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Home My Public Portal About5517 ROBINHOOD AVE_Electrical__ 76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING t*- BUILDING AND SAFETY DIVISION ADDRESS J JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING I LOCALITY y FOR APPLICANT TO FILL IN CROSS ST. A RECEPT. TOTAL NO. EACH FEE J 09 OUTLETS FIRST 20 / $20 $ L OWNER �/wY6/w LIGHT.5' MAIL H. ADD'L .10 ADDRESS SWITCH. OVER 20 LIGHTINGU-5-1 OTAL FIRST 201 : .20 CITY TEL. NO. ��[[ FIXTURES ov�e 20 to ELECTRICIAN /�� LsI"� RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS OZ I� GARB.DISP. STA.COOK CITY � TEL.NO. / DISHWASH. AUTO.-WASH. STATE SPACE SPACE HTRS. STA.APP.('/.H.P.MAX.) ,SO LICENSE NO. 7/ MOTORS: OVER NOT OVER H.P. DIST CT NOZ . GROUP ONE PVCESSED BY O 1 1.00 r // Z 1 3 1.50 INSPECTION RECORD 3 8 2.00 f 8 15 2.50 15 50 3.00 �1 ^ CL 50 100 5.00 0 SIGNS: NO.TRANS NO.LAMPS 0 O f" SERVICE 0.600V-Nor OVER 200A 1.00 r V w SERVICE 0-600V-OVER 200 A. 2.00 /-y 4 SERVICE OVER 600V 5.00 - - Z z MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE S 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS 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 IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL ALIDATION ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER * WORKER'S COMPENSATION DECLARATION �3 DPW 9/WI hereby affirm that I have a certificate of consent to self Insure, APPLICATION FOR ELECTRICAL PERMIT or a certificate of Workers Compensation Insurance, or a certlfled COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. oopy thereof(Seo.3800 Lab.C.) Policy No. Comperry Fm AppucA(r To Fri ik Aooa[88 ❑ C nMod copy is hereby fumlehed. New Resldentiel Bldgs-&Pooh EACH NO. FEE LOCALITY ❑ Certffled copy I. d wtth the county btWng 1 8 2 fannlfy,8q.Ft Inspection- department Ifuftl famlfy 8q•Ft NEAFEST CFC68 ST. Date .APPilicerit Residential Swimming P0012 A86ESS R MAP BOOK PACE PAAca CERIIFrATE OF EXEMPTION Ff10M WORKERS' Off:Rec.-L Oght 8 M NAS \�� COMPENSATION INSURANCE FkV 20 , 'O / (J Ocp- Crnls section need not be oompWted If the work Ynyohrad try the Total ' Additional MAL 4*0 permit Is for one hundred dollar($100)or lose.) AODAE68 f a I certify that In the performance of the work for whloh thla perm CITY �fy ` TaL Na - L to issued, I shall not employ any person In any ner so ■e PUN per( beoome subject to the Workers'Compensation L >q Ffxturee First APPUGANT �r-� Total No. Addltkxvn -+� ADDRESS Gate 16 OR M44 120V BRANCH C1RCUrM I NOTICE TOA PLICANT: If, or ■king this rt fYoete of CITY TsL do I! Exemption,you should become sub)aot to the wa ke mpsnsatfon 1 TO 10 FNCLUSIVE EACH provisions of the Labor Code, you must fortbwlth comply with such 11 TO 401NCLUSNEEACH � �{(r L°pyy provlslorte or thla permtt shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH t1Aash t I hereby efflrLI that Idem CONTRACTORS TORS DECLARd under ATION Chapter 9 16 OR 20A,200V TO 2m LIGHTING EACH ADDRESS a (commencing with Section 7000) of Division 3 of the Business and CiTY� , Tet NO'P G (� Professions Code, and my license Is In full force end effect - RESMENTIAL APPLIANCES UP TO 314P � P LKA34 E OR q [[ li Power Apparatush LwW Appliances r�NLUA02H (p License Number Lb. St.8 Type HP,KW,KVA,or KVAR D18TRICT N0. BY (, i ^� Up to 3 Ind. - 1T d I 1 � Date 24 - Over 3 m 10 Ind. oDTP � Contrectr� Over 10 to 60 Incl. Z ❑ I am exempt under Seo. Over 50 to 10P Ind. 2, VAUDATION Ower 100 FrNAL B.BP.C.for tees reason ErY Seabee,SWbd.,MCC✓4 Peneboarda Dale. 0-2D0 Amp.Under 600 V Signehxe 201 -1000 Amp.Under 000 V ❑ Exemptbn for Reg.Mafnt.MOLL Over 1000 Amp.or Over 800 V 2 SINGLE FAMILY Temp.Power Pole 8 Appurtsrarncee a HOME OWNER-BUILDER DECLARATION Sign wfth One Branch Ctrouft ACCT.T I hereby affirm that I am exempt from the Contractor's License Law ? for the following reason (Seddon 7031.5, Business and Professions Addtbnal Sign Brash CYrcuFts +7.711! 43.93 Code). 1 ITEM ❑ I,as owner of the property,will do the work and the structure Mlso.Condutta d Conductors TOTAL 4 to not Intended or offered for sale (Seotlon 7044, BuslnesA Other(See Complate Fee Schedule) 93 and Profeselone code). Mr,, 43.93 CONSTRUCTION LENDING AGENCY 'WV00 I hereby affirm that there la a construotlon lending agency for the performance of the work for which this permtt Is Issued (Sec. 3087, PERMIT FEE (Stib-Total) v.c.) aOQO 'OQ01 CHECKING 8/24/92 IN KING FES ' Lenders Name - 5 160 1 AM 7:39 PERMIT ISSUING FEE T- Lenders Address I oertlfy that I have read this appllca lon and state that the above TOTAL FEE Informstlon Is correct. I agree to oompfy unty ordinances and State laws regul rloal I an hereby authorize r!E;Ps615&tfv of C un to n a above-mentioned n p SEE REVERSE FOR D9L.AHATORY LANGUAGE oP vy 1 BYOER*S COMPENSATKA DECLMIATION 20-0019 DPW 9/N hereby arnrm that I have a certificate of consent to self Ihsura, 76Aan APPLICATION FOR ELECTRICAL PERMIT or a cartlficate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Seo.38)0 Lab.C.) No. any I'OR APPLICANr TO FILL M - - ADDS Certffw copy is hereby turnw-oad New Reekienttal BbgL d Pools -EACH NO. FEE Cer1&2-Family,Sq.F-L i = $ LOCALITY tlM1ed coQy h f9ed withthe aourrty butfdlrq lnspedibn NEAPEeT department Mul-tl-f—Py 8Q•Ft- cA089 ST. Dnie t Rssidectfel 8w1mrning Pools A88E88pR .. M"BOOK PAGE PAF1Cg. CERTTFICATE OF E)EM"ON FfiOM WORKERS' Oidyeto:Rea ugrt 8w. L000j COMPENSATION INSURANCE RRA '� MP Ftrat20 section need not be com Iated H the work trivol"d b the MAIL Is for dne hundred dof}ars($100)or less.) y Taal N0. Addltl6nel } ADDRESS f s I aertlty that in the pertormence of.the work for which' le pe it QTY Cf�4- T�Na Is lesued,'I shell not employ any'poison In any er o es to PLAN q�q( it become subject to the Workers' Compensa Wing Ftxi>ree First APPUCANT Total No. Additional ADDRESS Dela ! APPtt16 OR 26A 120V BRANCH gRCUTB NOTIC TO APPLICANT: If, after maklnp this Ce flcat f CRY Td W. Exemption,you should become sub)ect to the Workers'.Comperaetion 1 TO 10 INCLUSIVE EACH provlslons of the Labor Code, you must forthwith comply with such 11 TO 401NCLUSIVEEACHr c,s(I Al proylalona or thla permtt shall be deemed revoked. 41 OR MORE BRANCH CIFICUITS EACH } LK'ENSED COWMACTOfJS DECLARATIONADDRESS i ZOY r-( 1Gn>t O_ I hereby'affirm that I em licensed under provisions of Chapter 9 16 OR 201 208Y TO 277V WI-1114G f ACfI O m (oomencing with 8ectlon 7000) of Division 3 of the Business and __. C �C, �� Tel.s �2 (� Profeealons Code, and my license Is In full force and effect. RESIDENTLAL APPLIANCES UP TO 3FP LICENSE OR PoVo CsssL O Pow & M FIEQ Af 6 License Number Cb-7LI0.CUM — — 8tre S Type HP,KW,KVA or KVAR MTRICT r40. Ov(3J U Up to 3 Ind V' fJ W C'.ontreot��i'1 lKt�( t I rf W y ✓' Over 3 to 10 I nd. - - - a V] Over 10 to 60 Incl. DATEDATE 2 ❑ I sun exempt under Sec. Over 50 to 100 Ind. L- —!lAI_Y �� B.SP.C.for this reason Over 100 B Services,Swbd,MCC 8 Penelb—cls Q Date' 0-200 Amp.Under 900 V Signature 201 -1000 Amp.Under 900 V ❑ ExemptionOver 1000 Amp.or Over 900 V y for Rep.Malrtt Elect. � SINGLE FAMILY Tenp.Power Po{e y AppurtenancesL HOME OWNER-BUILDER DECLARATION T•T Sign with One I hereby riTllrm that I am exempt from the Contractors LFcense Lew SigBranch Ckouft `,,rr� :+ for the following reason (Section 7031.6, Buelnsea and Profetalons AddElorul Sign Branoh Clrolrfts_ JJ '71 Code): T S � I, as owner of the WIs--Conduits d Conductor* ,r property,will do the work end the structure {ry I,,y S{-y - 55 Is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) , V Y5� { and Professions Code). Ci •-til CONSTRUCTION LENDING AGENCY (�� •I]I� I hereby affirm that there Is a construction lending agency for the perfomVoe of the work for which this permtt Is Issued (Seo. 3097, PERMIT FEE (Sub-Tota CN.C.) PLAN CHECKING FEE Leader.NameIG:26 PERMIT ISSUING FEE LRndere Address I certify that I have read this application and state that the above TOTAL FEE Information Iscorrect. I ag oomply I County ordinances and State law puletl Is rival and hereby authorize rapres OR thI un to e e above-mentioned - pi for u 15 DHABEE REVERSE FOR WrLATORY LANGUAQE �-3