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Home My Public Portal About5509 PERSIMMON AVE_Electrical__ 7 o"p.t C C j T V Ll 76A863-CEsyd-11/70 ,APPLI•CATION FOR ELECTRICAL PERMIT 9 COUNTY OF LOS ANGELES DEPARTMENT BUILDING AND SAFETY DIVISION BUILDING ADDRESS • COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY • C e NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER RECEPT. $ S gDDRESS d • •f/ LIGHT FIRST 20 ,25 TOTALc2-t—> 4- 00 � OVER 20 CITY ��'• TEL. N0. SWITCH - .10-ItPLAN CHECK LIGHTING FIRST 20 25 APPLICANT TOTAL OVER 20 ADDRESS FIXTURES .10 APPLIANCES CITY TEL. NO. PERIT RANGE DRYER_WTR. HTR. APPLICANT X10 L tom• STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY C o TEL. NO. CLOTHES WASH. DISHWASH. LICENSE N0. CLASS. FAN THER 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I 'AM THE LEGAL OWNER OF, AND INTEND TO �.. 1 — 10 3.00 RESIDE IN, THE AB VE DE IBED RESIDENTIA PR RTY. G. 10 — 50 5.00 OF PESIGNARMRITTEE O Cd 50 — 100 10.00 DISTRICTNO_ Lcv ZOl1 P OC O 100 - 500 15.00 d w _ a SIGN, GASSIGN AND ONE CIRCUIT 5.00 NOTES: H TUBE, OR ? MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 �0 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR200AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK ROUGH CONDIUT 04 WIRINGAir .2 41 ( ?� FI XTU RO POWER AUTHORI7ED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE ml 'Z PERMIT ISSUING FEE 3.00 �� FIR L JOSEP C. ROOHAN . TOTAL FEE 0 SUPERVISING ELECT CAL ENGINEEP. PLAN CHECK VALIDATION CK. M.0.• CASH •ERMIT VALIDATION CK. M.O. CASH tU'6582-0 Jw2:L 2o 15.60 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE r6A660 CE-806(6/78) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING D SAFETY FOR APPLICANT TO FILL IN JOB New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 09 Persimmon 1 &2-Family,Sq.Ft._� $ .025 — $. LOCALITY T em 1e C7.t Multi-family Sq.Ft. .02 — NEAREST CROSS ST. e3 Residential Swimming Pools 25.00 OWNER.OR FIRM NAME Fidone Outlets:Rec Light 1 Sw. 50 MAIL First 20 .50 ADDRESS 5502 Persimmon Total No. Additional .30 CITY T.G. Tel.No. h48,*5605 PLAN CHECK APPLICANT Lighting Fixtures First 20 •50 ADDRESS Additional .30 Total No. CITY Tel.No. Fixed Appliances Not Over 1 HP PERMIT Range_Heater_D.W._ APPLICANTADDRESS - Oven—Dryer W.M.— 8843 Hission Dr- Top _FAU W.H._ 2 50 CITIRoSeme8d Tel,No. 280-1260 Hood._Fan —Other LICENSE OR Disp.—Room Air Cond. 2.50 REG.NUMBER 227962 Class. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP,KW,KVA,or KVAR COMPLY WITH ALL COUNTY•ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. +Up to 1 Incl. 2:'50 . CERTIFY THT I AM PROPERLY REGISTERED 32 toll A7 Cover T to 10-Incl. 5.00 ] LICENS DSREBY AS REQUIRED BYLOS ANGELES COUNTY AND STATDE/OR OF Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE Over 50 to 100 Inc. 25.00 DESCRIBED RESIDENTIAL PROPERTY `r Over 100 40.00 PERMITEE SIGNATURE :� Services 12.50 DISTRICT NO. - CESS BY 0-200 Amp.Under 600 V a Cj r 201-1000 Amp. Under 600 V 25.00 6/ Over 1000 Amp.or Over 600 V' 50.00 z'a7A 0 A I Temp.Power Pole&Appurtenances 10.00 O?733 �,F—77 Sign with One Branch Circuit 10.00 c 3 2 Q 4 A Additional Sign Branch Circuits. 2`00 INSPECTION > + o a o 0 0 2 to.00 INFORMATIONbdi Mise.Conduits&Conductors ON REVERSE x 2 - 1500 ' Other(See Complete Fee Schedule) SIDE g � 00IL 15s00� 0313-79 PERMIT FEE (Sub-Total) PLAN CHECKING FEE (One-Fourth Permjt Fee). O 2 PERMIT ISSUING FEE $7.00 TOTAL FEE $15 00 > r INSPECTION FINALED DD ,� /� o�c .date: � / �f 7 cI BY fl L as WQRKERS'COMPENSATIONDECLARATION 8APPLICATION FOR ELECTRICAL PERMIT x-16, 4 CE-6806G f2-80) I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insW or a,&evtificate of Workers'Compensation Insurance,or a V fieri copy thereof(Sec.3800,Lab.C.) , FOR APPLICANT TO FILL IN JOB � `� Policy No. Company New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 'v Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — Is LOCALITY Multi-family Sq. Ft. — NEAREST p �� Certified copy is filed with the county building inspection CROSS ST tv department. Residential Swimming Pools OWNER OR C Date Applicant a FIRM NAMES 0. Outlets: Rer Light Sw. v ADDRESS First 2� CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. AcJditional CITY ,� Cj Tel No. d COMPENSATION INSURANCE PLAN CHECK O (This section need not be completed if the work involved APPLICANT U by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS Total No. Additional A W I certify that in the performance of the work for which thisFixed Appliances Not Over 1 HP CITY No. V permit is issued, I shall not.cipploy any p). Pensation n in any manner PERMIT so as to become subject to t Worke Laws. Range_Heater D.W. _ APPLICANT IL W Oven — Dryer_W.M._ ADDRESS Date. Applfca Top _ FAU _W.H.._ Hood — Fan _Other_ CITY Tel No. NOTICE TO APPLICA : If, after making this Certificate of Disp. _Room Air Cond._ LICENSE OR Exemption, you sho ld become subject to the Workers' REG.NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCES Y ig with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW,KVA,or KVAR ' Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE �� VALIDA N LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL BY / r 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 ness and Professions Code, and my license is in full force and effect. Services License Number Lic.Class 0-200 Amp.Under 600 V 201-1000 Amp.Under 600 V Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit `"additional Sign Branch Circuits 3 5 6,t' License Law for the following reason (Section 7031.5, Busi- # o o a o a 2 XI nd Professions Code): Misc.Conduits&Conductors, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— 1 ° ° G 9,L' 5 tructure is not intended or offered for sale (Section o 0 - 29,257- 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY 11.2t —35 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued(Sec. 3097,Civ.C.). Lender's Name 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 nd State laws re Ing Electrical wiring, and hereby 4u Drize repress to A es o this County to enter upon the abo7eentioned t er f inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE ,f w. ) S rtu're of Permittee Date /