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Home My Public Portal About9726 WOOLLEY ST_Electrical__ M4-SBA 8•b6 8 APPLICATION FOR ELECTRIC PERMIT 1 DBS DIVISION OF BUMDING AND SAFETY Deportment of County Engineer County of Los Angeles ADD BUILEIN n Cad WM.J.FOX,COUNTY ENGINEER ,4011 CASSATT D.GRIFFIN.SUPT of BUILDING xLOCALITY � v FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. NUMBER EACH FEE -OWNER LIGHT OUTLETS RECEPTACLES MAIL .ADDRESS WALL SWITCHES 5 TOTAL OUTLETS 5¢ S CITY TEL.NO. ELEC..RANGES 25 ELECTRICIAN ELEC. HEATERS 25 ADDRESS B KW EA CITYTEL-NO FIXTURES 5t LICENSE NO. Zf NUMBER OF LIGHT CIRCUITS A - DISTRICT O. GROUP ENE READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS — I IMOTORS NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD. HP OVER INC. EACH Sc LESS IS .25 ]f1 2 so - 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5.00 MISC. NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING $1.00 FIXTURES $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE - S DATE p INySPECTOR's SIGNATURE. I' HEREBY ACKNOWLEDGE THAT I HAVE-READ THIS AIFPLIrATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING.. I HEREBY CERTIFY THAT 1 AM PROP R ST R 'SND/OR FIXTURES LICENSED AS REQUIRED LOS ANGE S Y ATE OF + ` CALIFORNIA OR THAT M THE LE AL R E OVE POWER DESCRIBED REST TIAL OPERT.Y. UTILITY CO.NOTIFIED / t7��E� (`�7`f.�%I pill SIGNATURE D OF PERMITTEE FINAL '�!� �'j•� '�4fFL[' WILLIAM J.191.COUNTY ENGI EERVALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR :..� 057544r, MAY 7 2 4.30 �, . '- -- - - - . rte Ile ei 76A668-CE8OS.11."APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING /. BUII.DING AND SAFETY DMSION ADDRESS . IV CMA. LAMID Co V g1aew CASSATr D. GEMM Sup t St�ldinQ LOCALITY NEAREST FOR APPLICANT TO FILL1N CROSS ST. PERNIIT FEES ITEM HUM131ERI EACH FEE OWNER OUTLETS: $ $ MAIL. LIGHTS RECEPT. SW. .10 ADDRESS LIGHTING FIXTURES .10 CITY TEL.NO. ELEC.RANGES LO.DRYER ELECTRICIAN 0 1-_/l // WATER HEATERS .50 � ADDRESS ,6Y..�f /J /GCB, ELEC.SPACE HTRS. DISHWASHERS ' GARBAGE DISPOSERS AUTO.- CITY d. TEL.NO.Ai—a-?3 WASHERS STA.COOKING UNITS .25 STATE LICENSE NO. :6J6 MOTORS: OVER INC. H.P. 0— I/a 2s DISTRICT GR ZONERe INSPECTION I/a _57 otr — 2 .50 ` 2 — s 1.00 A NSPECTION RECORD'15 — !s 1.50 ,1 Is — 50 2.50 SO— 200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 [7® FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE $ I APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ 7II18 APPLICATION DATE INSPECTO.R'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 AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGA OWNER OF THE ABOVE ' /+ DESCRIBED RESIDENTIAL�ERTY. II POWER - SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEro D FINAL fI ` r ATION AR H Wtft.vEEIY; I cic Mo CASH SW ERY181Ne ELECTRICAL ENGINEER ��3 8 7 2 5Zol FEB 23 2 D 2.5 0 �° r 76A663-C6fi9610/74 APPLICATION FOR LECTRICRL PERMIT COUNTY OF LOS ANGELES ° DEPARTMENT OF COUNTY ENGINEER JOBIlk BUILDING AND SAFETY DIVISION ADDRESS mac! LOCALITY - C P NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEB. OWNER OR �+ FIRM NAME /-IQ RECEPTI? $ S ADDRESS LIGHT 1 TOTAL FIRST 20 y ,Zg OVER 20 CITY '�� „ TEL. N0. �� SWITCH .10 PLAN CHECK LIGHTING FIRST 20 Zg APPLICANT TOTAL OVER 20 ADDRESS FIXTURES •10 09 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY NO. CLOTHES WASH. DISHWASH. LICENSE OR CLASS. REG. NUMBER FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATIN6 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW.KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF } CALIFORNIA OR THAI' I AM THE LEGAL OWNER OF THE ABOVE n- 1 - 10 9.00 DESCRIBED RESIDENTIAL PROPERTY. ` CC) PERMIT1 1 .r 40 10 - 50 5.00 SIGNATURE v va SO - 100 10.00 DISTRICT NO. ROC SED BY H 100 - 500 15.00 I $ Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPEC SSIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS - 1.00 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200 AMP O/ 3.00 UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE,&APPURTENANCES 5.00 WIRING '7/9'-�� TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.001 ZI TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH 5 9 2 PILIN 24 2 B 15.7 0 A98 SEB BACK OF APPLICATION FOR COMPLETE SCHEDULE 1�^y tl — WORKERS'COMPENSATION DECLARATION 78-683 10/8h /,�PPUCA�r I®N F®® ELECTRICAL PERMIT `I i Lhereby affirm that 4,h�ye;a certificate of consent to self insure, CE-806G d� ® fflf ie. �n! 'LJf or a certificate-of orkers Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB �•_ �J/ ! ❑ Certified copy is hereby furnished. EACH NO. FEE ADDRESS New Residential Bldgs.&Pools ❑ 1 & 2-Famil S Ft. $ — $ LOCALITY(L— NEAREST Certified copy is filed with the county building inspection Y: q department. Multi-family Sq.Ft. — NEAREST CROSS ST. DateApplicant Residential Swimming Pools OWNER OFT/ FIRM NAME f� -A_eLZ4aUbL�L 441'e--4- CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec Light Sw.' q MAIL COMPENSATION INSURANCE ADDRESS 1 6 WO-0/6 Vue (This section need not be completed if the work involved by the PIZ First 20 Total No. Additional :..� CITY fr Tel.No. permit is for one hundred dollars($100)or less.) I certifythat in the performance of the work for which this permit PLAN CHECK P P APPLICANT is issued, I shall not employ any person in arty manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 6 d ADDRESS Total No. Additional CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation 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 9 Disp. — Room Air Cond. LICENSE OR Class. (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRICT NO. p PO SSED BY >; Size&Type HP,KW,KVA,or KVAR O License Number Lie.Class Up to 1 Incl. FINAL U Over 1 to 10 Incl.: DATE VALIDATION O Contractor Date Over 10 to 50 Incl. FINAL C~) ❑ L am exempt under Sec, Over 50 to 100 Inc. BY OW. B.&P.C.for this reason Over 100 y Services,Swbd.,MCC&Paneiboards Date: 0-200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V ❑ Exemption for Reg.Maint.Elect. Over 1000 Amp.or Over 600 V SINGLE FAMILY Temp.Power Pole&Appurtenances 2 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 RCCToQ for the following reason(Section 7031.5,Business and Professions Code): 3303 61.30 Mise.Conduits&Conductors I,as owner of the property,will do the work and the structure 1 ITEMS is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). > TOTAL rip 1 4 30 CONSTRUCTION LENDING AGENCY CHECK 61.30 1 hereby affirm that there is a construction lending agency for the CRPRCE 000 performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). Lender's Name PLAN CHECKING FEE (MOO-0001 12/15/95 � i Jz Lender's Address PERMIT ISSUING FEE � 3789 1 A1110'028 I certify that I have read this application and state that the above TOTAL FEE 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 p/operty fo inspecti purpos S. SEE REVERSE FOR EXPLANATORY LANGUAGE t y K Signature of Permittee L)atql WORKER'S COMPENSATION DECLARATION 20-ODI S63 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT LJ I hereby affirm that I have a certificate of consent to self insure, 78A863 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 JOB ADDRESS I9I��V V/4 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 ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Li ht Sw. OWNER OR COMPENSATION INSURANCE 9 FIRM NAME First 20 MAIL (This section need not be completed if the work Involved by the Total No. Additional ADDRESS Q permit Is for one hundred dollars($100)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 Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tei.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 provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 /to, '195F1000M _��C3v�FTro 0lncl. (commencing with Section 7000)of Division 3 of the Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. } LICENSE OR Class. Over 50 t0 100 Incl. REG.NUMBER d Over 100 DISTRICT NO. SSED BY O License Number Lic.Class () Services,Swbd.,MCC&Panelboards ®� < W Contractor Date 0-399 Amp.Under 600 V DATE �7 ,-�_ 0 F1 I am exempt under Sec. 400-1000 Amp.Under 600 V Z NDATION W Over 1000 Amp.or Over 600 V FINAL B.&P.C.for this reason BRANCH CIRCUIT FEES BY d Date: 15A,or 20A,120V,Lighting or Recept. Z 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 7 SINGLE FAMILY Temp.Power Pole&Appurtenances ACCT.v HOME OWNER-BUILDER DECLARATION i Ci Branch ranch rcut I hereby affirm that I am exempt from the Contractor's License Law Sign with 3303 46°70 for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits C t�J Code): ITE I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors TOTAL 46. 70 is not Intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) ® DEO+ 4�°�0 and Professions Code). 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 2/21/96 PLAN CHECKING FEE 4947 1 AN 10:18 Lender's Name PERMIT ISSUING FEE Lender's Address TOTAL FEE I certify that I have read this application and under penalty of purjury state 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 f in ection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SI RE OF PERMITTEE DATE WORKERS'COMPENSATIONDECLARATION CE-806 APPLICATION FOR ELECTRICAL PERMIT I hereby am that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY 1 11 insure,04 a certificate of Workers'Compensation Insurance,or a certiSied copy-thereof(Sec.3B00,,Lab.C.) Company FOR APPLICANT TO FILL IN JOB Policy No. ADDRESS t New Residential Bldgs.&Pools EACH NO. FEE _ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ $ LOCALITY - e; r ❑ Multi-family Sq. Ft. NEAREST Certified copy is filed with the county building inspection Residential Swimming Pools CROSS ST 92 department. g OWNER OR FIRM NAME Date Applicant Outlets: Rec.—Light—Sw. ' ^s"0 3 MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional COMPENSATION INSURANCE CITY 4 �, Tel No.Y 2 PLAN CHECK } APPLICANT CL (This section need not be completed if the work involved Lighting Fixtures First 20 U by the permit is for one hundred dollars .($100) or.less.) ADDRESS Total,No. Additional cc 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 CCCF»> so as to become subject to the Workers'Compensation Laws. Range_Heater D.W. _ APPLICANT tL / Oven _ Dryer_W.M._ ADDRESS IV40VN Date 9/' Applicant �c�- Ld Top _ FAU _W.H. Hood Fan _Other— CITY Tel No. 'NOTICE TO APPLICANT: If, after making this Cert' lcate 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. OCES ED BY with comply with such provisions or this permit shall be deemed revoked. Size 8;Type HP,KW,KVA,or KVAR G r Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE . LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL , 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY a,... ness and Professions.Code, and my license is in full force and effect. Services License Number Lic.Class 0-200 Amp.Under 600 V 201-1000 Amp.Under 600 V Contractor ' Date Over 1000 Amp.or Over 600 V ROME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances 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'and Professions Code): Misc.Conduits&Conductors I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— lKstructure is not intended or offered for sale (Section 7044,Business and Professions Code). 2 '� 3 A CONSTRUCTION LENDING AGENCY 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 0 o c o 0 2 issued(Sec.3097,Civ.C.). ort Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 2 o 0 1- 0.50 Lender's Address PERMIT ISSUING FEE o 0 0 �, 0 5 0 I certify that I have read this application and state that the TOTAL FEE IJ 0 9, 1 5—8(% 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. SEE'REVERSE FOR EXPLANATORY LANGUAGE 4lgn.tu�fmittee Date