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78A6e8 DBS SA 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
1COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
ELECTRICIAN CO CO. 3 7 t/7'/
RECEIVED BY READY FOR DATE ISSUED
ADDRESS W24 W V"IR G—ON 3LVD L_�f FIRST INSPECTION
CITY WS ANGE_E5 16 TEj ENo WE 5184 /p`CVnI�I e
COUNTY LICENSE NO O EXPIRES BUILDING
ADDRESS
PERM& FEES
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
CROSSSTF
RECEPTACLES r� /
WALL SWITCHES OWNER 15;-, IYO--"/>- .Sl0Al
TOTAL OUTLETS SCIS C MAIL
ELEC RANGES I 25 p�iv ADDRESS
ELEC HEATERS 25 CITY TEL NO
FIXTURES s
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 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
FEE
NEW MVD HP OVER INC EACH
OF THE RESIDENTIAL PROPERTY DES D
B ABOVE
I F��,
1/2 a LESS $ 25 SIGNATURE OF
PERMITTEE
1/2 2 s0
2 s 100 INSPECTION RECORD
5 1s I so
15 so 2 50 j0 L
so zoo s oo . P� %-- Le c..1c0-
200 Boo 10 00 [Z o�-- ,qtr O/7-iov.o L a
Boo 1000 1s 00 Z
g_-140ku ,7- SE'ro Imo+C-349
OVER 1000 20 00 a
M G SET/FREQ CHANGER-HP
WELDERS AC-KVA T y-�T2- O
GENERATORS-KW
TRANSFORMERS-KVA b`rz'
TEMP MOTORS (75%OF ORIG )
MOVED MOTORS (75%OF ORIG ) wz7i O
MISC I L! �4T lag G,0 l/&G
SIGNS �j_s�Q .Z'p�n✓l.�a�G�G�. �....
NO NO TRANS �-'
APPROVALS
NO NO LAMPS
DATE INSPECTOR S NAME
FOR EACH PERMIT
WIRING $1 00 dU CONDUIT
FIXTURES $1 00 WIRING
SUPPLEMENTARY s0 FIXTURES
I
POWER
TOTAL FEE $ ( UTILITYCO NOTIFIED -�^-
® ( FINAL n Z n
76A663 DBS SA 3-so APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY 4�*�-
COUNTY OF LOS ANGELES of Swf� rvrA`fi ELECTRIC
WILLIAM J. FOX, CHIEF ENGINEER
pLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIA � / X'
RECEIVED BY READY FOR DATE ISSUED
ADDRESS MONTIrRlrl I n FIRST INSPECTION
CITY TEL NO Af
COUNTY LICENBE NO EXPIRES ADDRESSBUILDING
�/ J�TI�
PERMIT FEE /V
FEC
NUMBER EACH LOCALITY
6 7j LIGHT OUTLETS NEAREST //{�/� �
RECEPTACLES CROSS sr `(V6 , N-.r'li�U/�
WALL SWITCHES OWNER `. 1+- U rlYd
(O TOTAL OUTLETS sc A MAIL
o��Cf7 ELEC RANGES gg ADDRESS Q��
3�? ELEC HEATERS zS S
A 1 CITY �i TEL NO
5(9 FIXTURES
1 HEREB ACKNOWI GE THAT 1 HAVE READ TN18
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 I CERTIFY THAT 1 POSSESS TME ABOVE VALID LOS
NUMBSR HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD HP ov6R INC EACH OF THE RESIDENTIAL PROP RTY DEA
Ip 2 IB ABOVE
�IS j A LESS 8 zS SIGNATURE OFERMITTE so P
a s 100 INSPECTION RECORD
s 1s ISO
is so 250
so zoo Sao 3 '�
co-
200 soo 1000
Sao 1000 15 00 Z
OVER 1000 20 00
M G BET/FREQ CHANGER-HP Q'
WELDERS AC-KVA O
GENERATORS - KW
TRANSFORMERS KVA
TEMP MOTORS (75% or oRlo)
MOVED MOTORS (75% of ogle)
MISC
SIGNS
NO NO TRANS.
NO NO LAMPS APPROVALS
FOR EACH PERMIT DATE INBPECTORPS NAME
WIRING $1.00 0 CONDUIT
FIXTURE8 81 oo WIRING
BUPP E ENT RY g0 FIXTURES
POWER
TOTAL FEE 8 C O UTILITY CO NOTIFIED
FINAL
711A888 CE801112"" APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /VOL
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS S
PEBMT FEES
OWNER /
ITEM NUMBER EACH FEE
OUTLE Z $ $ MAIL �c?j N• �/B�
LIGHTS RECEPT SW Z 10 ADDRESS v '1
LIGHTING FIXTURES 10 CITY TEL NO
r 7'- 3z-re
ELEC RANGES CLO DRYERS ELECTRICIAN U .
WATER HEATERS 50 ADDRESS
ELEC SPACE NTRS DISHWASHERS
CITY TEL NO
GARBAGE DISPOSERS AUTO STATE
WASHERS STA COOKING UNITS 25 LICENSE NO
MOTORS OVER INC H P DISTRICT NO GROUPZONE P ESSED BY
0— 1/2 25
1/2— 2 50 INSPECTION RECORD
2— 5 100
5— 15 ISO
15— 50 250
50-200 Boo ✓ O / / /
il
SIGNS NO TRANS V/' s' ` al
NO LAMPS CJ, /C �� t 4N/K/- ! 011AI
SERVICE O 600V 100 ,n`//7" P �P Q/C
SERVICE OVER 600V 500 d U!l
MISC
sf 01-41 h? e5k/b /6� /� iG
WIRING PERMIT 100 + / r LT /We
FIXTURE PERMIT too Ac ri IM r0
SUPPLEMENTARY PERMIT 50 4n/f7-,,—j-l`'
TOTAL FEE S �� APPROVALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING WIRING eK -
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR �' _ - n
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES Y
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABj:0ENA
DESCRIBED RESIDENTI L P OPE Y WERSIGNATURE ee CO NOTIFIEDOF PERMITTEE �'` G / Ili!/G
Or VALIDATN, ARTHUR C 'V EIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
1AI06 6 :5 8 -n ,,Ii-LP- 2 A 3.34
r,e Wfirm that
COMPENSATION DECLARATION 720 0019&AM3 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT O
,ii temby+wffirm that I have a certificate of consent to self cso6G
insure or a lerflficate'of Workers Compensation Insurance COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS
or a cer ffied golly thereof (Sec 3800 Lab C )
Policy No Company_: FOR APPLICANT TO FILL IN JOB G t 1
❑Certified copy is herebVurnished New Residential Bldgs &Pools EACH NO FEE ADDRESS
❑Certified copy'is filed with the county building mspec 1 &2-Family Sq Ft $ — $ LOCALITY
tion department Multi family Sq Ft — NEAREST
CROSS S
Date Applicant- Residential Swimming Pools OWNER OR TOA) V
t
GFIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec -"*0 Light-& Sw I MAIL t
COMPENSATION INSURANCE First 20
ADDRESS Ai 0
Total
(This section need not be completed if the work involved by Additional CITY ( Gr T Tel No esv
the permit is for one hundred dollars($100)or less) No Additio7
PLAN CHECK
I certify that in the performance of the work for which this AP ICANT
permit is issued I shall not employ any person in any manner Lighting Fixtures First 20 ADDR
so as to become subject to the Workers Compensation La s i
Additional i
Date Applicant ��' C ~' Total No CITY Tel Np
Fixed Appliances Not Over 1 HP PERMIT a
NOTICE TO APPLICANT If after making this Certificate of
Exemption you should become subject to the Workers Range— Heater—D W APPLICATION
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 — \
deemed revoked Hood — Fan —Other_ CITY Tel
LICENSED CONTRACTORS DECLARATION LICENSE O
Disp — Room Air Cond REG NU ER 1as5
I hereby affirm that I am licensed under provisions of Chapter 9
(commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO PROCESSED d
and Professions Code and my license is in full force and effect �^
Size 8 Type HP KW KVA or KVAR V 0
License Number Lic Class Up to 1 Incl FINAL J V
cc
Over 1 to 10 Incl DATE CSJQ VALI N
Contractor Date O
❑ Over 10 to 50 Incl FIN" U
I am exempt under Sec Over 50 to 100 Inc g LV
B&P C for this reason Over 100 d
Services Swbd MCC& Ponelboords 3do Z
Date 0 200 Amp Under 600 V&PII/.4
Signature 201 1000 Amp Under 600 V
❑
Exemption for Reg Maint Elect Oyer 1000 Amp or Over 600 V �0 51 4 A
SINGLE FAMILY Tem Power Pole&Appurtenances
HOME OWNER BUILDER DECLARATION p Ci # o • • • 9 2
I hereby affirm that I am exempt from the Contractor s License Sign with One Branch Circuit - - 7600
Law for the following reason (Section 7031 5 Business and Additional Sign Branch Circuits
Professions Code) • • • 7 6, 0 0 5
❑ I as owner of the property will do the work and the Misc Conduits 8 Conductors
structure is not intended or offered for sale(Section 7044 Other (See Complete Fee Schedule)_ , 0824-88
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 ) ,
--M/i/ CH&) PLAN CHECKING FEE
Lender s Name
.r0Z-1, Df, PERMIT ISSUING FEE
Lender sAddress /V /1
I certify that I hove read this application and state that the TOTAL FEE s V
above information is correct I agree to comply with all County'
ordinances and State jaws regulating Electrical wiring ano
hereby authorize representatives of this County to enter upo
the above mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE
K1, i?
Signotdke of Permittee Dat I ®s