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Home My Public Portal About5424 ROBINHOOD AVE_Electrical__f T�ABas�sotT•eG OAPPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER Q BUILDING BUILDING AND SAFETY DMSION �Q/ j ADDRESS II JOHN A- LAMBIE, COUNTY ENGINSWR CAS BATT D. GRIFFIN, Durr of Eu11DIHG LOCALITY FOR APPLICANT TO FILL IN Nffl PEHMr FES CROSS 8T. l 1 T [ M riuWaKRI KACH F[[ OWNER OUTL ; MAIL LIONTS CIrT. sW. .f0 ADDRESS I LIGHTING FIXTURES .10 C O n r^ RANGES aLo. RYRB ELECTRI W A T E R H K A T I R .DO ADD Ill K1.IC.STACK HTRB. DIENWAAl Cl N GARSAGK DIBTOBRS AUTO.- STATS WASHE" STA- COOKING UNITe .2E LICENSE NO. MOTORII ovINC. H.T. 0 V. .2 b DI 1 NO. GRO z N PROCESSED BY O— .e0 IIqSP=ON PXMHD 2— D 1.00 G— 15 1.50 ill 150 2.150 150-200 5.00 S I GNS I No. TRAITS. • NO. LAMPS SERVICE 0-60OV 1.00 SERVICE OVER 600V 15.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .EO TOTAL FEE t AMOVAM � I HERESY AC KNO WLIDG[ THAT 1 HAVE READ THIS ArrI.IGATION DAT[ 1 OR'S BIGHATURK AND STATI THAT TH[ AASOVE IS Co RRICT AND AG Ma TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND BTATZ LAWS RI, ID ULTING ELKCTRICAL.WIRING. WIRING - .L• I H[R"Y CIISTIFHR Y TAT I AM TROTLY R[OISTR>m AND/OR r LICWBR Al RIQUIRIII Y LAB ANG 7 COUNTY STATE OF FIXTURES CALIFORNIA OR THAT AM THE O [ ASOV[ DESC1RIStD RKSID POWF� SIGNATURE UTILITY CO.NOTIMMO OF PERM ITTIj::= �,piTjMO1{jjON ARTHUR C. VEIT, �(,� - tuR r RVIDING RI rCTR10AL ENGINIDSR MO OASH L}Co 1 3 2 2 eR -oEc 2 4 2 A 9.5 0 A WORKERS'that COMPENSATION DECLARATION 7&AZ63 APPLICATION FOR ELECTRICAL PERMIT herel7y affirm that I have a certificate of consent td self r CE� "insure, or a certificate of Workers' Compensation Ihsurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certifiedccoppy thefeof (Sec. 3800, Lab. C.) PAI cy No.IltdoA04 pany 5_%�L FOR APPLICANT TO ILL IN o Certified co Is here sfurnlshed. EACH NO. FEE 'CESS 2-4- Certified y Xtion PY by New Residential Bldgs. 8 PoolsCertified copy Is filed with the county bull4ing Inspec- 1 8 2-Family, Sq. Ft. S $ LOCALITY de m Multi-family Sq. Ft. �� Date 2 Appil Identlal Swimming Pools CROS�' RAA NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: R&c Light Sw._ MAID 1.C COMPENSATION INSURANCE First 20 (This section need not be completed If the work Irnrohred by Total No. CITY--T-, L , Tel. No. the permit Is fair one hundred dollars (;100)or leas.) Additional PLAN CHECK I certify that In the performance of the work for which this APPUCANT permit Is Issued, I shall not employ any Person In any mannerhtin Fixtures First 20 ADDRESS so as to become sublect to the Workers Compensation Laws- Date q Additional Total No. CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT /� , NOTICE TO APPLICANT: If, aftef making this Certificate of AppUCATION /✓I c-'O 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 S G with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood Fan —Other— CITY C,y,f Tel No. LICENSED CONTRACTORS DECLARATION LKMNSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Dlnp. — Room Air Cond. — REG NUMBER Class. (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. PRSSED BY d and Professions Code,and my license Is in full force.and effect. Size 8 Type HP, KW, KVA, or KVAR47s t�'tJ O License Number ¢v1 " z' Lic. Class_6l� Up to 1 Incl. FINAL U ` Over 1 ro 10 Incl. DATE // VALIDATION b Contractor �'� �✓ nate Over 10 to 50 Incl. FINAL H ❑ I am exempt under Sec. Over 50 to 100 Inc. gy U B.BP.C. for this reason Over 100 d Services, Swbdti MCC 8 Ponelboards / Amp. z 0- 200 Am Under 600 V d , � Slgna re 201 - 1000 Amp. Under 600 V E] Over 1000 Amp. or Over 600 V Exemption for Reg. Malnt. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances y HOME OWNER-BUILDER DECLARATION i Sign with One Branch Circuit •s Ihereby affirm that I am exempt from the Contractors License Low for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits ? 31.W Professions Code): 1 1�-� ❑ I, as owner of the property, will do the work and the �K Conduits 8 Conductors , structure Is not Intend o r offered for sale(Section 7044, Other (See Complete P Fee Schedule)_ 31- 1010 TOTAL Business and Professions Code). CHECK 31.M � J CONSTRUCTION LENDING AGENCY 00 theI 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.). 00 PLAN CHECKING FEE �]1 ]2/17 f�l Lenders Name l PERMIT ISSUING FEE / 4527 1 1!111:451 Lender's Address / I certify that I have read this application and state that the TOTAL FEE ev above Informatlon Is correct. I agree to comply with all County ordinances and State laws regulatlng Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned property for Inspection purposes. SEE REVERZE FOR EXPLANATORY LANGUAGE w f Y 1-7 4 SI nature of Permittee, Date WlA}CERS COMPENSATION DEc�ARAmoN � '0'B1 APPLICATION FOR ELECTRICAL PERMIT I that I r ve.a oerttfben ata d const to eeff Ybue, WA of Workers' Compeneatbn tr}�ronce, or a cera fled COUNTY OF LOS ANGELES BUILDING AND SAFETY owy Po11cy Na l (Soaa 380 i 9"b—� 1 �- FOR APPLICANT Ta Fnl a JOS f-45 b- ❑ Certt(1ed Dopy is hereby ftTri0t»d. New Residential Bldgs.S Pods EACH NO. FEE Ceri fla,d copy to fled with the oounty buiS ng Y,speotbn 1 & 2femlfy,Sq.Ft s — sLOCAQTY MrfU-farnBy Sq Ft NEAREST CA098 ST. Date ( 6 IL 7 060fReeldentfal Sw invning'Poole OWNER OR ' / FIRM NA&C CEATTFIC.ATE OF EXEMPTION FROM WORKERS' Outlets:RooLI�t 6 a,. y MAL COMPENSATION N&AIANCE First 20 AJ7o (This section rmod not be completed#f the work Imotved by the Total Na RratAddnal CffY T. C-_ Tel.Na permit Is for one hundred dol Yen(11100)or We&) I certify that b the performance of the work for whldr this permit P(�!J C>N( t- le blued, I shall nem ot ploy wW perwn In wV manner so as to APPLYC.�Aff I beoome eubleot to the Work"'Corrpeneatloh Lowe. LYghflng Fixtures First 20 ADDRESS ^j Z.) t /��. ,►._.��' fData APP�rt 'total No.� Additbnel CITY t � TeL No. NOTICE TO APPLICANT: if, after ffzMng this CerBfloate d Fbced AW&anoee Not Over 1 HP PERW Exemption,you should become eubJeot to the Workere Corrpermatbn Pangs— Heater— D.W. APPUC ANT f provielone of the Labor Code, you" forthwith comply with suoh Owers — Dryer— W.M.— ADDRESS b A-) prbvblons or this permit aha➢be deentpd revoked Top — FAU — W}i Na LICENSED CONTRACTORS DECLARATION Hood — Fen — Other— {.rtia 1 CITYTY Tei. I hereby atllrm that I ram Llcermed under provision of Chapter 8LK�ENSE OR (commending with Seotbn 7000) of Dfviabn 3 of the Bushieee and Dlsp Room Air Coed NUMga ¢Yr y awL Profes6om Code,and my Ikberme b In full force and effect parDISTRICT NO. 13YPower Apah�e S Large Applfarroee Sde d Type HP,KW,K1^or KVAR / 01 Lbonse Num�ber/ / t.J\ Y Ua Case , Up to 1 Ind. FINAL_ p traotor `V 60--dl D ( o Over 1 to 10 hioL7/ vu ingrw_, Conu ❑ IVt' Over 10 to 60 frwol. FINAL I am exempt under Sec. Over 60 to 100 Ina BY BdP.C.for this reeson Over 100 Data: Services,Swbd,MCC d Panelboerde , 0-200 Arrp.Under 600 V s4rtwue 201 - 1000 Amp.Under 800 V Over 1000 Amp.or Over 600 V ❑ Exemption for Req.Metnt Elect. . S!NGLE FAMILY Temp.Power Poie_d Appurtarmnom 2 HOME OWNER-BUILDER DECLARATION Sign I hereby aftlrm that I am exempt from the Carrtraotore Lbarm Lew with One Branch Grouit AccT■T for thefo5owYig reason(Section 7031.6, Buelneee and Professions Additbnal Sign Brandin Umitts Code): 3307 35.80 ❑ 1,as owner of the property,will do the work and the stnroture Misr-Conduits a C oAx33ors 1 I I CJ k7 is not Intended or offered for sale (Section 7044, Buefrweaa Other(See Canplete Fee S�) , and Pmteeebrm Code). TOTAL 35-80 CONSTRUCTION LENDING AGENCY CWCK I hereby affirm thal& re Is a constructic i larding egancy for the performance of the work for which this permit is baled(Sec.3087, PERNIff FEE (Sub-Total) Ctv.C.). PLAN CHECKING FEE I�rwdet'e Name 0010ID–OQ 1 10/18/90 Lendare Addreee PERMiT IssLnNG FEE 3395 1 Ali 7:42 1 owtffy thsi I have read this epplloetion and state that the above TOIL FEE fnforrrmOon b oorrect. I agree to oonply with all Ccurty ordinances and State {ewe regulating EleatriosJ wiring, and hereby authortnq representatives of this County to deter upon the above-mentioned Property for purposes SEE REVERSE FOR EXPLANATORY LANGUAGE c?31 Permittee ° Date