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Home My Public Portal About9441 LONGDEN AVE_Electrical__ w IBA889 GE-eae NF 6/79 APPLICATION FOR ELECTRICAL PERMIT _ COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB �► L New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 1 &2-Family,Sq.Ft. $/ Is I LOCALITY f Multi-family Sq.Ft. _ NEAREST Residential Swimming Fools CROSS ST. OWNER OR FIRM NAME N6 P Outlets:Rec Light Sw °'f f AMAIL DDRESS c First 20 Total No. Additional CITY Tel.No. PLAN CHECK APPLICANT. Lighting Fixtures First.20 ADDRESS Total No. Additional CITY Tel..No. Fixed.Appllances Not Over 1'HP PERMIT Range_Heater_D.W. APPLICANT12A TIODWorill0l96-1-710 ADDRESS Oven_Dryer=W.M. f Z W GAS Top _FAU —W.H._ CITY Tel..No �yy Hood_Fan _Other_ LICENSE,OR Disp._Room Air,Cond'.. REG.NUMBER 3s-or0. Class.. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP.LICA•: Power Apparatus&Large Appliances TION AND STATE NAT THE ABOVE;IS CORRECT AND AGREE TO Siie&.T a WP,KW,.KVA,or KVA'R COMPLY WITH'ALL COUNTY .ORDINANCES AND STATE LAWS Y,P REGULATING ELECTRICAL WIRING. d Up to 1 Incl. _ I HEREBY CERTIFY THAT.I.AM PROPERLY REGISTERED AND/OR � �_. Over 1 to 10 Incl.. LICENSED AS REQUIRED BY LOS.ANGELES COUNTY AND 51-1,OF Over 10 to 50 Incl. CALIFORNIA OR THAT I.AM THE LEGAL OWNER OF THE ABOVE DESCRIBED.RESIDENTIAL PROPERTY. Over.50 to 1.00 Inc. OPERMIT EE Over 100 SIGNATURE' QA ServicesDISTRIC..T NO, CESSBY. 0.2.00 Amp.Under 600 V i 201-1000 Amp. Under 600 V `� a Over 1000 Amp.or Over 600 V ip Z ',, temp.Power Pole&Appurtenances Sign With'One Branch Circuit Additional Sign Branch Circuits INSPECTION > INFORMATION u Misc.Conduits&Conductors ON REVERSE z Other:(See Complete Fee Schedule) - SIDE u , 5 r34c' 1.4' c O O O O O PERMIT FEE (Sub-Total). 2 0 a PLAN CHECKING'FE.E. .(One-Fourth Permit Feel C p a 0 1 i F PERMIT ISSUING'FEE o C 7 ;- TOTAL CTOTAL FEE �•SS r INSPECTION FINALED W date: _�_ By ®s '6A668 CE-806 16/78) APPLICATION i0it ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDRESS OIV 6.0 a.cl New Residential Bldgs.&Pools EACH NO. FEE 1 &2-Family,Sq.Ft. $ .025 — $ LOCALITY• &f016 CA Mufti-family Sq.Ft. .02 — NEAREST d>QX Residential Swimming Pools 25.00 CROSS ST: OWNER OR oRN FIRM NAME Outlets:Rec Light Sw. MAIL First 20 •50 ADDRESS 9 /� E• �� dC Total No. Additional .30 CITY C Tel.No.R.$`a•j PLAN CHECK APPLICANT Lighting Fixtures First 20 •50 ADDRESS Addition)ol •30 Total No. - CITY Tel.No. Fixed Appliances Not Over'1 HP PERMIT Range—Heater—D.W._ APPLICANT j,0UJPWAJ E/E Oven—Dryer_W.M.— ADDRESS OclatISAIq Top _FAU L W.H._ CITY fC Tel.No. y;v Hood—Fan _,Other_ LICENSE OR Disp.—Roorn Air Cond. 2.50. REG.NUMBER 3S7704 Class. .-.f G I HEREBY ACKNOWLEDGE THAT I HAVE'READ THIS APPLICA. Power Apparatus&Large Appliances TION. AND STATE THAT THE-ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY-ORDINANCES AND STATE. LAWS Size&Type Ii P,KW,KVA,or KVAR REGULATING ELECTRICAL WIRING. Up to 1 Incl. 2.50 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl 5.00' LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 92 Over 10 to 50 Ind. 1150' CALIFORNIA OR THAT. I AM THE.LEGAL OWNER OF THE ABOVE Over 50 to 100 Inc. 25.00 DESCRIBED RESIDENTIAL ROPERTY.. Over 100 40.00 PERMITEE SIGNATURE (Services DISTRICT NO. ROCES ED BY S 0.200 Amp.Under 6.00 V 12.50. 1A 5-4 201.1000 Amp. Under 600 V 25.00 Over 1000 Amp,or Over 600 V 50.0.0 Z O Temp.Power Pole&Appurtenances 10.00 Sign with One Branch Circuit 10.00 0 Additional Sign Branch Circuits 2'00 INSPECTION > Misc..Conduits&Conductorso.00 INFORMATION u t s r Other-(See Complete Fee Schedule) SIDE ON REVERSE W 0 F W 4 8 Z •oo v .� o2 5 202200 ,PERMIT FEE [Sub-Total) 0 0 0 2? C 0 PLAN CHECKING FEE (One-Fourth Permit Fee) p 0 6 1 1 _7�1 PERMIT ISSUING FEE $7.00 0 TOTAL FEE �I[s Q > INSPECTION FINALED eke W dote: G r ,, By. a_L� 1 ®s 1, RI KERS'COMPENSATION DECLARATION 78-883 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby that I have a certificate of consent to self insure, CE-808G pr ai*eer of Workers`Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereMA�4? 0., Policyany FOR APPLICANT 70 FILL IN JOB ADDRESS G til Pi Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE ❑ 1 &2-Family,S Ft. $ _ $ LOCALITY Certified copy is filed with the county bui Ing inspection Y. q• dep tment � � Multi-family Sq.Ft. NEAREST CROSS ST. Date Applicant �"� /'—A-1 Residential Swimming Pools OWNER OR ` moi! FIRM NAM ✓J CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec— _Sw.— MAIL COMPENSATION INSURANCE Light First 20 ADDRESS (This section need not be completed if the work involved by the Total No. Additional CITY ,it/LpS Tel.No meg,!" permit is for one hundred dollars($100)or less.) PLAN CHEC I certify that in the performance of the work for which this permit APPLICANT 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 fel.No. Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation Range— Heater D.W. — APPLICANT C-+� provisions of the Labor Code,you must forthwith comply with such Oven — Dryer— W.M.— ADDRESS B/[p� �J'`L✓�-( provisions or this permit shall be deemed revoked. Top — FAU — W.H. — A LICENSED CONTRACTORS DECLARATION Hood — Fan — Other— CITY,51.. ��_) Tel.No.5 �s I hereby.affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE OR ot�f /� (commencing with Section 7000)of Division 3 of the Business and REG:NUMBER p .26 Ctass911-40. Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRICT NO. P O SSED BY Size&Type HP,KW,KVA,or KVAR � -z- . License Numberg—OZZc—Lic.Class Up to FINALDATE 7 A Over 1 10 Incl. '227 VALIDATION O Contractor Date Over 1.0 to 50 Incl. t FINAL ❑ I am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C.for this reason Over 100 Services,Swbd.,MCC&Panelboards 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 �� u i hereby affirm that I am exempt.from the Contractor's License.Law Additional Sign Branch Circuits °a for the following reason(Section 7031.5,Business and Professions Code): ' Misc.Conduits&Conductors 3303 46.70 ❑ I,as owner of the property,will do the work and the structure Fee Schedule Complete See is not intended or offered for sale (Section 7044, Business Other( p ) — , 1 ITEMS and Professions Code). TOTAL 46.70 CONSTRUCTION LENDING AGENCY 46.70I 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) C C(,n y2E oQQ Civ.C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE a' MIM—IMOI 7/20/95 Lender's Address1475 1 AN11028 I certify that I have read this application and state that the above TOTAL FEE 17L 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 upon the above-mentioned propinspection purpogfeSEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Permi ee D e