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Home My Public Portal About5032 PERSIMMON AVE_Electrical__ 78A611C-CE#806.9-61 APPLICATION FOR ELECTRICAL PENIA COUNTY OF LOS ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING J99--?07BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE..COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES OWNER e. I T E M NUM13ERI EACH FEE MAIL OUTLETS. $ $ LIGHTS RECEPT. SW. .10 CITY 7 TEL. NO. f�S LIGHTING FIXTURES ,10 ELEC.RAN CLO.DRYERS ELECTRICIAN WATER HEATERS / .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY TEL NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS ,25 LICENSE NO. MOTORS, OVER INC. H.P. .DISTRICT NO. =P Z NE P D: 0— 1/2 .25 1/2— 2 .50 , . ANSFECTIO ECORD 2- 5 1.00 ..AZA2 __Y ✓ /✓fin • '.�'-�/•�� I"'.�A�/ l.rf 0 / 5- 15 1.50 /i�VVAr l j ♦ /V is— s0 2.50 • I / �� 1v11. fYl. C�%ln•l• s'�^-.><' rI' > 0 50— 200 5.00, W N SIGNS: O TRANS. H NO.LAMPS •z SERVICE 0.600V 1.00ov SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 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 CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _ ELECTRICAL WIRING. V1 IRING, 171W710 1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTEREQ AND/OR f �� LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGALRTY. POWER OWNER THE' ABOVE - . DESCRIBED RESIDENTIAL PR PEe I .00 SIGNATURE r OF PERMI.TTE �. UTILITY CO.NOTIFIED ,�1/lr,I �.:y:•''�%'/�� FINAL �0�. c��13I (7s.Y.Y✓dJ VALIDATI' ARTHUR C.VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer � �� DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN `. DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN . HERRIA9 O j'-3 d - s GTON Rpgp RECEIVED BY FIRST READY FOR DATE ISSUED ADDRESS a r ,I CITY `LI LrN-. ✓1 I / COUNTY LICENSE NO. t5 EXPIRES PERMIY FEES ADDRESS I FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES 1.6 CROSS ST. WALL SWITCHES OWNER TOTAL OUTLETS 5O MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 J CITY TEL NO. FIXTURES 5 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 ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOB NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERZOESBEDABOVE. _ %2 3 LESS S .25 BISNATURE OF I/2 2 .50 PERMITTE 2 B 1.00 INSPECTION RECORD 5 1s 1.50 15 50 2.50 50 200 5.00 200 600 _ 10.00 J 500 1000 15.00 Q Z OVER 1131313_1 20.00 M.Q. BET/FREQ. CHANGER-HP WELDERS:AC-KVA GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF DRIB.) MOVED MOTORS (75% OF DRIB.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO.LAMPS FOR EACH PERMITS DAVE, INSPECTOR'S NAME WIRING B1.00 CONDUIT FIXTURED $1.00 WIRING J 6UPPLEMENTARY .50 FIXTURES ) POWER .� TOTAL FEE UTILITY CO.NOTIFIED /,• �a c r FINAL MAGGS DBS#5A 4-52 7eAe63C- WoeB 1i APPLI:CATION FOR' ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION ,. FOR APPLICANT TO FILL 1N SOB ,y ADDRESS �� ♦ (" (�� IJ r New Residential Bldgs.&Pools EACH NO. FEE - 1 &2 Finally Sq. Ft. $ — LOCALITY Multi-family Sq.Ft. — NEAREST CROSS ST. Residential Swimming Pools OWNER OR /p� .t��M/I�� FIRM NAME MA-4—rh 1-S oi954L Outlets: Light,Switch&Receptacles MALL First 20 A'DDRESS �j(�3 Z, �F2.s1e�vr. li�h�f1l 1 Additibnal 00 CPTYRtn"Idtf? CITc1- T.L.No. PLAN CHECK Lighting Fixtures (� APPLICANT First 20 it& ADDRESS ,Additional CITY Tet.No. PERMIT y� Fixed Appliances Not Over 1 HP APPLICANT,9 Ce) F*QCNI" fkX Range_ ,Heater_ D.W. ADDRESS Oven _ Dryer _ W.M. Top _ FAU W.H. CITY IVIOMPa111-1 Tel.No.352S7d7 . a� Hood Fan LICENSEOR cA REG. NUMBBER l)�d Class._ &I -CPO O Disp. A.C. O 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE TN'AT'THE ABOVE IS CORRECT AND AGREE TO COMPLY C Power Apparatus&Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS .REGULATING I--' Size&Type HP,KW,KVA,or KVAR ELECTRICAL WIRING. V W s, C Up to 1 Incl. 3 QV I,HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDJOR co Over 1 to 10 InCI. LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE'OF z CALIFORNIA OR T '1 E LEGAL OWNER OF THE ABOVE Over 1.0 to 50 Incl. DESCRIBED R ID NT OP TY. Over 50 to 100 Incl. PERMITEE v Over 100 SIGNATUR Services• DISTR,I.CrT NO. PRO'C SED Y 0=200 Amp. Under 600 V ® 3 ' 201 -1'000 Amp.Under 600 V APPROVALS DATE INSPECTOR'S Over 1000 Amp.or Over 600 V SIGNATURE 'TEMP.POWER POLE Temp. Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits DER (Other) W.IR I NG °9 3 1 z F I,XTU.RES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITY CO.NOTI F D PLAN CHECKING FEE (One-Fourth Permit Fee) a -,FINAL PERMIT'ISSUING FEE TOTAL FEE ' ,NOTES ,gyp TV- .ev PLAN CHECK VALIDATION CK. M.O. CASH tPEETMTV ALIDATION C -• M:O. CASH' WORKERS'COMPENSATION DECLARATION C-8 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent.to self insure, CE-808G or a certificate of Workers' Compensation Insurance, or a certified. COUNTY QF LOS ANGELES BUILDING AND SAFETY 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 LOCALITY ❑ 50,49 pelm�TnTnnTi 1 &2-Family,Sq.Ft. $ _ $ Tem 1 e 'City Certified copy is filed with the county. building inspection department. Multi-family Sq.Ft. NEARESTCROSS ST . Granil , Residential Swimming Pools OWNER OR Date Applicant Residential Edward M. 0 sal Jr CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL COMPENSATION INSURANCE Outlets:Rec Light_Sw.— ,�Q • ADDRESS 50-32 Persimmon St (This section need not be completed if the work Involved by the First 20 permit Is for one hundred'dollars($100)or less.) Total No. 5 Additional CITY Temple City Tel.No. 444 5 7 O I certify that in the performance of the work for which this permit PLAN CHECK APPLICANT 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 NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT APPLICANT Edward M. ,Dpsal Jr Exemption,you should become subject to the Workers'Compensation Range_ Heater D.W. provisions of the Labor Code,you must forthwith comply with such Oven _ Dryer_ W.M._ Y ADDRESS 5032 Per S 1mIIlOri St provisions or this permit shall be deemed.revoked. Top _ FAU _ W.H. _ •CITY T emp l e City Tel.Nc4 4 4 -5702. LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other_ I hereby affirm that I,am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE OR Class. (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER Professions Code,and my license is in full force and effect. DISTRICT NO. ESSED BY = Power Apparatus&Large Appliances � Size&Type HP,KW,KVA,or KVAR �� U License Number Lic.Class Up to 1 Incl. FINAL Over'1 to 10 Incl. DATE /1_ VALIDATION O Contractor Date Over 10 to 50 Incl. �` t0- FINAL ❑ I am exempt under Sec. Over 50 to 100 Inc. BY / a B:&P.C.for this reason Over 100 N 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. &CTo4 SINGLE FAMILY Temp.Power Pole&Appurtenances HOMEOWNER-BUILDER DECLARATION Sign with One Branch Circuit 3303 37.30 I hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5Additional Sign Branch Circuits,Business and Professions 1 ITEMS �c-o7de� TOTAL '37 o 30 Lfa 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) _ CASH 37030 end Professions Code). ,' CHANGE .00 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) �� 0000-0001 11/ 8/95 Civ.C.). _ PLAN CHECKING FEE 3209 • I A11102-2E Lender's Name PERMIT ISSUING FEE pti Lender's:Addressgo 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 and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter u n the above-mentioned P r inspection purposes. A SEE REVERSE FOR EXPLANATORY LANGUAGE Signatureof Permi ee Efate r