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Home My Public Portal About9574-9592 LOWER AZUSA RD_Electrical__ 76A"3 608 SA 25M SETS 11-40 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC i COUNTY OF LOS ANGELES WI LIAM J FOX CHIEF ENGINEER DISTRICT NO GROUP ZONE PERMIT NO FOR APPLICANT TO FILL IN GJ Z S/ / ELECTRICIAN O RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS U✓ CITY ;4 jV&e4esTEL.NO BUILDINO (CENSE NO (REB • DDRE68 1� DESCRIPTION OF WORK FEES LOCALITY NUMBER OUTLETS EACH CROSS LIGHTS Be B STREET 'LO RECEPTACLES B FIXTURES B OWNER r ?U WALL SWITCHES 6 ADDRMAILESS Z�' �•�'� ELEC RANGES 2s n. ELEC HEATERS 2S CITY /y J# V/ TEL N0. QA �/ misc 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB �- t+ NUMBER OF CIRCUITS INSTALLED ANGELES COUNTY LICENSE LIGHTS RECEPTACLES MOTORS EBTRI IAN NUMBER HORSEPOWER FEE NEW Mw HP I OVER j INC EACH 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- YAP 1 1 a LESS 111 28 ERTY DESCRIBED ABOVE. I/2 2 s0 2 B 1 DO OWNER B is ISO INSPECTION RECORD is so 250 BO 200 Bao ` �f TQ S� ' 200 SOO 10 DO Q �� SOO 1000 1500J Q OVER 1000 2000 _z M G sET/rREq CHANGER HP D WELDERS AC KVA O GENERATORS KW TRANSFORMERS KVA TEMP MOTORS (75% or BRIM) MOVED MOTORS (75or ORIS) MISC SIGNS TYPE NO TRANS TYPE NO LAMPS 7 APPROVALS PERMIT FEE DATE INSPECT13RPS NAME FOR ISSUING PERMIT CONDUIT WITHOUT FIXTURES llsi 00 I WIRING WITH FIXTURES 1 24 2fFIXTURES SUPPLEMENTARY s0 ril POWER TOTAL FEE 3UTILI Y Co NOTIFIED ( t � FINAL I / WPM 10 ffil :I: 14,911 I :�1 1 f4 0 cl)Allo PW N. 13MOOKINE M" , ■iia■ ■■�■■■i■■ � , . ...■. MOMC....... ■ n■E� v ;TiAGGS-CEBOS 10.60 APPLICATION FOR ELECTRI AL PERMIT 1 COUNTY OF LOS ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS two f?y v9 JOHN A. LAMBIE. CouNTY ExarHEER WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES OWNER t C ITEM NUMBER1 EACH FEE MAIL OUTLETS: s s ADDRESS LIGHTS RECEPT. SW. .10 CITY TEL NO. LIGHTING FIXTURES 14 ELEC. RANGES CLO. DRYERS ELECTRICIAN O WATER HEATERS .SO ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY t^ hA TEL NO. GARBAGE DISPOSERS AUTO.- STATE �j WASHERS STA.COOKING UNITS .25 L:ICSNss NO. ` MOTORS: OVER INC. H.P. DISTRICT N OUP NE r O— '�� .25 ao I SP ION RECORD 2— s 1.00 L/ (, d O s— is 1.501 u is:— s0 ILr m z.5o O BO— 200 3.0 m NO TRANS. SIGNS: NO.LAMPS 1110 SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT s0 TOTAL FEE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS CATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 18 CORRECT AND AOR TO OM?LY WITH ALL COUNTY ORDINANCES AND STATE LA S REG LATING CONDUIT ELECTRICAL WIRING. - WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY R ISTE AN OR LICENSED AS REQUIRED LOS HOELE8 CO NTY ST OF FIXTURES CALIFORNIA OR THAT M T LE OW E THE OVE DESCRIBED RESIDENT L. OPE POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE FINAL VAI.IDAT ARTHUR C. VEIT CK SUPERVISING ELECTRICAL ENGINEER j �F: 5 5- FEB 2 8 2 D 2.0 0 ' D �1 B S SA 25M ZFrB 10-47 APPU TION FOR PESAr . DEPARTMENT of Bic AND SAFETY ELE IC ,- '� COUNTY OF LOS ANGELES zDISTRICTNO, GROUP IT ZONE PERMNO NAME Ray F'' Warren V ADDRESS 1717 glendale Blvd, CITY Los Angeles TEL N NO 4860 BY FIRST�INSPEOGTION DA ssUE �" COUNTYcffjwr 528 EXPI APPLLCANT FILL IN HEAVILY OUTLINED PORTION ONLY 8 -16 Joe DESCREMON OF WORK ADDRESS 2164 E. Lower Azusa Rd. NUMBER OF OUTLETS ON CIRCUITS LOCALITY El Monte LOCATION BY ROOMS LIGHT OUTLETS SW CROSS T Sunset PLUGS qXT CIRCUIT A B C I D E IF IG H 1e NAME Signal O i 1 Co. Z MAIL 3 ADDRESS Same O CITY TEL NO 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CBRTIFICATE OF qU tFICATION. El.ecrwuaN. 1 AM THE LEGAL OWNM OF THB PROP$RTY DESCRIBED ABOVR OWNER. CORRECTIONS J _Z e D PUY11 $ 2 !ti B24 2 O I 401 5 Na OF OUTLETS 45 APPROVALS NO OF FIXTURES 2 00 DATE INSP S N E NO OF MOTORS H P. 2 CONDUIT / L/ NO OF SIGNS TRANS. 2 WIRING el-0 NO OF RANGES OR HEATERS FIXTURES MI POWER PERMIT FEE 25 1 UTILITYCO NOTIFIED AL FEE A 7 501 EltAI6d-fir- WORKERS COMPENSATION ATIG� 76A0 ,0� APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificatecafe ooff CEconsent to self 806C, insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800 Lab C ) Po y Nda-7eV—D Company —2-0-0 tVA FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished New Residential Bldgs & Pools EACHNO FEE ADDRESS ❑ Certified copy is filed with the county building inspec 1 &2 Family Sq Ft $ — E LOCALITY tion department Multifamily Sq Ft NEAREST Residential Swimming Pools CROSS ST OWNER OR Date Applicants in FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec Light Sw_ L t COMPENSATION INSURANCE This section neenote completed If the work involved b First 20 ADDRESS ( tineed b p y Total No Additional CITY -. Tel No �^ , the permit Is for one hundred dollars($100)or less) I certify that in'the performance of the work for which this APPLICANT permit 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 Tel No Date Applicant Fixed Appliances Not Over 1 HP PERMIT TO APPLICANT If after making this Certificate of Exemption you should become subject to the Workers Range_ Heater_D W _ APPLICANT '51 Compensation provisions of the Labor Code you must forth Oven _ Dryer _ W M — ADDRESS CO with comply with such provisions or this permit shall be Top _ FAU —WH — deemed revoked Hood _ Fan _Other_ CITY rTrfjTel No LICENSED CONTRACTORS DECLARATION Disp — Room Air Cond LICENSE OR �C Class e� !j UMBER 77J) (commencing with Section 7000) of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO PROCE D BY and Professions Code and my license is in full force and effect d. s,,,��,CC�� Size&Type HP KW KVA or KVAR to 0 License Number Lic Clas = Up to i Incl FINAL V Over 1 to 10 Incl DATE VALIDATION ad Cant r o Date Over 10 to 50 Incl 0 ❑ I am exempt under Sec Over 50 to 100 Inc BY BY B&P C for this reason Over 100 y Date Services Swbd MCC& Ponelboards �J J� Z 0 200 Amp Under 600 V ► 1 4 0 8 0 A ' Signature 201 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V , Exemption for Reg Maint Elect 2 • * 2550 SINGLE'FAMILY Temp Power Pole&Appurtenances e A • 2.5 rJ 0 C5 HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit 0729-83 1 hereby affirm that I am exempt from the Contractor s License Additional Sign Branch Circuits Law for the following reason (Section 7031 5 Business and Professions Code) c ❑ I as owner of the property will do the work and the Mist: Conduits&Conductors structure is not intended or offered for sale (Section Other (see Complete Fee Schedule)_ ► 7044 Business 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 PERMIT FEE (Sub Total) (Sec 3097 Civ C ) PLAN CHECKING FEE Lender s Name PERMIT ISSUING FEE d1-0 Lender s Address0 I certify that I have read this application and state that the TOTAL FEE .13;S-0 above information is correct I agree to comply with all County ordinances and State jaws regulating Electrical wiring and hereby authorize representatives of this Cognty to enter upon the above mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date 1