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Home My Public Portal About9449 WOODRUFF AVE_Electrical__ 76A663-CE806 9-64 APPLICATION FOR ELECT IR CALF PERMIT COUNTY OF LOS ANGELES / DEPARTMENT OF COUNTY ENGINEER FNEAREST 78T BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT. OF BUILDING FOR APPLICANT TO FILL IN RECEPT. TOTAL NO. I EACH FEE LIGHT OUTLETS/ FIRST 20 1$.20 $ OWNER MAIL ADD'L ADDRESS�1 SWITCH. OVER 20 .10 CITY TEL.NO. LIGHTING TOTAL l t FIRST.ZO .20 FIXTURES 1 _ ADD'L OVER 20 10 ELECTRICIA RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(A H.P.MAX.) .50 LICENSE NO. MOTORSt OVER NOT OVER H.P. DIST CT N . G�P ZONE P CE SE BY O 1 1.00 QFz— 1 s I.SO INSPECTION RECORD 9 S 2.00 0 5 is 2.50 15 50 3.00 O V 50 too 5.00 UJ SIGNSt NO.TRANS. h NO.LAMPS Z SERVICE 0.600V•NoT OVER 200A 1.00 SERVICEO•SOOV•OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 1-7 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THI9 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 p y / ELECTRICAL WIRING. WIRING d ,Wd' , .l'`'-r --T::i, 1 HEREBY.CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES a LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER F, AND INTEND TO RESIDE IN, THE ABOVE DESCRIBED RESIDENTIA PROPERT POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL ALM JOSEPH C. CK MO SH SUPERVISINGG ELECTRICAL ENGINEER � ,04 4 4 9� AUG3 0 2 D 3.0 0- 76A663 DBS SA 11-50 APPLICATION FOR PERMIT- DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO: ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRESS = FIRST INSPECTION q CITY 7D Av.LC= -/ TEL. NO. COUNTY LICENSE NO. /V EXPIRES BUILDING PERMIT FEES ADDRESS s FEE 7 NUMBERIEACHI LOCALITY ' �p LIGHT OUTLETS 1 NEAREST RECEPTACLES CROSS ST. WALL SWITCHES OWNER TOTAL OUTLETS Sc $ MAIL ELEC. RANGES 25 ADDRESS may/ ELEC. HEATERS 25 CITY 00.1 TEL. NO. FIXTURES S' D.� 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER 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 1 POSSESS THE ABOVE VALID LOS NUMBERHORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE, LEGAL OWNER NEW HP OVER INC. EACH FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. MVD. I 1/2 a LESS $ .25 SIGNATURE PERMITTEE 1/2 2 .50 2 5 1.00 INSPECTION RECORD 5 15 1.50 15 .50 2.50 50 200 5-00 200 Soo 10.do /P S i / Zic. /1-10(lc a Soo 1000 15.00 OVER 1000 20.00 �1 '/ (' M. G. SET/FREQ. CHANGER-HP J Zvi/�dhr-F 1111-/II7� loeAhl:L.. a WELDERS:AC-KVA 0 GENERATORS-KW 2.. �. r TRANSFORMERS-KVA TEMP. MOTORS (75%OF011I6.) ✓ �Y�/ MOVED MOTORS (75%of CHIC-) vmaX b misc.. Lljis RE6 r- - 4x SIGNS NO. NO.TRANS. I I APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY ,50 FIXTURES- POWER TOTAL FEE $ �✓ UTILITY CO. NOTIFIED ® FINAL i r WORKER'S COMPENSATION DECLARATION 76AA689 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hereby,affirm that I have'a certificate of consent to self insure, I or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN DDRESS LJ jrS9Wocdv-(A#� Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY ❑ Certified co 1&2-Family,Sq.Ft. —t$ $ copy is filed with the county building Inspection NEAREST department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. NER OR COMPENSATION INSURANCE FIRM NAME First 20 1E MAIL l]f j i ,.. (This t is for need not be completed 0 the work Involved by the Total No. Additional ? ADDRESS' (A L,V permit is for one hundred dollars(5700)or less.) I certify that in the performance of the work for which this permit CITY—((!ryip k; Tel.No. Is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Comp sation Laws. Lighting Fixtures First 20 APPLICANT •/ Total No. Additional ADDRESS Date C�• Applicant Of RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this C tifica a of CITY Tel.No. Exemption,you should become subject to the Workers' ompensa ion OTHER APPLIANCES NOT OVER 3 HP. PERMIT provisions of the Labor Code,you must forthwith comply with such Power Apparatus&Large Appliances APPLICANT (� provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to'10 Incl. (commencing with Section 7000)of Division 3 of the Business and CITY Tel.No. I 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 Class' d License Number Lic.Class Over 100 DISTRICT NO. y P •CESSED BY V I'M i es,S eld , C 8 elboards c{ Contractor Date p. Id 600 V `J FINAL 0 DATED , `/7 F, 400-1000 Amp.Under 600 V VALIDATION V I am exempt under Sec. Over 1000 Amp.or Over 600 V BY tLa B.&P.C.for this reason BRANCH CIRCUIT FEES CD Date: 15A,or 20A,120V,Lighting or Recept. Z 1 To 10 Branch CircultS Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits M SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ( : °JL I hereby affirm that I am exempt from the Contractor's License Law : for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): TT v:='I'• ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors I L I Ma, Is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) I TOTAL -� and Professions Code). *-•='_ 45 CONSTRUCTION LENDING AGENCY CHECK* 63 5 I hereby affirm that there is a construction lending agency for thei I CI-i fivC °110 performance of the work for which this permit is Issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) l PLAN CHECKING FEE Lender's Name I ;)�I�'rI' (`•L(E3tsf=s. PERMIT ISSUING FEEs�a-7 :! Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE �p that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize repj4 s ntatives of this County to enter upon the above-mentioned property fo ins action purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 9--ga SIG RE OF PERMITTE DATE