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HomeMy Public PortalAbout5564 ROBINHOOD AVE_Electrical__ Ct �= 711AeeD-CESOS 1-68 APPLICATION FOR ELECTRICAL PERM[iTly IL CQUNTY OF LOS ANGELES I DEBPUILDIING AND SENT OF AFETY DIVISIONER BUILDING (��/, JOHN A, LAMBIE. COUNTY ENGINEER ADDRESS V'+ `� iCOLEMAN W. JENKINS, SUrtRINTXNDKNTOFBUILDINOLOCALITY Ir NEAREST FOR APPLICANT TO FILL IN CROSS ST. ,y OWNER H'nLST � RECEPT._ MAIL P-- 'p LIGHT TOTAL FIRST 20 .20 ADDREy3l�3,,y,� ti+ 7' � � SWITCH_ OVER 20 .10 CITY �J*4& Ctr'eTEL. NO. �- k/L7 PLAN CHECK LIGHTING �TOTAL FIRST 20 .20 APPLICANTFIXTURES OVER 20 .10 ADDRESS RANGE—DRYER—WTR.HTR._ CITY TE . NO. STA,COOK DISP. F.A.U._ CONTRACTOR &>,e-170,04� ! ( -Z ACrXlV, SPACE HTR.Z--AIR COND. ADDRESS 6­24y;,- !�!� CLOTHES WASH._DISHWASH. CITY. 4-d>0 /t' Q TEL. NO, FAN—OTHER 1.00 DO LICENSE NO. .Z CLASS. l4 MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HERESY ACKNOWLEDQE THAT I RAVE READ THIS APPLICATION SIZE TY P OVER TO AD STATY THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING KLECTRICAL WIRING. 0 - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY RE41STERED AND/OR 1 - 10 3.00 p LICCNSED AS REQUIRED DY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 10 - 50 5.00 RGSIDE IN, THE ABOVE OESCRiMED RESIDENTIAL PROPERTY. O SLGNATURE � V 80 - 100 10.00 OF PERMITTEE DL 100 - soo 16.00D TF�I T NO. UJ�tP ZONE P CE ED BY SI E,GOR AS SIGN AND ONE CIRCUIT 3.00 f d MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: SERVICE NOT OVER SOO VOLTS OR 200 AMP 2.00 fJ0 SERVICE OVER 600 VOLTS OR 200 AMP 5.0.0 TEMP SERVICE, POLE, Q APPURTE?UNCEB 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE. TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) ppyyER AUTHORIZED 17 PERMIT ISSUING FEE 2.00 b4' UTILITY CO.NOTIFI D SUPPLEMENTARY PE-RMIT ISSUING FEE 1.00 FINAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECT ICAL ENGINEE� PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION C M.O. CASH LACO 6 8 8 e�g QCT g 4 D 8 fD 0,- 3 f-rE "SEF BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE .LJ',rurwv// APPLICATION FOR ELECTRIC PERMIT �. COUNTY OF LOS ANGELES DETARE TTtt��1IENT OF COUNTY ENGINER BUILDING BUILDING ANIi SAlrETY DIVf810N ADDRESS de P JOHN A.LAMBIE,CoVwry$NatNIQIt CAAGLATT m auumm>su,by nuumom LOCALITY 17OR APPLICANT TO FICA IN N =NOT PEBI►IIlT FMSOWNER1 T t Y HUMBIll[RI [ACH PQ F j It w'L RICIrT. SW. .10 ADD FIXTU .10 CITY�+ [lCLO.DRY ERM ELEL.1 RIC.LANT■R HSATKR1 -50DRSBY T HTRf. DI<FiWAIR[Rl .TE11tTO1W AUTO.- BTATE/TA_COO KIHa UNiT■ •217 I x/,40 MOTORS: ovist INC. H.P. 0'— vi .215 .150 INSPECTION 4F=RD 2— D 1.00 1.156 y to— 150 2,150 A 1S 150—200 15.00 SIGNS: No.TRAM. NO.LAYP1 SERVICEo-600v 1.00 ©Q SKIMCE OVER 60OV 15.00 M I SC. {MIRING PERMIT 1.00 QQ FIXTURE PERMIT 1.00 SUPpLEML'NTARY PERMIT .150 TOTAL FEE r< Q AP $OVAT Q 1 HKRA3Y ACKHOWUMOS THAT I HAVI RXAD T1410 APPLICATION OAT[ INfP[CTOR'j g[G*ATUR; AND STATI THAT TIJK A60VL IS CORRKCT AND AURIi TO COMPLY WITH CONDUIT TH ALL COUNTY ORD,INAD NC" AHSTATE LAW/ R[QULATINO CLICTRIGAL WIRIN0. oe _ 1 HY RIDY CIIlTIFY THAT I AY PRO Y RRulrrnRrm AND/OR WIRING ell LICKNA&D AS RXQU1RLD BY A; LINTY AND STATIK OF FIXTURES CALIFORNIA OR THAT I OW XR OF THI ABOV= DISCRI S[LI RESID R!!T POWER SIGNATURE UTILITY co.NOTIFIED OF PERMITTE m' ATION UR C. QK No CL-Aw ��+r*Rvu1NG 1 41'tR1CAL ENGINIII� DCo8 7. 3 0 °� Ai 30 2 A 2.50 r*_WORKERS'COMPENSATION DECLARATION � 10/81 APPLICATION FOR ELECTRICAL PERMIT 1 hereby affirm +fiat I have a certificate of consent to self • Insure, or a certfflcgte of Workers' Compensation Insurance,. COUNTY OF LOS ANGELES BUILDING AND SAFETY or a cerflfled copy thereof (Sec. 3800, Lab. C.) oil No. Company POR ArRKJUiTTO FfLLN JOB � �C,w`tlfled c Is her fymished. ADOI SS �� oP)` �Y New Residential Bldgs. 8 pools �'� �' � LE5CAIJ � ❑ Certifled copy Is filed with th6 county bull I 1 8 2-Fa mily,Sq. Ft. _ — ; tion department. Multi-family Sq. Ft. CROSS ST. KJ Residential Swimming Pools OYR,JER OR i Date Icon t FIRM NAME CE MFICATE QF EXEMPTION p M WORKERS' Outlets: R13 Light Sw MAIL COMPENSA?ION INSURANCE ASS thIr s}ctbd need riot be IraFsd 9tfs6 work lmwhr.d 7� First 20 e permit Is for on@ hundred dollgn ($100)or 6nTotal No 5� AddlLlonal CAY Tel. No. N CHECK I certify That in the pefformarce of the work for which this APPLICANT permit Is Issued,I shall not employ ahy Person In any manner to as to become subject to the WorkerC07pensattan Ln�vs. righting Fixtures First 20 ADDRESS Total No. _ Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOT1C� TO APPLICANT: H, aftor making this Certificate of AWLIG4NTe— Exemptlon, you should become subl6ct to'the'Workers' Range— HeoterL_D.W. — Compehsation provitlons of the Labor Code, you mast forth- Oven —Dryer W.M.— ADDRESS with comply with such provisions or this permit shall be Top _ FAU W,H. T deemed revoked. Hood _ Fan Others.. CETY Tel. No.W504D7MCM LICENSED CONTRACTORS 0EQL.ARATION D1sp _ Room Air Cond. OR Class. I hereby'affirm that I am licensed under provisions of Chapter 9 (tommehcing with Sectign 7000) of DIVIsIan 3 of the Buslneb DISTRICT NO. PkMSSED BY and Profbfslons Cgd6,and my license tsin-full forceand effect. Power Apparatus 8 Large Appllantes Size&Type HP, KW, KVA, or KVAR' License Number a 1 Ic. Class Up to 1 Incl. FINAL Of Over }to 10 Incl. DATE VAUDAT)ON O CoaTcgctor to Oyer 10 to 50 Incl. ❑ NAL U I.am a mpt under Sec. Over 50 to,100 Inc. BY W d $.BP.C. for this r"n Over 100 Date: Sery I ces, Swbd., MCC 8 Pa ne I boards 0 -2W Ar+Tp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Ov6r 1000 Amp. or C?vbr 600 V Exemption for-Rog. MaInt. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances HON¢OWNER-BUILDER DECLARATION Slgn with One Branch Circuit 170&3A ' I hereby gfflrm tfiat L am exempt from the Contmctors License AddlTlonal Sign Branch Circuits Law for the following reason (Section 7031.5, Business and # o oio o o 2• Professlons Code): ❑ I, as owher of the property, will do the work and the Mlsc. Condultt$Conductor 2�o-e 2.2 3 0- structure Ir not Intended o (Section r offered for sale Other• (See Cortmplete roe Schedule). , r ., 22306 704A, $usiness and Professions Code). o•o 0 CONSTRUCTION LENDING AGENCY Q 21 =8 2 I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is I"ued PERMIT FEE ' ($ub-Total) (Sec. 3697, Civ. C.). PLAN CHECKING FEE Lon,ders Name PERMIT ISSUING FEE Lender's Address L certify that I havp read this application and state that the TOTAL FEE above Information Is correct. I agree to comply with all County ordinances and State laws reguloting ElectrIpol wiring, and eby authorize represent tives of this County to enter upon the bove- for Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Siga 0 f Ittee w Date 46. k COUNTY Or L08 ANGIYI.YB TwcPLR CITY { 0508 RLZC TICAL PLRMIT DEPAR'D[YfPP Or PUBLIC WORKS 9701 LAB TUEAS YL 0506 060474001E BUILDING AND 8AF17Y / LAND DIVRWPKEFT TWCnA CITY CA 91780 PHONX. (676) 785-0408 N3:Tt LL61L ID. r]CL8 PAID BUILDING ADiDR.N88 TR: 16957 LT: 90 5564 ROBINHOOD AV rLY DLSCRIPTION� QUANTITY: UOM: AMOUNT: TWO CA 91780771E ABSYSSOR INFORMATION NUMBERi NZARZET CROSS 9TRINT- 8586-018-011 Al PLRMIT ISSU"C31 PLY 77.75 THOMAS PAGZ. 597 SID: B3 LOCALITY: TZKPLY CITY, C H3 RYS DISHNASHR LT 3HP 1.00 DIB 10.95 T12ANTTOTAL FRIB 36.70 IBBIIED ONi PROCLBSID BY: PLAN BY. IIPIR.EB ONS 04/74/06 Jz 10/71/06 o+arLR rte.. No r rs FINAL BY PANLHATE, DAVID (909) 671-0051- Z` 4440 GLZN NA CLMT 917117171 DISCRIVJPION Or TORI XLXCTRIC3LL FOR DIBE3ULSE R APPLICANT, TEL. IM SAME AS 010QLR - SPYDCIAL CONDITIONS: OONTRACTORi TIM. NO, APPROVALS DAT= INSPYCTOR SI®TUR.➢ Al AS OAYNR - LIC. NO TD@ORARY POALR POLL i UNLIMUROUND CONDVIT ARCHITECT OR Z*913rSR: TEL. YO: U7R3 GROUND LIC. NO. ROOM COXDIIIT ROUE WIRING MI-134 VFATLR LINE PLASTIC TIN M>TAL YIN UTILITY COMPANY NOTIFIED RLPORT ID: DPR165 ROUTL TO. B80508