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Home My Public Portal About5333 WELLAND AVE_Electrical__ D.B.S.SA $SM SETS ID-47 APP�•�CATiON FORPI';R11D.T DEPARTMENT-OF .BUILDING-AND UFM.' j �'`1 - . > COUNTY OF LOS ANGELES ��V WM. J. OX CHIEF ENGINEER ELECTRIC S NAME r-1 DISTRICT NO. GR UP ZONE PERMIT NO. / - 1 --/ ADDRESS /,� /9 �• A CITY RECEIVED BY READY FOR DATE ISSUED A COUNTY TEL NO. FIRST'INSPECTION jo , NI CERT.NO. EXPIRES- APPLICANT FILL IN DEAMY OUTLINED PORTION ONLY (DESCRIPTION OF WORK FAi NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS jj NEAREST LIG OUTLETS SW. PLUGS NK .CIRCUIT A B C D E F G H EESSS9•. .P.il TEL.NO. " l6 q4*�&i HE LEGAL POSSESSOR( OF THE 'ABOVE LOSE € Cm COUNTY�CER'TIFICATE OF QUALIFICATION.. ELECTRICIAN. ABVE i OAN THE LEGAL OWNER OF THE JPROPrkRTlf DESCRIBED s r OWNER. COR' MONO J Q Z_ L7 E i TOTAL NO. OF OUTLETS $ r APPROVALS k F FIXTURES S DATE INSPECTOR'S NAME F MOTORS H.P. S CONDUIT F SIGNS TRANS. $ WIRING F RANGES OR HEATERS S FIXTURESLLANEOUS S POWERT FEE $ ® 09 -tILITYCO.NOTIFIED ,)�0 w i FINAL DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER NAME DISTRICT NO. GROUP I ZONE PERMIT NO. uADDRESS 4 S� " / ` RECEIVED BY READY FOR DATE ISSUED CITY J"r v TEL.NO. iJ2 Y FIRST INSPECTION COUNTY CERT.NO. EXPIRES APPLICANT FILL IN BEAVILtdUTLINED PORTION O Y 03 DESCRIPTION OF WORK A DRESS , F_ 1-17AIQ A,2 NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS ISW. PLUGS FRI CROSS ST. �� CIRCUIT A B C D E F G H m NAME 3 ADDRESS - /�y-' y O CITY D.S �C'GA� TEL NO. /��/ 1 Ap�M�.�THE LEGAL POSSESSOR OF THE ABOVE LOS ANGKL= COUNTY CERTIFICAT$ OF QUALIFICATION.. ELECTRICIAN. ABOVE TSE LWAL I OF l7flIt P PWIV DESCRIBED OWNER. CORRECTIONS r , J Q FZ / E7 /i f � a O TOTAL NO. OF OUTLETS ffi APPROVALS NO. OF FIXTURES ffi DATE INSPECTOR'S NAME NO. OF MOTORS H.P. ffi CONDUIT NO. OF SIGNS TRANS. ' ffi WIRING y� NO. OF RANGES AR.AF-AZBRS-- FIXTURES y JJ MISCELLANEOUS ffi POWER l PERMIT FEE ffi Ism® UTILITY CO.NOTIFIE TOTAL FEE ! <-� FINAL ... V- APPUCATION FOR PERMI'a DEPARTMENT Y -.BUILDING AND SAFETY :k ELECTRIC 1 • .� .-�- COUNTY OF LOS ANGELES. .. WM:J. FOX CHIEF ENGINEER NAME �iC��TJ;S'pl(c^/ DISTRICT—KO.O. GROUP_ ZONES PERMIT NO. UADDRESS ✓ s�..rl� 7 �lr'/�'.�i I I"r!II fJ /• �/ /�3 �/:/ REEEIVED BY READY FOR DATE ISSUED CITY 'NJ L TEL.NO. � �/ ,FIRST INSPECTION y� J COUNTY .. `� W CERT.NO. ,✓ fC..�l' APPLICANT FILL IN HEAVIL-i OUTLINED PORTION ONLY DESCRIPTION OF WORK ADDRESS �i 2_.41 AP'. r '4, -/VD - NUMBER OF OUTLETS ON.CIRCUITS LOCATION BY ROOMS NEAREST LIGHT OUTLETS• SW. PLUGS FniT 'CROSS ST. CIRCUIT A B C D E F G�� H oW NAME -7' .3-. MAIL � ,I15 r '3 .r S!AD RESS y� �f D CITY �D.1 /� Lr�� TEL. 1 AM THE. LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. AI AM BOV4 THk3 LWAL OYIINER.OF THEoPROOPE=Y DES CRIBED OWNER. CORRECTIONS efi Z---,L7 V /I'cr'/l.✓i/r r' .4 i7 n 1-7-1,r ,y Z_ t, O J TOTAL r-, Es7 NO. OF OUTLETS / 1 APPROVALS'100. OF FIXTURES DATE INSPECTOR'S NAME NO. OF MOTORS H.P. CONDUITNO. OF SIGNS TRANS. WIRING NO. OF RANGES OR HEATERS FIXTURES MISCELLANEOUS - POWER X2 PERMIT FEE / UTILITY CO.NOTIFIETOTAL FEE FINAL 4S466k DBS SA I1-SD APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �� 1 COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGIN ER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN ECEIVED BY READY FOR DATE ISSUED ADDRESS �~a ,l FIRST INSPECTION 7J i• / CITY TEL.NO. /I ' COUNTY LICENSE NO. EXPIRES BUILDING PERMIT FEES ADDRESS FEE LOCALI NUMBER EACH LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES OWNE �7 TOTAL OUTLETS 7 5c S MAIL 5 ELEC. RANGES 25 ADDRE9 t ELEC. HEATERS 25 CI TEL. NO vFIXTURES 5 1 HEREBY ICKNOWLEDGE THAT I HAVE READ THI MIS'. APPLICATION AND STATE THAT THE ABOVE IS CORRECT y rNUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE A90VE VALID LOS NUMBER HORSEPOWER ANGELES COUNTY LICENSE, 0 1 AM THE LEGAL OWNER •FEE NEW MVD. HP OVER INC. EACH OF THE RESIDENTI PROPER DES RIBED ABOVE. %= 8 LESS $ .25 SIGNATURE OF %2 2 .50 PERMITTE 2 s 1.013 INSPECTION RECORD 5 15 1.50 _ 15 SO 2.50 r L 50 200 5.00 200 500 10.00 500 1000 15.00 OVER IOOO 20.00 O M.G. BET/FREq. CHANGER-HP Ix WELDERS'AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF CRIB.) MOVED MOTORS (75% OF DRIB.) Misc. SIGNS NO. NO.TRANS. I I APPROVALS NO. NO.LAMPS FOR EACH PERMIT' DATE I/N9PECTOR'B NAME CONDUIT ( . l !��) _ WIRING $1.00 FIXTURES $1.00 WIRING SUPPLEMENTARY .5O FIXTURES POWER TOTAL FEED UTILITY CO.NOTIFIED FINAL WORKERS'COMPENSATION DECLARATION CE 806G 1081 APPLICATION FOR ELECTRICAL RICAL PE1 MIT . I herebye affirm kat I have a certificate of consent to self insure, or a cer!ificate of"Workers'Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy theltof(Sec.3800.Lab.C.) `fl Policy No. Company FOR APPLICANT TO FILL IN JOB j t ❑ Certified copy is hereby furnished. EACH NO. FEE ADDRESS ,� New Residential Bldgs.&Pools ❑ 1 &2-Family, Ft $ — $ LOCALITY Certified copy is filed with the county building inspection y,Sq• department. I Multi-family Sq.Ft. — NEAREST Residential Swimming Pools CROSS ST. Date Applicant OWNER OR f,, i FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' I Outlets:Rec—Light—Sw.— MAIL COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by thei First 20 Total No. Additional CITY a�i Tel.No. permit is for one hundred dollars($100)or less.) PLAN CHECK I certify that in the performance of the work for which this permit APPLICANT is issued, I shall not emplo any person in any manner so as to� WTCkE ect the rs'.Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional �� i Total No.. CITY el. pplicaRt� Fixed Appliances Not Over 1 HP TO ICANT: If, after making this Certificate of PERMIT Exemption,you should become.subject to the Workers'Compensation I Range_ Heater D.W. _ APPLICANT provisions of the Labor Code,you must forthwith comply with such Oven _ Dryer_ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top _ FAU _ W.H. _ CITY Tei.No. LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9Disp. — Room Air Cond. LICENSE OR (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER Class TProfessions Code,and my license is in full force and effect. 1 DISTRICT NO. ESSE BY Power Apparatus&Large Appliances i - Size&Type HP,KW,KVA,or KVAR License Number Lic.Class Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE VALIDATI Contractor DateC Over 10 to 50 Inc[. FINAL V ❑ I am exempt under Sec. I Over 50 to 100 Inc. BY W B.&P.C.for this reason Over 100 N Date Services,Swbd.,MCC&Panelboards 001Z 0-200 Amp.Under 600 V Signature I 201 - 1000 Amp.Under 600 V ❑ Exemption for Reg.Maint.Elect. Over 1000 Amp.or Over 600 V i SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits for the following reason(Section 7031.5,Business and Professions Code): , Misc.Conduits&Conductors Z,9 6 5.9 A ❑ I,as owner of the property,will do the work and the structure is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ 0 0 0 0 0 and Professions Code). 'I o o2.550 CONSTRUCTION LENDING AGENCY 0 2S50' I hereby affirm that there is a construction lending agency for the ; performance of the work for which this permit its issued(Sec.3097, PERMIT FEE (Sub Total) 0,524-88 Civ.C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address s I certify that I have read this application and state that the above TOTAL FEE information is correct.I agreeto comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this Pounty to 2nter upon the above-mentioned , proy f r inspection ur oses. r"Z/At I SEE REVERSE FOR EXPLANATORY LANGUAGE S!dAatu76 oT Permittee Date