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HomeMy Public PortalAbout10836 DAINES DR_Electrical__ 7"663 D666A ll-Y9 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELESO A WILLIAM J. FCX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN M,4ej4C.d1 RECEIVED BY READY FOR DATE ISSUED ADDRESSS� / 1! � O/L T 'FIL5T INSPECTION CITY �t1 RTFs TEL NO. 6F4 F77V COUNTY LICENSE NO. /f'16 EXPIRES G -?o- / BUILDING PERMIT FEES / NUMBER OUTLETS EACH FEE LOCALITY�wJ Es L' IL RA L LIGHT Sc S jJ� NEAREST . ./�L` 6.v0 .Q (�� Q RECEPTACLES 5 1 O CROSS ST. M � !/ FIXTURES 5 J'f OWNER • 7I-L CZ C pO4 J WALL SWITCHES 5 ,(J� MAIL �> ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. MIBC. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: TOTAL 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. NUNsea HORSEflS02.50 I CERTIFY THAT I POSSESS THE ABOVE VALID LOB HEw. MVD. HP CYEa ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. '4 J I2 SIGNATURE ERMIT EOF E I 1�� /. 2 PERMITTEE •rw� LLL���"""��,a^^"[/�+�� 5 INSPECTION RECORD 15 s0 200 5.00 200 500 10.00 500 1000 15.00 J OVER 1000 20.00 Z M.G. SET/FRED. CHANGER-HP 0 WELDERS:AC-KVA Q' GENERATORS - KW D TRANSFORMERS - KVA TEMP. MOTORS (75% DF ORi D) MOVED MOTORS (75% DF ORI D.) MISC. SIGNS TYPE: No. N , TYPE: N0. LAM P9 APPROVALS FOR EACH PERMIT: O DATE INSPECTOR'S NAME WIRING $1.00 00 CONDUIT FIXTURES $1.00 J D O WIRING SUPPLEMENTARY .SO FIXTURES / O POWER TCTAL FEE $ UTILITY CO.NOTIFIED FINAL 1. >eAee>.cc•o•a-v. APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ADDRESS c JOHN A. LAMBIE, COUNTY ENGINEER v CASSATT D. GRIFFIN,SUrT OF SUILDING LOCALITY (�) FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. ITEM NUMBER I EACH FEEOWNER. MAIL . OGL 'LIUTRECEPT. ff $ ADDRESS. .. LHTS IGHTING FIXTURES 10Q CITY TEL.NO. ELEG.RANGES CLO.,DRYERS ELECTRICIAN 1 WATER HEATERS .50 �O ADDRESS ELEG.SPACE HTRS. DISHWASHERS _ CITY% / FS iEL. NO L7I0 GARBAGE DI6PO6ER$ AUTO.- - - -- STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. DI TF ICT NO, GFuQ.UP I ZONE TPR CESSED BY 0- Ya 26 - z 50 INSPECTION RECORD 2— 5 1.00 a— 13 1.50 I5— 50 2.50 4 50-200 5.00 SIGNS: NO.TRANS. . NO.LAMPS SERVICEO-600V 1.00 �© - SERVICE OVER 600V 5.00 MISC. i WIRING PERMIT L00 Z e3 Q FIXTURE PERMIT SUPPLEMENTARY PERMIT .50 y TOTAL FEE _ 3 I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE 1 6P DR'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 I S PROPERLY REGISTERED ATE OR LICENSED AS REQUIRED A''RT1�-'-T''6qq ANGELES COUNTY AND STATE OF FIXTURES DESCRIBED OR THAT RESIDENTI L PROP6FiE %GAL WNER OF THE ABOVE POWER / SIGNATURE �t/ �` O= _ UTILITY CO.NOTIFIED ( l / _ OF PERMITTEE 1 fAA FINAL I i1 OFDATION ARTHURC.VETT, SUPERVISING ELECTRICAL ENGINEER C% MO CASH IK7 s^ ,7 7•c�-1 �a411 2 n 4:5'0 WORKERS'COMPENSATION DEC LAR>•iT10N !' 8 r (2-80)o) APPLICATION FOR ELECTRICAL PERMIT CE-806G 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. 3800,11-ab. C.) ' Ic�JN�3i5111 r . M PAIsicR6 FOR APPLICANT TO FILL IN JpB ) � _ ompony W 1'1 GC Fl ) ADDRESS/ New Residential Bldgs. & Pools . EACH NO. � FEE' a 1 r�-. `Certified'copy'is hereby furnished. 1 &2-Family,Sq. Ft. $ — $` LOCALITY Vit•ertified co Multi-family Sq. Ft. — NEAREST copy is filed with the building inspection CROSS ST department. Residential Swimming POOIS. OWNER OR FIRM NAME Uate .Applican['- Outlets: Rec._Light Sw._ MAIL. 'y -_-. + First20.. -r -. - _ - ADDRESS � �- -CERTIFICATE OF EXEMPTION FROM WORKERS' - - - - COMPENSATION INSURANCE Total No. Additional CITY Tel No. CL PLAN CHECK 1 APPLICANT C) (This section need e completed if the work involved -. ` by the permit is for r V one hundred dollazs ($100) or less.) Lighting Fixtures First 20' ADDRESS - cc Additional I certify that iii the - Total Na , - - � performance of the`work for which this, Fixed Appliances Not Over 1 HP CITY Tel No. permit-is issued, I shall not employ any person in any,.mannerL) PERMIT 'soar tobecome subject to the orkers' Compensation Laws. Range_ Heater—D.W. APPLICAN d Oven Dryer W.M, ADDRESS t } �. - Z Date!8/i 1 I ,Applicant Top. — FAU W.H. 7 [ Hood Fan - Other_ CITYS12A, r1,1Y CTet No. �1�J. '• NOTICE TO APPLICANT_: If, after making this ertificate, of Disp. _ Room Air Cord._ LICENSE O Exemption, you should become subject to the Workers' REG.NUMBER Class _45c: Compensation provisions of the Labor Code, you`must forth- Power Apparatus& Large Appliances DISTRICT NO. PROC S ED BY with comply with such provisions or this permit•shall be Type KV V,revoked.. Size& Te HP,K „KVA,or KVAR ' .UPto1 Incl v [�,c g ' � Over 1 1Inc -7// _.D� LICENSED CONTRACTORS DECLARATION , Over 10't 50 FINAL o 50 Incl. DATE VALIDATION- I hereby affirm that I am licensed under provisions of Chapter Over_ By 50 to 100 Inc. FINAL ^ uj CS . . 9,(commencing with Section 7000) of Division 3 of the Busi- Over 100 - 'mess and Professions;Code,and my license is in full force and effect. pp . � `r ' �(`A Services License Number O3 Dt Lia Class'[FJY 1 `1� 0.200 Amp.Under 600 V / ) •���/�� O-7 201-1000 Amp, Under 600 V Contractor _ Date_Jq—( I. Oma_ Cl 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 - r 4'1 4A . License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits.� - - - '#.e e e e o.2 , ness and Professions Code): •• - Misc.Conduits.&Conductors 2:0 e 1 �5 0 ❑ i, as owner of the property, will do the work and the p t . Other (See Complete Fee Schedule)— structure is net intended or offered for sale (Section ` 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY e .a 0 2_8 3 I hereby affirm that there is a construction lending agency for the performance' of the work for which this permit is PERMIT FEE - ' issued(Sec. 3097,Civ.C:). ' .(bub-Total) Lender's Name PLAN CHECKING FEE .(One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE I certify that 1 have read this application and state that the TOTAL FEE /47 S ' above information is correct. I agree to comply with all County - .., Of - ordi nces and State laws,,regulating Electrical wiring, and here authorize representatives of'this County to enter upon the a ove-mentioned property for inspection purposes. SEE'REVERSE FOR EXP LANATORY-EANGUAGE Signature of Permitt e Line