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Home My Public Portal About9823 WOODRUFF AVE_Electrical__ B ) S-SA 11•BH APPLICATION FOR ELEC `ERIC PERMIT 1 )BS-SA DrMON OF BUIL MG ARID SAFETY Department of County Engineer BUILDING County of Los Angeles ADDRESS 9823 '.loo Cil u f'1 JOHN A.LAMBIE.COUNTY ENGINEER CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY I n rl 7:tT FOR APPLICANT TO FILL IN NEAREST p�T FEES CRosS ST. NUMBER OWNER i .y n LIGHT OUTLETS MAIL RECEPTACLES ADDRESS 1 WALL SWITCHES FEE CITY TEL.NO. TOTAL OUTLETS ® s¢ $ ELECTRICIAN C nl nr, ?A F)nn ELEC.RANGES 25 ADDRESS 1010 N, G r vn d V i ou EWE HEATERS 25 CITY,90 S'-) c: KW EA TEL.N01t 0—POO A STATE FIXTURES 5 LICENSE NO. MOTORS FEE DISTRIC IGROUP 17QN� I READY FOR INSPECTION ` NUMBER HORSEPOWER NEW I MVD. HP OVER INC. EACH LEBB .2s INSPECTION RECORD Yz 2 .50 2s 1.00 5 i5 1.50 15 so 2.50 so 200 5.00 MISC. Snrs isc Ch,'in; o for NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING 81.00 .O FIXTURES $1.00 SUPPLEMENTARY .50 APPR®�TALS TOTAL FEE S 1.155 DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION / .+ t• � AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY. CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ►J'6'L�w r ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRE 'BLOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THA I T L WN R OF THE ABOVE POWER a DESCRIBED RESIDENT A POPE UTILITY CO.NOTIFIED /�I.r�) ( i /,•`' SIGNATURE OF PERMITTEE (7 FINAL IOHN A.LAMBIE.COUNTY ENGINEER m)ATIOIIT ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR C MO CASH L&0443%UR) sEP21 2 1 .55 a WORKERS'COMPENSATION DECLARATION 6A663 10/81 �IifS1f1 ��® ®� �I1 f� ��e�d� �EpwA�T I hereby affirm that I hove a certificate of consent to self E-BO6G �"19�"L l5 L A PERMIT 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 ❑ Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS ❑ Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ _ $ LOCALITY tion department. Multi-family Sq. Ft. NEARESTCROSS Residential Swimming Pools OWNER OT. `l �'✓ Jfif Date Applicant OWNER OR f��•.- �- CERTIFICATE OF EXEMPTION FROM WORKERS' �Jr 2- FMAIL NAME //�f�� Outlets: Rec Lights- Sw. COMPENSATION INSURANCE � O , ADDRESS , This section need not be completed I the work involved b First ti ( p Y Tota) No. Additional CITY �� / Tel. No.. 3 / the permit is for one hundred dollars($100)or less.) I certifythat in the performance of the work for which this PLAN CHECK P APPLICANT: 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 O SL ADDRESS.. Additional a Total No. In CITY Tel. No. NOT•* pp, a ter �-m�i��l Fixed Appliances Not Over 1 HP PERMIT / NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT I Exemption, you should become subject 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. — CITY Tel No. deemed revoked. Hood _ Fan _Other— LICENSED CONTRACTORS DECLARATION Disp. _ Room Air Cond. LICENSE OR Class. I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER (commencing with Section 7000)of Division 3 of the Business Power ADISTRICT NO. PROCES ED BY and Professions Code,and m license is in full force and effect. Popparatus 8 Large Appliances c 916 >_Y Size&Type HP, KW, KVA, or KVAR• ,��(� License Number Lic. Class Up to 1 Incl. FINAL V + r� Over 1 to 10 Incl. DATE VALIDATION O 0 Contractor - Date Over 10 to 50 Incl. V ❑ FINAL I am exempt under Sec. I Over 50 to 100 Inc. BY r W B.&P.C. for this reason Over 100 Date: I Services, Swbd., MCC&Panelboards - 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 Tem Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION P• Ci Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits 0 0 0 0 c i Law for the following reason (Section 7031.5, Business and I Professions Code): 38 E(,Misc. Conduits 8 Conductors � + ❑ 1, as owner-of the property, will do the work and the ! I , structure is not intended or offered for sale (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 for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE -221 Q2 Lender's Name PERMIT ISSUING FEE S Lender's Address I certify that I have read this application and state that the TOTAL FEE 38 SC1 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. ; i SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date + ! I ,,tW—C RRS'COMPENSATION DECLARATION 76A668 t?/81 APPLICATION FOR Eg�ECTRI AL PERMIT Yfe"reby affirm that I have a •certificate of consent to self CE-8066 insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lob. CC..) Policy N4t50 �7`r Company �✓ FOR APPLICANT TO FILL IN I JOB (� L— ADDRESS d � Certified copy is hereby furnished. New Residential Bldgs. EACH NO. FEE&Pools $ $ ' LOCALITY Certified copy is filed with the county building inspec-I 1 &2-family, Sq. Ft._�-- NEAREST tion department. j Multi-family Sq.Ft. CROSS ST. d W O Residential Swimming Pools OWNER OR Date/I Applicant��a�/�� '!I• FIRM NAME D, CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:,2ec. .Light Sw.— DDRESS COMPENSATION INSURANCE First 20 (This section need not be completed if the work Involved by: Total No' Additional j� CITY Tel. No. the permit is for one hundred dollars($100)or less.) PLAN CHECK I certify that in the performance of the work for which this j jl� �1 APPLICANT 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 I ADDRESS �•i,` Additional Total No. CITY Tel. No. ! Date Applicant Fixed Appliances Not Over 1 HP ! PERMIT NOTICE TO APPLICANT: if, after making this Certificate of ff APPLICAPIT a t% .Exemption, you should become s6blect to the Workers' Range_ Heater—D.W. it Compensation provisions of the Labor Code, you must forth- Oven Dryer —W.M.— p ADDRESS 1 with comply with,such provisions or this permit shall be Top FAU —W.H. l Cin Tel. IV deemed revoked. Hood ___Fan _Others LICENSED CONTRACTORS DECLARATION Disp. Room Air Cond. LICENSE M y� CIass.�y l hereby off(rm that I am licensed under provisions of Chapter 9 REG.NUMBER V l ! (commencing with Section 7000 of Division 3 of the Business,� DISTRICT NO. XD BY O- ( g ) Power Apparatus&Large Appliances U and Professions Code,and my license is in full force and.effect. Size&Type HP, KW, KVA, or KVAR' License Number y'fJQ��. Lic. Class �' ' i Up to 1 Incl. DATE11 / 7T9 YALiDATiON �3 - 3 119 -•Over i to 10 Incl / Contractors`g�MA2 -ftTDate 41 ---x'44 `1% Over 10 to 50 Incl. j FINAL W {l: ❑' I am exempt under Sec. Over 50 to 100 Inc. BY U) BAP.C. for this reason I Over 100 i Services,Swbd.,MCC&Panelboords Dote: 0 -200 Amp. Under 600 V Si nature 201 -1000 Amp. Under 600 V II 9 .f ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit r 7 0 0 n o I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits ij j r`C Law for the following reason (Section 7031.5, Business and i i' ° ° ` Professions Code): !( 0 C . ❑ Misc. Conduits&Conductors 1, as owner of the property, will do the work and the Other See Complete Fee Schedule)- 7044, structure is not intended or offered for sale (Section ( p ) I( r i t✓'L'�- f^ 7044, Business and Professions Code]. �3 8$,7 A CONSTRUCTION LENDING AGENCY I 1 hereby offirm that there is a construction lending agency for +{ # 000002- the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) 50 (Sec. 3097,Civ. C.). l ° ° 7 PLAN CHECKING FEE �y Lender's Name o o o 1 7.5 0 3 PERMIT ISSUING FEE sr Lender's Address TOTAL FEE �'�� p i' a 1,21 -8 b I certify that I have read this application and state that the 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 !i the above-mention d property for inspection purposes. I SEE REVERSE FOR EXPLANATORY LANGUAGE p Signature of Permittee Date (i WORKERS'COMPENSATION DECLARATION 78-863 10/8.1 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a Certificate of consent to self insure, CE-806Q or a certificate�f Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES' BUILDING AND SAFETY copy the f .38 .C.) Policy ompan� FOR APPLICANT TO FILL IN JOB ADORES Certified copy is hereby furni hed. New Residential Bldgs.&Pools EACH NO. FEE LOCALIT Certified copy is filed with a cou. buildin inspection 1 & 2=Family,Sq.Ft. $ _ $ ep�tme Multi-family Sq.Ft. NEAREST � CROSS ST. Date •� Applic 1 Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEM ON FROM WORKERS' Outlets:Rec 2,Light—Sw.— MAIL COMPENSATION INSURANCE ADDRESSAlbid (This section need not be completed if the work involved by the First 20 Tel.No. permit is for one hundred dollars($100)or less.) Total No. Additional CITY I certify that in the performance of the work for which this permit PLAN ALALIC-NT CHECK 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 Additional Total No. CITY Tel.N Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If; after making this Certificate of APERMIT Exemption,you should become subject to r the Workers'Compensation Range_ Heater D.W. LICANT provisions of the Labor Code,you must forthwith comply with such Oven Dryer_ W.M._ ADDRESS. f provisions or this permit shall be deemed revoked. Top FAU _ W.H. _ CITY REEG.NUTel.N /� LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ v I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. RCENSEI1 O MBER / 1_ A Class. (commencing with Section 7000)of Division 3 of the Business and L (lam V Professions Code,and my license.is in full force and effect. "V Power Apparatus&Large Appliances DISTRICT NO. / PROCESSED Size&Type HP,KW,KVA,or KVAR License Num LicZil Up to 1 Incl. FINAL 8 Over 1 to 101ncl. DATE i OContracto /l / / V IDATION ❑ Over 10 to 50 Incl. F F- I am exempt under Sec. Over 50 to 1.00 Inc. W Over 100 BAP.C.for,this reason ZZJN Services,Swbd.,MCC&Panelboards •® Z 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 Temp.Power Pole&Appurtenances 98 4 7.2 A HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit # 0 0 0 0 0 2 1 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 I 0 0 1 2 0 0 Code):. El1,as owner of the property,will do the work and the.structure Misc.Conduits&Conductors o 0 0 1 2 0 0 V is not intended or offered for*sale (Section 7044,.Business Other(See Complete Fee Schedule) _ and Professions Code). ► 1 2. 01 —87 CONSTRUCTION LENDING AGENCY 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.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE ' Lender's Address I n r O I certify that I have read this a plication and ate that,the.above TOTAL FEE d information is correct.I agree to.comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize sent s'of this County'to enter upon the above-mentioned p art for spectio urposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sig re r I Date