HomeMy Public PortalAbout5937 OAK AVE_Electrical__ Da a-A 4-39 25M APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ����
COUNTY OF LOS ANGELES
WM J FOX CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUP ZONE PERMIT No
WIRING FIXTURES I SERVICE / A1/.5
READY FOR RECEIVED BY DATE ISSUED
RANGE HEATER POWER FIRST INSPECTION ..�
SIGNS MISCELLANEOUS 1� Goz� /Z—Ir�7
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
Z JOB
NAME ADDRESS
U
2ADDRESS LOCALITY
V NEAREST
W CITY TEL No CROSS ST
COUNTY
REG NO EXPIRES 19
NAME 410,rg
Id
DESCRIPTION OF WORKZ MAIL
ADDRESS
NUMBER OF OUTLETS ON CIRCUITS
LOCATION BY ROOMS C TY TEL No
I LIGHT OUTLETS I SW I PLUGS IFIXE CORRECTIONS
CIRCUIT I A B 'I C D E F I G H
LIVING ROOM �-
-DINING ROOM
SRFST RM
BATH T_ .�_ '�-
ENT NALL __ j
HALL NO __ Z
FRONT PORCH I �01 v� a
E
OUTSIDE 0
KITCHEN
SERV PCH
BDRM NO
CLOSET
BDRM NO
CLOSET PROVALS
_ DATE IMSPECTOR 8 NAME
CONDUIT
WIRING '
TOTAL t FIXTURES )
NO OF OUTLETS $ POWER
NO OF FIXTURES ffi UTILITY CO NOTIf FIED +—,—w
NO OF MOTORS H P $ I FINAL L -(rV'
NO OF SIGNS TRANS i I AM THE LEGAL OWNER OF THE ABOVE 1.08 ANGELES
COUNTY REGISTRATION NUMBER
NO OF RANGES OR HEATERS Is
MISCELLANEOUS 5 E�eCTRlelw�l
1 AM THE LEGAL OWNER OFJHK PROPERWY D 2CRIBED
PERMIT FEE $ LcS� ABOVE 4
TOTAL FEE i J✓ OWMBR
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DOG B A 19 44 1 CATION FOR PERIM
DEPARTMENT OF BUIr.DnvG AND sAFErY ELEC:�tIC
COUNTY OF LOS ANGELES
M J LQ46.0IE ENNNNN GINE6
NAME DISTRI NO GROUP ZONE PERMIT NO
V ADDRESS v t J F
CITY TEL NO RECEIVED 8Y READY FOR DATE ISSUED/
FI READY
CEUNTY —f—
RT NO EXPIRES s
APPLICANT FILL IN HEAVILY OUTLEWD/JPORTION
/IONLY
DESCRIPTION OF WORK A DRESS rL V q 'P.
NUMBER OF OUTLETS ON CIRCUITS LOCAL
LOCATION BV ROOMS NEAREST
LIGHT OUTLBTB SW I PL.UaB I-,.-,T 42
CIRCUIT A B C I D I E IF IS I H 19 NAME LIB /" 9f
Z MAIL
3 ADDRB88
O CITY &&&Ae ZJ'Ax TEL.No D
1 AM THE L POBSBSSOR OF THE ABOVE LOB
ANG COU CERTIFICATE OF QUALIFICATION
tLMUN ICIAN
I TIR[ .OWNER iR BPR FdLTY SSCRIZZO
ovrNae
CORRECTIONS
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NO of OUTLETS APPROVALS
NO OF FIXTURES DATE INSPECTOR 8 NAME
NO of moron 7H P .J V CONDUIT
NO OF SIGNS TRANS WIRING
O OF RANGES OR HEATERS FIXTURES J�
191 L&A POWER
PERMIT FEB 8 UTILITYCO NOTIFIED01 C
TOTAL I= 0i
1. I
DRQ'.. T WMT}4 BLTMMM. AND SAFETY � AYPZiCATION FOR PEBffiT
COM OF LOS ANGELES ELECTRIC
GINEER
NAME D18TRICT NO GROUP I ZONE PERMIT NO
O ADDREss 6 /
CITY TEL NO RECEIVED BY READY FOR DATE ISSUED
_ /J FIRST INSPECTION J
CERTON EXPIRES ► /
APPLICANT FILL IN HEAVdY OUTUMM PORTION ONLY
DESCRIPTION OF WORK i ADDRESS O ✓ C
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY DOOMS
NEAREST
LIGHT OUTLETS Bw FLUS P1xT C J v
CIRCUIT A B CID E R G IH NAME 101'
Z MAIL _
` 3 ADORww
b CITY TEL.NOpL
O
I AM THE LENRL, POSSESSOR OF THE ABOVE LAS
ANQD.ES OOUNTY CKIMFICATB OF QIIIILIFICATION
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AM TISK L$OAI O AUMM F'RIB PROPRRTY D` CRIB®
ABOVII 4
OWNER
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NO OF OUTLETS $ APPROVALS
NO OF FIXTURM DATE INSPECTOR 8 NAME
NO OF MOTORS SH P $ �O CONDUIT
NO OF Siam TRANS WIRING
NO OF RANGES OR HEATERS $ FIXTURES
mlscEbk=us POWER
RMIT PEE $ m UTILITYCO NOTIFIED
I Ord 14
TOr V
1 ' I A1 . ' 1I,A; I It I1 1
_ _ • - • • PERMIT •
'
HEAVELY OUTMED PORTION ONLY
1 5: Mi I' i OF WORKW�*�.f
NUMMER OF OUTLWM ON CIRCUITS
L=ATION BY ROOMS
DATE INSPrA...U-rRONAUZ_'
NO OF RANGES OR HKATKRS
F
78659 CESoS 11 71 APPLICAT10 -FOR ELECTRICAL PERMIT I.J
. COUNTY OP LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
` BUILDING AND SAFETY DIVISION ADDRESS dPiV�
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE
OWNER
RECEPT_ s s MAIL �p e
FIRST 20 29 ADDRESS e7 7i yy
LIGHT TOTAL CITY TEL NOapG'%Ir
SWITCH OVER 20 f0 PLAN CHECK
LIGHTING FIRST 20 2. APPLICANT
TOTAL
FIXTURES
OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR APPLICANT
STA COOK DISP F A U ADDRESS
SPACE HTR AIR COND CITY TEL NO
CLOTHES WASH DISHWASH LICENSE NO CLASS
FAN OTHER 100 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
SIZE h TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
1 - 10 900 RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY V
SIGNATURE t
10 - 50 500 OF PERMITTEE;cl�o - 0
50 - 100 1000 tj
DISTRICTN CLASS ZONE PR CES D BY W
100 - 500 1500 V G Z { n'
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SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CE NOT OVER 600 VOLTS OR 200 AMP 900
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 1000
TEMP POWER POLE
TEMPSERVICE POLE &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 800
�M ROUGH CONDIUT
W�Acati 2x w W. 6a WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO NOTIFIED
PLAN CHECK FEE
PERMIT ISSUING FEE 900 3 FINAL
TOTAL FEE 00
PLANCHECK VALIDATION CK M 0 CASH PERMIT VALIDATIO CK M o CAS.
UAW CSC 13 2 D 10 ON
8
EE BACK OF APPLICATION FOR COMPLETE SCHEDULE
DEPS OF BIJ"ING AND SAFETY APPLiCATiON FOR PEW=
COUNTY OF LOS ANGELES ELE=IC
mmm�wm J. CHIEF ENGINEER
NAME C9 DIST NO GROUP ZONE PERMIT NO
O ADDRESS 2 �1r
CITY TEL NO BY READY FOR DATE ISSUED
COUNTY FIRST INSPECTION n
CERT NO EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED /�fj
PORTIONON�LY
Joe
DESCRIPTION OF WORE ADDRESS /�L� r
NUMBER OF OUTLETS ON CIRCUI= LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS SW PLUG rm sk
gRCU1T A B C D E F G H m NAME Qf
ZMAIL
OADDRESS.12.7,000K d'
CITYTEL NJaE=4&4:44k
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1 AM THE LdbAL POSS R OR THE ABOVE LAS
ANGgi.EB COUNTY CERTIFICATE OF QUALIFICATION
6LUCTRIC1AN
AI AM B0118 TIM i.QtiAL
Q � O THB PROP CRIB®
ONNER
CORRECTIONS
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Z
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NO OF OUTLETS • APPROVALS
NO OF FIXTURES DATE INSPECTOR S NAME
NO OF MOTORS H P = CONDUIT
NO or Blame TRANS $ WIRING
NO OF RANGES OR HEATERS $ FIXTURES (��
s POWER / l `
PERMIT FEE UTILITYCO NOTIFIED
A 1
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Des OA a as APPLICATION FOR ELECTRIC PERMIT Z
DrMON OF BUMDUM AND SAM=
Deporimaut of County Engineer
`.��r LOB Angeles BUtLDiNG
WM J FOX COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN SUP T OF BUILDING ^�
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PE&Wr FEES CROSS ST
LIGHT OUTLETS NUMBER EACH FEE
OWNER
RECEPTACLES MDD
AIL RESS Q
A
WALL SWITCHES /2
TOTAL OUTLETS g s CITYEL NOicz
ELEC RANGES 25 ELECTRICIAN _ O
ELEC HEATERS 28 ADDRESS
KVV EA CITY & -60TEL N
FIXTURES S LICENSE NO 46—co
NUMBER OF LIGHT CIRCUITS - DISTRICT NO I GRQUP I ZONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW I MVD HP OVER INC EACH
@ LEGS 8 25
16 2 SO
2 S 100
S 15 ISO
to 50 250
SO 200 Soo
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING 5100 �b
FIXTURES f1 00
L
MENTARY SO APPROi/ALS
TOTAL FEE S (f DATE INSPECTOR S SIGNATURE
EBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION CONDUITATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
LL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRINGICAL WIRING
EBY CERTIFY THAT 1 PROPERLY EGISTERED AND/OR FIXTURES
ED AS REQUIRED B OS N ES NTY AND STATE OF
RNIA OR THAT t M T AL ER OF THE ABOVE POWER
ED RESIDENTIA RUREUTILITY CO NOTIFIED
RMITTEE FINAL 2r'
WILLIAM J FOX COUNTY ENGINEER VALIDATION A C VEIT CHIEF ELECT INSPECTOR
T 7 0IR OM12 2 230 e
6t a,e-� .$
1 1 ","A; ZI
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AFMCMT
FKL INEUUVMY OUTLUVW PORnON I I
DESCREMON OF " 1 L f7 i
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De s-A 4-40 IOM APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY,1f,r,T�
COUNTY OF LOS ANGELES
WM J FOX CHIEF ENGINEER
NATUR 'I F INSTALLATION DISTRICT NO GROUP ZONE PLRRMIT o
WIRING FIXTURESE:j SERVICE 91 r I
RE 4!::p EADY FOR DATB 188UED
RANGE HEATER POWER FIRST SPEC ION
SIGNS MISCELLANEOUS I �/ 'r
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
NAME ADDRESS ovf-e
V
ADDRESS ryv, LOCALITY
NEAR*VV TEL NO CRO88ESTST Q O�/r4
j CITY �V
YI COUNTY
CERT NO EXPIRES K NAME
DESCRIPTION OF WORK z MAIL
NUMBER OF OUTLETS ON CIRCUITS ADDRESS B G
LOCATION BY ROOMS O
CITY TEL NO �'
LIGHT OUTLETS I SW PLUGS IFIXT I AM THE L POSSE880R OF THE ABOVE LOS
CIRCUIT p B C D E F G H ANGELES COUNTY CERTIFICATE OF QUALIFICATION
LIVING ROOM ELM RICIAN
--
IAN T LEGAL OWN B BRCPFR DESCRIBED
DINING ROOM ADOVB
BRFST RM
—— owNSR
BATH __ CORRECTIONS
ENT HALL
HALL NO
FRONT PORCH
OUTSIDE
_KITCHEN
SERV PCH
z
BDRM NO
CLOSET O
DORM NO
CLOSET
TOTAL
NO OF OUTLETS 8 APPROVALS
NO OF FIXTURES 8 DATE INePRCTOR• KANs
NO OF MOTORS H P S CONDUIT
NO OF SIGNS TRANS 8 WIRING
e-
NO OF RANGES OR HEATERS 8 FIXTURES
ft
MISCELLANEOUS 8 POWER
PERMIT FEE 8ov UTILITY CO NOTI ED
TOTAL FEE 8 FINAL
7GA653 CES06 9 67 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 6V3 N- OA IRr
JOHN A LAWS COUNTY ENGINEER
COLEMAN W JENKINS SUPBRINTE{NDBNT OR BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPT� NO EAC S FE OWNER -rbOLS %L?j.aj>ucTioAr C-
MAIL `
LIGHT TOTAL FIRST 20 20 O ADDRESS G CS
SWITCH_ Id OVER 20 10 CITY / C TEL NO
LIGHTING ITOTAL FIRST 20 20 CONTRACTOR /,I*Rk IAJDus?weJ PWFIXTURES OVER 20 10 ADDRESS ZZ �= �/ 'NOV j)A
RANGE—DRYER_WTR HTR _ CITY X407Vgf VA A TEL NO
STA COOK_DISP _F A U _ LICENSE NO 03
SPACE HTR AIR CONO I HEREBY ACKNOWLEDGE T AT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH _DISH WASH WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
FAN-OTHER 1 00 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORSTRANSFORMERS RATING CALIFORNIA OR THAT [ AM THE LEGAL OWNER OF AND INTEND TO
IND HEATERS ETC HP KW KVA RESIDE N THE ABOVE DESCRIBED RESIDENTIAL PROPERTY
SIZE & TYPE OVER TO SIGNATURE
0 - 1 1 00 OF PERMITTEE
1 - 10 300 DIST ICT G UP NE PRM2��3
V
S 1 O - 50 5 00 �d e
i
50 - 100 1000, NOTES /
100 - 500 1500
SIGNN
TUBE A SIGN AND ONE CIRCUIT 3 00 Z
MARQUEE ADDITIONAL CIRCUITS 1 00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE &APPURTENANCES 3 00
APPROVALS DATE INSPECTOR S SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT s A
,[y/J WIRING 14
ISSUING FEE 2 00 (/(/ FIXTURES
SUPPLEMENTARY ISSUING FEE 1 001 POWER AUTHORIZED
PERMIT FEE UTILITY CO NOTIFIED
PLAN CHECK FEE (50% PERMIT FEE) FINAL "Z f p
TOTAL FEE JOSEPH C ROOHAN
SUPERVISING ELECTRICAL ENGI R
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M 0S 14
Lisju2s7e� ,�ur31 0 9.00-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
DE B-A 4-39 XSM I APPLICATION FOR PERAT
DEPARTMENT OF BUILDING AND SAFETY ',t y,�1.�.�r�
COUNTY OF LOS ANGELES r.i .r.
WM J FO&CHIEF ENGINEER
NATUREOF INSTALLATION DISTRICT NO GROUP ZONE PERMIT NO
WIRING FIXTURES SERVICE READY FOR RECEIVED BY DATE ISSUED
RANGE HEATER 1 POWER FIRST INSPECTION Q
SIGNS MISCELLANEOUS -Rob.
" +�D
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
Z JOB
NAME ADDRESS
ADDRESS LOCALITY
NEAREST
CITY TEL No CROSS ST
COUNTY
REG NO EXPIRES d I NAME
DESCRIPTION OF WORKz I MD,10 _.
NUMBER OF OUTLETS ON CIRCUITS I 3 ADDRESS
LOCATION BY ROOMS O
CITY TEL NO
LIGHT OUTLETS I SW PLUGS IPOCr CORRECTIONS
CIRCUIT A I B C D E F G H
LIVING ROOM Ja O J�
DINING ROOM _
BRFST RM _I
BATH
ENT HALL -{
—— J
HALL NO 1 4
Ld— —— —I Z
FRONT PORCH __ rs
it
OUTSIDE I O
KITCHEN
SERV PCH j
BORN NO
CLOSET I I
BDRM NO
CLOSET APPROVALS
DATE INSPECTOR s NAME
CONDUIT
WIRING _
TOTAL I I ;iTFIXTURES I
NO OF OUTLETS i POWER
NO OF FIXTURES i u� UTILITY CO NOTIFIED
NO OF MOTORS H P i FINAL
NO OF SIGNS TRANS $ I AM THE LEGAL OWNER OF THE ABOVE LOS ANGELES
COUNTY REGISTRATION NUMBER
NO OF RANGES OR HEATERS Ii
ELECTRICIAN
MISCELLANEOUS i I AM THE LEGA, OWNF i O� IE OPERTY DESCRIBED
PERMIT FEE i BOVE �J//Ia�/�
TOTAL FEE i's OWNER
WORKERS COMPENSATION DECLARATION 7 10/81 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self CE 806G✓insure 'b►a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof(Sec 3800 Lab C )
Policy No Company ` FOR APPLICANT TO FILL IN JOB
Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS S9 3 1 �� OAVG
$ $ LOCALITY 'rP1R a
Certified copy is filed with the county building mspec 1 &2 Family Sq Ft
_ G4
NEAREST
tion department Multifamily Sq Ft CROSS ST L^%, T✓�ptS
Date q:5Applicant - Residential Swimming Pools OWNER OR
FIRM NAME �� ' r
CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec Light Sw— MAIL
COMPENSATION INSURANCE ADDRESS 9 N.. O�
This section need not be completed of the work Involved b First 20 Z��t 1 L
( P Y Additional CITY 1 prlj,� (G Gl�� Tel No
the permit is for one hundred dollars($100)or less) Total No
I certify that in the performance of the work for which this APPLICANTCHECKPLAN
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 �S -Applicant �.C�40'&fr C,'itFixed Appliances Not Over 1 HP PERMIT _ r
NOTIC TO APPLICANT If after making this Certificate of APPLICANT /4gCftC ,A ZLE G 2l C
Exemption you should become subject to the Workers Range_ Heater—D W a
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 CITY AtIA-c Tel No q)t 7 T-70
LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_
Disp — Room Air Cond LICENSE M 0 �0 Class G–tdJ
MBER 302—S-
(commencing with Section 7000)of Division 3 of the Business DISTRICT N PROC BY
and Professions Code and my license is in full force and effect Power Apparatus 8 Large Appliances 08 r }.
Size&Type HP KW KVA or KVAR i O
License Number gQ'���o Lic Class G Up to 1 Incl FINAL 0 Ott
Aa
�,�,,/�'� i�,- Over 1 to 10 Incl DATE �� 8 VALID TION O
Contractor 1��4 &C�Date Over 10 to 50 Incl FINAL
❑ I am exempt under Sec Over 50 to 100 Inc BY �W
B 8P C for this reason Over 100 $ 1 3 a 2 A Z
/
Services Swbd MCC&Panelboards Y
Date 0 200 Amp Under 600 V
Signature 201 1000 Amp Under 600V
❑ Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V
SINGLE FAMILY Temp Power Pole&Appurtenances
HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit
I 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)
❑ I as owner of the property will do the work and the Misc 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 Q
Lender s Name
PERMIT ISSUING FEE
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 above mentioned property for inspection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
Sign;tA of Permittee Date