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Home My Public Portal About10108 DAINES DR_Electrical__ 7GA663 D9S SA 11-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FDX, CHIEF ENGINEER ELECTRIC 1 FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. c. ELECTRICIAN j � RECEIVED BY READY FOR DATE ISSUED ADDRESS ® [ _ FIRST INSPECTION ' CITY noL. NO. -Q� - jz COUNTY LICENSE NO. EXPIRES o� �BtlILDING -� PERMIT FEES ADDRESS FEE _ NUMBER OUTLETS EACH ' LOCALITY LIGHT 5C $ NEAREST g CROSS ST .% RECEPTACLES 5 FIXTURES 5 OWNER WALL SWITCHES 5 MAID. ELEC. RANGER 25 ADL? ESS 'l.. ELEC. HEATERS 25 Cl/Y TEL. NO. MISC. {' HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF CIRCUITS INSTAL 1 TOTAL APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AN AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AN STATE LAWS REGULATING ELECTRICAL WIRING. NUMBER HORSEPOWER I CERTIFY THAT I POSSESS THE ABOVE VALID LOS FEE NEW MVD�HP OVER INC. EACH A GELES COUNTY LICENSE, OR I AM THE LEGAL OWNER V2 & LESS $ .25 OF THE RESIDENTIAL-PROPERTY DESCRIBED ABOVE. - �/2 2 .50 SIG ATURE OF ERMITTEE 2 s 1.00 s is 1.50 INSPECTION RECORD is so 2.50 so 200 6.001 loll ,n� 2Qa s)a 10.00 �� ova) _ 5 10130 15.00 -1 OVER 1000I 20.00 Z _ M.G. SET/FREQ. CHANGER-HP O WELDERS: AC-KVA Q' GENERATORS - KW O TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF ORIG.) M ISC. SIGNS TYPE: NO.TRANS. TYPE: NO. LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES POWER / TOTAL FEE $ - UTILITY CO. NOTIFIED FINAL It_ -/ I 7GA663 OBS SA 11-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY _ ELECTRIC �� COUNTY OF LOS ANGELES WILL J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. G ZONE PERMIT NO. ELECTRICIAN / RECEIVED BY READY FOR DATE ISSUED ADDRESS ,Ql'C �Jh .0 `Gr7 ' ' l: FIRST INSPECTION m CITY ' �' �,�,r�,l'�/ TEL. NO. L �Pli�BUILD ��(,' 601 COUNTY LICENSE NO. 1Z'qlk5P EXPIRES ING ADDRESS - yi'— /,1 (�1- PERMIT FEES NUMBER OUTLETS EACH FEE LOCALITY _ e A LIGHT Sc $ NEAREST CROSS SF� /�- , RECEPTACLES 5 77- 4' FIXTURES 5 OWN WALL SWITCHES p ya MAIL t� ADD ESS ELL) ECRANGES (�� 5 _ _ ELE HEATERS 1 2 ' CIT TEL. NO. �I MISJ. n C '7 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS NU A¢JC7F' IR UfjI"*;%.LLBD: G J�DC � {J[OTAI l APF�LICATION AND STATE THAT THE ABOVE IS CORRECT L GHTS I1 RECEPTACLES AN[) AGREE TO COMPLY WITH ALL COUNTY ORDINANCES U MOTORS AID STATE LAWS REGULATING ELECTRICAL WIRING. Nur.1eHORSEPOWER I CERTIFY THAT I POSSESS THE ABOVE VALID LOS FEE NEW MVD. HP OVER INC. EACH A GELES COUNTY LICENSE, OR I AM THE LEGAL ER OWNER O THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. V2 & LESS $ .25 I/2 2 .50 S GNATURE OFr - 2 5 1.00 PERMITTEE — 5 is 1.so INSPECTION RECORD 15 50 2.50 50 200 5.00 200 500 10.00 P O 500 1 OOO 15.00 J a OVER 1000 20.00 Z M.G. SET/FREQ. CHANGER-HP p OVA WELDERS:AC-KVA GENERATORS - KW O TRANSFORMERS - KVA TEMP. MOTORS (7S% OF ORIG.) MOVED MOTORS (7S% OF ORIS.) MISC. SIGNS TYPE: NO.TRANS. —_- TYPE: NO. LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIR4NG $1.00 , C;) CONDUIT FIXTURES $1.00 WIRING i SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ '' UTILITY CO.NOTIFIED FINAL 76A663-CE806 12-58 APPLICATION FOR ELECTRIC PERM!T ], COUNTY OF LOS ANGELESMOTT DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAM BIE.COUNTY ENGINEERr/�= CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY ��^ FOR APPLICANT TO FILL IN CEST Ross ST. A GS L . 1.le PERMIT FEES �/ r r OWNER `.--tes j ! J R{ O ITEM NUMBER EACH FEE `, f ® �•�> OUTLETS: $ $ MAILADDRESS �fiLI..S� fry•!o/T A `-11 LIGHTS RECEIPT. SW. .IO LIGHTING FIXTURES .10 CITY IJ°P`� 1 / TEL.NO.Ar4S&)- ELEC.RANGES CLO.DRYERS .. ELECTRICIAN WATER HEATERS .50 ADDRESS / ELEC.SPACE HTRS. DISHWASHERS / CITY TEL.NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. DISTRIC NO. GROUP I ZINE PPESSED BY O— 1/2 .25 1/2- 2 .50 INSPECTION RECORD 2— 5 1.00 5— 15 1.50 15— 50 2.50 50-200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 misc. WIRING PERMIT 1.00 •� FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE s APPROVALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSEDAS REQUIRED BY LO ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RF S IDE IAL PROPERTY. POWER SIGNATURE G` UTILITY CO.NOTIFIED A OF PERMITTEE �� ,,�. FINAL ��_.-, ` ®F VALID ATI ARTHUR C. VEIT, CK MCI CASH SUPERVISING ELECTRICAL ENGINEER L. (�o 9 6 0 9 JUL 16 2 A 1 .5 N 'WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) 76A663 APPLICATION FOR ELECTRICAL PERMIT I hereby afNr4n fChfaP I have,a certificate of consent to self insure, or A certificate�of,Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy he-- (Sec. 3800 Lab.+C.) ," P❑oliicy No. Company FOR APPLICANT TO FILL IN 'SOB �,.+� ADDRESS 40 Certified copy is hereby furnished. New Residential Bldgs.&Poolss NO. EACH FEE ❑ a�� _ $ $ LOCALITY Certified co Is filed with the count building inspection 1 &2-Family,Sq.Ft. PY Y 9 P Oiv NEAREST department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP PAGE 1PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Light SW. j -4 OFIRWNER OR Outlets:Reev M NAME n COMPENSATION INSURANCE First 20 p (This section need not be completed if the work involved by the Z ADDRESS permit is for one hundred dollars($100)or less.) Total No. Additional 511-S-0 I certify that in the performance of the work for which this permit CITY I�iy7Ft 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 Fix res // First 20 APPLICANT Total NO. Additional Date Applicant ADDRESS RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of � CITY Tel.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 Y P Y Power Apparatus&Large Appliances APPLICANT provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (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 0- Over Over 100 DISTRICT NO. SSED BY Q License Number Lic.Class �O G V Services,Swbd.,MCC&Panelboards O cc Contractor Date 0-399 Amp.Under 600 V FINAL 0 DATE ❑ 1 am exempt under Sec. 400-1000 Amp.Under 600 V C Over 1000 Amp.or Over 600 V FINAL Over W B.&P.C.for this reason BRANCH CIRCUIT FEES By Date: 15A,or 2 A,120V,Lighting or Recept. Z_ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits El Exemption Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits (�tl i t SINGLE FAMILY Temp.Power Pole&Appurtenances ` 303 ITEMS 113.10 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 1 1TG1 i7 I hereby affirm that I am exempt from the Contractor's License Law A for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits TOTAL 1 -93 - 10 Code): Lt i d1, as owner of the property,will do the work and the structure Misc.Conduits&Conductors CHECK 113"10 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) , CHANGE .00 and Professions Code). CONSTRUCTION LENDING AGENCY rttt l 1 i ,s I hereby affirm that there is a construction lending agency for the 13000-0001 4/15/9a performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Q �09 1 E` 5:40 Civ. C.) • PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE 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 Count denter upon the above-mentioned property VnstionSEE=.'.T. REVERSE FOR EXPLANATORY LANGUAGE SI13KATUPE OF PDATE - WORKER'S COMPENSATION DECLARATION 720-0019 6A663 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, 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 f ADDRESS 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. Dale Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR COMPENSATION INSURANCE Outlets: Rec. Light SW. FIRM NAME First 20 (This section need not be completed if the work involved by the MAILADDRESS permit is for one hundred dollars($100)or less.) Total No. Additional 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 become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT K Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.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 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 Over 3 to 10 Incl. (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. IZ Professions Code, and my license is in full force and effect. Over 10 to 50 Incl. LICENSEClass. O Over 50 t0 100 Incl. REG.NUMBB ER Over 100 DISTRICT NO. PROCESSED BY W License Number Lic.Class J Services,Swbd.,MCC&Panelboards LL Contractor Date 0-399 Amp. Under 600 V FINAL DATE } El400-1000 Amp. Under 600 V I am exempt under Sec. VALIDATION Q Over 1000 Amp.or Over 600 V FINAL rr O B.&P.C.for this reason BRANCH CIRCUIT FEES By Date: 15A,or 20A, 120V,Lighting or Recept. 1 To 10 Branch Circuits W Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law } [ for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): Wyk yk ❑ I, as owner of the property,will do the work and the structure Misc.Conduits&Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the I Com.*I ii performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE 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 for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTEE DATE