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73AG63-CE000-11-37 A P P LI CATIO N FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGEMM r BUILD 1 N.G
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LANIBM County E>lginees U
CASSA1T D. GBI TM,Sup t of adding LOCALITY �iLsa
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES Q y 1,
ITEM____ NUMBER EACH FEE OWNER / G/ f�
OUTLETS: $ $ MAIL
LIGHTS RECEPT. SW. .10 ADDRESS
LIGHTING FIXTURES .10 CITY TE//L.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN � .,Q+ AD w'I G
WATER HEATERS .50
ELEC.SPACE HTRS. DISHWASHERS ADDRESS 7 /`/ S 1 //y
GARBp+M
AGE DISPOSERS AUTO._ CITY e ( ` 'TEL.NO.At ' yX•...,
TAT
WASHERS STA.COOKING UNITS SE
25 LICENSE NO.
MOTORS: OVER INC. H.P.
0- 1/2 .25 DISTRIC O• GROLJPl ZONE READY FOR INSPECTION
1/2— 2 .50
2 - 5 1.00 INSPECTION RECORD
5 — 15 1.50 f5 J 7 " ;
1121 — 50 2.50
50 -200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER GOON 5.00 -
MISC.
'
09 g-
en i
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00Al
SUPPLEMENTARY PERMIT ,50'
TOTAL FEE APPR
i HEREBY ACKNOWLEDGE THAT I HAVE .READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I A THE LEGAL 0 NER THE BOVE POWER
DESCRIBED RESIDENTIAL P _
SIGNATURE UTILITY CO.NOTIFIED
OFPERMITTE /• ~�
' FINAL
YAIMATION ARTHUR C.VETT,
CK MO CASH SUPERVISING ELECTRICAL ENGINEER ,
L&19 1 5 u; JAN 19 2 A 2.0 0 X
I6A663-CES06-7.86 APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DIVISION
Deportment Of County Engine! BUILDING
County of Los Angeles ADDRESS _ c-- J
JOHN A. LAMBIE. COUNTY ENGINEER / s � � ,��
CASSATT D:GRIFFIN.SUPT OF BUILDING LOCALITY e.e
FOR APPLICANT TO FILL 1N .07
COn ROSS T. 1 ,�• Gam^
PERMIT FEES
NU BER OWNS _ rs^'�L �r ` v
LIGHT OUTLETS MAIL Wig.
ADDRESS
14 RECEPTACLESr4 �q
WALL SWITCHES FEE TEL.N �6f
TOTAL OUTLETS @ 5d $ ` ELECTF/i1C1AN 4. :r'"?
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL.NO.
KW EA STATE
FIXTURES 5 LICENSE NO.
MOTORS DISTRI NO. IGTPJOWE EADY FOR INSPECTION
NUMBER HORSEPOWER FEE
NEW MVD. HP OVER' INC. EACH
&LESS $ .25 INSPECTION RECORD
I Ift 2 .50
2 5 1:00
5 15 1.50
15 50 2.50
F 50 200 5:00
M ISC. i
NO.SIGNS NO.TRANS.
' NO.SIGNS NO.LAMPS
FOR EACH PERMIT:' i
WIRING PERMIT $1.00
FIXTURE PERMIT $1.00
SUPPLEMENTARY ' .50 APPROVALS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION' CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING r
ELECTRICAL WIRING. F
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY S ANGELES COUNTY ND.STATE OF- POWER
CALIFORNIA OR %AT THE L7GAOWN F 7HF1.ABOVE
DESCRIBED RESI PROP UTILITY CO.NOTIFIED
SIGNATURE
OF PERM TTf Eta FINAL 0
IOHN A.LAMBIE. ATI ARTH R C.VEIT.
'.OUNTY ENGINEER CKMo cpSH SUPERVISING ELECTRICAL N6INEER
LX0 6 6 6 sEL-m- APR 1 2 2.4 5 to
1 P
GAGGS.CUSOG.10.56 APPLICATION FOR 'ELECTRIC PERMIT
BUII.DING AM SAFETY DIVISION
Deportment of Co=ty Engineer f7AI31DRESS
Comtg of Los Angeles ip-
JOHN A.LAMBIE.COUNTY ENGINEER e e-CASSATT D.GRIFFIN.SUPT OF BUILDING Ht FOR APPLICANT TO.FILL IN
PERM FEES
LIGHTS RECEPTACLES + SWITCH EB OWNER
NUMBERI I T K EACH I F E MAIL
ADDRESS E)
as TOTAL OUTLETS $ .10 $ o
ELEC. RANGES, WATER HEATERS, - CITY TEL.NO.
CLOTHES DRYERS .50 r .
ELEC. SPACE HEATER6•, BTAT'Y. COOK. ELECTRIC .NLa
IMG UNITS, GARBAGE. DISPOSERS, ` •
.AUTO WASHERS, DISHWASHER .25 ADDRESS
LIGHTING FIXTURES .10 CITY we� TEL.NO.
tv
MOTORS STATE
HORSEPOWER LICENSE NO.
-H.P. OVER 'INC. DIST
,!ICT r]NO: U Z N R FOR INSRECT:ION
V2 @ LESS .25 V //
z So O INSPECTION RECORD
2 5 1.00
5 1S 1.5.0
IS — 50 2.50
50 200 5..00
MISC.
SIGNS I NO.TRANS .
NO.LAMPS
SERVICE 0-600V 1..00
SERVICE OVER 600V 5.00
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 �.
SUPPLEMENTARY PERMIT 50 APPROVALS
TOTAL FEE $ DAT_ E INSPECTOR'S SIGNATURE .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION �.
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 'CONDUIT �� —/R tet* :• i'
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGUIIAl.ING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED .AS REQUIRED BY LOS ANGELES C TY .A TATE OF
CALIFORNIA OR. THAT I AM STH LEGAL R T VE POWER
DESCRIBED RESIDENTIAL .P
SIGNATURE UTILITY CO.NOTIFIED
-
OF PERMITTEE. FINAL
OHN,A.LAMBIE. VALm ARTHUR C.VETT;.
:OUNTY ENGINEER CK M. CASH SUPERVISING ELECTRICAL ENGINEER
L Y;0 4, 0 8 7 JUL 2-6 2 D ,g �;
WORKERS'COMPENSATION DECLARATION 76-683 10/81 CE-eoeG APPLICATION FOR ELECTRICAL PERMIT
J heresy' nrmothat I hav#a certificate of consent to self insure,
orAa certificate of Worke Comp sation Insurance, or a,ser�ified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy th C. Z—
M&'-
Policy No Co aFOR APPLICANT TO FILL IN JOB
❑ Certified copy is hereby furnished. EACH NO. FEE ADDRESS
New Residential Bldgs.&Pools
❑ 1 &2-Family,Sq.Ft. $ — $ LOCALITY
Certifi copy is filed with the cou buil i pe tion
defia t. Multi-family Sq.Ft. NEAREST
c`.�11 Residential Swimming Pools CROSS O
Date Applicant OWNER OR
`A �j FIRM NAME
ERTIFI ATE OF EXEMPTION FROM WORKERS' Outlets:Rec SL Light✓Sw.— MAIL
COMPENSATION INSURANCE First 20 ADDRESS
(This section need not be completed if the work Involved by the CIT el.No.
permit is for one hundred dollars($100)or less.) Total No. Additional
I certify that in the performance of the work for which this permit PLAN CHECK
is issued, I shall not employ any person in any manner so as to APPLICANT
become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS
Total No. _ f3 Additional CITYTel.No.
Date Applicant Fixed Appliances Not Over 1 HP
NOTICE TO APPLICANT: If, after making this Certificate of PERMIT
Exemption,you should become subject to the Workers'Compensation Range_ Heater D.W. _ APPLICANT
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 T.I.No.f 071-
LICENSED CONTRACTORS DECLARATION Hood — Fan Other— S•�
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE OR
(commencing with Section 7000)of Division 3 of the Business and REG.NUMBER Class.
Professions Code,and my license is in full force and effect. DISTRICT NO. PROCESS
Power Apparatus&Large Appliances ,] a
Size&Type HP,KW,KVA,or KVAR (� Q
License Num r Lic.Class Up to 1 Incl. FINAL 0
ION
Contractor Date Over 1 to 10 Incl. DATE VA -TU
Over 10 to 50 Incl. FINA
❑ I am exempt under Sec. Over 50 to 100 Inc. B717-, LLL
n•
B.&P.C.for this reason Over 100V1
Date Services,Swbd.,MCC&Panelboards eZ•.
0-200 Amp.Under 600 V
Signature 201 - 1000 Amp.Under 600 V
El Exemption
1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. �']0 3.2 A
SINGLE FAMILY Jemp.Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION # 0 0 0 0 0 2
Sign with One Branch Circuit
1 hereby affirm that I am exempt from the Contractor's License Law
for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits o 0 2 1.7 5
Code):
Misc.Conduits&Conductors o o o 2 1.7 5 5
❑ I,as owner of the property,will do the work and the structure Other(See Complete Fee Schedule) _
Is not intended or offered for sale (Section 7044, Business Q"�1 2-87
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(Sec.3097, PERMIT FEE (Sub-Total)
Civ.C.). ,
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE l U
Lender's Address -7�
1 certify that I have read th' plicati state that the above TOTAL FEE
information is c rect.I ag -to cc y wi h all County ordinances
and State s gulatIng Iii ctric wirin , and hereby authorize
presen Ives Cc y to nter n the above-mentioned
p for In ed to ose SEE REVERSE FOR EXPLANATORY LANGUAGE
Sig ture of Pe I ee Date