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Home My Public Portal About9579 LAS TUNAS DR_Electrical__ • 76A667 DBS SA 2SM SETS 11-48 APPLICATION FOR PERMIT DgPARTMENT OF BUILDING AND SAFETY ELECTRIC 1 COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER DISTRICT NO. GROUP ZONE PERMIT NO. FOR APPLICANT TO FILL IN //0% L ELECTRICIAN RECEIVED BY READY FOR DATE ISS�U/ED FIRST INSPECTION ADDRESS CITY TEL. NO. BUILDING j 7 LICENSE NO, EXPIRES ADDRESS f DESCRIPTION OF WORK NUMBER I OUTLETS EACH FEES LOCALITY CROSS LIGHTS Sc $ STREET RECEPTACLES 5 FIXTURES 5 OWNER WALL SWITCHES 5 MAIL ADDRESS ELEC. RANGES 25 ELEC. HEATERS 25 CITY TEL. NO. MISC. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER OF CIRCUITS INSTALLED: ANGELES COUNTY LICENSE- LIGHTS RECEPTACLES . MOTORS ELECTRICIAN. NUMBER HORSEPOWER FEE NEW Mvo. HP OVER INC. EACH 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- , I 1/2 & LESS $ .25 ERTY DESCRIBED ABOVE. I/2 2 .50 2 5 1.00 OWNER. 5 is 1.50 INSPECTION RECORD 15 50 2.501 50 200 5.00 200 600 10.00 500 1000 15.001 'j Q OVER 1000 20.00 _Z M.G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS TYPE: NO.TRANS. TYPE: NO. LAMPS APPROVALS PERMIT FEE DATE INSPECTOR'S NAME FOR ISSUING PERMIT: CONDUIT WITHOUT FIXTURES $1.00WIRINGqe WITH FIXTURES 1,25 FIXTURES SUPPLEMENTARY .50 POWER TOTAL FEE $ UTILITY CO.NOTIFIED FINAL `�v L�.� ti He 4.. DRS SA 2SM SETO 7-47 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY E COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER NAME ELECTRICAL PRODUCTS CORPORATIO DISTRICT NO. GROUP I ZONE PERMIT No. U ADDRESS 1100 N. Rhein St. , - UW CITY LOS Angeles 12 TEL.NO.CA 1-6141 RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION W C'�rT N0,12588 C45 EXPIRES 6-30-48 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK ADDRESS 2179 Las Tunas NUMBER OF OUTLETS ON CIRCUITS LOCALITY Tem le Cit LOCATION BY ROOMS NEAREST LIGHT OUTLETS JSW. PLUG FIZT CROSS ST. Sunset Blvd. & Templ eAve, CIRCUIT A B C D E F G H W NAME C. Vernon J r. a"VMAIL ADDRESS 2179 Las Tuna SO CITY Tem le Cit TEL.NIA L POGG OR OF TANG COU ERTIFI EAV 1 AM THE LEGAL OWNER OF THE PROPE ABOVE OWNER. CORRECTIONS 1, P. ^ Tj r R T 0_%T] , q T C.,N T F VERWN' LL DRCGSv a z E3 D TOTAL NO. OF OUTLETS $ APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO, OF MOTORS H.P. $ CONDUIT NO. OF SIGNS 1 TRANS. 4 $ 1 00 WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ 1 00 UTILITY CO.NOTIFIED TOTAL FEE 2 00 FINAL 76A665-CEB0(S-11-0APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS XYGELES DEPARTMENT OF COUNTY ENGINEER WILDING BUILDING AND SAFETY DIVISION ADDRESS tS OFIIi A.LJ1IrIDi8.Count; �sr TT D. GHIB ,8%,t of >I&a LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMT FEES ITEM NUMBER EACH FEE OWNER OUTLETS: S f MAIL LIGHTS RECEPT. SW. .10 ADDRESS `Q. LIGHTING FIXTURES .10 CITY F TEL.NO. Ci ELEC.RANGES CLO.DRYERS ELECTRIC! N WATER HEATERS .50 ELEC.SPACE HTRS. DISHWASHERS ADDRESS GARBAGE DISPOSERS AUTO.- CITY TEL.NO. %I / WASHERS STA.COOKING UNITS .25 STATE LICENSE NO. MOTORS: OVER INC. H.P, DISTRICT GROUP ZON READY FOR INSP8CTION 0 — +/2 .25 1/2 — 2 .50 z — s 1.00 INSP CTION RECORD 5 — 15 1.50 15 — 50 2.50 - 50— 200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0.600V 1.00 Q-6/ SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 /,l(/ FIXTURE PERMIT 1,00 SUPPLEMENTARY PERMIT .50 TOTAL FEE f APPROVALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 1 AM PROPERLY REGISTERED AND/OR --•- LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENT)�jP/RO�g/.�RTY. C SIGNATURE y -IL � UTILITY CO.NOTIFIED OF PERMIT _ FINAL -'-j VALIDATI ARTHUR C.VETT. CK Mo CASH SUPERVISING ELECTRICAL-KNGINUM r�, n67167 , paW17 2 A 2.00 DS S-A 4-40 10M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WM J. FOX, CHIEF ENGINEER NATURE OI', INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT NO. WIRING I I FIXTURES I SERVICE - RECEIVED READY FOR DATE ISSUED RANGE HEATER POWER r" FIRST INSPECTION SIGNS MISCELLANEOUS ! 1 e APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY NAME J0.7. OB QAADDRESS ADDRESS ; LOCALITY 164 WCITI',i�l"',� NEAREST J "�;�,s-x-� s TEL No. ,. CROSS ST. A CO TY CERT. NO. - _ EXPIRES K NAME DESCRIPTION OF WORK 3 MAIL ADDRESS NUMBER OF OUTLETS ON CIRCUITS O LOCATION BY ROOMS CITY TEL No. LIGHT OUTLETS I SW.I PLUGS IFIXT, I AM THE LEGAL POSSESSOR OF THE ABOVE LOS CIRCUIT A I B C I D I E l; I F I G I H I ANGELES COUNTY CERTIFTE OF, QUALIFICATION. LIVING ROOM —— a � � " ELECTRICIAN. DINING ROOM I�— 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED __ _ ABOVE. BRFST. RM. I� BATH CORRECTIONS OWNER. ENT. HALL �— HALL NO. FRONT PORCH T7 f-1v —_` OUTSIDE KITCHEN SERV. PGH. __ Q BDRM. NO. L4v \T- 7- Z CLOSET I BDRM. NO. —I� O I_� T CLOSET I——Fl- TOTAL NO. OF OUTLETS $ APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H. P. $ CONDUIT NO. OF SIGNS TRANS. S WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISGELLAN EOUS $ POWER I PERMIT FEE 'I''-' ffi UTILITY CO. NOTIFIED. TOTAL FEE r ;7 78A66R.CESOB.W-82 APPLICATION FOR iL CTRICAL E COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �- S BUILDING AND SAFETY DIVISION ADDRESS �V G11/Gr >F JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST �„�,. i 7RS APPLICANT TO FILL IN CROSS ST. �� P L� C Z'IL [RETAL NO. EACH FEE / LETS FIRST 20 $20 $ OWNER 3 'Z.N'fi v t*k L L>P_L-6� , MAIL OVER,2O ,1O ADDRESS Jv3. � !L+�L.� fj TAL CITY`/ v 1-R P �• 1 / TEL.NO. FIRST 20 ,20ADDL OVER 20 -10 ELECTRICIANgqtWTR.HTRS. 1.00 ADDRESS I 0 ( w 0 i I 4 I lz� I. 93LA), .DISP. STA.COOK CITY c / �Zi 3 TEL.NO. nJ 3 S!�' WASH. AUTO.-WASH. STATEE HTRS. STA.APP.(yy N.P.MAX.) ,5O LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ONE I PR SSED BY O 1 1.00 �— L L�ZL + s 1.50 INSP CTION RECORD s 8 2.00 r CA. 8 15 2.50 O _ U 15 50 8.00 so 100 5.00 0 NO.TRANS. i�•�4�. I[L� SIGNS: NO.LAMPS O� z SERVICE 0.600V-NOT OVER 200A 1.00 SERVICE 0-60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00— TOTAL .00TOTAL FEE $ IH ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'$SIGNATURE 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 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE FINAL >_ � .- LIDATION ARTHUR C. VE CK MO CASH SUPERVISING ELECTRICAL ENGINEER Li LO 6 D c_; } 7iAee9 Das 3A 3-49 ® APPLICATION FOR PERICT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN RE IRECEIVE BY READY FOR DATE ISSUED ADDRESS /!. ! FIRST INSPECTION F. CITY EL. NO. COUNTY LICENSE NO. O EXPIRES BUILDING L y 0 /�/M ` '01.-1PERNIIT FEE ADDRESS /� 'Y NUMBER OUTLETS EACH FEE LOCALITY c LIGHTS 5c $ NROSSEAREST ' �1 '- CST. V RECEPTACLES 5 /� gr FIXTURES 5 I OWNER /Zrn a'C WALL SWITCHES 5 MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. MISC. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. NUMBER HORSEPOWERI CERTIFY THAT I POSSESS THE ABOVE VALID LOS FEE NEw MvD. HP O� INc.. EACH ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER - OF THE RESIDENTIAL PROPERTY�ESCRI ABOVE. 1/ a LESS $ .25 i 1/2 2 .50 SIGNATURE OF P 2 S 1.00 ERMITTE 5 15 1.50 PECTION RECORD is 50 2.50 so 200 5.00 200 500 10.00 500 1 1000 15.00 ..I Q OVER 1000 20.00 Z M.G. SET/FREQ. CHANGER-HP a WELDERS: AC-KVA Q GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS TYPE: NO. TRANS. TYPE: NO. LAMPS APPROVALS DATE INSPECTOR'S NAME FOR EACH PERMIT: CONDUIT WIRING $1.00 G- FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ UTILITYCO. NOTIFIED FINAL 088 SA 25M APPLICATION FOR PERIVIIT ENT OF BUILDING'. AND SAFETY COUNTY OF LOS ANGELES ELECTRIC VVK J. FOX CHIEF E EER z / DISTRICT NO. GROUP I ZONE PERMCC NO. a NAME ADDRESS �. �- t 4-�'t-� �4 fl lU Y ✓ SP RECEIVED BY READY FOR DATE ISSUED W CITY TEL.140.7' ' ` FIRST INSPECTION / 21 _ J COUNTY W CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONL JOB DESCRIPTION OF WORK ADDRESS / r NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS JSW. PLUGS FIXT CROSS ST. CIRCUIT A B C D E F IG I H W NAME Z MAIL 3 ADDRESS O CITY TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIF"TE OF,QVALIFICATION.. af-ECTRICIAN. I AM THE LEGAL OWNER OF THE PROD TY DESCRIBED ABOVE OWNER. CORRECTIONS -- a z a TOTAL NO. OF OUTLETS $ APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. O F SIGNS STRANS. $ G' WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ TILITYCO.NOTIFIED TOTAL FEE FINAL Y TEPIPLE C ITY 76A663A-CE806A 4/72 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST BUILDING AND SAFETY DIVISION g 7 Las Tunas Dr. r e Cit FOR APPLICANT TO FILL IN CROSS ST, TermleCity Blvd. OUTLETS NO. EACH FEE OWNE RECEPT._ $ $ MAIL f FIRST 20 ADDRESS LIGHT TOTAL CITY T TEL. NO. 'Z SWITCH_ OVER 20 PLAN CHECK LIGHTING TOTAL FIRST 20 APPLICANT J} TAL FIXTURES OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. RANGE DRYER_WTR. HTR. PERMIT_ APPLICANT Creative Display CO. STA. COOK DISP. F.A.U. ADDRESS 11258 Ramona Bl, SPACE HTR. AIR COND. CITY El Monte TEL. NO. -6155 CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY C MOTORS, TRANSFORMERS RATING W I T H ALL COUNTY ORDINANCES AND STATE LAWS REGULATING C� IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO CD I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR �.., O - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF W CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO a 1 - 1O RESIDE IN, THE VE DESCRIBED SIDEN IAL ROPERTY. N Z 10 - 50 SIGNATURE OF PERMITTEE 50 - 100 DISTRICT NO. IWASS ZONE SED Y 100 - 500 5.08 SIGN, GAS=SIGN ONE CIRCUIT NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS SERVI CE NOT OVER 600 VOLTS OR 200 AMP APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AMP TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES UNDERSLAB WORK TEMP LIGHT OR RECEPT, SYSTEM ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE PERMIT ISSUING FEE FINAL 2_1K l„ TOTAL FEE AET� IVED PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 4 5 8 =,4uv �b 4 - U .� Q Arc 76A663-�806 1-68 APPLIC I"RiGCTiaL ERMIT COUNTY OF LOS ANGELES U DEPARTAENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMSIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALI NEAREST _ FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE $ $ OWNE fL a� RECEPT._ MAILvv LIGHT TOTAL FIRST 20 .20 ADDRESS 1.44 SWITCH_ OVER 20 .10 CI EL. N Cp �TOTAL PL C Fie'KLIGHTING FIRST 20 .20 APPLICAN FIXTURES OVER 20 1 .10 ADDRES RANGE_DRYER—WTR.HTR._ CIT TEL. O. STA.COOK_OISP._F.A.U.— CONTRAC'T'O SPACE HTR. AIR COND.- ADDRES CLOTHES WASH._DISHWASH._ CIT TEL. FANOTHER 1.00 LICENSE IJ O. CL MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ S L ATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND R T 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 - lO 3.00 LICENSED AS REQUI BY LOS ANGEL OUNTY AND S E OF CALIFORNIA OR THA I A THE EG I M TEND a 10 - 50 5.00 RESIDE IN, T A �E Y. O a 50 - 100 10.00 SIGNATUR V OF PERMITTE D.• 100 - 500 15.00 V SIGN,GAS DISTRICT GROUP ZONE P SSD BY TUBE, OR SIGN AND ONE CIRCUIT 3.00 id O- C-Z W� MARQUEE ADDITIONAL CIRCUITS 1.0012 NOTES: 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 PERMIT FEE (SUB TOTAL) WIRING 70 PLAN CHECK FEE (50% PERMIT FEE) FIXTURES OWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL �D TOTAL FEE JOSEPH C. ROOMA SUPERVISING ELEC CAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE Ar 7GA663-CES0610.62 APPLICATION FOR ELECTRICAL PEONT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CROSSSST.-iw- ,x E`7 .CvD. RECEPT. TOTAL NO. EACH FEE 4�uG-s OUTLETS FIRST 20 $.20 $ OWNER LIGHTMAIL Ar SWITCH. ADD'L ADDRESS OVER 20 .10 j RST 20 .20 LIGHTING TOTAL FICITY /�I�� C. 7 TEL.NO. I FIXTURES 1 AOD'L ELECTRICIAN �./9 R_-r Aol Al Ld OVER 20 •10 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS / 7-71 0-0'C /yo GARB.DISP. STA.COOK CIT J_TEL.NO. 4AJ �bJ DISHWASH. AUTO.-WASH. STATE '7 f� SPACE HTRS. STA.APP.(1/z H.P.MAX.) .50 LICENSE NO. i� I �" /y/. MOTORS: OVER NOT OVER H.P. DIST RIT N GtZOUP ZONE PR M-1BY O t 1.00 �� + 3 1.50 INSPECTION RECORD s S 2.00 �- a ais 2.so O U 15 50 3.00 99 s0 100 / 5.00 ((O SIGNS: NO.TRANS. 4-*ST Wa NO,LAMPS N z SERVICE 0.60OV-NoT OVER 200A 1.00 SERVICE 0.600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE ffi 2s 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATEINSPECTOR-5 SIGNATURE 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 AM TH EGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL IDATI CARTHUR C. VETT MO CK MO CASH H SUPERVISING ELECTRICAL ENGINEER 4.2Jc- Li 3298w DEC 9 2 D r �. WORKERS'COMPENSATIONDECLARATION CE-806 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES f•'' BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or 4w, a certified copy thereof(Sec. 3800,Lab.C.) FOR APPLICANT TO FILL IN JOB / Policy No. Company EACH NO. FEE ADDRESS d4 f /^•' ,# °fit New Residential Bldgs.&Pools ❑ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY ❑ Certified co Multi-family Sq. Ft. — NEAREST p copy is filed with the county building inspection CROSS ST - r f department. Residential Swimming Pools OWNER OR FIRM NAME a Date _ w Applicant Outlets: Rec. Light_S . MAIL 0 First 20 ADDRESS t .- U CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No ."t` r` COMPENSATION INSURANCE J LU PLAN CHECK U. (This section need not be completed if the work involved APPLICANT by the permit is for one hundred dollars Fixtures First 20 ADDRESSs ($100) or less.) Total No. Additional Q I certify that in the performance of the work for which this CITY Tel No. 1= Fixed Appliances Not Over 1 HP permit is issued, I shall not employ any person in any manner PERMIT so as to become subject to the Workers' Compensation Laws. Range— Heater_D.W. : " + :wt S ;. ;'1�:.!` ? �__ � C- J P 9 APPLICANT Oven _ Dryer_W.M._ ADDRESS til Date." A licant -6i :. `. Top — FAU —W.H. pp r CITY e�¢ Tel No 0' ,;1 Hood _ Fan _Other_ NOTICE TO APPLICANT: If, after making this Certificate of Disp. — Room Air Cond._ LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER r- * Class Fyf Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCESSED BY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW, KVA,or KVAR t �Up to 1 Incl, FINAL = z '� —"�—r'� •Over 1 to 10 Incl. DATE LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL BY 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 ness and Professions.Code, and my license is in full force and effect. �{' Services License Number _d I o�✓/��ka Lic.Class 1r✓+.:° 0-200 Amp. Under 600 V 1-Ir; r 201-1000 Amp. Under 600 V Contractor _ •-a `'' Date Over 1000 Amp.or Over 600 V S HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): Misc.Conduits&Conductors , owner of property, will e work anthe + • + + ❑ Ias wnf thtill dthk d Other (See Complete Fee Schedule)— structure is not intended or offered for sale (Section 7044, Business and Professions Code). • • CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency a ® ' for the performance of the work for which this permit is PERMIT FEE (Sub-Total) 1 issued(Sec. 3097,Civ.C.). i Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE t• Lr 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 fSignature of Permittee Date WORKERS'COMPENSATION DECLARATION 76A663 .19 CE-606G (2-80) , _. APPLICATION FOR ELECTRICAL PERMIT to hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY _ �~ ;insure, or a certificate of Workers'Compensation Insurance,or .. `ia certified copy thereof(Sec. 3800,Lab.C.) r FOR APPLICANT TO FILL IN JOB Policy No. Company . I r New Residential Bldgs.&Pools EACH NO. FEE ADDRESS f' ' El Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. — NEAREST Certified copy is filed with the county building inspection CROSS ST department. Residential Swimming Pools OWNER OR 7 1 FIRM NAME rY / CL Date Applicant ' '' Outlets: Rec.�Light Sw. MAIL 3 O First 20 ADDRESS "W� t V CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. AdditionalCITY ,rvr .•' Tel No. f. J COMPENSATION INSURANCE PLAN CHECK I_J APPLICANT )7' �� ,�` ''1'-•� (This section need not be completed if the work involved Lighting Fixtures First 20 r` by the permit is for one hundred dollars ($100) or less.) ADDRESS Z. Additional Total No. Q I certify that in the performance of the work for which thisCITY f ;aTel No. r' ccFixed Appliances Not Over 1 HP permit is issued, I shall not employ any person in any manner PERMIT 0 so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. _ APPLICANT 2 Oven _ Dryer_W.M._ ADDRESS +f°a H Date Applicant Top _ FAU _W.H. Hood _ Fan _Other_ CITY Tel No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond. LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCESSED BY with comply with such provisions or this permit shall be Size&Type HP, KW, KVA,or KVAR p`r deemed revoked. Up to 1 Incl FINAL #y Over 1 to 10 Incl. DATE LICENSED CONTRACTORS DECLARATION VALIDATION Over 10 to 50 Inc[. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 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 ,r r" 0-200 Amp. Under 600 V Lic.Class ` ✓ f" 201-1000 Amp.Under 600 V Contractor i j: Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances i 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 • r f, I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— structure is not intended or offered for sale (Section • I` • t ? ;. 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 PERMIT FEE (Sub-Total) issued(Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE e 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 Signature of Permittee Date �—