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HomeMy Public PortalAbout6340 ROSEMEAD BLVD_Electrical__ -- �_;� WORKER'S COMPENSATION DECLARATION 76A663 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT 1 hereby affirm that I have a certificate of consent to self insure, o-a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Seg, 3800�ab.,C.)� L ai,Policy Ido. _ Company FOR APPLICANT TO FILL IN JOB ADDRESS ,� ADDRESS O /-ClSe1Ae,,E- Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY Certified co is iled with the cou uil n in. ection 1 &2-Family,Sq.Ft. copy 9 P NEAREST depar ent. Multi-family Sq,Ft. CROSS ST. Date /_�&plican Residential Swimming Pools ASSESSOR PAGE PARCEL CERTIFICATE OF EXEMPTION OM WORK Outlets:Rec.-Light Sw. FFIWNER OR IRM NAME COMPENSATION IN RANCE First 20 (This section need not-be complete if the work involved by the ADDRESS permit is for one hundred dollars($100)or less.) Total No. Additional I certify that in the performance of the work for which this permit CITY7 Ile 4i Tel No. is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to tie Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, ou must forthwith com I with such PERMIT �A= may' p y p y Power Apparatus&Large Appliances APPLICANT /57V& �'�Ci provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS p(' �—y�y�d ` I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000) of Division 3 of the Business and CITY A'L IM Tel.No. (/ Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. / } LICENSE ORj O Class. /} Over 50 t0 100 Incl. REG.NUMBERBER ( 'E CL Over 100 DISTRICT NO. EO O SSED BY U License Number J ( Lic.Class _ O cc/QQ Services,Swbd.,MCC&Panelboards •�O l/L'��s�- Contractor f sa��Date 0-399 Amp. Under 600 V DATEE � 1 (� �G'�/— O ❑ I am exempt under Sec. 400-1000 Amp.Under 600 V VALIDATION W Over 1000 Amp.Or Over 600 V FINAL a B.&P.C.for this reason BRANCH CIRCUIT FEES By g (n Date: 15A,or 20A, 120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits El Exemption Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits 3303 3 3 •f p 10 SINGLE FAMILY Temp.Power Pole&Appurtenances ,�uj Cl.� 1?7 0 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 1 iTCI t I hereby affirm that I am exempt from the Contractor's License Law t for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits TOTAL 1'"9 m 10 Code): �Lt� t ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors CHECK 129` n -yi is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) Poo. .00 and Professions Code). CONSTRUCTION LENDING AGENCY �t fF i -, I hereby affirm that there is a construction lending agency for the GOOD—`001 AM performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) `) 6684 1 AM 7 n V5 Civ.C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE a7 p Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above' ation is correct. I agree to comply with all County ordinance d State aws regul g ctrical wiring,and hereby authorize repre tatives of is Cou5V� the above-mentioned property for' spectio p poses. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATUR7 PERMITTEE DA WORKERS' COMPENSATION DECLARATION -666 10/61 CE-806G APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that) have a certificate of consent-to self insure, CE or'a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3�1 ✓/I800,Lab. C.) GrA?6-Fun1D Policy No:1�4"S Company FOR APPLICANT TO FILL IN JOB �h Certified copy is hereby furnished. New Residential Bldgs.& Pools EACH NO. FEE ADDRESS b N El Certified & 2-Family,Sq.Ft. — $ LOCALITY. Certified copy is filed with c uilding I ection $ — 11�5WLe C4 dep rtme t Multi-family Sq.Ft. NEAREsr _! n� CROSS ST. I&C 2OStm0vD BW O Date plic Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FRO WORKERS' Outlets:Rec— Light Sw. MAIL ./ COMPENSATION INSURANCE ADDRESS 540 • (This section need not be completed if the work involved by the First 20 & .permit is for one hundred dollars.($100)or less.), Total No. Additional CITY O ewn Tel.No. I certify that in the performance of;the work for which this permit PLAN.CHECK V,,, �• � � �� 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 ADDRESS 10 Additional Total No. CITY .r, ' TeL No. f Date Applicant . Fixed Appliances Not Over 1 HPPERMIT NOTICE TO APPLICANT,: If, after making this Certificate of Exemption,you should become subject to the•Workers'Compensation Range_ Heater_ D.W. _ APPLICANT S I KI p V5 Pi provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer W.M._ ADDRESS IZO D provisions or this permit shall be deemed revoked. Top — FAU _. W.H. _ CITY -f t -4 f SJZ Tel.N 2- LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ LICENSE OR I hereby affirm that I am licensed under.provisions of Chapter 9 Disp. — Room Air Cond. (commencing with Section 7000) of Division 3 of the Business and REG.NUMBER Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT 114,0. PR ESSED �'�6 571032 6_4S__ . ` � Size& Type HP,KW,KVA,or KVAR (A— U License Numb '�— Lic. Class Up to 1 Incl FI AL / '- Over 1 to 10 Incl. DA / VALI TION Contractor Date Over 10 to 50 Incl. V ❑ I am exempt under Sec. Over 50 to 100 Inc. . Y r W B.&P.C.for this reason Over 100' x Z Services,Swbd.,MCC& Panelboards Date: 0- 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY 7Additional er o 3 t�Circus '} HOME OWNER-BUILDER DECLARATIO One Bran1, i I hereby affirm that I am exempt from the Contractor's w , A �o for the following reason (Section 7031.5, Business and Professions Sign BranEQ p Code): 3307 97.00 ElMisc.Conduits & Conductors I,as owner of•.the property,will do the work and the structure 1 DENS is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). ® TOTAL 97„O0 CONSTRUCTION LENDING AGENCY CHECK 77.0'* I hereby affirm that there is a construction lending agency for the performance of the work.for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) CHANGE. aIU Civ.C.). PLAN CHECKING FEE Lender's Name % 3. _ 0000-0001 7/20/90 PERMIT ISSUING.FEE Lender's Address 1947 1 AM 8:15 I'certify that I have read this application and state that the above TOTAL FEE ,�^� information is correct. I agree to comply with all County ordinances G V and State_jau43 regulating Electrical wiring, and hereby authorize "' t re n Is o enter upon the above-mentioned r spection pu SEE REVERSE FOR EXPLANATORY LANGUAGE Signature I tee Date WORKERS'COMPENSATION DECLARATION 76-663 10/81 APPLICATION FOR ELECTRICAL PERMIT JJJ777 I hereby affirm that I have a certificate of consent to self insure, CE-606G or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof e (SScrQ3800,Lab.���C/)).)_O�� t�i� ✓r_��w Policy No. Q (/ ofipany �!fS arv+�`� FOR APPLICANT TO FILL IN JOB E' Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE ADDRESS r-1 Certified & 2-Family,Sq.Ft. $ — $ LOCALITY Certified copy is filed with the county building inspection NEAREST department. Multi-family Sq.Ft. CROSS ST. Date �`0 Applican Residential Swimming Pools OWNER OR �jA/ �,./ FIRM NAME CERTIFICATEMAIL CO PENSATIONI INSURAO CE N FROM WORKERS' Outlets:RecC� Light/3� Sw. ADDRESS 4000 1*h#C. 11—T1W4f S&;i!� 70100 (This section need not be completed if the work involved by theFirst 20 EF permit is for one hundred dollars ($100)or less.) Total 1\122S_� Additional CITY /6 j Tel.No.gJ�I Q PLAN CHECK � I certify that in the performance of the work for which this permit APPLICANT t(4 is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. ��/,/p Lighting Fixtures 3 First 20 ADDRESS 5;14e9 AZ !_',C��(f]� �h� Additional A d.l�Y Total No. CITY Tel.No. Date (,/ Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT 'g2'Ve- Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _2___ W.M._ ADDRESS 7Q9—,IF,S;geex� Ay provisions or this permit shall be deemed revoked. Top — FAU _ W.H. LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ CITY Tel.No.�'���7 � I(commencing with Section 7000) of Division 3 of the Business and hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR � ` Disp. Room Air Cond. REG.NUMBER Class. Professions Code,and my license is in full force and effect. DISTRICT PRo SED B Power Apparatus& Large Appliances d Size& Type HP,KW,KVA,or KVAR License Number 77 / Lic.Class JJ��� �L Up to 1 Incl. FINAL U k —RZ"A L Date CJOver 1 to 10 Incl. DATE VALIDATION Contracto Over 10 to 50 Incl. ❑ I am exempt under Sec. Over 50 to 100 Inc. FINAL W B.&P.C.for this reason Over 100 CL Date: V ® Cn Services,Swbd.,MCC& Panelboards Z Date: 0- 200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole& Appurtenances 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law A CT° for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits T Code): '3f i7 542.�j`s ❑ Misc.Conduits& Conductors I,as owner of the property,will do the work and the structure I !TE M�� is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ and Professions Code). TOTAL 542- 00 CONSTRUCTION LENDING AGENCY CHECK `42°0 i I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) CHANGE °0`I Civ. C.). PLAN CHECKING FEE Lender's Name / 01300-13001 3/20/910-1. PERMIT ISSUING FEE 2483 Lender's Address 3 i Ate 1'�°3 O } I certify that I have read this application and state that the above TOTAL FEE 1 information is correct. I 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 prop y r ins ectio purposes. SEE REVERSE FOR,EXPLANATORY LANGUAGE ignature of Permittee Date WORKERS'COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT -+ -I-hereby affirm that I have a certificate of consent to self CE-806G insure, o'a certifiZiate of Workers' Compensation Insurances "`+_ COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.)72- Policy N ompany 04 ACE1�/t!i FOR APPLICANT TO FILL IN, JOB Certified co s hereby furnished. EACH.- _NO. FEE ADDRESS34o �r ,-,�,i� Q copy Y y / New Residential Bldgs. & Pools ' ❑ // c- g = g LOCALITY —T—Cm �`_ i - Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. tion department. Multi-family Sq. Ft. NEAREST Residential Swimming Pools CROSS ST. O r� Dare Applicant OWNER OR FIRM NAME U CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL COMPENSATION INSURANCE Outlets: Re Light Sw. U ADDRESS First 20 .��/ (This section need not be completed if the work involved by Total N Additional CITY Tel. No. the permit is for one hundred dollars (;100)or less.) r PLAN CHECK I certify that in the performance of the work for which this ! �� � APPLICANT permit is issued, I shall not,employ any person in any manner so as to become subject to the Workers'Compensation Lows. Lighting Fixtures First 20 d-� I� ADDRESS 73:3 g4rx e- Total No. Additional U CITY j Tel. 06-- '.7 6' Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Exemption, you should become subject to the Workers' Range_ Heater—D.W. — Compensation provisions of the Labor Code, you must forth- Oven — Dryer — W.M.— ADDRESS /5V o with comply with such provisions or this permit shall be Top — FAU --W.H. — deemed revoked. CITY ��� � Tel. No.17-0 O Hood Fan _ Other_ 04 LICENSED CONTRACTORS DECLARATION LICENSE OR 1 hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER Class.G 'V (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PROCESSE BY >_ and Professions Code,and m license is in full force and effect. �jY 6/�Size &Type HP, KW, KVA, or KVAR' i�� � A. License Number 3Z (a KZ Lic. Class - f� Up to 1 Incl. FINAL 4.11- *1 Over 1 to 10 Incl. DATE L �` VAL ATION Contractor �� �= <00 IC Date Over 10 to 50 Incl. FINAL U ❑ I am exempt under Sec. Over 50 to 100 Inc. BY LU Over 100 B.&P.C. for this reason G to Services, Swbd., MCC & Panelboards Date: 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole &Appurtenances HOME OWNER-BUILDER.DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits g 2 6 2 6 A Law for the following reason (Section 7031.5, Business and Professions Code): # 0 o o a o ❑ I, as owner of the property, will do the work and the Misc. Conduits &Conductors a structure is not intended or offered for sle (Section Other (See Complete Fee Schedule)_ ® 1 - 12a50 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY •o a 1 2 8,5 0 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) O 8 5 (Sec. 3097, 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 TOTAL FEE above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the ab ve-mentioned pro' rty for,spection purposes. _ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of-Permittee Date WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, 76A663 or a-certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 3800 Lab. C.) POliy N0. {' Company FOR APPLICANT TO FILL IN JOB ❑ ADDRESS ! y' Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE ❑ _ $ $ LOCALITY Certified co Is filed with the count building 1 &2-Family,Sq. Ft. copy y g Inspection _ NEAREST department. Multi-family Sq. Ft. CROSS ST. Residential Swimming Pools ASSESSOR Date Applicant MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. OWNER OR COMPENSATION INSURANCE g FIRM NAME First 20 (This section need not be completed MAIL the work involved by the Total No. Additional ADDRESS permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY Tel.No. is issued, I shall not employ any person. in any manner so as to become subject to the Workers' Compenstion Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP.. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should became subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS • I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. d (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. Professions Code, and my license is in full force and effect. Over 10 to 50 Incl. Over 50 t0 100 Incl. LICENSE REG.NUMBER - Class. 0 Over 100 DISTRICT NO. PROCESSED BY W License Number Lic.Class J Services,Swbd.,MCC&Panelboards E—L Contractor Date 0-399 Amp.Under 600 V FINAL DATE >_ ❑ 400-1000 Amp.Under 600 V VALIDATION Q cc I am exempt under Sec. Over 1000 Amp.Or Over 600 V FINAL Cc B.&P.C.for this reason BRANCH CIRCUIT FEES BY 0 Date: 15A,or 20A, 120V, Lighting or Recept. a 1 To 10 Branch Circuits W Signature 11 To 40 Branch Circuits f 041 Or More Branch Circuits .:,Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits ='r SINGLE FAMILY Temp.Power Pole&Appurtenances ° HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 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 ' Code): ❑ I, as owner of the property,will do the work and the structure Misc.Conduits&Conductors 'p< is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) 1' s 7 and Professions Code). AL, CONSTRUCTION LENDING AGENCY F I hereby affirm that there is a construction lending agency for the }# 'Ty performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ. C.) PLAN CHECKING FEE S 4v Lender's Name �� PERMIT ISSUING FEE t{ Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above information is correct. I 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 SIGNATURE OF PERMITTEE DATE WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, 76A663 or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 3800 Lab. C.) / c� Q) /1 Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS 6 ,7 s��l�j OF✓L ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE • _ $ $ LOCALITY ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. _ NEAREST c department. Multi-family Sq.Ft. CROSS ST. L©rj6 Don) E Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK ) PAGE PARCEL �,J CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. FIRMOWNER OR NAME JIJr�iQ V/} ( 1�G, tsTI 8S oF Q✓ COMPENSATION INSURANCE First 20 (This section need not be completed if the work involved by the MAIL 1D B V permit is for one hundred dollars($100)or less.) Total No. Additional ADDRESS I certify that in the performance of the work for which this permit CITY D�y{� 5 J 9-4117a is issued, I shall not employ any person in any manner so as to PLAN CHECK. become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT � Total No. Additional ADDRESS Date —CW 9S Applicant 4.4& RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE'TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT /r provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT 4,016, j EC_TR1G LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESSyt Pd. ��n/�OIn! ✓€� 1 hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. ^^ (commencing with Section 7000) of Division 3 of the Business and CITY /4 04rASf/� TI. a �-1�� Professions Cade,and my license is in full force and effect. Over 10 to 50 Incl. } LICENSE OR Over 50 to 100 Incl. REG.NUM BE 9 q Class. C_/0 a License Number C1� � ,1 LiC.Class C '•l0 Over 100 DISTRICT NO. RO SSED BY Q Services,Swbd.,MCC&Panelboards �� �L cc Contractor Date 0-399 Amp.Under 600 V FDATE INAL O El I am exempt under Sec. 400-1000 Amp.Under 600 V Over 1000 Amp.or Over 600 V FINAL Over W B.&P.C.for this reasonBRANCH CIRCUIT FEES BY Date: 15A,or 20A, 120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A.20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp. Power Pole&Appurtenances HOMEOWNER-BUILDER DECLARATION 7.-s 7 1 hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&ConductorsT r {{ ::. 3Tj ` is not intended or offered for sale (Section 7044, Business Other See Complete Fee Schedule) � �'�-+`x� and Professions Code). V CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the LI�0" I.0 I? 6/28/95 performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) L Civ.C.) IOri PLAN CHECKING FEE 17.t �I ?r°114 Lender's Name PERMIT ISSUING FEE Lender's Address � I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above information is correct. I 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 OOLO SIGNATURE OF HERMITTEE DATE WORKERS'COMPENSATION DECLARATION 76A663 DPW 9 67 APPLICATION FOR ELECTRICAL PERMIT O I ,hereby affirm that I have a certificate of consent to self ce 806G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec. 3800, Lab. _C.) Policy No.�Company I_1_ i S i i _ FOR APPLICANT TO FILL IN JOB f FICertified co is hereby furnished. EACH NO. FEE ADDRES F• �J(1R1 PY Y New Residential Bldgs. & Pools � ❑Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ — $ LOCALITY tion department. Multi-family Sq. Ft. — NEAREST CROSS ST. Residential Swimming Pools OWNER OR Date – Applican FIRM NAME CERTIFICATE OF EXEMPTION FR M WORKERS' Outlets: Rec Light Sw._ AMAIL DDRESS �J• ` ( COMPENSATION INSURANCE First 20 (This section need not be completed if the work involved.by Total No. Additional CITY �� �i' -dry Tel. No. the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'Compensation Laws. Additional Total No. CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT ,(\n_; n NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION –�I l Exemption, you should become subject to the Workers' Range— Heater—D.W. — Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other_ CITY QGy)Q- Tel. No.623 _ p LICENSED CONTRACTORS DECLARATION LICENSE OR Disp. Room Air Cond. REG. NUMBER Class.0 I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PR ESSED BY d and Professions Code and my license is in full force and effect. Size&Type HP, KW, KVA, or KVAR X7 G � O License Number ^� Lic. Class Up to 1 Incl. FINAL U � 1 Over 1 to 10 Incl. DATE i`1 VALIDATION Cr Contractor Date [ O Over 10 to 50 Incl. H FINAL U W I am exempt under Sec. Over 50 to 100 Inc. BY B.&P.C. for this reason Over 100 W Services, Swbd., MCC& Ponelboards , U) 4. Date: �� 90 Z 0-200 Amp. Under 600 V /� Signature 201 - 1000 Amp. Under 600 V Over 1000 Amp. or Over 600 V F Exemption for Reg. Maint. Elect. SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Temp. Power Pole 8 Appurtenances I hereby.affirm that I am exempt from the Contractor's License Sign with One Branch Circuit Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): 1-i7 i' Misc. Conduits&Conductors i I, as owner of the property, will do the work and the s Z structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ Business and Professions Code). t TOTAL ITHL_ 3 1 0 a – _ CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for CHANGEaI_l;; the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address '`-i`?r HI 11 i s_ I certify that I have read this application and state that the TOTAL FEE � 0� above information is correct. I agree.to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the ab nentioned proper r ms coon purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sig to/elof Permitt nn,�-, Date ©s li l o7Jv�- COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1411180021 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 6340 ROSEMEAD BL IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917801544 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN 15382-021-026 IAl PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl I ID3 BOOTH LGT, SYSTEM 1.00 BOO 16.20 (TENANT: I TOTAL FEES 44.00 (ISSUED ON: PROCESSED BY: PLAN BY: - 1 )EDDIES CHRISTMAS TREE 1 111/18/14 SR 1 (OWNER: TEL. NO: IFI' L DATE FINAL B. CODE: IVANNIER WILTON E CO TR VANNIER TRUS(310) 816-0222-760 11245 E WATSON CENTER (CARSON, CA 90745 I ID S RIPTION Ot WORK LIGHTING FOR CHRISTMAS TREE LOT (APPLICANT: TEL. NO: ISANDOVAL, FELIPE (562) 449-7664- 1720 MARKET STREET I (SPECIAL CONDITIONS: (LONG BEACH, CA 90805 1 ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE IFELIPE SANDOVAL (562) 449-7664- 1 1 1720 MARKET STREET LIC. NO I ITEMPORA.RY POWER POLE I I I ILONG BEACH, CA 90805 NONE I I I (UNDERGROUND CONDUIT I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I I I _ LIC. NO: ROUGH CONDUIT I ROUGH WIRING MAIN WATER. LINE IPLASTIC Y/N METAL Y/N I I I I I I I 1UTTLITY COMPANY NOTIFIEDI I I I I I I I I I i I I I I I i I I I I 1 I i I I I i 1 I I I I I IREPORT ID: DPR265 ROUTE TO: 2SO508 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0207100027 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING AD RESS: ON FILE 6340 ROSEMEAD BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801544 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5382-021-026 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY JI GENERATORS +3-10HP 1.00 GEN 19.65 TENANT: TOTAL FEES 47.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES-ON.- 07/10/02 N:07/10/02 JK 01/06/03 OWNER: TEL. NO: I FIN L D ATE- FINAL BY: CODE: VANNIER WILTON E CO TR VANNIER TRUS (818) 355-1239- I � 209 OAK MEADOW RD SIER 910242611 DESCRIPTION OF WORK GENERATOR FOR 5 CARNIVAL RIDES APPLICANT: TEL. NO: MARIA DE LOS ANGELES OROZCO - 1303 HYATT AVENUE SPECIAL CONDITIONS: WILMINGTON 90744 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE RONALD ELECTRIC (562) 988-7635- 2661 GOLDEN AVE LIC. NO TEMPORARY POWER POLE LONG BEACH CA 90806 793754 C10 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT - DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0610030009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 6340 ROSEMEAD BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801544 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5382-021-026 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C IC NRES SHOWCASE LT 3HP 5.00 SHW 76.50 TENANT: TOTAL FEES 104.25 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: VALUE MART FOOD WAREHOUSE 10/03/06 JK 04/01/07 OWNER: TEL. NO: FINA D FINAL BY: CODE: VANNIER WILTON E CO TR VANNIER TRUS (626) 291-5990- O 209 OAK MEADOW RD SIER 910242611 DESC PT OF WOR INSTALLATION OF TO HUSSMANN IMPACT SERVICE MEAT CASES, INSTALL ICE MACHINE APPLICANT: TEL. NO: HAKIM ELECTRIC 323934888 - 5618 VENICE BL. SPECIAL CONDITIONS: LOS ANGELES CA 90019 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE HAKIM ELECTRICAL (323) 934-8888- 5618 VENICE BLVD. LIC. NO TEMPORARY POWER POLE LOS ANGELES, CA 90019 574610 C10 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 t i. COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1311190022 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID 11 BUILDING ADDRESS: ON FILE 1 1 6340 ROSEMEAD BL 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917801544 (ASSESSOR INFORMATION NUMBER: J I NEAREST CROSS STREET: LONGDEN 15382-021-026 jA1 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl I ID3 BOOTH LGT, SYSTEM 1.00 BOO 16.20 1_ (TENANT: I TOTAL FEES 44.00 11SSUED ON: PROCESSED BY: PLAN BY: 1 1EDDIES CHRISTMAS TREE 1 111/19/13 SR 1 1OWNER: TEL. NO: IFINA DATE FIN CODE: IVANNIER WILTON E CO TR VANNIER TRUS(310) 816-0222-760 I �� 1245 E WATSON CENTER (CARSON, CA 90745 1 DES RIPTION OF WORK 1 I i (LIGHTING FOR CHRISTMAS TRE LOT 1 1APPLICANT: TEL. NO: I I . ISANDOVAL, FELIPE (562) 449-7664- 1 _ Is 1720 MARKET STREET 1 1SPECIAL CONDITIONS: '1 ILONG BEACH, CA 90805 ' I I I I (CONTRACTOR: TEL. NO: - (APPROVALS DATE INSPECTOR SIGNATURE IFELIPE SANDOVAL (562) 449-7664- 1 1720 MARKET STREET LTC. NO - ITEMPORARY POWER POLE ILONG BEACH, CA 90805 NONE I- I (UNDERGROUND CONDUIT (ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I 1 LTC. NO: (ROUGH CONDUIT JROU3H WIRING MAIN WATER LINE PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED( IREPORT ID: DPR265 ROUTE TO: BS0508 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1211080026 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 6340 ROSEMEAD BL 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917801544 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN 15382-021-026 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl I ID3 BOOTH LGT, SYSTEM 1.00 BOO 16.20 1 1 (TENANT: I TOTAL FEES 44.00 (ISSUED ON: PROCESSED BY: PLAN BY: EDDIES CHRISTMAS TREE 111/08/12 SR OWNER: TEL. NO: LFINAU DATE FINAL BY: CODE: IVANNIER WILTON E CO TR VANNIER TRUS(310) 816-0222-760 'u'�,.,T(\ 11245 E WATSON CENTER _ _ t` (CARSON, CA 90745 DESCRIPTION OF WORK I ILIGHTING FOR CHRISTMAS TREE LOT I ! I I (APPLICANT: TEL. NO: 1 ISANDOVAL, DRUSILA (562) 449-7664- 1 1720 MARKET STREET SPECTAL CONDITIONS: ILONG BEACH, CA 90805 11 I I l . ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE IFELIPE SANDOVAL (562) 449-7664- - .� 1720 MARKET STREET LIC. NO (TEMPORARY POWER POLE {LONG BEACH, CA 90805 NONE I - 1 I 1UNDERGROUND CONDUIT I 1ARCHITECT OR ENGINEER: TEL. NO: I - IUFER GROUND i I I 1 LIC. NO: I IROUGH CONDUIT I 1 1 . I IROUGH WIRING I I I I I I 1 I IMAIN WATER LINE I I I PLASTIC Y/N METAL Y/N I I I I I I I I (UTILITY COMPANY NOTIFIED( I I i I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 1 1 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I i I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1111210021 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE I 6340 ROSEMEAD BL IFEE DESCRIPTION: QUANTITY:.UOM: AMOUNT: TEMP CA 917801544 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 15382-021-026 jAl PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl ID3 BOOTH LGT, SYSTEM 1.00 BOO 16.30 (TENANT: I TOTAL FEES =44.'10. (ISSUED ON: PROCESSED BY: PLAN BY: 1 (EDDIES CHRISTMAS TREE 1 111/21/11 SR 1 (OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: I IVANNIER WILTON E CO TR VANNIER TRUS (818) 355-1239- 1 I 1209 OAK MEADOW RD 1 _ ISIER 910242611 1 ID IPTION OF WORK I (LIGHTING FOR CHRISTMAS TREE LOT 1 I I I ) I 1APPLICANT: TEL. NO: ISANDOVAL, FELIPE (562) 449-7664- 1 1 1720 MARKET STREET 1 (SPECIAL CONDITIONS: 1 (LONG BEACH, CA 90805 1 I 1CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I IFELIPE SANDOVAL (562) 449-7664- 1 1 I 1720 MARKET STREET LIC. NO I (TEMPORARY POWER POLE I I I (LONG BEACH, CA 90805 NONE I i I I I I I (UNDERGROUND CONDUIT I I I I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I 1 I LIC. NO: 1 (ROUGH CONDUIT I I I I I I I I 1 ( (ROUGH WIRING I 1 I I I I I I I IMAIN WATER LINE I I I . 1 IPLASTIC YIN METAL YIN I 1 I I I (UTILITY COMPANY NOTIFIEDI I 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 IREPORT ID: DPR265 ROUTE TO: BS0508 I 1 1 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1011090020 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ON FILE I - I 6340 ROSEMEAD BL IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ! TEMP CA 917801544 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN 1 15382-021-026 IAl PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl ID3 BOOTH LGT, SYSTEM 1.00 BOO 16.30 ! ! (TENANT: I TOTAL FEES 44.10 (ISSUED ON: PROCESSED BY: PLAN BY: ! (EDDIES CHRISTMAS TREE 1 Ill/09/10 SR I I I ! 10WNER: TEL. NO: I F N , DATE FIN Ay: CODE: ! IVANNIER WILTON E CO TR VANNIER TRUS (818) 355-1239- 1 1 1209 OAK MEADOW RD I I ISIER 910242611 j1DETIPTION OF WORK �, I 1 I ILIGHTING FOR CHRISTMAS TREE LOT 1 I I I I (APPLICANT: TEL. NO: I 1 1 SANDOVAL, FELIPE (562) 449-7664- I 1720 MARKET STREET 1 ISPECIAL CONDITIONS: 1 ILONG BEACH, CA 90805 ! 1 1 1 ! 1 I I ICONTRACTOR: TEL. NO: i 1APPROVALS DATE INSPECTOR SIGNATURE 1 IFELIPE SANDOVAL (562) 449-7664- 1 1 1720 MARKET STREET LIC. NO ITEMPORARY POWER POLE I I ILONG BEACH, CA 90805 NONE I I I 1 I 1UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I I I I - 1 1-1 1 LIC. NO: 1 ROUGH CONDUIT I I I I ! I IROUGH WIRING I I I I I I I I ! ! IMAIN WATER LINE I I I ! 1PLASTIC Y/N METAL Y/N I I I I ! ! I I I I ! (UTILITY COMPANY NOTIFIED( I I I I I I I I I ! ! ! I I I ) I I I I I I I I I I I I i I I I I I I I I I I I i I I I I I I I I I I I I I I I I I I I I I I I ! I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I ! IREPORT ID: DPR265 ROUTE TO: BS0508 ! I I I ! I ! I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0911180010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID I BUILDING ADDRESS: ON FILE I 1 6340 ROSEMEAD BL I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917801544 (ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET: LONGDEN 15382-021-026 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl ID3 BOOTH LGT, SYSTEM 1.00 BOO 16.20 (TENANT: ITOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: (EDDIES CHRISTMAS TREE 1 111/18/09 SR 11/18/10 OWNER: TEL. NO: 1 INAL D E FINAL BY: CODE: VANNIER WILTON E CO TR VANNIER TRUS (818) 355-1239- 1209 OAK MEADOW RD 1 ISIER 910242611 IDE8CRIPTION OF WORK I ILIGHTING FOR CHRISTMAS TREE LOT I (APPLICANT: TEL. NO: 1 ISANDOVAL (562) 449-7664- 1 1720 MARKET STREET I ISPECIAL CONDITIONS: 1 ILONG BEACH, CA 90805 II I I I ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE IFELIPE SANDOVAL (562) 449-7664- 1 1 1720 MARKET STREET LIC. NO ITEMPORARY POWER POLE I I ILONG BEACH, CA 90805 NONE I (UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER: TEL. NO: I IUFEF. GROUND I I I I - I I I I LIC. NO: I IROUGH CONDUIT ROUGH WIRING IMAIN WATER LINE I I I IPLASTIC YIN METAL YIN I 1UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I I I I I I; COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0811240006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ON FILE I I 6340 ROSEMEAD BL I , I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ! TEMP CA 917801544 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN 15382-021-026 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl 'ID3 BOOTH LGT, SYSTEM 1.00 BOO 16.20 (TENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 (EDDIES CHRISTMAS TREE I 111/24/08 SR 05/23/09 I !OWNER: TEL. NO: ! F N.'u DAT�j FINAL BY: CODE: ! IVANNIER WILTON E CO TR VANNIER TRUS (818) 355-1239- 1 I [ 1209 OAK MEADOW RD I I O SIER 910242611 ! JIMSCRIPTION OF WORK II ILIGHTING FOR CHRISTMAS TREE LOT 1 (APPLICANT: TEL. NO: ! I I ISANDOVAL (562) 449-7664- ! 11 1 1720 MARKET STREET i ISPECIAL CONDITIONS: 1 LONG BEACH, CA 90805 1 I 1 (CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 IFELIPE SANDOVAL (562) 449-7664- !1 I 1720 MARKET STREET LIC. NO ITEMFORARY POWER POLE I I ! ILONG BEACH, CA 90805 NONE ,1 II I I 1UNDERGROUND CONDUIT I ! I I I I ARCHITECT OR ENGINEER: TEL. NO: i1 IUFERGROUND _ 1 LIC. NO: j (ROUGH CONDUIT I I I ! I ' I (ROUGH WIRING I I ! I MAIN WATER LINE ! I I I IPLASTIC YIN METAL YIN I ! I (UTILITY COMPANY NOTIFIED( I I I I I I I i I I I ! I 1 ! I I ! I I I I I I I I ! I I I I I I I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I I I I WORKER'S have COMPENSATION ate of consent to 20-0019 DPW(12-91) ;.APPLICATION FOR ELECTRICAL PERMIT 76A663 I hereby affirm that I have a certificate of consent to self insure, j � or a certificate of Worker's Compensation Insurance, or a certified COUNTI'�OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. co thereof Sec.3 00 Lab. C. copy ther2�4�`�� ) Policy No LWtT dici7.9I(off ompany FOR APPLICANT TO FILL IN JOB �p3 O. N . odsE N � �/Z7• Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE ADDRESS $ $ LOCALITY i�M V-� G I-T Certified copy is filed with the county building inspection 1&2-Family,Sq.Ft. 1 department. Multi-family Sq.Ft. CROSS s7. L.,N6. J Date Applicant ' l�� I G Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' /`I OWNER OR COMPENSATION INSURANCE Outlets:Real Light Sw. Z 1, �/� © FIRM NAME V^Lj V First 20 �/ '1 (This section need not be completed if the work involved by the Total No. Additional 0 CJ MAIL ADDRESS 11-42 �O1J Ff 0 > permit is for one hundred dollars($100)or less.) c I certify that in the performance of the work for which this permit CITY G R�p� Tel.No. is issued, I shall not employ any person in any manner s0 as to PLAN CHECK become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. 2 0' provisions of the Labor Code, you must forthwith comply with such PERMIT z��M�`' �LC�� G provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT �t LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS i�31 e• ►1.1�(T(�(, #fj I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl, (commencing with Section 7000) of Division 3 of the Business and 4 CITY Tel.No.—[6[1 Professions Code,and my license is in full force and effect. Over 10 to 50 Incl �7d 0 } Over 50 to 100 In . LICENSE OR cl REG.NUMBER to G �(O� Class.G.-• a / ��—3�J OVP,r 100 L� D o DISTRICT NO. P 0 SSED BY O License Number�( 1 / Lia Class C/ 0 Services,Swbd.,MCC&Panelboards �1ELE�- 2>y. Z�- cc �CG' FINAL � P tEl - O 0-399 Amp.Under 600 V Contractor Date 400-1000 Amp. Under 600 V � DATE Q J'� �r 9 U ElI am exempt under Sec. Over 1000 Amp.or Over 600 V FINAL Q a B.&P.C.for this reason BRANCH CIRCUIT FEES BY VALIDATION W G Z Date: 15A,or 20A. 120V,Lighting or Recept. f _ Signature 1 To 10 Branch Circuits O /� 00 11 To 40 Branch Circuits 0 ❑, 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits _ } L SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION ACCT.OL I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits L0 3303 3150.20 Code): 1 ITEMS ❑ Misc.Conduits&Conductors _ 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) TOTAL +-•,�1�-10.220 . and Professions Code). C:CHECK3150 .20• CONSTRUCTION LENDING AGENCY CHANGE .00 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) ��� Civ. C.) PLAN CHECKING FEE /&13 0000-00015_5/ 7/96 Lender's Name 6256 1 AN 8:42 PERMIT ISSUING FEE o2 d Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above information is correct. I agree to comply with all County ordinanc and State laws regulating Electrical wiring,and hereby authorize re a tives of this County to enter upon the above-mentioned property fo ins tion purpo s. SEE REVERSE FOR EXPLANATORY LANGUAGE 6Lq� Si U OF PERMITTEE DTE WORKER'S jOMRENSATION DECLARATION 20-0019 D (,2.9,) LIGATION FO _ Lg ( 'RICAL PERMIT .76A663 1.he affirp,.tha4 I have-a certificate of consent to Self insure, _� % or a certif'icatg,of Worker's Compensation Insurance, or a certified COUNTY'OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 3800 Lab. C.) P011cy No." Company l�,—iAF f N FOR APPLICANT TO FILL IN 3O8 6/�L� N• L� ❑ uNtT ADDRESS v EM�6kD Certified copy is hereby furnished. / New Residential Bldgs.&Pools ❑ NO. EACH FEE_ $ $ LOCALITY Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. _ NEAREST I department. Multi-family Sq.Ft. CROSS ST. Date '0,1/461 Applicant Zeame� mzqmL Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. _Li ht Sw. 40 OWNER OR COMPENSATION INSURANCE g FIRM NAME First 20 MAIL (This section need not be completed if the work involved by the Total No. Additional ADDRESS permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY Tel.No. 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 PLAN CHECK J p 9 � APPLICANT ZE Total No. AdditionalEME ��GI �l ADDRESS /Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY f t���-I.tor Tel.No. Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT Z��M — I provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT CTJ G LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. Over 50 to 100 Incl. LICENSE OR Class. I D ''^^ REG.NUMBER Q. License Number � LIC.CRSS V Over 100 DISTRICT NO. PROCESSED BY 0 Services,Swb MC &Panelboards �y „ �d� Z��,�1�/ U Contractor i. ESP•Date b ✓ ' 0%"W Under 600 V �d DAT L 0 ❑ I am exempt under Sec. 400-1000 Amp.Under 600 V �'�/ Over 1000 Amp.or Over 600 V FINAL VALIDATION W B.&P.C.for this reason BRANCH CIRCUIT FEES BY Date: 15A/,o 20 O�, i hting or Recept. y Z 1 To 10 Branch Circuits �/�o / , Signature 11 To 40 Branch Circuits El 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits '} SINGLE FAMILY Temp.Power Pole&Appurtenances z s HOME OWNER-BUILDER DECLARATION ( /� ACC I "� I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit � 7� s,• C. for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits ' �^ �0� 56. 0 Code): 1 ITEMS ❑ I, as owner of the property,will do the work and the structure Misc.Conduits&Conductors TI I•tAL 256 o h0 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) 1 t tt 8nn and Professions Code). , CHECK 256.;0 CONSTRUCTION LENDING AGENCY CHANGE e00 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) 0000-0001 4/171/96 PLAN CHECKING FEE E� Lender's Name 5``��7 16 1 (its 8:.59 PERMIT ISSUING FEE Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above information,is correct. I agree to comply with all County ordina ce and State laws regulating Electrical wiring,and hereby authorize repr se ives of this County to enter upon the above-mentioned property Xfor nsp on purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE _ SI AT ERMITTEE DAT WORKERS'COMPENSATION DECLARATION CE- to/St I hereby affirm that I have a certificate of consent to self insure, CE-8o68o6G APPLICATION FOR ELECTRICAL PERMIT � .. 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 FOR APPLICANT TO FILL IN JOB F-1Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS F-1 Certified & 2-Family, Sq.Ft. $ _ $ LOCALITY Certified copy is filed with the county building inspection department. Multi-family Sq.Ft. NEAREST CROSS S, Date Applicant Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec Light Sw. — MAIL COMPENSATION INSURANCE First 20 ADDRESS (This section need not be completed if the work involved by the CIT T . permit is for one hundred dollars ($100)or less.) Total No. Additional jnaeL4 PLAN CHEC I certify that in the performance of the work for which this permit APPLICANT K 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 ADDRESS. Additional _ Total No. CITY Tel.No. • Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making thi Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT f✓t provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top _ FAU _ W.H. _ LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ CITY Tel.N . I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE OR (commencing with Section 7000) of Division 3 of the Business and REG.NUMBER y Class.G' Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO./ PROCESSED BY Size&Type HP, KW,KVA,or KVAR License Number �L/q Lic.Class G—/y Up to 1 Incl FINAL U ell / i Over 1 to 10 Incl. DATE 7� VALIDATION 0 Contractor /r%0n r77�P�te !/ ❑ z— Over 10 to 50 Incl. FI 1-- I am exempt under Sec. Over 50 to 100 Inc. B.&P.C.for this reason Over 100 N Services,Swbd.,MCC& Panelboards ® Z Date: 0-200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V F-1 Exemption 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole& Appurtenances 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit p//� I hereby affirm that I am exempt from the Contractor's License Law l4�.4To4 for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits ����y.T 15.50 Code): 330/ 15 o 5o ❑ I,as owner of the property,will do the work and the structure Misc.Conduits & Conductors 1 IMS is not intended.or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). TOTAL 15.50 CONSTRUCTION LENDING AGENCY CASH 15.50 1 hereby affirm that there is a construction lending agency for the cm, performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) '00 Civ.C.). PLAN CHECKING FEE (MOD—CM1 b/d8�p/uD7 Lender's Name PERMIT ISSUING FEE J,� Lender's Address / 4231 1 All 11i ° s I certify that I have read this application and state that the above TOTAL FEE , information is correct. I agree to comply with all County ordinances and State laws reguI t' g Electrical wiring, and hereby authorize represe atives of t ' County to enter upon the above-mentioned proper for inspec on purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ,Sign'Kture o Permittee Date 76A663-CES06-it-67 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING , BUILDING AND SAFETY DIVISION ADDRESS' JOHN A. LAMBIE. County Engineer CASSATT D. GRIFFIN, Supt of Building LOCALITY �,liyt�-7�bt� NEAREST T— - FOR APPLICANT TO FILL IN cRoss sr. PERMIT FEES ITEM NUMBERI EACH FEE OWNER OUTLETS: $ $ MAIL LIGHTS RECEPT. SW. "'a .10 ✓ ADDRESS LIGHTING FIXTURES .10 CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .50 ELEC.SPACE HTRS. DISHWASHERS ADDRESS J ✓' - GARBAGE DISPOSERS AUTO.- CITY TEL.NO. WASHERS STA.COOKING UNITS ,25 STATE LICENSE NO. MOTORS: OVER INC. H.P. DISTRICT NO. GROUP ZONE READY FOR INSPECTION O — 1/2 .25 �./ 1/2 — 2 .50 z — 5 1.00 INSPECTION RECORD 5 — 15 1.50 15 — 50 2.50 50— 200 5.00 SIGNS: NO.TRANS. 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 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ArnICAMON 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE UTILITY CO.NOTIFIED OFPERMITTEE - �� FINAL VALIDATION,. ARTHUR C.VEIT. CK D10 ,CAliH SUPERVISING ELECTRICAL ENGINEER 1 76A663-CE806-U-S, APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, County. Engineer c 1�7 CASSATT D. GRIFFIN. Supt oi Building LOCALITY FOR APPLICANT TO FILL IN CROSS NEARESSTT. PERMIT FEES I T E M NUMBER EACH FEE OWNER I—A OUTLETS: $ 5 MAIL LIGHTS 'z"RECEPT. SW. .10 -i-1111.11ES1 LIGHTING FIXTURES .10 CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .50 —/",v ELEC.SPACE HTRS. DISHWASHERS ADDRESS GARBAGE DISPOSERS AUTO.- f TEL.NO:t Ijw STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. DISTRICT O. IGROUP 0,=N ..A-Y 1-.I..Tl-- 0 — 1/2 .25 '/2 — 2 .50 2 — 5 1.00 INSPECTION RECORD I I.,WI -2 F-- 5 — 15 1.50 15 — 50 2.50 el So— 200 5.00 SIGNS: NO.TRANS. 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 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE I / Z- AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT /- , WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING - Z 2 9-;Z '-Z IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AN THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL P PERTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE— FINAL VALIDATION ARTHUR C.VEIT, SUPERVISING ELECTRICAL ENGINEER CK, Mo CASH 76A663-CE806 9-64 APPLICATION FOR ELECTRICAL �RMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER rADDRESS UILDING BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT. OF BUILDING OCALITYEAREST / FOR APPLICANT TO FILL IN cRoss ST. RECEPT. TOTAL NO. EACH FEE `��/{/�(�-�GI'Y..• i / c! y, OUTLETS FIRST 20 $.20 $ /d OWNER LIGHT ADD'L f0 ADDRESS SWITCH. OVER 20 TOTAL LIGHTING i FIRST 20CITY TEL. NO.I .20 "� FIXTURES — ADD'L OV F R 20 10 ELECTRICIAN RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY TEL. NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(y¢H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTJ31CT CN/Q C� ZQONE P CESSED BY O 1 1.00 • d e__ Z 2 1 3 1.50 INSPECTION RECORD 3 S 2.00 CIL O 8 15 2.50 15 50 3.00 O 50 100 5.00 ~ V w SIGNS: NO.TRANS N NO.LAMPS Z SERVICE 0.600V-Nor OVER 200A 1.00 SERVICE 0.60OV•OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTA13Y PERMIT ISSUING FEE 1.00 TOTAL FEE $ 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING — ELECTRICAL WIRING. WIRING HEREBY .CERTIFY L THAT I AM PROPERLY REGISTERED AND/OR • A LICENSED AS REQUIRED BY OS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT i AM THE LEGAL OWNER OF, AND IN ENO TO RESIDE IN, THE ABOVE DDESS,C,RIIB"E�D R "fj.�/DENTIAL P RTY POWER SIGNATURE i„a� ���.--- ILO,..w�rM�t_� UTILITY CO.NOTIFIED _ OF PERMITTEE VALIDATI JOS HPC. ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER L;til 0 3 3 20""S JUL 2 2 D 2.8 0 �I 76A663-CE80612-65 APPLICATION FOR ELECTRICAL P RMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS O JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. R EC EPT• 1 TOTAL NO. IEACH FEE r - I OUTLETS i FIRST 20 $.20 $ OWNER LIGHT J} MAIL rf"9 SWITCH ADD'L I 10 ADDRESS OVER 20I TOTAL FIRST 201 .20 CITY - ? TEL. NO. LIGHTING 1 FIXTURES - " <f TIL I FIXTURES Jr ADD-L 1O CONTRACTOR c. (�/2„c.� OVER 20 RANGES DRYERS WTR.HTRS. 1.00 ADDRESS a /p T�itiY C (� GARB.DISP. STA.COOK �7�' CITY V Q, TEL. NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA. APDL. .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DIST)E4CT N�. GROUP ,TONE P ED BY O 1 1.00 1 3 1.50 INSPECTION RECORD o_ O 3 8 2.00 U 8 15 2.50 / `- ' Q 15 50 3.00 V W CL 50 100 5.00 Z SIGNS: NO.TRANS. NO.LAMPS SERVICE 0.600V-Nor OVER 200A 1.00 SERVICE 0-600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 - APPROVALS DATE INSPECTOR'S SIGNATURE TOTAL FEE 6cl 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERS LAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO POWER RESIDE IN,THE AB E ESCRIBED RESIDENTIAL /ROPERTY. SIGNATURE ✓ UTILITY CO.NOTIFIED OF PERMITTEE !!! FINAL VALMO QfH JOSEPH CI G OHAN ELECTRICAL CK MO CASH SUPERVISING ELECTRICAL ENGINEER LALo 3 1 1 1�' JUN 2 8 2 D 3.2 0 'CUPITY 01F 76A663-CE806 1 1/70 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FADORESS G 3y�, /�/' �c�s,E.LI�.� BUILDING AND SAFETY DIVISION COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGTY ''z1Li'o1-'T ;r NEAREST T FOR APPLICANT TO FILL IN STOUTLETS N0. EACH FEE$ OWNE RECEPT._ MAIL /7 LIGHT TOTAL FIRST 20 /3 .25, ADDRESS CITY TEL. NO. SWITCH_ OVER 20 .10 PLAN CHECK LIGHTING TOTAL FIRST 20 2 25 5"00 APPLICANT } IrOVER 20 10 g ^ ADDRESS FIXTURES �=o APPLIANCES CITY TEL. No. PERIT RANGE DRYER_WTR. HTR. APPLICANT ,E4-"L'7.e1- Lt�/-fT[/ IAC STA. COOK DISP. F.A.U. ADDRESS, SPACE HTR. AIR COND. CITY 0- 61 evwjE n TEL. NO.&Gf!IOUVg3 CLOTHES WASH. DISHWASH. LICENSE NO,.OS'l14f ,,..fff ��JJ CLASS. FAN OTHER 1.00 1 HEREBY A17.7W3. TlAArlV.Q VEAUIrWPPLICATION AND STATE THAT THE ABOVE IS CORRECT AND RE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO _ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO a 1 t lO 3.00 RESIDE N, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. 0 SIGNATURE ,/ � ` U 10 - 50 5.00 OF PERMITTEE ELI 50 - 100 10.00 0 DISTRICTNO. CLASS Z E PROCESSED BY V 100 - 500 15.00 , CL SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: l'.4172' H' Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 I A 4w,-- AAAff� SERVICENOTOVER600VOLTS OR200AMP 3.00 M�✓� APPROVALS DATE INSPECTOR'S SIGNATURE , SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMRSERVICE, POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 r✓1/.J d p JOS PH ROOHAN _ TOTAL FEE p�-�jl `� s• SUPERVIS N ELECTN RI• L GIE NEEP.-- PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDA I CK. M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CE806 10/72 APPLIC IC► F®R ELE RICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB, s BUILDING AND SAFETY DIVISION LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER OR $ $ FIRM NAME RECEPT. MAIL LIGHT TOTAL FIRST 20 25 ADDRESS CITY TEL. N0. SWITCH OVER 20 .10 PLAN CHECK FIRST 20 APPLICANT LIGHTING TOTAL .25 FIXTURES OVER 20 10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER WTR. HTR. APPLICANT .( STA. COOK DISP. F.A.U. ADDRESS �C��J� l •�•i- /V�" ' SPACE HTR. AIR GOND. CITY? TEL. NO. ! A CLOTHES WASH. DISHWASH. LICENSE OR REG. NUMBER J CLASS.�� FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGEL C NTY A STATE OF } CALIFORNIA OR TH HE LE L 0 ER 0 THE ABOVE 1 - 1O 3.00 DESCRIPED R. ENTI RO ERT � U PERMITEE' 10 - 50 5.00 SIGNATURE p F•- 50 - 100 10.00 v DISTRICT NO. PR C SED BY W 100 - 500 15.00 G< � SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECT304SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 -3 (J FIXTURES v POWER AUTHORIZED UTILITY CO. NOTIFIED • FINAL PERM T FEE (SUB TOTAL) NOTES: PLAN CHECK FEE srC PERMIT ISSUING FEE 3.00 Z7 TOTAL FEE 001 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.7 '(Y N r6, 2 D 6.0 CASH\ � L 1 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - 76A663-CE80610/72 APPLICATI6N FOR ELECTRICAL PERMIT" COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS` 4 LOCALITY_ NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER OR $ $ FIRM NAME - RECEPT._ MAIL FIRST 20 ADDRESS -a-- ,� LIGHT TOTAL .25 OVER 20 CITY � ,, TEL. NO. SWITCH_ .10 PLAN CHECK LIGHTINGTOTAL FIRST 20 25 APPLIC T FIXTURES OVER 20 .10 ADDRESS ----- RESIDENTIAL APPLIANCES CITY all TEL. NO. PERMIT? 1T RANGE DRYERWTR. HTR._ APPLICANT yes'' d/J/J',.,s STA. COOK DISP. F.A.U. ADDRESS �r�J /N• AL SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISH WAS H. SE OR LE UMBER ��/ US' CLASS. FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ADD VE IS CORRECT AND AGREE TO COMPLY ' MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O - 1 100 LICENSED AS REQUIRED BY LOS ANG..ErI.ES COUNTY AND STATE OF CALIFORNIA OR AM THEet 'L OW R OF THE ABOVE OW - 10 3.00 DESCPIF.ED R DE NTIAL' OP R PERMITEE _ C.7 10 - 50 5.00 SIGNATURE O 50 - 100 10.00 DISTRICT NO. PROCES ED BY W cl- 100 - 500 15.00 IGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS [� DATE INSPECTO SIGNATURE USE, OR ARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE ICENOTOVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK CE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT SERVICE,POLE, &APPURTENANCES 5.00 WIRING IGHT OR RECEPT. SYSTEM 3.00 d47 FIXTURES If 0. /fes! POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL "�?- � � (SUB TOTAL) NOTES: FEE G FEE 3.00 ,..5 K VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH + N FOR COMPLETE SCHEDULE 9 8 3.c"2JtJN 2.4 © 6.0.0 76.0663-CE806 3-69 v ;��-'� ( •-� APPLICATION FOR ELECTRIC PERWTT;v - COUNTY OF LOS ANGELES 77e DEPARTMENT OF COUNTY ENGINEER A0ILDI s BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY 04 FOR APPLICANT TO FILL IN NEAREST CROSS ST. NO. EACH FEE RECEIPT. $ $ OWNER !' MAIL ADDRESS LIGHT TOTAL FIRST 20 .20 Q SWITCH OVER 20 .10 CITY _ �C T L.N0. Q � � PLAN HECK r J LIGHTING TOTAL FIRST 20 ,20 APPLICANT / , FIXTURES OVER 20 .10 ADDRESS / r(nJ3 RANGE_DRYER_WTR. HTR. CITY EL.N0. 6 STA. COOK DISP. F.A.U. CONTRACTOR SPACE HTR. AIR COND. ADDRESS �" J/ / CLOTHES WASH. DISHWASH. CITY C.�.c�..cL. TEL.NO.7L/;II 2j FAN OTHER 1.00 LICENSE N0. CLASS. "!G/ MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT TME ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. O - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES"•COUNTY AND STATE OF ' 1 - 10 3.00 CALIFORNIA OR THAT I M THE LEGAL OWNER OF, AND INTEND TO Q RESIDE IN, THE ABOVE CRIBED RESIDENTIAL PR ERTY. 10 - 50 5.00 SIGNATURE � 50 - 100 10.00 OF PERMITTEE 100 - 500 1'55.00 CIS TR�CT NO. PROC ED Y' SIGN,GAS SIGN AND ONE CIRCUIT 3.00 V Uy v� TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:,_/ o /cA)- J�'•,/� /";p SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 t�c- oCh/T���y G SERVICE OVER 600 VOLTS OR 200 AMP 5.00 C13 L-G.- A0 NS�f 'P`/17A /!1 f'6�7 Pss TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE • (�c TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING �`��•' /� l//c4/J_r.�LB'� .PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL (j-Iv �!� 1(' nfi i•/ TOTAL FEE �-f� JOSEPH C. ROOHAN v v SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH rl� 53879 1� ckl 2 D 5.00^' SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE , .A�C- 76A663 CE-806R 9/76 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB ADDRESS '� � BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN LOCALITY New Residential Bldgs.&Pools EACH NO. FEE NEAREST CROSS ST.$— 1 &2-Family,Sq.Ft. $ .025 OWNEROR Multi-family Sq. Ft. .02 — FIRM NAME �/ct9v Z_I5;Z:1_ 186dJ Residential Swimming Pools 20.00 MAIL ADDRESS Outlets: Rec Light_Sw. CITY Tel. No. First 20 .50 PLAN CHECK Total No. Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tel. No. Additional .30 PERMIT Tonal No. APPLICANT Fixed Appliances Not Over 1 HP ADDRESS � Range_Heater_D.W.— CITY" ` Tel. No. Oven _Dryer—W.M. LICENSE OR Top _FAU —W.H.— REG.NUMBER 1 —3 Class.(:!-2e Hood Fon _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp. Room Air Cond. 2.00 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN- ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REG RED AND/OR LICENSED AS 2.00 REQUIRED BY LO O AND ST O CALIFOR A OR THAT I AM Up to 1 Incl. THE LEGAL O ER OF THE AB E DE RIBE ESI NTIAL P ERTY. Over 1 to 10 Ind. 5.00 >" Over 10 to 50 Incl. 10.00 PERMITTEE Over 50 to 100 Inc. 20.00 SIGNATURE Over 100 30.00 DISTRICT NO. P CESSE BY ®j Services S L ' �� Ib 0- 200 Amp. Under 600 V 12.50 INSPECTOR'S Vb APPROVALS DATE SIGNATURE Z 25.00 201-1000 Amp.Under 600 V m Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE UNDERSLAB WORK Temp. Power Pole&Appurtenances 10.00 Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2.00 WIRING Misc.Conduits&Conductors 15.00 FIXTURES Other(See Complete Fee Schedule) POWER AUTHORIZED UTILITY CO.NOTIFIED f FINAL ,7 7 PERMIT FEE (Sub-Total) NOTES PLAN CHECKING FEE (One-Fourth Permit Fee) PERMIT ISSUING FEE $6.00 TOTAL FEE e5 a PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 1 1 9'AR_ 22 2 D 9.00 -98 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE- ©s 76A663 CE 806R 10,77_ APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB ADDRESS G�Y��' �C/AY BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN LOCALITY' fE/'yi�tl�L-. New Residential Bldgs.&Pools EACH NO. FEE CNEAREROSS ST. L�D tV 1 &2-Family,Sq. Ft. $ .025 — $ OWNER T Multi-family Sq. Ft. 02 — FIRM NAME 2•►( ( /� 6 ,Residential Swimming Pools 25.00 MAIL ADDRESS 0 O ,r(, Outlets: Rec Light_Sw. CIT>f Tel.No. 8 First 20 .50 PLAM CHECK Total No. Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 F CITY Tel.No. Additional .30 PERMIT Total No. APPLICANT C_ L Fixed Appliances Not Over 1 HP ADDRESSJ. Range—Heater—D.W.— CITY = Tel.No. C� Oven _Dryer—W.M. LICENSE OR Top —FAU —W.H.— REG.NUMBER ����� Class. `f� Hood_Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp. - Room Air Cond. 2.50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN. ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING, Power Apparatus&Large Applionces Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Up to 1 Incl. 2.50 THE LEGAL OWNER OF THE ABOVE D111!7D RESIDENT AL PROPERTY. 0 Over 1 to 10Incl. 5.00 C..') Over 10 to 50 Incl. 12.50 PERMITTEE � c¢� Over 50 to 100 Inc. 25.00 SIGNATURE Over 100 40.00 DISTRICT NO. OCES ED BY N Services - y ! 0-200 Amp. Under 600 V 12.50S 201-1000 Amp.Under 600 V I 25.00 APPROVALS DATE GNECTOR'ATURE Over 1000 Amp.or Over 600 V 50.00 ]TEMP. POWER POLE UNDERSLAB WORK Temp. Power Pole&Appurtenances 10.00 Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2.00 WIRING Misc.Conduits&Conductors 10.00 FIXTURES Other(See Complete Fee Schedules POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL _ PERMIT FEE (Sub-Total) NOTES PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE $7.00 TOTAL FEE 1 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 0 3.3 NJUN 22 2 U 1 0.0 © $ .; SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE �l v 76A663-CE80612-65 .APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING ) 6 BUILDING AND SAFETY DIVISION ADDRE., _7 JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY / NEAREST FOR APPLICANT TO FILL IN CROSS ST. ./ RECEPT. 1 TOTAL NO. IEACH FEE OUTLETS 1 FIRST 20 $.20 $ OA NER LIGHT Q J} SWITCHAOD'L 10 ADDRESS OVER 20I LIGHTING 1S F XO TOTAL RES FIRST 201 .20 CITY L1/ TEL. NQ,? d /� FIXTURES J ADD'L 10 CONTRACTOR Z OVER 20 ' ,p RANGES DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISI. STA.COOK CITY i"((� L TEL. NO. DISHWASH. AUTO.-WASH. STATE �} SPACE HTRS. STA. APPL. 50 LICENSE N MOTORS: OVER NOT OVER H.P. DIST CT„[VO G (?UP E PR S O 1 1.00 i 1 3 1.50 INSPECTION RECORD O 3 8 2.00 U 8 15 2.500 o 15 50 3.00 W > ` C 50 too 5.00 z NO.TRANS SIGNS: NO.LAMPS SERVICEO.600V-Nor OVER 200A 1.00 �-j ;i ;a..�,'''^/�' ��1 �_f'' ?f �*�• SERVICE 0-60OV-OVER 200 A. 2.00 _ SERVICE OVER 600V 5.00 r'✓,.:' �'`—T-Y; OTHER (SEE COMPLETE FEE SCHEDULE) r u PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE TOTAL FEE $ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION _—SLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING• 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND�OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO POWER RESIDE IN,THE VE ESCRIBED RESIDENT AL PR��jjggERTY. SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE _ FINAL ,�. C,y Aj 4eCIOAJ VALtDATt JOSEPH SUPERVISING ELECTRICAL TRICAL ENGINEER FIR-- CK MO CASH X09 2 3 0� JDi22 2 D 3.60 76A663-CE806 9-66 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING /1 BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY 1 NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT, 1 TOTAL NO. EACH FEE _ OUTLETS FIRST 20 IS $ _OWNER LIGHT J} MAIL SWITCH ADD'L t0 ADDRESS OVER 20 TOTAL FIRST 20 .20 CITY G TEL. NO. LIGHTING FIXTURES n FIXTURES ADD'L 10 CONTRACTOR ( �t OVER 20 RANGES DRYERS WTR.HTRS. 1.00 ADDRESS i _ GARB.DISP. BTA.COOK CITY (-: TEL.NO I (r DISHWASH. AUTO.-WASH. STAT 5'SPACE HTRS. STA. APPL. .SO LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT NO GROUP 7„O PR B O 1 1.00 7/14 [� 1 3 1.5o INSPECTION RECORD 3 8 ! 2.00 , 8 15 2.50 15 50 3.00 O 50 100 5.00 V NO.TRANS w SIGNS: NO.LAMPS 0 V SERVICE 0.600V-NOT OVER 200A 1.00 a SERVICE 0.60OV-OVER 200 A. 2.00 N z SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 �. J SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI ATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT r WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. ✓�� p WIRING n-7-119-1 I HEREBY CERTIFY TH A PROPERLY REGISTERED AND/OR FIXTURES ` LICENSED AS REQUIR BY LOS ANGEL O NTY AND STATE OF CALIFORNIA OR TH I AM TH EGA W �E OF, AND INTEND TO POWER RESIDE IN,THE A VE DESC BED R IDE AL PROPERTY. n SIGNATURE ���� UTILITY CO.NOTIFIED OF PERM] E FfNAL LIDATION JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER CK MO CASH t_. z .o 0 10,T 17 U 4.00- S 76A663-CE806 468 APPLICATION FOR ELECTRICAL PER COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 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. EAC FEE h RECEPT. S S OWNER G/o/ "1.l MAIL LIGHT TOTAL FIRST 20 .20 _ ADDRESS SWITCH_ O_MER 20 TY LV TEL. NO. PLAN CHECK LIGHTING 1 TOT FIRST 20 .20 I APPLICANT FIXTURES Jj OVER 20 .10 ADDRESS RANGE —WTR.HTR._ CITY TEL. O. STA.COOK_DISP._F.A.U.— COi�ITRACrOR SPACE HTR. AIR COND. ADDRESS -VOL CLOTHES WASH,_DISHWASH,_ ) CITY TEL. NO. ( FAN—OTHER 1.00 La LLICENSE 1,10. 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. 0 — 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 — 10 3.00 LICENSED AS RE0U IR BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 10 — 50 5.001 RESIDE IN, THE ABOVE} OES,CRIP.ED R (DENTIA PROPERTY. 50 - 100 10.00 SIGNATURE OF PERMITTEE 0 U 100 - 500 15.00 = DISTRIC O G OUP ZONE P p TUBE.GAS, OR SIGN AND ONE CIRCUIT .3.00 U W MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: k Z 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 PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.001 o UTILITYCO.NOTIFIED � SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE P:jJOSEPH C• ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH �0-6 0 6� 7 120 2 D 5.00- EE BACK OF APPLICATION FOR COMPLETE FEE SCHEOULE 76A663-CES0610/74 APPLICATION FO 61&R AL PER T I COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS Q BUILDING AND SAFETY DIVISION LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. ' OUTLETS NO. EACH FEE OWNER OR $ $ FIRM NAME RECEPT... MAIL FIRST 20 25 ADDRESS LIGHT TOTAL CITY TEL. N0. ' SWITCH_ OVER 20 10 PLAN CHECK LIGHTING - FIRST 20 APPLICANT - - TOTAL 25 )(l FIXTURES OVER 20 f0 ADDRESS 1 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE.. DRYER_WTR. HTR. APPLICANT �+ STA. COOK DISP. F.A.U. ADDRESS: d nJ YL114&ICI /44 LZ' SPACE HTR. AIR COND. CITY 6VC, TEL. N0. /Z CLOTHES WASH. - DISHWASH. LICENSE OR REG. NUMBER SVS' CLASS. -J(7 ! v FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND, HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1,001 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF r CALIFORNIA OR THAI- I AM LEGAL OWNER OF THE ABOVE p, 1 - 10 3.00 DESCRIP,ED RESI TIAL P 0 RTY. U PERMITEE L _ 10 - 50 5.00 SIGNATURE O: U 50 - 100 10.00 - DISTRICT NO. ROCE ED BY GO 100 - 500 15.00Z' r SIGN, GAS =,,GN ONE CIRCUIT 5.00 APPROVALS DATE INSPECT SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK SERVICE OVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES • POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES;' 111 � f ,.Ur? 417ET PLAN CHECK FEE /"'"G �L PERMIT ISSUING FEE 3.00 TOTAL FEE L ( D PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK-. ' M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 1 76A663-CE806 1/70 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS /,. JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY e COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST D_r FOR APPLICANT TO FILL IN CROSS ST.' .�C.� OUTLETS. NO. EACH FEE 1 ' n $ $ OWNER Com,. ,,. RECEPT._ MAIL LIGHT TOTAL FIRST 20 20 ADDRESS `- OVER 20 CITY �� TEL. N0. SWITCH_ .10 PLAN CHECK LIGHTING TOTAL 20 FIRST 20 APPLICANT FIXTURES —i OVER 20 .10 ADDRESS APPLIANCES CITY TEL. NO. RANGE DRYERWTR. HTR. PERMIT iAPPLICANT STA. COOK DISP. - F.A.U. ADDRESS SPACE HTR. AIR COND. CIT EL, NO. CLOTHES WASH. DISHWASH. LICENSE NO,.� 6 CLASS. Q FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 1,00, LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I A THE LEGAL OWNER OF, AND INTEND TO 1 — 10 3.00 RESIDE IN, THE A E DESCRIP.ED RES NTIAL PR PERTY. g SIGNATURE 0 10 — 50 5.00 OF PERMITTEE 0 50 — 100 10.00 w DISTR�N0. CLASS GROUP 20 PROC - S Y O 100 — 500 15.00 o©� ' V SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: CL N TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 z SERVI CENOT OVER 600 VOLTS OR 200 AMP 2.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AM P 5.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 3.00 �3 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 Q� I FINAL �Q ', SUPPLEMENTARY PERMIT ISSUING FEE 1.00 _ JO EPH'C. ROOHAN 'TOTAL FEE s �"� SUPERVISING ELECTRICAL ENGINEER PLANCHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH, i P_ 0 v b:ti upv 21 2 A 5.0 0 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE t.' ., r�o:- �,•�t ,!'h+S f'fv !v'L 1�("" Q/'"I 1fJ�/Y l7� ���'%�.��� � /' 76AG68-CE806 7-88 APPLICATION FOR ELECTRIC Y LEC ■ RIC IT COUNTY OF LOS ANGELES R DEPARTMENT OF COUNTY ENGINEER BUILDING 1rn BUILDING AND SAFETY DIVISION ADDRESS r j /.1 tfA 1 }` JOHN A. LAMBIE, COUNTY ENGINEER ` CASSATT D. GRIFFIN, SUP'T OF BUILDING l LOCALITY A.,Q?/ i� i FOR APPLICANT TO FILL IN' NEAREST PERMIT FEES CROSS ST. rw rr G.ii I T E M NUMBERI EACH FEE OWNER 44 A OUTLETS: ,$ $ MAIL LIGHTS - RECEPT. SW. .10 ADDRESS LIGHTING 'FIXTURES .10 CITY /'?=`xr t't. i4. TEL. NO. ELEC. RANGES CLO, DRYERS -ELECTRICIAN ? ( �' }'~ WATE R H EATERS .50 �' ELEC.SPACE HTRS. DISHWASHERS ADDRESS - CITY' TEL. NO. 'r 7 J GARBAGE DISPOSERS AUTO.- . STAT l WASHERS STA. COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. DISTRICT NO. GROUP ZONE P CES ED BY O— 1/2 .25 d 1/2— z so INSPECTION RECORD 2— 5 1.00 5— 15 1.50 15— 50 2.50 50—.200 5.00 SIGNS/ NO. TRANS (( NO. LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. top ,. WIRING PERM 1.00 FIXTURE PERMIT ft"'( 'LO( SU�PLEMENTARY��PERMIT„�'` "" '" 50� 1 'TOTAL FEE APPROVALS 'jI '14EREBY AGKNOWLEDG'e THAT',1 ,HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND`�STATE THAT THE,.ABOVE IS. CORRECT•,AND AGREE TO COMPLY ',I CONDUIT WITH ALL; COUNTY -OORDINANCES:'AND-S'L'ATE LAWS REGULATING ELECTRICAL;WIRING*. WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR . LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ?� FIXTURES ` CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE .,,: Y. DESCRIBED RESIDENTIAL PROPE -� J} ., POWER " SIGNATURE r Ll- UTILITY CO.NOTIFIED I A A- OF PERMITTEE `'`IL"I trC �) f ,...,, A. .. FINAL Z1 / 2,3-ml .� FLOcG�%C- 1 VALIDFiTI ARTHUR C. 'VETT, CK MOi ASH./f SUPERVISING ELECTRICAL ENGINEER 76A663-CE806-11_57 APPLICATION FOR ELECTRIC PERMIT ., COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS (�v 1 �• CJS L ,]j�OHN A. LAMBIE. Cot ty Ea ' -.. / l ✓�j CASSATT D. GRIFFIN.Stip f of$Building LOCALITYNEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES I T E M U....11 EACH FEE OWNER. ! "L �• `/ �I%Iv j /' OUTLET $ $ / MAIL LIGHT RECEPT. �'J SW.,i / .10 �C•I ADDRESS LIGHTING FIXTURES .10 CITY~ s ! TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN >l.C.. . J'�ifr'r';%/= •'-'i' WATER HEATERS .50 -) ,`<v ADDRESS J .-<'i- <� ELEC.SPACE HTRS. DISHWASHERS /. GARBAGE DISPOSERS AUTO._ CITY f TEL.NO.f STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. i/l, �✓/ =� �` MOTORS: OVER INC. H.P. 0 — 1/2 J/ J I 25 DISTRICT NO. GROUP ZONE READY FOR INSPECTION 1 �' z 1/2 — 2 .50 INSPECTION RECORD 2 — 5 1.00 5 — 15 1.50 15 — 50 2.50 50= 200 5.00 SIGNS: NO.TRANS. NO.LAMPS 1 /169 , SERVICE 0-600V 1.00 l' SERVICE OVER 600V 5.00 — MISC. - 7 - F? P L 'Ji !j WIRING PERMIT 1.00 e FIXTURE PERMIT 1.00 ! n SUPPLEMENTARY PERMIT .50 TOTAL FEEs APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI A ION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT 'C •� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I, ELECTRICAL WIRING. WFR{(NG I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES -��- LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF � �IJ. ' CALIFORNIA OR THAT 1 AM. THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL P FERTY. /) SIGNATURE // / UTILITY CO.NOTIFIED �5 T ox o Zff p_ OF PERMITTEE 6 �1�`�"�• Prim AL ATION ARTHUR C.VETT. cK J Mo CASH SUPERVISING ELECTRICAL ENGINEER �' t� 4.4 16x663-CE606 6-62 APPLICATION ELECTRIC L PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER DING D BUILDING AND SAFETY DIVISION RESS EJF�i JOHN A. LAMBIE, COUNTY ENGINEER - 1O -f/ f� WILLIAM A.JENSEN, SUPT OF BUILDING LITY /`�L- EST r��* FOR APPLICANT TO FILL IN S Sr. 0"f/ DEW RECEPT. TOTAL NO. EACH 77F `, OUTLETS FIRST 20 $.20 $ NER �V LIGHT MAIL -Ai ADD swl7cH. oVER'L ,10 LIGHTING [TOTALF1sr 20 .20. ADDRESS 5 CITY TEL.NO. RI FIXTURES ADD'L 10 ELECTRICIAN IOVIER 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS Oft I& E)WAII)AY, GARB.DISP. STA.COOK L. A. 1 r4A. 6'GW4 CITY TEL. NO. DISHWASH. AUTO.-WASH. STATEi C-10 SPACE HTRS. STA.APP.(l/.H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER HP DISTRICT,ryNO GROUP ZONE PR CE E BY O 1 1.00 �" 1 3 1.50 INSPECTION RECORD 3 8 2.00 �N } 8 15 2.50 D_ O 15 50 3.00 U 50 100 5.00 0 fir^ O SIGNS: NO.TRANS _ ~ NO.LAMPS / P W O_ N SERVICE 0.600V-NOT OVER 200A 1.00 Z SERVICE 0.600V-OVER 200 A. 2.00 5; SERVICE OVER 600V S.00 MISC. a ,t. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ t a 1HEREBY 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 I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RES[alA PROPERTY. _ POWER SIGNATURE / OF PERMFNATUR'TE A UTILITY CO.NOTIFIED I / FINAL VALIDATIO ARTHUR C. VEIT CIL MO CASH SUPERVISING ELECTRICAL ENGINEER L1 0 1 4 8 T-2' FEB 27 2 0 .c- Q�- cli . 76A663-CE8061.66 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES D&ARTWCENT OF COUNTY ENGINEER BUILDING B„UI�' ;PIh G AND SAFETY DIVISION ADDRESS JOHY A. LAMBIE, COUNTYSENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE RECEPT._ $ $ OWNER MAIL LIGHT TOTAL FIRST 20 .20 �® ADDRESS 6 SWITCH_ OVER 20 .10 CITY /�(ijyEq ✓� TEL. NO. --7 -4 !� jr PLAN CHECK / C\ LIGHTING �TOTAL FIRST 20 .20 0 APPLICANTFIXTURES - / OVER 20 f .10 ADDRESS RANGE—DRYER—WTR.HTR._ CITY TEL. NO. N. STA.COOK_DISP.—F.A.U._ CONTRACTOR SPACE HTR. AIR COND.—ADDRESS '///f CLOTHES WASH. DISHWASH._ CITYTEL.' �j 0> NO. 7 / FAN—OTHER 1.00 LICENSE NO. /' < CLASS. MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 I 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 OWNER OF, AND INTEND TO a 10 - 50 5.00 RESIDE IN, THE AB VE DESCRIBED RESIDENTIAL PROPERTY. 0 50 - 100 10.00 SIGNATURE U OF PERMITTEE _ ' ''� _ IV 100 - 500 15.000 DI RICT N'0 GROUP ONE PR SSED BY a- TUBE,SIGN,GOR AS SIGN AND ONE CIRCUIT 3.00CL 0' MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: �v 4 z 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 _ 1 TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 dV UTI LI TY CO.NOTIF.IED r/ SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL d TOTAL FEE 3 JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. 11 7 JUN 1 .9 SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE �/ 76A663 CE-806(6/78) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB '� New Residential Bldgs.'&Pools EACH NO. FEE ADDRESS LOCALITY L903CMe b YTP' 1 &2.Family,Sq. Ft. $ .025 — $ Q e'&4 PLC d"T Multi-family Sq. Ft. .02 — NEAREST L�� 25.00 CROSS ST. 4/� Residential Swimming Pools OWNER OR FIRM NAME 7--C- Outlets: •C.Outlets: Rec Light Sw. MAIL First 20 50 ADDRESS I 4rL0Op-III—CS Aj Total No. Additional 30 CITY fl.Ca Tel.No. PLAN _>FS—rbl%3 Lighting Fixtures First 20 .50 ADDRESS dlgto the- ST Additional •30 Total No. CITY C. Tel. No.71&44 Fixed Appliances Not Over 1 HP PERMIT Range—Heater—D.W. _ APPLICANTConlee & Son Electric Oven_Dryer_W.M. ADDRESS 2650 N San Gabriel B1V 1. Top _FAU — W.H._ CITY Rosemead Tel. No.280-2007 Hood_Fan _Other_ LICENSE OR Disp._Room Air Cond. 2'50 REG.NUMBER 242432 Class.c 10 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA- Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS Size&T yp REGULATING ELECTRICAL WIRING. 6 Up to 1 Incl. 2.500I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF TH BOVE O 25.00 DESCRIBED RES TIAL PR ERTY. b Over 50 to 100 Inc. 2000 PERMITEE . Over 100 SIGNATURE a Services DISTRICT NO. PROCES ED BY 0-200 Amp. Under 600 V 12.50 201-1000 Amp. Under 600 V 25.00 Over 1000 Amp.or Over 600 V 50.00 Z O Temp. Power Pole&Appurtenances 10.00 Q Sign with One Branch Circuit 10.00 C Additional Sign Branch Circuits 2'00 INSPECTION > �23 1 0 0,8 A INFORMATION v Misc.Conduits&Conductors 10.00 ON REVERSE i o 0 o o a 2 Other(See Complete Fee Schedule) SIDE za 2ao10.00 — -S 'fes E Vw. L(h 0 0 0 1. 0,00F2 PERMIT FEE (Sub-Total) 3 0630-60 Z PLAN CHECKING FEE (One-Fourth Permit Feel O PERMIT ISSUING FEE $7.00 c J TOTAL FEE �D.o > INSPECTION FINALED ogc W dateP'�E�o w 0 By a. A d Os 4663-CE806 5-62 APPLICATION F . R ELECT CAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS !� L� JOHN A. LAMBIE, COUNTY ENGINEER )' WILLIAM A.JENSEN, SUPT OF BUILDING LOCAL71 ITYh� NEAREST FOR APPLICANT TO FILL IN CROSS ST. 2 J RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 $20 $ OWNER7 LIGHT MAIL ADD'L 10 ADDRESS .� /PO..fG� SWITCH. OVER 20 y- TOTAL CITY / .L�/•� GST EL. NO. LIGHTING FIRST 20I .20 FIXTURES ADD'L to ELECTRICIAN �G ~ 6VFR 20 '/ RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESIS, �/��� G Iy� !/ -.7-- GARB.DISP. STA.COOK CITY �� DLG �� 74-70/ EL. NO. DISHWASH. AUTO.-WASH. STATE /� SPACE HTRS. STA.APP.('A H.P.MAX.) .50 LICENSE NO. I �T/ MOTORS: OVER NOT OVER H.P. DISTRICT 7�NO. G OUP ON /PR ESsSE,DBY O t 1.00 7j 7� ` � � ! ��✓� Z 1 3 1.5o INSPECTION RECORD 3 8 12.00 8 15 2.50 a O 15 so 3.00 V s0 too 5.00 SIGNS: NO.TRANS. (O� NO.LAMPS Z W CL h SERVICE 0.60OV-NOT OVER 200A 1.00 y SERVICE 0.60OV-OVER 200 A. 2:00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTAIRY PERMIT ISSUING FEE 1.00 TOTAL FEE 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE GAL OWNER OF THE ABOVE l DESCRIBED RESIDENTIAL PROPE POWER /J SIGNATURE UTILITY CO.NOTIFIED / OF PERMITTEE } FINAL l.. ✓/� -�� �/ v����`��/✓?✓; �LIDATION ARTHUR C. VEIT_ CK MO CASH SUPERVISING ELECTRICAL ENGINEER LACO 4 9 1 8 S£P 2 8 2 D 4.2 0 M .76AJ63-CE806 4-68 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FBNTC BUILDING AND SAFETY DIVISION y4do /v JOHN A..LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGYNEAREST FOR APPLICANT TO FILL IN . �L1NL'/I-7EN NO. JEACH FEE RECEPT. 2 $ $ OWNER elGE"% 51z—er'T MAIL LIGHT 2- TOTAL FIRST 20 .20 0 ADDRESS X3/4- d + /7_.j'T, /l/✓ SWITCH— -` OVER 20 .10 CITY L gaazz TEL. NO. LAN CHECK LIGHTING TOTAL FIRST 20 Il .20 Zp APPLICANT FIXTURES -j-61OVER 20 .10 ADDRESS RANGE_DRYER—WTR.HTR.— CITY TEL. NO. STA.COOK_DISP._F.A.U.^ CONTRAC rOR SPACE HTR. AIR COND. ADDRESS CLOTHES WASH.,DISHWASH._ CITY !� l! -'� TEL. FAN—OTHER 1.00 LICENSE IJO._,-7 CLASS. -/ MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT IHAVE 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. 0 - 1 1.00 ' I 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 1 AM THE LEGAL OWNER OF, AND INTEND TO 10 - 50 5.00 RESIDE IN, THE ABOVE DESCRIP-ED RESIDENTIAL PROPERTY. 50 - 100 10.00 SIGNATURE d OF PERMITTEE ^� � `�� O V Ioo - Soo 15.00 f TT�RI NO. O P Z N PR ESSED�BY p SIGN,GAS SIGN AND ONE CIRCUIT 3.00 ! P TUBE, OR Y 1`-� WMARQUEE . ADDITIONAL CIRCUITS 1.00 D_NSERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00SERVICE OVER 600 VOLTS OR 200 AMP5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00APPROVALS DATE INSPECTOR'S SIGNATURE P. POWER POLE ERSLAB WORK !' �y ROUGH CONDUIT G LPERMIT (SUB TOTAL) WIRING FIXTURES FEE (507 PERMIT FEE) POWER AUTHORIZED NG FEE 2.00 21 QQ UTILITYCO.NOTIFIED ARY PERMIT ISSUING FEE 1.00 FINAL GO JO PH . ROOHAN SUPERVISING ELECTF-ELCAL ENGINEER PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION.(CK. M.O. CASH .8:o OCT9 -2 D 6.0 0 N iEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE r- . 76A663-9E806 468 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY d� ` NEAREST FOR APPLICANT TO FILL IN CROSS ST. G Q NO. EACH FEE S S OWNER ._ s' I RECEPT._ _k,7MAILLIGHTTOTAL FIRST 20 .20 ADDRESS SWITCH_ OVER 20 .10 CITY TEL. NO_ ���e6 PLAN CHECK LIGHTING �TOTAL_ FIRST 20 Q .20 6O APPLICANT FIXTURES _SL. OVER 20 .10 ADDRESS RANGE_DRYER—WTR.HTR._ CITY TEL. NO. STA.COOK—DISP._F.A.U., COivTRACT'OFZ S s SPACE HTR. AIR COND.—ADDRESS X L O/tJ/A / CLOTHES WASH._DISHWASH._ CITY /= TEL. NO.� FA N_0THER 1.00 LICENSE 1-40. CLASS. MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. IHEREBY 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. 0 - 1 1.00 1 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 EGAL OWNER ,F, AND INTEND TO 10 - 50 5.00 RESIDE IN, THE ABOVE 0 CRIP.ED RE�ENTIALPROP TY. SIGNATURE CL 50 - 100 10.00 PPEREEFm� U100 - 500 15.00 G UP Z N R Ej�qMDSIGN.GAS SIGN AND ONE CIRCUIT 3.00 TUBE, OR C'> MARQUEE - ADDITIONAL CIRCUITS 1.00 a CE�SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 VALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT- .--- PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) /T��7 POWER AUTHORIZED PERMIT ISSUING FEE 2.00 v(/ UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL f TOTAL FEE / JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION(a) CK. M.O. CASH A,2 1 6.1m OCT 7 2 D , .4 6.20 EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ! 76A663 -906(6,76) APPLICATIOW FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB New Residential Bldgs.&Pools EACH NO. FEE ADDRESS J NZc�� 1 &2-Family,Sq. Ft. $ .025 — $ LOCALITY Multi-family Sq. Ft. .02 — NEAREST Residential Swimming Pools 25.00 CROSS ST. OWNER OR FIRM NAME Outlets: Rec Light—Sw. MAIL ��9 First 20 .50 ADDRESS Total No. Additional .30 CITY el. No. PLAN CHECK APPLICANT Lighting Fixtures First 20 50 ADDRESS Additional .30 Total No. CITY Tel.No. Fixed Appliances Not Over 1 HP PERMIT ^^ i Range_Heater_D.W. _ APPLICANT — %T Oven—Dryer W.M.— ADDRESS 6 i Top _FAU _ W.H.— ✓J- CITY Tel.No. — Hood_Fan —Other LICE EOR Disp.—Room Air Cond. 2'50 REG.NUMBER 3��y Class IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. d Up to 1 Incl. 2.50 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Incl. 1250 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE (29O Over 50 to 100 Inc. 25.00 DESCRIBED RESIDENTI RTY. Over 100 40.00 PER MITEE, SIG RE UD Services DISTRICT NO. P D b 0-200 Amp.Under 600 V 12.50 201-1000 Amp. Under 600 V 25.00 `.l do Ir Over 1000 Amp.or Over 600 V 50.00 Z O Temp. Power Pole&Appurtenances 10.00 Q Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2.00 INSPECTION > Misc.Conduits&Conductors 10.00 INFORMATIONON REVERSE _ Other(See Complete Fee Schedule) SIDE v Z ;9114,0A J d a a a a a 2 PERMIT FEE (Sub-Total) 2 a a 44,5 0 Z PLAN CHECKING FEE (One-Fourth Permit Fee) O o a o44,5033 PERMIT ISSUING FEE $7.00 G 1,03-78 J TOTAL FEE > INSPECTION FINA�pLED W date: 1 y 3 �/ '�� By ©s 76A 66'•C E806 3-69 APPLICATION FOR ELECTRICAL RMIT • COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER T �'�/ BUILDING AND SAFETY DIVISION rDDRESS �3A0 �` ,eosr"cic JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGOCALITY %�/'J�1c-- oea FOR APPLICANT TO FILL IN NEAREST CROSS d / CROSS ST. .4- N C NO. EACH FEE' RECEIPT. $ $ OWNER �J` ,�l X c/l MAIL ADDRESS LIGHT TOTAL FIRST 20 .20 CITY TEL.N0. - SWITCH_ OVER 20 .10 PLAN CHECK LIGHTING TOTAL FIRST 20 .20 -3 APPLICANT� - ADDRESS FIXTURES 17 OVER 20 .10 RANGE_DRYER_WTR. HTR. CITY TEL.NO. STA. COOK_DISP. F.A.U. CONTRACTOR �1�'�T2/— / e�f G' - SPACE HTR AIR COND. ADDRESS i; E 46 - c? T CLOTHES WASH. 0ISHWASH. CITY��C.L�/✓�' a TEL.NO G/—P f 3 FAN OTHER 1.00 LICENSE NO. p�. CLASS. `-/Z> MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC, HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF } 1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O 10 - 50 5.00 V SIGNATURE � 50 - 100 10.00 OF PERMITTEE O momommood I-- 100 - SOO 15.00 DISTRICT NO. GROU ZONE PROCESSED BY V uj SIGN,GAS SIGN AND ONE CIRCUIT 3.00 - 1 N TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: /G SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 �y�� 6 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 7a G' �Z �i./ TEMP SERVICE, POLE, &APPURTENANCES 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) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 .2 ®V' UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE Gd JOSEPH C. ROOHAN o SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 1 a 91% S&18 2 D 8.80N, SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEOULF. 76,4663-CE806 3-69Ilb- ✓lJ APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES 0 DE-PARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION rLO7CAL,TY a /I/ OSe JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST ON FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE RECEIPT. $ $ OWNERMAIL fi Q ADDRESS 3�y tJ - '/�ST .4 LIGHT TOTAL FIRST 20 .20 SWITCH OVER 20 .10 CITY 1,4. !J-O D Z Z TEL.N0. PLAN APPLICANT �L�-�T - l./ C' e. LIGHTING TOTAL FIRST 20 .20 _ - FIXTURES OVER 20 .10 ADDRESS RANGE_DRYER_WTR. HTR. CITY P,lClJ ��. TE L.NO. STA. COOK DISP. F.A.U. CONTRACTOR SPACE HTR_ AIR COND. ADDRESS C��� 5 CLOTHES WASH. DISHWASH. CITYPu/�,�1 TE L.NO, .-eS33 FAN OTHER 1.00 LICENSE NO. �.- CLASS. MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1'00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND 5TATEOF 1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO d RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O 10 - 50 5.00 V SIGNATURE �/ 0 50 - 100 10,40 OFPERMITTEE rJ Q F- 100 - 500 15.00 DISTRICT /NO. f/'/ GROUP ZONE PRO CEESSE�D,BY[ U V SIGN,GAS �AD IGN AND ONE CIRCUIT 3.00 TUBE, OR Z MARQUEE DITIONAL CIRCUITS 1.00 NOTES:./ L7 IV la 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 / !d UNDERSLAB WORK ROUGH CONDUIT L C WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE 2.00 .� Q UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE 0"300 JOSEPH C. ROOHAN SUPERVISING ELECTR L ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH Sri18 20 3.00' SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76Ae631C.E-60616/78) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB New Residential Bldgs.&Pools EACH. NO. FEE ADDRESS 1 &2-Family,Sq. Ft. $ .025 — $ LOCALITY f CZ Multi-family Sq. Ft. .02 —25.00 CRNEARESTOSS ST. Residential Swimming Pools OWNER OR FIRM NAME (/1 Outlets: Rec4LightZ_Sw. MAIL �t First 20 .50 U �� ADDRESS . e, Total No. Additional .30 CITY �� Tel.No. PLAN CHECK APPLICANT Lighting Fixtures First 20 .50 ADDRESS q0 Additional Additional .30 e Total No. ✓ CITY Tel. No. Fixed Appliances Not Over 1 HP PERMIT APPLICANT liLl Range—Heater—D.W. _ ADDRESS ' Oven—Dryer_ W.M. 1 Top _FAU — W.H._ CITY 4 _15Tel. No. �� Hood_Fan —Other LICENSE OR Disp._Room Air Cond. _ 2'50 REG.NUMBER 7 Class. C'/D I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICA. Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP, KW, KVA,or KVAR COMPLY WITH.ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. a Up to 1 Incl. 2.50 Op I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Incl. 1 2.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 290 25.00 DESCRIBED RESIDENTIAL PROPERTY. Over 50 to 100 Inc. Over 100 40.00 PERMITEE fINFORMATION GNATCd NrD Services . P CESS D BY 0-200 Amp.Under 600 V 12.50 201-1000 Amp. Under 600 V 25.00 0(� Over 1 000 Amp.or Over 600 V 50.00 Z O Temp. Power Pole&Appurtenances 10.00 Q Sign with One Branch Circuit 10.00 . Additional Sign Branch Circuits 2.00 TION > v Misc.Conduits&Conductors 10.00 ERSE s 1 1 93 AOther(See Complete Fee Schedule) E v Qo 0 0 0 o 2 J d 2 - - 6240 PERMIT FEE (Sub-Total) 0 0 0 6240:5 Z PLAN CHECKING FEE (One-Fourth Permit Feel O J 10 7 e 7 8 PERMIT ISSUING FEE $7.00 G / J TOTAL FEE �D�• > r i INSPECTION FINALED �� W date: ByA/P ' 6 ©s