Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
1043A (5)
�•.b�KE�s������E�:s:,,,�'!D[CLAR�T���, 7E���3 ,o-�i, qppLICATION FOR ELECTRICAL PERMIT {� � I hmchy a'!i�m Ih�t I P.�v^a ccrti'ir.+!e c�Consent to 5^'f in5ur^, C�.���,C ar n ceni:�.=.!e cr l'.L^rk�rs'C^m^eosrib��nsur,�c�,oi n cerr��ed COUNTY OF LOS ANGELES BUILDING AND SAFETY L� cenv�hr.ecr cSee.3Geo.L::b.c.1 �1`CY�:'�,. Cert'p�:ry FOR APPLICANT TO FIIL IN JCO ❑ Cer.�l�cd cep s h�rr.h h;mis�=d. EACFi NO. �EE r,00a=55,r i Y' Y �!r.:v Res'"^nti�l Eld.^.s.R Por,'s ❑ �&�_��,�,:� LOCALITI Cert!ied C^^y is fi'�d wi:h Ihe erninty Miil�irv� insDeet�c� . y,Sq.Ft. S — S � I.EAfEiT c!r^�rtr!+�tt. R'ul:i•f,�mi'y Sq Ft. — / ReSiAentir.l Swirrr..�rg F'Oo�3 Cti055 ST. Du!c ApP'ic:nt ' C^:r:!i�O!+ ' FI!i�.11.4!.fE C'cRT`.FICATL OF EXGAPTIC�J�RC!.1 VJOFKCRS' Q,��,��:R����h�,� ��v.� r,•n�� cc��rr-n�snncr�visur�arice � er,r,�F;;, (This section need nol be tompleled if the work involvetl by the ` FiKt 20 permil is lor one hundred dollars(S700)or less.� Tc'�:I�Jo.�V A:!^:ti��+l CITY 7eI.No. I ccrti!y th-!i�!h�Fr!1rm::ncr.ef thc wcrk for whi;h t'�i5 Gcrn�t PLFN CIIECK is is,::ed,I sha'I nr.t eTp'r.y�m�/pPrson in nny m]nner So,^.S t0 `1 t�FPL�C7•NT h^tomc s�bi^d lo C�r.19cikcis'Ce.maon en Lev.s. Lin�'in9 Fixtures Firet 20 �L'y ADDaESS - A^dit�onal I` Tctr.i PJo.,�_ CITY Tel.tJo. Y p,!� �App!icnn� Piretl A.p,^,'i;nces�Jet Over 1 NP tJOTIC� TO Pf'L.CatNT: If, a'.�r n:kin th, Crrti'ica!e ct pPfiI�F4T [xcr.^.;hao.Yron shahl bor.r.�n�+su.",;ecl;o Ihc rkcrs'Cempens^•ion Rin;e_ Hr,ter_ DIV. _ previyons of IhC L.her Ca:e,yau must feriFHi!h co�ply wilh�uch Oven_ Dryer_ 191d._ AD�RESS prcvi;:ns cr I�:,ccrm�[sh.a!I be Cec:^r,A rmo:cd. T:p — fAU _ \Y H._ LICE."JSED CO"lTRAGTCRS D[CLARATIO`J ��TY � T:.I.No. Hxd_ F,+.� _ O:h^r_ I he.�,�.y rq,..���„r I r^��,��,.�,.n i..;..,r p.a,:,;o.^.s pt C�.,�.�r 0 urc�;q.c CH (ccmmcn[i�q v:�;h Srcfrn 70001 cf D'n^�icn 3.C(IFn Fiu,�nr,es,,,q� D'sp. — Pcem lir CeM. _ p�Q:�?en[R �""s. F'rc`r55��n5 C�Ac,.^.n�r.r.rv I�r�nqn is in fu'I lorcc.M eflcCt. Ci5TmC7 r:7. �npCE55ED HV . I'0':h?f A()p.'t.•:�US R L^.fv=Ii��i.?�C(`5 �� � Q P,ize 8 Typc li�,KL%KV�,ar K\'�fi Lir.vnsc N�.i^�.hrr Lic.C'..'.55 L�p to 1 Ind. �I"JAL n � U O�rr f tn 101nc1. �TT[ ]/ / Contnc!or D.^.'^ � Q �b YAL�DATION � ❑ O�cr 10 to.ri0 Incl. FI�JAL I am rrr•^^I cMrr Soc. O��^r 50 to 100 I.�c. py W F3SP.C.'_r t��s ma,o� O•mr 1C0 n. N sc��•�ccs.sHen..r.�cc a reM��c��ds ► Z e`�` o-�eo nTa.u��r.eeo v s�r�,��•r 2ot-�000 Amn.u�-�:,r eoo v ❑ O�w+r 1000 Amp.cr Ovcr ECO V Frcm...^��:`_r Rc;�'... ..Elccl. c•..,r.�r.ry;u�i Y Temp.F�.••rr pcI^S App;n!cn�r,cc� �� U ii..3 H Hp+'=_CY!'JcR-6ULCER DECLARATIO!J Si;�wi!h O^^E^^th Circuit I hn.�.�Y,1!irm Ih:[I:ci cer^T.[bom D,=Cr.n!roe!or's Lronsc Ln:v • w far t�.,f�;�vn��m-:^n fS�c•�on 7031 5.R�i�'rrss�M Prol.,cc�.�n5 ���'•:onal,cil�n fl�r.x.h Circu:ls : • • •G Cad=1: I ° •j'.O O J� I,as cwn^r r.f thr.pm�rrly,wi;l Cn IM�vinrk,nd thr,shuctu•e ��'=C.Ccn•�ui!S R Cen.^.uC::rs ' ' is rtot in!cn!.,�1 r.r r."ciPA!Cr 5.^.'e(5^ttipn 70�t4.l3usi�es5 C:hrr(Snn Cp;�p�p•q fo�$Chr^!i!�)_ , n i 1,�,l1� n❑��rc'^,�c^s Cedcl. . G:i?5-37 CGI:STRUCTION LENC:�JG AG[NCY I h�rcbV r:.`f�•rs Ih;!!! n is�cr,n„ructb�InMinc�,�^nry Icr the Ccrfornancc ol Ihr.w.crk(or r:F�di Ihis perrr.�t is issu,^](Scc 30�J7, pr.�"'IT FEE (Scb•Tnl�q 0 Civ.C.�. PLAN CF{F.CKING�[C Lcnc!^r'S P:^no r F'[fi:!IT ISSU:`JG FEE /b (� LcnCCr's Mdress �/ � I cer!'y th::t I hr:vo ro,-,.�th'S a.pplica!�on nry s!.ale th?I thn,hqvK; TOLlL FEE (� in!err�e!icn is cermct.I^�•er,!o compy with o'I Cwn!y ord��nnces r.�d S'�'c Lv:, recu'ali�g Elr�!rir.,+.l u+rin�.nntl Mrchy P.u!hCrilc . . re;•es ..r vc5 e(this Ccen[y to nn7rr upon tM.'+.pcvc-mrntir,ned a�„ it .;v in��..���. vu,ms" — SEE REVEHSE FOR E7(PLANATORY LANGUAGE ,��,��.� I . .._ ��p,��/— . '�; � • ' � � / . . � � . . � l.-/ , �'� � .. � . f ' . � , J/ ' w��, ^ . '� �'� � . � 4 �_`� � . '` j .�1 . 4 � � y± A.��,, i^ ;`; :i . . { . ` �^ `- r. '.� �, /�)�i- �+� ,9 _.J' . . L. � .N `^ �, �J �I�. C'• . , ,/ O � ' ''_�1� ;I ... �i,.��� ' .. . v � �� _ (> k' �: , . �' =-` ;i r �.. , ' ' •% q• r� �r � . . � . �` ��` � `�� �c =, . '��\' � It �t , . •�I '. . � � . `�G.Y �in: � ���' . . r t�� . 1. �^'' '. • - , i �, , i ' . � - �. , • �- r � " ' !, : n t:��, � � �:- ` �?: • ' �.,r ,P_a�2 �; S_ t; �c r; �: i ;,�; ,�„�t. . � C r c� �/ ..e] V� t� ?l �'7 i.'t [: � p+ � _T k G: �.� =, C� 11 (,J �. (: �' ��„ � `+� ( _. � ' � s.i n� �°, t -� � y c.•�1 C.`: r � ^�; �' �; h 7 Q c, ': i`' ci ci r O�,1J 'i, �. ^ O �� -: r, r': . �. <: �,.� � - g �, � . � O s� G '�'o '� _ ' �.i �' .. �' c L ei cC',' �. �%� r: ' j C. � � C'�_i� ��-^~., C�.°' !! �'C'�.. i] c a O y: �; �� +^.' c �; ± 4�� :' ^ �,�{ �.". - r? y Co C g '_'._i'; c < 3 G' C„ ^ • � ��� f.. f1 ".., f.. �. r C s., _ . � :1 � y: i.IG'.�" � C k: . � f', �.:`C f. �- ' 7, 'e': _ , ; °' �.,. ' q i; Q �j �r, � � c� C � . 1 t., E: -; . `i rs �: •" t S' ` c' :s '_: S� ' rt .•:1 . 4�: ^ .�t '. � ^..' �. i � c,` .' c,'� w r — i� i [n:� � . . . t'. (, :' �� c -i � _�o , Q��S S o �• � v ti; �? �. �: C) ' , �. c �• ��z, _ c. � c_,� ci U T r "'�` t:, : '` 4y i `r o ci i•. <<'�`, Q RJ r. �: .� i: c �� '- �- <: �: c r � 1 � ' �°�_c, ; �,; c �'- `cd ` L', ti r i 7 5 -� 'f. _, , �'. . Sj`` �'' (' tn C1 � Ci/"L Vl T;('.'.l 7 � C� �� ,.• �; f. 4:n � r, i:. :. i::c �ti" v _ v,t� c� r. � ��, S; - -- � �: r�� . 2;. �, c 3 nc c o E: S: `'' —. ,_ c^ -; � _t,� ) ' -5 4 O f f O " �Y. f; G. •, .- �: C . . r' t�.,O Sr' �,�. <: ' L �1,�: 4, �, G ��r�-.�i� ��;, tl . t y ., "� . ^. , / :t c�.t�.'. � ^`' � cC,.� �=� �. ci ��' +? � • � .: . �. „. -�� t`•'- - i. � � f . !/ u��'�� `�; � CS n ,�!�A n �•': Ss � p .-- ; -s !� i'i^'� � r q $ Q :1 `� C <<•-'• y'. 4'�l _ 6t �, ,'��i' c Q �. � U ,� :. r , 4. 4, r {� � 4, �L_ �. = ,. E; � �-' ;: ` "- z, ': �. `� ",, , cis c: :: �j Gi iY .,, � �! ♦ '� Q ::.C: �. [. �-. : �' ' � � % . , %f/.' r � � ..�. •-'I