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Home My Public Portal About5115 SANTA ANITA AVE_Electrical__ DBS SA 25M SETS 1-48 ♦9g9yi4/'14�9tf N FOR PE7s7f,97AY DEFARTMENT OF BUM DM AND SAFETY A�rLHLtfiiVli PV illllLi COUNW OF LOS ANGELES ELECTRIC FOX. CHIEF _z NAME DISTRICT NO. GROUP ZONE/ PERMIT NO. U ADDRESS F If � Jr / r'°l• �w ti RECEIVED BY READY FOR DATE ISSUED CITY rJ �+Y'"L"- TEL.NO. FIRST INSPECTION COUNTY - - �v d CERT.NO. i �+"f EXPIRES7 A""T�fS AFFLDCANT FILL EV EMAMY OUMNED FOKMN ONLY DDESCRUYNON OF WORK ADDRESS- j VO 3 S Db Of b'L C _.1b.Ire NUMBER OF OUTLETS ON'CIRCUITSLOCALITY Ci , (�N I v E LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS Fnt7 CIRCUIT A 13 C D E / F G H m' NAME .y 3 AD1DLRESS J(Ab( a IV O �7z5.41 O CITY L/4 ON T C' TEL.NO-yu 4 1 AN THE LEGAL POSSESSOR OF THE ABOVE LOS ANGE_AS COUNTY CBRYIFICATS OF QUALIFICATION.. ELECTRICIAN. I AN THIK LMAL ER OWNOF TIME 1'ROP$RTY DESCRIBED 277��Q S OWNER. C®�®1\S G .4a�Np - G'!P�u iv io d✓�r G E Y 9 i C A-j.NI' eC/i3trLb 4.0 owtvr- i C.�+4 5 _ i.i ✓e J-A brs- /-q • /� i��4' is _e... �.�: .. J — � Q Z_ - D O e NO. OF OUTLETS .a $ / �.'� AFFROVALS NO. OF FIXTURES DATE IN PECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES tMISCELLANEOUS $ / POWER. /_J PERMIT FEE $ / �� UTILITYCO.NOTIFIEDTOTAL �� FE - - COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of CD Engineer �LEELECTRICDIVISION OF BUILDING & SAFETY WILLIAM J. FOX, Caunty Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN Zt Jh ✓� �:.��.., A l �� / r,' RECEIyED BY READY FOR DAT ISSUED ADDRESS - �� (��' FIRST INSPECTION CITY TEL NZ-'-,9 COUNTY LICENSE NO.-2/,;PCO EXP IRES✓49i'✓if -5-�;O BUILDINGJ ~ PERMIT FEES ADDRESS �i/i 5� �„ d. f FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST b RECEPTACLES CROSS ST. 47 I'/S1 1'1f WALL SWITCHES OWNER TOTAL OUTLETS f 5O 6 s MAIL ELEC. RANGES 85 ADDRESS 5 +2 t� ELEC. HEATERS 25CITY TEL NO. FIXTURES 5 _ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER New MVD. HP OVER INC. EACH of THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. !!i Y2 A LESS S .25 -f' SIGNATURE OF �,. r ✓� ,�,,, ,.r, , Va 2 .50 PERMITTEE 2 5 1.00 INSPECTION RECORD _ 515 1.50 15 so 2.50 5o 200 5.00 2013 Boo 10.00 J SOO 1 101313 15.00 Q — Z OVER 1000 20.00 M.G. HET/FREQ. CHANGER-HP WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF ORIS.) MISC. SIGNS NO. NO.TRANS. NO. No.LAMPS APPROVALS /4 FOR EACH PERMIT: 13 E INSPECTOR'S NAME WIRING 11111130 i CONDUIT / r • FIXTURES $11.00 f �e�:¢ WIRING ti�/•%1^+. !c �<+fr `��Z SUPPLEMENTARY .513 ' FIXTURES _— POWER TOTAL FEE :s To UTILITY CO.NOTIFIED ,,�i �f!�<. FINAL 7 le 77 _74""i.- 77,-a, .7 46A663 DBS##5A 4-52 76A663 DBS 5A 3-50 - APPLICATION FOR.PERMIT DEPARTMENT OF BUILDING AND SAFETY �� COUNTY OF LOS ANGELES - WILLIAM J. FOX, CHIEF ENGINEER ,FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT ND. ELECTRICIAN ,I ,5./G. f' RED IVIED BY READY FOR DATE 'ISSUED ADDRESS O d�J$ Q FIRST INSPECTION CITY E thRe.r QIT TEL NO. - 1/92� COUNTY LICENSE NO. EXPIRES BUILDING' UILDING '� �� y`3��/ '+ PERMIT FEES ADORE SS yT,�/ �OTs NUMBER EACH FEE LIGHT OUTLETS & RECEPTACLES Z CR088 BT. le �r � WALL SWITCHESDWNER T./ �S TOTAL OUTLETS +r 5c N SI JS/ MAIL � O G t-17 ELEC. RANGES gr, J ADDRESS ELEC. HEATERS 25 � CITU--7�, e C-! TEL H13-FO 0 FIXTURES 5 1 HEREBY ACKNOWLEDGE IrHAT 1 HAVE READ THIS MIS.. ' APPLICATION AND STATE THAT THE ABOVE IB CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDJ'NANCEB NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSEE88 THE ABOVE VALID LOB NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MvD. HP OVER INC. EACH T;iV�,-INSPWTION IDENTIAL PROPERTY DESCRIBED ABOVE. I/ a LEBB S .25 SIGN OF • ' '� I/2 2 .60 PTE 2 6 1.00 RECORD 5 15 1.50 15 50 2050 5O 200. 5.00 200 500 10.00 J SOO 1000 15.00 Z OVER 1000 20.00 0 M.G. BET/FREQ. CHANGER-HP Q' WELDERS.AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIO.) MOVED MCTORB (75% of ORIO.) MISC. SIGNS NO. NO.TRANS. NO. NO.LAMPS APPROVALS- FOR EACH PERMIT. DATE INBPEOTOR'S NAME WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING ✓'.1�S1;'� %' SUPPLEMENTARY .50 FIXTURES POWER - TOTAL FEE - $ �' UTILITY CO.NOTIFIED FINAL I V ✓ �` ��+`� IAGGS-CEBOB 10-60 APPLICATION FOR ELECTRICAL PERMIT 1 COUNTY OF LOS ANGELES DEPARMENT OF COUNTY ENGINEERTNE:_AREsT 3 BUILDING AND SAFETY DIVISION Slit ipn ti 03L.t- Dkl ✓,c- JOHN A.•LAMBIE, COUNTY ENGINEER -.�I^ WILLIAM A.JENSEN.SUPT OF BUILDING I! FOR APPLICANT TO FILL• IN . PERMIT FEES OWNER Fo S I T E M NUMBERI EACH FEE MAIL c OUTLETS: S S ADDRESS LIGHTS RECEPT. id SW. .10 t7 CITY TEL.NO. LIGHTING FIXTURES ,1O ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS _ .SO. O ADDRESS gK.�V t C. _ U BLE9PAC�HTRB.DISHWASHERS CITY S / TEL NO. GARBAGE DISPOSERS AUTO.- _ n f /.� L WASHERS STA.COOKING UNITS I .20 ,S LICENSE NO. 6 o?b 0 6 MQTORS: OVER INC. H.P. DIST CT O. GROUP ZONE P ESSED.BY k. 0— w .25 y8— 2 .50. INSPECTION RECORD a 2— 5 1.00 p ,,/ S— 15 1.50 45 !/I//fes'^ a 15— so So— zoo -,2.60 .� ��.,• S.00 SIGNS: NO TRANS. O. N NO.LAMPS /� SERVICE 0-600V 1.00 10 n SERVICE OVER 600V 5.00 M ISC. WIRING PERMIT• 1.00 1 on FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .S0 TOTAL FEE S b I HEREBY ACKNOWLEDGE THAT 1,HAVE REAL THIS APPLICATION APPROVALS DATE 'INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT .r WITH ALL COUNTY ORDINANCES'AND STATE LAWS REGULATING ,�yy�.•��. ELECTRICAL WIRING. WIRING ' /J n. �5.:.•�' I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR OO .LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEO L OWNER OF THE ABOVE w DESCRIBED REBIDEKTz)LLPIjopFRTY. POWER SIGNATURE / UTILITY CO.NOTIFIED • . I �_..n'.f"P� . OF PERMITTE A FINAL � L,!;�f I ARTHUR C.VEIT `(`cK MoO CASH •SUPERVISING ELECTRICAL ENGINEER •.8 3 5 AUGAUGa 1 2 D . i�y��v�liirt/ • WORKER'S COMPENSATION DECLARATION 76 ADe3 DPW(72-91) APPLICAT-IO.�V.,FOR ELECTRICAL PERMIT I hergby affirm that I have a certificate of consent to ..If insure, -or a i?ertificate of Worker's Compensation Insurance, or a certified ' COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thlreof(Sec.3800 Lab.C.) Policy No;�Company i'�t/Vd FOR APPLICANT TO FILL IN JOB ADDRESS f Certified copy is hereby furriished. New Residential Bldgs.&Pools LNO. EACH FEE LOCALITY ❑ $ $ L _ Certified co g p 1&2-Family,Sq.Ft.py is filed with the county buildin Ins action ,NEAREST .department.. Multi-family Sq.Ft. CROSS ST. AZAMP Date Applicant Residential Swimming Pools MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Light Sw. OWNER OR COMPENSATION INSURANCE . FIRM NAME ow 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.) S I certify that in the performance of the work for which this permit CITY Tel.No. —.2410 is issued, I shall not employ any person in n er so as to PLAN CHEC become subject to the Workers'Coation Lighting Fixtures First 20 APPLICANT Total No. Additional _ ADDRESS / !� Date Applies RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after mal,i g this Certificate of CITY Exemption,you should become subject to flTe Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. IT provisions of the Labor Code,you must forthwith comply with such APPLICANT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances 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 rel.No. Over 10 to 50 Incl. LICENSE OR Professions Code,and my license is in full force and effect. d Over 50 to 100 Incl. REG.NUMBER Class' 5-83a;;17-- Over 100 DISTRICT NO. P SSED BY V License Number D Lic.Class D r/r�,�j� j Services,Swbd.,MCC&Panelboards lY Contracto 40 • Date 0-399 Amp.Under 600 V DATE O ❑ 400-1000 Amp.Under 600 V !��z-q�9 V I am exempt under Sec. Over 1000 Amp.or Over 600 V VALIDATION (U FINAL d B.&P.C.for this reason BRANCH CIRCUIT FEES BY coZ Date: 15A,or 20A,120V,Lighting or Recept. 1 To 10 Branch ircui Signature 11 To 40 Branch CCircuittss r_141 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A 20A,208V To 277V lighting Br.Circuits 2 SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION a'ACCTo I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit � C for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits 330SI■� Code): 1 ITEMS ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) ® TOTAL 35-30 and Professions Code). CHECK 35.30 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 OOOD'ODa 1 1/17/0 Lender's Name PERMIT ISSUING FEE. 4312 1 PM 12 p 46 • � Lender's Address I certify that I have re this apP(ic d er penalty of purjury state TOTAL FEE 9 :625-ed that the abov for ati ri i . roe to comply with all County ordin s and St I s u e iring,and hereby authorize r esentatives o he above-mentioned or inspectses SEE REVERSE FOR EXPLANATORY LANGUAGE IGNATURE q PE ITTEE DATE