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Home My Public Portal About10252 DAINES DR_Electrical__ 76A663 DBS SA 3-SD , ' 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 ZONE PERMIT NO. ELECTRICIAN RE ,EJV,ED AY READY FOR DATE ISED ADDRESS FIRST INSPECTION 7 / CITY TEL.NO. //✓�/ COUNTY LICENSE NO. EXPIRES ANG DDREISS ,0a �q�►.. it� PERMIT FEES NUMBER EACH FEE LOCALITY LIGHT OUTLETS i NEAREST - - CROSS ST. RECEPTACLES 4 WALL SWITCHES OWNER TOTAL OUTLETS 5c >$ O MAIL �y ELEC. RANGES _ 25 ADDRESS ........7a A Zii ELEC. HEATERS 25 'Lell �,6j CITY TEL. NO. FIXTURES 6 d 1 HEREBYCKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE T AT THE ABOVE IS CORRECT - NUMBER OF LIGHT CIRCUITS cJ.C� AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. INC. EACH 1/ a NEw MvD. HP .7�:RLESB .25 LSIGNATURE 0 ' '/2 2 .50 PERMITT& I z 5 1.00 INSPECTIO14 RECORD 5 18 1.50 15 50 2.50 50 200 5.00 - 200 600 10.00 J 500 1000 15.00 Z OVER 10130 20.00 a M.G. HET/FREQ. CHANGER-HP R' WELDERS:AC-KVA 0 GENERATORS - KW ' TRANSFORMERS - KVA TEMP. MOTORS (7S% of ORIG.) MOVED MOTORS (75%'13F' DRIED.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES $1,00 WIRING /�fCB�- •- a .'/ 7 SUPPLEMENTARY .60 FIXTURES POWER TOTAL FEE �� UTILITY CO. NOTIFIED _ FINAL 1111w 7 76A663 DBS 5A 11-SCI 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 ZONE PERMIT Na. ELECTRICIAN / RECEIVED BY READY FOR DATE ISSUED ADDRESS / FIRST INSPECTION CITY '/ TEL.NO. COUNTY LICENSE N0. EXPIRES BUILDING PERMIT FEES ADDRESS FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST ST. RECEPTACLES WALL SWITCHES OWNER P TOTAL OUTLETS $ /c") MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS /+/ 25 CITY �" �N 5 - TEL. NO. FIXTURES /� f! I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. /�� APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY ,LICENSE, OR 1 AM THE LEGAL OWNER NEw Mvb. HP OVEN INC- EACH Of THE RESId, NTIAL PROPERTY DE CRIBED�A�B�- \� i��'��LA�/ - 6 LESS � .25 SIGNATURE OF Q 12 a .50 PERMITTE 2 5 1.00 INSPECTION RECORD 5 75 1.50—:::::F 18 80 2.50 50 200 5.00 200 500 10.00 J _ 502 1000 15.00 Z OVER 1 DOO 20.00 p M.O. BET/FREQ. CHANGER-HP "WELDE09s AC-KVA O GENERATORS - KW oll-ATRANBFORMERS - KVA { " TEMP. MOTORS (75% Or ORIG.) MOVED MOTORS (78 Or ORsaJ MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS - DATE INSPECTOR'S NAME FOR EACH PERMITS WIRING $1,00 CONDUIT FIXTURES $1,00 WIRING SUPPLEMENTARY ,50 FIXTURES ' POWER „/ TOTAL FEE III UTILITY CO.NOT IFI /- r FINAL WORKERS'COMPENSATION DECLARATION 76-663 to/at APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, CE-806G or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab. C.) 95 Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE ❑ 1 & 2-Family,Sq.Ft. $ $ LOCALITY Certified copy is filed with the county building inspection department. Multi-family Sq.Ft. — NEAREST CROSS ST. Date Applicant Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec Light Sw. MAIL COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by the First 20 permit is for one hundred dollars ($100)or less.) Total No.P Additional CITY Tel.No. PLAN CHECK I certify that in the performance of the work for which this permit APPLICANT is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M. ADDRESS provisions or this permit shall be deemed revoked. Top — FAU _ W.H. LICENSED CONTRACTORS DECLARATION Hood Fan OtherCITY Tel.No. _ I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE REG.NUMBB ER Class. (commencing with Section 7000) of Division 3 of the Business and �. Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT No. PROCESSED BY O Size& Type HP,KW,KVA, or KVAR ` - U W License Number Lic. Class Up to 1 Incl. FINAL J_ Over 1 to 10 Incl. DATE VALIDATION Contractor Date Over 10 to 50 Incl. } ❑ FINAL d' I am exempt under Sec. Over 50 to 100 Inc. BY Q Over 100 B.&P.C.for this reason O Services, Swbd.,MCC& Panelboards , 0- Date: 0- 200 Amp.Under 600 V W Signature 201 - 1000 Amp.Under 600 V H, ❑ Exemption for Reg.Maint.Elect. Over 1000 Amp.or Over 600 V 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): ❑ 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 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 state that the above TOTAL FEE 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 yJORKERS'COMPENSArON DECLARATION '0'81 J�_� CE-806G APPLICATION FOR ELECTRICAL PERMIT 9-hereoy affirm that I have a certificate of consent to self insure, or a-certifidate of Workers' Compensation Insurance, or a certified' ( COUNTY OF.,LOS ANGELES BUILDING AND'SAFETY cppy';thereaf(Sec 3800,Lab C) Policy,NO •Company. FOR,APPLICANT TO FILL IN - - - JOB P1. Certified co is hereby'furnished ADDRESS.' copy Y' New Residential Bldgs & Pools EACH NO FEE ` ❑ Certified copy is'filed with the county building inspection 1 & 2-Family, Sg`•Ft a $ — $ LOCALITY department R Multi-family Sq Ft — NEAREST . CROSS ST Date Applicant Residential Swimming PoolsM OWNER OR .. . ,�: i FIRM NAME y'.., .. CERTIFICATE,OF EXEMPTION FROM WORKERS' Outlets Redk�Light —'Sw la� MAIL COMPENSATION INSURANCE 0 ADDRESS /LL£ / ` This section need not be coin leted if-the work involved b the First•20 ` ( P Y ;CITY T.� 'Tel No permit is for one,'hurii dollars($100)or less) , Total No Adddionai t : PLAN CHECK, I certify that,in the performance of the wor r which this permit s APPLICANT - - - is issued, I shall not employ any person a y manner so as to become subject to the Workers'Compe aho Laws Lighting Fixtures _ First 20- ADDRESS•'. ; S ; Additional /LL �• Total No - .- `,CITY - ..- ' ' Tel No _ Date �7 `'o �Applican Fixed Appliances Not Over 1 HP PERMIT ^ NOTICE TO APPLICANT ,If, of a ma g. this Certificate of Exemption,you should become su ject,to the Workers'Compensation Range_ Heater_ D W r APPGCANT provisions'of`the Labor' Code, you must forthwith comply with such• Oven Dryer W M'. ADDRESS ?� provisions or this permit shall be deemed revoked Top' FAU WH " LICENSED, Hood Fan � Othe CONTRACTORS DECLARATION CITY L Tel No � — r_ ' Thereby affirm that I am`licensed under provisions of Chapter 9 / LICENSE OR *� (commencing with;Section 7000) of Division 3 of the Business ancJ }Disp Room Air Cond REG NUMBER��.��' Class Ld Professions'Code;and my license„is in full force and.effect . DISTRICT NO PROCESSED 'Power Apparatus&•Large Appliances �`� Size& Type HP,KW,KVA,or KVAR J v �J License Numb Lic Class Cj-tea Up to,l Incl FINAL - V AA p �i Over 1 to 10 Incl DATE v? C' VALIDATIO 0 ` Contracto oa4 OK e' rl'is= , ' I �— Over 10 to 50 Incl' FINAL ~ ❑ I am xempt•under Sec Over 50 to 100 Inc L BY ' W Over.100 C. B&PC for this reason N Services, Swbd,MCC&-Panelboards ` Z ` Date 0- 200 Amp Under 600 V' - Signature 201 - 1000 Amp-Under 600 V, Over 1000 Amp or Over 600V EJ Exemption for,Reg=Maint Elect -SINGLE FAMILY^ Temp Power'Pole& Appurtenances - d HOME OWNER-BUILDER DECLARATION blgn.wdh One Branch Circuit f7�r4TsT 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) 33x7. 00 ❑ ,as rowner of the property,will work and the structure Misc'Conduits & Conductors ' 'S - „1 ITEM--I 1do_the wt �t is not intended or offered'for sale (Section 7044, Business' Other,(See Complete Fee Schedule) _ "._T,OTAL .r�Q and Professions Code)' ' CONSTRUCTION LENDING AGENCY ' ' �•t- -• - _ t �L`f, - `�`�.� ' I hereby,affirm that there is.a construction lending agency for the ,aa performance of the work for which this'permit,is issued(Sec 3097, -PERMIT FEE (Sub-Total) d Civ,C) PLAN,CHECKING FEE' _ 0000—mol 8/15/89 Lender's'Name PERMIT ISSUING.,FEE w Lender's Address a - 1 ` I certify that-1 have'-read this application and state,that the above TOTAL FEE V ; informatiop<c rect I agree to,comply with all County ordinances *6andr"Se regulating Electrical wiring, and hereby authorizeof this County to enter upon the above-mentionedpection purposesSEE REVERSEF6REXPLANATORY LANGUAGErmdtee —`t�� WORKERS'COMPENSATION DEChARATION 76-663 10/81 APPLICATION FOR ELECTRICAL PERN41T I hereby'affirm that I have a certificate of consent to-self insure; CE-806G or a,cehifxate of Workers' Compensation Insurance, or a certified -COUNTY OF LOS ANGELES BUILDING AND SAFETY �,copy„the4!(Sec,3800,Lab C) Policy.No Company FOR APPLICANT TO FILL IN - JOB. 0 2 1Z. � i At P'� ,� , ADDRESS D Q ❑ ' Certified `copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE, LOCALITY ; ❑ Certified copy is filed,with the county budding-inspection 1 & 2-Family,Sq Ft $ _ $ nn NEARET department _ Multi-family Sq Ft CROSSSST` i 4Z Pkvrld Residential Swlmming,Pools' Date`' + Applicant - -' OWNER OR, FIRM NAME {f' C CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL ^ COMPENSATION,INSURANCE ;, Outlets Rec— Light'— Sw a ADDRESS gA�S=• g S 4,60Vy (This section need not be completed If the work involved by the First 20 CITY permit is for one hundred'dollars'($100)or less')- Total No Additional Trn!?, L Tel No• t C; ,I certif that in the erformarice.of the work for which this permit PLAN CHECK , Y• .P P 'APPLICANT *•r• + is'issued, I shall not employ any'person in any manner so as to become'subject to the Workers'Compensatio,n-Laws Li ling Fixtures First 20 ADDRESS' ^ Additional y' •t Total No �• CITY r Tel No Date Applicant , ' ppliances Not Over 1 HP �- Fixed APERMIT NOTICE TO APPLICANT If, aft making �� sCertificate+of + r - - APPLICANT' Exemption,you should become subject to the Workers'Compensation' Range_ Heater_ DW provisions off the Labor Code, you must forthwith comply with such, Oven Dryer W M ADDRESS i,provisions or this Permit shall be deemed revoked :,.Top ,— FAU N%H LICENSE D'CONTRACTORSDECLARATION CITY ',-Tel No Hodd Fan Other_ I.Hereby affirm that I am 'licensed under' provisions of Chapter 9LICENSE OR Disp Room Air Cond .— Class' - '(commencing with Section'7000) of Divisi6ri 3,of the Business and REG NUMBER Professions Code,and my'license,is in full force'and effect Power,Apparatus& Large Appliances DISTRICT NO!, . P ESSED BY Size& Type,HP,KW,KVA, or_KVAR License Number• Lic Class O FINAL , Up to'1 Incl Over 1 to 10 InclDATE 3 `Z 9 VALIDATION' O Contractor Date Over 10 to 50 Incl ~ ❑ FINAL-- 0- lam exempt under Sec Over 50 to 1.00 Inc gy ' I �� LLl a ' Over 100 B&P C for this reason ' Serwces,'Swbd,MCC & Panelboards Z Date 0=•200 Amp Under 600 V 'Signature '201 -,1000 Amp Under 600 V - • bver 1000 Amp or Over 600 V- FT Exemption for Reg Maint Elect SINGLE-FAMILY• Temp Power Pole& Appurtenances } HOME OWNER-BUILDER DECLARATION 7 I hereby affirm that I am exempt from the Contractor's License Law,'.- Sign with One Branch Circuit t ACCT.e for the following reason (Section 7031 5, Business and ProfessionsAdditional Sign Branch Circuits „ 4, Code) 3307' , 14.54 Misc Conduits& Conductors TT[ I,+as owner of'the property,will do the work and the structure 1 I,L" isnot intended or offered for'sale (Section 7044, Business- Other(See Complete Fee Schedule) to �1 -y �f and-Professions Code), ® ' i VTAL', 1� 'no CONSTRUCTION LENDING AGENCY '. _ t• I hereby affirm that there is a construction lending agency-for the rpt performance of the work for which this,permit is issued(Sec 3097, PERMIT FEE. , CIV C) (Sub Total)' 4 „f o '1�4 t, gyp PLAN CHECKING FEE 4440-4L�11 901/07 Lender's Name x 4 LL _ •PERMIT ISSUING FEE' O �tt4.117 9 -L 1,', AM 8:13 Lender's Address I certify that I have read this.application and state that the above , TOTAL FEE information is correct I agree to comply with all County ordinances and•State laws regulating Electrical wiring, and,hereby authorize representatives of thisCounty,to enter-upon'the above-mentioned properter inspects purpos ' v S7v SEE REVERSE FOR.EXPLANATORY LANGUAGE ignature of Pti0mittee Date WOI�ERS'COMPENSATIONDECLARATION 76A663 APPLICATION• FOR ELECTR'I'CAL PERMIT -CE-806G (2-80) I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab C.) G FOR APPLICANT TO FILL JOB Policy No Company N ADDRESS EACH NO FEE New Residential Bldgs &Pools Certified-copy is hereby furnished 1 &2-Family,Sq Ft $ — $ LOCALITY Multi-family Sq Ft — NEAREST Certified copy is Bled with the county building inspection CROSS ST L/!J� �/aitC tp�tllt� Residential Swimming Pools OWNER r department - _EIRM NAME a Date Applicant Outlets Rec_Light_ Sw MAIL /0�5a',E . �✓f,►//�/ES First 20 ADDRESS JDO CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY, 'Tel No q } pj COMPENSATION INSURANCE d PLAN CHECKO (This section need not be completed if the work involved APPLICANT U Lighting Fixtures First 20 by the permit is for one hundred dollars ($100) or less.) g I Additional ADDRESS - ir_ Tofal NoO I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No U permit is issued,•I shall not employ any person in any manner PERMIT LU so as to become subject to the Workers' Compensation Laws Range_ Heater_D W APPLICANT d Oven _ Dryer_W.M._ ADDRESS CA Date Applicant Top _ FAU _W H Hood _ Fan _Other— CITY Tel No NOTICE TO APPLICANT If, aftermakingthis Certificate of Disp _ Room Air Cond.— LICENSE OR Exemption, you should become subject to' the Workers' . REG NUMBER Class Compensation provisions-of the Labor Code,;you must forth- Power Apparatus& Large Appliances DISTRICT NO PROCEASED BY with comply with such provisions or this permit shall be deemed revoked Size`T�pe HP,KW, KVA,or KVAR Upto1 Incl. •�-Sf� FINAL Over 1 to 10 Incl DATE LICENSED CONTRACTORS DECLARATION !/�� — � -VALIDATION Over 10 to 50 Incl I hereby affirm that I am'licensed under provisions of Chapter Over 50 to 100 Inc FINAL 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 _ BY ness and Professions Code, and my license is in full force and effect. Services License Number Lac Class 0-200 Amp, Under 600 V 201-1000 Amp Under 600 V Contractor Date' Over 1000 Amp or Over 600 V HOME OWNER=BUILDER DECLARATION Temp.Power Pole& Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031 5, Busi- Additional Sign Branch Circuits _ ness an Professions Code) Misc Conduits&Conductors - I,•as owner of the property, will do the work and the. Other (See Complete Fee Schedule)— structure is not intended or offered for sale (Section 7044, Business and Professions Code). CONSTRUCTION LLNDING AGENCY 2 5 9.4 A I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) # 0 0 0 0 0 issued (Sec 3097,Civ C ) Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) I o o 09.50 Lender's Address PERMIT ISSUING FEE 0.0 oto 9,5 0 6 I certify'that I have read this application and state that the -TOTAL FEE 1 @A'47 8 0 above information is correct I agree to comply with all County L _ oidmances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon /the above-mentioned rLper for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 8� tb12-1lk�o 1gn lure of Permittee bate