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Home My Public Portal About5446 PERSIMMON AVE_Electrical__ ues 6'A 6'46 APPLICATION FOR PlliliKEr DEPARTMENT BUILDING COG ELECTRIC M. J. FOX CHIEF ENGINEER zDISTRICTsNO. GROUP PERMIT NO. � NAME l.Y !T'�.1( � I ADDRESS . .6' Iyt jJw� f-�r! 1�F P-v TEL.NO ! fqw RECEIVEDBY READY FOR DATE ISSU CITY( J FIRST INSPECTION COUNTY �f '�CERT.NO.® �.�V's EXPIRES " APPLICANT FILL IN WAVILY OUTLINM PORTION ONLY JOB (DESCRIPTION OF WORD ADDRESS�It*) -3_ ..P.�'1 Y1 ' •` NUMBER OF OUTLETS ON CIRCUITS LOCALITY !(moi ��ft•f� LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS FIIiT CROSS ST. ,� .CIRCUIT A B C D E F G H R NAMe /�)I (�� 11�Z,r�.:A-4.4 14i A, AN- a MAIL q �+ 3 ADDREss ycp xt� � O CITY ld,Y.�f(/fu} TEL.NO.L,(I ®Q.1} -;� 1 AM THE LEGAL .ta'OS.SESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIF }6 OfF�QUALIFICAON.. CTRICIAN. P ABOVK THS IRGAL OWNER OF THE PROPF,I2TY DESCRIBED ' -� N :7-1+.. OWNER. CORRECHONS J Q Z_ a O TOTAL NO. OF OUTLETS APPROVALS 90. OF FIXTURES �� D .TE INSPECTO�1R'SS NAME NO. OF MOTORS H.P. $ CONDUIT `�- NO. OF SIGNS TRANS. A R WIRING . I NO. OF RANGES OR HEATERS F ffi FIXTURES MISCELLANEOUS POWER i PERMIT FEE UTILITYCO.NOTIFIED n/Z/ll �+ TOTAL FEE FINAL v — 7SAGS3 DBS SA 7-51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �� COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER FOR A712LICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT-NO. ELECTRICIAN ,�[ G RECEIVED BY READY FOR D ADDRESS ATE ISSUE / FIRST INSPECTION CITY TEL.NO. T/� COUNTY LICENSE NO. qO -tl— EXPIRES ABUILDING DDRESS PERMIT FEES NUMBER EACH FEE _LOCALITY t C , LIGHT OUTLETS NEAREST ` o RECEPTACLES CROSS ST. 1 WALL SWITCHES OWNER TOTAL OUTLETS So $ MAIL ELEC. RANGES 25 as ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIB MISC. APPLICATION AND STATE THAT THE ABOVE IF 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 LOS NUMBER HORSEPOWER ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER FEE NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. �/a 6 LESS $ 25 SIGNATURE O�IP ,t�1'/k- %a 2 .50 PERMITTEE 2 5 1.90 INSPECTION RECORD 5 15 1.50 15 50 2.50 5o 200 5.00 200 5013 10.09 J Soo 19130 15.00 Z OVER 1(100 29.00 M.G. SET/FREQ. CHANGER-HP Q' WELDERS.AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% or CRIG.) MOVED MOTORS (75% or oRiG.) MISC. SIGNS NO. N0.TRANS. APPROVALS N0. NO.LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING 1$1.013 A Q CONDUIT c _ FIXTURES 01,00 WIRING SUPPLEMENTARY ,50 FIXTURES POWER efC�4' , le'l TOTAL FEE ®1 �`� UTILITY CO.NOTIFIED - • 71r p��` y1 ,tC�' FINAL 13'/et �I �3` J [ I 76A668-CE166 11/70 APPLICATION FOR ELECTRICAERMIT lul COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 6 s'J COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY G J NEAREST (� FOR APPLICANT TO FILL IN CROSS ST. ,( �L OUTLETS NO. EACH FEE � OWNERZr RECEPT. $ MAIL LIGHT TOTAL FIRST 20 25 ADDRESS CITY TEL. N0. SWITCH OVER 20 .10 PLAN CHECK LIGHTING TOTAL FIRST 20 .25 �j APPLICANT T OVER ADDRESS FIXTURES � 20 .f0 Mo% APPLIANCES CITY TEL. NO. PERMIT RANGE-.I--DRYER_WTR. HTR. APPLICANT STA. COOK DISP.-J—F.A.U. ADDRESS Q Cl x �� SPACE HTR. AIR COND. CITY C Al TEL. NO. Z .- CLOTHES WASH. DISHWASH.A- LICENSE N0. & -2,&,f CLASS.G 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, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.001 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO }. 1 - 10 3.00 RESIDE IN, THE AIJOVE DESCRIBED RESIDENTIAL PROPERTY. CL SIGNATURE � OV 10 - 50 5.00 OF PERMITTEE � 50 - 100 10.00 0 DISTRICT NO -`LASS ZONE PR ,$3�,9�,BY V 100 - 500 15.00 /``//``'� wl SIGN, GAS -[SIGN AND ONE CIRCUIT 5.00 NOTES: O �� r Z TUBE, OR zo- MARQUEE ADDITIONAL CIRCUITS fA0Al JA SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 3 �� SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDI UT WIRING FIXTUR" I POWER AUTHORIZED ?-Z/ PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE PERMIT ISSUING FEE 3.00 31 &a FINAL fZ C JOSEP C. ROO TOTAL FEE 1 SUPERVISING ELE I NGINEEP. PLAN CHECK VALIDATION CK. 'm.0. CASH PERMIT VALIDATION CK. M. CASH Lnuo X 4 6 3' kvv 3 0 2 D 1 3.7 5NCil SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE r 6 WORKERS'COMPENSATION DECLARATION -8 10/81 APPLICATION FOR ELECTRICAL PERMIT {� Ftieretiy affirm!! CE hat I have a certificate of consent to self insure, CE-808G �j or a•certificate of Workers:Compensation InsuraAce,'or a bertified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy tdertof(Sec.3800,Lab.C.) yR Policy►No. • Company FOR APPLICANT TO FILL IN JOB ADDRESS Q ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE LOCALITY � [JCertified copy is filed with the county building inspection 1 & 2-Family,Sq.Ft. $ _ $ department. Multi-family Sq.Ft. NEAREST CROSS ST. Date Applicant Residential Swimming Pools OWNER OR ��aa 99�� FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec3(G Lightc2a Sw.q2/0– MAIL COMPENSATION INSURANCE Q ADDRESS (This section need not be completed if the work Involved by the n, First 20 Total NoAdditi permit is for one hundred dollars($100)or less.) .J� onal CITY 7-- C' Tel.No PLAN CHECK I certify that in the performance of the work for which this permit APPLICANT is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensat' Laws. Lighting Fixtures First 20 ADDRESS ly Total No. Additional CITY Tel.No. Date _1?D Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, aft making this Certificate of APPLICANT 1 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. _ , LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ CITY Tel.N 1 hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR Disp. — Room Air Cond. REG.NUMBER � �p Class.C" (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRICT NO. RO ED BY Size&Type HP,KW,KVA,or KVAR / Q License Numbers_ . �2 Lic.Class e* –Z Q ,f Up to 1 Incl. FINAL V ��) ,, _-� e�4 �d_Q� /1 ��ver 1 to 10 Incl. DATE /tl cif 0 1 H Ul jj/ 7 G(J ! VALIDATION Contractor; 9 + Over 10 to 50 Incl. ❑ FINAL I am exempt under Sec. Over 50 to 100 Inc. BY OW. BAP.C.for this reason Over 100 N Date: Services,Swbd.,MCC&Panelboards ® Z 0-200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V ❑ Exemption for Reg.Maint.Elect. Over 1000 Amp.or Over 600 V SINGLE FAMILY Temp.Power Pole& Appurtenances r, HOME OWNER-BUILDER DECLARATION Sign with One.Branch Circuit i 1 hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits �CC•T v for the following reason(Section 7031.5,Business and Professions 3 z Code): ,j {7 119.O,- 1 F-1 1,as owner of the property,will do the work and the structure Misc.Conduits&Conductors 1 ITEMS is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ and Professions Code). ® 1 OT& 119 a 60 CONSTRUCTION LENDING AGENCY C L. 119.60 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) `•�1t31: of Civ.C.). PLAN CHECKING FEE Lender's Name 3 13000-10-13{j 1 of 6J/ 13 PERMIT ISSUING FEE J Lender's Address TOTAL FEE �24-6 1 AM go-22 I certify that I have read this application and state that the above i 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 pro rty�ofPermittee ection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Si ature Date