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Home My Public Portal About10620 DAINES DR_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of CD Engineer IE L IE C�r 0 C DIVISIONSION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP /Z7COJNE PERMIT NO. ELECTRICIAN T JLipFZ .�O//Y�w / ADDRESS 7H 6 7/¢,((.f iYd),✓ �• RECEIVED BY �FIRBTpINSPECTION DY FORDAT IB9U D(L CITY AA AI O TEL NO OAiJ 7 v/ /-/ COUNTY LICENSENG. EXPIRES gUILDIN �9)ff- / PERMIT FEES FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST / 7 779 CROB99T. f► (/l ��F/ RECEPTACLES WALL SWITCHES OWNER Il S.LP LiI TOTAL OUTLETS 5. 15 MAIL E99 ELEC. RANGES 25 Z_4 ELEC. HEATERS 24 - CITU TEL NO. FIXTURES 5 - 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE I9 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 LOB NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVO. HP OVER ,Nc. EACH OF THE RESIDENTIAL PROPERTY S ;AB OVE. I/2 A LESS S .25 8113NATURE O 1 1/2 2 .50 PERMITTE '� 2 5 1.00 //INSPECTION RECORD 5 15 1.50 V 15 50 2.50 _ 50 200 5.00 _ 200 500 10.00 J _ 500 1000 15.00 a Z OVER 1000 20.00 M.S. SET/FRED. CHANGER-HP Ir WELDERS•AC-KVA D GENERATORS - KW TRANSFORMERS - KVA. TEMP. MOTORS (75q of BR,BJ MOVED MOTORS (95y OF Bn10.) MISC. SIGNS NO. NO.TRANS- NO. NO. LAMPS APPROVALS FOR EACH PERMIT: DATE, INSPECTOR'S NAME WIRING 51.00 CONDUITr%A I/ �� D FIXTURES $1.00 WIRING �1u1�� 1� SUPPLEMENTARY .50 FIXTURES -\ ....,,,,��t�l _n1J- POWER A" TOTAL FEE 8 UTILITY CO. NOTIFIED�- FINAL 76A663 BBS#5A 2-53 -,-,afirm their COMPENSATION tate'-of cone zo.�at9oPw3/87 APPLICATION FOR ELECTRICAL PERMIT O I hereby affirm that I have a certificate of consent to self ce eac 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.)y Policy No.ie� (�� Company [6iq E/O( �/v15. FOR APPLICANT TO,FILL IN JOB ADDRESS U t Cs t ❑Certified copy is hereby furnishedLa.' New Residential Bldgs. & Pools EACH NO. FEE / ' 4� ❑Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY t tion department. Multi-family Sq. Ft. — NEAREST 11 i Ylzjj[y�(a(L9 Residential Swimming Pools CROSS ST. Date./egl� Applicant �" �I' -/ - OWNER OR p _ FIRM NAME ( CERTIFICATE OF'EXEMPTION FROM WORKERS' Outlets: Rec_LightSw._ MAIL / COMPENSATION INSURANCE ADDRESS ] ( completed if work involved b This section need not be com Total No. Additional CITY Tel. No..jfj- First 20 Y ElflG y-t'�w .the permit is for one hundred dollars ($100)or less.) PLAN 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 ' so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional Date - Applicant Total No. I CITY Tel. No. NOTICE TO APPLICANT: If, after making this Certificate, of Fixed Appliances Not Over 1 HP PERMIT4� /- Exemption, you should become subject to the Workers' Range— Heater—D.W. — APPLICATION G Compensation provisions.of the Labor Code, you must forth- Oven _ Dryer —W.M._ ADDRESS ( J�E, 6 eApf/4IK y 0rLJL,Ci with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. . I • Hood — Fan —Other_ CITY s�' Tel. LICENSED CONTRACTORS DECLARATION Disp. _ Room Air Cond. _ LICENSE OR hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER I Class.C_-iii`3 (commencing with Section 7000)of Division 3 of the Business Power Apparatus & Large Appliances DISTRICT O. X�-./ PRO SED BY r and Professions Code,and my license is in full force and effect. �v D. 0 Size&Type HP, KW, KVA, or KVAR ��JJJ Q License Number ✓ / J / Lic Classes Up to 1 Incl. FINAL V i C:C`I Over 1 to 10 Incl. DATE VALIDATION cr Contractor Date O ❑ Over 10 to 50 Inc]. FINA I am exempt under Sec. Over 50 to 100 Inc. By / w 0.&P.C. for this reason Over 100 fl Date. Services, Swbd., MCC & Ponelboards Z 0- 200 Amp, Under 600 V Signature 201 -'1000 Amp. Under 600 V ' El Over 1000 Amp, or Over 600 V Exemption for.Reg. Momt. Elect. ' SINGLE FAMILY Temp. Power Pole &Appurtenances HOMEOWNER=BUILDER DECLARATION - I herebyaffirm that I am exem t,from the Contractor's License Sign with One Branch Circuit t a p Additional Sign.Branch Circuits Law for the following reason (Section 703 1.5, Business and _ - Professions Code): :i U! 41.1.[I;l 1 r . ❑ I, as owner-of the property, will-do the work and the Misc. Conduits &Conductors ITEMS structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ D .�-_,1 Business and Professions Code): ' Ptlt1_ 40- 00 CONSTRUCTION LENDING AGENCY CHECK 4.0.0i I I hereby affirm that there is a construction lending agency for �;HtiG� CID (Sec. the'performance of the work for which this permit is issued PERMIT FEE (Sub-Total) - (Sec. 3097, Civ. C.). ' PLAN CHECKING FEE Lender's Name - Lo 1313010-13001 PERMIT.ISSUING FEE Lender's Address 8+35 1 AM10IC 1` I certify.that I have read this application and state that the TOTAL FEE 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 pr perry for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ��( �, of fes/ /Signature of Permittee Date .O°s I here h' all irm O tnat I have a certificate ..of coni�Y,ON ` 76"663 '°'e' 'APPLICATION FOR ELECTRICAL PERMIT • �• CE-BOfiG opy eof I hereby affirm that'I have a certificate of consent to,self insure, or a.cert.hcate of Workers' Compensation Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY 3 00. C.) - Polley,Nod Company FOR APPLICANT TO FILL IN JOB ❑ - ADDRESS _tilted copy is h eby furnished. New Residential Bldgs.'& Pools nEACH NO. FEE `❑ ID R Certgfied'copy is filed with the.county building in tion 1 & 2-Family,Sq.Ft. $• — $ ,`LOCALITY department.- ',.,_� _ - Multi-family Sq Ft. '- )CROSSSST. _ - 1 - Residential Swimming Pools -.OWNER OR Date Applicant 'FIRM NAME CERTIFICATEEXEMPT F M WORKERS Cutiets'.Rec.� Light Sw. i A'" '/L'r MAIL - - • COMPENSATfO IN ANCE - _ J ADD RESS. (This sectionneed not be tom etl,if the work involved by the First 20 'CITY - - Tel.No. permit is'for one hundred tl6llars-($100)or less.) Total No. Additional. v — - .I certif that in the performance`of the work for'which this permit - PLAN CHECK - y P - eAPPLICANT rixC O is issuetl.'I shall not employ any person in any manneF so as to become subject to the Workers'Compensation'Laws Lighting Fixtures r„i ' •First 20 ADDRESS - • `5 Additional ' ,, Total No. - ,.. .. - , CITY Tel No Date - Applicant Fixed Appliances Not Over 1 HP - - - NOTICE TO, APPLICANT If, after making'this -Certificate of - . 'PERMIT Exemption,you should become subiect'to the Workers'Compensation Range_ Heater_ D.W. .APPLICANT - C - , provisions of the Labor Code`, you must forthwith comply with such Oven _ Dryer !`W.M._ ADDRESS vi L (/ provisions orthis permit shall be:diad revoked _ Top — FAU W.H. _ CITyr Tel.No. LICENSED CONTRACTORS DECLARATION Hood — Fari Other_ I'hereby'afflrinrthat I am licensed under provisions of Chapter 9UCENSE OR (commencing with-Section 7000) of Division 3 of the Business and Disp. Room Air Cond. r - Class. REG.NUMBER- Professions Code,and my license is imfull force and effect. - DISTRICT NO - - ESSEO B _ Power Apparatus 8 Large'Appliances 1 r Size&Type HP,KW,KVA,or KVAR 5♦ (/// 0 License Number =.1 1 lL Q,U. Lia Class Up to•1 Incl.. FINAL /� V -Contractorif—'Al"MbF C 0, Date 10� _ Over 1Over 10 to 50 Into 15.0 lincl:. DATE Z rp � VALIDATION 00 ' U FINAL ❑ lam eaerppt under Sec. Over 50 to 100 Inc. BY BAP.C.for this reason Over 100, N ''Services,Swbd.,MCC& Panelboards - Z Date: 0- 200 Amp..Under 600 V D Signature 201.- 1000 Amp.Under 600 V Over 1000 Amp. or Over 600 V - �. Exemption for Reg.Maint.Elect. _ - SINGLE FAMILY- Temp.Power Pole& Appurtenances 2 'HOME OWNER-BUILDER DECLARATION - Sign with One Branch Cirduit. - wn i I hereby affirm that I am,exempt from the Contractor's License Law - ACCT.,< for the following.reason(Section 7031.5, Business and Professions Add.honal.SignBranchCircuits - Code): 3307 30.75 .Mist.Conduits i& Conductors - - as owner of the property,will do the work and the structure 1 ITEtiS' Is not intended or offered for sale,(Section 7044, Business Other(See Complete Fee Schedule) - _ •' and Professions Code). _ �.-•- TOTAL - T J� O.75 CONSTRUCTION LENDING AGENCY d CHECK _ - - 30.75- I hereby affirm that there is's construction lending agency for the performance of the work for which the permit is.issued(Sec.3097, -PERMIT FEE (Sub-Total) Civ. C.). .. - ' PLAN CHECKING FEE '_ �r�ry 'Leniier's�Name - _ , _- 0000-0001 10/20w4 _ PERMIT.ISSUING FEE - -• Lender's Address- _ - ...._ t -. - .' 63 W 10' 1 AM 8.'10 I certify,that I have read this application and state that the above` TOTAL FEE 10 _ - information is correct.i agree to comply with all County ordinances and State laws regulating Electrical wiring, and nerehy authorize 're seen Ives of this Con ty.to enter upon,the above-mentioned - - - - • rop ty for inspection,Corp y t ' - n SEE REVERSE FOR EXPLANATORY LANGUAGE r .gn ore of Per Date -