencing with Section 7000) of Division 3 of the BusinessDISTRICT NO PROCES Y and Professions Code, and m license is in full force and effect Power Apparatus& Large iAppliances /, y Size &Type HP, KW, KVA, or KVAR (5(V p 0 License Number Lic Class _ Up to 1 Incl FINAL V ��jJ-�1 Po I ,� Q Over 1 to 10 Incl DATEnp//9V VALIDATIO 0 Contractor ��f1 �6�(/ �.°'BSte Over 10 To 50 Incl V ❑ I am exempt under Sec v FINA p Over 50 to 100 Inc BY ;@0,9,21A,, d B &P C for this reason Over 100 " N 10�Services, Swbd , MCC&Panelboards D # 0 0 o,0� 2 Date 0 -200 Amp Under 600 V i r ' 0 -,1,4,50 Signature 201 - 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V o 0 0 1 A 5 042): Exemption for Reg Maint Eject SINGLE FAMILY Temp Power Pole & Appurtenances ( Q 1 8*`8 4 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that Ilom exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031 5, Business and Professions Code) f aI, as owner,of the property, will do the work and the Misc,Conduits&Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ 7044, 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 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 jaws 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 - v I /O kst ' Signature of Permittee Date