HomeMy Public PortalAbout4950 ROBINHOOD AVE_Electrical__ 78A889-CE906-11-87
APPLICATION FOR ELECTRIC PERMIT 1.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �®
SUII.DING AND SAFETY DIVISION ADDRESS
TOHN A.LAMBIE.County Feer !' _
D. GRIFFIN.Supt of wilding LOCALITY
_
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEESAll
ITEM NUMBER EACH EE OWNER c�•'�, ^""'Y.rf
OUTLET ' S S MAIL
LIGHTS RECEPT. SW 7 .10. - ADDRESS
LIGHTING FIXTURES 10 ® CITY TEL.NO.
ELEC.RANGES CLO.DRYERS
� ELECTRICIAN
WATER HEATERS .50 ® ADDRESS w ✓jjl"`
ELE�R urea DIS_HWASHERS J p
GARBAGE DISP_ AUTO._ CITY ,N.r ! TEL.N o ,V
WASHERS STA.COOKING UNITS ,25 STATE
LICENSE NO.
MOTORS: ovER INC. H.P.
25 DISTRIC O. IG O E READY FOR INSPECTION
;�
1/2— 2 .50 +
2 — s 1.00 IN MN RECORD
5 — 1s 1.50
is — 50 2.50
q ,�+
50— 200 5.00Fs�Yf'
I
SIGNS: NO.TRANS. _ ��
NO.LAMPS
SERVICE 0-000V 1.00 ® '
SERVICE OVER 500V 5.00
MISC.
y
WIRING PERMIT 1.00 0
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ APPROVALS
.1 .HEREBY ACKNOWLEDGE THAT I. HAVE READ THISIC T 0 DATE INSPECTOR'S SIGNATURE
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 1 AM THE LEGAL f OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL OP MJ
SIGNATURE ?
UTILITY CO.NOTIFIED
OF PERMITTE 1, fc�':�
FINALh b
VAM ARTHUR C.VEIT.
CK M CASH SUPERVISING ELECTRICAL ENGINEER
1
( 5675L OCT1p 2 A 13.15
46AB89-CESOS_.11."APPLTY .ICATION.�FO_R;' ELECTRIC PERMIT = 1'
COUNOF LOS l mmm -
DEPARTMENT OF COUNTY'ENGII�R BUILDING 49 5 a + (�
BUrILDING AND SAFETiiYpp DIMON :.ADDRESS d.�✓i..
CASSA�D.GSIgF1>'OHN A..LMM Cmmtit o! LOCALITY 1IL
NEAREST
FOR APPLICANT TO FILL IN CROSS'IT. PERM FEES
I T'E M NUMBER 'EACH I FEE OWNER'
OUTLET .1 8 MAIL-._ ((,�
LIGHTS RECEPT. SW. .10 :ADDRESS j /`
LIGHTING FIXTURES 10 CITY rJLpp�c TEL.NO. d�S
ELEC.Ri4NG6S CLO.DRYERS , ELECTRICIAN /� fi,gL ^ ��� -
'WATER HEAT•ER8 - ��s0' ADDRESS V /'
ELEC.SPACE HTRB. DISHWASHERS ,,��pp��
GARBAGE DISPOSERS AUTO.- CITY TEL.'NO.&D � '
WASHERS STA.COOKING UNITS ,25 STA'lN / ,
LICENSE NO.. QS
MOTORS: OYER INC. - H.P. - ,
O 1/$ .28 DIS •R C • O. uf E RHADY FOA INSPECTION'.
2 — s i:o0 INSPECTION RECORD
5 — is 1.50
is =. so 2.50
So— 200. 3.00 '.
y SIGNS: NO.TRANS.
-NO.LAMPS
SERVICE 0-600V 1.00
SERVICE.OVER GOON S:00•
MISC.
WIRING PERMIT 1.00 .mss
FIXTURE PERMIT: 1.00 x
SUPPLEMENTARY PERMIT
TOTAL FEE - ,, $ APPROVALS
1 HEREBY ACKNOWLEDGE.THAT I HAVE."READ-THIS APPLICATION: `i' +* DATE: INS R�`SSPGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND. AGREE TO COMPLY CONDUIT': . 'WITH ALL.COUNTY -ORDINANCES AND, STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY.CERTIFY THAT I AM PROPERLY REGISTERED AND/OR. FIXTURES
LICENSED AS REQUIRED .BY-LOS ANGELES COUNTY AND STATE OF, y _
CALIFORNIA OR THAT ,M HE NER OF THE ABOVE POWER of S "� _ a� �
'
DESCRIBED-RESIDENT L P 0 RTY.
SIGNATURE UTILITYCO.NOTIFIED tltl5t` d{ice '
OF-FERMI TTE FINAL / F Y..s a,.
ANON - .ARTHUR C.VEIT..
$UPERVI8IN6 XLxcnucAL.9mGiNmm
CASH ••
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t
`64'5 7 's n -AF -6- 2 -A 3.00
I 1affirm th COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT
I'♦lereby affirm that I have a certificate of consent to self CE-8066
insure, or a certificate of Workers'Compensation insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof(Sec. 3800, Lab. C.)
Policy No. Company FOR APPLICANT TO FILL IN JOB
Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS FO - I.Ri
00 d
, ....r
❑ 1 &2-Family, S Ft. $ — S LOCALITY p1� Le e
Certified copy is filed with the county building inspec- Y. q•
tion department. Multi-family Sq. Ft. — NEAREST Residential Swimming Pbols r
CROSS ST. L t4au C4
Date Applicant OWNER OR
FIRM NAME IL I e- 1w i-
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Recy Light .2 Sw.� MAIL
COMPENSATION INSURANCE ADDRESS Cr
(This section need not be completed If the work involved by First 20
Total No.� Additional CITY Tel. No p
the permit is for one hundred dollars($100)or less.) e -�a
I certify that in the performance of the work for which this PLAN CHECK
permit is issued, I shall not employ an erson in any manner APPLICANT CO
so as to become subject to the Wor s'Compens Tion Laws Lighting Fixtures' First 20 ADDRESS
Additional G Total No; Z CITY S Tel. No:-J-{4(_
Dat Applicant Fixed Appliances Not Over 1• HP PERMIT
NOTICE TO APPLICANT: If, after making this Certi icate of APPLICANT C
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 —W.H.
deemed revoked. CITY Tel. No.
LICENSED CONTRACTORS DECLARATION Hood --Fan _Other_
Disp. _ Room Air Cond. LICENSE M Class.
I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER d y 8��
(commencing with Section 7000)of Division 3 of the Business power Apparatus&Large Appliances DISTRICT NO. PR SED BY Owe
and Professions Code,and m license.is in full force and effect.
Y
Size&Type HP, KW, KVA, or KVAR CJ
V FINAL
License Number 1CLLic. Class Up to 1. Incl.
4.
4. on f -_ c Over 1 to 10 Incl. DATE
Contractor r-7012 17 e�1 b~2``a ` `� V ATION
Over 10 to 50 Incl. FIN W
❑ I am exempt under Sec. Over 50 to 100 Inc. Y, O:
B.&P.C. for this reason Over 100 Z
Date: Services, Swbd., MCC&Panelboards
0 -200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V
❑ Over 1000 Amp. or Over 600 V
Exemption for Reg. Maint. Elect,
SINGLE FAMILY Temp. Power Pole&Appurtenances # 6
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit a a 1 8,75
1 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 0 1 �']5Professions Code):
❑ 1, as owner of the property, will do the work and the Misc. Conduits&Conductors 0 5 2 1 -!-86
structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ ,
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. C.). Au
PLAN CHECKING FEE
Lender's Name _`
PERMIT ISSUING FEE (J
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 nd State laws regulating Electrical wiring, and
hereb aut rize representatives of this County to enter upon
the ov mention d property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
,7�r-
19 ture of rmitt Date