The URL can be used to link to this page

Home My Public Portal About9076 RANCHO REAL RD_Electrical_1963-08-06 TEMPLE c9TV , MA668-CF,aO8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES C� ]DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISIONADDRESS '9- JOHN A. LAMBIE. COUNTY ENGINEER �I 1 sem. WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY /'t eh f NEAREST FOR APPLICANT TO FILL IN CROSS ST.I'► O ' RECEPT. TOTAL. NO. EACH FEE $� OUTLETS FIRST 20 $2O $ It 1O OWNER LIGHT MAIL ADDIL 10 ADDRESS SWITCH. OVER 20 LIGHTING TOTAL FIRST 20 .20 O CITY{./Y PLe C.l TEL.NO.�I--Gp Lo FIXTURES } ADD'L .10 ELECTRICIAN C BII� �f OVOR 20 r RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY TEL.NO. 2-1 ; DISHWASH. AUTO.-WASH. STATE SPACE HTRS. - STA.APP.(Va H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT NO. 11 G OUPONE P C D BY •O 1 1.00 i a 1.50 INK"CTION RECORD 5 a 2.00 0 6 8 18 2.50 vt 1s s0 5.00 50 100 5.00 SIGNS, No.TRANS- I% NO.LAMPS Q F� SERVICE O.sOOV-NOT OVER 200A 1.00 UVj o. SERVICE 0.600V-OVER 200 A. 2.00 Z SERVICE OVER 600V 5.00 MISC. _ PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSULNG FEB 1.00 lJ 6. TOTAL FEE 8 690 1 HEREBY ACKNOWLEDGE THAT 1 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 ✓� y ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY IAS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDATUREENTIAL PROPERTY. POWER + SI PERMITTEE/ UTILITY CO.NOTIFIED ` 'n .v�1 n� /�j FINAL 114 1 1 11b VALIDATI ART RING ELECTRICAL CK MO SH SUPERVISING ELECTRICAL ENGINEER ms's.4 9 Ot2 AUD 6 2 a 1.404w LL L�7iVLIIJ 1713'=7 �� Yl 13 7iwsll ''�8-62 APPLICATION. FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDREss G' C C JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY CITY FOR APPLICANT TO FILL IN CROSS STT. L. V RECEPT. TOTAL FIRST PO NO. EACH FEE OWNER LIGHT OUTLETS ,20 b MAIL ADD'L SWITCH. OVER 20 .70' LIGHTING TOTAL F IRST 20 .20 CIT ��YI. L C/7%/ TEL.NO./l' 63 .2/ jQ FIXTURES ADD'L .10 ELECTRICIAN C r Y 111 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS d GARB.DISP. STA.COOK CITY Z C_/ TEL.NO. 'G 1921 DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP..(ya'H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISyT5`I4CT NO. GROUP ZONE P CESSED Y O 7 1.00 f L� 7 a 1.50 f INSPE ION RE'05E s S 2.00 ��03 e19I-�- /l B Is 2.50 �� •!r�' ' so 100s.00 i O SIGNS: NO.TRANS. NO.LAMPS �O-- SERVICE 0.600V-NoT OVER 200A 1.00 IU SERVICE 0.600V-OVER 200 A. 2.00 a N SERVICE OVER 600V 5.00 ? MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATIC THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL-COUNTY ORDINANCES'AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR / R LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES IJ / CALIFORNIA OR THAT IAM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER 1 SI NATUR PES UTILITY CO.NOTIFIED ` �I/111 FINAL n f� K il•1.✓� VALIDA suPE '�ISING EEECTRICAL ENGINEER CK. M CAS v G�; DL ,,.,O C' �, V:iL WORKERS'COMPENSATION DECLARATION CE- 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-BMOG insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lob. C.) Policy No. Company I FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS ` Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft.— $ — $ LOCALITY tion department. Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST. Date Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' j Outlets: Rec Light Sw._ MAIL COMPENSATION INSURANCE First 20 ADDRESS (This section need not be completed if the work Involved by Total No. Additional CITY Tel. Nd the permit Is for one hundred dollars($100)or less.) I PLAN CHECK I certify that in the performance�t the work for which this APPLICANT permit is issued, I shall not emplo ny person in any nner so as to become subject to the W r ers'Co p nsati aws. I Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. 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' Range_ Heater_D.W. _ APPLICANT Compensation provisions of the Labor Code, you must forth- Oven _ Dryer _W.M.— ADDRESS with comply with such provisions or this permit shall be ' Top _ FAU —W.H. — deemed revoked. Hood _ Fan _Other_ CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR Disp. _ Room Air Cond. Class. I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER (commencing with Section 7000)of Division 3 of the Business DISTRICT NO. CE ED BY per„ and Professions Code,and m license is in full force and effect. Power Apparatus&Large Appliances y Size&Type HP, KW, KVA, or KVAR: License Number Lic. Class Up to 1 Incl. FINAL [� Over 1 to 10 Incl. DATE /�` �.�� VALIDATION Contractor Date j Over 10 to 50 Incl. G FINAL W I am exempt under Sec. Over 50 to 100 Inr. BY �• N B.&P.C. for this reason Over 100Z &due.-- Date: i Services, Swbd., MCC&Ponelboards _ ► 0 -200 Amp. Under 600 V Signature t 201 1000 Amp. Under 600 V ❑ t Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License IAdditional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Pr ssions Code): I, as owner of the property, will do the work and the ( Misc. Conduits&Conductors structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ , 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY ;2 5 3 8 5 A I hereby affirm that there is a construction lending agency for I # o 0 0 0 0 2 r the performance of the work for which this permit is issued i PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). ( o o 2 a 5 O PLAN CHECKING FEE Lender's Name �v o 0 o 2 a 5 O.O' PERMIT ISSUING FEE 5�0 Lender's Address 00,98-86 1 certify that I have read this application and state that the TOTAL FEE a e information is correct. I agree to comply with all County . I p antesandState laws regulating Electrical wiring, and by authori a represe atives of this County to enter•upon bove- ion pr perty for inspectionGGpurposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 9—O—!ture of Permittee Date 9MRKERS'COMPENSATION DECLARATION 76-663 10/81 APPLICATION FOR ELECTRICALPERMIT 1 hereti'� irm CE-808G that I have a certificate of consent to self insure, ' or a certii loate'of Workers'Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(sec.3800,Lab.C.) JOB' FOR APPLICANTf0 FILL IN Policy No. Company ADDRESS �• ��"' `–^'�'' �Q �?�•• , E] Certified copy is hereby furnished. ; New Residential Bldgs.&Pools EACH, NO. FEE 1 &2-Family;.Sq.Ft. $ — $ LOCALITY rl Certified-copy is filed with the county building inspection . NEAREST department. Multi-family Sq.Ft: CROSS ST Date Applicant Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec—Light_Sw. MAIL COMPENSATION INSURANCE ADDRESS cto (.This section-need not be completed if the work involved by the ' First 20 CITY Tel.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'toAPPLICANT' become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No: Additional CITY' Tel.No. Date O —A+) -Applicant � ""' J -NOTICE TO APPLICANT; If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT APPLICANT `APPLICANT Q.0 `� r, � 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._ / ADDRESS ( Z I V t,t w till .provisions or this permit shall be deemed revoked. Top _ FAU W.H. _ c� .. LICENSED CONTRACTORS DECLARATION CITY fr`TeI.No Hood — Fan Other_. I hereby affirm that I am licensed under provisions of Chapter 91 Disp. — Room Air Cond. LICENSE OR -Claw c (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER S3� Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances C DISTRICT NO. FRD BY • Size&Type.HP,KW,KVA,or KVAR �O 0 License Number J� I 1 Lic:Class. C ( � Up to 1 Incl. FNAL V 1 w Over 1 to 10 Incl. ATE `J Z i. / VALIDATION ice, Contractor — Data Qyv L 9 I Over 10 to 50 Incl. f ( U FINAL ❑ I'am exempt under Sec. Over 50 to'100 Inc. BY 6� a B.&P.C.for this reason Over 100 U) Services,Swbd.,MCC&Panelboards ► r Z Date: 0-200 Amp..Under 600 V Signature 201 - 1.066 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&.Appurtenances - HOME OWNER-BUILDER DECLARATION I Sign with One Branch-Circuit I hereby affirm that I am exempt from the Contractor's License Law �,t for the following reason.(Section 7031.5,Business and Professions Additional Sign Branch Circuits Code): Misc.Conduits&Conductors TSL ,❑ I,as owner of the property,will do the work and the structure 1, 1 . - s is not intended or offered for sale (Section 7044, Business Other(See,Complete Fee Schedule) _ and Professions Code). i ► i 1 j AL 34-'6C CONSTRUCTION LENDING AGENCY `arta r 4 E ti T a 1. I hereby affirm that there,is a construction lending agency for the •)`I,; performance of the work.for which.this permit is issued(Sec.3097;` PERMIT FEE (Sub Tqtal) �I - 4; – F. Civ.C.). , ] PLAN CHECKING.FEE �p Lender's Name // 0003-010011);i-[10011 1 ,f 31j PERMIT ISSUING FEE 7 1� Lerlder,s Address Gq- 'I. A111401111 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 upon the above-mentioned.! property for inspection purposes. 1 SEE REVERSE FOR EXPLANATORY LANGUAGE " Signature of Permittee Date _ WORKERS'C.I have cerci DECLARATION ?6A663E10/81 APPLICATION FOR ELECTRICAL PERMIT y I her*to� pff'irrim the I have a certificate of consent to self , ' ure,.,ppr a certificate of Workers''Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY ' a cerfifid copy thereof(Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB FEE D Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. ADDRESS LOCALITY Certified copy is filed with the county building inspec-' 1 &2-Family,Sq. Ft. $ _ $ "NAME tion department. Multi-family Sq. Ft. �j (M Date Applicant Residential Swimming Pools ' e V I CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL COMPENSATION INSURANCE Outlets: Rec.-6—Light Sw. DDRESS d be completed iF the work involved b First 20 (This section neenot P y T6tal No. Additional CITY R - ' A. Tel. No. 1'1I E. the permit Is for one hundred dollars(;100)or less.). I certifythat in the performance, f the work for which this PLAN CHECK P APPLICANT permit is issued, I shall not empl ny person in any manner so as to become subject to the ers'Coftpehsatio ows. Lighting Fixtures First 20 ADDRESS Additional Total No. CITY el. No. Date i'r pplicant Fixed Appliances Not Ov HP PERMIT. NOTICE TO APPLICANT.: If, after making this. Certificate of APPLICANT Exemption, you should become subject to the Workers' Range_ Heater_D.W. — Compensation provisions of the Labor Code, you must forth- Oven —Dryer _W.M.— ADDRESS with comply with such provisions or this permit shall be Top _ FAU _WH. — CITY Tel. No. deemed'revoked. Hood _ Fan ✓Other_ 'LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER Class. (commencing with Section 7000)of Division 3 of the Business DISTRICT NO. PROCESSED BY and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances � Size&Type HP, KW, KVA, or KVAR' / O License Number Lic. Class FINAL V Up to 1. incl. 0 �� DATE . Over i to 10 Incl. VALIDATION Contractor Date Over 10 to.50 Incl. 1— FI V I am exempt under Sec. Over 50 to 100 Inc. B U11 B.&P.C. for this reason Over 100 Date: Services, Swbd., MCC&Ponelboards 0 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Maint. Elect. Over 10001 Amp. or Over 600 V SINGLE FAMILYa 6 9 6 2 A Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit # 0 0 0 0 0 2 1 hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 703.1.5, Business and Professions Code): ( 0 o 4&O O I,-as owner of the property, will do the work and the Msc. Conduits&Conductors structure is not intended or offered for sale (Section, Other(See Complete Fee Schedule)_ 0 0 o46600.9 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY 5' 4 z$7 I hereby affirm that there is a construction lending,agency for the performance of the work for which this permit is issued PERMIT FEE. (Sub-Total) (Sec. 3097, Civ. CJ. PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address rq� 1 certify that I have read this application and.. state that the TOTAL FEE (f above information is correct. I agree to comply with all County o finances and State laws regulating Electrical wiring, and reby authorize represen fives of this County to enter upon t e above- nt' ned�r rty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date