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Home My Public Portal About4905 ROBINHOOD AVE_Electrical__ a ISASP-CESOG-7•SG APPLICATION FOR ELECTRIC PERMIT 1 BUILDING AND SAFETY .DMSION Department of County Engineer BUILDING &fin County of Los Angeles ADDRESS iI Moe —d JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN Coss ST. 20 PERM FEES NUMB OWNER A LIGHT OUTLETS MAIL ADDRESS RECEPTACLES LL SWITCHES FEE CITY TEL.NO. TOTAL OUTLETS @ 5¢ S /Ir ELEcTRICIANh'1r-hvR4l&A1 g/t ELEC.RANGES 25 ADDRESS ELEC. HEATERS 25 CITY /G. TEL.NO. 0�d I2 CJ :7eKW EA STATE L /4D - FIXTURES 5 LICENSE NO. MOTORS DISTRICT NO. I GROUP I ZONE I READY FOR INSPECTION NUMBER HORSEPOWER FEE NEW MVD. HP OVER INC. EACH U Y2 Sc LESS 5 .25 INSPECTION RECORD 2 .50 —s v f M F 2 5 1.00 'F0 tf &&-g. S Gr' • 5 15 t.5o 15 50 2.50 �"� ,e 50 200 5.00 MISC. NO.SIGNS NO.TRANS. , NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING PERMIT $1.00 FIXTURE PERMIT $1.00 v SUPPLEMENTARY 50 APPROVALS TOTAL FEE g0 DATE INSPECTOR'S SIGNATURE IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY • WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING +�/� i / .(s� �•.�en +'� 00 ELECTRICAL WIRING. 1 HEREBY CERTIFY THAT 1 AM. PROPERLY RE¢J T D /0 FIXTURES .ems LICENSED AS REQUIRED BY L ANGELES COIJJVTY N S A F POWER CALIFORNIA OR THAT I AM $ LEGAL O E /0 B _ DESCRIBED RESIDENT P TY. /� UTILITY CO.NOTIFIED G SIGNATURE aC OF PERMITTEE . `^ �e .FINAL II`'`I s�i li�✓ �+. i IOHN A.LAMBIE ARTHUR C.VEIT. =OUNTY ENGINEE MO CASH ON SUPERVISING ELECTRICAL ENGINEER 7,05 ,SAGGS-CESOG-ems, APPLICATION FOR ELECTRIC PERMITi � COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER rB UILDING BUILDING AND SAFETY DIVISION DDRESSJOHN A.LAMBIE.COUNTY ENGINEERCASBATTD.GRIFFIN,BUP Tof BUILDINe OCALITY NEAREST FOR APPLICANT TO FILL IN cRoss sr. PERFEES OWNER N S /11Q LIGHTS RECEPTACLES SWITCHES , NUMBER ITEM EACH FEE MAIL f $ $ ADDRESS S, TOTAL OUTLETS .i0 ELEC. RANGES, WATER HEATERS, CITY TEL.NO. CLDTHEs DRYERS SO ELECTRICIAN eR GtJ/t/ ELEC. SP�I,CF�(F�ATERS,STAT'Y. 000B- ING UNI75, GARBAGE DISPOSERS, ADDRESS AUTO WASHERS, DISHWASHER .25 LIGHTING FIXTURES. .10 CITY TEL.NO. MOTORS STATE LICENSE NO. HORSEPOWER DISTR NO. GII�P O READY FOR INSPECTION H.PJ OVER INC. 1/a 8:LESS .25 1/2 2 .so INSPECTION RECORD 2 — S 1.00 B Is 1.80 / iY ✓. 1 IS — SO 2.50 - 50 200 S.00 MISC. SIGNET NO.TRANS NO.LAMPS SERVICE O-600V 1.00 SERVICE OVER 600V 5.00 WIRING PERMIT 1.00 0 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 APPROVALS TOTAL FEE $ DATEINSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE. ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING r9 �� ELECTRICAL WIRING. WIRING ,s ls,tc I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF + > CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTI PROPERTY. y �� SIGNATURE.. UTILI.TYCONOTIFIED �` - OF PERMITTE _ FINAL - ysaYy fOHN A.LAMBIE. V LmATION. ARTHUR C.'VEIT, :OUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER _ CK MO CASH Co 3 1 7 2-w, OC3 I Q 2 125 `ll_�- ®. WORKERS'COMPENSATION DECLARATION 761669 APPLICATION FOR ELECTRICAL PERMIT I hereby.affirm that I have a certificate of consent to self CE-8066 insure, or a certificate of Workers"C.ompensation Insurance, COUNTY OF LOS ANGELES 7` BUILDING AND SAFETY 0r ace ed copy thereof(Sec. 3800, L b C.) < < G . . / ,Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE _ 1 $2-Family, S Ft. $ — S LOCALITY7,_g,, Certified copy is filed with the county butldt tnspec- y- q• NEAREST tion department. Multi-family Sq. Ft. — Residential Swimming Pools CROSS ST. Date Applicant OWNER OR FIRM NAME CE IFIC E OF EXEMPTIO RO W RKERS' Outlets: Rec Light ' Sw._ MAIL {+ ,COMPENSATION INSURANCE ADDRESS d gree_ his section need not be completed if the work Involved b First 20 � P y Total No. CITY Tel. No. the permit is for one hundred dollars($100)or less.) Additional I certify that in the.performance of the work for which this PLAN CHECK permit is issued,.I shall not employ any person in any manner APPLICANT so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS 063d �✓`,le�� l c Additional Total No. CITYL'` Tel. Date Applicant I NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP pE�l 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 complyy with such provisions or this permit shall be Top _ FAU —W.H. deemed revoked. CITY Tel. IVO. LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ LICENSE OR ass. Q Disp. _ Room Air Cond. — d Cl 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. PROCES D BY and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances Q'7 (Q tze& ype P, KW, KVA, or KVAR• O A' License.Number J'y 7 ! Lic. Class /• FINAL ��jj ff�� Up.to 1 Incl. Contractor,i2z4a— S p e Over.1 to 10 Incl. I DATE o " VALIDATION. ❑ Over 10 to 50 Incl. FINAL I am exempt under Sec. Over 50 to 100 Inc. BY 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 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign With One Branch Circuit L! 7 4 A I hereby-affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits 'Law for the following reason (Section 7031.5, Business and {; o 0 o 0 c2 Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits&.Conductors 0 0 1 8.50 structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ 7044, Business and Professions Code). , 0 0 a 1 2 5 0 c=i CONSTRUCTION LENDING AGENCY 0 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. C.). PLAN CHECKING FEE Lender's Name. PERMIT ISSUING FEE Lender's Address - 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 hereby authorize representatives of this County to enter upon the g4ovemmentioned proper.y forinspeetion purposes: ,• SEE REVERSE FOR EXPLANATORY LANGUAGE attire er fee at ! WORKERS'COMPENSATION DECLARATION CE-8(M 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent .to self CE-8066 insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOSANGELES �'~ BUILDING AND SAFETY or a ce i ip.copy th73 aereof(Sec. 3800, L ) / Policy No: L Company____ FOR APPLICANT TO FILL IN JOB P ❑ Certified co is hereby furnished. EACH NO. FEE ADDRESS (� r Py y New Residential Bldgs. &Pools 6 Certified copy is filed with the county build i inspec- 1 &2-Family, Sq. Ft. $ _ $ LOCALITY , tion epart ent. Multi-family Sq. Ft. NEAREST �. Residential Swimming Pools CROSS ST. L a?! Date Applicant OWNERNAME CE IFICATE OF EXEMPTIQ FR RKERS' Outlets: Rec Light Sw._ MAIL COMPENSATION(NSU ANCE ADDRESS (This section need not be completed If the work involved by i First 20 the permit is for one hundred dollars($100)or less.) Total No. Additional CITY Tel. No. I certify that in the performance of the work for-which this PLAN CHECK t permit is issued,I shall not employ any person in any manner APPLICANT Qv¢ so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS 11b,30 Total No. Additional Date Applicant ,® Fixed Appliances Not Over 1 HP PERMIT CITY �" Tel. N s ' NOTICE TO APPLICANT: If, after making this Certificate of 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 I hereby affirm that I am licensed under.provisions of Chapter 9 Disp. _ Room Air Cond. REG.NUMBER d Class. (commencing with Section 7000)of Division 3 of.the.Business: power Apparatus&Large•Appliances DISTRICT NO. PROCESSE BY and Professions Code,and my license is in full force and effect. p/ Size&Type HP, KW, KVA, or KVAR' �O b O License Number%209 Lic. Cl.asse& Up to 1 Incl. FINAL �' Over 1 to 10 Incl. DATE �� l VALIDATION Contract aZ. Date Over 10 to 50'Incl. / ❑ FINAL I am exempt under Sec. Over 50 to 100 Inc. BY B.&P.C. for this reason Over 100 r �") y Services, Swbd.,MCC&Panelboards Date: 0 -200 Amp..Under 600 V 00 V,Signature 201 1000 Amp. Under 600 V ❑ Over 1006 Amp. or Over 600 V Exemption for Reg. Maint. Elect.. SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION. 0, A, Sign with One Branch Circuit i 6 C I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits o 0 0 0 0.� Law for the following reason (Section 7031.5, Business and Professions Code): o p ? 4 v ❑ 1, 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)_ ► c c 0:- . 0 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY L ! "P 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. 3.097, Civ. C.): PLAN CHECKING FEE Lender's Name. (PERMIT ISSUING FEE p Lender's Address I certify that I'have'read this application and state that the. TOTAL.FEE ,.5' above 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 l the e-mentioned pro erty r' spection purposes. SEE REVERSE FOR.EXPLANATORY LANGUAGE g ture rmitte 6te i WORKERS'COMPENSATION DECLARATION`" APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of c',G-d t �i insure, or a certificate of Workers'CompensatiSn IA!"MPCOUNTY OF LOS ANGELES. BUILDING AND SAFETY or a certified copy thereof(//Set. 3800, Lob. C.) l Policy N 6mpany �_ FOR APPLICANT TO FILL IN JOB ADDRESS L4904; \ Certified copy is hereby furnished. New Residential Bidgs. &Pools EACH NO. FEE \ LOCALITY`-- ertified NEAREST copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ _ $ i Ze � � tion department. j Multi-fam.ily Sq. Ft. 7_(Z 1�� I Residential Swimming Pools OWNER OR CROSS ST. Date Applica _ FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec I Light Sw._ IL COMPENSATION INSURANCEADDRESS II First 20. (This section need not be completed if the work Involved by {J Total No. Additional CITY Tel. No. the permit Is for one hundred dollars($100)or less.) 111111 PLAN CHECK I certify that in the performance of the work for which this ; APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. f Lighting Fixtures First 20 ADDRESS 1 Additional Total No. CITY Tel. No. Date Applicant Fixed Appliances N6t Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this'Certificate of Ohin d SDIj Exemption, you should become subject to the Workers' '1 Rae ge_ Heater—D.W. — APPLICANT Compensation provisions of the Labor Code, you must forth- ' Oven —Dryer _W.M.— ADDRESS 1/0 t e. 0 .A co o with comply with such provisions orm this permit shall be Top _ FAU —W.H. — deemed revoked. ) Hood _ Fan _Other_ CITY y/' Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR `� ?'?, 3 _r/! I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER c5 6�o Class. / (commencing with Section 7000)of Division 3 of the Business ' DISTRICT NO. PR ED BY �^ and Professions Code,and my license I Power Apparatus&Large Appliances is in full force and effect, Type �n Q ') Size&T e HP, KW,.KVA, or KVAR.• /!.�CJ License Number 6� • Lic. Class_ Up to 1 Incl. 4-60 FINAL I& r/� 12-I.Z J Over.1 to 10 Incl. DATE VALIDATI Contracto DtAe Over 10 to 50 Incl. FINAL ❑ I am exempt under Sec. I Over 50 to 100 Inc. BY LU B.&P:C. for this reason Over 100 #A Date: Services,Swbd., MCC&Panelboards 0 -200 Amp. Under 600 V ► z 12.1.3.A Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V r # 0 0 0 0 0 2 Exemption for Reg. IVlaint. 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 Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): ❑ I, as owner of the property, Misc. Conduits&Conductors p e for will do the work and the Other See Complete Fee.Schedule)- 7044, structure is not intended or offered for sale (Section ( P )- 7044, Business and Professions Code). 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 PERMIT FEE (Sub•Total) (Sec. 3097, Civ. Ci). ' j PLAN CHECKING FEE Lender's Name + PERMIT ISSUING FEE _ Lender's Address I certify that I have read this application and state that the ) TOTAL FEE above information is correct:'1 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-me Toned property for inspection.purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE - =, l; Si , . Si nature of Permittee Date