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Home My Public Portal About9210 WOODRUFF AVE_Electrical__ � � p 76A66C-CE#'806 5-61 APPLICATION FOR ELECTRICAL PERMIT u COUNTY OF LOS /ANGELES DEPARMENT OF COUNTY ENGINEERr BUILDING AND SAFETY DIVISION ADDRESS n JOHN A. LAMBIE. COUNTY ENGINEER r WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST i FOR APPLICANT TO FILL IN CROSS ST. 7 PERMIT FEES OWNER 1 T E M NUMBER EACH FEE MAIL (/ OUTLETS: $ $ ADDRESS d LIGHTS RECEPT. SW. .10 CITY ' TEL. NO.// LIGHTING FIXTURES 10 ELEC. RANGES CLO. DRYERS ELECTRICI N WATER HEATERS / .50 L'/ ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY TEL NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS ,25 LICENSE NO. MOTORS: OVER INC. H.P. DISTRICT NO. GROUP /)E PCE��s�D B 0— 112 .25 1/2— 2 .so INS ECTION R CORD ' 2— 51.00 - 5— 15 1.50 L7 15— 50 2.50 f O 50— 200 5.00 (~j W NO TRANS. d SIGNS: 4n NC.LAMPS 7 SERVICE 0-600V 1.00 i.., f• SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT 50 TOTAL FEE $, 5 C I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPI.1 ATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND LICENSED AS REQUIRED BY AOANGELES COUNTY AND STAT F FIXTURES CALIFORNIA OR THAT 1 AM LEGAL O ER OF THE �OVE DESGftIBED RESIDEN71 PRj, J�` POWER SIGNATURE f�'yK UTILITY CO.NOTIFIED OF PERMITTEE - FINAL VALIDATION ARTHUR C. VEIT CK MO 'CASUPERVISING ELECTRICAL ENGINEER ! 7 SH c; U J Lf. r% ..r Dili SAS,25M BETH 2-47 API CATION FOR ILEI �.1 WARTMENT OF BUILDING AND SAFETY ELECTRICg COUNTY OF LOS ANGELES L WM. J. FOX CHIEF ENGINEER NAME DISTRICT NO. GROUP ZONE PERMIT NO. �r^ U ADDRESS C4 5 " REC IVSD BY READY FOR DATE ISSU CITY • A.NO./1 FIRST INSPECTION .1 COUNTY. • �'� _ ' 41 CERT.N . EXPIRES APPLICANT FILL•IN HEAVMY OUTLINED PORTION ONLY JOBDESCRIPTION. OF WORD ADDRESS f ' C NUMBER OF OUTLETS ON'CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS FIIiT CROSS ST. CIRCUIT A B C D . E' F G H W NAME r Z. MAIL 3 ADDRESS O CITY TEL.NO. a 1 AM THE LEG POSSESSOR OF THE ABO E LOS ANGKLV COUNTY-CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. AI AM BO M THS LROAA.OWNER OF mile PROPEJM. DESCRIBED. Co110 .LL6i��7��, OWNER. cnoNs V • J- Q Z L7 R' O 1 TOTAL "" t NO. OF OUTLETS APPROVALS NO. OF FIXTURES ffi �U DATE INSPECTOR'S NAME NO. OF MOTORS H.P. S CONDUIT NO. OF SIGNS TRANS. ffi WIRING NO. OF«`—28.OR HEATERS FIXTURES MISCELLANEOUS S POWER g f/ PERMIT FEE S �$•- UTILITYCO.NOTIFIED Z. a .1/.V It TOTAL FEE ® m FINAL �rvv U -— 76AB6C•CE#'808 5-81 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY NEAREST f FOR APPLICANT TO FILL IN ; cnoss ST. PERMIT FEES OWNER-5+ r 1 T E M NUMBERI EACH FEE MAIL ✓yrJ OUTLETS: $ $ ADDRESS LIGHTS RECEPT. SW. '10 cTYf TEL. NO./Tr LIGHTING FIXTURES .10 ELEC.RANGES CLO.DRYERS EL'ECTRICI N WATER HEATERS .50 V ADDRESS ELEC.SPACE HTRS. DISHWASHERS h CITY TEL NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS .25 IICENSE NO. Morons: OVER INC. H.P. IJISTRICT O. GR WP PD B 0— 1/2 25 1/z— 25O �' INS ECTION R CORD 2— 5 1.00 5— 15 1.50 I 4) i r e 15— 50 2.50 / :. " AI —®S BO— 200 5.00 NO TRANS. '7/ .✓moi•jiJ.'F- n ...-t;7'/•�;•: iJ..L•� l•��il SIGNS: // �(1� �a ?� ✓�% t�'-i u NO.LAMPS 4 ✓'v /..�'.R�'"i :J! �F. :G'r�zf� 1!i]Y�.fr,J,'/f' SERVICE 0-600V 1.00 f 'I-'f :slT t .� ;1:"�"I-0"�7 ~• .r>a+of.i'+/'' SERVICE OVER60OV 5.00 MISC. /..r±:;t 171; r. '. `•''.. ..-�;••t , "LG�r-1'�..•.f-'� WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 I TOTAL FEE S -0,. L I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI TION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT !: WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATIN¢ ELECTRICAL WIRING. I/ WIRING F• I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND LICENSED AS REQUIRED BY LO ANGELES COUNTY AND STA F FIXTURES ' CALIFORNIA OR THAT I AM TLEGAL OOMER OF T E VE DESCRIBED RESIDENTI PRO POWER ! ti SIGNATURE = UTILITY CO.NOTIFIED I ,•'`i'' OF PERMITTEE - t. FINALTm VALIDATI I�1 ARTHUR C.VEIT CK Mo Btt SUPERVISING ELECTRICAL ENGINEER U 7 o' JAN 2 0 M WORKERS'COMPENSATION DECLARATION CE-806G 10/Bl &UPLICATION FOR ELECRICAL PERMIT I hereby affirm that I have a certificate of consent to self SCE-806G m 69� ` insure, or a certificate of Workers'Compensation Insurance, i" COUNTY OF LOS ANGELES � BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS N C� Certified copy is hereby furnished. I New Residential Bldgs. &Pools EACH NO. FEE Certified copy is filed with the county building inspec- y, q• $ — $ LOCALITY Q 1 8 2-Famil S Ft. tion department. Multi-family Sq. Ft. — NEAREST CROSS ST. ,Residential Swimming Pools Date —15 Applicant r "t "�" I OWNRM ER I AME ' r CERTIFICATE OF EXEMPTION FROM WORKERS' I Outlets: Rec Light Sw._ MP fL u COMPENSATION INSURANCE First 20 ADDRESS Fi (This section need not be completed If the work involved by Total No. Additional CITY e 01 Tel. No. !� Q the permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this APPLICANT K permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional ' 1 CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Q Exemption, you should become subject to the Workers' i Range_ Heater—D.W.. — Compensation provisions of the.Labor Code, you must forth- I Oven —Dryer —W.M.— ADDRESS 3 'm Sig h ri e !� with comply with such provisions or this permit shall be Top — FAU —W.H. — n /� deemed revoked. I Hood _ Fan _Other 360 3 CIN Tel. IVo. —Q LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG.NUMBER Class. (commencing with Section 7000)of Division 3 of the Business DISTRICT NO. PROCE ED BY and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances —J O ///�� Size&Type HP, KW, KVA, or KVAR' L- IL0 License Numbe ��I I Lic. Class_LS�, Up to 1 Incl. FINAL #_ � t9 Contractor Date 5-15��W Over 1 to 10 Incl. DATE [tel VALIDATION ❑ Over 10 to 50 Incl. FINAL c� F U I am(exempt under Sec. Over 50 to 100 Inc. BY IN Over 100 B.&P.C. for this reason I ti> Services, Swbd., MCC&Ponelboords. Date: 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY ,I 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 Additional Sign Branch Circuits Law for the following reason (Section 7031.5; Business and Professions Code): ) 41 ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors G structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ o. o 0 0 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I C I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) r t �• _ . /I (Sec. 3097, Civ. C.). • I PLAN CHECKING FEE Lender's Name 4 PERMIT ISSUING FEE Q Lender's Address I certifythat I have read this application and state that the ` TOTAL FEE ILIQ above information is correct. I agree to comply with all County i 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. gnature of Permittee Date WORKERS'COIvfPENSATIONDECI:ARATION ICE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self ; COUNTY OF LOS ANGELES j � BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or r a certified copy thereof(Sec.3800,Lab.C.) FOR APPLICANT TO FILL IN jO6 �� Policy No. Company. PEA�;HNO. FEE ADDRESSNew Residential Bldgs.&Pools❑ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. — $ LOCALITY ❑ Multi-family Sq. Ft. NEAREST 0 Certified copy is filed with the county building inspection ,CROSS ST department. Residential Swimming Pools OWNER OR FIRM NAME A Date Applicant Outlets'."Refight Sw. �, ADDRESS / Q CERTIFICATE OF EXEMPTION FROM WORKERS' First 20 Ae� Total.No. Additional CITY G'� Tel No. � �� > COMPENSATION INSURANCE PLAN CHECK a (This section need not be completed if the work involved O APPLICANT U Fixtures First 20 Fi i htng xtu by the permit is' for one hundred dollars ($100) or less.) Lighting Additional ADDRESS cc Total No.I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP -CITY Tel No. O permit is issued, I shall not employ any person in any manner PERMIT 8 so as to become subject to the Workers' Compensation Laws. Range_Heater D.W._ APPLICANT C Oven _ Dryer_W.M._ ADDRESS ? Date Applicant Top _ FAU _W.H.._ — Hood — Fan _Other— CITY Tel No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond. LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. P �ESSW BY with comply with such provisions or this permit-shall be deemed revoked. Size&Type HP,KW,KVA,or KVAR D� Up to 1 Incl. FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE Over 10 to 50 Incl. ; '" C_ VALIDATION I hereby affirm.that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Sectio0 7000)of Division 3 of the Busi- Over 100 BY ness and Professions.Code, and my license is in full force and effect. I Services 0-200 Amp.Under 600 V License Number Lic.Class 201-1000 Amp.Under 600 V Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances i 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%,I and Professions Code): 'Misc.Conduits&Conductors 3 4 6 5 , as owner of the property, will do the work and the ' Other(See Complete Fee Schedule)— tructure is not intended or offered for sale (Section o ° 0 0 0 044,Business and Professions Code). CONSTRUCTION LENDING AGENCY 7 ° 0 1 330 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) ` ° 1. S• .,C H issued(Sec.3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE 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 pro ty for inspection purposes.. SEE'REVERSE FOR EXPLANATORY LANGUAGE if Signature of Permittee Date !