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HomeMy Public PortalAbout9545 LAS TUNAS DR_Electrical__ D65 SA 25M SETS 7-48 ; . APPLICATION FOR PL DEPARTMENT ®F B S COUNTY LOS TELES ELECTRIC .J FO :C EF ENGINEER Q NAME R ° o s e c-Gr l c o DIsYRsc�T'No. GROUP ZONE PERMIT�t�'E�oy�yp a ADDRESS Sid 925 Meridian 7 � -2— p' n RECEIY�ED BY READY FOR DATE ISSUED CITY?: TEL NOSS 9--2 4 FIRST INSPECTION y / CERs NO. IMPIRs1S.6"30a-50 A. APPLICANT FILL IN HFAVILY OUTLINED PORTION ONLY DESCRIPTION OF W® A BDRESS 2153 "-a St s Tunas empl e y NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS JSW. PLUGS Mee 0PIR 1ST• C RCUIr A B C D E G H a: NAME Security 1st Nat* B n- ADDRESS 2153 mast Las Tunas CITY TEL.NO. I APA THS L L POSSES OR OFA HE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. H AM THE LEGAL OWNER OF THE PRO ERTY DESCRIBED 40 Plu s AROVM �A�,gg��g��7n r� ��Q OWNER. no )-s- CORRECTIONS IONS 4- less thin 1 p Mo o s F � a z cD PNO. OUTLETS $ APPROVALS FIXTURES ffi DATE INSPECTOR'S NAME MOTORS—/—/ H.P. . $ c CONDUIT', NO. OF SIGNS TRANS. / WIRING NO. OF RANGES OR HEATERS $ FIXTURES 1 CELLANE US $ POWER y PERMIT FEE i$ UTILITYCO.NOTIFIED e 7s l Q OTAL FM. '" �ib TINA ly;�3x'���'•L�,�' w r ma., -^�- DBS SA 25M SETS 7-48APPLWAPNOTAT FOR PWS ' DEPARTMENT OF BJH DE4G AND SAFETY ELECTRIC COUNTY OF LOS ANGELES wM J. F02S. C B GIN R z NAME pp\�� _(�� � DISTRICT NO. GROUP ZONE PERMITNO. ADDRESS �i V 1 5/;7 _ 4 U CITY NG!' s Y A / RE/C�EIV�EQDBY FIRST INSPECTION READY FOR DATE ISSUED COUNTY CERT.NO. APMCANT FILL IN HEAVILY OUTLINED POR'JON ONLY JOB DESCRIPTION OF WORK , ADDRESS '71 NUMBER OF OUTLETS ON CIRCUITS LOCALITY _ LOCATION 19Y ROOMS - NEAREST gy LIGHT OUTLETS lsw. PLUGS FI7[T C R CIRCUIT A r. C D E F C3 IH W NAME 2 PAILA- -ADDRESS?- L ? 5-? ADDRESS o CITY TEL.NO. 1 AM TPM LEGAL. POSSESSOR O THE ABOVE LOS ANGP-M COUNTY°CERTIFICATE O UALIFICATION.. ELECTRICIAN. I Alf THE LX"L OWNER Ofl� TFII$ R—FORTY DESCRIBED AEOVS 6�ll�gy g.+ AT OWNER. . 4L�SCffii CTILONS J ' Q Z_ 3 O TOTAL NO. OUTLETS $ APPROVALS NO. OF FIXTURES �® $ 57Z) DATEINSPECTOR'S NAME NOO. OF MOTORS H.P. $ CONDUIT N . OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANMUS $ POWER \ PERMIT FEE $ UTILITY CO.NOTIFIED � TOTAL FF.9 -,-BS SA 25M SETS 1-48 e2110�1{,f',A73B/1N FOR 1$LA�lffllAfTtgi ��P� E�T��rg�®��p.,g����QT �T��.*���+ S "" j�ri�541'ILa JiQll�l $' S�Ll��1�1d8 COU d i 1➢11' LOS EAl`IlyS�LES 1 * )M. J, FO CH 61. R NAME Ti' f, . DISTRtCT N0. ®ROUl� ZONE' PERMIT 111j ADDRESS 925 Me idian �' �. •�CITY SO Pasadena Tom,.MO. Sy 9-2 24 REcsIVED BY FIRST INSPECTIONREADY FOR DATEISSUE COUNTY 4 —3 — Chi_ I .. 3- 14-- IJ Li I CERT.NO. EXPIRFA APPLICANT FILL IN HEAVILY OUTLINED PORMN ONLY JOB DESCRUMON OF WORK ADDRESS 2153 Enst Las Tuna s NUMBER OF OUTLETS ON CIRCUITS LOCALITY Temple City LOCATION BY ROOMS NEAREST Pr Vir 5 8 LIGHT OUTLETS ISW. PLUGS F00 $S ST. CIRCUIT A 13 C D E F G Li 99 NAME a sADDRE55 516 So date 0 Clrr Alahambra TEL No I A1Y! THE LEGAL POSSESO OF THE ABOVE LOS ANGELI8 COUNTY CERT F QUALIFICATION.. ELECTRICIAN. I AN THS LEO.'1I.OWNER OF TH PROPERTY DESCRIBED ASOVM p7 OWNER. CO CTJONS - r� i y, 9 s J v rOF /lS�l✓�.�ii z suis l TS � $ / U APPROVALS RES DATE INSPECTOR'S NAME S H.P. $ CORIDUIT k . OFSIGNS TRANS. $ WIRING . OF RANGES OR HEATERS $ FIXTURES LLAtMOUS.. $ \ POWERRMIT FEE \; ?ik_* k e+ $ `/ UTILITY CO.NOTIFIED .TAL F " { FIN t 8 S-A 12-43 2SM D APPLICATION FOR PERMIT'DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER Q NAME C 7C- V ,� �' DISTRICT NO. GROUP ZONE PERMIT NO. U ADDRESS �Q T{/G CITY Q�"`� TEL.NO. ����??AA RECEIVED BY READY FOR DATE ISSUED A COUNTYt� '1uT� //�jJ FIRST INSPECTION �/S W CERT.NO. V rQ V C`s� `_--- EXPIRESTS APPLICANT FILL IN HEAVILY:-OUTLINED PORTION ONLYJOB ` DESCRIPTION OF WORKf� R SS I C��/ LT�S .y(V��4J NUMBER OF OUTLETS ON CIRCUITSTY 7-- LOCATION - MAIL LOCATION BY ROOMS T LIGHT OUTLETS SW. PLUGSST. r/ rO cS.,GC+ ./ Q CIRCUIT A B C D E. F G ME��C- /"/T3/ PU .LS DRESS TY /�'�7' TEL.NO.�U, a--?Il 07/) y1'I Z THE LEGAL POSSESSOR OF THE ABOVE LOS ES COUNTY CERT CA OO�,Q .A-TION.. / O / ELECTRICIAN. I AM THE LEGAL OWNER F THE PROP DESCRIBED ABOVE dWNER. v CORRECTIONS Lo 11 IV I J _ Q Z_ r L9 O TOTAL NO. OF OUTLETS G . $ ,30 APPROVALS NO. OF FIXTURES' $ ��V DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS c TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER t PERMIT FEE $ UTILITY CO.NOTIFIED / TOTAL FEE 31J FINAL 768663-CE806 10/72 APPLICAT O? WRtCTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER aooREss �S7�C_. v BUILDING AND SAFETY DIVISION LOCALITY _ J NEAREST 4 FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER OR FIRM NAME RECEPT-a $ S MAIL LIGHTFIRST 20 ADDRESS TOTAL 9,3 '.� r .S ✓1i�1� .25 CITY TEL. N0. SWITCH OVER 20 .10 LAN HECK LIGHTING FIRST 20 25 00 APPLICANT �.� TOTAL FIXTURES OVER 20 .f0 ADDRESS .G / RESIDENT AL APPLIANCES CITY 015 TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT �L�r_ STA. COOK OISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. LICENSE OR CLOTHES WASH. DISHWASH. REG. NUMBER 91175 CLASS.�/'•�U FAN OTHER 1.00 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 & TYPE OVER TO 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE C 1 - 10 3.00 DESCRIBED RESIDENTIAL PROPERTY. � U PERMITEE 10 - 50 5.00 SIGNATURE O F- 50 - 100 10.00 v DISTRICT NO. D B PROCESSY LaJ d 100 - 500 15.00 c")SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE IN SP OR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICE NOTOVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING � oil 2a! TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL Q762 1/' ( 20, PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 U TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ± � . 404 273 DEC2 D - 5 .75 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE _ -%'� 76A663-CE906 4-68, APPLICATION FOR ELECTRICAL . P MIT f' "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 LOCALITY T NEAREST FOR',A PPLICANT TO FILL IN - CROSS ST. NO. EACH FEE RECEPT._ $ $ OWNER MAIL LIGHT TOTAL . FIRST 20 .20 ADDRESS SWITCH - OVER 20 .10 CITY TEL. NO- PLAN CHECK LIGHTING �TOTAL FIRST 20 .20, APPLICANTFIXTURES OVER 20 .10 ADDRESS RANGE—DRY£R_WTR.HTR._ CIT -s TEL. NO. G STA.COOK_DISP. F.A.U._ CONTRAcrORr_ SPACE HTR. AIR COND.— ADD R E SS I OND. ADDRESSI (� CLOTHES WASH._DISHWASH._ CITY iris . '1000-7 TEL.-NO. FAN—OTHER 1.00 - LICENSE NO. 11 QZ CLASS. Com( Q MOTORS,TRANSFORMERS RATING IND.. HEATERS, ETC. HP. KW. KVA. `I HEREBY ACKNOWLEDGE .THAT 1 HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE,IS CORRECT AND AGREE TO COMPLY WITH ALL.COUNTY ORDINANCES: AND STATE LAWS REGULATING ELECTRICAL WIRING. ' 0 - 1 1.00 I HEREBY CERTIFY THAT. I AM PROPERLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES.COUNTY AND STATE OF " CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 10 - 50 5.00 - RESIDE I.N, THE ABOVE DES IP. RESIDENT L PROPERTY. O U S0 - 100 10.00 SIGNATURE � 'F' OF PERMITTEE lr O 100 - 500 15.00 F- DI SIj3J CT G O P NE PROCESSE BY w SIGN,GAS SIGN AND ONE CIRCUIT �/ 3.00 f'iU �' N TUBE,'OR -�" MARQUEE oo - Z - 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 INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK.FEE (50% PERMIT FEE), POWER AUTHORIZED PERMIT ISSUING 'FEE2.00 UTILITY CO.NOTIFIEO SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL y�.y TOTAL FEE J 6f JOSEPH C- ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH WE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 1. .h �1d V' }I CITY . %. .. i8A488•CE8084.90 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE.COUNTY ENGINEER J _ WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. OWNER Sy Gl1 � g'� � 1 T E M INUMBER EACH FEE �/J MAIL 1- J OUT S: `� $ �// ADDRESS S / LIGHTS RECEPT. SW. ear .10 C v y� ,,o LIGHTING FIXTURES 10 1-7;? -0 CITY /" 1. TEL.NO. ELEC. RANGES CLO. DRYERS ELECTRICIAN . C'l3ic '(3 0 WATER HEATERS .50 ADDRESS C7r,"eA �7 ELEC.SPACE HTRS. DISHWASHERSCITY '} TEL.NO. OG / GARBAGE DISPOSERS AUTO.. STATE p ,,*y /8 - Gf WASHERS STA,COOKING UNITS .25 6 LICENSE NO. MOTORS: OVER INC. H.P. DISTRICT . G UP Z NE P . D O +/2 .25 +i, — 2 .50 INSPECTION RECORD 25 — 5 1.00 W� 0- Is Is 1.50 d n ,O 15 — 50 2.50 Jf3�✓ fy'` ! % �/J SO 200 5.00 �i A• :/�.-O ,P�i�!^^`� � � •W SIGNS: NO TRANS. 1 d NO. LAMPS Z SERVICE 0.600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE ffi ZD 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. WIRING 1 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 THE LEGAL OWN OF THE ABOVE � DESCRIBED RESIDENT L PRO ERTY. POWER? SIGNATURE UTILITY CO. NOTIFIED +I /�d}j Csf9 t OF PERMITTE / 1, FINAL )(S�! / LIDATiON A HUR'C.VEIT. CK NO CASH SUPERVISING ELECTRICAL ENGINEER i 5. 1' 1. 3 2 D 7 r ice' c i . C 76"66`_CE#aOB 5.6, APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS /ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER / WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES OWNER I T E M NUMBER EACH FEE MAIL $ $ ADDRESS OUTLETS: r /J G /✓ LIGHTS RECEPT. SW. •1O CITY �C iC� l 14L TEL. NO. LIGHTING FIXTURES `" •t0 ELEC. RANGES CLO. DRYERS ELECTRICIAN 1-7 WATER H E N-T-ERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS Y CITY ��AI /31 TEL NO. '7_14 O GARBAGE DISPOSERS "_ AUTO.- STATE /1117 L �} WASHERS STA.COOKING UNITS ,25 LICENSE NO. / ✓ Com- �D MOTORS: OVER INO. H.P. DI T ICT NO. GROUP ZONE P ESSED BY 0--1/2 .25 v2.- 2 j1y Z .50 IN PECTION RECORD 2 5, . 'j� 1.00 O 5_ 15 1.50 V 15— 50 2.50 OC O 50— 200 5.00 V W NO TRANS. 12. cn SIGNS: NO.LAMPS z SERVICE 0-600V 1.00 1 SERVICE OVER 600V 5:00 misc. WIRING PERMIT 1.00 ....r FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AfPLICATION 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. WIRING IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNT AND STATE OF FIXTURES ' CALIFORNIA OR THAT 1 AM THE LEGAL OWNE F THE ABOVE DESCRIBED RESIDENTIA ROPE POWER / SIGNATURE - UTILITY CO.NOTIFIED OF PERMITTEE FINALr�ff°, G� VALIDATION A THUR�C. VEIT CK MO CASH 511PERVISING ELECTRICAL ENGINEER , !11 +. 76A663•�E806-10.56 A P P L I C A T I.O N FOR ELECTRIC PERMIT BUILDING AND SAFETY DIVISION Department of County Engineer ]BUILDING" 9� �u N'9, County of Los Angeles ADDRESS 7 JOHN A. LAMBIE,'COUNTY ENGINEER CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY - NEAREST FOR APPLICANT TO FILL IN ROSS ST (-'L1 -RI lyl n PERNIIT FEES OWNER. TrG(P?^i.iT� LIGHTS RECEPTACLES SWITCHES NUMBER 1 T E M EACH I FEE MAIL �j �I �• ADDRESS 7S'!j <6_ 46", A-0s, TON IRS TOTAL OUTLETS $ .10 $ �,w w�,/ ' ELEC. RANGES, WATER HEATERS, CITY� �"]� c-f I 1 TEL. NO. CLOTHES DRYERS .50 ELECTRICIAN S lV 0 1 -e-01Z' P ELEC. SPACE HEATERS, STAT'Y. COOK- ��' ¢-� [NG UNITS, GARBAGE DISPOSERS, ADDRESS (sY S f AUTO WASHERS, DISHWASHER .25' LIGHTING FIXTURES .10 CITY. r /'7' 17 TEL. NO. MOTORS STATE LICENSE NO. 0 HORSEPOWER H.P. OVER ER DISTRICT O. 14P NEf 1� READY FOR INSPECTION 1/] &LESS .25 02- 2 .50 INSPECTION RECORD 2 5 1.00 5 15. 1.50 15 50 -2.50 50 200 5.00 MISC. /- SIGNS I NO.TRANS 4 ©n NO.LAMPS C! SERVICE O-600V 1.00 SERVICE OVER 600V 5.00 WIRING PERMIT 1.00 0� FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 APPROVALS TOTAL FEE $ a DATE INSPECTORS SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND 'STATE LAWS REGULATING ELECTRICAL WIRING. WIRING .1"�e � I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE BOVE POWER DESCRIBED RESIDENTIAL P�ERTY I SIGNATURE UTILITY CO. NOTIFIED OFPERMITTE �' FINAL JOHN A. LAMBIE. IDATION ARTHUR C.VEIT. COUNTY ENGINEER - SUPERVISING ELECTRICAL ENGINEER K MO CISH 2,00 CSS 76A66 3C- CESOI�B 12,76 APPLICATION FOR ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN JOB FResitdential Bldgs.& Pools EACH NO. FEE ADDRESS Sq. Ft. $ — $ LOCALITYq. Ft. — NEARESTCROSSST.imming Pools OWNER O.R FIRM NAM Outlets: Light, Switch& Receptacle MAI L First 20 ADDRESS Additional ' CITY - Tel. No. PLAN CHECK APPLICANT Lighting Fixtures First 20 ADDRESS Additional CITY Tel. No. PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range Heater_ D.W. Oven Dryer W.M. ADDRESS Top FAU' W.H. CITY tib >„g Tel. No. LICENSE OR Hood Fan REG. NUMBER 7 Class.e— Z Cp Disp. A.C. 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 U ELECTRICAL WIRING. Size&Type HP, KW, KVA,or KVAR a Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR y Over 1 to 10 InCI. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE Over 10 to 50 InCI. DESCRIBED RESIDENT PROPERTY. Over 50 to 100 Incl. PER MITES Over 100 SIGN A T U DISTRICT NOS OCES ED BY Services 0-200 Amp. Under 600 V 201 - 1000 Am Under 600 V INSP TOR'S Amp. APPROVALS DATE SI ATORE Over 1000 Amp.or Over 600 V TEMP. POWER POLE Temp. Power Pole&Appurtenances UNDERSLAB WORK 1-1!7-77 Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE 1 TOTAL FEE NOTES � �rP c ��' C7C- =4✓ -�' .• °� /{ PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. . CASH 1 6 3 JAS �4 2 2 0.1 5 ,&mss WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, 76A663 or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereooff.(Sec. 3800 Lab. C.) P�OIyiCy N�('"Q1 CC�npany FOR APPLICANT TO FILL IN JOB DDRE "'4 Z �J Certified copy is hereby furnished. —� �3 New Residential Bldgs.&Pools NO. EACH FEE �^ ❑. — $ $ LOCALITY Certified copy is filed with the county building ection 1 &2-Family,Sq.Ft. NEAREST department. Multi-family Sq.Ft. CROSS ST. Residential Swimming Pools ASSESSOR Date IrpliCan MAP BOOK ' PAGE PARCEL CERTIFICATE OF EXEMPTIO FROM WORKERS' Outlets Rec NAME Light Sw. OWNER OR COMPENSATION INSURANCE �(J. � Q LGA 1�rrrr��������. First 20 MAIL .(This section need not be completed if the work involved by the. Total N Additional a ADDRESS permit is for'one hundred dollars($100)or less.) " I certify that in the performance of the work for which this permit C Y -T . _ 0 0"7 is issued, I shall not employ any person in any manner so as t0 PLAN CHECK become,subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should,become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. pYovisions of the Labor Code, you must forthwith comply with such PERMI provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLI NT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR' ADDRES071q I=; I'hereby affirm that I am licensed under provisions of-Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000) of Division 3 of the Business and C r, Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. V Over 50 to 100 Incl LICENSE OR L73 REG.NUMBER# Class.CA CL /� Over 100 DISTRICT NO. O ESSED BY License Number ` / _( Lic.Class �/ p V Services,Swbyy,MCC& anelboard 15 00 Ltd-+.� n er 600 V U FINAL O Contractor Data p' DATE I— ❑ 400-1000 Amp.Under 600 V — Z VALIDATION w I am exempt under Sec. Over 1000 Amp.or Over 600 V FINAL a B.&P.C.for this reasonBY U) BRANCH CIRCUIT FEES Date: 15A,or 20A, 120V,Lighting or Recept, yv Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits El Exemption Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits , SINGLE FAMILY Temp.Power Pole&Appurtenances (.;i_1 a aq HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I herebyaffirm that I am exempt from the Contractor's License Law g - for the following reason (Section 7031.5, Business and Professions Additional Sign Branch.Circuits 3307 IUD. Code): 1. ITEMS. I, as owner of thep ❑ ro ert will de the work and the structure Misc.Conduits&Conductors s µ is not intended orof offered for sale (Section 7044, Business Other(See Complete Fee Schedule) () i and Professions Code). NECK •t 305.s•_t CONSTRUCTION LENDING AGENCY ("HANGE L hereby affirm,that there is a construction lending agency for.the performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ. C.) PLAN CHECKING FEE Lender's Name { PERMIT ISSUING FEE 706 � ,���iis a: Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above 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 for inspection p aSEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTEE DATE WORKER'S COMPENSATION DECLARATION 20-0019DPW(t2-9t) 76A663 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I ha0e a certificate of consent to self insure, or a certificate.of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy tJtereof(Sec.3800 Lab.C.) hC Policy No. O(y.2 S Company a V<� FOR APPLICANT TO FILL IN ADDRESS S ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE, LOCALITY y� 1&2-Family,Sq.Ft. — $ $ U Certified copy is.filed with the county building inspection _ NEAREST (� department. Multi-family Sq. Ft. CROS"sT. F,O,Se-- CJV P_ Date' —4013 Applicant CLA Residential Swimming Pools ASS BooK MAP PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. OP.M NAME COMPENSATION INSURANCE First 20 MAIL (This section,need not be completed if'the work involved by the ADDRESS ` V permit is for one hundred dollars($100)or less.) Total No. Additional I certify that in the performance of the work for which this permit CITY 7eM y Ter.No. is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Notal No. Additional n ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of C,IT'd_0,S4M Tel. i1_ -/ Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. l/ rovisions of the`Labor Code, you must forthwith complywith such PERMIT p Power Apparatus&Large Appliances APPLICANT y\e l provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS Fe 1 hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl, (commencing with Section 7000) of Division 3 of the Business and CI NC� V Tel. _ejgcl?-yQ Professions Code, and my license is in full force and effect. Over 10 to 50 Incl. LICENSE OR Class. ` Over 50 t0 100 Incl. REG.NUMBER Q License Number 0_a d Lie.Class Y `^ Over 100 DISTRICT NO. PROCESSED BY Q -3 J ��� a - Services,Swbd.,MCC,&Panelboards tY V —I R"'Q3 0-399 AmUnder 600 V FINAL 0 Contractor L' �e-L1� r��� Date Zp. DATE ❑ under Sec. 400-1000 Amp,Under 600 V _/ I am exempt ( VALIDATION W Over 1000.Amp.or Over 600 V FINAL - B.&P.C.for this reason BRANCH CIRCUIT FEES BY 11 Date: 15A,or 20A,120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION . z tt I herebyt from the Contractor's License Law Sign with One Branch Circuit � �. xa cV affirm that I am exempt for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits +�— — Code): 33137 s:f•`_ro `=+ El I,as owner of the property, will d MiCdit &Cdt9 IT o the work and the structure i Ef is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) =' and Professions Code). t(1 }1( ps„ CONSTRUCTION LENDING AGENCY CHECK 85`65 I hereby,affirm that there is a construction lending agency for thet.HANGE ,t(1 performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) D p Civ. C.) PLAN CHECKING FEEr t'• i[? Lender's Name 01100 0. Ell 2/N PERMIT ISSUING FEE I PN12:2* Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above 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 for spection purposes. QQ '' SEE REVERSE FOR EXPLANATORY LANGUAGE. SIGNATURE OF RMIT' E DATE WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) 76A663 APPLICATION FOR ELECTRICAL PERMIT ll I hereby affirm that I have a certificate of consent to self insure, or a wertificate-of worker's Compensation,Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof.(Sec,3800 Lab.C.) t c v1 2�s _ Policy cy Noo.. CompanJOB - f s* ^' FOR APPLICANT TO FILL IN ADDRESS} �+� - I, � � Certified copy is hereby furnished. NO 'EACH FEE ' .% New Residential Bldgs.&Pools LOCALITY G 1&2-Family,Sq.Ft. _ $ $ Certified copy is filed with the.county building inspection NEAREST n` department. Multi-family Sq.Ft. cROss ST. y1�1���. Date 4� Applicant Y ► "_�� ��� Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Cutlets:Rec. Light Sw. FOIRM OR NAME �'CL�/� G COMPENSATION INSURANCE First 20 ��� MAIL L+ 1 (This section'need not be completed if the work involved by the ADDRESS �`'�'� permit is for one huddled dollars($100)or less.) Total No. Additional . I certify that in the performance of the work for which this permit CITY—� � Tel.No. is issued, I shall not employ any person iri any manner so. as to PLAN CHECK become subject to.the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT �y,�jL Total No. Additional ADDRESS DateApplicant i ��-"' NOTICE TO APPLI ANT•: If, after making this Certificate of RESIDENTIAL APPLIANCES NOT OVER 3 HP. CITY Tel.No. Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. rovisions.of the Labor Code, you must forthwith comply with such PERMIT P Y P Y APPLICANT provisions,or thjs permit shall be deemed revoked. Power Apparatus&Large Appliances LICENSED CONTRACTORS DECLARATION Size&Type HP,.KW,KVA,or KVAR ADDRESS21F; � 1 •��jTrQ , I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000) of Division.3 of,the Business and CITOver 10 to 50 Incl. Y �G_,4_ Tel.No. Jct 'Tall_ Professions Code;and my licenss is in full force and effect. LICENSE OR } Over 50 t0 100 Incl. REG.NUMBER I.••`f�a����� Class. CL /� Over 100 DISTRICT NO. P OCESSED BY O License Number. b Lic.Class ��w '^A Services,Swbd.,MCC&Panelboards. ©f ContractorDate �� 0-399 Amp.Under 600 V DATE O ❑ - 400-1000 Amp.Under 600 V LU C 1 b am exempt under Sec. VALIDATION Over 1000 Amp..or Over 600 V FINAL d B..&P.C.'for-this reason BRANCH CIRCUIT FEES BY Date: 15A,or 20A,120V,Lighting or Recept. / Z 1 To 10 Branch Circuits �d Signature 11 To 40 Branch Circuits 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILYTemp. Power Pole&Appurtenances --.....-.. _. JL i•;: HOME OWNER-BUILDER DECLARATION A' �.°g I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit forthe following reason (Section 7031.5, Business.and Professions Additional Sign Branch Circuits L71=)G'7 r�n Code): -- C _ ! t s_. {'Ir.. I, as owner of the property,will do the work and the structure Misc.Conduits&Conductors --- y is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). - CHEC• 72.15 CONSTRUCTION LENDING AGENCY �:i-li s eLl f I hereby affirm that.there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) y� Civ.C.) Frt'jn" PLAN CHECKING FEE 013 Lender's Name :yr s `1M'JL-<;•._e PERMIT ISSUING FEE wu r� .-.---.---.__ Lender's Address -_---.---._.. . I certify that I have read this application and under penalty of purjury state TOTAL FEE �o that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize re en tat eS,of this C unty to enter upon the above-mentioned property for insp ti n purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE 0 PERM TEE DATE - - WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) I h APPLICATION FOR ELECTRICAL PERMIT 76A663 , y affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 338000 Lab. C.) �qt T Policy No. "7 ✓ Company /V 1'"' Ar..&-w FOR APPLICANT TO FILL IN - JOB ADDRESS /��� .Certified co is hereb furnished. NO. EACH FEE . PY' Y New Residential Bldgs.&Pools LOCALITY ❑ — Certified copy is filed-with the county building inspection 1&2_-Family,Sq.Ft. $ $_ NEAREST deprtme t.°7_ _ i'/ Multi-family Sq.Ft. CROSS ST. Date ' �e_ Applicant /�"��� � Residential Swimming Pools MAPEBOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. FIRMER OR NAME COMPENSATION INSURANCE First 20 MAIL (This section need not be completed if the work involved by the Total No. Additional ADDRESS permit is for one hundred'dollars'($106)or less.) I certify that in the performance-of the work for which this-permit CITY Tel.No. is issued, I shall not employ any person-in any manner so as to PLAN CHECK become subject to the Workers' Compensation Laws.. Lighting Fixtures First 20 APPLICANT �r�/!LQ f�✓� � Total No. Additional. ADDRESSj/�„ Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Exemption,.you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of'the Labor Code, ou must forthwith com I with•such PERMIT l P Y p Y Power Apparatus&Large Appliances APPLICANT' Pti � /! provisions or this permit shall be deemed.revoked. LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS 00, I hereby affirm that I am licensed under provisions of..Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE OR / ClS } Over 50 to 100 Incl. REG.NUMBER �J a�6 J ass.C�"s✓ 0- License Number !Vt);2-0-63 LIC.Class `J �"" Over 100 DISTRICT NO. PROCESSED BY O Services,Swbd.,MCC&Panelboards IScc 44G'IV AA Q �� j 0-399 Amp.Under 600 V FINAL 0 Contractor_ Date DATE ❑ 400-1000 Amp.Under 600 V 0414 (!/ W I am exempt under Sec. Over 1000 Amp.or Over 600 V FINAL T VALIDATION d B.&P.C.for this-reason BRANCH CIRCUIT FEES BY U) Date: 15A,or 20A,.120V,Lighting or Recept z 1 To 10 Branch Circuits " Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for'Reg.-Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp. Power Pole&Appurtenances. �r'CT HOME OWNER-BUILDER DECLARATION I <""I g _ Sign with One Branch Circuit I hereby affirm that I'am exempt from the Contractor's License Law for the following reason (Section 7031:5, Business and Professions Additional Sign Branch Circuits Code): ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors -yl is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). ® CHEC" CONSTRUCTION LENDING AGENCY s`-_-s r`sj� ;t€1,_k Iul '1= I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ. C.) t __'1 '•) i;"' 3 f' PLAN CHECKING FEE Lender's Name ` "3,J tf i s` A I ': PERMIT ISSUING FEE Lender's Address I certify that I:have read this application and under penalty of purjury state TOTAL FEE that the above 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 for inspection poses. SEE REVERSE FOR EXPLANATORY LANGUAGE AAA F-3 SI NATURE O PER EE DATE WORKERS'COMPENSATIONDECLARATION CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT CE-806 i I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGE IS AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lah.C.) : FOR APPLICANT TO-FILL IN ,JOB Policy NoJ1t�t-Corn pan y Mate Fund EACH NO. EE -- ADDRESSa/ E. Las Tunas Dr2 New Residential Bldgs.&Pools Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ 1 LOCALITY ❑ Multi-family Sq. Ft. — NEAREST C'J 17 Certified copy is filed with the county building inspection CROSS ST department. Residential Swimming Pools OWNER OR FIRM NAME Security Pacif1C Bank Date 4-22—'81-Applicant The Giddens, Corp.. Outlets: Rec.�Light2_ Sw. MAIL First 20 ADDRESS Same CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. 8 Additional CITY i TeLNo• 285-3'191 �- COMPENSATION INSU"RANCE t1 PLAN CHECK APPLICANT (This section need not be completed if the work involved U Lighting Fixtures First io ADDRESS by the permit is for one hundred dollars ($100) or less.) Total No. 2 Additional 0 I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. F- permit is issued, Ishall not employ any person in any manner PERMIT The Giddens Cor. W so as to become subject to the Workers' Compensation Laws. Range_Heater_D.W. APPLICANT P• tL Oven _ Dryer_W.M. ADDRESS N 14 1 nd 1 Ave. Date Applicant Top _ FAU _w.H.._ 245-6861 Hood — Fan _Other_ CITY Tel No, NOTICE TO APPLICANT: If, after making this Certificate of Disp.' _ Room Air Cond.— LICENSFOR Exemption, you ,should become subject, to the Workers' REG. NUMBER 266749 Class . C 10 Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. P EP BY with comply with such provisions or this permit shall be Size&Type HP,KW,KVA,or KVAR /"- deemed revoked. Up to 1 Incl. 419 FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl DATE b f VALIDATI N Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 1-00 Inc. FINAL d^ 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 License Number '2 6 6 7 4 9 Lic.Class C 10 0-200 Amp. Und&.600 V 3US. L i C: # 6667 201-1000 Amp.Under 600 V Contractor Giddens .COrpate 4-22-81-.. -Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATIONTemp. 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 ❑ I, .as owner of the property, will do the work and the; Other (See Complete Fee Schedule)— 'A 91. 1 'A ,structure is not intended or offered for sale (Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY o o.0 0 o 2 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) 55 0 .2'-.-.1'2 0 0 issued (Sec. 3097,Civ.C.). Lender's NamePo•0 0 1 2 0 0 55 PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE 700 G 2.3,-'8 1+ r I certify that I have read this application and state that the TOTAL FEE 12 0 . above 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 he ab ve-mentioned property for inspection purposes.. SEE REVERSE FOR EXPLANATORY LANGUAGE I AdL f� 4-22-81 Signature of Permittee Date WORKERS'COMPENSATION DECLARATION 76-663 10/81 CE-806G APPLICATION FOR ELECTRICAL PERMIT V {� I hbreby affirm that I.have a certificate of consent to self insure, LJ or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy.theree� (Sec.3800,Lab.C.) fr1 /'' Policy I�Oh Company`• • 1106 •N� FOR APPLICANT TO FILL IN JOB r][//C �• / N�C n , Certified copy is hereby furnished. New Residential Bldgs.& Pools, EACH NO. FEE ADDRESS `7J 1 & 2-Family,Sq.Ft. $ — $ LOCALITY � Cj`t-GI Certified copy is filed with the un uiI ' insp tion — department. Multi-family Sq.Ft. NEAREST 7� Yr$ CROSS ST. Residential Swimming Pools OW ER OR Date Applicant f ,��`` ww�..{L, FIRM,NAME (J /�c /c{� /4'✓ry^ CERTIFICATE OF EXEMPTION FROM WORKERS' / MAIL COMPENSATION INSURANCE Outlet's:Rec Light — Sw. ADDRESS First 20 �C (This section need not be completed if the work involved-by the CITY �i�/t-lG Tel.N a3 �r permit is for one hundred dollars($100)or less.) Total No. Additional O I certifythat in the performance.of the work for-which,this permit PLAN CHECK /�J � '�j p APPLICANT r��(_ J t is issued, I shall not employ any person in any manner so as to71 become subject to-the Workers'Compensation Laws., Lighting Fixtures First 20 ADDRESS Y875716. CA n Additional Total No. CITY �- �- d'L"�� Tel.No. _ Date Applicant Fixed Appliances Not Over 1 HP PERMIT G NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. 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_ LICENSE OR tj� I hereby affirm that I am licensed under provisions of Chapter 9 Disp. ROOM Air Cond. V � (commencing with Section 7000.)of Division 3,of the Business and REG.NUMBER Class. Professions Code,and my license.is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO. PR ESS B (yq Size&Type HP,KW,KVA,or KVAR O� CC) License Number 1 1(Z Lic.Class Up to 1 Incl. FINAL Contractor•` �T�� (�6N ' 9 _f Over 1 to 10 Incl. DATE VALIDATION 0 ❑ Over 10 to 50 Incl. FINAL CCCYYY I / C' I am exempt under Sec. Over 50 to 100 Inc.. BY / � W B.&P.C.for this reason Over 100 C/- "/// N • Services,Swbd.,MCC& Panelboards. , Z D e: 0- 200 Amp.Under 600'V Signatur 201 - 1000 Amp.Under 600 V Over 1000 Amp. or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole& Appurtenances �f HOME OWNER-BUILDER DECLARATION Sign with'One Branch Circuit ` I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits ACCT.,r Code): J,7V! 13.50 ❑ T I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors 1 ITEMS is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) -� and Professions.Code). poll. TOTAL 13..5O CONSTRUCTION LENDING AGENCY CHECK 13.511 I.hereby affirm that there is a construction lending agency for the uA`� performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) ' - CHf9 .0 Civ.C.). PLAN'CHECKING FEE • . - I e Lender's Name / j Q OMI 7/1D�89 PERMIT ISSUING FEE 4542 1 11:46 Lender's Address I certify that I have read this application and state that the above TOTAL FEE J_TJo information is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this Coun o e upon the above-mentioned property f n rp S. SEE REVERSE FOR EXPLANATORY LANGUAGE Signatureof Permittee' Date • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0709170018 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ITR: 6561 LT: 245 BL: .001 I I 9545 LAS TUNAS DR 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802107 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: PRIMROSE 1 18587-014-018 1A1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl I IK1 SIGNS, OUTLINE LGT 3.00 SIG 116.55 1 (TENANT: I TOTAL, FEES 144.30 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 I 109/17/07 SR 03/15/08 1 I I I 1OWNER: TEL. N0: 1 (FINAL DATE FINAL BY: CODE: IBANK OF AMERICA NT;SA (404) 271-9432- 1 D-� ,-0 Z I 13424 OEACHTREE RD 1 I I 1 1ATLANTA GA 30326 1 IDESCRIPTION 6F WORK I (E) SIGNAGE TO BE REPLACED 3) CHANNEL LETTER WALL SINGS (2) 1 I I 1REFACE/NEW SKIN (E) AWNINGS (1) DIRECTIONAL SING (6) PARKING( (APPLICANT: TEL. NO: I 1AND ADA SINGS (1) WINDOW VINYL I IJENNY HODGES (310) 490-2602- 1 1 I 1404 N. PAULINA AVE. I ISPECIAL CONDITIONS: I IREDONDO BEACH 90277 1 1 I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 ICOAST SIGN (714) 520-9144- I 1 I 11500 W. EMBASSY ST. LIC. NO 1 ITEMPORARY POWER POLE I I I 1ANAHEIM, CA 92802 654238 C45 1 I I I I I 1UNDERGROUND CONDUIT I I I 1ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I _ 1 1 I LIC. NO: I IROUGH CONDUIT I I I I I IROUGH WIRING I I I I I I IMAIN WATER LINE I 1 I I I IPLASTIC Y/N METAL Y/N I I I I I 1UTILITY COMPANY NOTIFIEDI I I I i I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 IREPORT ID: DPR265 ROUTE TO: BS0508 I 1 I I I I I I I I