Loading...
HomeMy Public PortalAbout9629-9633 LAS TUNAS DR_Electrical__ 76A663 DBS 5A 11-0 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY g,E CT R I C 1 COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP i ZONE PERMIT NO. ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRESS j O r FI T INSPECTION ' ) CITY \vy fit.- TEL. NO. t�t �J COUNTY LICENSE NO. 7 EXPIRES BUILDING PERMIT FEES ADDRESS _/ - OS FEE /Av NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS Sc $ MAIL ELEC. RANGES 25 ADDRESS �Q )-n A1 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 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I / 1/2 a LESS S .25 SIGNATURE OF 1,/ 1/2 2 .50 PERMITTEE 2 5 1.00 INSPECTION RECORD 5 15 1.50 15 50 2.50 50 200 5.00 200 500 10.00 -1 Soo 1000 15.00 a Z OVER 1000 20.00 M. G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA GENERATORS-KW TRANSFORMERS-KVA L, TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (75%OF ORIG.) MISC. SIGNS NO. NO. TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: CONDUIT WIRING $1.00 I I�� FIXTURES $1.00 I d WIRING SUPPLEMENTARY 550 FIXTURES /^ �J POWER TOTAL FEE $ (-0� UTILITY CO. NOTIFIED O FINAL 76A663-CE806 10 72 APPLICATION -OOR ELECTRICAL PERMIT ILJI COUNTY OF LOS ANGELES � ( RELTMENT DD COUNTY DIV DIVISION ADDRESS ER JOB BUILDING ANSAFETY rC:3 �l _ ` �/�,J I `A; a ADl ` �-- LOCALITY E�_ N\ NEAREST r i FOR APPLICANT TO FILL IN CROSS ST. l� OUTLETS N0. EACH FEE OWNER OR (�1 t l �^ ` \Ica, \ ' $ $ S L, FIRM NAME L..1 N 1 ��r-� RECEPT._ MAIL FIRST 20 25 Z?}7 ADDRESS LIGHT``_ TOTAL SWITCH _l OVER 20 '^1 10 CITY TEL. N0 o�L� PLAN CHECK LIGHTING TOTAL FIRST 20 '25 APPLICANT 1 � I FIXTURES .10 OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY y�TEL. NO. ' PERT RANGE DRYERWTR. HTR._ APPLIICANT � PC L- �#kW (�'�`-,��- �} l--�-�`� (�'�ct STA. COOK DISP. F.A.U. ADDRESSC,-30(1 `( 14-v { Jq 'LtqJ SPACE HTR, AIR COND. CITY � �/"` TEL. NO�j�y1 J f`� CLOTHES WASH. DISH WAS H. RLICENSE EGMBER CLASS. Lr� 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 W ITH 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 A�� 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE r I - 10 3.00 DES CRIfED RESIDENTIAL PROPERTY. p� O PERMITEE 10 - 50 5.00 SIGNATURE y O 50 - 100 10.00 � DISTRICT N SED BY W 100 - 500 15.00 ' �r 8 vim) 7 !J Z_ SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'4651GNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK SERVICEOVER600 VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT, SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE t� L PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION C M.O. CASH 6 7 1 c�r Eli l y 2 U 1 G.G 1 •• c SEE BACK'OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CE80611-71 APPLICATION F07t ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BDDREIN \ BUILDING AND SAFETY DIVISIONCWI LOCALITY NEAREST /17 FOR APPLICANT TO FILL IN CROSS T OUTLETS N0. EACH FEE $ $ OWNER ..�^ RECEPT 1 MAIL LIGHT TOTAL FIRST 20 25 lADDRESS CITY TEL. N0. SWITCH OVER 20 .10 60 PLAN CHECK FIRST 2025 APPLICANT LIGHTING TOTAL OVER 20ADDRESS FIXTURES .10 RESIDENTIAL PPLIANCES CITYPERMT —TEL. No. RANGE DRYER_WTR. HTR._ APPLIICANT STA. COOK DISP. F.A.U. ADDRES SPACE HTR. AIR COND. CITY Cf)C IV fA TEL. N CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. —I O 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 3I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LIC4 Y ENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO Cl0 1 - 1O 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. V SIGNATURE 10 — 50 5.00 OF PERMITTEE ImO 50 - 100 10.00G DISTRICTNO. jCL.A<._) ZONE ROC SED BY W 100 - 500 15.00 G - —2_ ' a N SIGN, GASSIGN AND ONE CIRCUIT 5.00 NOTES: ? TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 10 t.9 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, IN APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE j FINAL ✓ An PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. ) M.O. CASH 7 4 S;.SEP 3 2 ® 2 7.7 0 •w SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE �76A883-C.806 4-68 APPLICATION FOR ELECTRICA PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS t!� JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY ^ R Oil NEAREST FOR APPLICANT TO FILL IN CROSS ST. fi NO. AC FEE RECEPT S $ OWNER .��//�� MAIL LIGHT/ TOTAL FIRST 20 OLD .20 ADDRESS SWITCH-d OVER 20 11 .10 CITY TEL. NO. ^ PLAN CHECK LIGHTING �TOTAL FIRST 20 .20 QV' APPLICANT FIXTURES OVER 20 .10 3 ADDRESS sp RANGE—DRYERWTR.HTR.— CITY TEL. STA.COOK DISP.1—F.A.U._ CONTRACTOR SPACE HTR. AIR COND. ADDRESS J �q CLOTHES WASH,_DISHWASH._ CITY FANAOTHER 1.00 t AD LICENSE NO. CLASS. ^( MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I 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 _ G - i t.00 J ELECTRICAL WIRING.o I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR G 1 - 10 3.00 OO LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OW R OF, AND INTEND TO - 10 - 50 5.00 RESIDE IN, THE ABOVE DES"",ED IDENT AL PROPERTY. O U SIGNATURE 50 - 100 10.00 OF PERMITTEE � 100 - 500 15.00 U 69 DISTRICT O GRO P Z�N P O SIGN.GAS SIGN AND ONE CIRCUIT 3.00 TUBE, OR Z_ MARQUEE [ADDITIONAL CIRCUITS 1.00 NOTES: SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 �>t SERVICE OVER 600 VOLTS OR 200 AMP 5.00 J d d 7-f I/=l N� rt v Soi✓_ p "- 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 FEE 2.00I ]FINAL UTILITYCO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE JOSEPH C. ROOH N SUPERVISING ELEC AL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, M.O. CASH oul7 ju�23 B 54.7 SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 78A6 3-CE806 4-6 r8 APPLICATION FOR ELECTRICA PERMIT CE COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING G BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER r COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCAL IT LZ5G�T NEAREST 100, FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE RECEPT._ S s OWNER D0IN/Al J G M/1.. pf$ MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS 1 112-1 ,6 s SWITCH_ OVER 20 .10 CITY G TEL. NO_ v PLAN CHEC f LIGHTING TOTAL FIRST 20' .20 APP.LICAN . FIXTURES 1_1OVER 20 .10 ADDRE RANGE—DRYER_WTR.HTR._ CITY 2_- 900 T L. N ^ STA.COOK_DISP._F.A.U._ CONTRACTO FF SPACE HTR. AIR COND. ADDRESS j CLOTHES WASH._DISHWASH._ CITYT TEL---N FAN—OTHER 1.00 LICENSE 1.10. PVACLASS MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I 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 0 - 1 1.00 ELECTRICAL WIRING. I HEREBY CERTIFY THAT 1 AM P OPERLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS REQUIRED BY LOS A ELES COUNTY A TATE OF CALIFORNIA ORTHAT I AM TH L AL OWNER OF, INTEND TO 10-- 50 5.001 RESIDE IN, THE ABOV ISED R ID L PROPERTY. SIGNATURE a' 50 - 100 10.00 OF PERMITTEE CD V 100 - 500 15.00 SIGN,GAS DIST ICT OUP ZONE PROCESSED•BY p TUBE, OR SIGN AND ONE CIRCUIT 3.00 • MARQUEE ADDITIONAL CIRCUITS i 1.00 NOT D_ C7 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 ( SUBTOTAL) WIRING FIXTURES PLAN CHECK FEE (50% POWER AUTHORIZED,PERMIT ISSUING FEE2.00 OD UTILITYCO.NOTIFIED SUPPLEMENTARY PERM1.00 FINAL / TOTAL FEE JO P C. ROOHAN SUPERVISING ELECTRICAL ENGINEER .PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION GK. M.O. CASH Alas .b 59 TG HAY 1 2_1 0 14,00- M 4.Q0wM BACK OFAPPLICATION FOR COMPLETE FEE SCHEDULE s� i 78A663-CE806 468 APPLICATION FOR ELECTRICA PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING v BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER T� COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY /� NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE RECEPT._ S S OWNER p MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS SWITCH_ OVER 20 .10 CITY 7 C TEL. NO. PLAN CHECK LIGHTING TOTAL FIRST 20 .20 APPLICANTIL FIXTURES OVER 20 .10 ADDRESS d v RANGE_DRYER_WTR.HTR._ CITY. TEL. NO. STA.COOK_DISP.-F.A.U._ CONTRACTORS a SPACE HTR. AIR COND. ADDRESS CLOTHES WASH._DISHWASH._ CITY TEL. N0. FAN-OTHER 11.00 i� MOTORS,TRANSFORMERS RATING LICENSE 1-40. CLASS. IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I 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 0 - 1 1.00 ELECTRICAL WIRING. 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 AVEM T LEGAL OWNER OF, AND INTEND TO 10 - 50 5.00 RESIDE IN, THE SCRIP.ED RESIDENTIAL PROPERTY. 50 - 100 10.00 SIGNATURE V OF TEE w CD 100 - 500 15.00 8 SIGN, Is O. G ZONE OCE BY a TUBE,GOR SAS IGN AND ONE CIRCUIT 3.00 N MARQUEE 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 PLAN CHECK FEE (50% PERMIT FEE) FIXTURES POWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUI NG FEE 1.001 FINAL TOTAL FEE S JOSEPH C. ROOHAN SUPERVISING ELEC AL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH L Af r 9 c 9 3%co"' APR 1 0 2 D 5.0.D X BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE / 76A669-CEB064-68 ®PLICATION FOR ELECTRICAL &MY IT �P COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING A BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST ' FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE y $ $ OWNER RECEPT._ MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS SWITCH_ OVER 20 .10 CITY TEL. NO. PLAN CHECK LIGHTING TOTAL FIRST 20 .201 1 APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGE_DRYER_WTR.HTR.— CITY TE STA.COOK_DISP.—F.A.U._ CONTRACTOR Y SPACE HTR. AIR COND. ADDRESS ° CLOTHES WASH._DISHWASH,_ CITY T L. NO. FAN—OTHER 1.00 LICENSE IJO. CLASS. MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. 1 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 1 AM PROPERLY REGISTERED AND/OR I - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THELEGAL ER OF, AND JNTEND TO 10 - 50 5.00 RESIDE IN, THE ABOVE DES CRIPRE SIDENT L ROPERTY. SIGNATURE t a 50 - 100 10.00 ]TEMP. F PERMITTEE CD V100 - 500 15.00DISTRICT NO. GROUP Z NE P ES DBY cTUBE,A WSIGN AND ONE CIRCUIT 3.00 MARQUEE 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 SERV) E, POLE, &APPURTENANCES 9.00 APPROVALS DATE INSPECTOR'S SIGNATURE Ovi topw POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) I POWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE ! JOSEPH C. ROOHAN SUPERVISING ELEC CAL ENGINEER PLAN CHECK VALIDATION CK._ M.O. CASH PERMIT VALIDATION CK, M.O. CASH Ari 9 4 o 40%4 Dr% APR 17 221 0 3 9 N EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A669-CES067-58 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FBUI LD SS BUILDING AND SAFETY DIVISIONJOHN A. LAMBIE, COUNTY ENGINEERCASSATT D. GRIFFIN, SUPT OF BUILDING TY Z,;;-:,A 7 FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. I T E M NUMBERI EACH FEE OWNE / OUTLETS: $ $ MAIL LIGHTS RECEPT. SW. .10 LIGHTING FIXTURES .10 CI i TEL. N "OLS ELEC. RANGES CLO. DRYERS ELECTRICIAN WATER H EATERS .5Oh ADDRESS ylh5- S (J S ELEC.SPACE HTRS. DISHWASHERS CITE / GARBAGE DISPOSERS AUTO.- TEL. NO STATE WASHERSSTA. COOKING UNITS .25 LICENSE NO.k26s1�/ __.. MOTORS: OVER INC. H.P. DISTR�. I GROUP ZONE I P OCES BY O- 1/2 .25 1/2 2 '50 INSPECTION RECORD 2- 5 1.00 5- 15 1.50 �1 &IY- 50 2.50 Cj 50-200 5.00 SIGNS: NO. TRANS. NO. LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 Ci FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE $ 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 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 B S ANGELE COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM -LEG OWNER OF THE ABOVE DESCRIBED RESIDENTIA P POWER SIGNATURE UTILITY CO. NOTIFIED OF PERMITTEE 9 7_ S / FINAL ARTHUR C. VEIT, SUPERVISING ELECTRICAL ENGINEER M CASH A;o2548v; "B 17 2 A 3.50 76A663 CE 6068 10,77 APPLICATION FOR ELECTRICAL PERMIT (� / COUNTY OF LOS ANGELES n� DEPARTMENT OF COUNTY ENGINEER JOB ADDRESS oV BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN LOCALITY ;;—An.Qe ef/ Y New Residential Bldgs.&Pools EACH NO. FEE NEAREST 1 &2-Fomily,Sq. Ft. CROSS .$ '025 — $ OWNER T. ' Multifamily Sq. Ft. 02 — FIRM NAME Residential Swimming Pools 25.00 MAIL Outlets: Rec v Light_Sw. CITY Tel. No. First 20 .50 1 PLAN CHECK Total No. Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tel. No. / Total No. Additional 30 PERIT APPLICANT � -L l ` Fixed Appliances Not Over 1 HP ADDRESS 3103 Range—Heater_D.W.— CITY ( / Tel.No. 5 OfWj Oven_Dryer_W.M. LICENSE OR Top —FAU —W.H._ REG.NUMBER 5&Z-7534, Closs.c= v Hood_Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp. _ Room Air Cond. 2.50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELE UNTY AND STA CALIFORNIA OR THAT I AM Up to 1 Incl. 2.50 THE LEGAL OWNER OF i A VE DESCRIBE E$ ENTIAI PROPERTY. Over 1 to 10 Incl. 5.00 v Over 10 to 50 Incl. 12.50 2 PERMITTEE Over 50 to 100 Inc. 25.00 SIGNATURE o v Over 100 40.00 DISTRICT NO. PROCESSED BY-a .r cn Services I I I &/ 0-200 Amp. Under 600 V 12.50 .� INSPECTOR'S 201-1000 Amp.Under 600 V 25.00 APPROVALS DATE SIGNATURE Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE UNDERSLAB WORK Temp. Power Pole&Appurtenances 10.00 Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2.00 WIRING Misc.Conduits&Conductors 10.00 FIXTURES Other(See Complete Fee Schedulei POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (Sub-Total) Z7 C NOTES PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE $7.00 TOTAL FEE PLAN CHECK VALIDATION CK, M O. CASH PERMIT VALIDATION CK M.0. CASH 9 4 l�'tl i 2 l) SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKERS'COMPENSATION DECLARATION 76A663CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-8066 insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) PolNO icy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH . FEE ADDRESS S — Certified copy is filed with the county building inspec- 1 & 2-Family, q� Ft. $ $ LOCALITY tion department. Multi-family Sq. Ft. — NEAREST t CROSS ST. _ Residential Swimming Pools OWNER OR Date Applicant 44 FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec' '" Light t Sw. MAIL COMPENSATION INSURANCE First 20 f ADDRESS (This section need not be completed if the work involved by Total No. Additional CITY Tel. No. the permit is for one hundred dollars($100)or less.) 1 I certify that in the performance of the work for which this PLAN CHECKAPPLICANT 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' 7y Applicant ter' - Fixed Appliances Not Over 1 HP PERMIT 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 with comply with such provisions' or this permit shall be Top _ FAU —W.H. — deemed revoked. CITY Tel. No. Hood _ Fan _Other_ r` LICENSED CONTRACTORS DECLARATION LICENSE OR Disp. Room Air Cond. REG. NUMBER -��i Class. I hereby affirm that I am licensed under provisions of Chapter 9 ti (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PROCESSED BY a and Professions Code,and my license is in full force and effect. O ( Size &Type HP, KW, KVA, or KVAR U License Number (' # Lic. Class Up to 1 Incl. FINAL LU O ( C Over 1 to 10 Incl. DATE VALIDATION LL Contractor ° i '*-Y V ,((Date ' i } ❑ Over 10 to 50 Incl. FINAL oe I am exempt under Sec. Over 50 to 100 Inc. BY Q B.&P.C. for this reason Over 100 O Date: Services, Swbd., MCC& Panelboards ► n 0 -200 Amp. Under 600 V W Signature 201 - 1000 Amp. Under 600 V ❑ /' Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit r I hereby affirm that I am exempt from the Contractor's License Additional Sign Brunch Circuits Law for the following reason (Section 7031.5, Business and e a s w p �• Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors i Y A • ' structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ ► 7044, Business and Professions Code). • ' . CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE t 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 hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 4. `{ id ignature of Permittee Date WORKERS'COMPENSATION DECLARATION CE-806 10181 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB e ADDRESS •�' j Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ❑ $ _ g LOCALITY ! Certified copy is filed with the county building inspec- 1 &2-family, Sq. Ft. tion department. Multi-family Sq. Ft. — NEAREST CROSS ST. Residential Swimming Pools OWNER OR Date Applicant FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE Outlets: Rec� Light '"!� Sw. ADDRESS / s seccompleted if the work involved b First 20 (Thition need not be com p y Total No. Additional CITY Tel. No.;' ' the permit is for one hundred dollars($100)or less.) 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 In Total No. j CITY Tel No. Date ' Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after mok`i�ng this Certificate–of APPLICANT – "kExemption, 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 4,\ p C with comply with such provisions or this permit shall be Top — FAUW.H. — '— CITY :;C,.. deemed revoked. Tel,. Hood Fan Other— LICENSED CONTRACTORS DECLARATION LICENSE OR "j 1 Y l I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER f Cass. } (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCESSED BY p, Power Apparatus 8 Large Appliances and Professions Code,and my license is in full force and effect. O t+ Size &Type HP, KW, KVA, or KVAR V License Number 1 _Lic. Class— LUUp to 1 Incl. FINAL Over 1 to 10 Incl. DATE VALIDATION LL Contractor ' '' -� Date !fin❑ Over 10 to 50 Incl. FINAL C}C I am exempt under Sec. Over 50 to 100 Inc. BY � B.&P.C. for this reason Over 100 Services, Swbd., MCC& Panelboards rZ Date: 0 -200 Amp. Under 600 V ► u�i 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 Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): ElI, as owner of the property, will do the work and the Misc. Conduits 8 Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ ► r u (�!`` 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY a ` r 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 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 WORKER'S COMPENSATION DECLARATION DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT 76A663 I hereby affirm that I have a certificate of consent to self76A663. Insure, I or&:certificate of Worker's Compensagon 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 I FOR APPLICANT TO FILL IN AOB DDRESS u Tq , \ 1 �� Certified copy is hereby furnished. New Residential Bidgs.&Pools NO. EACH FEE, ,� CA ❑ _ $ 1 &2-Family,Sq.Ft. $ LOCALITY• `� Certified copy is filed with the county building inspection department. (Multi-family Sq.Ft. — NEARS ST.. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK I PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. OWNER R + COMPENSATION INSURANCE FIRM NAOME First 20 � r (This section need not be completed If the work Involved by the Total No. Additional ADDRESS �� a 1P.Nw Y a G t permit is for one hundred dollars($100)or less.) ,l I certify that in the performance of the work for which this permit cireX q. el.Na. I Is issued, I shall not employ any person in any-manner so as to PLAN CHECK become subject to the Workers'Co pensation Laws. Lighting Fixtures First 20 APPLICANT Y i i 1 �d _� ;Total No. Additional J� Wi �8\� ADDRESS Date Applican 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. Q IT provisions of the Labor Code,you must forthwith comply with'such power Apparatus&Large Appliances APRPLICANrJ provisions or this permit shall be deemed revoked. �t LICENSED CONTRACTORS DECLARATION Size&Type HP;KW,KVA,or KVAR ADDRES I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. p (commencing with Section 7000)of Division 3 of the Business and CITY `1ti Q_ Tel.No.�ap 63 Professions Code,and my license'is in full force and effect. Over 10 to 50 Incl. Q�c i Over 50 to 100 Incl. LICENSE OR 0 –1 Class' :1 Over 100 License Numberb% k� DISTRICT NO. PROCESSED BY Lic.Class � C) ( (� \+ !A Services,0-399 AmUndere600 V s ATE O Contractor D l, p. + ❑ I am exempt under Sec. 400-1000 Amp.Under 600 V W VALIDATION Over 1000 Amp.or Over 600 V FINAL' (1 B.&P.C.for this reason BRANCH CIRCUIT FEES BY CD Z Date: 16A,or 20A,120V,Lighting or Recept. ;� _ t 1 To 10 Branch Circuits I ANT. _ Signature 11 To 40 Branch Circuits 'f�'�') 'a ❑ 41 Or More Branch Circuits I �� frl Exemption for Reg.Maint.Elect. 15A,.20A,208V To 277V Lighting Sr.Circuits 3-120-1 SINGLE FAMILY Temp.Power Pole&Appurtenances fl HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit TOTAL 5101 ® `o" 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 N H I�HS 50.70 ❑ I,as owner of the property,will do the work and the structure Mis I.Conduits&Conductors CHANGLE G) Is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). CONSTRUCTION LENDING AGENCY U( lia 3(-1(-(1 41/ 5/95 I hereby affirm that there is a construction lending agency for the } A f.;, Performance of the work for which this permit is issued(Sec. 3097, PERMIT FEE (Sub-Total) � r Vie26 Civ.C,) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Q Lender's Address I I certify that I have read this application and under penalty of purjury state TOTAL FEE t1 that the above information Is correct. I agree to comply with all County ordinance and State laws regulating Electrical wiring,and hereby authorize r ent Ives of this County to enter upon the above-mentioned property ppect n �IE 6SEE REVERSE FOR EXPLANATORY LANGUAGE UBE OF S DA4T;E WORKERS' COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-8066 insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES "y— BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) / i Policy No. Company FOR APPLICANT TO FILL IN JOBif� Certified co is hereby furnished. ADDRESS � to PY Y New Residential Bldgs. & Pools EACH NO. FEE � ❑ — Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ — $ LOCALITY e tion department. Multi-family Sq. Ft. NEAREST Jj Residential Swimming Pools CROSS SL ,SLC Z� Date Applicant OWNER OR ° / FIRM NAME0JK.IC-4-N / CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec //,,���Light Sw.,O / MAIL COMPENSATION INSURANCE 1 (' ADDRESS This section need not be completed if the work involved b First 20 ' ( P Y Total No. ' Additional i CITY — Tel. No �— the permit is for one hundred dollars ($100)or less.) I certify that in the performance of the work for which this APPLICANTK permit is issued, I shall not employ ny person in any manner so as to become subject to the W _kers'person Laws. Lighting Fixtures First 20 ADDRESS %I Q Additional t Total No. .7 Y CITY Tel. No. Date Applica Fixed Appliances Not Over 1 HP PERMIT wS NOTICE TO APPLICANT: If, of r a ng this ertific f APPLICANT Exemption, you should beco a bject to the Workers' Range— Heater—D.W. _ Compensation provisions of the ab F Code, you must forth- Oven — Dryer W.M.— ADDRESS with comply with such provision r this permit shall be Top _ FAU W.H. — deemed revoked. CITY C7S._ Tel. LICENSED CONTRACTORS DECLARATION Hood — Fan Other— r7. Disp. _ Room Air Cond. v O LICENSE Class r I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROC SED BY_ Power Apparatus& Large Appliances � and Professions Code, d m license is in full force and effect. (/ d `l C-cam Size &Type HP, KW, KVA, or KVAR O License Number. v'�t Lic. Class Up to 1 InclV FINAL fNter(=�� Over 1 to 10 Incl. DATE VALIDATION 0 Contractor to `O❑ Over 10 to 50 Incl. V FINAL I am exempt under Sec. Over 50 to 100 Inc. BY YJfL B.&P.C. for this reason Over 100 N Services, Swbd., MCC& Ponelboards ► �� Z Date: 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 Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): ❑ 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)_ ► 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) j (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE U S Lender's Address I certify that I have read this application and state that the TOTAL FEE &-3 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 abov m�tionedperty for inspection�urpMA SEE REVERSE FOR EXPLANATORY LANGUAGE nature of Permittee Date 4 WORKERS'COMPENSATION DECLARATION 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereb�TCE-806G 2bat I have a certificate of consent to self CE'8�G insure, or a cern{'icate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES (_- i BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) / Policy No. Company FOR APPLICANT TO FILL IN SOBr- �J CAT J Certified copy is hereby 4urnished. New Residential Bldgs. & Pools EACH ADDRESS lCl 7- r` NO. FEE v J ❑ 1 8 2-Family, S Ft. $ — $ LOCALITY t Q, Certified copy is filed with the county building inspec- Y- q tion department. Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST. �lvU �� LJ Date Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec_&Light_LSw.�First 20 MAIL COMPENSATION INSURANCE ADDRESS b Z E. CR uV JX.S, (This section need not be completed if the work involved by Total No. Additional CITY` 'eG Tel. No. the permit is for one hundred dollars ($100)or less.) I certify that in the performance of the work for which this PLAN CHE K permit is issued, I shall not employ any person in any manner so as to become subject to th ers'Co anon Laws. Lighting Fixtures— First 20 ADDRESS ` Total No. S Additional CITY Tel. No. Datil 2Applica Fixed Appliances Not Over 1 HP PERMIT �A \ NOTICE TO APPLICANT: If, of r aking this Certificate of APPLICANT `vim. e'r �C, Exemption, you should beco a bject to the Workers' Range_ Heater—D.W. — Compensation provisions of the ob r Code, you must forth- Oven — Dryer — W.M.— ADDRESS \� with comply with such provision or this permit shall be Top FAU —W.H. — deemed revoked. CITY �C2_ _G__ Tel. No 4 -0 2S LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ Disp. _ Room Air Cond. LICENSE M -7Class`a MBER J (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCE ED BY and Professions Code,qnd my license is in full force and effect. Power Apparatus& Large Appliances -�— >. Size 8 Type HP, KW, KVA, or KVAR �Q .��✓�- 0 License N`�miler. tJ"CC Lic. Class Up to 1 Incl. FINAL V l�� ��// Over 1 to 10 Incl. DATE -j VALIDATION 0 Contractor wDate ` ���PPP l! F-1 Over 10 to 50 Incl. � FINAL I am exempt under Sec. Over 50 to 100 Inc. BY t d B.BP.C. for this reason Over 100 f h Date: Services, Swbd., MCC 6 Panelboards ► ,/��' 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 6 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): ❑ 1, as owner of the property, will do the work and the Misc. Conduits 8 Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name O 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 hereby authorize representatives of this County to enter upon theabove- a boned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE `t11jAbU gnature of Permittee Dote