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HomeMy Public PortalAbout5123 SANTA ANITA AVE_Grading__ ,�Be=i-CE S-7.S APPLICATION FOR ELECTRIC PERMIT 1 BUILDING AND SAFETY DIVISION -, Deportment of County Engineer Bt7ILDING County of Los Angeles ADDRESS JOHN A.LAMBIE.COUNTY ENGINEER CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL 1N CROSS ST. PERM FEES �/ �4mNUMBER OWNER /f// e fle LIGHT OUTLETS MAIL ADDRESS RECEPTACLES _ ALL SWITCHES FEE CITY TEL.NO. TOTAL OUTLETS ® 5¢ 8. ELECTRICIAN JJ ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL.NO. KW EA STATE FIXTURES 5 LICENSE NO. f •MOTORS DIST NO. I GROUP I ZONE READY FOR INSPECTION NUMBER HORSEPOWER FEE 4x NEW MVD. HP OVER INC. EACH &LESS $ .25 INSPECTION RECORD 2 .50 r. 2 5 1.00 5 15 1.50 15 SO 2.50 50 200 5.00 MISC. NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING PERMIT $1.00 u FIXTURE PERMIT $1.00 SUPPLEMENTARY 50 APPROVALS TOTAL FEE $. _ DATE INSPECTORS SIGNATURE IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY / WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING / dl M ELECTRICAL WIRICERTIFY G. FIXTURES 1 HEREBY CERi1FY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT 1 AM THE OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PR P RTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE FINAL /^�T^,7 �r��I.PISam L eanw/� IOHN A.LAMBIE. ATION ARTHUR C.VEIT. :OUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER � O CASH ,_x.07 8 £3 3�; r;r'�' 6 2 2.6 5 79AB88.03E9097-BB 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 AR E FOR APPLICANT TO FILL IN NosSEST ST.PFJMW FEES cR I T E M NUM13ERI EACH FEE OWNER OUTLETS: $ $ MAIL LIGHTS RECEPT. Sw. A0 ADDRESS LIGHTING FIXTURES .10 CITY TEL NO1 .- ELEC. RANGES CLO. DRYERS •ELECTRICIA _ WATE R H EATERS .80 .pDDRESB ELEC.SPACE HTRS. DISHWASHERS GARBAGE DISPOSERS AUTO.- CITY TEL. NO. STATE WASHERS STA. COOKING UNITS .25 LICENSE.NO. MOTORS: OVER INC. H.P. DISTRICT NQ, GR�JP ONE BY 0— 1/2 .25 �r I`F 1/2— z .so WAT=ON RECORD 2— 5 1.00 5— 1s 1.50 is— so 2.50 V2!s> J G ~ '! SO—200 5.001—. SIGNS: NO. TRANS. rte. NO. LAMPS SERVICE O-BOON 1.00 / 4s 7 GC,rT SERVICE OVER BOON 5.00 MISC. /• 'v - WIRING PERMIT 1.00 4ad FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE $ AMOVM 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PLICATION DATE INSPECTOR'S SIGNATURE Y AND STATE THAT THE ABOVE 18 CORRECT AND AGREE COMPLY n CONDUIT / i WITH ALL COUNTY ORDINANCES AND STATE LAWS' REE GULATING - ELECTRICAL WIRING. WIRING J' I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES •CALIFORNIA OR THAT I AFF]] THE LEGAL WNER OF THE ABOVE DESCRIBED RESIDENTIAL P OPERTY. POWER SIGNATURE UTILITY CO.NOTIFIEDI/ ♦// OF PERMITTEE FINAL VAMA ARTHUR C. VEIT, CK MO SUPERVISING ELECTRICAL ENGINEER U1603 4 1'6M MAR 13 2 A 2.o o IGA603-CESOG-7-36 APPLICATION FOR ELECTRIC PERMIT BU MING AND SAFETY DMSION Department of Couaty F 2 eer BUILDING County of LOS AIIgeles ADDRESS JOHN A.LAMBIE.COUNTY ENGINEER CASSATT D.-GRIFFIN.SUPT OF BUILDING LOCALITY FOR AAPTPLICARNT TO FILL IN CROSS ST. PEUCNURPER OWNER 1W MAIL LIGHT OUTJETS ADDRESS r RECEPTACLES a WALL SWITCHES FEE TEL.N TOTAL OUTLETS ® 5o S ELEC ICIAN ELEC.RANGES 1 25 ADDRESS ELEC.HEATERS 25 CITY TEL.NO. KW EA STATE FIXTURES 5 LICENSE NO. MOTORS DISTRICT NO. I GROUP I Z N READY FOR INSPECTION NUMBER HORSEPOWER FEE 7V `'' NEW MVD. HP OVER INC. EACH 1h&LESS S .25 INSPECTION RECORD 1fz 2 .50 �,L �f ��dMI GAJ-Oc�t�-fit5s' 2 5 1.00 5 is 1,50 15. 50 2.50 50 200 5.00 ++'� NN M-ISC. NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING PERMIT S1:00 FIXTURE PERMIT 51.00 0� SUPPLEMENTARY .50 'APPROVALS TOTAL FEE g DATE INSPECTOR'S SIGNATURE ' IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICA ON CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. FIXTURES I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/Oil LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT I AM THE EGAL OWNER OF THE ABOVE •R UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PROP SIGNATURE OF PERMITTEE FINAL JOHN A.LAMBIE. VALIDATION ARTHUR C.VEIT. =OUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER CK MO CASH ACo 9 35 F--, JUN 17 � 3.4 5• D.B.S.SA 23M 6ETB 70-47 APPLICATION FOR. PERMT DEPARTMENT OF DAG. AND SAFETY `� :- COUNTY OF LOS ANGELES ELECTRIC WM. J. O HIEF Erimakik. NAME ,�/;� r � /� DIST-MGT NO. GROUP ZONE PER�RN[iT/NO. T IA-1 ADDRESSL4*Fy- z w-a � �"l.0",O� CITY r3J. - ' ,�✓ .f!'a�C"=a��EL.NO. vp BY READY FOR DATK IRSUED FIRST INSPECTION COUNTY d CERT.NO. EXPIRES APPLICANT II'HLL IN DEAVILY 6dnMM PORTION ONLY JOB DESCRIMON OF VOR ADDRESS NUMBER.OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS ISW. PLUM Futr CROSS ST. CIRCUIT p M C D E P G I F6 w NAME at x ADDRESS. CITY TEL.NO I AM THE LEGAL POSSESSOR OF THS. ABOVE LOS ANGELES COUNTS! CERTIFICATE OF QUALIFICATION.... ELECTRICIAN. H APA THE LXGAi.OWNEROF THE PROPCRIMED ABOVA cammcnoris JLa .1 - _ Q _Z i, NO. OF OUTLETS ' APPROVALS NO. OF FIXTURES ffi DATE 1}VSPECTORIS NAME No. OF MOT .r OR$ H.P. ffi CONDUIT Ale- NO. / NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS , FIXTURES n MISCELLANE US ffi POWER n PERMIT FEE ffi UTILITY CO.NOTIFIED TOTAL ML FINA 2 . � FOA655_CESOO-9-57 APPLICATION FOR ELECTRIC PERMIT ti 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER Bu1LDING 7 BUILDING AND SAFETY DIVISION ADDRESS 3 JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES ITEM NUM19ERI EACH FEE OWNER OUTLETS ' $ $ MAIL LIGHTS RECEPT.13 SW. AO ADDRESS LIGHTING FIXTURES 10 CIT G�1!& TEL.NO.-OCI AZ ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS •5O ADDRESS ELEC.SPACE HTRS. DISHWASHERS GARBAGE DISPOSERS AUTO.- CITY TEL.NO. WASHERS STA.COOKING UNITS ,25 STATE LICENSE NO. MOTORS: OVER INC. H.P. 0— 1/2 .25 DISTRIC NO. GR UP ZD E READY FOR INSPECTION a s • V2 — 2 .50 2 — s 1.00 INSPECTION =ORD 5 — 1s 1.50 1 O S 1-). —. is — so 2.SO 50— 200 1 5.00 L SIGNS: NO.TRANS. NO.LAMPS r SERVICE 0-600V 1.00 , - SERVICE OVER 600V 5.00 MISC. i WIRING PERMIT 1.00 o0 FIXTURE PERMIT 1.00 6- SUPPLEMENTARY PERMIT .50 - TOTAL FEE $ APPROVAU 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP CA ION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE GRE ABOVE IS CORRECT AND AE TO CONPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ,�..rr• ELECTRICAL WIRING. WIRING 1o' 1 HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/OR FIXTURES r r� LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL P OPERTY. SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE FINAL LN ARTHUR C.yE1T. /C/c/tcJ TMoTICOASH SUPERVi81NG ELECl'RICAL ENGINEER E lCo6 1 7 6u% OCT29 2 A 4.8.5 •• F1 V WORKER S'COMPENSATION DECLARATION 76A663 CE-806G (2.80) APPLICATION FOR ELECTRICAL PERMIT � E•80 I I / reb affirm that I have a certificate of consent, to self � COUNTY OF LOS ANGELES T� � � BUILDING AND SAFETY re,or a certificate of Workers'Compensation Insurance,or / Nertified copy t ereof( c.3800,Lab.C.) s gFOR APPLICANT TO FILL IN Policy No. Company SINIZ JOB _Z g� New Residential Bldgs.&Pools EACH NO. FEE ADDRESS ertified copy is hereby furnished. 1 &2-Fam(Iy,Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. NEAREST Certified copy is filed with the county built i ction CROSS ST CT dep rtm nt. Residential Swimming Pools OWNER r FIRM NAME Date Applicant Outlets: RecLigh.t�Sw: ADDRESS ��$� � �,�� CERTIFICATE OF EXEMPTION FROM WORKERS' First 20 COMPENSATION INSURANCE Total No. Additional CITY � Q" Tel No. } PLAN CHECK �� tl APPLICANT &,46002 0 (This section need not be completed if the Lighting Fixtures First 20 work involved SO �j 0 by the permit is for one hundred dollars ($100) or less.) ADDRESS Total No. Additional 1 certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY +����! Tel No. Way � / permit is issued, I shall not employ any person in any manner PERMITU so as to become subject to the Workers'Compensation Laws. Range_Heater_D.W._ APPLICANT `r* CUL' Oven _ Dryer_W.M._ ADDRESS Z Date Applicant Top _ FAU _W.H., Hood Fan _Other_ CITY Tel No. NOTICE TO APPLICANT: If, after making this Certificate of Dis —Room Air Cond.— LICENSE OR �p �p Exemption, you should become subject to the Workers' p. REG.NUMBER 4 iSrD Class labi Compensation provisions of the Labor Code,you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCE ED�BY with comply with,such provisions or this permit shall be, k_ deemed revoked. Size&Type HP,KW,KVA,'or KVAR 6 -�} Up to 1 Inc]. FINAL LICENSED CONTRACTORS DECLARATION Over 1.to 10 Incl. DATE .- '��' O VALIDATION. Over 10 to 50 Incl. f I hereby affirm that I am"licensed under provisions of Chapter Ovdr 50 to-100 Inc. FINAL 9 (commencing with Section.7000)of Division 3 of the Busi- Over 100 BY ness and Professions.Code,and my license is in full force and effect. t� p Services License Number �`4 a Lic.Class b_M - 0-200 Amp.Under 600 V KNINSIM) WILDa 201-1000 Amp.Under 600 V Contractor We ` ® Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign.with One Branch Circuit License Law for'the following'reason.(Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): 3 G 5 . ' Misc.Conduits 6 Conductors I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— �� 0 0 0 0 a G structure is not intended or offered for sale (Section 7044,Business and Professions Code). 2,- 0 1 .1 0 0 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 0 0 . x for the performance of the work for which this permit is 7•v PERMIT FEE (Sub-Total) f 1; _ O issued(Sec. iv. �F2 04a-%Is IM C^ Lender's Namea PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE fr" -=op 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 above-mentioned ro erty f)r Inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE M , fto— Signature of Permittee Date