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3ASS3-t:ESDSID.BI APPLICATION .FOR ELECTRICAL PERMIT ,
COUNTY OF LOS ANGELES'
DEPARTMENT OF COUNTY ENGINEER- BUILDING �(++
BUILDING AND SAFETY DIVISION ADDRESS . N •.
JOHN A. LAMBIE, COUNTY ENGINEER •
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAR ST
FOR APPLICANT TO.FILL IN CROSS ST.
I T E M NO. I EACH FEE
OUTLETS: (FIRST 20) $.20 $ OWNER ,
LIGHTS RECEPT. Sw. MAIL
OUTLETS: (ADO'L UNITS) 10 ADDRESS p,
LIGHTS RECEPT. SW.
LIGHTING FIXTURES. (FIRST 20) 20 CI TEL.NO.
LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
om?%S'3 t) r
GARB.DISP. STA.COOK
CITY TEL.NO.
DISHWASH. - AUTO.-WASH. STATE
SPACE HTRS. STA:APP.(Vs H.P.MAX.) .50 LICENSE NO. Q
MOTORS: OVER NOT OVER H.P. DIST ICT. O. GROUP NE P ESSED BY
0 1 1.00
1 3 1.50 -INSPECTION RECORD
3 s 2.00
s is 2.50
U.
15 50 3.00 V `C)
SO foo 4.00 c '
SIGNS:
NO.TRANS. _ !a
NO.LAMPS �yGti /3.' �•G.t �G
SERVICE O-SOOV-NOT OVER 200A 1.00 ,Q - ,��� 0A.',
SERVICE 0.60OV•OVER 200 A. 2.00
_ s
SERVICE OVER SOOV 5.00 r
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
'I HEREBY ACKNOWLEDGE-THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATUR
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT-
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING p ..
ELECTRICAL WIRING. WIRING / � `, ��' •L'`f"` `
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR a
LICENSED AB REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE d
DESCRIBED RESIDENT I PROPERTY `POWER - /���►•^-,/( s��,/�Fit
SIGNATURE - C, UTILITY CO.NOTIFIED .. f.• A_
OF PERMITTEE r
FINAL, :`.3.+;4
LIDATION ARTHUR C. VEIT
CK MO • CASH. SUPERVISING ELECTRICAL ENGINEER
LjjG0 8 1 2 .3.m DEC -7 2 D
3.00- -3
16AS63-CEBOG 6-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEARE78T
D
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING
FOR APPLICANT TO FILL IN E=L, Ittp iU 1w Avo
RECEPT. TOTAL NO. EACH FEE -
OUTLETS FIRsr 20 $. $20 OWNER
LIGHT MAIL Q
ADD'L. .10 ADDRESS O (p -
SWITCH. OVER 20 •
TOTAL CITY TEL.NO.
LIGHTING FIRST 20 .20
FIXTURES .10 ELECTRICIAN
R
OVVER 2O
RANGES CLO.DRYERS WTR.XTRS. 1.00 ADDRESS
GARB.DISP.V STA.COOK CI • TEL.NO. lJ
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(Va H.P.MAX.) .50 AZA LICENSE NO.
MOTORSs OVER NOT OVER H.P. DISTRICT NO. GROUP ZQNE PROCESSED BY
0 1 1.00 S-,O A- . G v Lea vrco
I s 1.50 INSPECTION RECORD
s s 2.00
8 1s 2.50
is so 3.00 >
d
so 100 5.00 O
V
SIGNSs NO.TRANS.
NO.LAMPS pOp-
SERVICE 0.600V-Nor OVER 200A 1.00 IU
SERVICE 0.600V-OVER 200 A. 2.00 C
H
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE a$
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE:
ANDSTATE THAT,THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL•COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL.WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR /�•n, �. `- --�,�' l
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES �_ �n+:..l• .'"?'•i ,i%"�+— fY!
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE ••a r '�
DESCRIBED RESIDENTIALROPERTY. POWER ySIGNATURE - PE UTILITY CO.NOTIFIED --- ---% � �
OF PERMITTEE
FINAL /� i.� `U � '"+„" '''.•.:� ' '
LIDATION ARTHUR C.-VEIT -
CK MO CASH' SUPERVISING ELECTRICAL ENGINEER
4, c 5 -5 tY 2 D 2.50-
�'
78A888-CE806 9-89 92 lJ fJ (� F `�
APPLICATION f!F03R ELECTRIC P RMIT �klz5-93
COUNTYO
O F LOS ANGELES All.
DEPARTMENT OF COUNTY ENGINEER FNEA111T
BUILDING AND SAFETY DIVISION 10641 EOlive
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGY
FOR APPLICANT TO FILL IN CROSS ST. E1 Monte Love
NO. EACH FEE
$ $ OWNER Ed T'jqnnan
RECEIPT. MA IL
ADDRESS
LIGHT TOT FIRST 20 � CITY TEL.N0. 443-5072
qalnp
SWITCH OVER 20 PLAN CHECK
LIGHTING TOTAL FIRST 20 APPLICANT
FIXTURES } OVER 20 ADDRESS =
RANGE_DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK_DISP._F.A.U. CONTRACTORwgrr Electric
SPACE HTR. AIR COND. ADDRESS 15834 Workman
CLOTHES WASH.-DISHWASH. CITYL$ Puente TEL.NO. 333-5918
FAN_OTHER 10 LICENSE NO. 949710 CLASS.
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
IND. HEATERS, ETC, HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE &TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1'00 1 HEREBY CERTIFY THAT 1 AM PROPER Y REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELE COUNTY AND STATEOF C
1 - 10 3.00 CALIFORNIA OR THAT I AM TH EGAL NER OF. AND INTEND TO
RESIDE IN, THE ABOVE DE C RE ENTIAL PROPERTY.
10 - 50 5.00
SIGNATURE l f
50 - 100 10.00 OF PERMI E
C
100 - 500 15'5.00 DISTRI NO. GROUP PROC SEO C
SIGN GAS SIGN AND ONE CIRCUIT 3.00 a
TUBS, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, IN APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING3�B-77
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE yr" UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE It JOSEPH C. ROOHAN
SUPERVISING ECTR.I ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATI .0
cK. � M.O. CASH
300
3 7 8 fiHAR 28- 2 13.3 0 ,&s8
,. .
SEE BACK OF 4PPLIf ATIOx FOw COMPI ETE FEE 9CX EDU LE 1
176A
WORKERS'COMPENSATIONDECLARATION B
iCE- OSG (2.80) APPLICATION FOR ELECTRICAL PERMIT
CE$
i hereby affirm that I have it certificate of consent .to self i COUNTY OF LOS ANGELES r BUILDING AND SAFETY
insure,or a certificate of Workers'Compensation Insurance,or l I
a certified copy thereof(Sec:3800,Lab.C.)
FOR APPLICANT TO FILL IN JOB
Policy No. Company
New Residential Bldgs.&Pools EACH NO. FEE
New
❑ Certified copy is hereby furnished. 1 &2=Family.Sq• Ft. $ $ LOCALITY
❑ Certified co y g inspection Multi-family Sq. Ft. EAR ST
copy is filed with the count buildin Residential Swimming Pools `CROSS ST
department. OWNER OR
`FIRM NAME
Date Applicant Outlets: Rec.—Light Sw. MAI L �i �r
First 20 ADD ESS CJ s�
CERTIFICATE OF EXEMPTION FROM,WORKERS' Total No. Additional. CITY Tel No.
COMPENSATION INSURANCE PLAN CHECK a
APPLICANT
(This section need not be completed jf the work involvedU
Lighting Fixtures First 20
by the permit is -for one hand dollars ($100) or less.) ADDRESS
Additional' �
I certify that,in the perform ,e o e ork'for hick this Total No. `CITY Tel No. O
permit is issued, I.shall not em oy son. in man r Fixed Appliances Not Over 1'HP
PERMIT LU
so as to b com subject to the. ers 0mpbn ion s Range_Heater D.W. _ APPLICAN 49 / a
rn
Oven — Dryer.W.M._. ADDRESS2a
D- Applicant.. Top _ FAU _W.H.
Hood — Fan —Other CIT �� Tel No
NOT E O APPLICANT: If, after making thi Certificate.of D.isp.. _Room Air Condom LICENSE O
Exe pti you shoyild become subject to the Workers' REG.NUMB Class
Co pen ation provisions of the Labor Code,you must forth- Power Apparatus&Large Appliances DISTRICT NO. PRO ES D BY
with comply with such provisions or this permit shall be Size&Type HP,KIN,KVA,or KVAR
deemed revoked.
Up to 1 Incl.
Over. 1.to 10 Incl. FINAL •
LICENSED CONTRACTORS DECLARATION DATE ='7 / VALIDATI.
Over 1.0 to 50 Incl,
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL
9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY `
ness and Professions,Code,and my license is in full force and
effect. Services
License u Ir
ic.Class *ION
0-200 Amp.Under 600 V 201-1000 Amp.Under 600 V
Contract r DateOver 1000 Amp.or Over 600 VtHOME OW ER-BUILDER DEC RATemp.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 ;9-3 9 T 0 A
7044,Business and Professions Code).
CONSTRUCTION LENDING AGENCY # 0 0 0 0 o 2
I hereby affirm that there is a construction lending agency '
for the performance of the work for which this permit is PERMIT FEE
issued(Sec.3097,Civ.C.). (Sub-Total) 2
!
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) I o o'o 1 9.5 0 6
l
Lender's Address . I PERMIT ISSUING FEE 0205-81Om
I rtify.that. I have read this application and state that the TOTAL FEE J�
ove i ormation is correct.I a ee to cc ply with all County
rdina ce and State la re feting lectri al wiring, and
re horize rep ativ of th o, toen r upon
the e-mentione r rty insp ti urpose • �, SEE•REVERSE FOR EXPLANATORY LANGUAGE
li AR '
Signature of Permittee ' ate
1 •