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HomeMy WebLinkAbout1389A __. , ...�_ �... ..__�_ _... � .�.,: .i ,� . ,:,,�..�.��. .., . ,.� . >,. `°°aKERs��°`'p�"SAT�°N-°�-��:`'����°�-°x�w�r ,6A663 APPLICATION� ��R ELECTi�ICAL PERMIT � � CE-806G(2-801 I hereby affirm the[ I ha��e a certie cate oF consent to self COUNTY QF LOS�ANGELES � � BUIL�ING AND SAFETY �� insure,or a'certificxte of 4�'orkers'Compensation Insurance,-or a cS[tified copS thereQ,f,{�Sec.3�$00,-L¢' .C.) . .. .. .�. w -s� - �.,`m'a"°�'�"�"' - �'��:»'"�^'��'�-��'�`�'*..�'� / '` . ... -.».fe._.. .,.w� �Y��'CI ry) .S7 jZ�('. �(`. i= FORAPPLICANTTO-FILL.IN . „ JOB � (Y.� �,„ �k . '� POIicY ho. ComPany �` �� �• .n ��• ... .�� .� FEACH NO. # FEE AD�RESS New Residential Bldgs.&Pools Y� � Certified copy is hereby furnishzd. 1&2-Family,5q.Ft. $ —' $ LOCAUTY �� , 7--7 ' � Ytulti-family Sq.Ft. — NEAREST � Cer[ified eopy is fited with ihz cou�[y 5uilding inspection . . . .��. �CRO$S,ST sqQ,' � Ll Residential Swimming Pools . , departm nt. . O RMENAME �'f'.-.. �Pate� �� Applicant c Outlets:Rec._Light_Sw._ MAIL ( . �;::��x+ Firsi 20 ADDRESS Fj(b;1C� . CERTIFICAT�OF�E�'��l'SP°PI�Tv'`�OOli4t��-ERS' , ,,, Total No. Addit�ional CI7Y ' Tei No.�'� � � COM11PEhSAT:Ot�IIVS17R.41vCE � PLAN CHECK } � ' ' APPLICANT 3 p [�. S , � (This section need not be completed if the �voxk imolved Lighting Fixtures �irst 20 ApDRESS � � �by the peimit is for one hundred doilars (5100) or SessJ � 'g' �p - ' �,,, �J � Total No. Additional - � I cer[if thut in the CI7v �,� � Tel No.'qe, O , y perforin-ance of the work for which[his Fixed ApPliances Not Ooer 1 HP ��k.. V�✓-4'"��b'� r permit is issued.I shall not emplo9 any person in any manner PERMIT so as to become subject co the 4{'orkers'Compensation Lau�s. Range_Heater_O,W._ APPLICANT _ W � � Oven �Dryer_W.M.i ADDRESS fI f�f5 � ToP FAU —W.H..— ~'`'�� . _ . ._.. .. � Date Applicant — cITV Tel No. � - � � Hood_Fan —Other— NOTiCE TO AP1fiT�A�ST��TP,after�making this Certificate of Disp. �Room Air Cond„ LICENSE OR r- Exemption, you sUould become subject to the N'orkers' REG.NUMBER � ��µClassm -�J �� , Compensation provisions of the La6or Code,you must forth- Power Apparatus&Large Appliances DISTRICT NO.- PROCESSEo�BV � � with comply with such provisions or ihis permit shall be Si�e&Type HP,kW,�KVA,��or KVAR deemed reroked. f� _ �p',��c.t�� . Up to 7 Incl, FINAL � , ._ , ,, . . .;. OVer 1 to 10 Incl. DATE � ��� VALIDATION LICENSED CONTRACTORSDECLARATY�T3�'`�������z���� Over 70 to 50 Incl. � � [hereby affirm[hu[1 am licensed under prn�isions of Chapter OVer 50 to 700 InC. FINAL BY 9 (commencing with Section 7000)of Division 3 of the Bosi- Over 100 r� „�,,��,1-�' ness and Professions Code,and my license is in full force and effect. Services , License ber ����s f Lic.Claxs �"� � 0-200 Amp.Under600 V y1y 207-1000 Amp.Under 600 V . Contre���a ��r` " Date �2 '�'� Over 1000 Amp,or Over 600 V HORtE O�GNER-BT7YtiD�:R�EC'LARATION����r����� � 7emp.Power Pole&Appurtenances Sign with One Branch Circuit f herehy affirm thut I am exempt from the Contrnetor's qdditional Sign Branch Circults � � I ��4 A License Law for the following reason (Section 7031.5, Bus�- � - ness and Nrofessions Code): _ _ f�o s m • m G Misc.Conduits&Conductors � 1, as o�cner of the property,will do the w�ork and[he Other(See Complete Fee Schedule)— � o z�j�,5 Q structure is not intended or offered for sale (Seciion . 7044,Business and ProfesSions Code). � � �������������"6 . .. ... . . '�SUu CON5TRUCTION'tiY.fJDI',�G.SGENCY - � �� `� ` I hereby affirm [hnt there is a construction tending ngency �i,2�1,,,q�G for tlie performance of the work for which this permit is pERMIT FEE (Sub-Total) - issued(Sec.3097�,Civ.C:). �� � -'t` ' �, ' Lender'sName . . ..____.._,,,.._...,._«.�. . . ..-- ;....,�.�-�:.-r�;.:.�. . PLAN CHECKING�F'E�E�'�(bne-'��ourth`Permit Fee Lender'sAddress - ...,.,. .... � . .. . , . ...,-,.w.,:,.:..,,.,,..,.,.,..,...�...::�..�y �. PER�I(RIT�fS$UIN"�G FEE'����� .��' 1 certifp that I have read this appfication and stxte t6at the TOTAL FEE' � � � � �f%!� above information is correct.I agree[o eompfy with a]!Coun[y � � � ordinances�and State laws regulating E]ecCrical wiring, and hereby authorize representatives of this County to enter upan , ._�.w._.,,..-_._�.-__.-.__..,.. .--- �- ..._.......,..,......:.�.....�.,..,...:.......,.�.._... the above- ti zd ptoperb�for inspection purposes. ,,-^-..-..--��. .'-`...`. ,� SEE'RLVERSEFpR�f`.kPL".4NATORY LAT'��CUAGE ��°2+'�.'<1Jyr� �'j2r' ."w. , �. Signature of Permittee Date .:.e...c,� �SC t-1 ... . , �d �� � _. .. ............ .... ...::.." �:Jd'S.'..as. „ .'.�.E:.�-r--w.. x.:'.2 .�£' '..5,1; 5.2 ..:.::k-. .�. _ �.. ' _- �c X� 2{:'.s_A+�K-. �:.,,'..: ----�-w�......, - - ��Ill���l�d.� . >.�.'�'��isi3'�-B::i���ld 47EC=�.R:$il�lti :ieear.by a:'tirmrvmx..i as�:.e�emgt f�rom tl�e Cr�n;eactnr's � � APP�-i.O�,aLS DATE' �NSP.ECTOR'S 1 _ - �:-aC�itsc. I.dG' in�t1:E fr,toi:ir:g'seasnr(Serrinn 70:i,''.3. � SIGNATi1FE - J - :3usiness cnti Frv;essionr Cn:IA�: �ry ce�}� ar cou+:r}� ;... . ' . TEMF.POWERP,Oi_,E � . ., -'. � � ... ' ' - � . k,h!!'h •equrrea� a Permit EO _^P)158fTtCY, Gife1'. [rr.',�iro:e .. . . - ` ��urvo�'Rsi ne woRx�.�,{ / � . ci., t „ srruc ute {r���n m,t z e n. �----T /6 `------- , r "-�" �ROJGH COPIdiiIT- / � � .... . � `I p �y-^'+ rt�'^ae�r e�et�no+�he rasF�Ec ns d jurnuanl6�.+n7 the or r i t � , � -f/-.J f „ra.ia:orf ne Cor irr .�r; 'ce e i:c:v!Cr'ri�ter 9 • . . ... �.' Wia!nG ",-�;-�- / �_�- - -- �com•;,c�c.nb�,wuh Sacstun 7uUC/ o;.srv9wr os;he I-FixTuctFs i � � ; �. � . ' 3+.cs�nrt. anc i'rofe,rs�nc 'Yxlej o.> rher ne u cxempt , . .. . f ' , — . ,.. ...... �,,. ... .. .. _. rnerej�v n anr ihe ease )o��he allegec exe.,P i n.,cny .. . ' Powea a�i��r�ca!zso � - vicle[lon cf Sec�iow 733 y hy 6n��pnf;c¢nr for a�er;nit - • - .." UTiu'ry C0.No?tFiEC . i �' � � �a�bjer,s rFe ap/�;icanr ro a tt:r penatt�o�not neore rhar � ��'-- fioe h�<ndrr6 do4lr:s(5.,�,7J,�. .. � . . ' �.FiNq� �. � � �°�2.C42_.�26as% ? . � ❑I,as owa^i of t'r.e property��t�ili do[F:e wvx�c,ar:d. - ��� � ---�� �xi�e stxuce�i.e is iiot intended or offered fnr smle. e . . . : -.. . .. .,. /Sec. 704�, n^asiness erd!'rofz�ss;or:s �ade: :"'he i:nn- �crsS'. . , � � , nacrcr's �icen.re ic*��.1oe.� nUt app!y to�n owne:oj ---�.----r _ —. . . --,.-- pre�erlY vr,'ao uuiids cr irnpro�e,s,he��eon.�ttri v:hu Ccas . � � ... .. . . . suc's� wark 'r,irnself ¢rari.9ed n�ar surM ?mproverrtes:�s - � .�. �. . .�____.._���_______'_'..�.r._�_ �re :�i ir.te�rded�r ol3ered;cr scie.-l?'� hewever.�thc .... ; , ; c..: � . . . . �� �� � � "--- '�� � -' ��� � � bu11c;��g or ir.yruver.ten: rs so(d withir, one y�ear cj . . . : --.:�_ ' . . �� , . , , . .... . . - .. , . . -- -- --, completion, tF�e rnvrier-r��€;der :v;ii :�are rhe hu,:ien . , . . , . � bf vrnvirFg rttat he.:did xni bui!d w•impro�e fur:Fe � , ___ �—_.— . , , - _ -� : pur�n.;evfsaie.; � � .. ' . ... . . � . ""_ . -... s:ii'.7.�'.}te!'liPti UFl6e.'SCC..__�____.. _�. _��. _ —_________ — B&P.C.ffo�i:is re�sar� :;'e,.--- ---- ,. _ ,f?w,+er...a.�_r — — - —� - ------- , . . �.:��y. , . ' -,_ ,�._� y . .���....,�. c .. :�_U, ._ . . _.......:�-7-.x:.,. . ..,,�....,. ......