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HomeMy Public PortalAbout6355 OAK AVE_Electrical__ D.B.B.5A 25M BETS 10-47 ' A11DP1T7 CAYl1ION F/',7® PFIM DEP-S OF ]SANGELES 7S AM SAFM 1°JL�s�4.rL�8.II 1`� FOR COOF LOS ANGELES ELECTRIC a NAGE DISTRICT NO. GROUP I ZONE PERMIT NO. `J ADDRESS FDY uU CITY � TEL.NO. RECEIVED By FIRSTEINSPEECTION DATEISSUED COUNTY Ldf CERT.NO. EXPI(tt APPLWANT FILL IN HEAVKY OUTLINED'ePORTION®ILS. 'DESCRUMON OF WORK ADDRESS S G I ` F�Se`i rr+. NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS 18W. PLUM FDIT C SS ST. CIRCUIT A I B C D E F IG JH -W NAM EIsa .R �!s� M1 / 't Z MAIL ADDRESS �- Xv y� o t F� CITY TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGE LINTY IFICATE F QUALJF CATION.. hAllELECTRICIAN. THK I FML 0VJr OF TF U PRO j , GGA, ��' OWNER: J Z I7 It - O TOTAL NO. OF OUTLETS fj y/ E APPROVALS r NO. OF FIXTURES f DATE INSPECTOR'S NAME NO. OF MOTORS H.P. E CONDUIT ♦� s NO. OF SIGNS TRANS. �/ $ qq WIRING ^' NO. OF RANGES OR HEAT6 ' $ G FIXTURES MISCEL NEOUS POWER i I PERMIT FEE 7 S UTILITY CO.NOTIFIED _ /I TOTAL FEE D.B.S.5A 25M SETS 10-47 S115p CATION FOR lfL�1f1A71'S\ DEPARI�EIIPI' OF BiJII�IDING � SAFLR"S ElrsELaL�J23EliVCl� i'Vi➢, �IL'[Cll��1i COMM OF LOS ANGELES ; , CIIIEF EN DINEUR NAME �� DISTRICT NO. GROUP ZONE _ PERMIT NO. ADDRESS 94RECFJ �D CITY BALDINI _ /�Y FIRST INSPECTION ISSUE CERT NO. HONE All,4/ APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WO]iK JOB g NUMBER OF OUTLETS ON CIRCUITS LOCALITY .P, LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS FDfT CR068 ST. CIRCUITA B C D E F G H m NAME Zr MAIL 9 ADDRESS O CITY TEL.NO. ' 1 AM THE LEGAL POS 80 OF THE ABOVE LOS ANGELES COUNTY CERT T OF Qu IFI ION.. ELECTRICIAN. I Rim THE LEGAL PR OF THE PROPERTY DESCRIBED 1.cI ABOVE OWNER. CORRI';C'11IONS Q _Z L7 O TOT NO. OF OUTLETS APPROVALS NO. OF FIXTURES DATE INSPECTOR'S NAME NO. OF MOTORS H.P. E CONDUIT NO. OF SIGNS TRANS $ WIRING NO. OF RANGES O HEATSalll_l C600 FIXTURES =-PERMITFEME POWER UTWTYCO.NOTIFIED A D.B.B.SA 23M BETS 10-47 g A�*1{R'� TION FOR 4fLttsl<B'!t{1! DEPARTMENT OF BUILDING M iS 19�ra+4YJEsi1 1� i'iJ t�111YY6iL AWIT COUNTY OF LOS ANGELES ELECTRIC `ti` FOCHIEF ENGINEER PcERT-NO-:2j2�p14nmv ` 1 �4�q DISTRICT NO. GROUP ZONE PERMIT NO. DRESS -11 �111O 944 SOUTH TY 1RECEIV READY FOR DATEISSUED FIRST INSPECTIONi dam. .APPLICANT FILL IN HEAVILY OUTLINED PORTION OA Y JOB DESCRIPTION OF WORK - ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST �! LIGHT OUTLETS SW. PLUGS Fin CROSS Sr. CIRCUIT A B C D E FG H m NAME 9. z MAIL 3 ADDRESS O CITY TEL NO. 4 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS AN43LLM COUNTY CERTIFIC OF QUALI ATION.. ELECTRICIAN. I AM TIIB(,EEGAL OF TH PROPERTY DESCRIBED ABOVE r, OWNER. 4VYmcoNs Y � J Q _Z 5 tC O OT L VTTF ovo 20 NO. OF OUTLETS ,� L Af,19 APPROVALS NO. OF FIXTURES $ DATE INSPE R'S NAME i NO. OF MOTORS H.P. $ CONDUIT 9, NO. OF SIGNS TRANS. $ WIRING jr / r NO. OF RANGES 26 HEATERS $ �® FIXTURES MISCELLANE US $ POWER / PERMIT FEE $ UTILTTYCO.NOTIFIED �R� 76A663 080 SA 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN • RECEIVED BY READY FOR DATE IBBUED ADDRESS � FIRST INSPECTION /� _y�`S�. CITY TEL NO. U` COUNTY LICENSE NO. EXPIRES BUILDING ADDRES !�/ f� PERMIT FEES S NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST — RECEPTACLEB ® CROBB ST. 0!:g ay / WALL SWITCHES OWNER �P ✓� —� TOTAL OUTLETS 5c MAILLj -�� - ELEC. RANGES 85 y ADDRESS ELEC. HEATERS 25 AT CI FIXTURES 6 3yP' �I` � TEL. NO. 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 ORDENANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS i CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw Mw. HP OVER I INC. EACH OF THE RESIDENTIAL PROPERTY DEED ABOVE. I/2 a LESS $ .25 SIGNATURE OF %2 2 .50 PERMITTEE- 2 S. 1.00 INSPECTION RECORD 5 1S 1.50 15 513 2.50 50 200 5.00 200 500 10.00 JQ 500 1000 15.00 Z OVER 11300 20.00 M.G. BET/FREQ. CHANGER-HP WELDERS!AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75.% of aRIB.) MOVED MOTORS (75% aF oRIBJ MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO.LAMPS FOR EACH PERMIT: /DATE INSPECTORrBNAME WIRING 51.00 I Q CONDUIT D Z�� _ FIXTURES $1.00 Q to WIRING y'// ,y��`Ail SUPPLEMENTARY .50 4 FIXTURES ® POWER TOTAL FEE $ �ci` UTI LITYCU.NOTIFIED z:>-1-- FINAL Iry rwv 00111TY OR IN ANGELES AP'PLmTm Pm PST DMpaOf cDMat °'� r - ELECTRIC i DMSION OF OF HflII.D�G ac,r � .. BAFSTY WILLIAM J. FOX. Owft E■ol■ FOR APPLICANT TO FILL IN DISTRICT NO. sROUP I ZONE PERMIT NO. ELECTRICIAN e. 7 79.7 MlOEIVlD MY READY FDR DA Im:u ADDRESSFIRMT INMPMTION CITY ' :!� ,TEL.No 7 ,' DOUNTV LID ME NES. r W 22 EIIPIR! .r, j " �• BUILDING '~ r FEE= Fps v - ADDRESS • . � s•. MUMMER lAOM LOOALITY '� t` LIMN OUTLETS NEAIIESr RECEPTACLES ESM Br. ,� _ WALL SWITOMES L •� ��` =.�f r J ' e!•s- (L OWNER TOTAL OUTLETS MB MAIL CLEC. MANNER p ADOEM r /!� G� f- . • ELECL HEATERS MG DITY TEL. No. FOITURS ■ 1 HEREBY AOKNDWLlDME THAT 1 HAVE READ THIS MIND. APPLIDATION AND STATE THAT THE MOVE IN CORRECT NUMscm of LION OIRCUITM AND AM= TO OOMPLY WITH ALL COUNTY ORDINANOEM NUMMER of REDEPTAOL! DIRDUrrm AND STATE LAW■ MENULATINM ELEDTRICAL WIIAMIL MOTORS 1 OOITIrV THAT 1 PORKERS THE AMOVE VALID LOB NuM HFEE ANSEL■ COUNTY LIOENSE. oR 1 AM THE LEMAL OWNER NSW MVM. HP ovEN INS. EAm of THE RESIDENTIAL PROPERTY DEMORIMED ANOVE. • LSMS a .SG ■IMMATURE or M no PERNITTEL M s 1.m TN ■ 1s I.GD 1s ND GRADop SD MOO GOOD ` ROD ■OO 10.0131 sm 1mO 111.0121 v OVER tom MD.m -44 29as M.O. MET/rMZIL ONANSER-HP WELOZ=i AD-KVA O MEMERATORM - KW TRANSFORMERS - KVA TEMP. MOTORS or o1BM MOVED MOTORS or main.) BIBNB ND. NO.TRAMN. N N IA P• APPWVALB FOR EACH PEMMITI DATE INSPEDTORvS NAME WIRINM DONDUIT Z FIKTUREM M1.m WININM w .Mo FIKTuRE■ POWER TOTAL FEE M� UTILITY Co.NOTIFIED FINAL t -/ "AM DRAG#KA 4-011 76A663 DBS SA 3-50 APPLICATION FOR PERMIT , DEPARTMENT OF BUILDING AND SAFETY - . COUNTY OF LOS ANGELES LT _C 1 WILLIAM J. FOX, CHIEF ENGINEER 1 FOR APPLICANT TO FILLIN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN " S �gf Af' + �� /4,2 1 �g RECEIVED BY READY FOR DATE ISSUED ADDRESS ` � U /i11' � ry` .°. � FIRST INSPECTION CITY COUNTY LICENSE NO. C;? EXPIRES J BUILDING PERMIT `FES - ADDREBB Al, / .p NUM ER EACH FEE LOCALITY//• Y7A ' ��/�I - LIGHT T OUTLES NEAREST[ p U RECEPTACLES c CROSS BT. _ J .- WALL SWITCHES C� DWNER �±� J� /� TOTAL OUTLETS 5C S pDAIL DREBS Iop op ELEC.--RANGES 25 ELEC. HEATERS `�� 25 r� CITY TEL NO. FIXTURES a 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MIBC: ` 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 1 POSSESS THE ABOVE VALID L138 NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEw MvD. HP OVER INC. ew^N OF THE RESIDENTIAL P OPERTY DEBC Jo ABOVE. i A LESS $ .25 SIGNATURE OF I/2 2 .50 PERMITTE 2 5 1.00 INSPECTION RECORD 5 15 1.50 15 50 2.50 �yl9p AIA 50 200 5.00 �7f- - 6'11-K 19 J AAZf AIA-10F 200 500 10.00 Q 500 1000 15.00 ' Z OVER 1000 20.00 IJ M.G. BET/FREq. CHANGER-HP Qt WELDERS:AC-KVA 13 GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF DRIG-) MOVED MOTORS (75% OF DRIM.) MISC. SIGNS NO. NO.TRANS. No. NO.LAMPS APPROVALS FOR EACH PERMIT: DATEp.+ INSPECTORPS NAME WIRING :SLID Era CONDUIT -2--7' .l FIXTURES 51,00 7 WIRING Ar SUPPLEMENTARY ,50 FIXTURES POWER TOTAL FEE S UTILITY CO.NOTIFIED PAd lAw 11YY FINAL I w f v - E SA 25M SETS 2-47 PFISM oBDEP#RIMENT OF DIDIINGI AND SAFE'fl'Wr 14� I °�'I®RT FOR�UNMT ® �� ANGELES ELECTRIC � WM. J. FOX CHIEF ENGINEER Q DISTRICT 110. GROUP ZONE PERMIT NO. NAIAE ADDRESS _ r 9H SOUT-11 �` RECEIVED READY FOR DATE ABU= CITY A 113349101 P 9-9 rz COUNTYTY9101 P FIRST INSPECTION rr �` CERT.NO. � ES � APPLICANT SILL IN Enuv Y ourLINED PO1HONJOB ONLY DESCRIPTION OF WORK DDRESS � 21z.� NUMBER OF OUTLETS ON CIRCUITS 'LOCALITY LOCATION BY ROOMS NEAREST I LIGHT OUTLETS SW. PLUGS FAIT - CROS ST CIRCUIT , A B C DI E F. G H m E NAM / Z MAIL � 3 ADDRESS !/ y o , CITY TEL.NO. 1 AM THE LEGAL POSSESSO OF THE ABOVE LOS , ' jj ANGB_LES COUNTY CZRTIpICAW OF QUAL F1G•'ATION.. 13 - - ELECTRICIAN. _fl / w 'i AI AM BOVB =LEGAL OF 7m PROPI;FtTy DESCRIBED OWNER.COMEMONS J Q Z m _ - R I OTAL �y NO. OF OUTLETS -1. $ f "PROVAL.S 1 NO. OF FIXTURES I'3 $ DATE INSPECTOR'S NAME NO..OF MOTORS H.P. S CONDUIT NO. OF SIGNS TRANS.. $ WIRING NO. OF RANGES O HEATS S 16-CO FIXTURES JO� MISCELLA SOUS ROWER 1 PToraL FEES _S- ��� .FINAL CO.IVOTIFIED DBS SA 25M BETS 2-47 : A9D8DQF6'1 TION FOR P DEPARTMENT OF RIHOING ' SAFETY : d71�1r5��LliiJiL LV FOR d'J� ' COUNTY OF LOS ANGELES ELECTRIC . FOX CHIEF ENGINEER z aa. DISTRICT NO. GROUP ZONE PERMIT NO. _d NAME / l U ADDRESS .944 53:17F� P:EI2: ;, CITY BA{`gjlN PAPYL1l•. RECEIVED BY READY FOR DATE ISSUED COUNTY / t FIRST INSPECTION e gg��qq�� � .a �... /�:• e f 1. CERT.NO. (� � •021 &S APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLYJOB r DESCREMON OF WORK ADDRESS 7 a L2--n-2-1k NUMBER OF OUTLETS ON CIRCUITS s LOCALITY �i • w LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGSi+f7�T CROSS ST C CIR_UIT A B C a D E F G H NAME WMAIL " �f /� Z ADDRESS V (/ 3 f o Y/.d CITY SEL.NO. b 1 AM THE LEGAL POSSESSOR OF THE A VE. LOS ANGAL.65 COUNTY,CERT! ICATE QUALIFI�d TION.0 II ELECTRICIAN. t ' i AN THE LXML OYYNER OF THS PROPSRff DESCRIBED -ABOVE OWNER. J Q Z_ m_ It - O ri OTAL rsl NO. OF OUTLETS D APPROVALS NO. OF FIXTURES DATE INSRCTORS NAME NO. OF MOTORS H.P. CONDUITNO. OF SIGNS TRANS. WIRING NO. OF RANGES O HEATERS FIXTURESMISCELLANEOUS POW ERPERMIT FEE p� UTILITY CO.NOTIFIEDra - `y(/c✓ TnTAL FEE � 'or 1. FINAL : - (:/ COUNTY OF LOS ANGE M APPLICATION FOR PERMIT DEPARTMENT OF COUNTY ffidGIIQEER ELECTRIC 1 DIVISION OF BUILD= & SAFETY WILLIAM J. FOX COUNTY ENGINE M FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN , ADDRESS �' RECEIVED READY FOR DATE ISSUED a �- FIRST INSPECTIONj� CITY r/L/ a TEL. N �/ /1 COUNTY LICENSE NO. EXPIRE BUILDING `j r OF PERMIT FEES ADDRESS NUMBER EACH FEE LOCALITY --V►• J �• -ice.i7 LIGHT OUTLETS NEAREST RECEPTACLES OSS ST. vvv : WALL SWITCHES OW �� �G�.fyA/►'�9 TOTAL OUTLETS Sc $ MAIL . ELEC. RANGES 25 ADDRES ELEC. HEATERS 25 �, ._CITYA. EL. NO. FIXTURES MISC. REB/ ACKNOWLEDG /T 1 HAVE READ THIS NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE T T THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVO. HP OVER ° :Hc. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. +2&LESS $ .25 SIGNATURE OF V2 2 .50 PERMITTER 2 5 1.00 INSPECTION RECORD 5 15 1.50 15 BO 2.50 50 200 5.00 200 500 10.00 A Soo 1000 15.00 Q OVER 1000 20.00 Z M.G. SET/FREQ. CHANGER-HP a WELDERG: AC-KVA 0 GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (78% of ome.) - MOVED MOTORS (75% of oR1a.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMP8 -7 FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 e/67 CONDUIT FIXTURES $1.00 ,� !L WIRING �- l SUPPLEMENTARY 50 a FIXTURES s POWER TOTAL FEE $� UTILITY CO. NOTIFIED FINAL 01-Q UU lllLf �.�0 76A 063 D8S# SA. 4-52 D:S-5A 9-SS APPLICATION FOR ELECTRIC ■ ERMIT .i DBS-SA DIVISION OF BUILDING AND SAFETY Deportment of County Engineer 1 County of Los Angeles BUILDING 1` WM.J.FOX, COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN,SUP'T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ;T. _. NUMBER EACH FEE LIGHT OUTLETS OWNER r MAIL 0C _ RECEPTACLES ADDRESS WALL SWITCHES TOTAL OUTLETS 5¢ $ . CITY ELEC.RANGES 25 ELECTRICIAN ✓•P- n_ELEC. HEATERS 25 ADDRESS KW EA CITY % i� TEL.NO d Q FIXTURES 5 LICENSE NO. 6 s NUMBER OF LIGHT CIRCUITS . ZZAA �� - DISTRICT NO. I C7RO�P I y�TEv I READY FOR INSPECTION • NUMBER OF RECEPTACLE CIRCUITS ' ,J1yL MOTORS NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD. HP OVER INC. EACH 1/2&LESS $ .25 1/2 2 .50 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5.00 misc. e' NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS F FOR EACH PERMIT. WIRING $1.00 FIXTURES $1.00 SUPPLEMENTARY .50 q/ APPROVALS TOTAL FEE S / 6 DATE INSPECTOR'S SIGNATURE - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUITTi- AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY r WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES M-3_T,-.cr "t . .Adw AM I LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT t AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL 1?R0 T 0A SIGNATURE UTILITY CO.NOTIFIED n1. OF PERMITTEE - fps` FINAL VI r WILLIAM J.FOX,COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR ACO 6 8 6 9 AUG 18 2 3.9 0 76.0863-CE808 10/74APPLICATION FOR ELECTRICAL PERMITrD COUNTY OF LOS ANGELES %•• DEPARTMENT OF COUNTY ENGINEER JOB !� BUILDING AND SAFETY DIVISION ADDRESS y f (.` LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER OR 01 FIRM NAME RECEPT._ $ _ $ MAIL .�` ' LIGHT TOTAL FIRST 20 25 ADDRESS ���"iP"" OVER 20 CI TY TEL. NO >.� f{! SWITCH_ .10 PLAN-CHECK LIGHTING 1TOTAL IFIRST 20 ,P5 APPLICANT FIXTURES :f0 J} OVER 20 ADDRESS - RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR: HTR. APPLICANT a 4 STA. COOK DISP. F.A.U._ SPACE HTR. AIR COND. CITY ( TEL. NO CLOTHES WASH. DISHWASH. LICENSE OR f REG. NUMBER 3 CLASS. :/10 FAN OTHER 1.00 1 HEREBY ACKNOWLE60E THAT I 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. S.IZE & TYPE OVER TO 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR. 0• 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF p CALIFORNIA OR THAI' I M THE LEGAL OWNER OF THE ABOVE C.3 A I - 10 3.00 .• t l,� DESCRIBED. RESIDEN . PROPERTY .r^' W PERMI'TEE LT. i lo = 50 5.00 SIGNATURE + III 50 — 100 10.00 DISTRICT N0. ,c `PROCESStED BY.-i 100 — 500 15.00 1r s a NE .SIGN, GAS SIGN AND ONE CIRCUIT 5.00FW— APPROVALS DATE INS TUBE, OR. MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICE NOT OVER 600 VOLTSR200AMP 3.00 ► UNDERSLAB WORK SE0!CEOVER600VOLTS.OR200AMP 10.00 ROUGH CONDUIT T EMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIEDFINAL (SUB TOTAL) NOTES: FEEUING FEE 3.00 TOTAL FEE PLAN_ .CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION • CK M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE DBB SA 2SM SETS ��tillt�li 1V81CalgY�pB�®I,P�(��WIIHi�WIY�Jilp`OH�Y�v AMSt1611 Imo`11]i. - AUrItLJu��®� FOR 1fJP�Y6l9lLLLIl, 'i WM. J. FOX CHIEF NGINEER -ELECTRIC DISTRICT NO, GROUP I ZONE PERMIT NO. Q NAME �`�r r� -, 1 �m a - re ADDRESS944 �.d s ` Soul" RECEIVED BY READY FOR DATE ISSUED CITY TEL.NO. FIRST INSPECTION COUNTY // '- CERT.NO. "- EXpI ES APPLICANT FILL IN MAVMY OUTLINED PORTION ONI1 X JOB DESCRIPTION OF WORK ADDRESS NUMBER OF OUTLETS ON CIRCUITS f LOCATION BY ROOMS `r' LOCALITY /� MV ,(� NEAREST LIGHT OUTLETS SW. PLUGS RD[T CROSS ST CIRCUIT ,, A B C I D E F IG III It NAME w Z MAIL .= ADDRESS CITY TEL.No. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANO LES COUNTY CERTIFLZATZ pF S;,U�4) TIO • / r/� IiLECTRICIAN. / I AM TILE LEGAL OWNER OF THE PROPKRTY DESCRIBED ABOVE; jf OWNER. copmcnoNs J Q Z_ L7 p TOTAL v/ / � 6�%�✓ r NO. OF OUTLETS (J 6 3 D APPROVALS 1 NO. OF FIXTURES 6 ✓� DATE INSPECTOR'S NAME NO. OF MOTORS H.P. S CONDUIT NO. OF SIGNS TRANS. WIRING NO. OF RANGES OR EATERS S FIXTURES ISCELLANEOUB $ POWER PERMIT FEE R AS UTILITYCO.NOTIFIED N-&--/ATOTAL FEE Yj—FINAL-- 1 �-wr7 u 7GA663 CE 806R Ioi77 -' APPLICATION F��RLECTRI AL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER F BUILDING AND SAFETY DIVISION ESSFORAPPLICANTTOFILLIN LITYNew Residential Bldgs.&Pools $EACOH25 NO. $ FEE5 ST. 1 &2-Family,Sq.Ft. OWNER OR Multi-family Sq.Ft. .02 — FIRM NAME Residential Swimming Pools 25.00 MAADDRESSIL \ Outlets:Rec Light_Sw. CITY- • I o. First 20 .50 1 PLAN CHECK Total No. Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tel.No. Additional .30 PERMIT Total No. APPLICANT i j rein r, F, Ler_ Fixed Appliances Not Over 1 HP ADDRESS3 ` Ct, I p Range_Heater_D.W._ CITY LJ el.No.SF:g 2,e) Oven—Dryer_W.M. LICENSE OR Top —FAU —W.H._ L REG.NUMBER U Class.G It- Hood—Fan _Other— 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp. — Room Air Cond. 2.50 v THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN• ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. (Power Apparatus&Large Appliances Size&Type HP,KW,KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Up to 1 Incl. 2.50 THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. CD Over 1 to 10 Incl. 5.00 v Over 10 to 50 Incl. 12.50 PERMITTEE =Over 50 to 100 Inc. 25.00. SIGNATURE CD– Over 100 40.00 DISTRICT NO. PR SE a Services 0-200 Amp.Under 600 V 12.50 INSPECTOR'S 201-1000 Amp.Under 600 V 25.00 APPROVALS DA SIGNATURE Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE Temp.Power Pole&Appurtenances 10.00 UNDERSLAB WORK Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2.00 WIRING Misc.Conduits&Conductors 1.0.00 FIXTURES Other(See Complete Fee Schedule) POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL PERMIT FEE (Sub-Total) NOTES PLAN CHECKING FEE (One-Fourth Permit Fee) PERMIT ISSUING FEE $7.00 TOTAL FEE ,L PLAN CHECK VALIDATION CK. M.O.�- CASH PERMIT VALI TI CK. M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76AG63C- CE8068 12/75 APPLICATION FOR ELECTRICAL PERMIT t BUILDING SAFETY •DIVISION FOR APPLICANT TO PILL IN ,JOB New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 1 &2 Finaily Sq. Ft. $ — $ LOCALITY Multi-family'Sq.Ft. — NEAREST Residential Swimming Pools CROSS ST. OWNER OR 2 FIRM NAME Outlets: Light,Switch&Receptacle AD TRESS .� First 20 Additional CITY ^ Tel. No.2 .. PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel.No. PERMIT Fixed App lances Not Over 1 HP APPLICANT Range Heater_ D.W. _ ADDRESS Oven Dryer — W.M. _ /� Top _. .FAU W.H. _ CITY Tel.No. Y/ flood Fan LICEME REG. NUMBER Class. Disp. A.C. CD 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND T.T.STHAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 0 Power Apparatus&Large Appliances WITH ALL COUNTY ORDIN ES ND STATE J& WS REGULATING Type ELECTRICAL WIRING. /�ER 13 iz &T e P KVA,or KVAR �G / L LLLI tO 1 InCI. 1 XHRHBY CERTIFY THAT 1' M PROPERLY REGISTER ANO Over 1 to 10 Incl. LICENSED AS REQUIRED ' 'LOS ANGELES COU TY A STATE OF, CALIFORNIA OR T M THE LEGALTXB ABOVE Over 10 to 50 Incl. DESCRIBED RHSID PROPERT Over 50 to 100 Incl. PERMITEE Over 100 SIGNATU Services_ DISTRICT NO,` PRO ESSED 0=200 Amp. Under 600 V 4eG O 201 -1000 Amp. Under 600 V APPROVALS DATE. INSPECTOR'S SIGNATURE Over 1000 Amp.or Over 600 V TEMP.POWER POLE Temp.Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit ROUGH CONDUIT Additional Sign Branch Circuits (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) uTl•LITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL' -- PERMIT ISSUING FEE TOTAL FEE O NOTES PLAN-CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 6 0-70-JUL 15 2 1 -2:.0.0 76A663 DEB SA 11-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. �- 1 ELECTRICIAN 'S CEIVED BY READY FOR DATE ISSUED ADDRESS h ���ii y G ( -�!�i--.� A�L FIRST INSPECTION CITY f' 0 0 TEL NO. 7 `�- COUNTY LICENSE NO. ` ° EXPIRES C `BUILDING I& PERMIT FEES ADDRESS o 0 NUMB R OUTLETS EACH FEE LOCALITYrI L'J LIGHT Sc $ NEAREST CROSS ST. /y /1 RECEPTACLES 5 p,1 FIXTURES 5 OWNER 012 h�e ii"e H' Q WALL SWITCHES 5 MAIL ELE . RANGES 25 ADDRESS ELEC. HEATERS 26 CITY TEL NO. misc. NUMBER OF CIRCUITS INSTALLED: _ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS TDTA APPLICATION AND STATE THAT THE ABOVE IS CORREO LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. NUMBER HORSEPOWER' FEE I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS New MVD. HP OVER INC- EAOM ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL CWNER 1/2 & LEBs $ .25 OF THE RESIDENTIAL�OPERTY DEBCRIBED ABOVE. '/22 .50 SIGNATURE OF -<< 2 5 1.00 PERMITTEE. 5 15 1.50 INSPECTION RECORD 15 50 2.50 BO 200 5.00 ,{_Fy 200 5D0 10.00 ✓ k`�1 V 5001 1 000 15.00Ai OVER 101313 20.00 I ry Z M.G. SET/FREm CHANGER-HP �C JJ WELDERS:AC-KVAf2 Ar �� '��� Zdy,+ I GENERATORS - KW '1 �1�o �v /)?"-::'s' iv(� � (• O TRANSFORMERS - KVA R 1p I)lAl s 9 /�P Cf 9 TEMP. MOTORS (75% of DRIB.) p� P MOVED MOTORS (75% OF aRID.) r M I Sc. -�p /�r��,,�, ,OY U l n/ iV ti g!N SIGNS TYPE: NO.TRANS. eA � �• _ �� �' FI/O TYPE• NO. LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTORPB NAME WIRING $1.00 CONDUIT b FIXTURES $1.00 WIRING CORS 4I l ;rIh SUPPLEMENTARY' .50 FIXTURES POWER TOTAL FEE $� ��• UTILITY CO.NOTIFIED v FINAL -i�.r� 1eA863CE+8064N1-6/78 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND-SAFETY FOR APPLICANT TO FILL IN JOB New Residential Bldgs.&Pools EACH NO.. FEE ADDRESS 1 &2-Family,Sq.Ft. $� — $. LOCALIT Multi-family Sq.Ft. — NEAREST oajcv iNFIV Residential Swimming-Pools. CROSS ST. OWNER OR FIRM-NAME Outlets.Rec Light Sw. MAIL First 20 ADDRESS Total No. Additional CITY' Tel.Na PLAN CHECK APPLICANT Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel.No. Fixed Appliances Not Over 1 HP PERMIT Range_Heatefe D.W. APPL'ICANTLAI_ Oven_Dryer W.M.— ADDRESS �.L Top _FAU •W W.H._ CITYTel.No. Hood_Fan —Other LICENSE OR . Disp._Room Air Cond. — REG.NUMBER . Class. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA. Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&,Zype HP,KW,KVA,or KVAR COMPLY I WWIITH ELECTRICAL ALL UN TY-ORDINANCES AND STATE LAWS Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY_REGISTERED AND/OR. Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE_OF 99 Over 10 to 50 Incl. CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RES L PROPERTY. _ Over 5.0 to 100 Inc. PERMITE Over 100 SIGNATURE. Services DISTRICT NO. P CESS B 0-200 Amp..Under 600 V 201.1000 Amp. Under 600 V Over 1000 Amp.or Over 600 V �Yf� c/r y '�>?�a O Temp.Power Pole'&Appurtenances Sign with One Branch-Circuit 7� R 5.6 3.2 A Additional Sign Bronch•Circuits INSPECTION INFORMATION Y # 0'0'0 0 0 2 Misc.Conduits&Conductors ON REVERSE = 2 - - 27.00 Other(See Complete Fee Schedule) SIDE v 5 27,005 d 0723-79 PERMIT FEE (Sub-Total) z PLAN CHECKING FEE (One-Fourth Permit Feel O PERMIT ISSUING FEE c TOTAL FEE > INSPECTION FINALED date: �r/i?� By 6 (0s 76A663 aE 606R 10/77 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB h BUILDIN AND SAFETY DIVISION ADDRESS C�. FOR APPLICANT TO FILL IN LOCALITY New Residential Bldgs.&Pools $'EA 025 NO. $ FEE CROSS ST. 1 &2-Family,Sq.Ft. OWNER T. . Multi-family Sq.Ft. 02 — FIRM.NAM Residential Swimming Pools 25.00 MAIL ADDRESS Outlets:RecLight_Sw. CIT IA. First 20 .50 PLAN CHECK 1 74 Total No. Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tel.No. Additional .30 PERMIT Totol No. APPLICANT Fixed Appliances Not Over 1 HP ADDRESS Range_Heater_D.W._ CITYAil Oven_Dryer_W.M. LICENSE OR Top —FAU —W.H.— REG.NUMBER , Class. i Hood—Fan _Other— I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp. _ Room Air Cond. 2.50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN- ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size&Type HP,KW,KVA,or KVAR 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Up to 1 Incl. 2.50 THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. C Over 1 to 10 Incl. 5.00 v Over 10 to 50 Incl. 12.50 PERMITTEE C Over 50 to 100 Inc. 25.00 SIGNATURE Over 100 40.00 DISTRICT NO. PROCESSED BYOgg / a• Services sa 0-200 Amp.Under 600 V 12.50 INSPECTOR'S APPROVALS DATE SIGNATURE 201.1000 Amp.Under 600 V 25.00 Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE Temp.Power Pole&Appurtenances 10.00 UNDERSLAB WORK Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional-Sign Branch Circuits 2.00 WIRING Misc.Conduits&Conductors 10.00 FIXTURES Other(See Complete Fee Schedule) POWER AUTHORIZED UTILITY CO.NOTIFIED �� FINAL PERMIT FEE (Sub-Total) NOTES • f PLAN CHECKING FEE (One-.Fourth Permit Feel PERMIT ISSUING FEE $7.00 TOTAL EEE IO .SH PERMIT VALIDATION CK. M.O. - CASH ., .� 'C:;* s 20 20.0 0 A8Z POLICY HOLDER: "Pot 91 Jl SEE1BQkjQj6iGY7[VIffG1ToRG> 76A663+CE80610/72 APPLICATION FM ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB2 BUILDING AND SAFETY DIVISION. ADDRESS LOCALITY NEAREST FOR APPLICANT TO FELL IN CROSS ST. OUTLETS NO. EACH I FEE OWNER OR FIRM NAME RECEPT..L7, $ $ MAIL LIGHT TOTAL FIRST 20 25 75- ADDRESS t � CITY TEL. Nowe � SWITCH_ OVER 20 .10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT 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. LICE NUMBER EOR O REG. CLASS. Or FAN OTHER 1:00 1 HEREBY ACKNOWLEDGE THAT I- 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,'E T C. HP. KW. KVA. ELECTRICAL WIRING. , SIZE & 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 THAI' 1 THE LEGAL OWNER OF THE ABOVE I — 10 3.00 DESCRIBED RESIDENT PROPERTY. 91. C7 V PERMITEE 10 — 50 5.00SIGNATURE CD 50 — 100. 10.00 ~ DISTRICT NO. TROCE§FD BY 100 — 500 15.00 i SIGN, GAS =SIGN ONE Cl. RCUIT 5.00 APPROVALS DATE INSPECTOSIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 1 TEMP. POWER.POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICE OVER 600 VOLTSOR200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE,&APPURTENANCES: 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL') NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 .3 Q10 TOTAL FEE PLAN CHECK VALIDATION. CK. O. CASH PERMIT VALIDATION CK. M.O. CASH f 5 ov y 2 0 3.75A-% • SEE BACK OF.APPLICATION FOR COMPLETE SCHEDULE COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County .Engineer DIVISION OF BUILDING & SAFETY ELECTRIC WILLIAM•J. FOX, County Engineer FOR APPLICA T T FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. c.1A ELECTRICIAN RECEIVED BY FIRST INSPECTION DATE ISSUED ADDRESS � CITY TEL.NO445V .29116bh&h:!,A= COUNTY LICENSE NO. .—r EXPIRE V.3. BUILDING PERMIT FEES C40, ADDRESS NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST.- ',• WALL SWITCHES OWNER _ d�Ersu!?1!'rl R TOTAL OUTLETS 5O 8 MAIL v ELEC. RANGES 86 ADDRESS _ ELEC. HEATERS 86 CITY TEL NO FIXTURES 8 1 HEREBY ACKNOWLEDGETHAT I 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 HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM_ THE LEGAL OWNER NEW MVD. HP OVER I INC. EACH OF THE RESIDENTIAL PROP STY DESCRIBED ABOVE. %8 a LESS 6 ,25 SIGNATURE OF > ,s 1/2B .50 PERMITTEE 2 B 1.00 INSPECTION RECQAW 6 18 1..50 15 50 2.50 50 200 5.00 200 500 10.00 J 500 1000 15.00 Q Z OVER 1000 20.00 (' M.O. SET/FREq. CHANGER-HP IY WELDERB:AC-KVA _ GENERATORS - KW TRANSFORMERS - KVA _ TEMP. MOTORS (75% DF DRIB.) MOVED MOTORS (76% OF ORIS.) M IBC: SIGNS No. N G.TRANS. . APPROVALS NO. NO.LAMPS ,� y+ DATE INSP OTOR'S NAME FOR EACH PERMITI WIRING 51.00 d� CONDUIT F.IXTUREB 81,00 p Q•; WIRING c7 J L' /If�{t V`�✓� SUPPLEMENTARY .50 FIXTURES I Lfi Ir7it POWER TOTAL FEE 3 �j UTILITY_ Co.NOTIFIED FINAL f� r '!J i't •"' 76A668 DBS#5A 4-52 COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of EngineerELECTRIC i DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Englneer FOR APPLI ANT Tf� ILL IN, DISTRICT NO. GROUP I ZONE PERMIT NO. 4. ar rRr�. ELECTRICIAN /� lw" I �r RECEIVED MY READY FOR DATE ISSUED ADDRESS / FIRST INBPECTION 3- Sr CITY .�'•'' v" e41 TEL N0 r COUNTV LICENSE NO. �� r� EXPIRES "e BUILDING PERMIT FEES ADDRESS ' , �"�`._. / . ' r: �" �✓ NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES I OWNER�ri 1�` e+ � t ^• TOTAL OUTLETS Sc >) O MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 8 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS M18C. APPLICATION AND STATE THAT THE ABOVE 18 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 1 POSSESS THE ASOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER Ncw I MVD. HP OVLR INC. LACN OF THE RESIDENTIA7&1 PERTY DESCRIBED ABOVE. A s LEsa ss .25 BISNATURE OF I/2 S .50 PERMITTE D — 2 5 1.013 INSPECTION RECORD 5 15 1.50 15 50 2.50 50 200 5.00 200 5013 10.00 J _ 500 1000 15.00 Z OVER 1000 20.00 0 M.G. BET/FREQ. CHANGER-HP G WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERB - KVA TEMP. MOTORS (75% or CRIB.) MOVED MOTORS (75% or CRIB.) MIBC. SIGNS NO. NO.TRANS. NO. N0.LAMPS APPROVALS FOR EACH PERMIT. DATE INSPECTOR'S NAME WIRING 01.013e) Q CONDUIT _ FIXTURES 01.00 Q Q WIRING ■UPPLEMENTARY .50 FIXTURES POWER TOTAL FEE 1 UTILITY CO.NOTIFIED FINAL 76ASGS DBS*5A 4-52 WORKERS'COMPENSATION DECLARATION -y 76A663 IP/81 hereby affirm that I have 'a certificate of consent to self FE-806G APPLICATION FOR EL CTRICAL PERMIT insure, or a certificate of Workers'Compensation.Insurance, j COUNTY OF LOS ANGELES ^� BUILDING AND SAFETY ora cerfifjes4, therej©�ey�00, Lab,C.)j iV E •� Neu XAX"7 FOR APPLICANT TO FILL IN JOB Policy No. Company 'Carr Certified co is hereby furnished. EACH NO. FEE ADDRESS JJ JJ PY Y New Residential Bldgs. &Pools LOCALITY Certified copy is filed with the county building inspec- 1•&2-Family, Sq. Ft. $ _ $ tion• epart nt. a- Multi-family Sq. Ft. NEAREST Residential Swimming Pools CROSS ST. Dat A licari OWNER OR CE IF .TE OF EXEMPTION F M WORK S' '® FIRM NAME �i{S'Oi✓ COMPENSATION INSURANCE Outlets: Rec1O Light. _Sw., `/ ADDRESS 'k'— ThMAIL tis sectio need not be eom lefed IF the work Involved b �ya First 20 3 I c he permit is for one hundred dollars($100)or less.) y Total No. Additional CITY 4_4104— 6ATel. No;W- PLAN CHECK I certify that in the performance of the work for which this `' APPLICANT per is issued, I shall riot employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First tADDRESS Total No.� Additional CITY Tel. No. Date applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO 'APPLICANT: If, after making this Certificate of APPLICANT Exemption, you should become subject to the Workers' Range_ Heafer_,D.W. Compensation provisions of the Labor Code, you must forth- Oven _Dryer —W.M. ADDRESS 1061 At-&k&L with comply with such provisions or this permitshall be Top _ FAU —W.H.. deemed revoked. CITY Tel. No. LICENSED CONTRACTORS DECLARATION Hood Fan _Other Disp: Room Air Cond. LICENSE O yy Class. I hereby affirm that I am licensed under provisions of Chapter 9 REG.NUMBER • o461� 1 U (commencing with Section 7000)of Division.3 of the Business DISTRICT NO.. PROCESS BY and Professions Code,and my license is in full force and effect. Power Apparatus&.Large Appliances r Q�J JJ Sizi&Type HP, KW, KVA, or KVAR' s—,- License Number ® Lic. Classes FINAL - V i Up to 1: Incl. rl O �n�� Date���.. � Over 1 to 10 Incl. DATE VALIDATION F Contractor '"` I Over 10 to-50 Incl. FINAL ❑ I am exempt under Sec.. Over 50 to 100•Inc. BY y eLc� F. LU B.&P.C. for this reason Over 100 Services, Swbd.,MCC&Panelboard ! . Date: 0 _200 Amp. Under 600 V J Signature 201 -1000 Amp. Under 600'V ❑ Over 1000 Amp. or Over 600 V r Exemption for-Reg. Maint. Elect. SINGLE FAMILY i Temp. Power Pole&Appurtenance 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 thefollowing reason (Section 7031.5, Business and 1 4 0 6 A Professions Code): ❑ ' Misc. Conduits&Conductors tr 0 0 0 0 0 I, as.owner of the. property, will do the work and the ,• structure is not intended o r offered for sale (Section Other(See Complete Fee Schedule)_ 7044, Business and Professions Code). -'4(j 2 CONSTRUCTION LENDING AGENCY o 0 0 4f!G I hereby affirm that there is a construction lending agency for the performance of the wor for which this permit is issued f. PERMIT FEE (Sub-Total) 3 �./I 2_ (Sec. 3097, Civ. C.). a f PLAN CHECKING FEE Lender's Name I 7F PERMIT ISSUING FEE (' Lender's Address I certify that. I.have read this application and state that the TOTAL FEE C above information is correct. I agree to comply with all County ordinances and State laws regulatin Electrical wiring, and y ' hereby authorize representatives of is County to enter upon th v me• 'oned c ert y f spection purpose SEE REVERSE FOR EXPLANATORY LANGUAGE L JT �igne mittee e r 1 . WORKERS'COMPENSATIONDECLARATION CE-806G (2-BO) APPLICATION FOR ELECTRICAL PERMIT CE-806 Thereby affirm that 1 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 thereyf®Sec.3800�L b.C.) W(tj' �b `— � FOR APPLICANT TO FILL IN JOB ���5 " /iQ� Policy N C mp EACH NO. FEE ADDRESS �J (l/ u. S. New Residential Bldgs.&Pools El Certified copy is hereby furn shed. 1 &2-FamilySq. Ft. $ — $ LOCALIT Multi-family Sq.Ft. NEAREST Certified copy is filed with the county building inspect' , CROSS ST department. Residential Swimming Pools OWNER OR DateT/y� �y FIRM NAM ISSte'e/ p �?ipplicant. Outlets: Rec ight q/ Sw. ! ADDRESS�� p MAIL First 20 CERTIFICATE OF EXEMPTI FROM WORKERS' Total No. Additional CITY Tel No. } COMPENSATION INSURANCE PLAN CHECK •- p, (This section need not be completed if the work involved 1 APPLICANT p es First 20 t Fi Lighting Fixtures by the permit is for one hundred dollars ($100) or less:) Lig - ADDRESS V Total No. Additional I certify that in the performance of the work for which'this CITY Tel No. O permit is issued I shall not employ an person In any manner Fixed Appliances Not Over 1 HP H P P Y Y P PERMIT V • so,as to.become subject to the Workers'Compensation Laws. Range_Heater D.W. _ APPLICANT /_ o LU Oven _ Dryer_W.M._ ADDRESS CO) Date Applicant Top —FAU _W.H. Hood — Fan _Other_ CITY - L Bit ETel No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Condom LICENSE OR Exemption, you should become subject to the Workers' REG.NUMR t� Class Compensation provisions of the Labor-Code,you must forth- Power Apparatus&Large Appliances DISTRICT NO PROCESSED qY with comply with such'provisions or this permit shall be deemed revoked. Size&Type HP,KW,KVA,or KVAR Up to 1 Incl. FINAL - LICENSED CONTRACTORS DECLARATION Over 1 to 10 Inc[. DATE ( VALIDATION Over 10 to 50 Incl. � v 1 I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL yT• V�"'"� 9 (commencing with Section 7000)of Division.3 of the Busi- Over 100 BY nese and Professions.Code,and my license is in full force and effect. Services License Numbet a Lic.Class 0-200 Amp.Under 600 V (� 201-1000 Amp.Under 600 V Contractorl"f 1'aW— lB'eyal Date i' � 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- -Additional Sign Branch Circuits. , ness and Professions Code): ,Misc.Conduits&Conductors 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 c`b Q 2 3-A 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 PERMIT FEE (Sub-Total) pd' 2 0 0. 1 (L Jr Q issued(Sec.3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) o. o o. 1 4 5 'z Lender's Address PERMIT ISSUING FEE 0 l) R Q 2—8 2 I certify that I have read this application and state that the I TOTAL FEE above information is correct.I agree to comply with all County ordinances and State. laws regulating Electrical wiring, and hereby authorize representatives f this'County to enter upon th ve-mentioned property f nspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE S' fur of Permittee Date WORKERS'COMPENSATION DECLARATION 10/81APPLICATION FOR €LECTRICAL PERMIT �hereby� CE-806G that I have a certificate of consent to self CE-8066 � insure, Cita 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. &Pools EACH NO. FEE S ADDRESS :. ❑ Certified copy is filed with the county building inspec- 1 &2-Family, Sq, Ft. $ — $ LOCALITY s tion department. Multi-family Sq. Ft. — NEAREST CROSS ST. Date Applicant Residential Swimming Pools OWNER OR .� I FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' ._ Outlets: Rec Light Sw '. COMPENSATION INSURANCE MAIL First 20 ADDRESS I (This section need not be completed if the work involved by Total No. Additional CITY 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. I APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'C pensation Law Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No. Date _ Applicant NOTICE TO APPLICANT: If, after aki.ng this Certificate of Fixed Appliances Not Over 1 HP I PERMIT Exemption, you should becom subject to the Workers' Range_ Heater_D.W. APPLICANT 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. CITYTel. No. LICENSED.CONTRACTORS DECLARATION Hood — Fan _Other_ C� ya' Disp. _ Room Air Cond. LICENSE OR Class. o C— (commencing with Section 7000)of Division 3 of the Business' �, DISTRICT NO. .` PROCESSED B Power Apparatus&Large Appliances U and Professions Code,and my license is in full force and effect:' L Size&Type HP,.KW, KVA, or KVAR• License Number LiUp to 1 Incl. FINAL .c. Glass V Over 1 to 10 Incl. DATE D VAUDA.TIO 09 Contractor Date Over 10 to 50 Incl. O ❑ FINA U I.om exempt under Sec.. � Over 50 to 100 Inc, BY W Uy BAP.C. for this reason Over 100 0. Services, Swbd., MCC&Panelboards Date: 0'-'200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ;2 2 5 5 7A, ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. # o o,o 0 0 2 SINGLE FAMILY Temp. Power Pole&Appurtenances it ­ 2S50 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 o•0 0 2 tj 0 `=j following reason (Section 7031.5, Business and Professions Code.): ❑ I, as owner of the property, will do the work and the I ' 'Mist. Conduits&Conductors O 7 2 9—8 5 structure is not intended or offered for sole (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 j PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name i PERMIT ISSUING FEE U 6 Lender's Address---- I ddress I certify that I' have read this application and state that the f TOTAL FEE �.�� above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby autho ' representatives of this County to enter upon the ove- en oned property f ' spection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 01 AelL !2- z4_e Si ture of Permittee Date .-; '+1NCirm that COMPENSATION DECLARATION s CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT 1- affirm-affirm that I have a certificate of consent to self CE-8066 insure,,or a certificq),e of Workers'Compensation Insurance,, COUNTY OF LOS ANGELES t BUILDING AND SAFETY or a certificko.copy thereof(Sec. 3800, Lab. C.) ) Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO: FEE ❑ Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY tion department. Multi-family Sq. Ft. — NEAREST Jd Residential Swimming Pools CROSS ST. Date OWNER Applicant �c I FIRM NAME f CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL. Outlets: Rec Light Sw:_ � COMPENSATION INSURANCE First 20 ADDRESS (This section need not be completed if the work involved by Total No. Additional CITY Tel. No. the,permit is for one hundred.dollars($100)or less.) that in the performance of the work for which this PLAN CHECK I certify P 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 ti ADDRESS �'" �/ Total No. Additional Date zApplicant--J•.Lp.•/ L'Ti CITY Tel. No. Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If., after making this Certificate of PERMIT ii Exemption, you should become subject to the Workers' Range_ Heater_D.W. _ APPLICANT N ,0, L 7 77 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. NW - '. iZK LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under prov.isions,of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER d1v Class.-/D (commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large.Appliances DISTRICT NO. PROCESSED and Professions.Cod%and my license is in full force and effect. q �J. V 0 Size&Type HP, KW, KVA, or KVAR' 8 License Number�7�� � Lic. Class "�� Up to 1 Incl. FINAL ff - `` n p.I� Over 1 to 10 Incl. DATE ✓ VALIDA N ®' ContractorglT• 04-'Ad Date`-Q Over 10 to 50 Incl. FINAL '` 0 ❑ i am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C. for this reason Over 100 Date: Services, Swbd., MCC'&Ponelboards 9 ® Z . 0 -200 Amp. Under 600 V Signature 201 -1000 Amp. Under 600 V R 7 4 2 5•A ❑ Over 1000 Amp. or Over 600 V # o,o 0 o;o G Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances ° ° 5!i 5 0 HOME OWNER-BUILDER gR-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm That I am exempt from the Contractor's License o�o 60 5 5 5 0 6' Law for the following.reason (Section 7031.5.1 Business and Additional Sign Branch Circuits Professions Code): 0708-87 E] 1, as owner of the property, Misc. Conduits 8 Conductors p p ty, will do the work and the _ Fee Schedule Complete See Other structure is not intended or offered for sale (Section ( P ) 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 Lender's Address + I=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 aut ize representativ of this County to enter upon fh bov -m ntioned proper. f inspection purposes. SEE REVERSE-FOR EXPLANATORY LANGUAGE nature of Permittee Date 1. WORKERS'COMPENSATION DECLARATION 76A663 10/81 I /r�1® �d heAby affirm that I have a certificate of consent to self CE-8066 APPLICATION FOR ELECTRICAL PERMIT r36.k. L-tey insure, ora certificate of Workers'Compensation Insurance, 4 COUNTY OF LOS ANGELES BUILDING AND SAFETY® �'L7 or a certified copy thereof(Sec. 3800, Lab. C.) � Policy No. Company FOR APPLICANT TO FILL IN JOB5j < Certified copy is hereby furnished. New ResidentiaNO. FEE EACH ADDRESS ,l Bldgs. 8 Pools , ❑ ,® Certified copy is filed with the county building inspec- � 1 &2-Family, Sq. Ft. $ — $ �.00ALITY � e— tion department. Multi-family Sq. Ft. — NEAREST Date Residential Swimming Pools CROSS ST. �L Applicant t FlRM NAME S/s Pk 61 WNER OR COMPENSATION INSURANCE CERTIFICATE OF EXEMPTION FROM WORKERS' ;,I FIRM Outlets: Rec Light Sw._ 'i4DDRE§S �,�y- ' First 20 � (This section need not be completed if the.work Involved by i Total No. Additional ;CITY ��° elf 4.Tel. Nb, y the permit is for one hundred dollars($100)or less.) I certify that in the performance of the work. for-whichPLAN CHECK this APPLICANT permit is issued, I shall not employ any person' any manner so as to become subject to the Work s'Co a sation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional Date pplicant 4 CITY Tel. No. Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of PERMIT Exemption, you should become subject to the Workers' Range_ Heater_D.W. +_ APPLICANT .rh Compensation provisions of the Labor Code, you must forth- Oven —Dryer _W.M._ PDDRESS with comply with such provisions or this permit shall be Top _ FAU —W.H. _ I la ti deemed revoked. ITY _ Tel. No. b LICENSED CONTRACTORS DECLARATION Hood. _ Fan _Other_ ���✓ �� j Disp: _ Room Air Cond. LICE Class. . Class m 1 hereby affirm that I am Itcensed under provisions of Chapter -REG. NUMBER y �, f �„ (commencing with Section 7000.)of Division 3 of the Business DISTRICT'NO. PROCE Y d- Power Apparatus&Large Appliances and Professions Code,and my license is in full force and effect. - , pp g pp O(/ Size&Type HP, KW, KVA, or WAR, j License Number fa° /G� Lic. Class Up to 1 Incl. FINAL ��, / ® � OWE Over 1'to 10 Incl. DATE ?_ L/ VALI TION Contractor 1A�0 �el Date Over 10 to 50 Incl. FINAL W' ❑ I am exempt under Sec. Over 50 to 100 Inc. BY M: B.&P..C. for this reason Over 100 I Z Date: Services, Swbd., MCC&Panelboards, - .0 -200 Amp. Under 600 V '► �'�, ���� Signature i 201 - 1000 Amp, Under 600 V ' ❑ Over 1000 Amp. or'Over 600 V Exemption for Reg. Maint. Elect. @3 5 8 A SINGLE FAMILY "Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION # o o a o b `2 Sign with One Branch Circuit I her affirm that I am.exempt from the Contractor's License Additional Sign Branch Circuits .I�o o 3 2 5 0 Law for the following reason (Section 7031.5, Business and i Professions Code'):❑ 3 2 5 0=I, as owner of the property, will do the work and the Misc. Conduits&Conductors o 0 0 structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ , s� ;.$� 7044, Business and Professions Code). 8 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.).' I P,I.AN CHECKING FEE Lender's Name ' PERMIT ISSUING FEE U Lend'er's Address 1 certify that I have read this application and state that the TQTAL FEE' ae . above information is correct. I agree to comply with.all County ordinances and State laws regulating Electrical wiring, and hereby authorize�tfihis County to enter uponthe abov -mentispecflon purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date l N- WORKERS'COMPENSATION DECLARATION 20.0019 DPW 3/87 I hereby affirm that I have a certificate of consent to self APPLICATION FOR ELECTRICAL PERMIT� O insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof'(Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN POB Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE. ADDRESS ❑Certified copy-is filed with the county building inspec- Il 8 2-Family, Sq. Ft. $ — $ LOCALITY tion department. Multi-family Sq. Ft. NEAREST ST. 4 0 Date' Applicant Residential Swimming Pools OWNER OR. � FIRM NAME X L9S CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL COMPENSATION INSURANCE Outlets: Rec Light Sw._ ADDRESS I First 20 (This section need not be completed if the work involved by Total No. Additional :CIN 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 ' so as to become subject to the We' ensation La s Lighting Fixtures First 20 ADDRESS Additional Date — Applicant .Total No. CITY Tel. No. NOTICE TO APPLICANT: If, afteis Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should becomo the Workers' Range— Heater—D.W. APPLICATION / � toCompensation provisions of the you must forth- Oven — Dryer —W.M.— ADDRESS. ®ORS with,comply with such provisions or this permit shall be Top- — FAU —W.H. — deemed revoked. CITY -7-,4c s Tel. No Hood — Fan —Other—LICENSED CONTRACTORS DECLARATION LICENSE OR Disp. Room Air Cond. _ Class. I hereby affirm that I am licensed under provisions of Chapter 9 REG.NUMBER —10 (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. ' P ED BY > and Professions Code,and my license is in full force and effect; O_. Size&Type HP, KW, KVA, or KVAR �v O License Number•V?/. ,/34 7 Q U.. Class 4�—) 0 i Up to 1. Incl FINAL U P r�I 14121-Ad �D L Over 1 to 10 Incl. DATE J� VALIDATION � Contractor <! Date Over 10 to 50 Incl. `� U FINAL I am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C. for this reason Over 100 I d Services, Swbd.., MCC&Panelboards ' Date 0.-200 Amp. Under 600 V' I Z Signature 201 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption r Reg. Nlaint. Elect. SINGLE FAMILYi HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances Sign with One Branch Circuit ACCTa I hereby affirm that I am exempt from the Contractor's License oa Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): 3307 31.00 F-1 1, as owner of the property, will do the work and the Misc.. Conduits&Conductors 1 ITEMS structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)_ , TOTAL �� Business and Professions Code). _ GNE�i 31.00CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for CHANGE .OU the performance of the work for-which this permit is issued PERMIT FEE (Sub-Total) (S,'ec. 3097, Civ. C.). Lender's Name PLAN CHECKING FEE 0000-0001 1/ 2/90 7919 ' 1M 8 4 PERMIT ISSUING FEE I Lender's Address / D 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 hIthe y auth ' e representativ of this county to enter upon y bove tinned pro aorinspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Lure of Permittee Date I gel WORk S'COMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT I her6.)y affirm that I have a certificate of consent to.self CE-8066 i insu�,r��.,��rr a certificate of Workers'Compensation Insuiance, COUNTY OF LOS ANGELES BUILDING AND SAFETY <e�r jied copy thereof(Sec. 3800, Lab. C.) Policy No, Company FOR APPLICANT-TO FILL IN i JOB ❑ Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE l ADDRESS 1 $ _ $ LOCALITY / ❑ Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. tion department. Multi-family Sq. Ft. NEAREST • CROSS ST. Residential Swimming Pools: OWNER OR Dare Applicant I FIRM NAMES CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL Outlets: Rec Light SwI ADDRESS COMPENSATION INSURANCE I This section need not be completed if the work involved b First 20 ( ip 9 Total No. Additional' i CITY 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 so as to•become subject to the Workers' pensation La Lighting Fixtrires First 20 ADDRESS Toted No. Additional CITY Tel. No. Date pplicanT.. 1 f. Fifced Appliances Not Over 1 HP PERMIT r r NOTI _E TO APPLICANT: If, afte eking this Certificate of ,� APPLICANT I �r 0 L L G/ Exemption, you should becom subject to the Workers' , Range— Heater—D.W. Compensation provisions of•the Labor Code, you must forth-. Oven —Dryer —W.M.= ADDRESS S with comply with.. such provisions or this permit shall be Top — FAU' =W.H. — CITY Tel. IVa. deemed revoked. I %T)� Hood —Fan —Other— LICENSED CONTRACTORS DECLARATION I, LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp• — Room Air Cond. REG. NUMBER Class.'—/6 (commencing with Section 7000)of Division 3 of the Business " DISTRICLNO PRO C BY Power Apparatus&Large Appliances and Professions Code,and my license is in full force and.effect. n Si ,, Siie 8 Type HP, KW, KVA, or KVAR' VV License Number .2 ��'A'MO Lic. Class —1 FINAL �_ U U to 1 Incl. r-' s ;� Over 1 to .10 Incl. I SATE /(J f��/ VALIDATI N. Contractor 14'W1 JJoL �, Date 3`' - _ Over 10 to 50 Incl. FINAL � aI am exempt under Sec. Over 50 to 100 Inc. " I BY am B.&P.C. for this reason Over 100 09 Services, Swbd., MCC&Ponelboards Date: '0 -200 Amp. Under 600 V Signature_ 201 1000 Amp. Under 600 V aOver 1000 Amp. or Over 600 V 1 4 5,3 A Exemption for Reg. Maint. Elect. SINGLE FAMILY # o o o 0 02 Temp. Power Pole&Appurtenances ' HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ( 0 0 2 5 5 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): o o o 2 S 5 0 5 Misc. Conduits&Conductors I, as owner of the property., will do the work and the I structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)— lop -85 7044, Business and.Professions Code). i 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) C (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE •U Lender's Address I certify that I have read this application and state that.the TOTAL FEE fl above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby outhoriz representatives of this County to enter upon the alAve-ma6f0ried property fopoiRspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sig ure of Permittee Date' I 1 WORKERS'COMPENSATION DECLARATION. l 76-883 10/81 APPLICATION FOR ELECTRICAL PERMIT. I CE-808G I hereby affirm that I have a certificate of consent to self insure, I or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND-SAFETY• copy thereof(Sec.3800,Lab.C.) I Policy No. Company i. FOR APPLICANT TO FILL:IN JOB oe g ADDRESS EACH' NO. FEE ❑ Certified copy is hereby furnished. i New Residential Bldgs.&Pools IX $ _ $ LOCALITY ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft department. Multi-family Sq.Ft. NEAREST CROSS ST. 97 Data Applicant Residential Swimming Pools OWNER OR OA,46 ,6 Al FIRM NAME s L CERTIFICATE OF EXEMPTION FROM WORKERS' ' Outlets:Rec—Light—Sw.— MAIL COMPENSATION INSURANCE I ADDRESS (This section need not be completed if the work Involved by the .1 First 20 permit is for one hundred dollars($100)or less.) Total No. Additional. CITY Tel.No. PLAN CHECK I certify that in the performance of the work for which this permit i APPLICANT Is issued, I shall not employ any person in any manner so as to '' become subject to the Workers'Compensa" Laws. ;I Lighting Fixtures First 20 ADDRESS Additional �/�,�3 �Appl)cant I Total No. CITY Tel.No. Date Fixed Appliances Not Over 1.HP i PERMIT NOTICE TO APPLICANT: If, of making this •Certificate ofP APPLICANT � Exemption,you should become subj to the Workers'Compensation Range_. Heater D.W. provisions of the Labor Code,you must forthwith comply with such Oven _ Dryer_ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top — FAU _ W.H. CITY e f Tel.No , 1 LICENSED CONTRACTORS DECLARATION •, Hood — Fari _ Other_ - Ihereby affirm that 1..am licensed under provisions of Chapter 9 :� REG.NU B 10 (commencing with Section 7000)•of Division 3 of the-Business and I Disp. Room Air Cond. REG.NUMBER d •Claw — Professions Code,and my license is in full force and effect. Power Apparatus,&Large Appliances DISTRICT NO. PROCESSED BY Size&Type HP,KW,KVA,or KVARFINAL a O .2! I, License Number 'log Lic.Class d Up to 1 Incl ` DATE (�� 'I -� 9 Over 1 to 10 Incl. Contractor•W� /d•D V Ell Date �J -�oa 3 VALIDATION' O ❑ _ Over 10 to 50 Incl. FINAL p I am-exempt under Sec. ; Over 50 to 100 Inc. BY JLLI l B.&P.C.for this reason Over 100 Services,Swbd.,MCC&Panelboards / Date: ; 0-200.Amp.Under 600 V Signature 201 1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. y SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ( G ■s I hereby affirm that I am exempt from the Contractor's License Law .�, A for the following reason(Section 7031.5;Business and Professions Additional Sign Branch Circuits 1I f is ■yli Code): ❑ Misc.Conddtts&Conductors 1 {' I,as owner of the property,will do the work and the structure I Other(See Complete Fee'Schedule) _ ® TOTAL 31-00 is not intended or offered for sale (Section 7044, Business ; and Professions Code). I CHECK 31.00 1■00 CONSTRUCTION LENDING AGENCY I,hereby affirm.that there is a construction lending agency for the CHANGE °DO performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). PLAN CHECKING FEE 0000-113001 11/13/90 Lender's Name PERMIT ISSUING FEE �+ 3 763 1_ At1 8 o 3" Lender's Address /r I certify that.I have read this application and state that the above. TOTAL,FEE information is correct.I agree to comply with all County ordinances j and State laws regulating. Electrical wiring, and hereby authorize representati of this County to enter upon the above-mentioned propq1ty fopringbection purpo SEE REVERSE FOR EXPLANATORY LANGUAGE .Si ture of Permittee Date J gel WORKERS'COMPENSATION DECLARATION APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to selfJt.%3. 10./B1 insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(SecJ1 . ,�00,_L.q)?�k=_ p �1 /���KJJOB 6 Policy No.(�a�a ompany,�g 0 4 FOR APPLICANT TO FILL IN ADDRESS Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE n e 1 &2-Family, S Ft. $ — $ LOCALITY Certified copy is filed with the county building inspec- y' q' NEAREST tion department. Multi-family Sq. Ft. Residential Swimming Pools OWNER OR Dat Applicant •FIRM NAM / P C IFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL COMPENSATION INSURANCEFirst20 ADDRESS (This section need not be completed if the work involved by Total No. Additnal CITY^ 1 Tel. No the permit is for one hundred dollars($100)or less.) PLAN CHECK AF 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. Light!ng.Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT /1 pt�- NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Exemption, you should become subject to the Workers' Range_Heater_D.W. — Compensation provisions of the Labor Code, you must forth- Oven _Dryer —W.M:— ADDRESS r with. comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. Hood — Fdn _Other_ CITY Tel. IV —AAA LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 I Disp. _ Room Air Cond. REG.NUMBER Class.G (commencing with Section 7000)of Division 3 of the Business DISTRICT NO. PRO% SSED BY Power Apparatus&Large Appliances and Professions Code,.and my license is in full force and effect. •i � Size&Type HP, KW, KVA, or KVAR, 0 (} 0 r License Numbe //� / Lic. Class— FINAL Up to 1 Incl. { DATE Over 1 to 10 Incl. VALIDATION Contractor Do Date��s Over 10 to 50{ncl. 11— ❑ FINAL I am exempt Under Sec. Over 50 to 100 Inc. BY 4- � B.&P.C. for this reason Over 100 Services, Swbd., MCC&Panelboards Date: 0-200 Amp. Under 600 V Signature 201 - 1'000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION i Sign with One Branch Circuit _ 1 _ 1,6 A 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 `t o o o o. o 2 Professions Code): ❑ I, as owner of the property, will do the work and the II Misc. Conduits&Conductors C -.- 3250 structure is not intended. or'offered for sale (Section I Other(See Complete Fee Schedule)— ► 7044, Business and Professions Code). I c c o 3 y 0 CONSTRUCTION LENDING AGENCY - 25-84 I hereby affirm that there is a construction lending agency for I the performance of the work for which this permit is issued I PERMITTEE (Sub-Total) (Sec. 3097,Civ. C.). PLAN CHECKING FEE 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 Co my to enter upon titib ve- entioned roperty fo {Wetion,,. SEE REVERSE FOR EXPLANATORY LANGUAGE ig atureofPermttee e WORKERS'COMPENSATION DECLARATION ` 764.663 10/81 A.here$1}1`affirm that I have a,certificate of consent'to "self CE.i80613 APPLICATION FOR ELECTRICAL PERMIT insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C.) PAW A Compony&MR0_&&1S FOR APPLICANT TO FILL IN JOB ❑ Certified co is hereby furnished. EACH NO. FEE ADDRESS copy Y New Residential Bldgs. &Pools ❑ Certified copy is filed with the county building inspec- y, q. LOCALITY 1 &2-Family, 5 Ft. $ — $ tion department. , Multi-family Sq. Ft. — EAREST ! Residential.Swimming Pools ���S Date- Applicant k RWMNnR OR 7cB� CERTIFICATE OF EXEMPTION FROM WORKERS' MAfL i COMPENSATION INSURANCE Outlets: Rec Light Sw._. IADDRE c First 20 j (This.section need not be completed If the work involved by Total.No. Additional. CIT Tel. the permit Is.for one hundred dollars($100)or less.) I certify that in the performance of the work for which this I .AP LICANTK 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 Additional ' Total No. CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT r NOTICE TO APPLICANT: If, after making this Certificate of APPLICAN Exemption, you should become .subject to the Workers' Range_ Heater—D.W. — Compensation provisions of the Labor Code, you must forth- Oven ,_Dryer _W:M.— ADDRES%,:WV with. comply with such provisions or this permit shall be Top FAU —W.H.._— deemed revoked. CIA 4&V Ake T LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ Disp. _ Room Air Cond. LICENSE OR Clas I hereby affirm that I am licensed under provisions of Chapter 9 REG.NUMBE t9 (commencing with Section 7000)of Division 3 of the Business DISTRICT NO. PROCESSED BY and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances Q Size&Type HP, KW; KVA, or KVAR' Q O ` ` � Uto 1 Incl. FINAL License Number Lic. Class p W�� � IMContractor ( Date Over 1 to 10 Incl. r DATE VALIDATION 1 Over 10 to 50 Incl. FINAL 0 ❑ I am exempt under Sec. I Over 50 to 100 Inc. BY LU B.&P.C. for this reason Over 100 0 9 3. 0 Z Services,Swbd., MCC&Panelboards Date: j 0 -200 Amp. Under 600 VO� # 0 0 0. o 0 2 Signature I 201 1000 Amp. Under 600 V ❑ Exemption for Reg..Maint. Elect. Over 1000 Amp. or Over 600 V o - 3250 SINGLE FAMILY Temp. Power Pole'&Appurtenances _° ° ° 3 2 5 0 HOME OWNER-BUILDER DECLARATION Sign with One Branch CircuitQ 1 9 8 4 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 sate (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 1,70 Lender's Address 2 I certify that I have read.this application and;state that the TOTAL FEE .7 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. :j SEE REVERSE FOR EXPLANATORY LANGUAGE ignature 8rFretmittee Date s� WORKERS'COMPENSATION DECLARATION ?76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent. to self �E"� n L insure, ora certificate of Workers'Compensation Insurance, ! COUNTY OF LOS ANGELES i C�.f BUILDING AND SAFETY `na or a certified copy er o (Sec. 3800, Lab: C.) ,r� t P❑ol'ic orri,pam�r_rr�s � FOR APPLICANT�TO FILL IN' JOB' Certified copy is hereby furnished. +r�[-.�a� , New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS ' ^❑ Certified copy is filed with the county building inspec- 1 8 2-Family,Sq. Ft. $ — $ 1 LOCALITY "f A tion department. Multi-family Sq. Ft. — NEAREST Residential Swimming Pools OWNER OR Date `� Applicant If Jr FIRM NA S - CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec - Light Sw - MAIL COMPENSATION INSURANCE ._ i ADDRE First 20 SS XS'S (This section need not be completed If the work Involved by Total No. Additional CITY - ` Tel. No. the permit is for one hundred dollars($100)or less.) PLAN CHEC WF 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 ppl icaI Fixed Appliances Not Over 1 HP PERMIT NOTI T APPL CANT: If, Aru making this Certificate of APPLICANT /t Exemption, you•should become subject to the Workers' Range_ Heater_D.W. Compensation provisions of the Labor Code, you must forth- Oven —Dryer _W.M.— ADDRES%943715/ with comply with such provisions or this permit shall be Top — FAU —W.H. — CITY Te IQo: deemed revoked. Hood —.Fan _Other_ LICENSED CONTRACTORS DECLARATION LICENSE I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER Class. (commencing with Section 7000)of Division 3 of the Business DISTRICT NO. PROC ED BY and Professions Code,and,m license is in full force and effect.. Power Apparatus 8 Large Appliances ?� ��. y Size 8 Type HP, KW, KVA; or KVAR• I, r or License Numbers%jr/ Lic. Classes FINAL � Up to 1 Incl. � �s99 _� Over 1 to 10 Incl. DATE /'�7�/�/r VALIGAT Contractor G XAp— Date Over 10 to 50 Incl. / F (C.' 0 ❑ FINAL I am exempt under Sec. Over 50 to 100Inc. BYrr �y B.:BP.C. for this reason Over 100 G Date: ;I Services, Swbd.,.MCC 8 Ponelboards 0, 1/ 3 1d 0 -200 Amp. Under 600 V Signature 201 -1000 Amp. Under 600 V " `269 9 A ❑ Over 1.000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. o 0 0 0 o 2 SINGLE FAMILY Temp. Power Pole 8 Appurtenances 2 0 o 32-50 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit f I hereby affirm that I.am exempt from,the.Contractor's License Additional Sign Branch Circuits o. o 3 ;y 7,5 Q I... Law for the following reason (Section 7031.5, Business and Professions Code): o7 1 3-8 4 ❑ 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 Other(See Complete Fee Schedule)— , 7044, Business and Professions Code). i CONSTRUCTION LENDING AGENCY I I hereby affirm Phot there.is a construction lending:agency for the performance of the.work for which this permit is issued I PERMIT FEE (Sub-Totol) (Sec. 3097, Civ. C.). 1 PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE V Lender's Address I=that I have read this application and state.that:the TOTAL FEE �-!tiv above information is correct. I agree to comply.with all County ordinances and State`Paws regulating Electrical wiring, and i hereby authorize representatives of this County to enter upon the above&mentioned roperty f r inspection pur oses. SEE REVERSE FOR EXPLANATORY LANGUAGE n Signct'ure of ermittee Date WORKER'S COMPENSATION DECLARATION 20.0019 DPW(12-91) I hereby,afflrm�that I have a certificate of consent to self insure, 76AS63 APPLICATION FOR ELECTRICAL PERMIT or a Eertificate 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 JOB ADDRESS ADDRESS U 0'+•,Q.3"' 'T y r lma 1 ❑ Certifled.copy is hereby furh'ished. NO. $ EACH $ FEE LOCALITY �'� New Residential Bldgs.&Pools d .7 51`n � G y� ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. _ NEAREST 1��/ e✓°,n `+'I 'L department. Multi-family Sq.Ft. CROs ST. CJC.c�+�� Date Applicant Residential Swimming Pools ASSESSOR ) /� MAP BOOK PAGE / 7 PARCEL 7-3 6 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. 2_ �� OWNER OR 8�= COMPENSATION INSURANCE Light• Sw: pa ?/ ®O FIRM NAMEC-�Ejll. First 20 O cJ(0 MAIL p p pt (This section need not be completed If the work Involved by the Total No.- Additional ADDRESS i� 4j 70N permit Is for one hundred dollars($100)or less.) LAD I certify that in the performance of the work for which this permit CITY P Tel.No.Ul? 7W fy is issued, 1 shall not employ any.person In any manner so'as to �,�Q BO+PIAN CHECK. become.subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT � - F Total No. Additional ADDRESS&36 0 Date Applicant SID TIAL APPU NC NOT OVER 3 HP. NOTICE TO;APPLICANT: If, after making this Certificate of - �e-rK� CITY r _7V 7 Tel.No.7 �s Exemption,you should become subject to the Workers'Compensation `OT APPLIAN ES NOT OVER 3 HP. provisions of the Labor Code,you must forthwith comply with such PERMIT 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'afflrrn that I am licensed under provisions of Chapter 9 � SOver 3to 10 Incl. /�' �✓ (commencing with Section 7000)of Division 3 of the Business and CITY qZ Tell.No. Professions Code,and my license is In full force and effect. Over 10 to 50 Incl. LICENSE OR >_ Over 50 to 100 Incl. REG.NUMBER Class' d Over 1:00 DISTRICT NO. P SED BY License Number Lic.Class V Services,Sw�C &P elboards 1: /d ?i�G ,--�� Q Contractor Date Amp.U der 600 V DATE ❑ I am exempt under Sec. 400-1000 Amp.Under 600 V VALIDATION W Over 1000 Amp.or Over B00 V FINAL VALIDATION B.&P.C:for this reason BRANCH CIRCUIT FEES BY Z Date: 15A,or 20A,120V,Lighting or Recept. _ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits 41 Or More Branch Circults Exemption for Reg.Maint.Elect. 15A,20A,2D8V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances ! -p HOME OWNER-BUILDER DECLARATIONi!•4 Y n S ch Ci with One BranCircuit _ I hereby affirm that I am exempt from the Contractor's-License Law Sign w ..,�_.� 2 .•• +- for the following reason(Section 70.31.5, Business and Professions Additional Sign Branch Circuits �.�1i =7i}= Code): _ 'k HIM ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors TOTAL is not intended or offered for sale(Section 7044, Business Other(See Complete Fee.Schedule) fs,,,=—'�,�C9 = ' and Professions Code). ' L ) -2 yl '� 1IE I• °3 CONSTRUCTION LENDING AGENCY r}�A: •-[• I hereby affirm that there is a construction Is agency for the r r�sl 15- performance of the work for which this permit is issued (Sec.3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE 6/16/91-1 Lender's Name //� 5=i- +-.I. 4:57 PERMIT ISSUING FEE �(p •_r}1J4 �. '• ) Lender's Address le I certify that I have read thisapplication and.urider penalty of purjury,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 bf this County to ante Pon a above-mentioned property for n purp s. SEE REVERSE FOR EXPLANATORY LANGUAGE 3 Ell -ME DAT WORKER'S COMPENSATION DECLARATION 776AP673'DPW(12'91) APPLICATION FOR ELECTRICAL PERMIT LJ I hereby affirm that,I have a certificate of consent to self Insure, or a certificate of Oorker's Compensation Insurance, or a certified COUNTY OF LOS ELES DEPT..OF PUBLIC WORKS BUILDING ANO SAFETY DIV., copy thereof(Sec.3800 Lab;C.) P❑OI'ICy No. Company FOR APPLICANIVO FILL IN ADD OB c / ADDRESS U �. 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. _ $ $ NEAREST 01 department. Multi-family Sq.Ft. CROSS'ST. Date Applicant Residential Swimming PoolsASSESSOR MAP PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Light Sw. / �M NAMED COMPENSATION INSURANCE First 20 (This section need not be completed If the work Involved by the Total No. Additional ADDRESS �ylp ! permit is for one hundred dollars($100)or Less.) I certify that in the performance of the work for which this permit CITY Tel.No. is issued, I shall not employ any person in.any manner,so as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS • Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. rovisions of the Labor Code,you must forthwith comply with such, PERMIT 400_!_ _ p y p y Power Apparatus&Large Appliances APPLICANT L�.e/ provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Size&Type HP.,KW,KVA,or KVAR ADDRESS I 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 Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50Incl. LICENSE OR Over 50 to 100 Incl. REG.NUMBER Class' a License Number Lic.ClassOver 100 DISTRICT NO. P(PoSSED BY O U Services,Swbd.,MCC&Panelboards oP 0-399 Amp.Under 600 V FINAL O 'Contractor Date DATE ❑ 400-1000 Amp.Under 600 V '1 am exempt under Sec. ) t/ J VALIDATION W Over 1000 Amp.or Over 600 V. FINAL; B.&P.C.for this reason BRANCH CIRCUIT FEES BY d Date: 15A,or 20A,120V,Lighting or Recept. Z_ 1 To 10 Branch Circuits I Signature 11 To 40 Branch Circuits 41 Or More Branch Circuits Exemption for Reg.lulaint.Elect. 75A,20A,20 VV To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason (Section 7031.5, Business and Professions Additional Sign Branchf Circuits e , . =LOs lil Code): ❑ T'r C 1 +.t I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors s.}0.0 is not'intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) -• +- 10 and Professions Code). i FAAL ,_3# CONSTRUCTION LENDING AGENCY I CHECK 0 hereby affirm that there is a construction lending agency for the i.. 1 CHANGE .130 performance of the work for which this permit is issued (Sec.3097,. PERMIT FEE (Sub-Total) Civ.C.) i LAN CHECKING FEE IJ I-C ICji 2 13/95 Lender's Name /. PERMIT ISSUING FEEAV, e Lender's Address ! 22 I.certify that I have read this-application and under penalty of purjury 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 I represen ti ve f this County to enter e.above-mentioned property i for i e rpos SEE REVERSE FOR EXPLANATORY LANGUAGE SMTBRE PERMI E • �. TV- (' ON TION I hereby affi mORIKER'haveMa cert�ifclate of consent t tto self insure., SA663 DPW(,z-9,) APPLICATION FOR ELECTRICAL PERMIT LI or a'ertlficate 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.Os) Policy No. Company FOR APPLICANT TO FILL IN Job ❑ Certified copy is hereby furnished. NO. EACH FEE 'ADDRESS New Residential Bldgs.&Pools LOCALITY C/7 OF —/;aJ r' Lj5 '' 7 ❑ Certified copy is filed with the count building inspection 1 &2-Family,Sq.Ft. — $ $ Y 9 P _ ST department. Multi-family Sq.Ft. CROSS ST. 0LEm JI+ Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK 5�U Z PAGE PARCEL2 7 3U CERTIFICATE.OF EXEMPTION FROM WORKERS' Outlets:Ree. Light_L_Sw. RM N ME r�! C p�7 — COMPENSATION INSURANCE FIRM NAME y . 13D (This section need not be completed if the.work Involved by the First 20 MAIL �LL permit is for one hundred dollars($100)or less.)'' Total No Additional ADDRESS /STIP w/tSy4/1.1 x-2o.-4 Sj(--(/D I certify that in the performance of the Work for which this permit CITY P Tel.No.Z$ /q Is Issued, I shall not employ any person in:any manner so as to PLAN.cHECK np 'become subject to the Workers'Compensation Laws. Lighting Fixtures j First 2067 APPLICANT- N/� CS (;0&<7J5- _JQ. Total No. / Additional . ADDRESS �Cr��E Date• Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT: If, after making this Certificate of _ CITY T7n Le �7 T.I.No. 7_8 qty . Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3.HP. provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVA.R ADDRESS I hereby affirrn'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 Tel.No. Professions Code,and my license Is in full force and effect. Over 10 to.50 Incl. LICENSE OR >_ Over 50 to 100 Incl. REG.NUMBER Class. .d Over 100DISTRICT NO. PR ED BY O License Number Lie.,Class V Services,Swbd.,MCC&Panelboards00 Q Contractor Date 0-399 Amp.Under 600 V FINAL O DATE ❑ 400-1000 Amp.Under 600 V _2 VALIDATION V I am exempt under Sec. W Over 1000 Amp.or Over 600 V FINAL a B.&P.C.for this reason BRANCH CIRCUIT FEES BY Z Date: 15A,or 20A,120V,.Lighting or Recept. _ 1 To lb Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch.Circuits, Exemption for Reg.Maint.Elect. 15A,20A,206V To 277V Lighting Br.Circuits 2 SINGLE FAMILY Temp.Power Pole&Appurtenances �• .a. HOME OWNER-BUILDER DECLARATION A`�+'L I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch.Circuit �,,t for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits 3303 68.55 Code): L, I,as owner of the property,will do the work and the structure ; Misc..Conduits&Conductors F1 i ' ~- is not Intended or offered for sale(Section 7044, Business I Other(See Complete Fee Schedule) TOTAL 3'83.. 5 and Professions Code). %.;M5 , L(• a CONSTRUCTION LENDING AGENCY CHANGE (ori j 1 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.) , PLAN CHECKING FEE I 121'5 Lender's.Name PERMIT ISSUING FEE Pic Lender's Address I certify that I have read.this application and under penalty.of purjury 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 representative this my to enter u e above-mentioned property ; for 1 Po SEE REVERSE FOR EXPLANATORY LANGUAGE TORE PE ITEE P,- DATE ' WORKER'S COMPENSATION DECLARATION 200019 DPW(1241:) � 78A6.83 APPLICATION FOR ELECTRICAL PERMIT ' I hereby affirm that•1 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 .JOB ADDRESS W5 CAA—AVO 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. Z + — $ $ de_artment: i Multi-famil Sq.Ft... NEAREST P,. y .. _ CROSS ST. y� Date Applicant f Residential Swimming Pools MAP 8 E�7� • BOOK: �/�i• PAGE I PARC +� CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. LightS6v. �j OWNER OR/° �, OF COMPENSATION INSURANCE First 20 O O D FIRM NAME (This section need not be'completed if the work Involved by the MAIL , Permit is for'one.hundred dollars($700)or less,) Total No. Additional ADDRE A IMAM/5,467W &-dim I certify that in the performance,of the work for which this permit CITY I !A Tel.No. yS is issued, I shall not employ any.person in any manner so as to ' become subject to the Workers'Compensation Laws. Lighting Fixtures First 20, PLAN CHECK � A _ - 41-I Total No: Additional ADDRESS �• �I�II a� S7 Date• Applicant RESIDENTIAL.APPLIANCES'NOT OVER:3.HP. NOTICE TO APPLICANT: If, after making this Certificate of CIN Tel.No7�6? Exemption,you should become subject.to.the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. rovisions of-1he Labor Code,you must forthwith comply with such PERMIT P Y P Y APPLICANT provisions or this permit shall be.deemed revoked.. Power Apparatus&Large.Aripliances J�l�•J "._ . LICENSED CONTRACTORSDECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS. I hereby affirm that I am licensed'under provisions of Chapter,9 (commencing.with Section 7000)of Division.3.of the Business and Over 3 to 10 Incl. CITY Tel.No.. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. Over 50 to 100 Incl. REGNNUMBER a. Over 1.00 O License Number, - Lic.Class V . .•DI$T.RICT NESSED BY Services,Swbd'.;MCC&Panelboards 0-399 Amp.Under 600 V FINAL: Contractor Date DATE _ H 400-1000 Amp.'Under 800 V / V I am exempt under Sec. `�� VALIDATION W Over 1000 Amp.or Over 800 V FINAL. CLB.&P.C',for this reason BY CD BRANCH CIRCUIT'FEES Date: 1:5A,or 20A;:120V;Lighting or Recept:. 2 . Z p Signature 1 To 10 Branch Circuits AC l 11 To 40 Branch Circuits $ . .. 41 Or More Branch Circuits ^_3 Exemption.for Reg.Maint.Elect. 1.5A;20A,208V To 277V Lighting Br.Circuits , 51.60 SINGLE FAMILY Temp.Power Pole&Appurtenances ITEMS HOME OWNER=BUILDER DECLARATION. Sign with One,Branch Circuit { •. -1 .,60 , 1 hereby affirm.that 1.am exempt from.the ContractWa License Law for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits �E ( Code): vi[ ;.]1.60 I,-as owner' Misc.Conduits&Conductors CHANGE of the property,will do.the work and the structure � .00 Is not intended.or offered for sale(Section 7644,'Business Other'(See Complete Fee Schedule). and Professions Code). CONSTRUCTION LENDING AGENCY DODO fool 2116/94 I hereby affirm.that there is a construction lending agency for the I o Performance of the work for,which this permit is issued Sec.3097, I 0 � Alts=ISL P P . (. . PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE Lender's Name _ ' PERMIT ISSUING FEE 1p d • Lender's Address / I certify that('have read.this application and under penalty of purjury state TOTAL FEE , that the above Information is correct. I agree to comply with all.County ordinances and State laws'regulallng-pectoball wiring,and hereby authorize representativ f this ounty to enter u the above-m..entloned property . for Inspectlo os s. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF.P.ERMI EE DATE •WORICECOMPENSATION DECLARATION 77BA663 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 pppRE33 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. Multi-family Sq.Ft. NEARESTO . Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM.WORKERS' OWNER OR it 'COMPENSATION INSURANCE Outlets:Rec._Light Sw. FIRM NAME (J (This s$ction need not be completed If the work Involved by the First 20 MAIL permit Is for one hundred dollars(9100)or less.) Total No. Additional ADDRESS I certify that in the perfor.mance of the work for Which this permit CITY Tel.No, is 'issued, I shall not employ any person in any manner so as to k IT become subject to the Workers'Compensation Laws. Lighting Fixtures First.20 APPLICANTK Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO.APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code,you must forthwith comply with such PERMIT provisions or this permit.shall-be deemed revoked. Power Apparatus:&Large Appliances APPLICANT �!1ii LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or WAR ADDRESS I 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 Tel.No. Professions.Code,and my license is in full force and effect. Over 10 to 50 Incl. Over 50 to.100 Incl. LICENSE OR Class. REG.NUMBER a Over 100 DISTRICT NO. SSED BY O License Number Lic,Class f� V, Services,SSwbd.d.,M C&Can I ards �D � Contractor Date ��'p0 '999 Amp n DFINAL 0 ATE ❑ I am exempt under Sec. 400-1000 Amp.Under 500 V VALIDATION V Over 1000 Amp.or Over 600 V FINAL a B.&P.C.for this reason BRANCH CIRCUIT FEES BY co Date: 15A,:or 20A,.120V,Lighting or Recept'. Z_ Signature 1 To 10 Branch Circuits 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg:Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION C I hereby affirm that I am exempt from the Contractor's License taw Sign with One Branch Circuit A4•L•T o Z for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits 63.45 Code): _ ENS I,as owner of the property,will do the work and.the structure Misc.Conduits&Conductors • Is.not Intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) , T Ct i AL 6__3 -45 and Professions Code). 63.45 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the CNIGE oco performance of the work for which this permit Is Issued(Sec.3097, PERMIT FEE (Sub-Totat) Civ.C,) PLAN CHECKING FEE Lender's Name 5/25/9=' PERMIT ISSUING FEE p� LfF l jPM E"je 16 Lender's Address I certify that I have read this application and under penalty of purjury 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 representativ of this ounty to ante p n the above-mentioned property for in purp SEE REVERSE FOR EXPLANATORY LANGUAGE TUR ERMI EE DAT ' %kOR ON TION I hereby aui m that I haveMa certificate of consent to self Insure, 278A66 DPW(1 2 91 ' APPLICATION FOR ELECTRICAL PERMIT ll 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 Wec.3800 Lab.C:) policy No. Company FOR APPLICANT TO FILL IN JOB '^ y p y 1 • ADDRESSV 1✓� Certified copy is herebyfurnished. NO. EACH FEE New Residential Bldgs.&Pools _ $ $ LOCALITY ❑ Certified copy is flied with the county building Inspection 1 &1 2-Family,Sq.Ft. NEAREST department. Muti-family Sq.Ft: CROSS-ST. Date Applicant Residential Swimming Pools ' t ASSESSOR ` MAP BOOK �$ PAGE / PARCEL Z7- -340 CERTIFICATE OF EXEMPTION FROM'WORKERS' Outlets:Rec. Light .Sw. �' OWNER OR CyF� COMPENSATION INSURANCE FIRM NAME First 20 ' Off. MAIL (This section need not be completed If the work Involved by the Total NoAdditional •�� ADDRESS�S w `��,. ]u�/ permit is for one hundred dollars($1 .,06).or less.) I certify that In the performance of the work for which this permit CITY Tel.No. Zc7sp'f/u . is Issued, I shall not employ any person in any manner so.as to become subject to the Workers'Compensation Laws. Lighting Fixtures Ll FPPLICANT First 20 PLAN CHECK A Total No. Additional �T ADDRESS �J Date Applicant RESIDENTIA PLI OT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY > � N Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provislons.of the Labor Code.,you must forthwith comply with such PERMI M� provisions or thispermit shall be deemed.revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS. I 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 Tel.No. Professions Code,,and my license is in full force and effect. Over 1.0 to 50 Incl. LICENSE OR Class. Over 50 t0 100 Incl. REG.NUMBER iIL 1 Over 100 DISTRICT NO. P OCESSED BY V License Number Lic.Class ��, Services,Swbd.,MCC&Panelboards Contractor Date 1 0.-399 Amp.Under 600 V FINAL' O ❑ DATE I­_I am exempt under Sec. 400-1000 Amp.Under 800 V r- .. i V Over 1000.Amp.or Over 600 V VALIDATION FINAL a B.&P.C.for this reason BRANCH CIRCUIT FEES BY W Date: 15A,or 20A,120V,Lighting or Recept. Z_ 1 To 10 Branch Circuits Signature 1.1 To-40 Branch Circuits 41 Or More Branch Circuits 75.20 ❑ Exemption for Reg:Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole.&Appurtenances 1. HOME OWNER-BUILDER.DECLARATION '14 ' I hereby affirm that I am exempt from the Contractor's License Law Sign with.One Branch Circuit IIAL_ 7-._ ®y0 for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): CHECK 75.20 I,as owner of the property,will do the work and the structure. Misc..Conduits&Conductors CHANGE .00 is not Intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) , and Professions Code). CONSTRUCTION LENDING:AGENCY /15/94 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.) PLAN CHECKING FEE Lender's Name ff PERMIT ISSUING FEE �7P 'Lender's.Address 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 reguiati Electrical wiring,and hereby authorize repress live of this County to ter upon the above-mentioned property for in ion .urposes. SEE REVERSE FOR.EXPLANATORY LANGUAGE aIONATURE OF 'ERMrrrEE DATIF - ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0209300001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE PHONE: (626) 285-0488 EXT: LEGAL ID: FEES P : ON FILE 6355 #E4 OAK AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801336 ASSESSOR 0 0 B : NEAREST CROSS STREET: LONGDEN 5382-017-030 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 11.00 OUT 21.45 TENANT: G2 LIGHTING FIXTURES 3.00 LGT 5.85 ISSUED ON: PROCESSEDB A BY: EXPIRES TOTAL FEES 55.05 09/30/02 JK 03/29/03 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: CASA ROBLES NAZARENE MISSIONARY (626) 286-9455- 1-2A.- 6355 OAK AV TEMP 917801336 SC 0 R ELECTRICAL FOR BREAKFAST NOOK APPLICANT: O: SAME AS OWNER DIR: DAVID B MOYER - SPECIAL CONDITIONS: - _ CONTRACTOR: TEL. N0: r SAME AS OWNER APPROVALS DATE INSPECTOR SIGNATURE - y�%:'•��, '•, LIC. NOTEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR EGI R: TEL. 0: \ �' FE GROUND LIC. NO: - ROUGH CONDUIT ROUGH NG MAIN WATER LINE PLASTIC Y/N METAL Y/N - UTILITY C PA NO D .v - {`` `�„+1� `���'� ill 1 i •'���� �. REPORT ID: DPR265 ROUTE TO: SS0508 s • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0012130003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 6355 #24 OAK AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801336 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5382-017-030 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 5.00 OUT 9.75 TENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED N: PROCESSED BY: PLA BY: EXPIRES ON: H7 RES EXHAUST FANS 1.00 EX 10.95 12/13/00 UT 06/12/01 TOTAL FEES 52.35 OWNER: TEL. NO: FINAL DATE FINAL BY: DE: CASA ROBLES NAZARENE MISSIONARY (626) 286-9455- 6355 OAK AV ` TEMP 917801336 DESCRIPTION OF WORK ELECTRICAL FOR BATH EXTENTION APPLICANT: TEL. O: SAME AS OWNER - _ SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO TEMPORARY POW R POLE UNDERGROUND CONDUIT ARCHITEC OR ENGINEER: TEL. N0: -_-� UFER GROUND LIC. NO: _�I I I --__- �� ROUGH CONDUIT $ }- JL4 ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N -- ------------ -- ---------------_--� UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 fErECTRITAr-PERM T DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS �e"5884703499025 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: EGA ID: FEES PA BUILD ING_AD SS: ON FILE #'1 FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801 36 ASSESSOR INFORMATION NUMBE : NEAREST CROSS STREET: 5382-017-029 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 8.00 OUT 15.60 TENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 47.25 03/19/97 TC 03/19/98 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: CASA ROBLES MISSIONARY HOME (818) 286-9455- 6355 OAK AV TEMP 917801336 DESCRIPTION OF WORK ELECTRICAL FOR #11 - ENCLOSED PO CH APPLICANT: EL. O: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER.POLE UNDERGROUND CONDUIT ARCHITECT OR G EE O: UFER GROUND LIC. N0: ROUGH CONDUIT ROUGHRI G IN ATER LINE PLASTIC Y/N METAL Y/N UTILITYCOMPANY 0 I D REPORT ID: DPR265 ROUTE TO: BS0508 i i ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 CFF-ECTRT'CAt-1ggMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL--0508`9703T90022 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL D: FEES PAID B U I L DI G_,ppRESS: ON FILE 55 #G OAK AV-) FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA-9fT7907.336 ASSESSOR A ION . NEAREST CROSS STREET: 5382-017-029 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY Gl OUTLETS-LGT,SW,RECP 11.00 OUT 21.45 TENANT: G2 LIGHTING FIXTURES 3.00 LGT 5.85 ISSUED ON: PROCESSED : PLAN BY: EXPIRES 0 : TOTAL FEES 55.05 03/19/97 TC 03/19/98 OWNER: TEL. NO: FINAL DATE FINAL BY: ODE: CASA ROBLES MISSIONARY HOME (818) 286-9455- 6355 OAK AV ZZ II TEMP 917801336 URES—CRUFMON OF WORK ELECTRICAL FOR ENCLOSED PORCH APP L. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND-- LIC. OUNDLIC. NO: ROUGH CONDUIT ROUGH WIRING ,/ n �„ MAIN WATER LINE �•(� PLASTIC Y/N METAL Y/N UTILITY COMPANY OTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 t COUNTY OF LOS ANGELES TEMPLE CITY # 0508 CCC-CTR•I-CAt-PERMt'� DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS `Er-0508-9.7031ii002� BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGALID: FEES PAID BUILDINP ES: ON FILE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP C�#A 917 01336 a ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5382-017-029 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 8.00 OUT 15.60 TENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED 0 ROC SSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 47.25 03/19/97 TC 03/19/98 OWNER: TEL. NO: FINAL DATE FINAL BY: ODE: CASA ROBLES MISSIONARY HOME (818) 286-9455- // 6355 OAK AV "''�l TEMP 917801336 DESCRIP 0. 0 ELECTRICAL FOR #7 -ENCLOSED PORCH APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE NSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER POLE 'UNDERGROUND CONDUI ARCHITECT 0: F1 FER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LIN PLASTIC Y/N METAL Y/N UTILITY COMPANY 0 E i i (REPORT ID: DPR265 ROUTE TO: BS0508 I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRIC PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS LEL-0510 02'(00012 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID B IL ING-ADDRESS: ON FILE 6355 #15 OAK AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801336 ASSESSOR FO TIO BER: NEAREST CROSS STREET: LONGDEN 5382-017-030 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 8.00 OUT 15.60 TE G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED ON: PROCESS BY: PLAN BY: -EXPIRES 0 : TOTAL FEES 47.25 02/10/99 UT 02/10/00 OWNER: TEL. N0: FINAL DATE FINAL Y: ODE: CASA ROBLES NAZARENE MISSIONARY (818) 286-9455- "-�r� 6355 OAK AV TEMP 917801336 i SC J-P--T-IO -OF-WOR — E.LECMUCALvFOR.SMALL-RECREATION &M APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: GELES co CONTRACTOR: OWNER TEL. NO: - ��sJ �/�T� APPROVALS DATE INSPECTOR SIGNATURE SAME LIC. NO TEMPO 0 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. N• ROUGH CONDUIT RUTGN-PIRING z� PUB n pD ��� R/1 f/0E-il, MAI WATER LINE II�JJ �� PLASTIC Y/N METAL Y/N P 0 I F ED C o o I Aft- ❑ - 4b,�c ot 8ervoce I 1REPORT ID: DPR265 ROUTE TO: BSO5O8 I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 :ELECTRICAL PERM DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508--9902-1.00014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 -- - PHONE: (626) 285-0488 EXT: LEGALID: FEES PAID B I p G_p D • .SS:— ON FILE .63T5 #19 OAK AVL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: EMP-CA 9"17801336 ASSESSOR 0 T 0 NUMBER: NEAREST CROSS STREET: LONGDEN 5382-017-030 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 8.00 OUT 15.60 TENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED 0PROCESSED B LA PIRES ON: TOTAL FEES 47.25 02/10/99 UT 02/10/00 OWNER: TEL. NO: FINAL DATE FINA BY: CODE: CASA ROBLES NAZARENE MISSIONARY (818) 286-9455- T� 6355 OAK AV T TEMP 917801336 UFS-CIrMON OF WOR ` ELECTRICAL T-OI-SMICCL RECRRT N ROOM - - APPLICANT: TEL. O: SAME AS OWNER - SPECIAL CONDITIONS: -GELES Co CONTRACTOR: TEL. NO: �6J APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO TEMPORARY POWERPOLE /Z UNDERGROUND CONDUIT ARCHITECT 0 L. 0: - / GROUND LIC. NOp 1111111 ROUGH CONDUIT ROUGHWIRING �Q.n n pD L�C W(0 K S MAI WATER LINE U PLASTIC Y/N METAL Y/N P OTI D El A IT� ❑ u ❑ Servcce That REPORT ID: DPR265 ROUTE TO: BS0508 • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT' DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ',EL 0508.9808250006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: -LEGAL ID: FEES PAID ING ADDRESS: ON FILE 6355 #21 OAK AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91.7801336 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5382-017-030 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY H5 RES WASH MACH LT 3HP 1.00 WAS 10.80 TENANT: LA 100 AMP PANELS, MCC 1.00 PAN 38.85 ISSUED ON: PROCESSED BY: PLA BY: EXPIRES TOTAL FEES 77.40 08/25/98 UT 08/25 OWNER: TEL. N0: FINAL DATE FINAL BY• CODE: 6CASA 355 ROBLESOAK AV NAZARENE MISSIONARY (818) 286-9455- 2 _ id TEMP 917801336DESCR I PT I Olt OF-WK - - 't NEW ELECTR.I.CAL-SERVICE PANEL 10 A -UPGRADE APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: :,� '"�: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NOTEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: UFER GROUND h LIC. NO-' ROUGH CONDUIT ROUGH WIRING „ MAIN WATER LINE PLASTIC Y/N METAL Y/N - - -- - TILITY COMPANY OTIFIED REPORT ID: DPR265 ROUTE TO: BS0508