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Home My Public Portal About4937 ROBINHOOD AVE_Electrical__ r ' FOABBB—MBOB_6-57 APPLICATI®N FOR ELECTRIC PE:RMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANTPEICIIS ILL IN CROSS ST. OWNER LIGHTS RECEPTACLES SWITCHES ` NUMBER ITEM EACH FEE .MAIL ADDRESS TOTAL OUTLETS $ .10 $ ELEC. RANGES, WATER HEATERS, CITY TEL.NO. CLOTHES DRYERS •50 ELECTRICIAN ELEC. SPACE HEATERS,STAT-Y. 000K- ING UNITS, GARBAGE DISPOSERS, . ADDRESS d / AUTO WASHERS, DISHWASHER .2W LIGHTING FIXTURES .10 CITY TEL. MOTORS STATE LICENSE NO. HORSEPOWER D STRICT NO. GROU READY FOR INSPECTION H.PJ OVER INC. , .1 1 t/2&LESS .28� � 2 .50 INSPECTION RECORD 2 s 1.00 5 is t.5d to so 2.50 150 200 5.00 MISC. i SIGNS NO.TRANS NO.LAMPS s SERVICE O-600V 1.00 SERVICE OVER 600V 5.00 WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 L 04— SUPPLEMENTARY PERMIT 1 •50 F APPROVALS TOTAL FEE $13 20DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A ICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES. AND STATE LAWS REGULATING / ELECTRICAL WIRING. WIRING 1 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 T�{E LEGAL. OF THE ABOVE [FINAL POWER DESCRIBED RESIDENTIAL OPH. / �" SIGNATURE RMITiE ' UTILITY CO.NOTIFIED � /y/� r•!'!e%7--1L•� IOHN A.LAMBIE, zea 72 VAM ARTHUR C.VEIT, ~ '.OUNTY ENGINEER CK Mo � R SUPERVISING ELECTRICAL ENGINEER it605453P; DEC31 2 1 3.20 2 ®P FOA663_CEBOB_8-87 APPLICATION FOR*ELECTRIC PERM IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING e BUILDING AND SAFETY DMSION ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER �. CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANTPES ILL IN CROSS ST. OWNER �9 LIGHTS RECEPTACLES SWITCHES - NUMBER ITEM EACH FEE MAIL ADDRESS TOTAL OUTLETS $ .10 $ ELEC. RANGES, WATER HEATERS, CITY TEL.NO. CLOTHES DRYERS .50 ELECTRICIAN ELEC.SPACE HEATERS,STAVY. COOK IN6 UNITS, ARBA DISPOSERS, ADDRESS ''� AUTO WASHERS, DISHWASHER ..25' m LIGHTING FIXTURES .10 CITY TEL.N MOTORS STATE v go LICENSE NO. HORSEPOWER - D1STR CT NO. GRO O READY FOR INSPECTION H.P1 OVER INC. $LESS .28 +� 2 so INSPECTION RECORD 2 5 1.00 s is I.SC 1s s0 2.50 s0 200 5.00 MISC. .1 r 1. SIGNS NO.TRANS NO.LAMPS SERVICE 0-500V 1.00 SERVICE OVER 800V 5.00 WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 APPROVALS TOTAL FEE g I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING j ELECTRICAL WIRING. WIRING 1 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 OWNF�R OF THE ABOVE POWER DESCRIBED RESIDENTIAL OPE �/7 SIGNATURE ��{' UTILITY CO.NOTIFIED OF PERMITTE •r-v 4 FINAL IOHN A.LAMBIE, VALIDAT ARTHUR C.VEIT. :OUNTY ENGINEER CK Mo XO SUPERVISING ELECTRICAL ENGINEER 04 5 4 35:; NOV 5 2 2.20 0, ®P 78.0883-CE806 /70 APPLICATION FOR EC ELECTRICAL P RAIT s COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY r COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER gz RECEPT._ $ $ MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS OVER 20 CITY ' TEL. N SWITCH f0 PLAN CHECK LIGHTINGTOTAL FIRST 20 .20 APPLICANT OVER 20 ADDRESS FIXTURES .10 APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS , SPACE HTR. AIR COND. L� CITY TEL. NO. ��b/f) CLOTHES WASH. DISHWASH. LICENSE NO.-,:?g2_ CLASS.C_—/ FAN OTHER 1.001 HEREBY ACKNOWLEDGE THAT 1 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 NEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 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 ABOVE DES IBED RESIDENT LPROPER TY. SIGNATURE 10 - 50 8.00OF PERMITTEE . V 50 - 100 10.00 DISTRICT NO. CLASS 1GROUP ZONE ROC SED BY 0 100 - 500 15.00 SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: y TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 ? SERVI CENOT OVER 600 VOLTS OR 200 AMP 2.00 SERVI CE OVER 600 VOLTS OR 200 AMP 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 3.00 TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK ROUGH CONDIUT WIRING FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 g-f,J / FINAL SUPPLEMENTARY PERMIT ISSUING FEE 1.00 JOSE C. ROOHAN TOTAL FEE ; =jj SUPERVISING ELECTRICAL ENGINEER. PLAN CHECK VALIDATION CK. M.0. CASHPERMIT VALIDATION CK. M.0. CASH U SEE BACK OF APPLICATION-FOR COMPLETE SCHEDULE WORKERS'COMPENSATION DECLARATION^' 'CE-8060. (2-80) E-806APPLICATION FOR ELECTRICAL PERMIT CE-806G (2.80) I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or 3800,Lab.G'.) � FOR APPLICANT TO FILL IN JOB pany New Residential Bldgs.&Pools EACH NO. FEE ADDRESS rtified copy is hereby furnished.. / 1 &2-Family,Sq. Ft. $ — $ LOCALITY Certified copy is filed with the count ildin Multi-family Sq. Ft. — NEAREST y g inspection CROSS ST par3��ant 6 Residential Swimming Pools OWNER OR FIRM NAM Outlets: Rec.—Light Sw. MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY COMPENSATION INSURANCE PLAN.CHEICK a APPLICANT O (This section need not be completed if the work involved V by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS Total No. Additional' OC I certify that in the performance of the work for which thisCITY Tel No. 0 permit is issued, I shall not em Fixed-Appliances Not Over 1 HP F— p employ y an y person in any manner PERMIT so as to become subject to the Workers'Compensation Laws. Range_Heater_D.W. ' APPLICAN pp a Oven _ Dryer_W..M. INca _ ADDRESS .88011E r _Z Dat ,Applicant— Top _ FAU _W.H.._ CITY N GABRIEL Hood _ Fan ,—Other ,CALTI� NOTICE TO APPLICANT- If, after making this Certificate of Disp,.. _Room Air Cond— ILICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER as. Compensation provisions of the Labor Code, you must forth- Power,Apparatus&Large Appliances DISTRICT NO. P E I BY with comply with such provisions or this permit shall be Size&Type HP,KW,KVA,or KVAR ar/ �• deemed revoked. I �•C/�j Up to 1 Incl. WIN AL1 / x?� LICENSEDCONTRACTORS DECLARATION Over 1 to 10 Incl. DATEOver 10 to 50 Incl. t! �[) VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL' 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY ness and Professions.Code, and my license is in full force and effect. Services �b� . 0-200 Amp.Under 600 V X License p�ber Lic.Class 201-1000 Amp.Under 600 V ContractLkDate Over 1000 Amp.or Over 600 V L d 1L C HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances { 0'0 0 0 0 2 I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit it h Ci B Sign s Branch Circuits �I G License Law for the following reason (Section 7031.5, Busi- Additional2 0 0 3 i.,�, ness and Professions Code): Misc.Conduits&Conductors 3 C. I, as owner of the property, will do.the work and the Other(See Complete Fee Schedule)— structure is not intended or offered for sale (Section 0 5 1 8—g 2 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency 'I' for the performance of the work for which this permit is issued(Sec.3097,Civ.C.). PERMIT FEE (Sub-Total) Lender's Name PLAN CHECKINGFEE- (One-Fourth Permit Fee) i 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 alliCounty ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon abo entioned property for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE ' Sign t 0 f Permittee Date