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Home My Public Portal About5439 WELLAND AVE_Electrical__ ;A668-CESO6 10.51 APPLICATIONAR -ELT IAL PEAT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNA DING rJ BUILDING AND SAFETY DIVISION RESS J JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN..SUP'T OF BUILDING LITYESTFOR APPLICANT TO FILL IN S ST. 1 T E M NO. I EACH FEE OUTLETS: (FIRST 20) $ $ OWNER LIGHTS RECEPT. SW. .20 0 O MAIL OUTLETS: (ADD'L UNITS) ADDE2ESS LIGHTS Ip RECEPT. ow. / .. LIGHTING FIXTURES: (FIRST 20) ,20 Q CITY TEL.NO. LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIANAr RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS (� �DI STA.COOK CITY TEL.NO. �D J r 3 1 DISHWASH. TO.-WAS STAT /• SPACE HTRS. .APP.(+/s H.P. 3 ,so LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRJCT N GROUP ZONE PR CE . .ED BY O 1 1.00 �L f F I s 1.50 INSPECTION RECORD s a 2.00 0 8 15 2.50 U m 1s so 3.00 Q so 100 5.00 c. SIGNS: NO.TRANS. h NO.LAMPS Z SERVICE O-SOOV-NoT OVER 200A 1.00 p SERVICE O=SOOV-OVER 200 A. 2.00 SERVICE OVER SOOV 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00. TOTAL FEE �� O 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT. ! WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED JANWORLICENSED AS REQUIRED BY LOS ANGELES COUNTY AND•SFIXTURES � aCALIFORNIA OR'THAT 1 AM THE LEGAL OWNER OF THE i t DESCRIBED RESIDEN L PROPERTY. POWER ee�� Al A 4#41® SIGNATURE UTILITY CO.NOTIFIED '79 Al 1- �"'^�4 1 11 0, PERMITTk", FINAL(&. f� VA LIDATION ARTHUR C. VEIr MO CASH SUPERVISING ELECTRICAL ENGINEER OB S-A 12-43 2SM AQUCATIQN OR PERM' DEPARTMENT OF Bi1ILDING AND $AFETY �--EL�acEC+TRIC 1 COUNTY OF LOS ANGELES WM. J. FOX CHIEF ENGINEER z DISTRICT NO. GROUP ZONE PERMIT NO. S NAMB U ADDRESS RECEIVED BY READY FOR DATE ISSUED CITY EL.NO. FIINS�TION ��' 'COUNTY CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JO DESCRIPTION OF WORK ADDRESS 3 `1. t A , NUMBER OF OUTLETS ON CIRCUITS LOCALITY A,A LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS FIXT CROSS ST. - �'� 1� 17•\O t..oa, A-- CIRCUITA B C D I E F Jr. I H IK NAME MAILn 3 ADDRESS ° mlCITY- TEL.No\.i i•�`�� i AM THE LEGAL POSSESSOR OF THE ABOVE LOSS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAM. I AM THE LIMAL OWNER OF TH6 PIRKWERTY DESCRIBED ABOVE OWNER. CORRECnoNB A Q Z_ 0 O r OUTLETS � APPROVALS FIXTURES .Z. Es d DATE INSPECTOR'S NAME MOTORS N.P. CONDUIT �7 ,c !SIGNS TRANS. WIRING / `3,2 - S� W aecl F RANGES OR HEATERS FIXTURES LLANEOUS POWER PERMIT FEE "� UTILITY CO.NOTIFIED /(i' AZ !! TOTAL FE �- FINA 11214 U D.B.B.5A 25M BETS 10-47 - ,, APM j ION FOR PER= - FBEPAkTMEPIT of al�nnvc Alm sAFETY COUNTY OF LOS ANGELES �.� �CTRg Ari/17�•.•9.�. F'ENGINEER a NAME DISTRICT NO. GROUP ZONE PERMIT'NO. r— uCITY ICK_ ��dl TEL.NO. EIV BY READY FOR ATB ISSUED m , FIRST INSPECTION CERT.NO. LXpittse - `] APS FILL IN HEAVILY ObTLINE®PORTION ONLYJOB IBESCRIIPTIONNN OF WORD. ADDRESS 3 `� NUMBER OF OUTLETS ON CIRCUIT$ LOCALITY • 4.4,=; LOCATION BY ROOMS NEAREST �a ;R. LIGHT OUTLETS SW. PLUGS FOOT CRO-r+8 ST n``'' CIRCUIT A B C D E T G H X NAME Of'r— 12 Z MAIL ADDRESS•\ ? �.N1 I \ O CITY -mW 'W TEL.NO.Vk, 7 'i 1 AM. THE_ LEGAL POSSESSQR OF THE ABOVE ANGELES COUNTY CERTIFICATC OF QUALIFICATION.. ( ELECTRICIAN. AII AM 90YB'[HE LEGAL OWNER F E� DESCRIBED OWNER. CO ONS ' J Q L7 NO. of OuiLars ffi /S APPROVALS NO.-OF FIXTURES ffi �FDATE E , INSPECTOR'S NAM 1110. OR MOTORS H.P: CONDUIT ?t` Fi /./Y`' rSs' NO. OF SIGNS TRANS. WIRING NO'. OF RANGES OR HEATERS FIXTURES MISCELLANEOUS ffi POWER PERMIT FEE ffi �Y• UTILITYCO.NOTIF19W E Q I EM66 ' �. 1 COUNTY OF LOS ANGELES APPLICATION FOR PERMIT DEPARTMENT OF COUNTY ENGINEM DIVISION OF BUILDING & SAFETY' ELECTRIC WILLIAM . F COUNTY ENGIRM FOR APPLICANT TO,FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIA N /F� At1 ADDRESS L7 �- 7 log �.�J _ V e_ ' RECEIVED Y READY FOR DATE/ISSUED FIRST INSPECTION •/` /`� CITY 1 n !� 1?. CilIn TEL. NO. COUNTY LICENSE NO. EXPIRES BUILDING v�1 4- 140 e- PE WT FEES FEE C TL NUMBER EACH LOCALITY �YYI LIGHT OUTLETS NEAREST r RECEPTACLES ROSS ST. WALL SWITCHES OWNER C! . 1 TOTAL OUTLETS MAIL AND AGREE TO COM Sc ,$ _ (� ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 i CITY cjTEL. NO. FIXTURES S MISC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT PLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS'REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENT ALP GPERTY DESCRIBED ABOVE. 25 SIGNATURE OF \ ' V2 2 .50 PERMITTE 2 s 1.00 . INSPECTION RECORD s is 1.50 Is. ' .so 2.so " ' So 200 s.00 a �J ?i� A4-;;- 200, v •200• Soo •to..00 J Ll, , vee�'v �,.,�/z`z , a soo t000 ts.00 'g7 j ' Z OVER 1000 20.00F `j M.G.'SET/FREQ. CHANGER-Hi �,�'"Uk WELDERS: AC-KVA it.e,.Cn O GENERATORS•KIN TRANSFORMERS-KVA TEMP. MOTORS (78% OF oRIG.) MOVED MOTORS (75% of ORIO.) MISC. SIGNS NO. NO.TRANS: APPROVALS Nd. NO. LAMPS FOR EACH PERMIT• _ DATE INSPECTOR'S NAME WIRING $1,00 U CONDUIT �• r / �� - FIXTURES T;!--b t�v WIRING 9'-1 �7 ///?•Ifn :l�-../J SUPPLEMENTARY g0 FIXTURES �j POWER _. TOTAL FEE S UTILITY CO. NOTIFIED -FINAI, 76A 063 13138# 8A. 4-52 . WORKER'S COMPENSATION DECLARATION �&AD663 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm tMf'�t I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance,or a certified COUNTY OF LOS M GELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) Policy N0. Company FOR APPLICANT TO FILL IN ADDRESS Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. $EACH $ FEE LOCALITY / - ❑ Certified copy is filed with the county building inspection 1&2-Family,Sq.Ft. NEAREST department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASAP ASSESSOR _ _ PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. L Light 6Sw. •� FIRM NAME COMPENSATION INSURANCE ,� �, First 20 MAIL (This section need not be completed If the work Involved by theTotal No. 2 6 Additional ADDRESS permit Is for one hundred dollars(5100)or less.) I certify that in the performance of the work for which this permit CITY Tel.No. Is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting FixturesFirst 20 APPLICANT Total No. 4' Additional • Ov ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT !. ( / p p y Power Apparatus&Large Appliances APPLICANT` rJ I t/r✓tµ tJ T7�� provisions or this permit shall be deemed revoked. ��• LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESSJT,er- I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. CITY �� Cf� 7 (commencing with Section 7000)of Division 3 of the Business and �oKr�a GG1�� Tel.No.g(g Q�Z6ZS� Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE OR } Over 50 to 100 Incl. REG.NUMBER //883 Class.L� /3• d Over 100 DISTRICT NO. P SED BY V License Number Lic.Class Services,Swbd.,MCC&Panelboards "=�� cc 0-399 AmUnder 600 V FINAL Contractor Date DATE Amp. r I– ❑ I am exempt under Sec. 400-1000 Amp.Under 600 V — VALIDATION3^�'� VALIDATION d Over 1000 Amp.or Over 600 V B.&P.C.for this reasonBY BRANCH CIRCUIT FEES Date: 15A,or 20A,120V,Lighting or Recept. k 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits 2 SINGLE FAMILY Temp.Power Pole&Appurtenances ACCTo v HOME OWNER-BUILDER DECLARATION ch Circuit Bra with One n I hereby affirm that I am exempt from the Contractor's License Law Sign w 3303 86.30 for the following reason (Section 7031:5, Business and Professions Additional Sign Branch Circuits Code): w 1 ITEMS ,n, ❑ 1,as owner of the property,will do the work and the structure Misc.Conduits&Conductors TOTAL 46 o 30 is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) , CHECK 86030 and Professions Code). r CONSTRUCTION LENDING AGENCY CHANGE .00 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) 0000-0001 3/27/96 PLAN CHECKING FEE Lender's Name 571 1 PI'I6".2? PERMIT ISSUING FEE Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE , that the 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 on pur es. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTEE DATE