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