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Home My Public Portal About6326 ROSEMEAD BLVD_Electrical__ 7GA663-CESO67-5 8 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER fl3UILDING p y 2 yt O p pu`i BUILDING AND SAFETY DIVISION DDRESS JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING OCALITY FOR APPLICANT TO FILL IN EAREST J PERMIT FEES CROSS ST. I T E M NUMBERI EACH FEE OWNER +�: C. � S G OUTLETS: $ $ MAIL (� r LIGHTS RECEPT. SW. .10 ADDRESS E9$ ^s•w g �� 1> CrU LIGHTING FIXTURES .10 CITY *—r-.Qw .c C,* TEL. NO. ELEC..RANGES CLO. DRYERS ELECTRICIAN W A T E R H EATERS .50 ADDRESS 9 6 2 S, ELEC.SPACE HTRS. DISHWASHERS CITY MO.MR 6 V'J? TEL. NO.&L— c� GARBAGE DISPOSERS AUTO.- STATE { G I WASHERS STA. COOKING UNITS .25 LICENSE NO. L 6 I MOTORS: OVER INC. H.P.— 0— +/i 25 DISTRICT NO. G OUP ZONE PROCESSED BY . .r vz— 2 so INSPE ON RECORD 2— 5 t.0o 5— IS 1.50 15— 50 2.50 50-200 5.00 SIGNS: NO. PR*NS. NO. LAMPS / � + SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE APPROVALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES _ CALIFORNIA OR THAT 1 'M THE LEG ��OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL O ERTY. SIGNATURE _ UTILITY CO.NOTIFIED , OF PERMITTEE q ��// y FINAL ''S '7 /�•1 1,1a�A11.'u,.. LIDATION AR H U R C. V EIT, cK MO CASH SUPERVISING ELECTRICAL ENGINEER 4225 MAR, 30 2 A 2.00 / r 76A663-CE806 8-62 APPLICATION FOR ELECTRICA/ PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST BUILDING AND SAFETY DIVISION Ccs �d 7 JOHN A. LAMBIE, COUNTY ENGINEER �f WILLIAM A. JENSEN, SUPT OF BUILDING FOR APPLICANT TO FILL IN . RECEPT, TOTAL NO. EACH FEE OUTLETS FIRST 20 $.20 $ OWNER LIGHT MAIL 19,1/1�� ADD'L 1O ADDRESS J �( SWITCH. OVER 20 _ LIGHTING TOTAL F)RST 201 ,20 CITY r-_ TEL. NO. FIXTURES } I ADO'L 10 ELECTRICIAN G 'd5 /1 e,- Al OVFR 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK le CITY cle TEL.NO. p DISHWASH. AUTO.-WASH. STATE C� SPACE HTRS. STA.APP.('/z H.P.MAX.) ,50 [LICENSE NO. l/ MOTORS: OVER NOT OVER H.P. DISTR�ICjT,,NnO.[, G ODUP ZONE PRO E BY O 1 1.00 C� Gf (� - G 1 3 1.50 INSPECTION RECORD 3 8 2.00 8 15 F2.515 50 50 f 00 0 SIGNS•! NO.TRANS C NO.LAMPS O N SERVICE 0.600V-Nor OVER 200A 1.00 W D- SERVICE 0.60OV-OVER 200 A. 2.00 N z SERVICE OVER 600V 5.00 — MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE. $ t 1 HEREBY ACKNOWLEDGE THAT 1 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 1 HEREBY 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 IG" /NIDATION ARTHUR.C. VEIT CV//MO CASH SUPERVISING ELECTRICAL ENGINEER l�r�/Lj�o3 2 6 4 DEC 6 2 D 4.00 APPLICATIO FC ELELECT I AL PERMIT 76A663-CEtO6 9=`�, COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER euILDiNG 3 BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE $ $ OWNER RECEPT._ MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS SWITCH_ OVER 20 .10 CITY TEL. NO. LIGHTING �TOTAL FIRST 20 .20 CONTRACT RFIXTURES OVER 20 .10 ADDRESS ..� RANGE—DRYER—WTR.HTR._ CITY TEL. NO. STA.COOK OISP.—F.A.U.— LICENSE NO. ` SPACE HTR. AIR COND. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH._DISHWAS H._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. FAN-OTHER 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSEDAS RED IRED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE AB E DES RI BED. RES IDE NTIAI��•PR OPERTY. SIZE & TYPE OVER TO S IGNATURE O - 1 1.00 OF PERMITTEE r 1 - 10 3.00DIST T . GRaUP ZONE PRO ED BY U 10 - 50 5.00 6,,1-214!5 '� z— cz O 50 - 100 10.00 NOTES: t) W 100 - 500 15.00 O. h TUBE, A SIGN AND ONE CIRCUIT 3.00 MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT ISSUING FEE 2.00 WIRING FIXTURES SUPPLEMENTARY ISSUING FEE 1.00 POWER AUTHORIZED PERMIT FEE UTILITY CO.NOTIFIED PLAN CHECK FEE (50% PERMIT FEE) FINAL TOTAL FEE JO E H C. ROOHAN SUPERVISING ELECTRICAL EIN PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH .LAUo 5 3 7 2 JUL g 2 0 5.0 0- SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 41 tvp 76A663-CEe061.68._ APPLICATION FOR ELECTRICAL PERMIT0 `COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS D U COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING. LOCALITY Vyl fe NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACHI FEE _j '' )' $ S OWNERS RECEPT.� MAIL LIGHT t,I,{P TOTAL FIRST 20 1-l./ .20 ADDRESS SWITCH�LI OVER 20 .10 CITY TEL. NO. PLAN CHECK LIGHTING TOTAL FIRST 20 .20 �� APPLICANT f FIXTURES OVER 20 .10 ADDRESS RANGE_DRYERWTR.HTR._ CITY TEL. NO. STA.COOK_DISP. F.A.U.- CONTRACTOR C 65� & feces Gor SPACE HTR. AIR CON'. t ADDRESS Q fFe CLOTHES WASH._DISHWASH._ CITY ,�/ TEL. NO. FAN-LOTHER 1.00 Od LICENSE NO. CLASS. MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. O - 1 1.00 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF } CALIFORNIA OR THAT I AM THE LEGAL OWN OF, NO INTEND TO d. 10 - 50 5.00 RESIDE IN, THE ABOV 'S CRIf',ED R I�7 NTI L PR P RT Y. O SIGNATURE _V 50 - 100 10.00 OF PERMITTEE _ , 100 - 500 15.00 DIS�T+RIC, NO.LGRyOUP ZONE PR S ED BY U SIGN,GAS SIGN AND ONE CIRCUIT 3.00 �J /� -2 "'2 W TUBE, OR 0- MARQUEE gDDITIONAL CIRCUITS 1 .00t/ Z NOES: / �� t G- _ SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT C� PERMIT FEE (SUB TOTAL) / �® WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 00 UTILITY CO.NOTIFIEDI SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL (� TOTAL FEE 10 30 JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH LACO 5 2 6 6 JUN 2 8 2 D 1 0.3 0 N Q IEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE WORKERS'COMPENSATION DECLARATION CE- 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, CE-806G or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec;3800,Lab. C.) )' Policy No. Company r_~�� FOR APPLICANT TO FILL IN JOB p ` copy is herebyfurnished. EACH NO. FEE ADDRESS 15 New Residential Bldgs.& Pools /� ❑ 1 & 2-Family, Sq.Ft. $ _ $ LOCALITY �.—W ! i Certified copy is filed with the county building inspection department. Multi-family Sq.Ft. CROSS ST.NEAREST 4 2-23 —— �f�'�' g OWNER OR t /L-G' Date Applicant Residential Swimming Pools � C ' a FIRM NAME M J6 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec— Light Sw. — MDDAIL �� 0 /��. COMPENSATION INSURANCE ARESS This section need not be completed if the work involved b the First 20 ( y ^ Total No. Additional CITY Vll� �0 „Tel.No. �` permit is for one hundred dollars ($100)'or less.) CHECKPLAN I certify that in the performance of the work for which this permit APPLICANT is issued. I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRES Z 3 ��^�r� uj�7 AdditionalL� Total No. CITY Tel.No. 7� Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT provisions of the Labor Code, you must forthwith comply with such Oven_ Dryer _ W.M._ ADDRESS tivc� provisions or this permit shall be deemed revoked. Top FAU _ W.H. CITY Tel.No. Hood Fan Other_ LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR (commencing with Section 7000) of Division 3 of the Business and Disp. — Room Air Cond. REG.NUMBER /��/ Class. Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT N PROCESSE Y / Size& Type HP,KW,KVA,or KVAR License Number/^ Lia Class Up to 1 Incl. FINAL U Contr C �� f ? ✓ Over 1 to 10 Incl. DATE O Date 3 VALIDATION Over 10 to 50 Incl. FINAL VAIwo I am exempt under Sec. Over 50 to 100 Inc._ BY W B.&P.C.for this reason Over 100 Services,Swbd.,MCC& Panelboards ® 2 N Date: 0- 200 Amp. Under 600 Vg Signature 201 - 1000 Amp.Under 600 V A�'�I.7 ❑ Over 1000 Amp.or Over 600 V 3307 33.00 Exemption for Reg.Maint.Elect. �i SINGLE FAMILY Temp.Power Pole& Appurtenances 1 ITEM 13 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit OAU ILLTOTAL lTAE ,_per. 00 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits JJ CHECK c:o _CII Code): � Misc.Conduits & Conductors CHANGE .UC F-1 I,as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). 0000-0001 712 4I9E+ CONSTRUCTION LENDING AGENCY Mi I hereby affirm that there is a construction lending agency for the 20281 1 AM10:51 performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the above TOTAL FEE information is correct. 1 agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sig a ure o errp+t a �� Date