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Home My Public Portal About9604 LOWER AZUSA RD_Electrical__ 78A888 CE805 1 67 APPLICATION FOR ELECTRI ALEP RMI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS o L i..�ev Q usa JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST RECEPTTOTAL -NO EACH 1I OUTLETS FIRST 20 S 20 $ E OWNER {� V S LIGHT 1 MAIL SWITCH ADD L i0 ADDRESS O OVER 20 TOTAL FIRST 20 20 CITY TEL NO LIGHTING FIXTURES L" FIXTURES ADD L1O CONTRACTOR OVER 20 RANGES DRYERS WTR HTRS 100 ADDRESS O GARB DISP STA COOK CITY Q14-- TEL NOGI�3-bIS DISHWASH AUTO WASH STATE w @ SPACE HTRS STA APDL SO LICENSE NO MOTORS OVER NOT OVER HP DIST ICT NGROIJPI Z NE P ED Y O 1 1100 I �•J� i s 1 1150 INSPECTION RECORD s a 200 s is 250 is so 300 d so100 S 00 0 SIGNS: No NO LAMPS 1 0 O SERVICE O 600V NOT OVER 200A 100 SERVICE O 600V OVER 200 A 200 H SERVICE OVER 600V 500 ? OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING FEE too APPROVALS DATE INSPECTOR a SIGNATURE TOTAL FEE i I HEREBY ACKNOWLEDGE THAT 1 HAVE READ S APPLICATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND G EE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE A S REGULATING ELECTRICAL WIRING WIRING 1 HEREBY CERTIFY THAT AM PROPERL RE (STERE AND/OR FIXTURES LICENSED AS REQUIRED BY OS O AN TATE OF CALIFORNIA OR THAT I A E AL O D TO POWER RESIDE IN THE ABOVE D 1 REBID P OP TY SIGNATURE UTILITY CO NOTIFIED OF PERMITTEE FINAL LIDATION JOSEPH C ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER LhLOO SEP29 2 D 400~ 7eAGGS Dss,�S A It ss APPLICATION FOR ELECTRIC PERMIT ,. I1VISION OF BUILDING AND SAFETY 't DeptaI ent Of County Engineer BUILDING County Of LOS Angeles ADDRESS J,bHN A LAMBIE COUNTY ENGINEER GASSATT D GRIFFIN SUP T OF BUILDING LOCALITY Temple a City FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST NUMBER OWNER t _s �• LIGHT OUTLETS MAIL RECEPTACLES ADDRESS,$ CI .,7 �l f f', r h {f („f ! �_ WALL SWITCHES FEE CITY L NO TOTAL OUTLETS @ 5 $ ELECTRICIAN n 000 ELEC RANGES 25 A ADDRESS 1000 Qw Yf..i1�1 .. ll... ELEC HEATERS 25 �� ip KW EA GIT t] TEL NOtr/.ey1t+�v STA FIXTURES 5 LICENSE NO MOTORS DISTRICT NO I GROUP I ZONE I READY FOR INSPECTION NUMBER HORSEPOWER FEE > NEW MVD HP OVER INC EACH ftL &LESS $ 25 INSPECTION RECORD 4m Y2w 1/2 2 50 2 5,A 100 w 5 A4 1 1 50 a 15 50• 250 50 200 500 ? MISC a v 3 a- NO SIGNS NO TRAMS NO SIGNS NO LAMPS 4. FOR EACH PERMIT WIRING $100 FIXTURE $100 } SUPPLEMENTARY 50 APPROVALS TOTAL FEE $ DATE INSPECTOR S SIGNATURE 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APIPLIC71VION AN AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLx REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOWANG9COUNTY ANR'STATE OF CALIFORNIA OR THAT I AM T41�(�F THE ABOVE OWER DESCRIBED RESIDENTIAL PROPS rt SIGNATURE UTILITYCO NOTIFIE d OF PERMITTEE " L. FINAL JOHN A LAMBIE COUNTY ENGINEERATION ARTHUR C VF-1T CHIEF ELECT INSPECTOR CK MO CASH i J 76A66S-CE606 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS we-4- zaosc7 kWf JOHN A LAMBIE COUNTY ENGINEER /� WILLIAM A JENSEN SUP T OF BUILDING LOCALITY G)O G/ FOR APPLICANT TO FILL IN CRROSS T ; RECEPT TOTAL NO EACH FEE OUTLETS FIRST 20 $20 $ OWNER Gn/ LEA '-s C40 LIGHT MAIL SWITCHO ADD L f0 ADDREBB .ower au5a TOTAL oVER 20 O CITY e a r}' TEL NO �✓�✓ LIGHTING l FIRST 20 20 FIXTURES 1 OV R 20 ADD L 10ELECTRICIAN /�71�� L RANGES CLO DRYERS WTR HTRS 100 ADDRESS GARB DISP STA COOK CITY /QC;hIrEL NO DISHWASH AUTO WASH STATE SPACE HTRS STA.APP (1/a H P MAX> so LICENSE NO MOTORS. OVER NOT OVER H P DISTRICT N GROUP ONE P O ES D B 0 1 1 1100 1 S Is INSPAqTION RECORD s S 200 8 is 250 -44 ` is so 300 a SO 100 Soo SIGNS. NO TRANS C NO LAMPS �O SERVICE O 600V NOT OVER 200A 100 I j SERVICE O 600V OVER 200 A 200 y SERVICE OVER 600V Soo ? MISC PERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING FEE 1100 TOTAL FEE i I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR B SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL. COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOB ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL N OF THE ABOVE DESCRIBD RESIDENTIAL �OPERTY POWER Li�i�RL UTILITY CO NOTIFIED ITT FINAL �' VALIDATIARTHUR C VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER Lrvuo 4 3 7 7G i Ay 8 2 D 2.80- o A 7GA663 CE806 5-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS O JOHN A LAMBIE COUNTY ENGINEER • WILLIAM A JENSEN SUP T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST RECEPT TOTAL NO EACH FEE OUTLETS FIRST 20 / ffi 20 $ OWNER LIGHT / MAIL SWITCH 1 �_ ADD t0 ADDRESS OVER 20 TOTAL CITY TEL NO LIGHTING F1Rsr 20 20 FIXTURES OVR 20 ADD L t0 ELECTRICIAN ) RANGES CLO DRYERS WTR FITRS 100 ADDRESS / GARB DISP STA COOK (9 4 / CITY TEL NO d DISHWASH AUTO WASH STATE SPACE HTRS STA APP (Vs H P MAX) SO LICENSE NO MOTORS OVER NOT OVER H P DISTRICT NO GRP ZONE PR D BY O 1 1 00 1 s ISO INSPECTION RECORD S S 200 B 1s 250 a 15 so s oo 50 100 Soo O NO TRANS ~ SIGNSs NO LAMPS W G. V) SERVICE O GOOV NOT OVER 200A 100 Z SERVICE O GOOV OVER 200 A 200 SERVICE OVER GOOV Soo MISC PERMIT ISSUING FEE 2 00 SUPPLEMENTARY PERMIT ISSUING FEE 1100 TOTAL FEE ffi 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES �n.SCr _✓ CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERT POWER SIGNATURE UTILITY CO NOTIFIED OF PERMITTEE FINAL VALIDATIO ARTHUFf C VEIT CIC MO CABN SUPERVISING ELECTRICAL ENGINEER s Zit AM21 � �"�' -V , r WORKER S COMPENSATION DECLARATION 766A00663 DPW(12 91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self Insure 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 r'-.,_ JOB ADDRESS Certified copy Is hereby furnished New Residential Bldgs &Pools NO EACH FEE LOCALITY ❑ Certified copy is filed with the county building Inspection 1&2 Family Sq Ft — $ $ department Multifamily Sq Ft — aRossBSTAV Residential Swimming Pools ASSESSORIr Date Applicant MAP BOOK PAGE IPARCEL CERTIFICATE OF EXEMPTION FROM WORKERS '1/�j( OWNER COMPENSATION INSURANCE OR Outlets Rec �r`fight Sw ;HP Q FIRM NAME IN Al Ift First 20 MAIL — (This section need not be completed if the work involved by the Total No AdditioADDRESS permit is for one hundred dollars($100)or less) I certify that In the performance of the work for which this permit CITY ` GA Tel No is issued I shall not employ any person in any manner so as to O � PLAN CHECK become subject to the Workers Compensation Laws Lighting Fixtures First 20 APPLICANT Total No Additio ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER NOTIC TOA PLIC T If aftermaking this certlflcate of CITY Tel No Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 provisions of the Labor Coda PERMIT p you must forthwith comply with such TV r provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP KW KVA or KVAR ADDRESS 1 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 CITY. 5LI 4 I Professions Code and my license Is in full force and effect Over 10 to 50 Incl Over 50 to 100 Incl LICENSE OR Claes IZ REG NUMBER Over 100 DISTRICT NO PROCESSED BY Q License Number Z Llc Class� v U _ Services Swbd MCC&Panelboards . p 0 Contractor IV�{ — 0 399 Amp Under 600 V FINAL O DATE /5_43 ATE /� ❑ I am exempt under Sec 400 1000 Amp Under 600 V `��`3 VALIDATION V Over 1000 Amp or Over 600 V FINAL LLI B&P C for this reason BRANCH CIRCUIT FEES BY co Date 15A or 20A 120V Lighting or Recept Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits 2 Exemption for Reg Maint Elect 15A 20A 208V To 277V Lighting Br Circuits .v+ T SINGLE FAMILY Temp Power Pole&Appurtenances ACC i°g HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit'0� 193.65 I hereby affirm that I am exempt from the Contractors License Law for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits I ITEMS� Code) ,y w� F1 as owner of the property will do the work and the structure Misc Conduits&Conductors TOTAL. 193.465 Is not Intended or offered for sale(Section 7044 Business Other(See Complete Fee Schedule) , CHECK 193.65 and Professions Code) CHANGE e011 CONSTRUCTION LENDING AGENCY 4nrn�uG 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) 0000-0001 4/ 7/93 Lenders Name PLAN CHECKING FEE 9096 1 ASI 8*-20 PERMIT ISSUING FEE Lenders Address 4 I certify that I have read this application and under penalty of purlury state TOTAL FEE � 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 Inspect) n purposes SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATU F PERMITTEE DATE L P t