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Home My Public Portal About10202 DAINES DR_Electrical__ 1 76AS63 DBS SA 11-49 APPLICATION FOR PERMIT - DEPARTMENT OF BUILDING AND SAFETY � �� '� � , COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. l A /_ v ! 10 8 ELECTRICIAN RECEIVED BY READY FOR DATE MBUED ADDRESS _ b FIRST INSPECTION O✓� CITY TEL. NO.-74/ COUNTY LICENSE NO. S 'T % EXPIRES BUILDING ` PERMIT FEES ADDRESS FEE NUMBER OUTLETS EACH LOCALITY LIGHT SD $ NEAREST CROSS ST: RECEPTACLES 5 FIXTURES 5 OWNER WALL SWITCHES 5 MAIL ELEC. RANGES 25 ADDRESS i ELEC. HEATERS 25 CITY TEL. NO. MISC. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF CIRCUITS INBTL4�LED: TOTAL �S APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. NUMBER HORSEPOWER FEE I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NEW MVD.,( HP OVER INC. EACH ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER ' I/2 6 LESS $ .25 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. %2 2 .50 SIGNATURE OF 2 5 1.00 7v—=d." I PERMITTEE 5 is 1.513 INSPECTION RECORD is so 2.s0 _ 50 200 5.00 200 I 500 10.00 5013 1 000 15.0 J Q OVER 1000 20.00 _ Z M.G. SET/FREQ. CHANGER-HP WELDERS:AC-KVA Q' O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF GRID.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS TYPE: NO.TRANS. TYPE: NO. LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT _ FIXTURES $1.00 WIRING SUPPLEMENTARY ,550 FIXTURES POWER /1 TOTAL FEE $ UTILITY CO. NOTIFIED FINAL ',W a9 P" � a 7GA663-CESOG f2-58 APPLICATION ICOR ELECTRIC PERMIT �. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER /pZ0 Lr CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST h P S PERNIIT FEES ' ITEM NUMBER EACH FEE OWNER Aev i OUTLETS $ $ MAIL - LIGHTS RECEPT BW. 10 ADDRESS jj A.�t_Q V e- LIGHTING FIXTURES 10 �} CITY /'e TEL.NO ' 1 0-6V ELEC RANGES CLO DRYERS ELECTRICIAN W A T E R HEATERS 5o ADDRESS ELEC SPACE HTRS DISHWASHERS CITY TEL NO GARBAGE DISPOSERS AUTO- STATE WASHERS STA COOKING UNITS 25 LICENSE NO MOTORS. OVER INC H P DISTRICT NO. I GRO2 ZONE P OCEESSSED O— 1/2 25 1/2- 2 'so INSPECTION RECORD 2— 5 1 00 5— 15 1 50 15— 50 250 50-200 Boo SIGNS: NO TRANS NO LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 500 MISC. WIRING PERMIT 1.00 Zj FIXTURE PERMIT 1 00 0,0 - SUPPLEMENTARY PERMIT 50 TOTAL FEE $ S APPROVALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT I' / ELECTRICAL WIRING WIRING 1 _� I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR / LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE ✓ DESCRIBED RESIDENTI i PROPERTY. POWER SIGNATURE UTILITYCO NOTIFIED �'�""a^-"�"ni OF PERM ITTE FINAL MO CASH OF ARTHUR C. VEIT. SUPERVISING ELECTRICAL ENGINEER CK MO CASH y ri'j r, n 2 A 4.50 1-1 P t i 76A663 EB06,2.5B APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING f� BUILDING AND SAFETY DIVISION ADDRESS /n 17 JOHN A.LAMBIE.COUNTY ENGINEER T- CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY / ,7 FOR APPLICANT TO FILL IN NE RROSSST A-4 4- !l a WI PE WT FEES e OWNER ,III p., I@ �'AI�iI �. z` 1 T E M NUMBER EACH FEE •. OUTLETS: $ g MAIL l \ LIGHTS RECEPT SW. 10 'ADDRESS !�t� ��Yd.t? C' �+ll �'�9 I/ry* LIGHTING FIXTURES 10 - CITY d tL2 wO/T C'r 1✓ TEL NO ELEC RANGES CLO DRYERS ELECTRICIAN, A/� W A T E R H E A T E R S 5O ADDRESS 'ice ELEC SPACE HTRS DISHWASHERS /� n CITY C., '/'c TEL NO GARBAGE DISPOSERS AUTO- 'TAT j WASHERS STA COOKING UNITS 25 LICENSE NO MOTORS: OVER INC H P DISTRICT NO. GROUP XZN E P ESSE_D BY O— 1/2 25 L 1 1/2- 2 5o INSPECTION RE ORD 2— 5 1 00 G-A2 .- 5— 15 150 is— 50 250 2 /� 1 G� v 0,1611 50-200 5 00 ^� SIGNS: NO TRANS NO LAMPS SERVICED-600V ��A A �I �I 1 00 SERVICE OVER 600V e- 500 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1 00 SUPPLEMENTARY PERMIT 50 TOTAL FEE $ APPROVALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF T ABOVE DESCRIBED RESIDENT[A ROPERTY. POWER SIGNATURE + /1 J UTILITY CO NOTIFIED OF PERMITTEE v t _ MUM FINAL ®" VALIDA�° ARTHUR C. VETT. • CK MO CASH SUPERVISING ELECTRICAL G «o 9 66 -3 -, JUL 17 2 A 2.0 0 \Nfirm that COMPENSATION DECLARATION 20-0D19 APPLICATION FOR ELECTRICAL PERMIT 'I hereby affirm that I have a certificate of consent to self CE-8 oc insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or(a certified copy thereof (Sec 3800, Lab C ) Policy NoCompany _ FOR APPLICANT TO FILL.IN JOB ❑Certified copy is hereby furnished >#rc a New Residential Bldgs & Pools EACH NO FEE ADDRESS/ , FlCertified copy is filed with the county building inspec- 1 & 2-Family, Sq Ft $ — $ LOCALITY G �� tion de artment Multi-family Scl Ft NEAREST CROSS �LQf Residential Swimming Pools OWNERSOR ' Date Applicant, j,, FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' ?'//( MAIL COMPENSATION INSURANCE Outlets Rec-7`_ fight Sw O v ADDRESS L� y�— �/ First 20 o (This section need not be completed if the work Involved by Total No _L_�_ Additional CITY Tel No the permit is for one hundred dollars ($100)or less.) PIAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'Compensation Laws Additional Total No __,G, CITYTel No Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after making this Certificate of APPLICATION Exemption, you should become subject to the Workers' Range— Heater—D-W — Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W M — ADDRESS with comply with such provisions or this permit shall be -Top — FAU —W H J deemed revoked CITY Tel No Hood Fan —Other LICENSED CONTRACTORS DECLARATION LICENSE OR Disp, — Room Air Cond REG NUMBERClass I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division,31 of the Business Power Apparatus & Large Appliances DISTRICT NO PRO SSED BY a and Professions Code,and my license is in full force and effect Size &Type HP, KW, KVA, or KVARO License Num/ber, Lic Class Up to 1 Incl. ASFINAL U Over 1 to 10 Incl DATE /0_/7, VALIDATION � Contractor '/ Date Over 10 to 50 Incl ❑ FINAL ~ I am exempt under Sec Over 50 to 100 IncBY W B&P C for this reason Over 100 t1 Z Services, Swbd , MCC& Panelboards Z 1' Date 0- 200 Amp Under 600 V — VS,gnature 201 - 1000 Amp Under 600 V El Over 1000 Amp or Over 600 V Exemption for Reg aint Elect SINGLE FAMILY Temp Power Pole &Appurtenances — HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit �g Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits _;t 'fi� lin, Professions Code) ❑ I, as owner of the property, will do the work and the Misc Conduits 8 Conductors structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ ► rl-� Business and Professions Code) CONSTRUCTION LENDING AGENCY CHECK I hereby affirm that there is a construction lending agency for .02the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) �� (Sec 3097, Civ C ) Lender's Name PLAN CHECKING FEE - PERMIT ISSUING FEE Lender's Address ' =I I Ar, f" 1 certify that I have read this application and state that the TOTAL FEE . ,3 �, -71 above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representot,v sof this County to enter upon the above-mentioned ropert fdr inspection p rposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature ermittee // Date / Os