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Home My Public Portal About5514 ROBINHOOD AVE_Electrical__ 3 7SAII}AGOG 10'" APPLICATION R ELECT CAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDINGWo 1 1. "-0 BUILDING AND SAFETY DIVI SON FOR APPLICANT TO FILL IN ^a IviC CROSS ST, d� OUTLETS NO. Fil ER OR FIRM NAME 4So�t RECEPT.—/ MAIL D �) ADDRESS LIGHT TQSAL FIRST 20 2e v �FJ� CITY TEL. NO. SWITCH OVER 20 .1p PLAN CHECK LIGHTING TOTAL FIRST 20 / 2.6 APPLICANT FIXTURES OVER 20 .10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. RANGE DRYEPERMITR_WTR. HTR. APPLICANTRT 9 N n STA. COOK DISP. F.A.U. ADDRESS (�C CZ Alk 4 SPACE HTR, AIR COND. CITY TEL. NO. 4/47.5 ZJ CLOTHES WASH. D13HWASH.--,(— �OWUEMO j�'�OS-3 CLASS. 4-1/0 FAN OTHER 160 0 1 HEREBY ACNNOWL[DGE THAT I HAVE READ THIS APPLICATION AND [TATE THAT THE ABOVE I[ CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATIN[ WITH ALL COUNTY ORDINANCE! AND STAT[ LAWS REIULATING IND. HEATERS, ETC. HF. KW. RVA. ELECTRICAL WIRING. SIZE S TYPE OVER TO IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 160 LICENSED AS RED IRED BY LOS ANGELES COU14TY AND STATE OF CALIFORNIA OR THAT I AM THE LEI WNER OF THE ABOVE 1 — 10 DAO DESCRIBED RESIDENTIAL P ERTY. PERMITEE 10 - b0 0.00 SIGNATURE F O b0 - 100 1DD0 DISTRICT NO. SED 100 - 500 leoo O Z SIGH, GAS SIGN AND ONE CIRCUIT 0.00 APPROVALS DAT[ LWrKC S211NATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS ID0 TEMP. POWER POLE SERVICENOTOVER 600VOLTS OR200AMP 5.00 UNDERSLAB WORK SERVICEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 0.00 WIRING rZ TEMP LIGHT OR RECEPT. SYSTEM 5.00 FIXTURES POWER AUTHORIZED, UTILITY CO.'NOTIFIED FINAL 22-7 PERMIT FEE (SUB TOTAL) NOTES; PLAN CHECK FEE PERMIT ISSUING FEE eA0 TOTAL FEE PLAN CHECK VALIDATION CK. m.b. CASH PERMIT VA�LIDATION/� CK. M.O. CASH 2 4 4'InnFf 10 2 v 99 0 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKER'S COMPENSATION affirmDECI sent to 20-00,7 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT L1 I hereby arm that I have a c6rttflaste of consent to Bell Insure, 7eA6e3 or a oertlflcate of Workers Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 3800 Lab. C.) No. Company Pon APPtJGxT TO Pal Q1 MFESa Certified copy Is hereby furnished. New ReskWital Bklyp.S Pools NO. EACH FEE ❑ _h _ ` LOCALITY C4KtffIsd copy f9ed with the county building Inspection 1&2-Family,Sq.Ft.Multi-famIN Sq.FL C� Date APPtloent ReetdentlaJ Swimmuig Pooh � w f/ CERTIRCATE OF EXEMPTION FROM WORKERS' OutieW Rao. Ught Fl Sw. FlF�tJ6— PAGE PA9CEL �NAE OR COMPENSATION INSURANCE JAW J L ret 20 / rd J (This seotlon nand not be completed ff the wort Involved by the Total NoAdditional Aoo�rFes / permtt is for one hundred dollen .(1100)or lap.) I certify that In the performance of the work for which this permit a CITY TOL No Is Issued, I shall not employ any person In any manner so as to / d pt,�CO?K become eubJect to the Workers' Comperuatlo Llghtlng FUduree F9 rat 20 APPL�ANT Ci LtJ q Total No. Addttiorwl Date �- / Appltoent ADDRESS NOTICE TO APPLICANT: If, aft makln .this Certificate of RESiIETffIAJ APPLIANCES NOT OVER 31{P. GTI l_ r Tst6 �p Exemption,you should,become su to the Workers'Compensation OTTiER APPLIANCES NOT OVER 3 HP. PERM provisions of the Labor Code, you must forthwith oomply with such Power Apparatus&L"Appllances APFUCANT �� s/, provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Stm 8 Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter B Over 3 to 10 Ind. (commencing with Section 7000) of Division 3 of the Business and CfiY Ter Na Professions Code, and my license Is In full force and effect. Over 10 to 60 Ind. i vxNW OR /�p C� a License N��mbel �-�yn ' Over 60 to 10 (.0 1Dd. FIEN111,U3EA O� / /�..1 �S, '�,/ Over 100 DSBTCT NO. p BY 8 Yr / L1c.Gess Pot��0 �/tl `� Swvlcce Swbd.,MCC 8 Panelboarde �j a:Contractor-"'x�'f� - / Data `� 1 0-369 Amp.Under 800 V DAT F-1 I em exempt under Seo 400-1000 Amp.UndW er 600 V `� �� Over 1000 Amp.or Over 600 V �- VAIJDATION (L B.SP.C.for this reason BRANCH CIRCUIT FEES BY Z 16A,or 2066,120V,LlphtlW or Recept — 1 To 1D Branch Cfroutts Signature 11 To 40 Branch Chutta 41 Or More Brandi Ctrorib ❑ E�xemptlon Rey.Mainz Elect 16A,20A,206V To EW LVTdN Br.Clouse SINGLE FAMILY Temp.Power Pote h Appurtenances L i HOME OWNER-BUILDER DEGJ1fUIO TN W C I .r I hereby affirm that I am exempt from the Contractor's Lloensv Law Sign with One Branch Clnxitl 33following for the following reason (Section 7031.6, Business and Profesalona Addliional Sign Branch Gib 3,0.Jrcu47.411 Code). 1 ITERS ❑ I, as owner of the property,will do the work and the struature Mlac.Conduits S Conductora Is not Intended or offered for aaJe (Section 7044, Business Other(See Complete Fee Schedule) , TOTAL 4-7 . 40 and Profesalons Code). CONSTRUCTION LENDING AGENCY f,��y .OrJ I hereby affirm that there Is a construction lending agency for the CHAWE LY performance of the work for which this permit Is Issued (Sec. 3097, PERMIT FEE (Sub-Tata) ' CN. C.) PLAN CHECKING FEE 00GI}-0001 12/21/93 Lender's Name PERMIT ISSUING FEE 1 AM v:cS Lenders Address I omtffy that I haw read this applkelion and under penalty of purfury state TOTAL FEE that the above Informailon fa correot. I &gree to oompty with all County ordinances and State laws raga Eleo0oal wiring,and hereby authortxe 5 of to or upon en the above-mtioned property for SEE REVERSE FOR EXPLANATORY LANGUAGE DATE I hereby aHlrm WORKER'S a�veMa c�art�Jfrate ot�oo{nee tKKto,sell Insure, 76 20-OM °x"`12 ,31) APPLICATION FOR ELECTRICAL PERMIT or a cert1froato of Worker'i Compensatlon Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab. C.) Pricy No. Company r041 APPI. Affr TO FILL IN JOB ❑ Certified copy Is hereby fumished. New RaNdentfal Bldgs S Poole NO. EACH FEE L ❑ CertRled copy Is Med with the county bulknng Inspection 1 d 2-Family,Sq.Ft. — _ NEAREeT 7 \ departrr a Mufti-family Sq.FL — gapes ST. Date Appllcant Flasideiittal Swimmhig Pools ASSESSOR 8 MAP BOOK 0 FARcELDGL3 CERTIFICATE OF E)EMPT10N FROM WOR)0 O' Outle":Rao._Light � Sw.� FIRM N OR AME COMPENSATION INSURANCE FRrst _ O FlPa4 (This ssatlon need not be completed M the work Involved by the AAD MAL / permit Is for one hundred dollars($100)or less.) Total No. Additional p I certify that In the performance of the work for which this permit CITY Td Na "Z/ Is Issued, I shall not employ any person In any manner so as toPLAN CKECK beoome subject to the Workers' Compensation La Lighting Factures FIrot 20 b a APPUC.INT Total No. Addtb nal Date �� b, ADDRESS NOTICE TO APPLICANT: If, after making this Certificate.of REBIDENPIALAPPLIANCEBNOTOVER3HP. CITY Tdraa Exemption,you should beoorpe subject to the Workers'Compeneatlon OTHER APPLIANCES NOT OVER 3 HP. provi4lons of'the Labor Code, you must forthwith comply with such PST provisions or this permit shell be deemed revoked. Power Apparatus 8 Large Appltarmcee LICENSED CONTRACTORS DECLARATION 8tze d Type HP,KW,KVA or KVAA ADDRE88 �rP I hereby affirm that I ant'Ilcensed under provisions-of Chsoter B Over 3 to 10 Ind. (commencing with Section 7000) of Dlvialon 3.of the Business and TSL Professions Code, and my license Is In full force and effeot. Over 10 to 60 Ind. LICESSE OR Over 60 to 100 Ind, RSa NUMBER G C3.. d BY LJcum enae Nber /A LbOyer 100 DtBTRJCf NO. 8.Claae n pr Servlcee,Swbd.,MCC S Parielboerds !/d T- Contractor Date V 0-309 Amp.Under 900 V DATE 0 I am exempt under Sao. NAL 400-1000 Amp.Under 900 V - V VALIDATION Over 1000 Amp.or Over 900 V FINAL LJ.I B:dP.C.for this BRANCH CIRCUIT FEES U) rn S 16A,or 20A,12OV,Ughtfig or Reoept. - Z 1 To 10 Branoh Clroutta � e 11 To 40 Branch Ctrcub Ctcub F-1Ex-Vdon for Reg.MalnL Elect. 164 20A,206V To 277V�A4oro Branch Ali SINGLE FAMILY Temp.Power Pole S Appurtenances ACCT.i HOME OWNEFIBUILDER DECLARATION with One Brnnct Clrtxxrltt 03 31■05- I hereby affirm that I am exempt from the Contractor's License Law Sign for the following reason (Section 7031.6, Business and Profesalons AddborW Sign Branch CImults 1 ITEMS Cods): I. F-11,as owner of the property,will do the work and-the atmoture Mime.Conduits S Conductors TOTAL 31 . 05 Is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Sohedule) DECK 1-51.45 and Professions Code). .00��yy�yy CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for c4hlch this permit Is Issued (Seo. 3087, PERMIT FEE (Sub-Total) 0yy�yyli 6/21/9, Cly. C.) tFIJLRJ-uLtru PLAN CHECIdNG FEE 0361 1 AM S%w Lenders Name PERMff ISSUING FEE Lenders Address / Co I certify thatve I harid this appllcatlon end under penalty of purjury stele TOTAL FEE U UW the above Information Is correct. I agree to co"with all County ordinances and State laws regu cel wlring,and hereby wAhortze of this County upon the boned 7 � Z� 13FF REVERSE FOR E)GnLANATORY LAN(iUAOE PERM TE WIKER'SCOMPE?JBAnON of oonnOD (12-01) APPLICATION FOR ELECTRICAL PERMIT I hergby affirm that I have a aeRlilcate of consent too self Insure, IMBW or a cerdfidate of Worker's Compensation Insurance, or ■ certlfled COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof SSec. WO Lab. Q.) Policy No.T Company r APPLYCJ�Ilr T° a X88 nCerHad copy Is hereby tumished. New Reeldentlal Bldpn.S Poole NO. EACH FEE LOCALITY F Sq 1 S 2-Famlty, . t $ i ❑ Certified copy Is filed with the county building hnp.otbn _ NEAFIE3T d,partrnent Multi-family Sq.Ft Ca089 ST. Data Applicant MAP Swlmming Pools A�g�{1. MAP BOOK PAGE P►,FICg CERTIFICATE OF EXEMPTION FROM WORKERS' Oma_Rao._Light—/—Sw. D Ora COMPENSATION INSURANCE Firs! �0 0 1 FDVA NAME (This section need not be oompleted H the work Invotved by they ADDRESS permit Is for one hundred dollars(3100)or fess.) Total No.T� Additional I certlfy that In the performance of the work for which this permit Cr Is Issued, I shall not employ any person In any manner eo as to PLAN CHECK beoome subject to the Workers' Compenraadon Laws. LIghtIng FIxWree Fret 20 APPLk-•ANT Total No.T Additional ADDRESS Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of i ,AL S 3HP. CTS, TOLNo- Exemption,you should beoome subject to the Workers'Compensatlon O SOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PPEF"T provisions or thle permit shall be deemed revoked. Power AppwAtus S Large Appflencee ANT lxlf�� LICENSED CONTRACTORS DECLARATION Stae S Type HP,KW,KVA,or KYAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter B Over 3 to 10 Ind. ( ommenoing with Section 7000) of-Dlvlalon 3 of the Business and CITY TSL Na c Professions Code, and my license Is In full force and effect. Over 10 to 60 Ind. L)C OR CL Over 60 to 100 Ind. REG.NUMBER O ser 100 DtaTFUCT NO. BY V License Number Lk;.Clare Services,Swbd.,MCC a Panalboards .OG oC Contractor Date 0-399 Amp.Undor 000 VDATE 1-- O 400-1000 Amp.under 000 V ❑ I am exempt under Seo. VALIDATION W Over 1000 Amp.or Over 000 V RNAL (L B,BP.C.for this reason BRANCH CIRCUIT FEES BY U) ' Date: 16A,or 20A,12DV,LJghtirp or FieceQt. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Greats ' El41 Or More Brsnoh Grafts +� Exdmptlon for Reg.Malrrt-Elect. 16A,264 L 2XV To 2TlV Br.Chtft SINGLE FAMILY Temp.Power Pole&AppurtenanceeI.T HOME OWNER-BUILDER DECLARATION �wOne with OBranch arou h h o { I hereby affirm that I am exempt from the Contractor's Uceneo Law 3307 for the following reason (Section 7031.6, Buelness and Profeealons Addtkmal Sign Branch Clrcults 1 1 I M ^uy/ I, as owner of the a Misc.ConduJta.✓4 Condudon a JL- 15 property,will d6 the work and the structure �'�� Is not Intended or offered for sale (Section 7044, Business Other(See Compote Fee Sohecl e) rVi and Professions Code). , ti fv 81.11�5'� CON STR UCT10N LE N Di NG AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which thl6 permit Is Issued (Sec. 3087, PL] M1T FEE (Sub-Total) CN. C.) PLAN CHECK]NG FEE 1 4/23/93 Lenders Name 9r-6 1 AM r■5 PERMFr ISSUING FEE Lenders Address I ow fay that I have read thie applk�ebon and under penalty of purjtrry state TOTAL FEE UW the above Information is oo rect I agree to.oompty with all County �// ✓ a State laws r g FJectkal wiring,and hereby auttrorfzeof this upon the ention propertyurpose& SEE REVERSE FC>R 03nANATORY LANGUAGE re