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Home My Public Portal About9933 NADINE ST_Electrical__ 7GA663 D813 BA 3.60 •. APPLICATION FOR PERMIT . DEPARTMENT OF Bvu.DnNG AND SAFETY ELECTRIC 1 . COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT Na. ELECTRICIA 7 RECEIVED BY READY FOR DATE ISSUED ADDRESS rIRST INSPECTION /? 'g/ CITY TEL NO. J COUNTY LICENSE NO. D EXPIRES BUILDING PERMIT FEES ADDRESS t NUMBER EACH rEE LOCALITY LIGHT OUTLETS NEAREST. RECEPTACLES & CROSS ST. WALL SWITCHES OWNER 1 TOTAL OUTLETS SO MAIL ELEC. RANGES f 25 ADDRESS ELEC. HEATERS .25 CITY TEL. NO. FIXTURES B 1 HEREBY ACKNOWLEDGE THAT I NAVE 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 LOB NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW Mw. HP OVER INO. WAG" Or THE RESIDENTIAL PROPERTY D RIBED ABOVE- Y% s Lces >8 .28 SIGNATURE O I 2 .80 PERMITTEE < 2 S. 1.00 INSPECTION RECORD 8 18 1.50 15 BO 2.50 80 200 8.00 200 BOO 10.004 J 800 1000 18.00 Z OVER 1000 20.00 L7 M.G. sET/rRM CHANGER-HP R' WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (78 of DRIG.) MOVEP MOTORS (78 or ORIUJ MIBC SIGNS N0. NO.TRANS. APPROVALS NO. NO.LAMPS .FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES $1.00 G Q WIRING 8 SUPPLEMENTARY ,8p FIXTURES OWER A � TOTAL FEE a UTILITY CO.NOTIFIED . `�. iey FINAL l/' WORKERS'COMPENSATION DECLARATION DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT O • I hereby gffvm that I have a certificate of.,consent to self ,�� insure,or D,certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS at a xertifitrd thereof (Sec. 3800, La ) Pdlicy No. 2Company FOR APPLICANT TO FILL IN JOB yl�- ❑Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESSqq3 Certified cop is filed with the coup building $ _ $ LOCALITY copy county g inspec- 1 &2-Family, Sq. Ft. NEAREST tion d partment. Multi-family Sq. Ft. CROSS ST. Date ( Applicant am(��r(M[ 1 Residential Swimming Pools OWNER OR � FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec�Light_&Sw.� MAIL COMPENSATION INSURANCE /� ADDRESS First 20 (This section need not be completed if the.work involved by Total No. Additional CITY p Tel. No. the.permit Is for one hundred dollars($100)or less.) PLAN CHECK 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 Lighting Fixtures First 20 )ADDRESS so ds to become subject to the Workers'Compensation Laws. Additional Total No. CITY Tel. No. Date Applicant NOTICE TO APPLICANT: If, after mFixed Appliances Not.Over 1 HP PERMIT 'Making this Certificate of APPLICATION Exemption, you should become subject to the Workers' Range— Heater—D.W. Compensation provisions of the Labor.Code, you must forth- Oven — Dryer _L W.M.— ADDRESS � _ -6�v IL � with .comply. with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. CITY Tel. No. R1 LICENSED CONTRACTORS DECLARATION Hood — Fan —Other— Disp. Room Air Cond. _ 1 class.O REG. NUMBER R 'L I hereby affirm that I am licensed under provisions of Chapter 9 REG. (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. P SSED } and Professions Code,and my license is in full force a d effect. R / a Size 8 Type HP, KW, KVA, or KVAv Q License Number Lic. Class �/ Up to 1 Incl. FINAL. U '� !�7f rC:/l�l(� ` Over 1 to 10 Incl. DATE cc VALIDATION Contractors Date UNA ❑ Over 10 to 50 Incl. IFINAL F- I am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C. for this reason Over 100 a Services, Swbd., MCC'& Ponelboards , /)WV C0 Date: 0-200 Amp. Under 600 V Z Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. 67 SINGLE FAMILY ` HOME OWNER-BUILDER DECLARATION Temp.,Power Pole&Appurtenances CT a ,* I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit '�9. Law for the following reason (Section 7031.5, Business and Additional,,Sign Branch.Circuits .X07 — 27i.25 _ Professions Code): 1 ITQ9S ❑ 1, as owner of the property, will do the work and the Misc. Conduits&-Conductors TOTAL �. structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule 25 Business and Professions Code). , IDECK 29,25 CONSTRUCTION LENDING AGENCY C 00 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 1 11/17/89 Lender's Name II ' Len s A PERMIT ISSUING FEE D 6U3 1 AM-8'� ddress I rtify that I have read this application and state that the TOTAL FEE. ave in rmation is correct. I agree to comply with all County rdin.r c and to laws regulating Electrical wiring, and er by ou horiz r presentatives of this County to enter upon he hove enti ed property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature ot PerWittee D"te Os . i WORKERS'COMPENSATIONDECLARATION CE-806G (2.80) CAPPLICATION FOR ELECTRICAL PERMIT • CE-806 I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY Insure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) ^ FOR APPLICANT TO FILL IN JOB ` pt Policy.No. Company EACH NO. FEE ADDRESS /�J New Residential Bldgs.&Pools O Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ _ $ LOCALITY t Z_ 0 -Certified co is filed with the count buildin p Multifamily wi miFt. NEAREST copy'• y , gins action CROSS ST department. Residential Swimming Pools OWNER OR. �� FIRM NAME Cl. C_ Date Applicant Outlets: ReclLight Sw. / MAIL C f_(�� c S } First 20 ADDRESS v" 4TT SGS CERTIFICATE.OF EXEMPTION FROM WORKERS' Total . Additional CITY Tel No. �_ Z, } COMPENSATION INSURANCE PLAN CHECK a APPLICANT (This section need not be completed if the work involved Lighting Fixtures First 20 U . by the permit is for one huridred dollars ($100) or less.)' ADDRESS Additional I certify that in the performance of the work for which this Total No. '. CITY Tel No Fixed Appliances Not Over 1 HP U permit is issued, I shall not employ any person in any manner PERMIT so as to.become subject to the Wofkers,Compensatio Laws. . Range_ Heater_D.W. _ APPLICANT d J to Oven _ Dryer_W.M._ ADDRESS 2 Z Date `' Applicant Top _ FAU _W.H.y_hn�\ ,_ Hood _ Fan —Other CITY U ' Tel N Z NOTICE TO APPLICANT: If, after making this Certificate of Disp. —Room Air Cond-_ LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER d Class Compensation provisions of the.Labor Code,.you.must forth- Power Apparatus&Large Appliances DISTRICT NO. PR S BY with comply with such provisions or.this permit shall be Type deemed revoked. Size&Te HP,KW,KVA,or KVA d Up to 1 Incl. ` FINAL Over 1 to 10 Incl. DATE ��, VALIDATION LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL n �p 9 (commencing with Section 7000)of Division 3 of the Buei- BY� er 100 lll,,,JJJ ' ness and Professions.Code, and my license is in full force and � effect. L�(�_ f, Services J� ^� License Number Q �+�S Lia Class ( 0.200 Atffp.�nder 600 V / . eel 201-1000 Amp.Under.600 V ` Contractor Date Cb Over.1000 Amp.or Over 600 V HOME OWNER BUILDER DECLARATION Temp.Power Pole$Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): Misc.Conduits&Conductors 9 3 8.7,3 A I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— structure is not intended or offered for sale (Section \ # • • • • 2 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY 2 •I. 2A 10 1-hereby affirm that there is a construction lending agency for the performance of the work for which this permit is • •�� 2 4, issued(Sec. 3097,Civ.C.). PERMIT FEE (Sub Total) Lender's Name PLAN CHECKING FEE• (One-Fourth Permit Fee) 0504-82 Lender's Address PERMIT ISSUING FEE 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 a Mh1ermittee - ulating Electrical wiring, and this County to enter upon r pection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Date WORKERS'COMPENSATION DECLARATION .20-M19 DPW 76AM3 APPLICATION FOR ELECTRICAL PERMIT U Q I hereby,affirm that I have a certificate pf.�°nSeat t'o self , � ._ insure,or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF.PUBLIC WORKS 0r a certiffeedcoopyy�thereof(Sec. 3800, Lob. C.) Pdficy Not��13�iQ_Company 11�� N t FOR APPLICANT TO FILL JOB 5G �A/� ve ❑Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. - FEE ADDRESS ®Certified copy is filed with the county buijdin inspec- 1 &2-Family, Sq. Ft. $ = LOCALITY G COU►�� /r.�se�. 'S Multi-familyFt. NEAREST tion department.. Sq. CROSS ST. Date Applicant ��S�i �5�fJ Residential Swimming Pools OWNER OR �/ - PP FIRM NAME F.1G�A Pk.��,JSkI� CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light- Sw._ MAIL SA*--. . COMPENSATION INSURANCE ADDRESS First 20 (This section need not be completed if the work Involved by CITY Tel. No. the permit is for one hundred dollars($100)or less.) Total No. Additional �7' IJ�I PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'Compensation Laws. Total No. Date Additional CITY Tel. No.Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT:'.If, after'making this Certificate of APPLICATION Uig S O^J S Exemption,' you should become subject to the Workers' Range— Heater—D.W. _ Compensation provisions of the Labor Code, you must forth- Oven Dryer Y W.M.__._ ADDRESS (o Q y lla ��} t( with comply with such provisions or this.permit shall be Top FAU W.H. deemed revoked. Hood Fan —Other_ CIN 6l Pi Tel. No. LICENSED CONTRACTORS DECLARATION � LICENSE OR 1 hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. _ Class. REG, NUMBER Z (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PROCT B 0. and Professions Code,and my license is in full force and effect. Q ,� Size$Type HP, KW, KVA, or KVAR �i - O License Number A"46042-/� Lic. Class N L_ _ Up to 1 Incl. FINAL V C-0 � COWS �Zf! $'/r/ Over 1 to 10 Incl. DATE VALIDATION 0 Contractor Date Over 10 to 50 Inc. U ❑ FINAL I am exempt under Sec. Over 50 to 100 Inc. BY LLJ B.BP.C. for this reason Over 100 Services;Swbd., MCC 8 Ponelboards , Z Date: ` 0-200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Maint. Elect. Over.1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole&Appurtenances a HOME OWNER-BUILDER DECLARATION AGGT•T + I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit r Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits 5,507 18.00 Professions Code): ❑ I, as owner of the property, will do the work and the' Misc. Conduits&Conductors 1 ITM structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Scheduled , TOTAL 18 00 Business and Professions Code). MOK 118.011 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 DOOR-DQ01 1 /1$1$ Lender's Name ' PERMIT ISSUING FEE �D,50 7591 1 AM 8:24 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 the ove-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE _ ature of Permittee Date