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Home My Public Portal About5625 SANTA ANITA AVE_Electrical__ 953_CEaD6 „_,� APPLICATION FOR ELEC RICAL PERMIT . . COUNTY OF LOS ANGELES DEP'AiRTMENT OF COUNTY ENGINEER FNEAREST G 2 BUILDING AND SAFETY DIVISION o�7 Y FOR APPLICANT TO FILL IN T. !�[ OUTLETS N0. EACH FEE $ $ OWNER RECEPT.1 MAIL LA LIGHT TOTAL FIRST 20 D 25 C> fl ADDRESS 41& / C/T CITY TEL. NO. SWITCH 919 OVER OVER 20 .10 1{� d v PLAN CHECK LIGHTINGTOTAL FIRST 20 0 25 '5- cr-O APPLICANT �� OVER 20 / ADDRESS FIXTURES f0 O RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT �f RANGE DRYER_WTR. HTR. 1 APPLICANT Cr ,,,C Q G ep STA. COOK DISP. 9 F.A.U. ADDRESS .0 U'( PK SPACE HTR, AIR COND. CITYEL. NO. �1 4q �j Q CLOTHES WASH. DISHWASHS— ® LICENSE N0. CLASS. `Q FANL�. � OTHER 1.00 C3 I 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 1.00 LICENSED AS REQUIRED BY LOS ANGELE TY NO STATE OF d CALIFORNIA OR THAT IAM THE LEG WNER D IN TO 1 - 10 3.00 RESIDE IN, THE ABOVE DES ED RE L PROPERTY. V SIGNATURE ;�� , 10 - 50 5.00 OF PERMITTEE CK 50 - 100 10.00 b DISTRICTNO. ICLASS ZONE PROLE SED BY. 100 - 500 15.00 LJ': '�j j3 OW' SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: ? TUBE, OR77 MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CE NOT OVER 600 VOLTS OR 200 AM P 7 3.00 j v-r9 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 TEMP LIGHT OR RECEPT. SYSTEM 3.001 1 UNDERSLAB WORK ROUGH CONDI UT i WIRING FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED' UTILITY CO. NOTIFIED ' PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.001- 3 C-10 TOTAL FEE 91 IV Ly6 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALI ION CK. M.O. CASH LAo95Qati NOY 2 2 88.40- SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE -76.�669-C „-� 6„, . f APPLICATION FOR ELECT ICAL PERMIT COUNTY OF LOS ANGELES D%P'ARTMENT OF COUNTY ER BUILDING AND SAFETY DIVISION ADS � s LOCALITY JNEAREST pw J FOR APPLICANT TO FILL IN CROSS ST. OUTLETS N0. EACH FEE / S $ OWNER -'' CITY TEL. NO. RECEP�� MAIL LIGHT TOTAL FIRST 20 a0 25 C,-o ADDRESS SWITCH OVER 20_ 16 f0 v v PLAN CHECK LIGHTING 1 TOTAL FIRST 20 .P5 (J� APPLICANT 1 OVER 20 p� ADDRESS FIXTURES 10 `T V RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT / RANGE DRYER_WTR. HTR. APPLICANT �� U ..[ e L O STA. COOK DISP✓ F.A.U. ADDRESS, �0 SPACE HTR.-AIR,TCOND. Cl TY,5pe to e2L. N0. 0� CLOTHES WASH. 6 DISHWASH. LICENSE NO. A/r� CLASS. a FAN OTHER 1.00 4f' D 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION - 111 /// 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 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 0 - 1 1,pp LICENSED AS REQUIRED BY LOS ANG U iiY AND STATE OF d CALIFORNIA OR THAT I AM THE L OWN FNO INTEND TO 1 - 1O 9.00 RESIDE IN, THE ABOVE D RIBED S AL PROPERTY. V 10 - 50 5.00 SIGNATURE OF PERMITTEE O $O - 100 10.00 DISTRICT CLASS ZONE PROCESS BY 100 - 500 15.00 �� Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICE NOTOVER 600 VOLTS OR 200 AMP 9.00 • rJ�� APPROVALS DATE INSPECTUR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AMP f0A0 TEMP.POWER POLE TEMP SERVICE,POLE,IN APPURTENANCES 5.00 TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CAB WORK ROUGH CONDIUT WIRING .3 FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED PLAN CHECK FEE UTILITY CO. NOTIFIED 1-1 FINAL PERMIT ISSUING FEE 3.001- 3' TOTAL FEE 6 D PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALID �vr(9 M.O. CASH 9 5 9 8_" NVU 2 2 D 10 2.40- SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE jg4l APPLICATION FOR EL r RIrAL ERNWT LI 76.0669-CE806 11-71 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING G , BUILDING AND SAFETY DIVISION LOCALITY FOR APPLICANT TO FILL IN NEAREST i CROSS ST, OUTLETS N0. EACH FEE OWNER RECEPT.� $ $ MAIL LIGHT TOTAL FIRST 20 25 ADDRESS CITY j TEL. NO. SWITCH_ _ OVER 20 .10 le PLAN CHECK / LIGHTING TOTAL FIRST 20 .25 APPLICANT FIXOVER 20 .10 ADDRESS TURES RESIDENTIAL APPLIANCES CITY TEL. NO, PERMIT RANGE D,RYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS, SPACE HTR, AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. 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 1.00 LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF - CALIFORNIA OR THAT 1 AM T LEGAL OWNER OF, AND INTEND TO I - 10 3.00 RESIDE IN, THE ABOVE 0 SCRIBED RE IDENTIAL P ERTY. 8 1SIGNATURE Cm 0 - 50 g,00 OF PERMITTE O 50 - 100 10.00 D19TRICT NO CLA95 PRO BE BY Lu 100 - 500 15.00 �2 a. Gr Z SIGN, GAS '[SIGN ONE CIRCUIT 5.00 NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 SERVI CEOVER 600 VOLTS OR 200AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 Q 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• TOTAL FEE 1 D PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALI T CK. M.O. -CASH 1, 6 ,' ; XT 10 2 8.0 0 'SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CE806 11-71 APPLICATION F CAL l IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING ��T� �r� BUILDING AND SAFETY DIVISION ADDRESS eC9'V LOCALITY x' FPLtj Cl7-' NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO, EACH FEE �j //�yam',' OWNER ' �,� Co oUrT &I 114(f RECEPT._ $ $ MAIL �ADDRESS d��e FIRST 20 25 LIGHT TOTAL V' OVER 20 CITY TEL. NO. i SWITCH_ 10 g _r3PLAN CHECK A _� LIGHTINGTOTAL FIRST 20 .25 APPLICANT / FIXTURES OVER 20 .10 ADDRESS _ RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT �^'�� STA. COOK DISP. F.A.U. ADDRESS, SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. 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 1 AM PROPERLY REGISTERED AND/OR O - 1 t.Op LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 - 1O 9.00 RESIDE IN, THE AB VE DESCRIBED R ENTIAL PROPERTY. Q V 10 — 50 5•00 SIGNATURE OF PERMIT 0 Sol— 100 10.00 DIST CT NO. CLA33 ZO P SS.ED BY NJ 100 - 500 15.00 F 6 Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICE NOTOVER 600 VOLTS OR 200 AMP 3.00 SERVICE OVER 600 VOLTS OR 200 AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 Q UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED- UTILITY CO. NOTIFIED PLAN CHECK FEE 7 PERMIT ISSUING FEE 3.00• 3 1-dr-ed) FINAL TOTAL FEE 0-0 PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE i "• WORKERS'COMPENSATION DECLARATION 76A663 10/81 A®:PLICA TION FOR ELECTRICAL L ®Ejj� IT I hereby affirm that I: have a certificate of consent to self �E-BpbG dlr /`1 Obi FOR L� I� 9® i'� ®. Y6mY® insure; or a certificate.of Workers'Compensation Insurance, ! COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified c'opy'.fhereof'(S:ec..3800,_.Lab:C.) Policy No'. Company 1 FOR APPLICANT TO FILL IN JOB Certified co is hereby furriished: EACH NO. FEE ADDRESS Av WA r copy .Y New Residential Bldgs. &Pools • f LOCALITY Certified copy is filed with the county building inspec- + 1 &2-Family, Sq. Ft., $ _ $ i tion de art'me I Mulfi-family Sq. Ft.' NEAREST + CROSS ST. / r- a k. ` Date. Ap�Pic/ Reside.. S. . mi gPoolsFlRM NAME m "n ntial wi WORKER . { @.D RPe i ERTIFIC.. E OF EXEMPTION MAIL COMPENSATION INSURANCE Outlets: Rec Light Stir._ ADDRESS io N This section need not be completed if the work involved b First 20 ( p y Total No. Additional ' CITY - Tel. No. a ' the permit is.for one hundred dollars($100.)or less.) I certify that in the.performance of the work for which this A pLICANTK permit is issued, I shall,'hot erripl'by.any person in any manner so as to become subject to the Workers`.Compensation Laws. :Lighfing Fixt ures First.20 ADDRESS I Additional ' Tota No. - - CITY Tel. No,. Date .. �' � , °PPlicant Fixed Appliances Not Over'.1 HR NOTICE TO APPLICANT:. If, afte akirig this, l rtificate of PP PERMIT ' Exemption, you should 'beco.'me'subject to the Wbrkers' Range=Heater_D:W': NT s�, Compensation provisions of the Labor Code,.you must forth- Oven —Dryer —W.A.— + ADDRESS ®it A®AO'P with .comply with such.,provisions or this permit shall be Top FAU —W.H.• deemed revoked: CITY Tel'.-No. Hood —.Fan _Other— LICENSEDCONTRACTORS DECLARATION LICENSE OR Disp. — Room Air Cond. Class.. v I hereby affirm;"that I arr+licensed under provisions of CFiapter 9 REG.NUMBER (commencing with Section 7000)of Division 3 of the.Business DISTRICT IVO:. PROCES D BY and Professions Code,and.my.license is in,fu.11 force,and effect. Power Apparatus&Large Appliances 1IL Size& W, KVA, S P ' Type IHR, K or KVAR` License Number-_3y0'f- = Class C-/� FINAL -Upto.1 Incl: - t 09 Over•I'to•10 Incl.. - .. •. D _ VALIDATION Contractor "Date a A �' ATE Over 10 to 50 Incl. FINAL Q� ❑• '1'am exempt under Sec. c Over 80 to.100 Inc, BY i I BAP.C.for.this reason. Over 100 i S_ervices_,'Swbd.., MCC&.Pahelboards Date; 0'-200 Amp, Under 600 V Signature 201'- 1000 Amp. Under 600•V Over']OW Amp. or Over 600V Y Exemption for Reg. Maint.Elecf. c 1 A, SINGLE FAMILY Temp: Power Pole&Appurtenances 'HOME OWNER-BUILDER DECLARATION `; o o'c 0 0.2 Sign with,One"Branch.Circuit I hereby off irm that I am,exempt from,the Contractor's License Additional Sigh Stanch Circuits Law for the following reason .(Section-7031.5, Bustriess•arid g G o .o �..� Professions Code): ❑ Misc. Conduits&.Conductors. ` ' a"� � j? I, as owner of the property, will.do the work and the structure is not intended; or-offered for sale (Section. Other(See Complete Feb Schedule)— 7044,Business and Professions Code). C' Q?-g!) '+ CONSTRUCTION LENDING AGENCY +. I hereby affirm that thereis a construction lending agency for 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 11 , ' 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'arid State laws regulating Electrical:wiring, and hereby authorize representatives of this County to enter upon 1 the"emend prperty.for'inspection purposes..• I' �i. SEE REVERSE FOR EXPLANATORY'LANGUAGE , nature&Pee Otte Date ,