Loading...
HomeMy Public PortalAbout9534-9536 LAS TUNAS DR_Electrical__ J 0 76A663C- CEBOti,B 12,75 APPLICATION FOR ELECTRICAL PERMIT r \ �BUIL�DINNDAFETY�N FOR APPLICANT TO FILL IN JOB New Residential Bldgs.& Pools EACH NO, FEE ADDRESS 1 &2 Finaily Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. — NCREAROSS EST ST. .` /� j)' cJ Residential Swimming Pools OWNER OR FIRM NAME LE d Pmet Outlets: Light, Switch &RecelStacle MAI L First 20 rd ADDRESS 9 �^F Additional _ CITY /�/�y� " el. No. PLAN CHEC � ' 14 1 (4,(4T �� APPLICANTK C., Lighting Fixtures !! First 20 � V,, ADDRESS Additional CITY � C a/ el. No. ;2'3-s— PERMIT Fixed Appliances Not Over 1• HP APPLICANT Range Heater_ D.W. ADDRESS Oven Dryer VV.M. Top FAU VV.H. CITY Tel. No. Hood Fan LICENSE OR pp � or REG. NUMBER T1 J� Class. Cj O Disp. A.C. U M1 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. wLIJ Up to 1 Incl. I HEREBY CERTIFY THAT'. AM PROPERLY REGISTERED AND/OR' r✓7 Z Over 1 to 10 InCI.. LICENSEDAS REOUIR ED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIAOR THAT AM THE LEGAL OWNER OF THE ABOVE Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PROPERTY, Over 50 to 100 Incl. PERMITEE Over 100 SIGNATURE 3.4 0,7, �7_ (3 Z ka, Services DISTRICT NO. P CES ED BY 0-200 Amp. Under 0 V U 201 -1000 Amp. Under 600 V tROUGH PPROVALS DATE INSP O S SIG ATURE Over 1000 Amp. or Over 600 V OWER POLE Temp. Power Pole&Appurtenances SLAB WORK Sign with One Branch Circuit CONDUIT Additional Sign Branch Circuits (Other) - WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE NOTES TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CIASPERMIT VALIDATION CK. M.O. CASH 78 A843C- CE8088 12/75 APPLICATION FOR ELECTRICAL PERMIT BUILDI AND SAFETY ISION FOR APPLICANT TO FILL IN JO FResidential Bldgs.&Pools EACH NO. FEE A KESS j 3� �A Sq. Ft. $ — $ LOCALITY .Q _ tl4) q. Ft. — NEAREST Residential Swimming Pools CROSS ST. OWNER OR FIRM NAME Outlets: Light, Switch & Receptacle MAI L First 20 ADDRESS i- Additibnal CITY Tel. No. PLAN CHEC APPLICANT Lighting Fixtures First 20 ADDRESS Additional CITY Tel. No. PERMIT �- Fixed Appliances Not Over 1 HP APPLICANT E L Range Heater_ D.W. ADDRESS Oven Dryer W.M. �^ Top FAU W.H. CITY �F' 40 ITf Tel. No.2IT-1 6 Hood Fan LICENSE OR a REG. NUMBClass.C,—�O O Disp. A.C. v 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Q Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING, Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. W a Up to 1 Incl. IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Z Over 1 to 10 Incl. LICENSED AS REOU IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PROPERTY. Over 50 to 100 Incl. PERMITEE Over 100 SIGNATURE =a''�E= Y.O ° DISTRICT NO. rRID�CEPSED)3)( Services — 4,r/WA/4-- G 0-200 Amp. Under 600 V 201 -1000 Amp. Under 600 V JASF( PERIMIT PPROVALS DATE I ECTOR'S SIGNATURE Over 1000 Amp.or Over 600 V OWER POLE Temp. Power Pole&Appurtenances SLAB WORK Sign with One Branch Circuit CONDUIT Additional Sign Branch Circuits (Other) ES AUTHORIZED PERMIT FEE (Sub-Total) Y CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee)PERMIT ISSUING FEETOTALFEE riJPLAN CHECK VALIDATION CK. M.O. ERMIT VALIDATION C11 M.O. CASH 8 1 3�t EB 24 2 C3 aBE.SA APPLICATION FOR PERMIT tEPARTMrNT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES EEO LECEIFRIC a]. WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN C k Q/ /'9,S W. 0 d,-— RECEIVED BY READY FOR DATE 1$$UED ADDRESS e IPJ �'�S l °fid'� �J FIRST INSPECTION CITY t B TEL. NO. lJ a�yA 2 y rx I J COUNTY LICENSE NO. ® 7 EXPIRES -3-0 BUiL01 NG 7��/ e ���y t PERMIT FEES AD d� 4B p W i7 NUMBER EACH FEE LOCALITY T-Q -P)-VPI-C, C1,l �y LIGHT OUTLETS _ NEAREST RECEPTACLES �,I�, CROSS ST. /' � J� WALL SWITCHES _ OWNER /f, TOTAL OUTLETS �� Sc $_ OS ELEC. MAIL In II d -16 f et"' •oy t 'rce ELEC. RANGES 25 ADDRESS /( Cfi '(� J / K ! 'H ELEC. HEATERS 25 CITY �e� �� (a(, TEL. NO.Do 7-6037 FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. 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 I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVO. HP LIVER INC- EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/2 & LESS $ .25 SIGNATURE TTEF `°' V2 2 .50 z s 1.00 INSPECTION RECORD 5 is 1.so _ is so 2.50 50 1 2013 5.00 � i 2 (I� ,y-P/'^� ,�i'�7'�'�A fy-s 200 500 10.00 J s00 1 000 15.00 z -- OVER 1000 20.00 O M.G. SET/FREQ. CHANGER-HP —_ WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORI[4•) MOVED MOTORS (75% OF ORIOJ MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1,00 go CONDUIT FIXTURES $1.00 WIRING - SUPPLEMENTARY ,50 FIXTURES POWER t TOTAL FEE $ q ! UTILITY CO.NOTIFIED FINAL — — COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER APPLICATION FOR PERMITELECTRIC �����' DIVISION OF BUILDING.& SAFETY WILLIAM J. FOX. COUNTY ENGINEER FORAPPLICANT TO_FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICOIAe NN / , /+', id/, V' Z- ADDRESS �I �d Ci 1 1 Y RECEIVED BY READY FOR DATE TISSUED FIRST INSPECTION l� CITY aS.s-...,J/ 4StZ, TEL. NO. - ,rl' COUNTY LICENSE NO. EXPIRES la -q BUILDING MIT PE FEES ADDRESS 4 NUMBER EACH FEE �e LOCALITY . /ra. LIGHT OUTLETS NEAREST V RECEPTACLES CRQSSST WALL SWITCHES OWNER H TOTAL OUTLETS 5C $ 16 MAIL 25 ELEC. RANGER t/ ADDRESS ELEC. HEATERS 25 FIXTURES 5 CITY TEL. NO. MISC. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF RECEPTACLE CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES � MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 'AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. 'I 'A&,LESS $ .25 SIGNATURE OF 1/2. - 2 .s0 PERMITTEE i s 1.00 INSPECTION RECORD 5 15 1.50 15 50 2.50 50 200 5.00 200 _ 500 10.00 J 500 1 1000 15.00 Q OVER 1000 20.00 Z M.G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA O GENERATORS -KW TRANSFORMERS-KVA TEMP. MOTORS (75% of ORIG.) ' MOVED MOTORS (75% OF ORIG.) MISC. SIGNS Nb r %•• NO. TRANS. NO. NO. LAMPS APPROVALS ALS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES - $1,00 WIRING .SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ y UTILITY CO. NOTIFIED �/ /� / f FINAL (..�.i ��I.:(C.t.L°!t' . 76A 889 DBS# .5A. 4-51 ' 1 COUNTY OF LOS ANGELES - APPLICATION FOR PERMIT DEPARTMENTOF COUNTY ENGINEER E L E�T DIVISISIONNOOF BUILDING & SAFETY WILLIAM J. FOX, COUNTY ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE - PERMIT NO. ELECTRICIAN � 6-� ADDRESS "y - ®N RECEIVED BY READY FOR DATE ISSUED . CIT ` � ,,` FIRST INSPECTION a, CITY TEMPLE Y. CALIF.TEL. NO. LQ�rV u l-L -'-I- —s COUNTY LICENSE NO. - EXPIRESBUILDING re.4.�. � i PERFEES ADDREPERM NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES p ROSS ST. WALL SWITCHES Q OWNER TOTAL OUTLETS 5c $ MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 MISC. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS NUMBER OF LIGHT CIRCUIT'S APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITSAND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE, ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw MVD. HP OVER I INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. 1/2 6 I.EBs $ .25 SIGNATURE OF '/2 2 .50 PERMITTE _ 2 5 1.00 INSPECTION RECORD 5 15 1.50 15 50 2.50 n 50 200 5.00 , — �� -. 200 500 10.00 500 1000 15.00 Q Z OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA 0 GENERATORS -KW TRANSFORMERS-KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS f NO. . NO. TRANS. APPROVALS NO.- NO. LAMP FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 06 CONDUIT FIXTURES $1.00 0 Q WIRING SUPPLEMENTARY ,S0 FIXTURES POWER p— TOTAL FEE $ UTILITY CO. NOTIFIED /1 ry FINAL �9�. �Y�6�"z1fz1 b, 76A 663 DBS# 5A. 4-52. ` 7GA663-CESOG 3-68 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS�. ► 5 / �ti BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY ����1 FOR APPLICANT TO FILL IN NEAREST PERMT FEES "0"sr. OWNER 4lk-1 (? �L ITEM NUMBER EACH FEE MAIL OUTLETS: $ $ ADDRESS LIGHTS RECEPT. SW. To LIGHTING FIXTURES f0 CITY TEL.NO a'- ELEC.RANGES CLO.DRYERS ELECT RICIIAN WATER HEATERS .50 ADDRESS (/ / -'4/n ELEC.SPACE HTRS. DISHWASHERS CITY 2o. L [''i' J• � TEL. N0."/- GARBAGE . -GARBAGE DISPOSERS .AUTO.- STATE D C WASHERS STA.COOKING UNITS .25 LICENSE NO. (� MOTORS: OVER INC. H.P. DISTRICT GR_ OUP E PROCESSED Y O— 1,2 :25 'O. is,�„�I Z N�I r 1/2— 2 •50 INSPECTION RECORD 2— 5 1.00 5— 15 1.50 15— 50 2.50 50-200 5.00 SIGNS: NO.TRANS. NO.LAMPS / G SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT . 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE $ A, I 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. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDE PROPERTY. POWER SOF PERMI ATURE UTILITY CO.NOTIFIED FINAL ®p. DATION ARTHUR C.VETT, MQ CASH SUPERVISING ELECTRICAL ENGINEER CK r ^ f .er r. ID 3 w W� r F-, 1 2 �i � Iw 0 r: '6A663-080610-61 APPLICATION FOR E.LECTRICALoPERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS /9S �f!/V�S 13�:i�D el JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY �..y- C/ NEAREST FOR APPLICANT TO FILL IN CROSS ST. E'�y �,� C17 y 61-VO0 1 T E M NO. I EACH FEE OUTLETS: (FIRST 20) $20 $ OWNER GG/S'Chl�Lf� 11V.4MCO'LCR LIGHTS RECEPT. SW. MAIL OUTLETS: (ADD'L UNITS) 10 ADDRESS S'3 - ZWs TC�/V qjs OA LIGHTS RECEPT. SW. LIGHTING FIXTURES: (FIRST 20) 20 CITY TEL. NO. LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN-EL e?' lL 'C oh'CO�'CTS RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS / /,AV X GARB.DISP. STA.COOK _ ew `/ CITY TEL.NO. fT' /(' !Y'i'/ DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(1/z H.P.MAX.) .50 LICENSE NO. _ MOTORS: OVER NOT OVER H.P. DISTRICT N GROUP ZONE P OC D BY 0 1 1.00 r- S/ : i 3 1.50 INSPECTION RECORD 3 8 2.00 O 8 15 2.50 V 15 50 3.00 Q 50 100 5.00 -7g a SIGNS: NO.TRANS. NO.LAMPS Z SERVICE 0.600V-NOT OVER 200A 1.00 SERVICE 0.600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 t SUPPLEMENTAFLY PERMIT ISSUING FEE 1.00 . TOTAL FEE $ e 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS 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 w 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THATT AM THE LEGAL OWNER OF THE ABOVE aDESCRIBEDRESID fAl'E OPERTY' POWERE )UTILITY CO.NOTIFIED /nTTE /'3' VEINAL �i '3' A j VALIDATI ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER empuv_ CIT-y, 76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST // BUILDING AND SAFETY DIVISION L o ; S JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING C FOR APPLICANT TO FILL IN CROS . Pe J m kQCs e-. RECEPT, TOTAL NO. EACH FEE OUTLETS FIRST 20 $.20 $ OWNER "C LIGHT MAIL ADD'L 10 ADDRESS SWITCH. 1 OVER 20 / LIGHTING _rTOTAL FIRST 20 ,20 CITY ( (-. ` TEL. NO. FIXTURES 11S 1 ADD'L ,O ELECTRICIAN OV R 20 I� RANGES CLO.DRYERS WTR.HTRS. 1.06 ADDRESS J —? (( GARB.DISP. STA.COOK -CITY t OS &%'TEL. NO. Al 637s DISHWASH, AUTO.-WASH. STATE SPACE HTRS. STA.APP.(y¢H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. / DISTRICT NO. GROUP ZONE PROCESSED BY' 0 1 1f.00 1 3 1.5o INSPECTION RECORD 3 8 2.00 ��'�' 8 15 2.50 15 50 3.00 so 100 5.00H - �'•—`.'� ;�. ` , ^� a ,, • _O a ' SIGNS: NO.TRANS NO.LAMPS •)r- � 'v- f O SERVICE 0.60OV-NOT OVER 200A 1.00 00 CJ W SERVICE 0-60OV-OVER 200 A. 2.00 a' N SERVICE OVER 600V 5.00 Z MISC. PERMIT ISSUING FEE 2.00 - SUPPLEMENTABY PERMIT ISSUING FEE 1.00 ��I_�p p 1.�p PA -# �2 i TOTAL FEE $ 2 CJ 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 CONDUIT !J WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. y) I✓ �d +�'��� 1 HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR WIRING Y LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ' CALIFORNIA OR THAT 1 AM TH LEGAL .OWNER F THE OVE DESCRIBED RESIDENT/ ROP POWER SIGNATURE r OF PERMITTEE UTILITY CO.NOTIFIED OnH Vic/ FINAL... rdn. LIDATION ARTHUR C:VEIT' MO CASH SUPERVISING ELECTRICAL ENGINEER CK Le, r} -9 tis APR 2 6 2 i i 2.00- �- 'v X06 8-62 APPLICATION 1`01. ELECTRIC L PERMIT / COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS T.6 JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY e E' NEAREST FOR APPLICANT TO FILL IN CROSS ST. )` 1/ RECEPT. �� TOTAL NO. EACH FEE OUTLETS FIRST 20 $.20 $ 60 OWNER LIGHT i r� MAIL - ADD'L 10 ADDRESS IS3 I/ SWITCH. 5� - OVER 20 LIGHTING 1 TOTAL FIRST 20I 20 CITY TEL.NO. FIXTURES 1 ADD2 10 ELECTRICIAN -ec ir Ct' OV R 2O RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS T ^ GARB.DISP. STA.COOK CITY (i" S /Ci i( TEL.NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(y H.P.MAX.) .SO LICENSE NO. ,_ MOTORS: OVER NOT OVER H . DISTRICT NO. I GROyUP ZONE PR f ESSED BY . O 1 1.00 I 3 1.50 /INSPECT!,Q RECORD_ 3 S .. °�' 2.00 8 15 2.50 15 50 3.00 D_ 50 100 5.00 ` \ O V SIGNS: NO.TRANS- - NO.LAMPS O SERVICE 0.60OV-NoT OVER 200A 1.00 V W SERVICE 0.60OV-OVER 200 A. 2.00 0_ N SERVICE OVER 600V 5.00 - ? MISC. PERMIT ISSUING FEE 2.00 2co SUPPLEMENTAgY PERMIT ISSUING FEE 1.00 TOTAL FEE to 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 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 LOS ANGELES CO Y AND STATE OF FIXTURES CALIFORNIA OR THA TH EGAL OW E F TH ABOV - DESCRIBED RESIDEN ALP E POWER. ✓1 f/f SIGNATURE UTILITY CO.NOTIFIED . OF PERMITTEE 1 f LI �; .� •�FINAL ' -Al� VALIDATION ARTHUR-C. V,EIT,' E SUPERVISING LECTRICAL ENGINEER CK MO CASH r;l�oAPR 11 2 D 8.60- 41f/21 76pfj- e1806 8-62 APPLICATION FOR ELECTRICAL PERMIT �. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER rLO.AL,TY UILDING S BUILDING AND SAFETY DIVISION DDRESS JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING rP�u Q fp l f7,11 NEAREST r• /FOR APPLICANT TO FILL IN CROSS ST.RECEPT. TOTAL NO. EACH FEEOUTLETSFIRST 20 $20 $ OWNERLIGHT MAIL -3 SWITCH. OVER 20 .10ADDRESSLIGHTING TOTAL .20 CITY Lei (Q C(TTEL.NO. FIXTURES ADD'L 1OELECTRICIANOV R 2ORANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS AJV p GARB.DISP. STA.COOK - I •� CITY ! TEL.NO. 'AJ i DISHWASH. AUTO.-WASH. STATE SPACE HTRS. BTA.APP.(yz H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT G= Z NE P O E D RYA O 1 1� L 1.00 D Q 1 3 1.5o INSPECTION RECORD 3 8 2.00 8 15 2.50 J 15 50 3.00 d. 50 100 5.00 \ 0 U SIGNS: NO.TRANS I= NO.LAMPS O H SERVICE 0.60OV•NOT OVER 200A 1.00 V W a SERVICE 0.60OV-OVER 200 A. 2;00 N Z SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 CV TOTAL FEE $ Ov 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS oA DATE INSP/ECTOWS�SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT 1. 1 f .f WITH ALL -COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LI OENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ' CALIFORNIA OR THAT 1 AM THE L GAL OWN OF TH ABOVE DESCRIBED RESIDENTIA OPERT POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL *A LIDATION ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER 6,t' 4 6 5 9:u MAY 14 2 D 3.0�0 4' B 76A663-CES06 4-65 APPLICATION FOR ELECTRICAL PE MIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDISNG �= o �/ V� n BUILDING AND SAFETY DIVISION ADDRES 7Q 1vLJ JOHN A. LAMBIE..COUNTY ENGINEER /,,�� �J COLEMAN.W. JENKINS. SUPT. OF BUILDING LOCALITY / e- Cj l� NEAREST 0 P FOR APPLICANT TO FILL IN CROSS ST. b All RECEPTACLE I TOTAL NO. EACH FEE OUTLETS I FIRST 20 j20 LIGHT �I MAIL SWITCH -l�--ll OVER 2 10 ADDRESS OVER 20 1 TOTAL FIRST 20 .20 ` O CITY TEL. NO. LIGHTING l FI RES ` n J f FIXTURES J( ADD'L 1O CONTRACTOR J r- Ov j_et� OVER 20 /r�'y}Q /mow• p RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 10r&13 I V / } -G `^ GARB.DISP. STA.COOK ��++��► CITY /�- ♦ TEL. NO. DISHWASH. AUTO.-WASH. r!` t STATE SPACE HTRS. { STA.APP.('/z H.P./MARX.) / ,50 1510 LICENSE NO. MOTORS ": OVER NOT OVER H.P. 00DIST ICT(/NO. GROUP ZONE PR SSED BY 3 1.50 INSPECTION RECORD 3 8 2.00 �� / �����I:_��l''d "rv.� ��. �i✓� � � r •c 8 15 2.50 • ��s, 15 50 3.00 r C1� ...� i'r_' 0 50 100 5.00 SIGNS: NO.TRANS O NO.LAMPS G W SERVICE 0.600V-NOT OVER 200A 1.00 d h SERVICE 0.600V-OVER 200 A. 2.00 Z SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE g b APPROVALS DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK - w AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �0" ELECTRICAL WIRING. WIRING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR. FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR TH T 1 AM THE LEGAL OWNER AND INTEND TO POWER RESIDE IN,THE ABO C BED NTI ROPE RTY. / SIGNATURE UTILITY CO.NOTIFIED OF PERM]TT FINAL IYdd C fL ! OCKMO CASH VALIDATION JOSEPH C. ROOHANSUPERVISING ELECTRICAL ENGINEER L 8 10 e g DEC 13 2 D 7.9 0.111 1 Y� 76A663 DBS SA 11-SO APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC �����' COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT T,OFILLIN DISTRICT-N0. GRO PI ZONE PERMIT N.O. ELECTRICIA � G�� Q de RECE VED B READY FOR DATE ISSUED ADDRESS R-4-0 / 'YV1 YM-il'4 FIRST INSPECTION ® � CITY ` TEL. NO. ? COU(JTY LICENSE NO. �e) EXPIRES �3Q L BUILDING PERMIT FEES ADDRESS��• p%11 FEE NUMBER EACH LOCALITYf, e 0 e LIGHT OUTLETS NEAREST //� RECEPTACLES CROSS 8T.C/SP1 /. �� /? WALL SWITCHES OWNER ,tl "Y+ TOTAL OUTLETS Sc $ MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 2S /f $ CITY TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THI8 MISC. APPLICATION AND STATE THAT THE ABOVE IH CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY 13RDINANCEB NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER _ ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FEE OF THE RESIDENTIAL PROPERTY DEHCRIS ABOVE. NEW Mw. HP OVER INC. EACH & LESS $ .25 SIGNATURE OF,_�r°-` I= 2 .50 PERMITTE 2 a 1.0o INSPECTION RECORD 5 15 1.50 15 50 2.50 50 200 5.130 2013 500 10.00 J 500 1000 15.00 Z OVER 1000 20.00 Ij M.G. SET/FREQ. CHANGER-HP lz WELDERSIAC-KVA O GENERATORS - KW TRANSFORMERS - KVA ` TEMP. MOTORS (75% DF CRIG•) MOVED MOTORS (75% DF CRIG.) M ISC. SIGNS NO. NO.TRANS. APPROVALS n NO. NO. LAMPS. DATE INSP CT,OR'H NAME FOR EACH PERMIT: CONDUIT WIRING J�/ FIXTURES $1.00 WIRING ♦ ¢' / i SUPPLEMENTARY ,5p FIXTURES POWER TOTAL FEE $ UTILITY CO.NOTIFIED FINAL —/o z G6(� 76A663 DBS 5A 11-60 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC ' 1 WILLIAM J. FOX, CHIEF ENGINEER i FOR APPLICANT TO FILL' I/NDISTRICT O. GROUP I ZONE . PERMIT NO. ELECTRICIAN ,,���� _ fyk1 - RECEIVED BY READY FOR DATE ISSU D ADDRESS ,/- E� !- w� �?�J`.0 FIRST INSPECTION V CITY TEL.'NO. ' COUNTY LICENSE NO. � EXPIRES BUILDING / PERMIT FEES FEE ADDRESS (� f2 �1 7; NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST CROSS ST.f�""(--'A RECEPTACLES WALL SWITCHES OWNER / TOTAL OUTLETS Sc $ MAIL . ELEC. RANGES 2S ADDRESS ELEC. HEATERS 25 CITY. TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF,RECEPTACLE CIRCUITS v AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS 'THE ABOVE VALID LOS NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER FEE NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I,1 /z a Less $ .25 SIGNATURE O 1/2 2 .50 PERMITTEE — 2 5 .1.00 INSPECTION RECORD' 5 15 1.50 15' 50 2.50 C 50 200 5.00 - 200 Soo 10.00 ,J Soo 1000 15.00 Q Z OVER 1000 20.00 (? M. G. SET/FREQ. CHANGER-HP _ Q: WELDERS: AC-KVA GENERATORS-KW TRANSFORMERS-KVA I J TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (75%OFORIG.) MISC. SIGNS NO. NO.'TRANS. I APPROVALS NO. NO. LAMPS - DATE INSP,IECTOR•S.NAME FOR EACH PERMIT: CONDUIT I /�-_ 4vt4., WIRING $1.00 FIXTURES $1.00 ,I WIRING SUPPLEMENTARY .50. - �— FIXTURES POWER TOTAL FEE $/ UTILITY CO. NOTIFIED // .h ® FINAL ` V .1 V✓1° %EA553 DBS SA 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY amoalm COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN i RECEIVED BY READY FOR DATE ISSUED G� ADDRESS /m / 1 FIRST INSPECTION 'J l/ice• i CITY ✓ �.,,•�e, TEL. ND. ,� n/ � 3 COUNTY LICENSE N EXPIRES `--j BUILDING - "'� ADDRESS PERMIf FEES - NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS Sc $ MAIL ELEC. RANGES 2s ADDRESS .G ELEC. HEATERS 25 CITY / TEL. NO. FIXTURES 5 1 HEREBY CKNOWLED E 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 ORD.1'NANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I2 6 LESS $ .25 SIGNATURE OF / �n I/2 2 SO PERM ITTE �A'G��JC%d wv 2 5 1.00 INSPECTION RECORD 5 15 1.50 is so 2.50 50 200 5.00 200 500 10.00 J 500 1000 15.00 Z OVER 1000 20.00 (' M.G. SET/FREQ. CHANGER-HP it WELDERS:AC-KVA 13 GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTOR. (7 ° OF ORIG.) MISC. SIG 's L-- !� NO.TRANS. T S APPROVALS f� NO. LAMPS 1 DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.130 CONDUIT _ FIXTURES $1,00 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $� UTILITY CO. NOTIFIED f� �J FIN AL 3 l4 -i-el (Mirbat w`. 1 76A663 DBS SA 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY CC NTY OF LOS ANGELES ELECTRIC 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DIST RI NO. GROUP ZONE PERMIT NO. .sem 'r 15- - C35 630-11 ELECTRICIAN e• , R EIVEDBY READY FOR DATE ISSUED ADDRESyS- 7 .n h '-3%.eys, G�% ' .r-A_ A#. FIRST INSPECTION � — CITY /-� TEL. NO COUNTYi, LICENSE NO. . ae�fw EXPIRES G- ADDRESS ADDRESS PERMIT FEES rfy� FEE NUMBER EACH Y LOCALIT "n .101'e- LIGHT 0/ +P_ LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. Dd WALL SWITCHES OWNER TOTAL OUTLETS SC $ MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 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 HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW Mvo. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. %i s Lmss $ .25 SIGNATURE OF w 2 .50 PERMITTED -- —!7 2 5 1.00 INSPECTION RECORD 5 is 1.50 is SO 2.50 50 200 5.00 Jl/ } ',, .gyd4nE{I/ 0, C4LI�/� 200 500 10.00 ,• ..1 500 1000 15.00 Z' OVER 1000 20.00 ®� Moon�U mo f fd r,�rrt�rE- rR H 9 1�uMP. o M.O. SET/FREQ. CHANGER-HP � WELDERS:AC-KVA ` �.I p (,A-k/13 GENERATORS - KW I'PLEx ' .�hAls-� TRANSFORMERS - KVA RFJA,c oa gic TEMP. MOTORS (75% OF CRIB-) MOVED MOTORS (7S% OF ORIO.) p((1e,d ��y�� � MISC. 1 e - c,� RL)OK /9PPLIC SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 (J"� CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ TILITY CO.NOTIFIED I FINAL 76A663 DBS 5A 11-50 - 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 NEI. � I ELECTRICIA C�'3 7L B R VED BY READY FOR DAT1B13UED ADDRESS 7IO' l'yv�-1tit.O'V FIRST INSPECTION �2— CITY .@ TEL. NO. S � o/ 'I COUNTY LICENSE NO. EXPIRES&--��' 00� ./ M-�'� PERMIT FE S /® NUMBER EACH FEE LOCALITY r�f?ft'n_ /1-1G••"�I LIGHT OUTLETS NEARESTgyp_ RECEPTACLES CROSS ST. V .s 4el P WALL SWITCHES OWNER 11 t) [ c A TOTAL OUTLETS 5C $ _ MAIL ELEC. RANGES 2S ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 51 HEREBY ACKNOWLEDGE THAT 1 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 HORSEPOWERFEE ANGELES COUNTY- LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP -VER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. al !/2 a LESS $ .25 _ O 6 SIGNATURE OF4�6� a.,!✓ _ %2 2 .50 PERMITTEE +"`fes' 2 5 1.00 INSPECTION RECORD 5 is 1.513 _ 15 50 2.51 — _ 5O 200 5.00 _ 200 500 10.00 J _ 500 1000 15.00 Z OVER 1000 20.00 —'- 0 M.G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA O ' GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF DRIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS O. NO. LAMPS M DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 Q' CONDUIT FIXTURES $1.00 WIRING Its-? c" 4�� SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $3 UTILITY CO.NOTIFIED FINAL 7GA663 DBS SA 3-SD 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 20 V 'o fd ifo&,P S-Al 13� ea A REC IV/JS�D BY READY FOR DATE ISSUED 1 ADDRESS �V•' ` FIRST INSPECTION ,� CITY , TEL. NO. /V y / COUNTY LICENSE NO. EXPIRES 6 ,0/5"W BUILDING S �p PERMIT FEES ADDRESS FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST CROBB ST. RECEPTACLES WALL SWITCHES .OWNER ' TOTAL OUTLETS SC $ MAIL t ELEC. RANGES 25 ADDRESS ELEC. HEATERS 215 CITY TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IB 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 E LEGAL OWNER NEW MVD. HP OVER INC- EACH OF THE RESIDENTIAL PERTY DEH IBED ABo1/'E. aw I/2 & LESS $ .25 SIGNATURE or V2 2 .50 PERMITTEE a 5 1.= 420 INSPECTION RECORD V,3,k,- 5 15 1.50-- 15 .so15 50 2.50 50 200 6.00 k1' 200 500 10.00 JQ R AN% Sao - _ 1000 1 s.00 Z t% OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP WELDERS•AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% DF ORIG-) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS Na. NO.TRANS. APPROVALS No. No. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.430 CONDUIT • I FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE UTILITY CO. NOTIFIED FINAL 1 —/D �SZ WORKERS'COMPENSATION DECLARATION 76-663 10/81 APPLICATION FOR ELECTRICAL PERMIT hereby affirm that I have a certificate of consent to self insure, CE-Bose or certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy•thereof_Sec. 3800,Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ❑ Certified copy is hereby furnished - EACH. NO. FEE ADDRESS I New Residential Bldgs.& Pools ❑ Certified copy is filed with the county building inspection 1 & 2-Family, Sq.Ft. $ — $ LOCALITY 16 department. Multi-family Sq.Ft. NEAREST CROSS ST. Residential Swimming Pools OWNER OR Mir DateApplicant + \� `FIRM NAME r CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec— Light — Sw. — _� MAIL COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by the First 20 permit,is for one hundred dollars($100)or less.) Total No. Additional CITY Tel.No.'. I certify that in the performance of the work for which this permit PLAN CHECK III .- APPLICANT is issued, I shall not employ any person in any manner so as to '• • become subject to the Workers'Compen ion L ws. Lighting Fixtures First 20' ADDRESS /' Additional Total No. CITY Tel.No. Date / Applican Fixed Appliances Not Over 1 HP PERMIT' l NOTICE TO. APPLICANT:- If, after making this Certificate of C^ ✓b� Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT ' provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer — W.M._ ADDRESS 6 provisions or this permit shall be deemed revoked. Top — FAU W.H. _ �5, LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ CITY Te. d I hereby affirm that I am licensed under provisions of Chapter•9 LICENSUMBER E OR y�/7S . Class. �,- (commencing with Section 7000)of Division 3 of the Business and Disp. — Room Air Cond. REGN Professions Code,and my license is in full force and a ect. / /, DISTRICT NO. � PROC D BY x(/7)1/ l Power Apparatus& Large Appliances , Size& Type HP,KW,KVA,or KVAR �+ O XV U License Number /�� /7�s Lic.Class Cy/U Up to 1 Incl. FINAL Contractor /eoi ,,Cl /. Date Over 1 to 10 Incl DATE VALIDATION 0 ❑ Over 10 to 50 Incl. FI V I am exempt under Sec. Over 50 to.100 Inc. OW.. B.&P.C. for this reason ��-1 �FOv�T�@r��10--0 N Servvi eQSwbd.'N1CC& Panej_MW Z Date: 0- 200 Amp.Under 600 V O Signature - . ' 201 - 1000 Amp.Under 600 V ..,-.,,...�_..._.......,. .. - ❑ Over 1000 Amp. or Over 600 V Exemption for Reg.Maint.Elect. ....1, _� ., .. ... .. _ SINGLE FAMILY Temp.Power Pole&Appurtenances - e HOME OWNER-BUILDER DECLARATION Sign with O ne Branch Circuit , I hereby affirm that I am exempt from the Contractor's License Law AUT64 - .....i h Ci B Sign Branch Circuits for the following reason(Section.7031.5, Business and Professions Additional .. � 3307 Code):❑ Misc.Conduits&'Conductors _ --- T40.50 .__,... I,as owner of the property,will do the work and the structure See Fee Schedule)Complete OtherTOTAL _ is not intended or offered for sale (Section 7044, Business ( p •.- - •• - TQ � �. .50 and Professions Code). , CONSTRUCTION LENDING AGENCY CKICK 40.50 NAW - I hereby affirm that there is a*construction lending agency for the ""' """`""""" ....SIM performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C:). - ...........-...........-..... . �� .. PLAN CHECKING FEE 0000-t,F001 7/19/89 Lender's Name PERMIT ISSUING.FEE O 4W . 1 AP11�1:15 Lender's Address I certify that I have read this application-and state that the above TOTAL FEE information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this Countyto enter up n the above-mentioned propert �ermftte. in p� SEE REVERSE FOR EXPLANATORY LANGUAGE �Sighature'oDate y WORKERS' COMPENSATION DECLARATION 76-863 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that 1 have a certificate of consent to self insure, CE-806G or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab. C.) �(� /� Policy NoAkZ Company'✓ r AI !/[/ FOR APPLICANT TO FILL IN JOB � p FEE ADDRESS91r. , Gw4 Certified copy is hereby furnished. New Residential Bldgs.& Pools EACH NO. LOCALITY U?.' � Certified copy is filed with the county building inspection 1 & 2-Family, Sq.Ft. $ _ $ P department. Multi-family Sq.Ft. NEAREST tom. CROSS ST. Date Applicant Residential Swimming Pools OWNER OR 1 FIRM NAME - CERTIFICATE OF EXEMPTION FRO WORKERS' Outlets:Rec Light — Sw. MAIL COMPENSATION INSURA CE ADDRESS �r (This section need not be completed if the work involved by the First 20 Total No. Additional CITY No. permit is for one hundred dollars ($100)or less.) Tel. I certifythat in the performance of the work for which this permit PLAN HECK p APPLICANT is issued,.I shall not employ any person in any mann as to become subject to the Work�Compensation Lighting Fixtures First 20 ADDRESS Additional Total No- CITY I.No. Date Fixed Appliances Not Over 1 HP NOTICE TO A ANT: If, after making this Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top — FAU _ W.H. _ CITY Tel.No. LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE OR (commencing with Section 7000) of Division 3 of the Business and REG.NUMBER C ss. Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT PR SED Size&Type HP,KW,KVA,or KVAR 0 License Number Lic.Class $(— Up to 1 Incl. FINAL V qD 3f�� Over 1 to 10 Incl. DATE VALIDATION Contractor Date !❑ Over 10 to 50 Incl. U FINAL I am exemp under Sec. Over 50 to 100 Inc. BY W 0.. B.&P.C.for this reason Over 100 I/VN Services,Swbd.,MCC& Panelboards Z Date: 0- 200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V Over 1000 Amp.or Over 600 V Exemptio or Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole& Appurtenances 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit g. I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits ACCT.T V��M for the following reason(Section 7031.5,Business and Professions Code): 3301 313-00 ❑ Misc.Conduits& Conductors 1 ITEMS I,as owner of the property,will do the work.and the structure p Other(See Complete Fee Schedule) _ is not intended or offered for sale (Section 7044, Business ® TOTAL 33 .00 and Professions Code). CONSTRUCTION LENDING AGENCY CHECK `'j`J.O'Ll I hereby affirm that there is a construction lending agency for the MANGEo01 performance of the work for which this permit is i sued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). PLAN CHECKING FEE Lender's Name 03O l.El'1�.1 PERMIT ISSUING FEE Lender's Address 1471 1 AM 8:45 I certify that I have r ad this application and state that the above TOTAL FEE OQ 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 above-mentioned property f spection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signa e of PdFmittee Date WORKERS'COMPENSATION DECLARATION CE 806G 10181 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of co ent to self insure, or a certificate of Workers' CompensatilA Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3 b. 065. Policy No. Company FOR APPLICANT TO FILL IN- JOB �� S �g Certified co s hereby furnished. EACH NO. FEE ADDRESS 1 A V PY Y New Residential Bldgs. & Pools ❑ LOCALITY Certified copy is filed with the unty building inspec- 1 & 2-Family, Sq. Ft. $ — �1- t' artme Multi-family Sq. Ft. — —'NEAREST �. CROSS ST. Residential Swimming Pools OWNER OR Date �plicant FIRM NAME (rl F✓ 19 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw. MAIL COMPENSATION INSURANCE ADDRESS This section need not be completed if the work involved'b First 20 ( tiP Y Total No. CITY Tel. No. ' the permit is for one hundred dollars ($100)or less.) Additional 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 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 PERMIT y NOTICE TO APPLICANT: if, after making this Certificate of APPLICANT 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 5 with comply with such provisions or this permit shall be Top FAU —W.H. — � 9 deemed revoked. CITY /V Tel. No:��7j LICENSED CONTRACTORS DECLARATION Hood , Fan ,Other_ LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER _qc7Class. (commencing with Section 7000) of Division 3 of the BusinessDISTRICT NO. PRO S D BY and Professions Code,and my license is in full fore Power Apparatus & Large Appliances d Size&Type HP, KW, KVA, or KVAR' 0. License NumberFINAL , Li 7-�_ Class C�7 Up to 1 Incl. DATE J�� D,._C Over,l to 10 Incl. S VALID N Contractor L�S��cc CS to f /h,Over 10 to50Incl. FINAL el ~ ❑ I am exempt under Sec. Over 50 to 100 Inc. BY UJ B.&P.C. for this reason Over 100 Services, Swbd., MCC& Panelboards Date: 0 - 200 Amp. Under 600 V r f Signature 201 1000 Amp. Under 600 V ''d 9 ],2 A ElExemption 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY 2 Temp. Power Pole & Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit UG I hereby affirm that I am exempt from the Contractor's License 0 2ScJ 0 Low for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): 2 50 v ❑ I, 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)_ , ('a L 9t-8 4 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 laws regulating Electrical wiring, and In t rize representatives of this County to enter upon t v ent'oneoperty for inspection purposes. JAL ZC�� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee ` Date f