HomeMy Public PortalAbout5570 ROSEMEAD BLVD_Electrical__ ""' Ic� 10 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER Bu1LDING �dSA�f
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE. COUNTY ENOINE9R
WILLIAM JENSEN SUP TOFBUIIDING LOCALITY ;nf; GF d/7
FOR APPLICANT TO FILL IN NEAREST
PSI. PEES CROSS ST
ITEM NuM[ER EACH PQ OWNER G C/
OUTLETS f i MAIL !' � C
0z LF R[C[PT IIW t0 U ADDRESS J .G A
LIGHTING FIXTURES IO CITY L,c� L4r TEL NO
Esc RANa¢¢ =0 DRYERS ELECTRICIAN CLT `G.�'eT
WATER R[AT[RS 00 ADDRESS ��5- F 40y
al[c SPACE HTR[ DI[IIWA¢H[R[ CITY Q TEL NO
GARRAO[DISP06IUIS AUTO-
STATE
WADX[IO WA COOKING UNITS 26 LICENCENS
MOTORS OVER INC. H P p Np
O— V. 26
V.— 2 BO INSPECT! RECORD
Y— 6
too
6— 16 160
t6— 60 250
60-200 Doo
SIGNS NO TRANS
No "N"
SERVICE 0-600V too
SERVICE OVER 600V 600
MISc
iIS
WIRINGPERMIT 100 GO
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 60
TOTAL FEE f 3 0
1H[R[SY ACI010W 0[ TIIAT 1 HAV[ NIIAD THIS AK CATION APPROVALS DAT¢ INSP[CTORNMONATUM
AND STAT[ THAT TN[ ASOV[ IS CORR[CT AND AOR[[ TO COMPLY
WI'TX ALL COUNTY ORDINMQS AND STATE LAMS R[Ou"TIRO CONDUIT
4[CTRICAL WIRING
1 HERESY —IIFY THAT 1 AM PROPERLY RSaI¢TH® AND/OR WIRING /
LICENSED N RCOUIR® SY LOS ANOEJIS COUNTY AND RAR OF FIXTURES
CMJFOMIA OR "AT I AM TRI L[ OWNER OF TNS A "
D[SCNIIItto R¢NDEti1AL POWER
SIGNATURE UTILITYCO NOTIFIED /
OF PERMITTH
G r
m. /VX4DATION �Ry1SIN3 IT. ICAL ENGINEER
OR Mo u[x
7. (AC0 5 3 3 1 APR 12 2 0 7.3 0
)��
7SA883-CE000 1/70 APPLICA 44 I FOR ELEW9T6L PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS A £
JOHN A LAMBIE COUNTY ENGINEER LOCALITY Tr�h v
COLEMAN W JENKIND IN
FOR APPLICANT TO FILL NEARE
IN CROSS 4TST B
OUTLETS NO EACH ri z
OWNER
REClPT_ $ S t � �IC
FIRST 20 20 ADDRESS ISI f L
LIGHT_ TOTAL CITY Cjj TEL N04 7-e4 ' l
SWITCH_ OVER 20 10
PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT
FI%T 10
OVER 20 ADDRESS
URES
APPLIANCES CITY TEL NO
PERMIT
RANGE_DRYER_WTR HTR_ APPLICANT
STA COOK_01SP _F A U _ ADDRESS/,A �—
SPACE HTR AIR COND CITY / TEL NO lt � e7
CLOTHES WASH DISHWASH_ LICENSE NO CLASS
FAN_OTHER 100 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCE/ AND STATE LAWS REGULATING
IND HEATERS ETC HP KW KVA ELECTRICAL WIRIN•
SIZES TYPE OVER TO
1 HEREBY CERTIFYREQUIRED
THAT I AM GEL PROPERLY REOIa TlREO AND/OR
Q _ 1 100 LICENSED AS REQUIRED BY HE ANGELES COUNTY AND STATE OF
CALIFORNIA OR
THAT I AM LOS
LEGAL OWNER OFINTEND TO
1 — t0 300 RESIDE IN, THE ABOVE 0 IrED R IOEN PROPERTY
SIGNATURE
D.
10 — BO 300 FPOWER
MITTEE 0
SO — 100 1000 Of
DISTRICT ttAea SnouP zope r C eY O
00 _ Soo 300
SIGN, GAS SIGN AND ONE CIRCUIT 300 O N
TUBE OR
MARQUE! ADDITIONAL CIRCUITS 100 ?
SERVICENOTOVER 600 VOLTS OR 200 AMP 200
SERVICE OVER 600 VOLTS OR 200AMP a00 PROVALS DATE INSPECTDR'S SIGNATURE
OWER POLETEMP SERVICE POLE, &APPURTENANCES 900LAB WORKTEMP LIGHT OR RECEPT SYSTEM 300
CONDIUT CPERMIT FEE (SUB TOTAL) ESAUTHORIZEDPLAN CHICK FEE (60% PERMIT FEE) Q Y CO NOTIFIED
PERMIT ISSUING FEE
FINAL
SUPPLEMENTARY PERMIT ISSUING FEE 100
JOSEPH C ROOHAN
TOTAL FEE SUPERVISING ELECT ICAIL ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK 0 CASH
289Q» x+ 18 2 D 6.00-
SEE SAM OF APPLICATION FOR COMPLETE SCHEDULE
70A663-CE80510/72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER � � -IQ Gn_=[l. I�'�C A BLVD
BUILDING AND SAFETY DIVISION S
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH I FEE OWNER OR 6S4- EXP[OQEQ }-TRwP P(ol,
s $ FIRM NAME
RECEPT_ AMAIL DDRESS 9029 E - 49W—EI.I LW0D
LIGHT_ TOTAL FIRST 20 2p
OVER 20 ID CIN STu Qy
GABIEL TEL NO c7-453
SWITCH PLAN CHECK
LIGHTING TOTAL FIRST 20 23 APPLICANT
FIXTURES IO
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERRANGE_DRYER_WTR HTR_ APPLICANT CA^ QIAmw L' I
STA COOK_DISP_F A U _ ADDRESS /� 540 RL AZA12 VE —[
SPACE HTR AIR GOND CITY L Q 6!010 33 TEL NO2Z5— (6 77
CLOTHES WASH DISHWASH_ kFGENUMI% CLASS
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORSTRANS IORMCRS RATING WIT ALL COUNTY ORDINANCES AND !TATE LAWS REGULATING
IND HCAT[RI, ETC HP KW EVA ELECTRICAL WIRING
SIZE a TYPE OVER TO
I HERESY CERTIFY THAT AM PROPERLY REI AND S AND/OR
O — 1 100 LICENSED AS R[THAT I SY LOH ANGELES C TY AND !TAT[ OF
CALIIORED OR ID9 T I AM TMC L[0 AL 0 M R OF THE ABOVE y
1 — 10 !00 OCSCRIICD REIID[NTIOP[R C
PTEE CD
10 - 80 700 SIGNATURE 0
60 - 100 !DOB DISTRICT NO EDIa8YZw
100 — SOO Ie00 . 0 T z
SIGN GAS SIGN AND ONE CIRCUIT 50D APPROVALS v DATE DisPeclaig BmmTUIR
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200AMP !DO UNDERSLAS WORK
SERVICEOVER 600 VOLTS OR 200AMP low ROUGH CONDUIT
TEMP SERVI CE POLE,h APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEEPT SYSTEM 300 Q[) FIXTURES
Fi QE W02.ts sTA&io POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL 7-1 --741
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE !00 3 06
TOTAL FEE Q 0
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VAL TION cK 0 CASH
7 9 6AJUL 1 2 0 6.0 0 L�sb
SCE SACK OF APPLICATION FOR COMPLETE SCHEDULE
-� Tl�mo% lc fy
APPLICATION FOR ELECTRICAL PERMIT
y.COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS D
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS, SUrtRINTIENOUNT OF BUILDING LOCALITY
F
OR APPLICANT TO FILL IN NEAREST
CROSS ST
�3 S OWNER
MAIL
TOTALhFR
0 20 Q ADDRESS
f .LL0 10 CIT TEL NO 'C 2
G iTOTAL0 PLAN CHE
SK
1( Z.�) 20 a� APPLICANT
S 0 y 10 ADDRESS
DRYER_WTR HTR _ CITY TEL NO
K_DISP _F A U _ CONTRACiORTR _AIR CONDADDRESS
S WASH _DISHWASH CITY TEL NOTHER 1 00 LICENSE NO CLASS C-IO
MOTORS TRANSFORMERS RATING
IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE TWAT I HAVE READ THIS APPLICATION
SIZE 8 TYPE OVER TO AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
0 - I 1 O0 ELECTRICAL WIRING
yy I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
L� 1 10 3 00 /Jv LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
10 SD 5 00 RESIDE IN THE ABOV OESCRIFEO RESIDENTIAL P RTY
30 - 100 1000 SIGNATURE d
OF PERMITTEE V
100 - 500 15 0
DISTP99S NO G Opp ZONE PR CESSED BY o
TUBE OR IGN GAS SIGN AMD ONE CIRCUIT 900 6 �8 - Z
MARQUEE LY
ADDITIONAL CIRCUITS 1 00 NOTES y
SERVICE NOT OVER 500 VOLTS OR 200 AMP 2 00 ( _
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE 9 APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATME
TEMP POWER POLE
U NOERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE ISO% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 200 UTILITYCO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 100 FINAL
TOTAL FEE III,a JOSEPH C ROOHAN
SUPERVISING ELE ALE INE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M
0611
AS
L 23080 DST20 2 D 14.00— o
\BALK OF APPLICATION FOR COMPLETE FEE SCHEDULE
7M663-CC.12A005 !-BG
APPLICATION FOR ELECTR CAL PEWIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING D
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NO LACX I[[
RECEIPT S OWNER
MAIL
LIGHT_;�C TOTAL FIRST 20 20 ADDRESS
CITY TEL NO
SWITCH_ OVER 20 10 PLAN CHECK
LIGHTING 1TOTAL FIRST 20 20 APPLICANT
FIXTURES J�C OVER 20 10 ADDRESS
RANGE_DRYER_WTR HTR CITY TEL NO
STA COOK_D ISP F A U D CONTRACTOR
SPACE HTR -AIR CON / ADDRESS
CLOTHES WASH _DISRWASH CITY TEL NO w
FAN_tOTHER I DO / LICENSE NO A& CLASS (.^
MOTORSTRANSFORMERS RATING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
INO HEATERS, ETC HP KW KVA AND STATE THAT THE ABOVE la CORRECT AND AGREE TO COMPLY
SIZE 11 TYPE OVER TO WITH ALL COUNTY ORDINANCES AND $TATE LAWS REGULATING
ELECTRICAL WIRING
D I 1 OO 1 HERESY CERTIFY THAT 1 AM PROPERLY REGISTERED NID/CA
ZICENIED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OI
I - 10 3 Op ALI FDRNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO d
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPER 0
10 — 60 500 V
SIGNATURE OC
BO — 100 10DO OF PERMITTEE 0
100 — SDO 1500 DISTRICT NOaRr�IP E e PRoc vEJ
SIGN GAS SIGN AND ONE CIRCUIT 3 00 / /
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES _
SERVICE NOT OVER 600 VOLTS OR 200 AAP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 3 00
TEMP SERVICE, PGLE, &APPURTENANCES 3 00 APPROVALS DATE BISPLCTDRa SIGNATURE
TEMP POWER POLE
UNDERSLAS WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2 00 UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 DO FINAL
TOTAL FEE JOSEPH C ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION cK M o CASH
Ur( 3 6 3 3ti FEB 9 2 D 8 0~
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
76A942 CEROG ID EE APPLICATION FOR ELECTRIC PERMIT 1
MUDING AND SAFETY DIVISION
DRpf6DalBL Of CDMRIyr F.pgIpS1E[ BUILDING C
CDGBtY d Las Angdem ADDRH88 �J
JOHN A LA"IE COUNTY ENGINEER
CASSATT D GRATIN SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PEM FEES
OWNER
LIMNER RRC[ RWITCXu
HUMMER I T 9 At M GCX PE[ MAIL
ADDRESS
TOTAL OUTLETS B 10 B
[LEC RANGE[ NATER HEATERS CITY TEL N
CLOTHE[ DRYERS BO D
23
Rut SPACE HEATERS RAT Y CODE
ELECTRICIAN
INS UNITS. GARBAGE DISPOSERS ADDRESS S
AUTO WASRGRS DISHWASHER 20
L16HTIMG FICTURq 10 CITY TEL NO
MOTORS STATE
LICENSE NO
HORSEPOWER
H P ovER INC I RICT NO Z READY FOR INSPECTION
v •LEGS 28
2 BOO IlY WE=0N FA=BD
2 B 100
O B IB 1 BO 4 x�(
1B Bo loo
BO 200 500
Y EC
SIGNS I No TRANS,
PW
NO LASI
SERVICE O•BODY 100
SERVICE OVER BOOV Boo
WIRING PERMIT 1 00 60
FIXTURE PERMIT 1 00
SUPPLEMENTARY PERMIT BO AMOMS
TOTAL FEE ATE IRs NATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APL CATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT �I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING i
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR pIXTURHs
LICENSED AS REQUIRED BY LOB ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AB THE LEGAL OWNEI We
R OF THE ABOY6 pOyyHR
DESCRIBED RESIOERTgL PROP I
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTHH FINAL
&OHN Aj."BIE. ATION AlU7R—CW7
UNITY SINGINUMPt CK YO DARN 8 ERVISING ELECTRICAL IMOINVIER
fr-2287D; SEP13 21 49.55 R
r
TEAC[B CEBOB HD$. APPLICATION FOR ELECTRIC PERMIT
BUILDING AND SAPEPY DIVISION
fHPGrim/IIt of County Enginew DU MING
County oflos AngelesL. ADORE89
JOHN A A IE. COUNTY ENGINERR
CASSATTD GRIF'FiN SUPTOFBUHAINo LOCALITY
FOR APPLICANT TO FILL IN a oR�SIT
PE Udff PEES
LIGHTS RaC[IaACLES SWITCH" OWNER
NUMBER 1 T N EACH P[[ MAIL
TOTAL OUTLETS 111 10
10 s
ELEC SAMaQ MATaR HEATERS CITY NO
CLOTHES DRYERS Do ELECTRICIAN
RUC SrAQ HEATERS, RAT Y COO[
Ina UNITE DARSAGR DISPORERS AODRBHH
AUTO WASq[RS DISHWASHER 215
LIGHTING FIXTURES 10 CITY 6 TEL NO CIO19
MOTORS STATE '
LICENSE NO
HORSEPOWER
H P I OVER INC Di5TRICT NO JUKULIVI ZONE I READY FOR u[rarnon
A A LEER 23
2 DDJAPPLICATION
INSP=0N B=BD
2 D 100
D ID 1 DO
ID DO 250
DO 200 D 00
MIEC
SIGNS NO TRANS
NO LAMro
SERVICE O-DOOV 100
SERVICE OVER DOOV D 00
WIRING PERMIT 1 OO
FIXTURE PERMIT 100 1
SUPPLEMENTARY PERM IT DD APPBOVALS
TOTAL FEE DATE INSPECTOR 8 SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 XAYR.READ THISAND STATE THAT THE ABOVE IS CORRECT ANDAGREONDUIT
WITH ALL COUNTY ORDINANCES AND STAYS LAWSELECTRICAL WIRING IRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTIXTURES 'I
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 10 It1
CALIFORNIA OR THAT 1 AM THE LIMAlt OVNBR F THE ABOVE POWER
DESCRIBED RESIDENTIAL PRO I
SIGNATURD UTILITY CO NOTIFIED
OF,PERMITTEE FINAL
JOHN A "BIB A'fION ARTHUR C VEIT
YNTY OINdm CN O wN SUPERVISING ELECTRICAL ENGINMM
M22,88M 5EP13 2 2.00 R
Tca /LFr eg,7)7 ' 17
76A663-CESO6160 APPLICATION FOR ELECTRICAL PERMIT `IiJI
COUNTY,t)F LOS ANGELES
DEPARTMENT'OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESSO
JOHN A LAMBIE COUNTY ENGINEER o
COLEMAN JENKINS, SUPZRINTKNDENT OF BUILDING LOCAL
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NO IEAcF FEE_
ftECEPT_ $ OWNifeoeAe
MAIL
LIGHT TOTAL FIRST 20 20 ADDRESS
SWITCH_ OVER 20 10 TEL N .PZ Q O
PLANCK
LIGHTING TOTAL FIRST 20 20 APPLI NT
FIXTURES OVER 20 10 ADDRESS
RANGE—DRYER_WTR HTR _ CITY JrEL NO
STA COOK—DISP F A U CONTRA
SPACE HTR —AIR COND ADDR
CLOTHES SHW H TEL NO
FAN THE 1 1 00 a LICENSE NO CLASS
MOTORS FORMERS RATING
]NO HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PPLICA ION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE 15 CORRECT AND AOR TO CO PLY
WITH ALL COUNTY ORDINANCES AND STATE LA S OU TING
ELECTRICAL WIRING
0 - 1 00
I HEREBY CERTIFY THA I AM MOPE LY R GISTE ND/OR
1 - 10 3 00 LICENSED AB REOUIREO LOS ANO C TY ST TE OF
CALIFORNIA OR THAT TH G�.L O N N 1 INT NO TO
10 - SO 6 00 RE910f IN THE E IfEO ENTIRE PR ERTY
SO - 100 10 00 SIGNATURE V
OF PERMITTE
100 - 500 I5 00 DISTR T GR P Z NE PR ESS Y mommiiiiiN 0
SIGN GAS SIGN AND ONE CIRCUIT 3 00
TUBE A
d
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES Z
SERVICE NOT OVER SOD VOLTS OR 200 AMP 2 DO
SERVICE OVER 600 VOLTS OR 200 AMP S 00
TEMP SERVICE POLE &APPURTENA 3 00 APPROVALS DATE INSPECTOR S SIGNATME
O O
O
i TEMP POWER POLE
UNDERSLAB WORK i
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL)
FIXTURES
PLAN CHECK FEE (50% PERMIT FEET
POWER AUTHORIZED
PERMIT ISSUING FEE 200 07 O UTILITY CO NOTIFIED `
SUPPLEMENTARY PERMIT ISSUING FEE100 FINAL i
TOTAL FEE Q7 JOS PN IC ROOHAN
SUPERVISING ELE AL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M o CASH
LjLb772�— OCT 9 2 D 6.00~
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE +_tJZ'GG✓/•✓
CIR➢OA II an APPLICATION FOR ELECTRIC PERMIT 1
DMSION OF BUMEIMG AND SAFETY
Depwbnmzt of Co" lkHtRttr BUILDING
Co�t� ADDRQS: 7 2O
JOHN A LAAiB 6.C.OUE GIN�t
CASSATT D GRIPFIN SUP T OF BUILDING Lor L tS exx-
FOUR A�PpLIF�T TO FILL IN NIIAR�
CROSS ST
NUMBER OWNER �'���-S 120 Ae. c /
LIGHT OUTLBTB MAIL
RHCLT'TACLE: ADDRESS
WALL SWITCHES P86 CRY L5 yB .t IL NO
TOTAL OUTLETS so ELECTRICIAN&� Pic GOA/cSi
BLEC RANGES IID
ADDRESS
ELEC HEATERS IIa
KW BA CITY � TEL.NO S
STAT B
PDCTURQH p LICENSE NO
MOTORS DISTRICT NO G O1 Z N AuuT MR INSPICTION ,
NITMGKR HORSEPOWER PEQ
NA MVD HP oYRR DIG MACH
s LRtlR IIB BVSPFCT. ION BECOBD
s
so
s e + o0
p to + DO
tp a0 II DO
50 II00 6 00
N ISC
NO BIONS NO TRAMS
NO BION: NO LAMPS
FOR EACH PERMIT
WIRING of 00
FDCTUREH 100
BUPPLPME Ry
a0 AMOVJM
TOTAL FEE t DATE INSPECTOR S SIGNATURE
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LO! ANGELES COUNTY STATE OF
CALIFORNIA OR TH AM THE LEGA ER XE ABOVE POWER
DESCRIBED RESID IA PRO TT
SIGNATURE UTILITY CO NOTI RIED
OF PERMITT FINAL
JOHN A LA E,COUNTY ENGINEER ]�TtO1� ARTHUR Y ,CHIIDI 6LHCT.
CQ o CNH
2 0 avut 14 '2 A 2.00 n
it
76Ae6B CE B06(II /7e) APPLICATIO OR ELECT _ _ L_ E_RMIT_ _
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN �pB
New Residential Bldgs &Pools EACH NO FEE --
I &2 Family Sq Ft S 025 — $ LOCALITY '117—v_
-
Multi family Sq Ft 02 N 55 ST
Residential Swimming Pools 2500
tWN
!�� FI �J
Outlets RecK/ /LighI. QMAIL _ _
Firstst NAM
20 50 ADDRE O
Taal No ir/� Additional 30CITY L3 C TeL No
APPLICANT
Lighting Fixtures fust 20 50 ADDRESS
t
Addiional 30
Tocol No CITY Tel No
Fixed Appliances Not Over I HP PERMIT
Ron –T C --
a APPLICAN1 7,
g �Heater—D W
"Oven=Dryer_W M_ ADDRESS
Top _FAU _ WH _ CITY !/ < _ Tel No S 3
Hood_Fan _Other LICENSE OR —
Drip _Room Au Cond 250 REG NUMBER" Class G 1O
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances _ TION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO
Srz &Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY'ORDINANCES AND STATE LAWS
qq 250 po REGULATING ELECTRICAL WIRING O
O
_ 'ice v r I Ind _ I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR -W
Over 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF W
Over 10 to 50 Incl. 1250 - CALIFORNIA OR THAT LAM jHE LEGAL O R OF TKE.ABOVE . O
Over 50 to 100 Inc 2500 DESCRIBED RESIDENTIAL PROPERTY FyW
—L— Over 100 4000 .� PER ATU --
Servues - RI O - P
0 200 Amp Under 600 V 12 50
-201 1000 Amp Under 600 V 2500
Over 1000 Amp or Over 600 V 5000 �t_ -/�&
Temp Power Pole&Appurtenances 1000 elIa.; a6-
Sign with One Branch Circuit 1000 f _
Additional Sign Branch Circuits 2 DO INSPECTION_ >
Misc Conduits&Conductors 1000 INFORMATION
Other(See Complete Fee Schedule)_ ON REVERSE
SIDEv 8$$7 A
- _
q . . . . . 2
2 . 11050
PERMIT FEE (Sub Total) _ _ • • 1 1 0 5 0 6
PLAN CHECKING FEE (One Fourth Permit Feel
ci= GGQ 0205-80
PERMIT ISSUING FEE $700
TOTAL FEE Q,30 >
INSPECTION FINALED
daY � ®s
sign
76AG*3-C¢000- 37 APPLICATION FOR ELECTRIC PERMIT 1'
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
I FADDRESSDING tT
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE.COUNTY ENGINEER
CASDATT0 GRIFFIN.BUTT OF BUILDING LITY LEFOR APPLICANT TO FILL IN eiPER= FESS
LIGHTS N¢clrtweLu SWITCNEW ER S
Nu a MAIL �C+
ADDRESS O�
TOTAL OUTLET! f f0 f
ELIC RAN GIS WATER HEATERS CITY TEL NO
cLDTHES DRYERS DO ELECTRICIAN
ILEC SPACE HEATERS STAT Y COO[
IRE UNZTS RAREAOE DISPOSERS ADDRESS
AUTO WASHERS DISHWASHER 25
UGHTIXG FIXTURES 10 CITY TEL NO
MOTOR! ATE
LIC NSE NO 127087 C-10
HORSEPOWER STR�1((``TT d N / READY FOR UISPECTION
HP OVER INC S Aw -
G LEL 25 „S
— 2 ao INSPECTION HECOHD
2 a 100
D 15 ISO
f6 00 250
DO 200 500
YIWC
2 SIGNS NO YRANW
NO urn
SERVICE O-fOOV 100 d
SERVICE OVER BOOV DOB
WIRING PERMIT 100 PO
FIXTURE PERMIT 1 00
SUPPLEMENTARY PERMIT 00 �I APPROVALS
TOTAL FEE f N DATE INSPECTOR 9 SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LIGATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING i
1 HEREBY CERTIFY THAT I AY PROPERLY REGISTERED AND/OR pIXTUREB
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA 0 THAT I AN TH LEG L 0 W THE ABOVE POWER
DESCRIBED R DEN PROP
SIGNATURE UTILITY CO NOTIFIED
OF PER YI FINAL
iIOHNA LAMBIE. VALIDATION ARTHUR VETT
a NTT eNNO1N-R Q ISO cAaa SUPERVISING ELECTRICAL ENGINKSM
L�0 0 9'2m Jm 3 2 A 4.00 pi
- mF
. r WORKERS COMPENSATION DECLARATION 70AE83 0,91 8MAPPLICATION FOR ELECTRICAL PERMIT
assCE {�
I(hereby affirm that I have a certificate of consent to salt assure Ll
�w a certificate of Workers Compensation Insurance ora carried COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof(Sec 3800 Lab C)
Policy No Company, FOR APPLICANT TO FEL IN JOB
Certified v
_
copy a hereby furnished New Residential Burps 8 Pods EACH NO FEE ADDRESS
❑
Certified 1 8 2-Famnly, Sq Fl S — $ LOCALITY /� .
copy a filed vnth the county allbinig inspection NEAREST
department Multi-fainly Sq Ft CROSS ST
Date Applicant Reardenhal Swimmuq Pools Ow'NER
FlRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS artles Rec Light —Sw —
COMPENSATION INSURANCE D ADMAIL S p
(This section mod not be completed if the work Imtv
oed by the Fret 20
Total NO Atlddcrie
permit Is for one hundred dollars($100)or lees) l CITY �K Tel No
I certify that In the performance work for which the permit PLAN CHECK
e d th
APPLICANT
s ensued I shall not employ arty, person in any, manner so as to
become sublect to the Workars Collpermaton Laws Lghhng Fixtures First 20 ADDRESS
.n. Total No' Additional CITY Tel No
Date 1i-2� �� Applicen rA L �t Fixed Appliances Not Over 1 HP PERMIT '
NOTICE TO APPLICANT If after makmp the Certificate of APPLICANT
Exemption you should become subject to the Workers Compensation Range— Hester_ DW _
fi ms of the Labor Code you must orthwmth comply oath such Oven _ Dryer _ W M _ ADDRESS
prowwms or the pemut shall be deemed revoked Top _ FAU _ WH _ CITY Tel No
LICENSED CONTRACTORS DECLARATION Food — Fan _ Otter_
I hereby affirm that I am Licensed under provlsiore of Chapter 9 Dep _ Room Air Cppd REaNWUMORClay ��
(conmenang with Section 70DO)d Drvecn 3 of the Business and
Profesarons Code and my license Is in full force and effect Power Apparatus 8 Large Appliances DISTRICT NO "ROCIQ E D BY
7 �-1 �/� Size 8 Type HP KW KVA or KVAR �/ V
License Numberr/+ LS -3� Lc Class M( Up to 1 Incl FINAL
— Ovar 1 to 10 191
Oyer 10 to 50 IndI am exempt undover so ro 10o Incer Sec
BBPC for the 100 itis reason Tn
Date
Servicen Swbd MCC d Panelboerds /C-az
►
0-200 Arta Under BOO V i
Signature 201 - 1000 Amp Under 800 V i f
Over 1000 Amp or Over 600 V t
Exemptm for Reg Maim Elect
SINGLE FAMILY Temp Rower Pole d Appurtem aces
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
affirm that I em exempt from the Contractors License Lew Additional Sign Branch Circuits ACCT.r
folowing reason(Section 7031 5,Business and Professors
Mlsc Conduits 8 Conductors
2a �
I es owner of the property yell M the(Section
and the Business
s not intended or offered for sale (Section 7044 Business OMer(See Complete Fee Schedule)
aM Pmfessions Coda)
CONSTRUCTION LENDING AGENCY
affirm that there is a corstructon lending agency for the
of the work for which firs permit is Issued(Sec 3097 PERMIT FEE (Sub-Total)
PLAN CHECKING FEE L 1 TEK3
PERMIT ISSUING FEE 1 Ql 28. -50
TOTAL FEE �O C 28.50
have read the application and state that the above l+Ltnkc-r.
orad I agree to comply with all County ordinances L r a'uwL
regulating Electncal wmnng and hereby auticnze
of the niy to upon the above-mentcrod
t SEE REVERSE FOR EXPLANATORY LANGUAGE 21 7/89
11-.26'66 1 1 AM 9:31
Fit" Data
10N
r•• , amthatWORKERS have
a certificate
of consent
7eAeaa 10,91 APPLICATION FOR ELECTRICAL PERMIT {�
I iereby, affirm that I have fl certificate of consent to self msure �so90 u
one cerWicate of`Workers Compensation Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof(Sec 3800 Lab C)
Policy No Comparry, FOR APPLICANT TO FILL IN JOB
❑ Certified copy ua hereby furnishedEACH NO FEE ADDRESS Resdemel Brigs &Pools
❑ Certified Copy m filed with the county budding inspection 1 & 2-Family Sq Ft $ — $ LOCALITY
department Multi-family Sq Ft — NEAREST
CROSS ST
Date Applicant Raexlentel Svnmming Poo OWNER OR elk
FlRM NAME
CEFMFICATE OF EXEMPTION FROM WORKERS Outlets Rec� Sw MAIL
Lght ✓d
COMPENSATION INSURANCE &DIXiE99
(Thiseectbn need not be completed M the work involved by too First 20
Total No AdditonalMIR Td No
permit Is for one hundred ddlers($100)or leu)
I cerhly that in the performance of the work for which the permit PLAN CH CK
m issued I shell not employ any person in any manner eo as to PPPUCANT
become subject to the Workers Campo ton Lighting FaW First 20 ADDRESS n e
Total No Adddwn�
ApplK:ant lAl a CITY Tel No
NOTICE TO API5UCANT M aftg meWng lis Certiflcare of Fixed Appliances Not Over 1 HP PERM
Exemption you should become subject to the Workers Compensaton Range— Heater— DW _ APPLICANT
proweorm of the Labor Code you must fortirmth comply with such Oven — Dryer_ W M — ADDRESS
prwesarm or the Permit shall be deemed revoked Top — FAU _ W H
UCENSED CONTRACTORS DECLARATION CITY Tel No
I hereby affirm that I am licensed under OM — Fan Other_
prowsf to at COR
(commenting with Section 7000)of Orvmxn 3 of the&rsneest and Dmp — Roan Air Condi REaIZ,eeR ,A5CL-'
Professors Code and my license a in full force and effect Power Apparatus& large Applences DISTRICT NO PFQPEAED BY
Sue&Type HP KW KVA or KVAR
License Number Is 3 3LTC Class _/0U
�( Up to 1 Incl FINAL
CcntractgQS9z K"�Data Over 1 to 10 Incl DAA JZ l VALIDATION
13 Over 10 to 50 Incl FINAL - 0
I am exempt under Sec Over 50 to 100 Inc W
B&PC for the reason Over 100 IL
Date Services Swbd MCC&Panelboerds CnZ
0- 200 Arg Under 600 V
Signature 201 - 1000 Amp Undar 600 V
❑ ExaOM 1000 Amp « Over 600 V
mpton for Rep Maim Elect
SINGLE FAMILY Temp Power Pole & Appurtenances 2
HOME OWNER-BUILDER DECLARATIONS7- s
I hereby affirm that I am exempt from the Contractors License Law ign with One Branch Circuit f�l.I t
f« the folbwng reason (Section 7031 5 Busmass and P(olessnns Additional Sign Branch Circuits 7,'17 G'
Code) Ste- .ti.50
Mac Conduits& Conductors t UPC
13I as pwnof the propeworkrty rll do the wk and the structure Other (Sea Complete Fee Schedule) ► f� AL SZ3
m not am «
ended offered f« sale (sector 7044 Business ,��. 0
and Professions code) CF'EC? 4a.`0
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the CI':� ,Q[(
performance of the work for which the permit m esued(Sec 3097, PERMIT FEE (Sub-Total)
Civ C)
PLAN CHECKING FEE CI-r^or'�C 1 Inn
Lenders Name
PERMIT ISSUING FEE Q �,�� �, r 3-21t
Larder Address
1 certify that I have read the appLcaton and state that the Bbove TOTAL FEE
[ information a correct I agree to comply with all Coumy, ordinances
and State lays regulating Electrical wring and hereby authorize
Tmaims of the Courdy o enter upon the above-mentioned
y for umI" ^ SEE REVERSE FOR EXPLANATORY LANGUAGE
a l,t� q �Zr'SSr(�C
FSg 1 Date
WORKERS'COMPENSATIONDECLARATION CE-806G (2801
CEEAPPLICATION FOR ELECTRICAL PERMIT
1 hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY
insure or a certificate of Workers'Compensation Insurance,or 7, i
e gertified copy thereof(Sec 380�0,Lob C)
T/ t71 F//i�� �y t�D FOR APPLICANT TO FILL IN JOB La
he§No RCL Company l_J'Tii'If C f V ADDRESS
New Residential Bldgs &Pools EACH NO FEE
Certified copy is hereby furnished' 1 &2 Family,Sq Ft $ — 6 LOCALITY
IN Certified co Multifamily Sq Ft
NEAREST
r\ copy n filed with the county budding inspection CROSS ST
department Residential Swimming Pools OWNER OR �`
nLI //n��/{ IR71nO 1 FIRM NAME l7 /�
Ini
Dat Applicant /'1 f'1 /( r JV L.l Outlets Rec_Light Sw _ MAIL 0 I
first 20 ADDRESS
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITU TN No
COMPENSATION INSURANCE PLAN CHECK d
(This section need not be completed tf the
Im
work ohnd APPLICANT 8
by the permit a for one hundred dollen (f I00) or less) Lighting Fixtures First io ADDRESS v
Total No Additional C
I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tat No 0
Range—permit is issued, 1 shall not employ any person in any manner PERMIT I _
so as to become subject to the Workers'Compensation Laws Rae_ Heater_D W _ APPLI ANT ts�1 INC,La
` Oven _ Dryer_W M _ ADDRESS (n t 2
Data Applicant Top _ FAU _W H
Hood _ Fan _Other_ CI7V ATA No 2,15-3175
NOTICE TO APPLICANT If, after making this Certificate of Disp _ Room Air Cond_ CEN ��
Exemption you should become subject to the Workers' RE N MBER %229CIm 20
Compensation provisions of the Labor Code, you most forth- Power Apparatus 8i Large Appliances DISTRICT NO PROCE ED BY
with comply with such provisions or this permit shall be
deemed revoked Size&Type HP KW, KVA,or KVA ` d
Up to 1 Incl INAL J
Over 1 to l
50In ° DATE �� 2. �3 VALIDATION
LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 1D Inc FINAL //--
9 (commencing with Section 7000)of Division 3 of the Bun Over 100 BY ��
ness and Professions Code and my license a in full force and
effect Services
License Number Lrc Class O-200 Amp Under 800 V S2 L
201-1 ODD Amp Under 800 V r 3 8 8 7 A
Contractor Date Over 1000 Amp or Over 800 V
HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances
Sign with One Branch Circuit 2 • • 2 Q rJ
I hereby affirm that 1 em exempt from the tAdditional Sign Branch Circuits
Ciccone taw for the following reason (Section 7031031 55, Busi LLn • • • 24,505
ness and Professions Code)
Misc Conduits&Conductors 07,22-83
E] 1, as owner of the property, will do the work and the Other(See Complete Fee Schedule)—
structure is not intended or offered for sale (Section
7044,Business and Professions Code)
CONSTRUCTION LENDING AGENCY '
1 hereby affirm that there u a construction lending agency
for the performance of the work for which this permit is PERMIT FEE (Sub Total)
issued (Sec 3097 Civ C)
Lender's Name PLAN CHECKING FEE (One Fourth Permit Feel
Lender's Addreui
PERMIT ISSUING FEE O
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 and State laws regulating Electrical winng and
hereby authorize representatives of this County to enter upon
ove me tied r fof inspectioonn p rp s SEE REVERSE FOR EXPLANATORY LANGUAGE
hr Wttyvw /
Signature o Per tee I pate