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HomeMy Public PortalAbout9532 LEMON AVE_Electrical__ 78A863-CE806 10-62- APPLICATION FOR ELECTRIC L PERMIT - 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 NEAREST FOR APPLICANT TO FILL IN CROSS-ST. RECEPT. �. TOTAL NO EACH FEE OUTLETS' FIRST 20 $20 $ 00 OWNER LIGHT MAIL M` ADD'L ADDRESS ✓ 2 SWITCH pyER 20 •.1D TOTAL' CITY TEL. NO. LIGHTING FIRST 20 .20 RR �p FIXTURES ADD'L ELECTRICIAN 1..0l�kR7 e `arc OVER 20 •10 RANGES CLO DRYERS WTR.HTRS 1.00 ADDRESS l '••'I Q���� ARB 11 STA OOK `' CITY p- OU/A •TEL.NO. - ISHWAS AUTO-WASH STATE PAGE HT STA.APP.(I/s H P.MAX.) �' .50 . LICENSE NO. 2 ORS, ovER NOT OVER H.P. DISTRICb Nr Gjo P PF O E D B O 1 1.00 P 1 - a 1.50 INSPECTION RECOR - 3 8 200 r - a 8 15 2.50 O - _ V 15 50 300 50 `100 5.00 SIGNS. NO.TRANS. d NO LAMPS 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 100 ' TOTAL FEE $ 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 CONDUIT i /,,��,,��)� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �t;`-;�L'o ./1 ELECTRICAL WIRING. WIRING ' 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR `/ I LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY POWER ! SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL LIDATION ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER (U'1 1 3 5 OCT 8 2 D 1 -330- a ., 76A663-CE806 4-68 APPLICATION ,FOR ELECTRICAL ERMIT 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 , NEAREST FOR APPLICANT 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 JAPPLICANT FIXTURES - OVER 20 10 ADDRESS RANGE_DRYER-WTR HTR._ CITY TEL NO STA COOK-DISP F A U COINTRAC T'ORIvY &kfl, - SPACE HTR AIR COND ADDRESS -e ' �Y CLOTHES WASH _DISHWASH CITY TEL. N `rI u '12- FAN-OTHER 1 00 LICENSE I.10 CLAS--,.- MOTORS, LAS 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 15 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 LICENSEDAS REOU IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 10 - 50 5 00 RESIDE IN, THE ABOVE DESFRIPED RESIDENTIAL PROPERTY O 50 - 100 10 00 SIGNATURE OF PERMITT - O 100 - 500 15 00 ~ DIS�RICQT G. UP N PR ESSED BY w TUBE, OR GAS SSIGN IGN AND ONE CIRCUIT 3 00 ,,(O!J 'N MARQUEE ADDITIONAL CIRCUITS 1 00Z 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 FEE 2 00 Z d-9 UTILITY CO NOTI FIED 1f SUPPLEMENTARY PERMIT,ISSUING FEE 1 00 FINAL TOTAL FEE q JOSEPH C. ROOHAN, SUPERVISING ELEC CAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH l' U 8 4 JUL g D 4.& c SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A663-CE60,10.60 APPLICATION FOR ELECTRICAL PERMIT 1 COUNTY OF LOS /ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER / -i WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY ! —I-_ k..-1 /�'.' I- hl NEAREST -7 f ' FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES OWNER r MAIL c FET E M NUMBER EACH FEE ADDRESS ¢, Y S $ PT. SW. .10 CITY TEL NO. LIGHTING FIXTURES .10 ELECTRICIAN ELEC. RANGES CLO. DRYERS W A T E R H E A T E R S .50 ADDRESS G �I J > e- ELEC.SPACE HTRS. DISHWASHERS '� CITY C , �r r TEL NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS ,25 LICENSE NO. MOTORS: OVER INC. H.P. DISTRICJ NO. GROVP ZONE PROCESSED BY 0— yZ .25 1 A -i .c n 1/2— z 50 INSPECTION RECORD 2— 5 1.00 O_ O 5— 15 1.50 V 15— 50 2.50 I O 1 SO— 200 5.00 W C_ NO TRANS. / N SIGNS: NO.LAMPS !i Z_ SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 -1,-L a WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE -s 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 CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1HEREBY 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 OWNER OF THE ABOVE DESCRIBED RESIDENgj,-L PROPE(iTY. / � POWER SIGNATURE 1 / UTILITY CO.NOTIFIED OF PERMITTE FINAL LIDATION ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER 4"I' 7GA663-CES0610-62 APPLICATION FOR ELECTRIC L PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING /e �� 4 ��,//�/ BUILDING AND SAFETY DIVISION ADDRESS 7 ' JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY - NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT TOTALNO EACH FEE J ' OUTLETS FIRST 20 $20 $ �ry OWNER / -LIGHT V' MAIL �/ A DD'L ADDRESS / S�3 -L 4 '(Grry SWITCH OVER 20 .10 LIGHTING l{ TOTAL FIRST 20 .20 CITY TEL. NO FIXTURES I AOD'L ELECTRICIAN ���✓�I/IC T �T��� 1111 OVER 20' .10 RANGES CLO.DRYERS WTR HTRS. 1.00 ADDRESS l f GARB DISP. 'STA COOK CITY � �� TEL. NO. DISH WASH AUTO-WASH STATE �����f SPACE HTRS STA.APP (y¢H P.MAX.) .50 LICENSE NO. 1 Morons OVER NOT OVER H P. DISTRICT O G RO PT P O D O 1 ' 1.00 L +. 3 150 INSPECTION RECORD 3 8 zoo V 8 15' 250 of 15 50 3.00 O 50 too 500 YYVVrJJ SIGNS. NO.TRANS. N NO LAMPS Z SERVICE 0.600V-Nor OVER 200A 1.00 - SERVICE 0.60OV•OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 1200 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ LANDBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI ATION APPROVALS DATE INSPECTOR'S SIGNATURE TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGCAL WIRING WIRINGEBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES NIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVEED RESIDENTIAL PROPERTY POWERURE UTILITY CO.NOTIFIEDMITTEE FINAL _�®4 ` VALIDAT ARTHUR C. VEIT CK M CASH SUPERVISING ELECTRICAL ENGINEER IAO 9 5 7 6 juL 1 3 2 D' 9.40- WORKERS'COMPENSATION DECLARATION 76A663 CE-806G (2-80) APPLICATION FOR ELECTRICAL- PERMIT I 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 _ a certified copy thereof(Sec 3800,Lab C.) ` G fr�C �1t�$3gpp 'R�II /1��4 ��SNAL�t� FOR APPLICANT TO FILL IN JOB �� �� Da ��E1 / Policy No Company �7 G�_ New Residential Bldgs &Pools EACH NO FEE ADDRESS 7 ElCertifiedcopy is hereby furnished. / j �— 1 &2-Family,Sq Ft $ — $ LOCALITY 'ramPLe– Ty Multi-family Sq Ft NEAAREST Certified copy is filed with the county building.inspection CROSS ST l department n Residential Swimming Pools OWNER OR 5�3�D� FIRM NAME Mf? ��Ei 1 Date 7 D Applicant `� ( y�� Outlets Rec IV Light_ Sw ��Q / A First 20 DDRESS � CERTIFICATE OF EXEMPTION FROM WORKERS' ./ r L Total No T Additional CITY �6+�PL6 GDi�Y Tel No �Lf7.(�781` d COMPENSATION INSURANCE • PLAN CHECK � 0 (This,section ,need not be completed if the work involved APPLICANT U by the permit is_for ,one hundred'dollars ($100) or less:) Lighting Fixtures First 20 ADDRESS Total No Additional 0 I certify that in the performance of the work for which thisFixed Appliances Not Over 1 HP CITY Tel No U permit is issued, I shall not employ any person in any manner pE IT W so as to become subject-to the Workers',Compensation Laws. Range_ Heater—D W APPLICANT a Oven _ Dryer_W MV)3G © HN4r�7Na,��� �• Date Applicant Top _ FAU _ ADDRESS z W.H Hood _ Fan _Other_ CITY P�ct✓N;`A Tel NP63a-1z�3 NOTICE TO APPLICANT, If, after making this Certificate of Disp. Room Air Cond. LICENSE OR g �a Exemption, you should become subject to the Workers' REG NUMBER JS W Class �C Compensation provisions,of the Labor Code, you must forth' Power Apparatus& Large Appliances DISTRICT NO PES D BY with comply with such provisions or this permit shall be deemed'revoked. / Size&Type HP,KW, KVA,or KVAR '6� y� 99��" } (' Up to 1 Incl C/ Over 1 to 10 Incl +cam/ FINAL LICENSED CONTRACTORS DECLARATION VALIDATI N Over 10 to 50 Incl . I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINAL ^ BY rU!/ 9 (commencing with Section 7000) of Division 3 of the Bust- Over 100 . ness and Professions Code, and my license is in full force and effect. Services License License Number v SZ> Lic.Class C '0-200 Amp. Under 600 V p 201-1000 Amp. Under 600 V / Contractor Date / 3 �g� Over,1000 Amp or Over 600 V HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances Sign with One Branch Circuit- I hereby affirm that I am exempt from the Contractor's Additional Sign Branch Circuits License Law for the following reason (Section 7031 5, Busi- 1 O A ness and Professions Code) Misc Conduits&Conductors Ell, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— # 0 0 0 0 0 2 structure is not intended or offered for sale (Section 7044, Business and Professions Code). 2 0 0,�,a Q 0 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency b0 0 0;1 a 00 6 for the performance of'the work for which this permit is PERMIT.FEE (Sub-Total) issued (Sec 3097,Civ C) 0 0 3-8,1 Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Addr( PER ISSUING FEE 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 nature of Permittee Date � t