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Home My Public Portal About10945 DAINES DR_Electrical__ 7SA663-CE00610/76 APPALLICAT8 N V EII E �CAII PERMIT 1 I COUNTY OF LOS ANGELES VL �L evtl LI DEPARTMENT OF COUNTY ENGINEER Apoa6s3 , BUILDING AND SAFETY DIVISION , LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST, OUTLETS - NO. EACHI FEE OWNER OR �q S S FIRM NAMERECEP . ADORAIL E LIGHT AV•-1 L- /9'S ,G.II .] LIGHT_ TOTAL FIRST 20 2g CITY (rG� ��"' TEL. N0.Z4�76,06 SWITCH_ OVER 20 10 PLAN CHECK FIRST 20 25 APPLICANT LIGHTING TOTAL FIXTURES .10 OVER 20 ADDRESS _.�. RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE_DRVER_WTR. HTR._ APPLICANT STA. COOK__DI SP.—F.A.U.__ ADDRESS SPACE HTR. AIR COND. qTy TEL. NO. CLOTHES WASH._DISHWASH._ LI CENSE OR CLASS. REG. NUMBER FAN_OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ` MOTORS, TRANSFORMERS RATINGWITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC, HP. KW. KVA. ELECTRICAL WIRING. SIZE 8 TYPE OVER TO HEREBY CERTIFY THAT AM PROPERLY REGISTERED ANO/OR D - 1 1.00 LICENSED AS RET- IAT I BY LOS ANGELES COUNTY AND STATE OF y CALIFORNIA OR TMAi I AM THE LZWNER, OF TME ABOVE p: 1 - 1O 300 DESCRIP.EO R�ES�/gENTIAL Pfl OPF RT10 - 50 5.00 PERMITEEIC! /1 ,�I1SL.�/ O V 50 - 100 1000 DISTRICT N0. _ OC BE y 100 - 500 15.00 SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPEC 'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES ' POWER AUTHORIZED UTILITY CO. NOTIFIED ) i3 FINAL 'moi 3 76 PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.C. CASH PERMIT VALIDATION OK. M.G. CASH : A ti 0. SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CEBG6 ,G,)A APPLICATION IF®IRI LE&R CL PERMIT COUNTY OF LOS ANGELES ✓� DEPARTMENT OF COUNTY ENGINEER 'OB BUILDING O �� I/i9 //✓f-r Lek-/ BUILDING AND SAFETY DIVISION LOCALITY FOR APPLICANT TO FILL IN CROSSST.SA wA OUTLETS N0. I EACH I FEE ""' OR 7 J ./ FIRM NAME 6:4E V.9 /EIV / REC EP T. g S MAIL �- LIGHT�� TOTAL FIRST 20 0 ADDRESS �O T v��I. OVER 20 CITY �'• - L.TEL. NO. SWITCH \ O PLAN CHECK LIGHTING FIRST 20 .25 O APPLICANT ' TOTAL OVER 20 ADDRESS FI%TURES 10 RESIDENTIAL APPLIANCES CITY TEL. NO, J�/� T RANGE DRYER ,---HTR.__ APPLICANT �/ YI (J �- STA. COOK OISP._F.A.U. / ADDRESS�LTT� l AA/N C- �C7 fq//L// �LY SPACE HTR. AIR GOND. CITY,C N PA E � YAT N0. 3°/ ?y:Yb CLOTHES WASH. DISHWASH. Z LIORSE CLASS,G/o FAN_OTHER Q. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE AS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. ' 512E & TYPE OVER TO HEREBY CEflTIFT THAT I AM,PROPERLY REGISTERED ANO/OR O - 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF y CALIFORNIA OR THAT I ,AM THE LEGAL OWNER OF THE ABOVE Q F, �OQ 1 - 1O L� DES CFI P.ED RESIDENTIAL PROPERTY. V \J PER MI TEE • 10 - SO 500 BI GNATU fj U 50 - 100 1000 DISTRICT NO. P C ED BY y 100 — soo Is.DD � U G / ' SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS GATE INSPECTORrSSIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVERISOOVOLTSOR20OAMP / UNDERSLAB WORK SERVICEOVER60OVDLTSOR20OAMP 10.00 ROUGH CONDUIT TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING TEMP-LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED • FINAL // V-0*� PERMIT FEE (SUB TOTAL) NOTES: / PLAN CHECK FEE PERMIT ISSUING FEE 3.00 So TOTAL FEE O PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH 5'9,7g,t IN :24 C2 p 41.1 0 A98 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKERS'COMPENSATION DECLARATION CE-Bose-803 Dra, APPLICATIOf�I F®R ELECTRICAL PERMIT {� he affirm that I have a certificate of consent to self insure, 'CE LJ or a certificate of Workers' Compensation Insurance,or a certified COUNTY OF LOS ANGELES - BUILDING AND SAFETY copy thereof(Sec.3800.Lab.C.) _ Policy Not Company _ FOR.APPLICANT TO FILL IN' ' JOB r_1Certified copy is hereby furnished. New Residential Bldgs. & Pools ,, EACH NO. FEE. ADDRESS Z y'T �✓_] 1:1 + o 1 & 2-Family.Sq.Ft. S _ $ LOCALITY Certified copy is filed with the county building inspection department. Multi-family Sq.Ft. NEARssi Date Applicant - Residential Swimming Pools - OWNER OR ) ' FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS'. - � IL5-11 �^ ` Outlets:Re Light Sw. 1 Y' COMPENSATION INSURANCE S �' 2 .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. Additional CITY Tel.No . I certify tri the performance of the work for which this permit _ _ 'PLAN CHECK /L Y P P - APPLICANT is.issued. I shall not employ any person in any manner so to became subject tote Workers'Co/gym/(f,I sation Laws. Lighting Fixtures First 20 ADDRESS L�� 1 �/t7 V v+.'�' � Additional 1 Deli � �f Total No: CITY �Tel.No. Dal Applican Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this ,Certificate of PERMIT aO }. Exemption,you shouldbecome subject to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT s` V e 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. - 'j' CITY Tel.Nd. LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ ' I hereby affirm,that I am licensed under provisions of Chapter 9 LICENSE OR ' (commencing with Section 7000) of Division 3 of the Business and Disp. — Room Air Cond. REG.NUMBER Class.- -- Professions Cade,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO. // PR ED eve/o/f Size & Type HP, KW,KVA,.or KVAR //i�✓�W� 0. License Number Lia ClassUp to 1 Incl. DFNA IA //` rt�p7 Over 1 to 10 Incl. VALIDATION UQrCTo-1nt/r�GO tor Date .1 Over 10 to 50 Incl. FINAL !J JV ' U am exempt under Sec. Over 50 to 100 Inc. BY a 'B.&P.C.for this reason Over 100 [n Services,Swbd.,MCC It Panelboards - D Z. 4" ADat 0- 200 Amp,Under 600 V Signature 201 - 1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V - Exemption for Reg.Maint.Elect. SINGLE'FAMILV Temp. Power Pole 8 Appurtenances _ 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I.hereby affirm that I-am exempt from the Contractor's License Law Additional Sign Branch Circuits for the following reason(Section 7031.5, Business.and Professions � y� Cade): = Misc.Conduits& Conductors ❑ 1,as owner of the property,will do the work and the structure 1 YTM Other (See Complete Fee Schedule) ' is not intended or offered for sale (Section 7044,.Business _ _ and Professions Code). TOTAL*.//1yy4//1T�A/yL�*. jj.�daa,'��+ CONSTRUCTION LENDING AGENCY N1LM�' Kn IY 1 hereby.affirm that there is a construction lending agency for the _ rtrf performance of the worts for which this.permit'is issued(Sec.3097, PERMIT FEE - (Sub-Total) - - - - .YY Civ.C.). PLAN CHECKING FEE 'Lender's Name •0• .— VYYL'YiILD W 60,V7 .PERMIT ISSUING FEE Lender's Address - 3JIJ , 'b N 8844 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'.regul ing Electrical wiring, and hereby authorize representatives of Count to enter upon the above-mentioned - .. 'pro r�r insp n / ate ' dSEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Wm that I have a certificate of con RATION 18-806 10/91 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent td'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.) Policy No..r• Company - FOR APPLICANT TO FILL IN JOB c ❑ Certified copy is hereby furnished. New Residential Bldgs.& Pools - EACH NO. FEE ADDRESS 0 J S ❑ LOCALITY Certified NEAREST copy is filed with the county building inspection 1 & 2-Family,Sq.Ft. $ — $ e A department. Multi-family Sq.Ft. — CROSS ST.' Date Applicant Residential Swimming Pools OWNER OR ,1 _ FIRM NAME 1 /` IN r 'CERTIFICATE OF EXEMPTION FROM WORKERS' _ MAIL Outlets:Rae Light Sw. — ' COMPENSATION INSURANCE' � ADDRESS (This section need not be completed if the work involved by the /�•z First 20 3 0 // •permit Is for one,huntlretl dollars ($100) or less.) Total No.� Additional CITY _ Tel.No. I certify that in the.performance of the work for which this permit PLAN CHECK / is issued, I shell not employ any person in any manner so as to APPLICANT become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 �'i 3- 3 •5 ADDRESS -' Total No. Additional CITY - Tel.No. Date Applicant I Fixed Appliances Not Over 1 NP PERMIT NOTICE, TO APPLICANT: If,- after making this Certificate of PERITAPPLICANT +Exemption,you should become subject to the Workers'Compensation' Range_ Heater_ D.W. 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 Other_ CITY -Tel.No. I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR (commencing with Section 7000)of Division 3 of the Business and Disp. _ Room Air Cond. REG.NUMBER ' Class. Professions Code,and my license is in full force and effect. DISTRICT NO. PR SSED BY Power Apparatus 8 Large Appliances �v.L o .... Size& Type HP,KW,KVA,or KVAR 4O• � Q Q License Number Lic.Class Up to 1Incl. FINAL U _ Date Over 1 to 10 Incl. DATE Cont for VALIDATION Over 10 to 50 IndU r� i FINAL CJ . I am exempt under Sec. Over 50 to 100 Inc. _ BY W B.&P.C.for this reason Over 100 Date: Services, Swbd.,MCC& Panelboards D " Z 0-200.Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V ' ❑ 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 ,�r`;�,-F- ' I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits for the following reason(Section 703 1.5, Business and Professions - Code): :57,117 37.u4. ❑ I,as owner of the property,will do the work and the structure Misc.Conduits & Conductors - '1 T is net intended or offered for sale (Section 7044, Business Other (See Complete Fee Schedule) and Professions Code). D III AL 37 - 64 . CONSTRUCTION LENDING AGENCY 4-rIE4iv '+7.v4 I hereby affirm that there is a construction lending agency for the , CHANGE D, performance of the work-for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) - Civ. C.). PLAN CHECKING FEE - - -- Lender's Name 11/24/r1 - Lender's Address PERMIT ISSUING FEE D 9641 1 AN 7:5� 1 certify that 1 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 ins ction purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signa up a Permittee Dale