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Home My Public Portal About9145 LONGDEN AVE_Electrical__ 76A668 DBS SA 11-50 APPLICATION FOR PERM DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1 COUNTY OFF LOSLOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN // -3 % RECEIVED By READY FOR DATEISSUED ADDRESS ( �, FIRST INSPECTION CITY TEL. NO. ' r COUNTY LICENSE NO. EXPIRES BUIL RDEISNSGADD1 e PERMIT FEES h u. c`4.\A � —�.� 1 NUMBER EACH FEE LOCALITY \ 1 \ Q�\\ LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. '� WALL SWITCHES OWNER / Aa ls! a u• TOTAL OUTLETS Sc $ MAIL ELEC. RANGES 25 ADDRESSAVLe-Aq 14 �» ELEC. HEATERS 25 FIXTURES 5 CITY ( r—I TEL. NO,Aft nN \ I HEREBY CKNOWLEDGE 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 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER FEE OF THE RESIDE • IAL PROPERTY DESCRIBED ABOVE. NEW MVD. HP OVER INC. EACH I/2&LESS $ .25 SIGNATURE OF I/2 2 s0 PERIVIITTE r I 2 5 1.00 ECTION BECOAD S 1s 1.50 1s so 2.50 so 200 5.00 200 Soo 10.00 ,J Soo 1000 15.00 Z OVER 1000 20.00 (� M. G. SET/FREQ. CHANGER-HP Q' WELDERS:AC-KVA GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (7s%OF ORIG.) MOVED MOTORS (75%OFORIG.) MISC. SIGNS NO. NO.TRANS. I I APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTORS NAME WIRING $1.00 CONDUIT �..• �' FIXTURES $1.00 WIRI1i}G. SUPPLEMENTARY .50 FIXTURES POWER' TOTAL FEE $ UT•iLITY,= NOTIFIED FINAL APPLICATION6k-16 AL PMIT 76AB63-CES06 10/72 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB r BUILDING AND SAFETY DIVISION ADDR S LOC LITY Al Q NEA EST FOR APPLICANT TO FILL IN CRO ST 15..L OUTLETS NO. EACH FEE OWNE ORO, $ $ FIRM N E AOL RECEPT._ ADDLE .e LIGHT TOTAL FIRST 20 .25 OVER 20 CITY 2 TEL. NO g,s 7S$ SWITCH_ .10 PLAN CK FIRST 20 25 APPLICA LIGHTING TOTAL FIXTURES OVER 20 ADDRESS•10 RESIDENTIAL APPLIANCES CI TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. - DISHWASH. LICENSE OR REG. NUMBER CLASS. 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 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THA I AM THE L AL OWNER OF THEefABOVE 1 - 1O 3.00 DESCRIBED RESIDE IAL PROPERT O PERMITEE C2 10 - 50 5.00 SIGNATURE CC O 50 - 100 10.00 v DISTR N PROC ED BY W 100 - 500 15.00 0 � SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS / DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE ' SERVICENOTOVER600VOLTSOR200AMP 3.00 OC) UNDERSLAB WORK SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMP SERVICE,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 I 3.00 Q TOTAL FEE PLAN CHECK VALIDATION Cr. M.Q. CA H. PERMIT VALIDATION CK. M.O. CASH l 804 2 0 6.0 () ASS SEE BACK OF APPLICATION FOR-OMPLETE SCHEDULE'S r ' y WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12:91) APPLICATION FO:R ELECTRICAL PERMIT I hereby affirm"that I have�a certificate of consent to self insure, ?6A683 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.3800 Lab.C.) POlicy'NO. Company FOR APPLICANT TO FILL IN AOB DDRESS ,"OCSP W Y&_ .❑ Certified copy is hereby furnished. . New Residential Bldgs.;&Pools NO. EACH FEE LOCALITY — $ $ -rc-Atei Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. _ NEAREST department. Multl4amily Sq.Ft. CROSS ST. La iZ Q. Date Applicant Residential Swimming Pools MAP ASSESSOR J rJ r PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec1.v LI ht 1 Sw.� OWNER OR �q–a�Nt� �` SC\ a ii COMPENSATION INSURANCE 9 •� O O FIRM NAME V1wl�tll.,elvl First 20 MAIL .(This section.need not be completed if the.work involved by the AV-Total ADDRESS q 4S �„Oa+� eq Ave— permit � permit Is for:one hundred:dollars($1011)or less:) Total No. Additional I certify that in the performance of the work for which this permit' 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 Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If., after making this Certificate of CITY Tei.No. Exemption,you should become subject to the Workers'Compensation: OTHER APPLIANCES NOT OVER 3.HP. roW long-of the Labor Code,you must forthwith comply with such PERMIT e7- p y p y Pawer Apparatus&Large Appliances APPLICANT `J dL~S �e tnlalr, oa provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS 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 Over 10 to 50 Incl. CITY Tel.No. Professions Code,and my license is in full force and effect, uCENSE OR Class. d Over 50 to 100 Incl. REG.NUMBER ss. P SED.BY V License Number 'Lic.Class Over 100 DISTRICT NO.y Services,§wbd,MCC&yarylboards �Q J•�/O Contractor Date O DATE O I am exempt under Sec. 40. 0600 V 00 Amp.Under 600 V VALIDATION LJJ ❑' ; Over 1000 Amp.or Over 600 V FINAL fl B.&P.C.for this reason BRANCH CIRCUIT FEES BY CD Z Date: 15A,or 20A,120V,Lighting or Recept. ; — 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 g HOME OWNER-BUILDER DECLARATION ACCT.V I hereby affirm that I am exempt from the Contractor's License:Law Sign with One Branch Circuit for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits 3303 225010 Code): 1 ITEMS I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors TOTAL 225. 10 is not Intended or offered for sale(Section 7044, Business Qth r(See Complete Fee Schedule) and Professions Code). Ale- CHECK 225.1L1 CONSTRUCTION LENDING AGENCY � bgrzarpe.s CHANGE ■00 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) O i Civ.C.) PLAN CHECKING FEE (MOD-0001 bI18I9h Lender's Name 6969 1 AM 8:40 PERMIT ISSUING FEE a 7 � ` Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE A`46610 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 inape c'on purpose P. e� SEE REVERSE FOR EXPLANATORY LANGUAGE 7NATURE OF PERMITTEE DATE