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Home My Public Portal About9635 VAL ST_Electrical__ iRAaaa Dae E.. llrs APPLICATION FOR PERMIT DEPARTMENT OFBUILDING AND SAFETY ELECTRIC i COUNTY OFFLOSLOS ANGELES WILLIAM J. FOX, CHILr ENGINEER FOR PLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN ADOR[BS 1'L R[C[IV[D By READY FOR FIRST INSPECTION DAT[ I9aU[O ARORMgCITY TEL NO TdIff COUNTY LICENSE NO PIRES BUILDING PERMIT FEES ADDRESS liL NUMBER OUTLETS EACH VICE LOCALITY LIGHT ae (7 NEAREST CROS,BT O RECEPTACLES S V rIXTUp[a a 0 OWNER WALL SWITCHES a O MAIL AODR[HS -ELKp RANGES 1a ELEC HEATERS IIB CITY TEL NO Mier NUMBER OF CIRCUITS INSTALLED I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS TOTAI APPLICATION AND STATE THAT THE ABOVE IB CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY OROINANCEB MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING NuNB[R NORS[POWERfE[ I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NEw MVD MP ovER INC EwCN ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER . LSE 0 95 Or THE RESIDENTIAL PROP TY DEB ORIBED ABOVE 1 i BO SIGNATURE O 9 a I OO PERM ITTL a la- 1 so INSPECTION RECORD 1B aO 250 BO 400 Soo 2013 am l O OO am 1000 1500 J OVER IOOO moo Q Z M O SET/FREQ CHANGER-HP p WELDERS.AC-KVA M GENERATORS - KW D TRANSFORMERS - KVA TEMP MOTORS (76 Cr GRIG) MOVED MOTORS (75or GRID) 1 C SIGNS TYPE NO.TRANS. TYPENoAPPROVALS ►OR EACH PERMIT DATE IN PEOTORM NAME WIRING 91.00 O'O CONDUIT ►IXTURLD 91 DO DO WIRING uUPPWKMKMTARY so FIXTURES 1-- W C POWER TOTAL FEE UTILITY CD NOTIFIED FINAL aanen� ua. }ED APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC i WILLIAM J. FO)(. CHIEF ENGINEER FOR APPLICANT TO FILL INOIHTRI . OR OYp ZONE PERMIT RMIT NO. ELECTRICIAN J 9 6 17,- RECEIVED SY READY FOR DAT[ URIU[D ADDRESS L - FIRST INSPECTION CITY T[L NO COUNTYICENSE LO Q P -✓ 1 EB ABUILDING DDRESS Z PERMIT FEES NUMBER EACH F[[ LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES ORO®BL I C WALL SWITCHES OWNERf / . TOTAL OUTLETS MAIL [LEC RANGES 13 ADDRESS ELEC HEATERS RS CITY TEL. NO r0(TURES 6 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS ISO APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT NUMBER OF LIGHT CIRCUITS AND ACRE[ TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STAT[ LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSB[BB THE "ME VAUD LOB NuNeER HORSEPOWERANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER ►EE NEW Mw HP OVEE IND [AGM Or THE RESIDENT PR D IS<D ABOVE. • LEER 4 EB SIGNATOR[ Or va S so PERMITT[ t 1 s G 100 INSPECTION RECORD S 1S 1.SO is IW 2 S �S BO 900 S 00 P so13 Boo taw � p 6OO 1OOC 16 00 Z OVER 1000 ZD W 0 M G RKT/FAM OHANOER-HP ow— C W[LD[RBI AC-KVA O GENERATORS - KW TRANSFORMERS - "A TEMP. MOTORS 76 Or CRIB) MOVED MOTORS (76 OF DRID) 0,1150 BIONS NO. NO TRANS APPROVALS O NO LJWPL FOR EACH PERMITS DATE INSPECTOR'S NAM WIRING GlAmn t. CONDUIT FIXTURES 1111.013 WIRING U EMTUR[S POWER IJ TOTAL FEE •l MMI_ TYCO NOTIFIED rINAL ""'" °"°'"IN APPLICATION LEC IC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER F BUILDING AND SAFETY DMSIONJOHN A. LAMBIE, COUNTY ENUIMMM WILLIAMA JENHEN SUFTOFBUILOINO FOR APPLICANT TO FILL IN NEAREST PEMWT F CROSS ST T[M NUMBERI GCH F[[ OWNERMAIL DUTL f f0 f ADDRESS LIGHTS RECSFT M LIGHTING FIXTURES - 10 CITY TEL NO [L[c RANGES CLO DRYQH ELECTRICIAN WATER H[ATERB f0 ADDRESS RLEC SPACE HTR[ OI{HWABN[RS CITY TEL NO GARBAGE DISFOSple AUTO- 87.ATE p WASHERS ETA COOKING UNITS 45 LICEN Lam[N O MOTORS OVER INC N r D O P O O— y. 45 1 t / Iv,— 4 3 50 HrjPFZno O 2— D Ir 100 f- 15 ISO If— 50 450 50-200 Boo o F SIGNS NO TRAM• No LAMro SERVICE O-SOOV I too SERVICE OVER SOOV 500 /-fY MISC V/l /d 411 s 11 WIRINGPERMIT 100 J 77 FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT 50 TOTAL FEE f IH" ACKNOWLEDOK THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE RUR[ INSQCTOR S SIYNAT AMO STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY OROINANCEi AND STATE LAWS REGULATING CONDUIT 1 I /2040 ELECTRICAL WIRING WIRING I HERBY CQRTIFY THAT 1 AY 11 1• 0RQIN_Y RHOIQiID1ED ANDIOR LIC[NSED AS REQUIRED BY LOS ANGELES COUNTY ANO STATE OF FIXTURES O CALIFORNIA OR THAT 1 AM THQ LEGAL OWNER OR THE ABOVE UESCAHI[D RKAR)KNTI D POWER SIGNATURE UTILITY CO NOTIFIED 2- OFPERMITTE FIN 2_"_ - O f m, VALIDA rj gRTHURC IT CAW CK MO UPERVISING CTRICAL ENGINEER (AC 3 6 5 9 2 JUL 1 5 2 D 680 I r� �� 11M• APPLICATION FOR PERMIT DEPARTMENT OFNG SAFETY ELECTRIC 1 COUNTY OFF LOS LOS ANGELES WILLIAM J. FOX. CHIEr ENGINEER FOR APPLICANT TO FILL INDISTRI -NO. GROUP ZO E PERMIT . fiLECTRICIAN� S •fT^ C R [IVCD BY READY FOR DATE ISSUED ADDRESS _ FIRST INSPECTION I CITY L NO 01 ` COUNTY LICENSE NO EXPIRES BUILDING L PERMIT ADDRESS U rm NUM R I OUTLETS EACH LOCALITY _ LIGHT SC • NGRCST CROSS 8T RECEPTACLES 5 � FIxTUREB 5 OWNER WALL SWITCHES 5 MAIL EL C. RANGES 25 ADDRESS .LiGC.i ELEO HEATERS 25 CITY TEIL NIL NUMBER OI CIRCUITS INSTALLED I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS TOT APPLICATION AND STATE THAT THE ABOVE IB CORRECT LIcI,TB DEPT CL[ AND AGR[[ TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STAT[ LAVM REGULATING ELECTRICAL WIRING NuwacR HORSEPOWER FEE 1 CERTIFY THAT 1 P09189SB THE ABOVE VALID LOB N[w Mw NPI Bv[R INC uDN ANGELES COUNTY 1.16[148[, OR 1 AM THE LEGAL OWNER Or THE RESIDENTIAL PROPERTY DESCRIBED ABOVE- 1.[5• >td I B SO SIGNATURE Or 2 5 100 PERMITTE S is ISO INSPECTION RECORD 16 5o 250 _ 50 200 Sao 2013 SOO low SOO IOOO Is= Q OVER 1000 2000 Z M O SKT/rREq ONANG[R-NP O_ WELDERS AO-KVA M GENERATORS - KW O TRANSFORMERS - "A TEMP MOTORS (73 Or CRIB) MOVED MOTORS (75 Cr CRiO) HIED SIGNS TYPE NCLTR^MS- TYPE NIL LAMPE APPROVALS FOR EACH PERMITS DAT[ INSPECTOR'S NAM[ WIRING •1.00 CONDUIT FIXTURES •1 DO WIRING 5 FIXTURES POWER TOTAL FEE • UTILITYCO NOTIFIED FINAL T. C, WORKERS COMPENSATION DECLARATION ,D,Bt APPLICATION FOR ELECTRICAL PERMIT I hereby affirm m shot I have a certificate of consent to self CE-806r, insure, or a certificate of Workers Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800 Lab C ) Pat'cy No Company FOR AMLICANT TO FILL IN ❑ JOB L Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE LOCALfT ❑ $ — V Certified copy is filed with the county budding m6spac 1 8 2 Family Sq Ft tion department Multi family Sq Ft NEAREST CRO55 C /73 Residential Swimming Pools OWNER i'lVA1,0�7.4 11,111 OR Data Applicant FIRM NAME A 0 L CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec_Light_Sw_ MAlL W COMPENSATION INSURANCE ADDRESS q435 ,E VAL_ 17 (This section need trot be completed If the work inwlved by First 20 the permit Is for one hundred dollars ($100)or lou) Total No Additional CITU /11 PlE C,1W Tel Nof),f 114166 I certify that in the performance of the work for which PIAN CHECK APPLICANT permit a issued I shall not employ any parson m any mannerner so as to became subject to the Worker Compensation Lows Lighting fixtures First 20 ADDRESS ,/ ^ Total No Additional ate �3�d7 npplrtant 1 ' Fixed Appliances Not Over i HP PEIRMIT TY Tel No NOTICE TO APPLICANT If after makingthis Certificate of APPLICANT Exemption you should become sublect 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 Fon _ Other_ CITY Tel No _ LICENSED CONTRACTORS DECLARATION LICENSEQII I hereby affirm that I am licensed under provisions of Chapter 9 Disp _ Room Air Cand REG NUMBER Class (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO PROCE D BY >, and Professions Code and my license is in full force and effect d License Number L¢ Class Stze 8 Type HP, KW KVA or KVAR S,a O V Up to I Incl FINAL Z— (4-8,o— J Over 1 to 10 Incl DATE [ — (4-8 VALIDATION O 09 Contractor Date Over 10 to 50 Incl C 1:1FINAL I am exempt under Sec Over 50 to 100 Inc BY sir 6 B 8P C for this reason Over 10) N Date Services, Swbd MCC 8 Ponelboards ► _ 0 -200 Amp Under 600 V Signature 201 - IDDO Amp Under 600 V ❑ Exemption for Reg Mamt Elect Over 1000 Amp or Over 600 V <8 6 a 7 A SINGLE FAMILY Temp Power Pole 8 Appurtenances s s s s s 2 HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit 2 s * 2S50 I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031 5 Business and `Z `j 50= Professions Code) o o • o ❑ I as owner of the property will do the work and the Misc Conduits&Conductors 0203-84 structure is not intended or offered for sole (Section Other(See Complete Fee Schedule)— ► 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY _ I hereby affirm that there is a construction lending agency for the performance of the work far which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097 Gv C ) PLAN CHECKING FEE Lenders Name PERMIT ISSUING FEE zo 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 above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE J_C! ,,tA (, $ I -3-8Y sgnotureOT Permittee Dote