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Home My Public Portal About10663 LORA ST_Electrical__ 76A663 DBS SA 11-SO APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANTTO FILL IN DISTRICT O. GROUP ZONE PERMIT NO. ELECTRICIAN 91 BA 10, / PJ q 7 READY FOR ADDRESS• 10 b F3ECEIVED By`) FIRST INSPECTION TE ISS UED CITY 1 1 TEL. NO. [/ /N,v_l�''Jf-" COUNTY LICENSE NO. J,2✓ EXPIRES B ILDING PERMIT FEES ADDRESS NUMBFEEER EACH LOCALITY 0 LIGHT OUTLETS NEAREST ! CROSS ST. A! RECEPTACLES WALL SWITCHES OWNER Ps •1 TOTAL OUTLETS Sc S p Cl MAIL ELEC. RANGES 85 ADDRESS 7� ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 1/ 7 I HEREBY ACKNOWLEDGE THAT I 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 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. NEW MVD. HP OVER INC. EACH 1�&LESS $ .25 SIGNATURE E 1/2 2 .50 PERMITTEE R. ;'� 2 5 1.00 INSPECTION RECORD 5 1s 1.50 15 SO 2.50 50 200 5,00 200 500 10.00 „J SOO 1000 15.00 a Z OVER 1000 1 20.00 (� M. G. SET/FREQ. CHANGER-HP IY WELDERS'AC-KVA GENERATORS-KW , TRANSFORMERS-KVA TEMP. MOTORS (75%of ORIG.) _ MOVED MOTORS (75%OFORIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT' CONDUIT WIRING $1.00 WIRING ��V FIXTURES $1.00 SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ UTILITY CO. NOTIFIED ® FINAL '��a.-,.�D� �4:..��.a--• S '`/y 76A663C- CE806B 12/75 APPLICATION FOR ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO'FILL IN ,JOB New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 1 &2 Finally Sq. Ft. $ — $ LOCAWTY / -Q e r Multi-family Sq. Ft. — NEAREST Residential Swimming Pools Alk CROSS ST. PWNER OR RM NAME L' .4 Outlets: Light,Switch&Receptacle ADDRESS /.f7 & '(o '(-O Y A ��• First 20 Additibnal 3 CITY ZQ 0. Tel. No. G 0 PLAN CHECK Lighting Fixtures APPLICANT j- an Cox-' First 20 ADDRESS Additional , CITY Tel.No. PERMIT Fixed Appliances Not Over 1 HP APPLICANT LA-/,4 I Ix C o Range_ Heater_ D.W. Oven _ Dryer _ W.M. ADDRESS .�-/ �,s'ZS Gd.0 -@ f. Thr Top FAU - W.H. CITY Tel. No. - -/ Z1.3 0>.. Hood Fan LICENSE OR o Disp. A.C. REG, NUMBER 3 f ./ Class,`.—j 3 v � 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION Q AND STATE THAT THE ABOVE IS.CORRECT AND AGREE TO COMPLY V WITH ALC COUNTY ORDINANCES AND STATE LAWS REGULATING LU Power Apparatus& Large Appliances ELECTRICAL WIRING. Size&Type HP,KW,KVA,or KVAR z Up to 1 Incl. ��yI I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ON Over 1 to 10 Incl. V LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE Over 10 to 50 Incl. .DESCRIBED RESIDENTIAL PROPERTY. Over 50 to 100 Incl. PERMITEE Over 100 SIGNATURE •��' �+ • DISTRICT NO. P CES BY Services � �f 0-200 Amp. Under 600 V '� •08.. 201 -1000 Am Under 600 V. INSPECTOR'S Amp. APPROVALS E SIGNATURE Over 1000 Amp.or Over 600 V TEMP.POWER POLE Temp.Power Pole&Appurtenances UNDERSLAB WORK y Sign with One Branch Circuit ROUGH CONDUIT �'��7. Additional Sign Branch Circuits (Other) WIRINGVFR RIZED PERMIT FEE (Sub-Total) TIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) A_?V-601 oPERMIT +a Sr TOTAL FEEDING FEE 42 d . '/x� 9� .I 'I '-.4 P!`$. NOTES ^ % V., I „�41^ �;f PLAN CHECK VALIDATION CK. M.O. CASH PERMIT IDATION CK. M.O. CASH 0 4 10.6 0 Abo 7GA663-CE000 10/74 APPLICATIO FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS 1� a BUILDING AND SAFETY DIVISION LOCALITY NEAREST �q /�ybJ FOR APPLICANT TO FILL IN CROSS ST. `-Z OUTLETS N0. EACH FEE OWNER OR $ S FIRM NAME RECEPT._ ADDRESS J LIGHT TOTAL FIRST 20 OVER 20 CITY Q/fX.+ �� TEL. NO. SWITCH_ 0 PLAN CHECK FIRST 20 5 APPLICANT LIGHTING TOTAL FIXTURES 0 _[___�OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITYtf vu TEL. NO. CLOTHES WASH. DISHWASH. LICENSE OR CLASS. REG. NUMBER 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF } CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 3 I - 10 900 DESCRIBED RESIDENTIAL PROPERTY. PERMITEE C= 10 — 50 5. SIGNATURE O v 50 — 100 10.)o DISTRICT N6. PROC SSED BY 100 — 500 15. 0 C9Z SIGN, GAS SIGN AND ONE CIRCUIT 5. 0 APPROVALS DATE INSP R'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1 0 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200 AMP 0 ,� UNDERSLAB WORK S ERVI CE OVER 600 VOLTS OR 200 AM P 11-00 ROUGH CONDUIT 1-1 TEMP SERVICE,POLE, &APPURTENANCES .00 WIRING 1-14- 77 TEMP LIGHT OR RECEPT, SYSTEM 00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL ' PERMIT FEE (SUB TOTAL), NOTES; PLAN CHECK FEE PERMIT ISSUING FEE TOTAL FEE PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION cK. M CASH- 92 ASH•92 1 ckSFP 30 2 D 9.0 0 A56 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE V 76A663 D99 5A 3-50 APPLICATION F09 PERMIT • . DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES EVECTIRIC WILLIAM J. FOX, CHIEF ENGINEER - FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. , �5 f7l 43 e,? ELECTRICIAN 1 + s -w4e-" .RECEIVEDBY READY FOR DATE ISSUED: ADDRESS bio � 411A L Y FIRST INSPECTION CITY. � .'.w9P f; .YKL.NO. COUNTY LICENSE NO. 'cr EXPIRES BUILDING PERMIT FEES ADDRESS r► �r �°y �/rr-��/_ NUMBER EACH FEF `• LOCALITY , 7?t? J I__�(,-/rsf LIGHT OUTLETS NEAREST CROSS RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS 5c # MAIL qa ELEC. RANGES 25 ADDRESS 1v/s e. F [.! i 3 ELEC: HEATERS. 25 CITY � • � Esf:.�itN0 FIXTURES 5' I HEREBY ACKNOWLEDGE THAT I HAVE READ. THIS MIS Cm l.I;d o.L. /C APPLICATION AND STATE THAT THE ABOVE IS. CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WIT14 ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 P089ESS THE ABOVE VALID LOS NUM9ER HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER • FEE NEw MVD. HP BVER IND. EACH OF THE RESIDENTIAL ROPERTY DESCRIBED ABOVE.- x SIGNATURE O %2 a :SO PERMITTER r�{ . ` �s - > y;f��e�r•�� 2. 5 1.00 INSPECTION RECORD s 1s 1.50 is so. 2.50 5O 200 5.D0 200 BOO 70.00 J 500 1000 15.00 Z OVER 1000 20.00 (il M.O. SET/FREQ.'CHANGER-HP a WELDERS:AC-KVA.. O GENERATORS - KW _ TRAN13FORMERE - .KVA TEMP. MOTORS (75% OF CRIB-)' MOVED MOTORS (75% or ORIS.) MISC. SIGNS NO: NO.TRANS.. APPROVALS NO. ... NO.LAMPS FOR EACH PERMIT: DATE INBPEDTOR'S NAME WIRING $1.101 CONDUIT FIXTURES $1.00 WI RI N S SUPPLEMENTARY .50 FIXTURES &0 = POWER � TOTAL FEE' S/ UTILITY CO.NOTIFIED Q Oa �2'.r"^-"�""� FINAL WORKERS'COMPENSATION DECLARATION 7BA883 10/81 I hereby rffirm that J.have:a certificate•of consent to self insure, C,E-808G APPLICATION FOR ELECTRICAL PERMIT ®r a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy tRereof(Sec.3800,Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ❑ Certified copy is hereby furnished. EACH NO. .FEE ADDRESS �(�16 63, Lora New Residential Bldgs.&Pools ❑ 2-Family, —Certified copy is filed with the county building inspection 1 & S q•Ft $ $ LOCALITY department. Multi-family Sq.Ft. NEAREST CROSS Residential Swimming Pools O Date ,Applicant OWNER OR FIRM NAME j 1 IV l? CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:RecLight• Sw.. MAIL COMPENSATION INSURANCE L ADDRESS 10 6 (This section need not be'completed If the work Involved by the First 20 '� 6 3. � v permit,Is for one hundred dollars($100)!or less.)- Total No. rte, Additional CITY I.r Tei.No. D —� I certify that in the performance of the work.for which this permit PLAN CHECK APPLICANT Js issued, I shall not employ any person in any manner so as to - become subject to the Workers'Compensation Laws. Lighting Fixtures- First 20 ADDRESS. Total No.. Additional. CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP' NOTICE. TO-APPLICANT: If,.•after making this Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater D.W. APPLICANT provisions of the Labor Code,you must forthwith comply with such Oven _ Dryer_ W.M.— ADDRESS provisions,or.this permit shall be deemed revoked. Top _ FAU _ W.H:. CITY; Tel.No: LICENSED•CONTRACTORS DECLARATION, Hood _ Fan _ Other_' I hereby affirm that I am licensed under provisions.of Chapter 9 LICENSE OR (commencing with Section 7000)of Division 3 of the.Business and D(sp. — Room Air Cond. REG.NUMBER Class. Professions-Code,and my license is in full force and effect. DISTRICr.NO.. PROC Eo BY Power Apparatus&Large Appliances > Size.&Type HP,KW,KVA,or KVARQG� Q License Number Lio Class Up to 1 Incl. FINAL Over 1.to 10 Incl. DAT 12— E 2_,' _� VALIDATION. Contractor Date Over 10 to 50 Incl. f EldeOvBY �/ W I am exempt•unr Sec. eFINAL r 50 to 100 Inc, c� B.&P.C.for this reason Over 100 Q- ' � to Services,Swbd:,'MCC&Panelboards Z Date: 0-200 Amp..Under 600 V Signature " 201- 1000 Amp.Under 600 V , 'Over 1000'Amp.or Over 600'V ' ❑ Exemption for Reg.Maint.Elect. r SINGLE.FAMILY Temp.Power Pole A Appurtenances. HOME OWNER-BUILDER DECLARATION I.hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit �fV.• c,F for the following reason($ection 7031.5,Business and Professions Additional Sign Branch Circuits /Code): I,as owner of the property,will do the work and the structure Misc.Conduits,&Conductors Is not intended or offered for sale (Section 7044, Business. Other(See Complete Fee Schedule) _ ® a z.; and Professions'Code). ' I- ZXZ5 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the f' +: CQ performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Addres$ I certify that I have read this application and state that the above TOTAL FEE CJX 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 n V Signature.of Permi a Date , / 1{VORKERS'COMPENSATION DECLARATION lo/Bt. APPLICATION FOR ELECTRICAL PERMIT i . 1 heref;y.affirn2 thti► 114ave a certificate of consent to self insure, or+a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or'a certified copy thereof(Sec. 3800, Lab. C.) I Policy No. Company FOR APPLICANT TO FILL IN JOB / Q Certified copy is hereby furnished. New Residential Bldgs.•&Pools EACH NO. FEE ADDRESS {1069 5 E •LD" 19 • Certified copy is filed with the county building iri ec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY L E CLtq Ition department. �.1. �R Multi-family Sq. Ft. — NEAREST Date Applicant f Residential Swimming.Pools OWNER OR /i� � yYy�CisY �9 D FIRM NAME 0 r .r CERTIFICATE OF EXEMPTION.FROM.WORKERS' 'Outlets: ReAAtl Light�Sw.�l. MAIL COMPENSATION INSURANCE ADDRESS 10� LD A. This section need not be completed if the work Involved b First 20 ' Elf ( p Y Total No.. Additional � CITY:Y L /f, � Tel. No. 41� 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 any person in any manner so as to become subject to the Workers'C mpensation Laws. Lighting Fixtures First 20 ADDRESS I/- 4 Additional Date �I y 2's3 Applicant Total No. CITY Tel. No.Fixed'Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT AtN 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. _ CITY Tel. No. revoked. Hood _ Fan _Other_ LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am.licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER Class. (commencing with Section 7000) of Division.3 of the BusinessDISTRICT NO. PRO - SED BY and Professions Code,and my license is in full force and effect. Power Apparatus:&Large Appliances Size&Type HP., KW, KVA, or KVAR- License Number Lic. Class Up to 1 Incl. FINAL Contractor Date Over 1 to 10 Incl. DATE"L VALIDATION Over 10 to 50 Incl. FINAL G 0 I am exempt under Sec. Over 50 to 100 Inc. BY RIM Over 100 BAP.C. for this reason Date: Services, Swbd., MCC&Ponelboards 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 Contractors License Additional Sign Branch Circuits Law for the following reason (Section 7031:5, Business:and Professions Code): J 1 h, ElConduits&Conductors 1, as owner of the property, will do the work and the Misc. � o o o 2 structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ 7044, Business and Professions Code). ► c. a _ (j CONSTRUCTION LENDING AGENCY � ,.{• s 1 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 thea a-n entioned propert for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date