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Home My Public Portal About9415 LOWER AZUSA RD_Electrical__ VGAS83 D1385A 11-S13 APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY ® COUNTY OFF LOS LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER ELECTRIC FOR APPLICANT TO FILL IN DISTR= NO. GROUP ZONE PERMIT NO. ELECTRICIAN RECEIVED BY READY-FOR DATE ISSUED ADDRESS ` FIRST INSPECTION CITY TE&NO.. C— COUNTY LICENSE NO. EXPIRESBUILDING ADDRESS PERMIT FEES t; NUMBER .EACH FEE LOCALITY LIGHT OUTLETSNEAREST , ST RECEPTACLES CROSS WALL SWITCHES OWNER TOTAL OUTLETS 5D III �_ MAIL ELEC. RANGES25 ADDRESS 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 1 CERTIFY THAT 1 POSSESS-'THE ABOVE VALID LOS NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FEE NEw My P OVER INC. RACN OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/2 A LESS $ .25 L SIGNATURE OF J I/2 2 .51 PERMITTEE 2 5 '71.131 INSPECTION RECORD 6 15 1.50 15 50 2.50. 5O 200 5.00 200 510 10.00 .1 500 1000 15.00 Z OVER 1060 20.00 L7 M.G. SET/FREQ. CHANGER-HP WELDERS?AC–KVA O GENERATORS. - KW TRANSFORMERB - KVA TEMP. MOTORS (75% OF CRIB.) MOVED MOTORS (75% DF ORIr3a MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO.LAMPS FOR EACH PERMIT. DATE INSPECTORIB NAME CONDUIT •'1 J+'d. WIRING $1.00 - �j ,�• ,. /a/�. FIXTUREB $1.00 WIRING `✓ / r SUPPLEMENTARY .50 FIXTURES h POWER J TOTAL FEE # '') �v . UTILITY c1.NOTIFIED / FINAL % �� 76A668-.CE606 9-68 APPLICATION F ELECTR AL PERMIT 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. ' RECEPT. . TOTAL NO. EACH FEE OUTLETS FIRST $.20 $ OWNER LIGHT MAIL SWITCH ADD'L 1C ADDRESS OVER 20 TOTAL FIRST 20 .20 D CITY TEL.NO. LIGHTING FIXTURES FIXTURES ADD'L 10 CONTRACTOR J OVER 20 RANGES DRYERS WTR,HTR8. 1.00 ADDRESS GARB.DISP. STA.COOK CITY CJS TEL.N DISHWASH. AUTO.-WASH. STATE �� -SPACE HTRS. STA. APPL. ,50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP E P C ED BY O 1 1.00 0 y 000 1 5 1.50 INSPECTION RECORD 5 S 2.00 , 8 is 2.50 IS SO 5.00 d 50 100 5.00 V NO.TRANS• Im SIGNS: NO.LAMPS O SERVICE O•SOOV-Nor OVER 200A 1.00 SERVICE 0-SOOV-OVER 200 A. 2.00 N Z SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) t . PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INBPECTOR'B SIGNATURE TOTAL FEE i 1 HEREBY ACKNOWLEDGE THAT I HAVE READ TN18 APPLICATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING r ELECTRICAL WIRING. WIRING G n 1 HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO POWER RESIDE IN,THE ABOV ESCRIBED RE IDENTI PROPERTY. SIGNATURE ' UTILITY CO.NOTIFIED OF PERMITTEE FINAL VALIDATION JOSEPH C. ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER L"79 7 61 ARR 7 2 D 3.20 1 .; _. WORKERS'COMPENSATION DECLARATION ` 78-806 10,61 APPLICATION FOR ELECTRICAL PERMIT �7 I hereby affirm that I have a.certificate of consent to self insure; CE-806G or a certificate of Workers' Compensation Insurance, or a certifi�d COUNTY OF LOS ANGELES I BUILDING AND SAFETY copy thereof(Sec.3800.Lab.C.) , Policy No. Company FORAPPLICANT TO FILL IN JOB ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE i ADDRESS 0 Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft: $ $ j LOCALITY department. Multi-family Sq.Ft. — j NEAREST Residential Swimming Pools CROSS ST Date Applicant . + OWNER OR I FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' + Outlets:Rec—Light_Sw:'— MNL COMPENSATION INSURANCE I' ADDRESS (This section need not be completed if the work Urvolved by the First 20 permit is for one hundred dollars(.$100)or less.) Total No. Additional j CITY. C I certify that in the performance of the work for which this permi PLAN C ECK , is issued, I shall not employ any person in any manner so as .to I APPLICANT I become subject to the Workers'Compensation Laws. - Lighting Fixtures First 20 ADDRESS Additional Date pplicanttwo— y. Total No. I CITY Tel.No. NOTICE TO APPLI NT: If, after m ig this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption,you should become subject tothe Workers'Compensation Range._ Heater D.W. _ � APPLICANT. �+ C li provisions of the Labor Code,you must forthwith comply with such Oven Dryer_ W.M._ I ADDRESS V provisions or.this permit shall be deemed revoked. Top FAU W.H. LICENSED CONTRACTORS DECLARATION i CITY e �'��` Tel.,No8 -'1�7- Hood _ Fan Other_ I I hereby affirm that I 'am licensed under provisions of Chapter 9'I } LICENSE O (commencing with Section 7000)of Division 3 of the Business and Disp. — Room Air Cond. REG.NUMBER Claw .C, Professions Code,and my license is in full force and effect. DISTRICT NO. P ED BY r Power Apparatus&Large Appliances. t ^O�•- Size&.Type HP,KW,KVA,or KVAR - License.Number �F lL�3• Lic..Class e+ ' f Up to 1 Incl. 1 . FINAL a C— f Over 1 to 1DATE.0 Inc].Incl. •J vvv �VALIDATION Contracto ��L te. � -,; Over 10 to 50 Incl. i ❑ I am exempt under Sec. Over 50 to 1FIN- 00 Inc. FI , W B.&P.C.for this reason Over 100 0. Services,Swbd.,MCC&Paneiboards Z Data. 0-200 Amp.Under 600 V Signature I 201 - 1000 Amp.Under 600 V l Over 1000 Amp.or Over 600 V 0 ` Exemption for Reg.Maint.Elect. , SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION It Sign with One Branch Circuit j I hereby affirm that I.am exempt from the Contractor's License Law •I ,additional Sign Branch Circuits I for the following reason(Section 7031.5,Business and Professions Code): :I Misc.Conduits&Conductors 'I ' E31,as owner of the property,will do the work and the structure Other(See Complete Fee Schedule) is not intended or offered for sale (Section 7044, Business ', , ., and Professioris.Code). j , 8 7 Q 4 A CONSTRUCTION LENDING AGENCY I I hereby affirm that there is a construction.lending agency for the• ' # 0 0 0 0 0 2 performance of the work for which this permit Is'issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C:). I - 2550 PLAN CHECKING FEE o o'o 2 5,5 0 x Lender's Name PERMIT ISSUING FEE Q I 04=88 Lender's Address � r,' 1,0 I certify that I have read this application and state that the above i TOTAL FEE 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 prop rty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE f? gnatu of mrmillea Date. ;. CE-806G APPLICATION :FOR ELECTRICAL PERMIT ORKE98'COMPENSATION DECLARATION 78A663 10/81 Iehereby•'&. irm that I have a certificate of consent to self insure, .or a cLrtificate of'Workers'Compensation Insurance�or a certified. COUNTY OF LOS ANGELES BUILDING AND SAFETY' copy thereof(S&.3800,Lab.C.) +1 Policy No.-Company FOR APPLICANT TO FILL IN JOB ❑ Certified copy is hereby furnished. EACFf NO. FEE ADDRESS /t o(L New Residential Bldgs.&�Oro�lsQ�f� LOCALIT /+ ❑ Certified copy is filed with the county building inspection 1 2-Family,Sq.Ft.J"�_ $ _ $ C� department Multi-family Sq.Ft. NEAREST Date Applicant Residential Swimming Pools CROSS N R ST. FIRMNAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Recl..��Z Light�Sw.g h MPdt Q COMPENSATION INSURANCE l) U ADDRESS ®3 �� (This section need not be completed if the work Involved by the' First 2 Total No. Additional CITY Tel.No. permit is for one hundred dollars($100)or less.) - I certify that in the performance of the work for which.this permit PLAN CHECK Is issued, I shall,not employ any person in any manner so o APPLICANT become subject to)W Workers'Comp ation aws. hting Fixtures First 20 ADDRESS Total No. 0 ` Additional Dat Applic -- L— CITY Tei.No. NO IC TO APPLICANT: If a akii t fis ert'rfic of Fixed Appliances Not Over 1 HP PERMIT 5' Exemption, u should beco subject th Worke mpe ation • Range_ Heater_ D.W. APPLICANT -provisions of the.Labor Code,you must forthwith.cWhply with such Oven:._ Dryer_ W.M.— ADDRESS MY! provisions or this permit shall be:deemed revoked. Top FAU W H. WCENSED CONTRACTORS DECLARATION Hood _ Fan, Other_ CITY Tel,No,. I hereby affirm that I'am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. LICENSE OR Class. (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER Professions-Code,and my license is in full force and effect. DISTRICT NO. 6(yPROCESSED Power Apparatus&Large Appliances �` i Size&Type HP,KW,KVA,or KVAR � 0 License Number Lie.Class. Up to 1 Incl. FINAL U Over 1 to 10 Incl. DATE Contractor Date Over 10 to 50.Incl. VAATIONO FINAL ❑ I am exempt under Sec.. Over 50 to 1.00 Inc. i) gY W BAP.C.for this reason Over 100 N Services,Swbd.,MCC&Panelboards Z Date: 0-200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V Al 9 7 3.9 A• Over 1000 Amp.or Over 600 V ❑ Exemption-for Reg.Maint.Elect. #.''o o o 0 0 2 SINGLE FAMILY Temp.Power,Pole&Appurtenances I o o 4$2 5 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 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 o' 0 0 4 a 2 5 9 Code): J0 I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors 053l. -88 is not intended or offered for'sale (Section 7044, Business Other(See Complete Fee Schedule) _ 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(Sec.3097, PERMIT FEE (Sub Total) Civ.C.). . , �•+.�,.1� ` ,�Z�c�r,�.,fl� ,PLAN CHECKING FEE ' Lender's,Name V/7 � �f O i/viv_ �c- PERMIT ISSUING FEE Lender's Address Z JAR I certify,that I ha read ad this application and state that the above TOTAL FEE information is correcf.I agree toco ly with all Codnty ordinances and State laws regulating Electr' I irwi and hereby authorize representatives of this County tenfer upon the above-mentioned 4ProP,, or inspection purpose . SEE REVERSE FOR EXPLANATORY LANGUAGE of ee Date