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;6A8 DEPART BMENT OF BUILDING AND SAFETY APPLICATION FOR PERAIIIT
COUNTY.OF LOS ANGELES ELECTRIC 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NS].� GROUP ZONE PERMIT NO.
ELECTRICIAN is 5 �' ✓
RECEIVED BY READY FOR DATE ISSUED
ADDRESS cLlz� 1 FIRST INSPECTION
i a r
CITY TEL. NO. ✓✓✓ u� pQ a n p
COUNTY LICENSE NO. EXPIRES BUILDING
ADDRESS I rJ D 1. o A&
PERMIT FEES r �+`
FEE 7--�•tiw1..�� C.t-L-l� L•A.��•
NUMBER OUTLETS EACH LOCALITY r
..Z� LIGHTS Sc �O NEAREST
CROSS ST.
RECEPTACLES S
FIXTURES s OWNER
WALL SWITCHES 5 ELIC. RANGES 25 ADDRESS�P/�(/ go
ELEC. HEATERS 25 CITY AJ l_' A!TEL. NO.AT /-O Q LO o-x
MISC. 1 HEREBY ACKNOWLEDG THAT 1 HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED: APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING,.
NUMBER HORSEPOWERI CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
FEE
NEW MVD. NP OVER INC. EACH ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
va a I.68s $ .25
�/1 J 2 .SO SIGNATURE OF,
2
2 5 1.00 PERMITTEF'�' l
s is 1.50 INSPECTION RECORD
is so 2.50
so 200 5.00
200 Boo 10.00 f 0 v A7 x s ® G
Soo i iDoo is.00
OVER 1000 20,00 Z
M.G. BET FRE . CHANGER-HP Ij
WELDERS: AC-KVA lz
0
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS 75% OF ORIG.)
MISC.
SIGNS
TYPE:. NO. TRANS. 0
TYPE: NO. LAMPS APPROVALS
FOR EACH PERMIT:
DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 I WIRING �'�% Ste`
SUPPLEMENTARY ,50 FIXTURES-
/POWER
TOTAL FEE UTILITY CO. NOTIFIED i
/ FINAL
78A883-CE8081-87 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �/_ • L
BUILDING AND SAFETY DIVISION- ADDRESS C(�
-JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING- LOCALITY /—/✓/ ��L' ��
NEAREST
FOR APPLICANT TO FILL IN GROSS ST.
1
RECEPT. TOTAL NO..EACH FEE
OUTLETS S $ OWNER
LIGHT J FIRST 20 Q 2C �'� MAIL d
ADD'LADDRESS ,S�4�il.IC
SWITCH OVER 20 .10 '
TOTAL FIRST 20 .20 01-0 Id CITY ew Cf7- TEL.NO!
LIGHTING FIXT RES
FIXTURES ADD'L 16 CONTRACTOR J HCFC, C G r
OVER 20.
RANGES DRYERS WTR.XTRS. 1.00 ADDRfrss ✓ /vb l� °
GARB.DISP. BTA.COOK CITYLV-- CV✓L I1/ TEL.NO. "�,�
DISHWASH. AUTO.-WASH. STATE /]
BPACE lITRB. BTA. APPL. .SO
LICENSE NO.
oven NOT OVER H.P. DISTRIC�NO.. GROUP r./E =PRO Y
At R Co t
11.00 o T
1 3 1.50 INSPECTION RECORD
3 s 2.00
8 is 2.50
is so s.00 t
so 100 5.00 V
SIGNSs NO.TRANS. O
NO.LAMPS
SERVICE O-SOOV-NOT OVER 200A 1.00 b
d.
SERVICE O.600V-OVER 200 A. 2.00. N
SERVICE OVER 600V 5.00 - Z
.OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE' 1.00 APPROVALS DATE INSPECTOR'S BIGHATUM
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 'ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND'STATE LAWS REGULATING
ELECTRICAL WIRING. f
WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AN INTEND TO POWER
RESIDE IN.THE AB DESC BED RE NT�pL TY.
SIGNATURE UTILITY CO.NOTIFIED
OF PERM ITT
FINAL I 1y -704
LIDATION JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
CK MO .CASH
.9: 3 9 .8% JUN 3 0 2 D 9°3 0. a
APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /
BUILDING AND SAFETY DIVISION ADDRESS (o C2 OtJVO,
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
F[F PFMW CROSS ST.
!•
ITEM NUMBER I EACH FEE OWNER
1?4 IV
OUTLETS: $ $ MAIL
LIGHTS RECEPT. SW. .1O ADDRESS t?�
r' LIGHTING FIXTURES .10 CITY /�I LC / TEL.NO. �o VJ
ELEC..RANGES CLO.DRYERS ELECTRICIAN OELec-rele
WATER HEATERS / .50 6't.> ADDRESSgJ!,412,
ELEC.SPACE HTRS. DISHWASHERS CITY ryTEL.NO.C V 3 Q
GARBAGE DISPOSERS AUTO.-
STATE 1 47
WASHERS STA.COOKING UNITS .25 LICENSE NO. fJ�
MOTORS: OVER INC. H.P. DISTR�NO: GROUP I ZONE PROCESSED BY
O— V2 .25 � -1- J�n A
va— 2 .s0 INS . TION RE ORD
G
2— s 1.00
5— is 1.50
is— so 2.50 y
50-200- 5.00
SIGNS: NO.TRANS.
.NO.LAMPS :
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
ti
WIRING PERMIT 1.00 1 161)
FIXTURE PERMIT 1.00
. SUPPLEMENTARY PERMIT s0
TOTAL FEE S
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
I ELECTRICAL WIRING. !-
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF `
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE FIXTURES
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED r-' ,��J��A1q {i� Qac-r-�-^.
OF PERMITTEE-
FINALCr
JF (/VAPDATION ARTHUR C.VETT,
cK MO CASH SUPERVISING ELECTRICAL,ENGINEER
i ;, �y9314b APR 14 2 A 2.5 0.
78A689-CE806 4.85 APPLICATION FOR ELECTRIC P.ERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER fA
7AR
gw Z C D k` v e
BUILDING AND SAFETY DIVISION D
JOHN A. LAMBIE, COUNTY ENGINEER -T e- A L C'(. T,
COLEMAN•W. JENKINS. SUPT. OF BUILDING
FOR APPLICANT TO FILL IN N E' S
RECEPTACLE TOTAL NO. EACH FEE
OUTLETS FIRST 20 8.20 8 OWNER ' D e 4
LIGHT
SWITCH ADD'L 10 ADDRESS ��.
OVER 20 7�� ` e `
1 TOTAL FIRST 20 .20 Ie
CITY I+ G L %Y TEL.NO.
LIGHTING l FIXTURES
FIXTURES J( 10 CONTRACTOR (/ e ��C C7/eec_
OVVERER 20
2
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS D I
IS STA.COOK G -
CITY �C D w i 0j TEL.NO.
DISHWAS. AUTO.-WASH. STATE
SP CE HTRS. STA.APP.(Va H.P.MAX.) .SO
LICENSE NO.
MOTORS: OVER NO -DISTRICT N . GR P Z P E D
O 1 1.00 e
1 s 1.50 INSPE1510N RE ORD
s' s
4.00 _
s 1s 2.s0
Is so 3.00 O
so 100 5.001 V
oa
SIGNSs NO.TRANS. O
NO.LAMPS F
SERVICE 0.600V.NoT OVER 200A 1.00 1
U)
SERVICE 0.800V-OVER 200 A. 2.00 Z
SERVICE OVER SOOV Sam
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00 (!�
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE S o APPROVALS DATE INBPECrOR'8 SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS'CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE.LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PRO LY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED Y LOS AN E 8 COUNTY AND STATE OF
CALIFORNIA OR THAT A WXf�!�
POWER
RESIDE IN,'THE ABOV CR B
.SIGNATURE UTILITY CO.NOTIFIED
RMITTEE
FINAL Ll—tell
LIDATION JOSEPH C. ROOHA
(.!KA
MO' CASH SUPERVISING ELECTRICAL ENGINEER
LnuO 1 1 4 3 APR $ 2 D 6.7 0- V
COUNTY OF LOS ANGELES —' APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER ELECTRIC � 1
DIVISION OF BUILDING & SAFETY .
WILLIAM J. FOX. COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP� Zf�1E PERMIT NO.
y .!" c�
ELECTRICIAN a t�0 ) 9 A A '%b ! -
ADDRESS 1G J 99IVED BY READY FOR DATE ISSUED
ry J FIRST INSPECTION
CITY TEL. NO./ 0y.�7 �a
COUNTY LICENSE NO. 4274ff,C EXPIRES BUILDING f�
PE�.FUS ADDRESS v
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS 1 NEAREST
RECEPTACLES OS
WALL SWITCHES OWNER s '
TOTAL OUTLETSSc $ MAIL
ELEC. RANGES ES ADDRESS
ELEC. HEATERS PS
O CITY TEL. NO.
FIXTURES S
MISC. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF LIGHT CIRCUITS APPLB
ICATION AND STATE THAT THE ABOVE 18 CORRECT
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 ANc. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
_ r/a 8 LESS $ 25 SIGNATURE OF
r/ P. SO p PERMITTER
2 s 1.00 INSPECTION RECORD
5 - is 1.50
Is 50 2.80
so 200 5.00
200 500 10.00 -r Qrafn-l—
.J
Soo 1000 15.00 . 4 Z
OVER 1000 20.00 11 6`4 1�1 c�{'1� �,,rMr� � p `�
M.G. SET/FREQ. CHANGER-HP !� .�/[L L J' I
WELDERS!: AC-KVA , 0 1
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF oma.)
MOVED MOTORS (75% OF CHIC-)
MISC.
SIGNS
NO. NO. TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 / CONDUIT r
FIXTURES $1.00 ! O d WIRING 1� I •-r� `� ( ��-•-�
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE S e"o UTILITY CO. NOTIFIED
FINAL
76A GGS DBS# SA. a-S$ 1
,MyORKERS'COMPENSATION'DECLARATION 7.6.A663
CE;806G (2-80) APPLICATION. FOR ELECTRICAL PERMIT "fl
I hereby affirm that I have .a certificate of consent` .to self I COUNTY OF LOS ANGELES �3 r BUILDING AND SAFETY
insure, or a.certificate.of Workers'Compensation Insurance,of
a certified copy thereof(Sec.3800,Lab.C.) O
+. FOR APPLICANT TO FILL IN f JOB 2 ,
Policy No.. Company EACH NO. FEE ADDRESS b OL-1 VL lam"
New Residential Bldgs..&Pools
0 Certified copy is hereby furnished. 1&2-Family,Sq.Ft. $ — LOCALITY 7�-1�112L� r orf-
Multi-family Sq. Ft. NEAREST
Certified copy is filed with the county building inspection Residential Swimming Pools CROSS ST
department. OWNER.OR
® FIRM NAME �. ( d�LT'!=—�Z..
Date Applicant Outlets: Rec. L Light / S..—J-- ADDRESS ah'l
First 20
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No.�T Additional ., '. CITY Tel No.
COMPENSATION INSURANCE i
PLAN CHECK tl
APPLICANT O
(This section need not be completed if the work involved
Lighting Fixtures First 20
by the permit is for one hundred dollars ($100) or less.) ADDRESS
+ Additional.,'
Total No.—
' CITY Tel No. O
I certify that in the performance of the'work for which this Fixed Appliances Not Over 1 HP` V
permit is issued, I shall not employ any person hi any manner , PERMIT lL
so as to become subject to the Workers'Compensation'Laws. Range_Heater D:W. _. APPLICANT p,
Oven _ Dryer.W.M.,_ AdDR.ESS N'
Date Applicant Top _ FAU _W.H.:_ '
Hood _ Fan —Other CITY Tel No.
NOTICE TO APPLICANT: If, after making this Certificate of Disp. Room,Air CondomLICENSE O
Exemption.., you should become subject. to the Workers' �Y± REG.NUMBER Claes ,
Compensation provisions of the Labor Code,you must forth- Power Apparatus.&Large Appliances DISTRICT NO. PROCESSED BY
with comply with such provisions or this permit shall be or Size&Type HP,KW,.KVA, KVi4R
deemed revoked. Q r
Up to 1 Incl,.
• FINAL ,
Over 1 to 10 Incl. D TE ., ...
LICENSED CONTRACTORS DECLARATION 1, �� VALIDATION
Over 10 to 50 Incl.
I.-hereby affirm that.I am licensed under provisions-of Chapter I Over 50 to 100 Inc. BY AL
01>
9 (commencing with Section 7000)of Division. 3 of the Busi- Over 1'00
ness and Professions.Code,and my license is in full force and
effect: Se'rvicel`
0-200.Amp.Under.600 V
License Number. Lic.Class. ,
201-1000 Amp.Under 600 V
Contractor Date Over 1000.Amp.or Over 600 V
HOMEOWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances ,
affirm from the. Contractor's
License Law for the following Sign with One Branch Circuit
I hereby afrm that I am e
Additional Sign Branch Circuits
reason (Section 7031.5, Busi-
ness
ness and Professions Code): -
Kiiructure
Misc.Conduits&Conductorso'o o o
as owner of the property, will do the work and•the + Other(See Complete Fee Schedule)is not intended or offered for sale (Section o.o
7044,Business and Professions Code). ti i, o
CONSTRUCTION LENDING AGENCY'
I hereby affirm that there is a construction lending agency C. C o o
foissued(Sec.3097.,Civ.C.).r the performance of the work for which this permit is PERMIT FEE (Sub-Total) j
i (; i
Lender's Name i.
;PLAN CHECKING FEE (One-Fourth Permit Fee)
Lender's Address PERMIT ISSUING FEE
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 I
hereby authorize representatives of this County to enter upon `
the above-mentioned property for inspection purposes. SEE-REVERSE FOA EXPLANATORY LANGUAGE
Signature of Permitt Date
.
i