HomeMy WebLinkAbout1803A (10) \�'nR1:1:R5'C011!'I:VS.4710\�'[:CI,:\12:1TInV 7GAGG3 APPLICATION FOR ELECTRICAL PERMIT �
CE�R05G 12�80)
1 I�rrrby affirm th�t [ have a ccrtificate of cnnsent to sclf COUNTY OF LOS ANGELES BUILDING AND SAFETY
insure,ur a certificale uf 15'nrkers'Cumprnsotinn Insurancr,ar
a certified mpr Iherrnf(4ec.SRDO,Iab.C.)
FORl�PPLICANTTOfILLIN JOB rt�/ A
! 1'ol�c}'\�• Comp�nY EACH NO. FEE AODRESS �I / S/GE�L f=C���75�
Np?r�Rqe�i;{�ential Bldgs.R Ponis
� Cerlifitd cnpy is herrby fumishrd. 'S..L�Y�,�,m;iY,sQ.Fl. !i 7S s — s LOCALITY /)�/�v�a,i/p ,,g,q_R
OP."ulti•f�mily Sq.Ft. — NEARE57
Crrtified rnpy is fiird���ith the county 6uilding inspection CROSS ST $�f{p C W d N ��� �
Jr �rtmer.L ReSid^ntiol S•.vimmin�Pools OWnIER OR ,
� FIRMNAME nR. �—IR/�
���+�• ,�rn�+���� Out�ets:R�c.�'L�9ht�S�v.3 �� (T ADDRESS z7y) -STrY!'LE Lf�/�5/'
F�rst 20 j —
CIiRTII'IC:\Tli OP CXC11!'TIOV GRO)1 K'OftR4:R5' To:al Nn.� Addilionil CITY �IR-1h Q Kf tl (j.(fel Na.
CU17PfN5:1TlO�i I\SURANCG PLAN CHECK a
,/,APPLICANT Q
(This xec�ion r.eed not be completed if�l:^ wo�k insnleed " � �+'- U
by the pe[mit i5 f0[ One hUndfCd do11u5 (SI00)a[ICSS.) , Liphting Fixtures First 20 ADDRESS
A�iditional �
Totnl�o.
1 certify Ihat in �he trfnrmance of the�aurk fnr�chich this CITY Tel No. Q
�' Fixed A��liane�s�ot Ov^r 1 HP M—
permit is Issued,1�.h711 nnt rmploy any prrsnn in any manncr PENM1".IT ✓ �� �r� G �— U
5�;IS 1��hect)me Suhjtti tr)the N'n�Atts�Co� �ensatin�Laws. Reng�_Hrater_D.6V._ APPI.ICANT � � ��'R �^ � W
Oven _Or er_l"l.ft7._ 11D�RESS f ,/• �
Y `l YI 2,���v�sr
Dale3 !� 9Z 4 Iic�ni .. _ TaP —_FAU —W.H._ —
. rr — cirv ��V� ��/A� Tal No. �3�'G�S I
Hood_Fnn _Othrr 7
tipTfCli TO AI'PLIC:\1T:I(Ia(icr makin�thi5 Ccrtificalr uf T /!�j LICENSE OR
v� Oisp. _Fnom Air Co�d._ REG.NUMBER�L J� 1 Ciass C ��
Exemptinn, ynu xhould hecnme subject �o the \S��tArrS
Cnrnpenca[inn procisions of thc l.:+hor Codr.)�nu r�uat forth• po�v=r Apparatus&L�rgr.APPlianees OISTRICT ND. PROCE5SE�8Y
�cith comply �.�ith su<h pmvisiona nr this permit shall he Sim c4�Type HP,KW,KVA,or KVAR
decmeJ re�•nkrd. l0 ,�,. Qll1:�
U�to 1 Incl. FiNn�
Ovrr 1 to 10lnel. oaT� � i�,� VAIIDATION
I.ICIitiS1iD COVTI2:5CTOItS DICCLARATIOV Ovcr 10 to GO lnd. �C
I hrreM1y affirm that 1 am licencr;l undrr prneisions of Chapter Ov^f 50 to 100 Ine, By A�
9 commencin ilh Scction;000 af Division 3 of[he Rusi- �� �,..
1 ( F«� 1 Over 100 ,'��YL+— �_�
� nccs.^.nd I'mtessinns Cndr,and my lirrnsr is in full force and .
rffcrl. Scrvi[cs ��
�7 S 2 C-/b 0-200 Amp.Under 600 V
Licensc\umbrr�� I.ic.Cl�cs
207•f 000 Amp.Under 600 V
j Conirat[nrG��N•rr�r� �c u;,� Over 10O0 Amp.or Ovcr 600 V
! 110.`.1Ii O\CVh:R�HUILDER DIiCL:112pTlOti Tcmp.Po:ver Pole&Appurtenanc^s
� i hrreby a(firm [hat 1 am rKrmpt lrom Ihe (7ontntlor'S Sign rvilh One Brinch Cireui[ :c� C n J ft
Licrnse t.�w for the fu1la�.inF rracon (Srctian T03LS,ilini- �1Aditional S�rn 6ranch Circuits "��� � � �L
neca and I?nfr«ions Cade):
A7isc.Conduii5&C��dUctorS I • •2�.7�
� 1, ss man^r of the��o�r��r,���������r!e���ork�nd the Other.(S^e Compl?tc Fcr.Schedulcl—
struclure is not intrnde;l nr nfferrd fnr xal�• (Gctinn � � 7 .
�na.i,Bu<i�Ps4�nd 1'mkscinns Code). °!I. n u
CONSTRL'CTION I.I�:NUING A(;IiNCY O,'`..� Q`S 2
1 herehy affirm �hat Ihrrr is a consiruclion IenJiny anrncy
tor �he prrlorm�nce of the �enrk for ��'hith this permit ic pERMIT FEE (Sub-Total) � yb .
issucd(Sec.?0�7.Ci�•.C.).
I.enilcr'S N��iir PLAN CHECKING FEE (One-Fourth Pcrmit Fee)
Lender's AJdress � pERPdIT ISSUING FEE _�G
1 cenify�Int 1 fuvr read this applica�ion an:l state that the TOTAL FEE �l ��
ahnvc informalinn is corrctt.f oFrce ro comply�cith all CmmlY .
nrdinoncca and Stalc laws rrgulafin3 Iiicctrical �cirinR� and
hereby authori�e reprcsent�lirrs of this County to entrr upnn
th �n�e�mcntinned p , � rty for inspectinn purpases. SfG'RCVGRSL FOR IiXPLAN:\TORY LANGUACG �
u,�,� 3/o $Z
Si ature� Prnnil�ee UA e �
. � '
i I I
► _� -; � ;; �
. I � _ I
; ; _ _ , � .
� � �; , � i l -
� I , I � � � � � � i
� , � � I � � : .. _ _ ._ _
� � � i � � � � ; � . � � :.: _- ;�::�;_�.�;,, ;.
� �� I : � - � __ _ � � ��- :
� � , � , � ; � � ; _ � . ;= � � ; �� - ._ � : _ �
� � � � ; � I I , � ; ; i ��: ; ;:. ; �� ; _ ; ;
� � � � i � ' � � � ; � ;`' � . � �
� � i � � I � � � i � = : ; `.; I ;;: ; _
i ! � � I i i � � ' ' �- � �- i
; �
, � I i 1 I I ;�`' ' . �:. �
; i ; ' 'x. � � �. • .' �
�
I i � � I . ' � I i ! i � ;t�i . i ;._. .- : � - -i -
I � i I i ! � I ' � I � � ," i I ' . I � � .-
�
� i I I � I I � I � i' i I � ; � � • i -
� � ! I I I I ^ ' � � �
I � i , i -
i I i I ; I � � • ' �- -I -I- -I---�-. �
i i I � � i i i � ,4.__ �. � : � -1
I I I I i , � I I � I ; ;; i:.;
i i i � I I I ! , � I i � I i ; � � I:'�'
i ! ' I � I � I � i j � I i i i:
� I ' i I i � I I . � � i:
I ; . ' � I � ; ' j � , ' , I � � I I i �
� I � ` � , . ; I i � ; ' � ; ; �--!--'!-�-�-'�-�-��-=-�-'--�
� I i i i � ' j � ' � ' �
i � ; ' ;
i � � i , � � � j ! � I � ; I
I � i � i ' . `: i i i � � ! i I j .
� : ; ; I � � .
� i ; � � i ; I � i � i ' i � i � � . � .
� i ; ; � I ; i I ; i , � i I i
� � � � � � i � � � � �
� , �
i , � ; � , ; ; ; ; � ; , � I ;
� ; � � � i � � i i �� � i � �
� � � . � � � � i I � i I � I
� = j� = - � � � : � __ �- = . _ . .: � - - - - -, . .. _:
� � -� _ - : � - ; = _ = � _ . -, - - - - . .. - � � .. =- -
� � � = _ :. _ .. - - _� . _ _ - - . -. _
. _ . . . . . . _ _ _
. .. � --
. .�. ,_ . . . _ : . - . _ : _ _
, . _ .. _ _ , , _ _ __ .
_ . _
� - - -. - - �= --: � - - _ _
.. ; _ � .. ; �_ _. _ _ -_ . - _ _ -
_ . .. : { _ .. : - = =
- - _ . . . - - _ :. - . . -. : .. .
: - . - _ - - :� - : = - � - . - = �:
1 � - - - . �= �- . ;_ _ ` = _�