Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0620A
Iv/CfiK[RS'CO!'FE�JSATIO�JDECLAR:Tiev 7Fp',!�3 �o-o, AppLICATION FOR ELECTRICAL PERMIT I here7y allirn thr.t I ha•.n a crrt!ic�le c!cens^M tD 5;'f i�scrn, C[�eC5; f'� cr a ecrti!ra�o c�ti•.rorkcrs'Ccrr;=�s-tcen�nsu�anco,or]I CCllil:��] COUNTY OF LOS ANGELES BUILDING AND SAFETY [cry IhCrcof BDO.Lr:b.C.) '^'^ �/ �j x`�-v r;a d[� �coT�,:,y��r r/vS�L/�T V FCR APPLICANT TO FILL I'7 J07 c n�/ �, ( ��'l�� ^,• ❑ GCr[''ed[eFY is hrrCy furni¢:�eA. /N�. [F.CH �JO. fG[ PC,r,nc_S y J K �:rv!R(!si�!^nli,":I BIO!;5.8 f'oC' ,,/ �7-.--��- ,�- — � Cc•t�!irtl t^,^.y is 1:!�d v:i!h thn ainty hr!�ing irt:pn_;:��� 1 R 2-F:^ii'y,S�.Ft.�� 5� — 5 LOCAIITY L a�s77� W/ /J ��1g .�' q'u"i-f,,..�ly^�ft. — '.[R,-:_ST /"�. J 7 C��OSS^T. �C/ )��Q� Rc[:C=nti'!!S.,vim�mcq Pco'S Da•^ " �q:^':cr.n! C:r.cr�Cv �' L�GI� CERTIFICATC OF EX[!!PTIO."�FRC'd ll'ORKERS' F•mn a�•�� Qi'!n�s:Ret_Lir,�l�_S'N._ ��A�� 4 CO!'PENSlSICN C:SURAP:CE � � � ��v���� N� (This settion need nol be compteleA if Ihe work InvolveA by the Fir<t 20 F�`^r�.c permit ia lor one hundred dolla�s(5100�or Iess.) Tc:il�70. A^d";ir,��l CITY _� 9aG�/L....No.��� I[?!hfy the.�i�C+.^perlon��?nCP.C!t.'w vnrk lor wh�rh Ihis F^!m:t IwAn C��LCK �s iss:�^C.I shzll nct om,Y-�y any per=oo in cny nanner so as to F��"�;,�;T h^rorrn sahj^ct!o ihe lVo•ke�s'CoTpo.^.�n!ion Laws. Li�h!i�q Fixturog First 20 AD�REfiS �!!!!tiC'lpl Total�b. CITY Trti.PJo Drle A,^.p'i=a�1 fired App'Lnnces 11pt Ovr*1!IP '' CE TO APPLICAWT: If, allvr m.�kinp IhiS CCrt 5C2!^ eF � f'=1"ivrt � ,y f�:��.Y'=�eheu�d h^coTr.scbl^et U 1.^.^1,�e•kcrs'Ce^�ar.nsation Rsnce_H^^��r_ D.VJ. _ Er'^uCaVi � �� ���T�✓L prov�,i�n5 M tM L�:b.r Cc��,y�u must(.;rihw^ih CCmply v:i:h:.�;:h O�M�_Dryrr_ L'J1.!._ ACCR[SS .�. �X / C�cvisi��s cr;his p^rnit sha:l Ee dro�rod rnvc�ed. Top _ FAU _ 17H._ � ����� ���r.�crD CC�JTR4GTC�5 C[CLARATO!J Hooh_ Fan _O'hn�_ CITY >�M, G/�u -�.1.�,� I herCby::Pi�n I''^t I e�l�tPrsM uMpr;p•i�,1^�,Cf Ch;!;Ivr 0 LN;7E1.316 CIi (comnenti��wl'�5^c'�en 7Q^01 cf DP,risi��3 cl iF�17u,i�og5,�d Dls�. —Rocm Ai:Ccnd. _ rFC�,;.,�ra �� CI+ssG�v Pro'CSS��nS COC.^,?M ny lif.nrc�i5 in f:i'I IC'.0,^.^:I N`eCt CISTl:�CT�:p P��CESSED DY � pnvr.r A^P:'r;�us&La•^�pro.:,ncrs Sizc R Typn Na.K�'!.Kl'\.cr K1',1R 1 �����Sc n�.�����_�u�.c�,5s G'/� 1.d ��w�o n�c � Up t�1 I�cl. F!vnL ��.,/ p^_'� Ow±r 1 t�10 Inri. D:1T[ //�� �` Q. � Cen!rr.C^•��Z�NT�— a VALIDATON ❑ O�rr 10 lo SO lncl. � F��JAL � I.�n e.Pr^:1 i:^r!�.�„� C:^r�0!a 1C�I�:. f3Y .4ti_ W OSPC.!or t��s m+.{,� Ov!+r 1D0 a c�..i���s.Sv:�d.�!CC R F'.,..:��,yo,.cs :_n�.�r,:.� cn ����' 0-2C0 Amp.UM=r E00 V � Z Si;n.^.t�•e 201-1000 Ar�p.UnCor F.00 V �. • • e e •� ❑ O�rr 1000 AMp.M Ovcr ECO V - r:Y�mc:on�o�r.�a.aa-;�c en:c ! + 1 C SI"lGLE FA`.•'LY Tanp.fk+wcr Po'r,R A^p�.nt^n+nc^s a j !' , � C:':!:ER�I?L':.C�R C�CL�f1AT10'J ;��n w�sh ` '..� OnC C?�;:rvh Ci•r.u:t G i C:'_..•.i �1ehy?"�fm Ih 1 I?n rYrn�f from Ihn Cn�rr,:r.,i S�i!Nnncn�;,;.� ' ' I �1he f^!'_.a^�rmso�(Sec!ion 7031.5,C+a�f^ess a^d Prc'essie�s �•"i!rn,I 5�;�L?•e.r_h C�m:�!s CoCe): ti�'S�.CC�;!I:i!5 R C�MIN:�^i5 I,as ownrr cf the C�G^rty,wi:l Co IhC w:rk;ntl iNc stri�cturc is nct inlerx:^d cr cf'=red ler s^'^(Secti��70aa,�cs'ross 0'h^r(S^o Ce^;'c'^Fce Sch�!�L'�C)� ► ;:rd Prc`cssions Cnde). CCNSTRUC7IC�J LEND:"!G AGENCV I herc•by et��rm th.+.t 1�=re i5 a[ons!rc[Non IcnCin�nrncy t.r thc Ocrlp•m:xe c!t.".e vrork 1er which Ih�s permi!i5 issued(Sec.3087, F[F4'IT FEE (Sub-Te!ap Civ.C.). PLAN CHECKI�:G FE[ LCM!+r's tl�r+e PEI71,'R ISSU'"JG FE[ /(, Lcndcr's ACCress I C^rtily lhat I hsv=mxd th�s.^p•:C„ip��nd 5•^'^thel tFe,bove TOT.:L�CC /v inform,+.tion is cermct.I aqree to com,^,'y a•ith c'I Ceun'y erdin�sces pn�SI?!c I�ws re_r.�'�!i�� EIaC�ic.:l wirin�, C��d hrmby nu'hsrize � repms?rL+filrs ef!eis Cou�ly to en!cr upon t�e r.h^v-m^�!icned p�C.^,r, fpr i�sppcl�pn purppp.CS. ���� � SEE REVERSE FOR E%PLANATORY LANGUAGE � S,nature 01 Pormcvec D,!� . . � . . c � ' - T � ` `�., : . .n � �) x{ '� L: . '� t, G• �` L� �) ..� �,1 Z' .�',1 �.e�� G� n �' '. �� f .t �� n i:: �y C,> �' TS � 1: p �'� G Ci C (:' . U �� � T f� . J = 'i' N {d c� v � � � � _.�_,_ � � s•, . c.'� . C� • �*A . \ ` �`'r � � ;i'i'r ."f"� �r; `. f��^. .�c = � c, � �c_-.: � ��..._- �; , � �;.�:�_ �� �;,." ��.=` � ��; � ; t?.r. �.`� 'r> c', Y:. =. S? .- c'�_ .. c. i. ir ' n� `c n m E,<',L�` `'' � ' _ � i.. .... � <,i F` Q�c� � Q �`,� �; � •�,�n �, � - S �l - = . : ' K � c,�'. c: �- �;�ci, �., =* I ,c_:: `�: y: `s: 'i; o� ,-� ,�:, `-:. �:o c' ' c'' �� .: �r, � c, c c_�; �� r- t- 'u' Q`, � c�. L'. - �' _ _ >: " 7,+ � � ' . t. - • � c. .: U ,�-,i •� c�� �` c: c=4� c. �;�",c. r ^ c �y r, � � �f�1 r"- a: �� " � � O q .Q % C •_ . '.. l; � ... � Gl Y � G'C:, Ci�n �', C. �i �J t: n �� t``� c c^`<•, �. �:: �; � ii �- = �, iL. = �S c �:'� °.. 'y O �y, C z, s � c= a �� �:L��tt;^ o _, y+`. �. t;�c"� v, " � R t'� fn G i' ci -:: 4i s:. : � :, � cT 4.". w c Z, i: S. c+ in ^ � : ? _ - n o: �"-. `t�C c c��, c�'�: c...:e c. y�_c�' Fy <7. (�1 - +. i. i+ - �� ^ � r. -� 4: : ` T �'_'� �V„4' ,���. .-C���•,�&K S: � f. . _��^ f% �;1 ci c:z� -•�,Vv ir� •^c,. r �r-F s: S'• _ r -°C �' �; cs c i:' c_ Ei u^ �= k y ;' ; =` ' � (� o n s: �. =.4': '�' �, r'r. '� � �ce ' 7 c. -~ ? .• v, o G'r�` �,i;. `rn, j r `i`. 5� � ._ � . c:.�:, r� �-' y;, :� �'' �� cp i�,�'•.5:: � 4^. � �r �M1 t��: C7� ' ' �, v� o. �_ c, :: � ; • �: 'L . F, �.. '_�� , c� v.� o'.' - ,..G. �1 r� �. �.: i 6' �" �C�?G V '" 4i. h ,3 u: C. C. �, + `' C. � G Q C' �= s � y.� �� � tr Q � . CG.� G� �� f� r . c: C.' .:. •• - F:. n r D � t W€. io f} t, _ (': c:. `� � . �;_ r _ — �_ .: � ' c• cy o c ^ �� �� C[ ` ','r'.' :� c, ii :3. in J: _-' ,. o^ `i - ' : l'. t::l G Y: :� `i �• � r. L�. �l ?' � �; 4'. p„ r� � . 1 n � ... �,=r s . L � t k � 1 ,..,�,t .) •:� C.� � C, ' G / O C+S� �•G�. ,�� S' � c. V� '. i.i / .:. ,� �.. +' � ., � � / • '� a. - ' �; � c; F. 'c,': 'c_ c. / , �� C _ � , ,- � �„� . ��� ' �i /��i