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Home My Public Portal About9549 LAS TUNAS DR_Electrical__ 76A6 63 CE-806(11 /78) AP Ll AT N FOR EL _ CAL .P_ERMI_T COUNTY OF LOS A GELES BUILDING AND SAFETY FOR APPLICANTTO FILL IN JOB i New�Residentiol Bldgs.&Pools EACH NO. - FEE ADDRESS. 1 &2-Family,Sq. Ft. $ .025 — $ LOCALITY C�-r Multi-fomily-Sq. Ft. .02 — NEAREST CROSSST.Residential Swimming.Pools 25.00 OWNER ORT �.i L., V ` FIRM NAME C'i Outlets:Rec Light Sw. MAIL' First 20 .50 ADDRESS C� .Total No. Additional .30 CITY .Tel;No., PLAN CHECK APPLICANT _.. . . �.._. . Lighting Fixtures. First 20 .50 ADDRESS Additional .30 -- •- Total No. CITY Tel.No. Fixed Appliances Not Over l HP -• PERMIT -^ APPLICANTC— Range_Heater_D.W. _ ADDRESS - Oven_Dryer._.W.N1.— Top _FAU W.H.— CITY.C r- __aHood_Fan —Other LICENSE OR Disp._Room Air Cond.._,— 2'50' REG.NUMBER G?, �. _ Class,C^ ,b IHEREBY ACKNOWLEDGE THAT I.HAVE READ THIS APPLICA Power Apparatus&Large Appliances. TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size& COMPLY-WITH ALL COUNTY-ORDINANCES AND STATE`LAWS- T 9 Type HP, KW, KVA,or KVAR 2.50 REGULATING ELECTRICAL WIRING. Up to l-Incl. 1 HEREBY CERTIFY'THAT I AM PROPERLY REGISTERED'AND/OR V Over 1 to 10 Incl. 5.00 1 LICENSED AS REQUI D BY LOS AN C NTY D STATE OF gG Over 10 to 50•Incl. 12.50 - CALIFORNIA fRI _ THE,. GA O NER- _F THE'ABOVE, Over 50 to 100 Inc. 25.00 DESCRIBED RL 40.00PERMITEEOver 100 = " ; � [•.N y� Services _ DISTRICT P 'B'Y"`-• 0- 200 Amp. Under 600 V 12.50 201-1000 Amp.'Under 600 V - 25.00 - - - Over 1000 Amp.or Over 600 V 50.00 Z O Temp. Power Pole&Appurtenances 10.00- - G . Sign with One Branch Circuit 10.00 AP9Q J Additional•Sign Branch Circuits 2'00 INSPECTION.,:_. . INFORMATION u Misc,Conduits&Conductors 10.00 ON REVERSE i Other(See Complete Fee Schedule) x:7 .9, A SIDE. _s ; Q # a o o o a 2 1 _ L 13,00 PERMIT FEE (Sub-Total) _ Z o o o 7 Q v. PLAN CHECKING FEE (One-Fourth Permit Fee) O -I 1,21 —19 PERMIT'ISSUING FEE $7.00 c J - a TOTAL FEE > INSPECTION FINALED o�c W date: 9 By 6 OS TEMPLE CITY '7, � z {� 76A663-CE806 1/70 APPLICATION FOR ELECTRICAL PERMIT ;,- COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDIN §5 49BUILDING AND SAFETY DIVISION ADDRESS Las Tuna D JOHN A. LAMBIE, COUNTY.ENGINEER. LOCALITTemple Citi COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING 2' FOR APPLICANT TO FILL IN CROSS ST. rmNEAREST ? OUTLETS NO. EACH FEE OWNER . MAIL RECEPT. $ $ Cools Candy_ ADDRESS Same LIGHT TOTAL FIRST 20 .20 Cl TY TEL. NO. SWITCH OVER 20 .10 PLAN CHECK LIGHTING TOTAL �_O FIRST 20 20 APPLICANT FIXTURES VER 20 .t0 ADDRESS APPLIANCES CITY TEL. No. PERMIT RANGE DRYERWTR. HTR. CANTfiarr Electric STA. COOK DISP. F.A.U. ADDRES 15737 Old Valley Blvd SPACE HTR. AIR COND. city Of Industry TEL. N0. 1/� CLOTHES WASH. DISHWASH. LICENSE NO.2 08CLASS.C.10 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS RED IRED BY OS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM HE EGAL OWNER OF, AND INTEND TO Gas A.0 1 - 10 3.00 00 . RESIDE N, THE A V/ FiRIP.ED R SIDENTIAL PROPERTY. SIGNATUREd 10 - 50 5.001 1 OF P -'f O U 50 - 100 10.00 DIST CLASS GROUP ZONE P ESS ED BY � 100 - 500 15.000 SIGN: GAS SIGN AND ONE CIRCUIT 3.00 NOTES: !JJ CL TUBE, OR tn Z MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER600VOLTS OR200AMP 2.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICE OVER 600 VOLTS OR 200AMP 5.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 3.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT ' WIRING PERMIT FEE (SU3 B TO Q0 FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 2 00 70 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL JOSEPH C. ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER, PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION FK.—.") M.O. CASH Apr 7 7 9 0:1771. NOV 25 2 D 5.00N SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE L 76A663�CE8061-68 APPLICATION FOR ELECTRICAL PERMIT :. -` COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUIL4 NG AND SAFETY DIVISION ADDRESS d-g k JOHN A. LAM,BIE,.COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN I NEARESTCROSS ST. NO. EACH FEE S S OWNER C5 RECEPT.L�, MAIL <,— LIGHT1\TOTAL FIRST 20 Z .20 ADDRESS SWITCHI fOVER 20 .10 CITY TEL. NO. 0 PLAN CHECK LIGHTING TO/TAL FIRST 20 I !' .20 APPLICANT FIXTURES �JJ ""yOVER 20 .10 ADDRESS RANGE—DRYER—WTR.HTR. CITY TEL_. NO. STA.COOK_DISP. F.A.U.— CONTRACTORR SPACE HTR. AIR COND.— ADDRE % CLOTHES WASH._DISHWASH._ CITY 60-Ot � TEL. NO.�,33S�0 FAN—OTHER 1.00 � 'V� CLASS. LICENSE IJ O./� MOTORS,TRANSFORMERS RATING IND. HEATERS. ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTE D AND/OR 1 - 10 3.00 LICENSED AS REOU IRED BY LOS ANGELES COUNTY A D STATE OF } CALIFORNIA OR THAT I AM THE LEGAL O ER OF, A D I TEND TO d 10 - 50 5.00 RESIDE N, THE ABOVE D SCRIPE SIDE .ROPERTY. O �L 50 - 100 10.00 SIGNATURE VOF PERMITTEE Ix100 - 500 15.00 C SIGN,GAS DISTRICT NO. �(�;'+'�R^'OUP /7�ONE PI QCIE SED BY ~ TUBE, OR �.DITIONAL IGN AND ONE CIRCUIT 3.00 S'MARQUEE CIRCUITS 1.00 NOTES: i`iV ` Z_ 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 J PERMIT FEE (SUB TOTAL) WIRING q { G� FIXTURES PLAN CHECK FEE (50% PERMIT FEE) ]POWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.001 FINAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECT AL ENGINEER PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH Lt ;O r tis g D 6.4 O N SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A663C_ CE806B`12/75 APPLICATION• .FOR. ELECTRICAL. PERMIT . BUILDING AND SAFETY DIVISION. ` - FOR APPLICANT TO.F ILL IN JOB - New Residential Bldgs:& Pools. EACH NO. FEE ADDRESS icy f (;r� 1 &'2 Finail S Ft. $ — $ LOCALITY Y' q- Multi-family Sq. Ft. — NEAREST CROSS ST. •'J! sh..s r' j <.- 1 .. j Residential Swimming Pools WNER OR FO RMN ME Outlets: Light, Switch & Receptacle AD L - First 20 DRESS ..> fes.' Additional CITY t j" 7jr e- '-j Tel. No. - PLAN CHECK - Lighting Fixtures APPLICANT First 20 ADDRESS Additional- CI_TY Tel. No. PERMIT Fixed Appliances,Not Over 1 HP APPLICANT Range Heater D.W. '_ 2 _ y ADDRESS r-� y Oven Dryer W.M., T.op. . FAU W.H. CITYCD � f Tel:No.;�� —Jj ,Hood Fan, LICENSE OR LiJ REG. NUMBER J'd.l Class--q'.f Disp. A.C. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS-A PPLICATION Power A AND STATE THAT THE ABOVE IS CORRECT AND-AGREE TO COMPLY pparatus&Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS 'REGULATING Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. V 7 ;: Q Up to 1 Incl. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTEREDTAN❑/,OR W Over.1 to-1 0 Incl. LICENSED AS .REQUIRED BY LOS ANGELES COUNTY AND STATE OF:; } CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, THE lABOVE —Over.10to 501ncl., DESCRIBED RESIDENTIAL PROPERTY. 3" Over 50 to 100.InCI. 1 PERMITEE Over 100 - SIGNATURE, J +? _ •, _ DISTRICT NO. PR ESSED BY Services , 0-200.Amp. Under 600 V 201 1000 Am Under 600 V SPECTOR'S p APPROVALS DATE SIGNATURE Over, 1000 Amp.or Over'600 V ' TEMP:POWER POLE Temp. Powar.Pole&Appurtenances UND'ERSLAB WORK ' 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 I J� NOTES TOTAL_FEE< F'f � ,r PLAN CHECK VALIDATION CK: M.O. CASH PERMIT VALIDATION CK:. % M.0.. CASH ' 76A663-CE606 10/72 APPLICATION FOR ELECTRICAL .PERMIT .,-- COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS ' I LOCALITY ,[_ , NEAREST icy! FOR APPLICANT TO FILL IN CROSS ST. /l OUTLETS NO. EACH FEE OWNER OR ®� $ $ FIRM NAME 6!�&Q RECEPT._ MAIL ADDRESS LIGHT TOTAL FIRST 20 ,25 1 1 CITY TEL. NO2— SWITCH OVER 20 .10 PLAN CHECK LIGHTING � FIRST 20 ,25 APPLICANT TOTAL FIXTURES OVER 20 .10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT L RANGE ORYER_WTR. HTR. APPLICANT O A/ STA. COOK DISP, F.A.U. ADDRESS //� SPACE HTR, AIR COND. /CITY / O /C-o`/ j f TEL.. NO.ji5j-4? D' CLOTHES WASH. DISHWASH. LICESE R REG.NNUM9ER L CLASS.C`ZO FAN OTHER 1.00 I 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR _ 0.- 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE 0! CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE 1 - 10 t 3.00 DESCRIBED RESIDENTIAL PROPERTY. / O (/ PERMITEE / V 10 - 50 5.00 SIGNATURE O 50 - 100 10.00 DISTRICT NO. PROCE SED BY v w 100 - 500 t 5.00 ;0 O SIGN, GAS =SIGN ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICE NOTOVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK SERVI CE OVER 600 VOLTS OR 200 AMP 10,00 ROUGH CONDUIT TEMP SERVICE, POLE, &APPURTENANCES 5.00 WIRING _3. 7 Y 97, '. TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED 1 FINAL - .3' / /�qA.4✓ PERMIT FEE (SUB TOTAL) NOTES: s 7141 Ze JO Afl PLAN CHECK FEE R AkrrWO {j/ PERMIT ISSUING FEE 3.00 G(� fvPdlcr �,� �Ad f .C� r TOTAL FEE (j e, PLAN CHECK VALIDATION CK. M.O. CASH /1 PERMIT VALIDATIONcK. M.O. CASH f 1 2.0 v SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 1< 1tiy vi L L'lelrl,z lv 1 I 76A663-CE80611/7D' APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 95k= Tun�s Blvd LOCAL]TYTem le COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING ` -City/t «it a FOR APPLICANT TO FILL IN CROSSSST. Tem City Blvd OUTLETS NO. EACH I FEE OWNER CO®1S Can_ RECEPT._ MAIL LIGHT TOTAL FI RST 20 .25� ADO RESS� CITY TEL. NO. SWITCH OVER 20 ,Ip PLAN CHECK FIRST 20 25 APPLICANTS ...LIGHTING TOTAL OVER 20 ADDRESS FIXTURES .10 APPLIANCES CITY TEL. No. PERMIT RANGE DRYER_WTR. HTR._ APPLICANT STA. COOK DISP. F.A.U.- ADDRESS ,. '8' Workmah SPACE HTR. AIR COND. CITYLa Puente TEL. NO., CLOTHES WASH. DISHWASH. LICENSE-NO.2 08 CLASS. 011-la- FAN -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, TRANSFORMER5 RATING - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. , SIZE & TYPE OVER , TO ' I'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 THAT I AM THE LEG L OWNER OF, AND INTEND TO 2 RESIDE N, THE AIB/VETIAL PROPERTY. O 1 - 1 0 3.00 Q 10 - 50 5.00 SIGNATURE V OF PERMI 3. O! 50 - 100 10.00 0 DISTRICT NO. CLASS E PRO SSS ED BY U 100 - 500 15.00 UG Z w a SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: Z TUBE, OR � - MARQUEE 'ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER600 VOLTS OR 200AMP 3.00 _ APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER600VOLTS OR200AMP 10.00 TEMP.POWER POLE TEMP.SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRfNG f- 3-7y i5j FIXTURE`S i POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED _ � PLAN CHECK FEE -3' 7 �. ��✓ 3 FINAL PERMIT ISSUING FEE 3.00 QQ JOSEPH C. ROOHAN TOTAL FEE .12*00 SUPERVISING ELECTRJ AL ENGINEEP,, PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION GK Mt O. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE v f' 7GA663-CES06 12-58 APPLICATION FOR ELECTRIC PERMIT a---- 1 COUNTY OF LOS ANGELES ��u DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING BUILDING AND SAFETY DIVISION ADDRESS T JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN.SUPT OF BUILDING _LOCALITY FOR APPLICANT TO FIL`L IN NEAREST _ CROSS ST. �c PERNIIT FEES OWNE 1 T E M NUMBER EACH FEE OUTLET $ $ MAIL LIGHTS, RECEPT. SW. ,� .1O- 7 G ADDRESS 077 LIGHTING FIXTURES .10 S^�'' CITY TEL.NO ELEC.RANGES CLO.DRYERS ELECTRICIAN W A T E R HEATERS .50 ADDRESS - .12 ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. DISTRICTNO. G OUP /ZONE P SSED BY 0— 1/2 .25 Ci Z 1/2— 2 .50 INSPECTION RECORD 2— 5 'y 1.00 5— 15 1.50 15— 50 2.50 '01 50-200 5.00 / ^ SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 misc. WIRING PERMIT - 1.00 ( V O FIXTURE PERMIT 1.00 V SUPPLEMENTARY PERMIT .50 TOTAL FEE $` APPROVALS n I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S BI ATURE AND'STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _ ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I A THE GAL OWNER OF THE ABOVE DESCRIBED RESIDENT O RT POWER SIGNATURE . UTILITY CO.NOTIFIED OF PERMIT FINAL (bP VALIDAVON) ARTHUR C. VETT, cKMo cns SUPERVISING ELECTRICAL ENGINEER - I - L `I COO 0 2 5 u) jU 2 3 2 A 5 .7 0 nn 76AG63_CES0612-58 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES , , DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIDCOUNTY ENGINEER ��RL� /� CASSATT .GRIFFIN, BUILDING N,SUF'T OF UNG LOCALITY (/I T/Y FOR APPLICANT TO FILL IN •CROSS ST. PERMIT FEES OWNER 0,QjQL ITEM NUMBERI EACH FEE OUTLETS: S S MAIL dro, ADDRESS ' LIGHTS RECEPT. SW. .10 LIGHTING FIXTURES .10 CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELEC'T'RICIAN W A T E R H E A T E R S .50ADDRESS l ELEC.SPACE HTRS. DISHWASHERS - ^ Z GARBAGE DISPOSERS AUTO.- CITY TEL.NO :31g_ STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. DISTRICT NO. GROUP I ZOI P ESSED BY O— 1/2 .25 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 SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE g� APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT M THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDEN L OPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITT E FINAL ®" CK MU CASH DATION ARTHUR C. VEIT, SUPERVISING ELECTRICAL ENGINEER • LAICIo 0 1 2 9 Jul 2 4 2 A .2.0 0 r WORKERS' COMPENSATION DECLARATION 20A019DPW 9 87 -APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE 806G O insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB �� ❑Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS ❑Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ — $ LOCALITY .e tion department. Multi-family Sq. Ft. — NEAREST • - CROSS S Date Applicant` Residential Swimming Pools OWNER OR y FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec �' Light Sw.� MAIL COMPENSATION INSURANCE First2020 ADDRESS ` (This section need not be completed if the work involved by 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 Additional `f Total No. CITY Tel. No. /� �/' Date Applicant r Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after aking this Certificate of APPLICATION ' ff 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 with comply with such provisions or this permit shall be Top FAU —W.H. — J deemed revoked. Hood Fan —Other_ CITY Tel. No. LICENSED-CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. — REG. NUMBER Class. (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PROCESSED BY >_ and Professions Code,and my license is in full force and effect. �� O � �/ Size &Type HP, KW, KVA, or KVAR License Number / Lic. Class {Y y Up to 1 Incl. I FINAL U Contractor .. , g � Dole �p . Over 1 to 10 Incl. DATE VALIDATION 0 El '� Over 10 to 50 Incl. FINAL p n I am exempt under Sec. p Over 50 to 100 Inc. BY �G U Over 100 LU B.&P.C. for this reason d Services, Swbd., MCC& Ponelboards , co Date: Z 0- 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit :( , Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits :1-1 Professions Code): z_s v ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors ED structure is not intended or offered for sale Section 7044, Other (See Complete Fee Schedule)— polo. ('i'I AL -16 3� Business and Professions Code).- _ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance ofthework 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 hove 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 representatives of this,County to enter upon the above-mentioned pe ty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Si a re of Permittee Date WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) 76-663 APPLICATION FOR ELECTRICAL PERMIT I.hereby Arm that I have'a certificate of consent to self insure, oar 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.,3800 Lab. C.) Policy NO. Company - FOR APPLICANT TO FILL IN JOB /Ji' 7 /21 ❑ •. ADDRESS /�+/T !9/Y�y Certified copy is hereby furnished. New Residential Bidgs.&Pools NO. EACH FEE LOCALITY 1 &2-Family,Sq.Ft. — $ $ Certified copy is filed with the county building inspection _ NEAREST department. Multi-family Sq..Ft. CROSS ST. Date Applicant Residential Swimming Pools ASS gSORc MAPPAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rea Light Sw. ` OWNER OR COMPENSATION INSURANCE FIRM NAME �/(f First 20 MAIL r� (This section need not be completed if the work involved by the ADDRESS 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 .- T�!'7 'e" __ Tel No. is issued, I shall not employ any person in any manner so Hs t0PLAN CHECK become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date 0 ?S Applicant NOTICE' TO APPLICANT: 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. ERIT provisions of the Labor Code, you must forthwith comply with such - PL PCANT U ,! /< S ,� provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or.KVAR ADDRESS �,11 N 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 s M�N Tel.No. �Ga Professions Code,and m license is in full force and effect. Over 10 to 50 Incl. y dOver 50 t0 100 Incl. LICENSE OR• Class.REG.NUMBER C ,—�/r' Over 100 DISTRICT NO. PR SSED BY 0 License Number C/V— (�fel Lic.Class 7 `+ h Services,Swbd.,MCC&.Panelboards. YA2l/ S/ �Date ^ 0-393 Amp.Under 600 V FINAL 0 DATE Contractor �..�� ❑ I am under Sec. 400-1000 Amp.Under 600 V / exempt VALIDATION W Over 1000 Amp.or Over 600 V FINAL B.&P.C.for this reasonBRANCH.CIRCUIT FEES BY �� d 15A,or 20A, 120V,Lighting or Recept. Z Date: _ 1 To 10 Branch Circuits Signature O 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 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): €[a 1, as owner of the property,will do the work and the structure Misc.Conduits&Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) , L^ 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 (Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE Lender's Name Cf✓ PERMIT ISSUING FEE tt Lender's Address 3—�-' `~i •- I certify that I have read this application and under penalty of purjury state TOTAL FEE i y 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 purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE v SIGNATURE-OF PE {TTEE DATE 76A667,-C"E#617 4-64 APPLICATION FOR PLUMBIN PERM COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS c /f WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET k 1.25 I MAIL BATH TUB __2 ADDRESS SHOWER 1 CITY TEL. NO- CONTRACTOR LAVATORY 1 5 S ADDRESS SINS 1 DISHWASHER 1 S CITY T O._s a; LAUNDRY TUB REGCONISTRATION ION NO. COUNTY ❑ r CLOTHES WASHER 2 1 DISTRICT GROUP ZONE _ p SS BY WATER HEATER .50 V F �. GAS SYSTEM OUTLETS 1'50 -' INDUSTRIAL a WASTE APPROVAL` O OUTLETS OVER 5 PER SYSTEM .30 I SPECTION RECORD V 1/ 16 V w a Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE ` GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND�OR PLUMBING FIXTURES LICENSED AS REgUIRED BY LOS ANGELES COUNTY AND ATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND TEND TO GPyS TEST RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PR PER TIITY CO. NOTIFIED SIGNATURE OF PERMITTEE FINAL /4ALIDATION ROBERT A. WOOD /C K. M.O. CASH SUPERVISING MECHANICAL ENG'R t