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HomeMy Public PortalAbout9314 DAINES DR_Electrical__ Yl COUNTY OF LOS ANGELES APPLICATION FOR PERMIT DEPARTMENT.OF COUNTY ENGINEER i DIVISION OF BUILDING & SAFETY { WILLIAM L. FOR, COUNTY ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PER{MkI—T� NO. ELECTRICIAN t/C�Aq(/},a(. ADDRESS % /4 /0.41AIeV A40r_ R 6EIVED BY READY FOR DATE ISSUED �r FIRST INSPECTION CITY5-AH! - a 7' �� TEL. NO. COUNTY LICENSE NO. r EXPIRES BUILDING PST FEESADDRESS : FEE p NUMBER EACHLOCALITY /'C—�. /-�d' � �'/��•� ` LIGHT OUTLETS A / NEAREST RECEPTACLES CROSS ST. WALL SWITCHES- f OWNERr TOTAL OUTLETS 5c $ 3 5 MAIL ®e/ //A./✓J?.G.� ELEC. RANGES � 25 ADDRESS �i c9 T r/ ELEC. HEATERS 25 ' ,,1. 'e FIXTURES 5 QS' CITY �.�- ' TEL. N'0� MISC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS J. AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS t CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw MvO. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/2 a LESS $ .25 e SIGNATURE OF I/2 2 .50 PERMITTE 2 s1.oo INSPECTION RECORD 5 15 1.50 AS so 2.soS Z 'oz � - so 200 5.00 200 Soo.' 10.00 J Soo 1000, 15.00 Z OVER 1000 20.00. S `' M.G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA r GENERATORS -KW TRANSFORMERS-KVA TEMP. MOTORS (75% OR ORIG.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS NO. _ NO. TRANS. NO. NO. LAMPS APPROVALS ALS FOR EACH PERMIT DATE INSPECTOR'S NAME WIRING $1.00 olo CONDUIT FIXTURES $1.00 /06 WIRING SUPPLEMENTARY Sp FIXTURES p POWER TOTAL FEE $ Z � —UTILITY CO. NOTIFIED I FINAL 76A 569 DBS# SA, 4-52 , 1 COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY ELECTRIC I WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRI:O. GROUP ZONE PERMIT NO. ELECTRICIAN T / e 71 �L -� RE IVSD BY READY FOR DATE ISSUED ADDRESS �.�l .Tv✓� FIRST INSPECTION _ y� - CITY , TEL O. COUNTY LICENSE NO. EXPIRES "3o^J.J BUILDING PERMIT FEES i ADDRESS : U FEE0 NUMBE EACH LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES OWNER , — TOTAL OUTLETS 5C $ O MAIL L) ELEC. RANGES t 25 ADDRESS ELEC. HEATERS 25 CITY TEL NO, FIXTURES 55 - 1 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 HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. V2 & I.EBB $ .25 X46 SIGNATURE OF %z 2 .50 PERMITTED! 2 s 1.00 INSPECTION RECORD 5 15 7.50 _ 15 50 2.50 _E50 200 5.00 00 Soo 10.00 - J SOO 1000 15. 0 Q —— 0 Z OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP a WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF ORIG.) M 15 C. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: D E/ ' INSPECTOR'S NAME $1.00 CONDUIT WIRING � FIXTURES _ _ $i 7.00 Qto WIRING . ��.tsx•t � ), SUPPLEMENTARY ,50 FIXTURES POWER TOTAL. FEE J UTILITY CO.NOTIFIED FINAL 76A663 DBS#. 5A 4-52 "�/ 76A663-CE806'8-62 APPUCAIMN FOR RECROCAL PERN'T COUNTY OF LOS ANGELES �J DEPARTMENT OF COUNTY ENGINEER BUILDING r BUILDING AND SAFETY DIVISION ; ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER / WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY -i:..r-;+.x,:. z:•flri'"' -Ipr.1` .OM1 t ,'" NEAREST s FOR APPLICANT TO FILL IN cRoSS ST. RECEPT. TOTAL NO. EACH FEE y+ �7 OUTLETS FIRST 20 $20 $ OWNER/-A' LIGHT MAIL ADD'L ADDRESS Z Q SWITCH. OVER 20 •.10 /�`p '7 (^ LIGHTING 'TOTAL FIRST 20 .20 ' CITY Ig U lel tqTEL. N�:('- ! tJ/� FIXTURES ADD'L ELECTRICIAN _ GLS i �� OV9:R 20 .10 ///77�7 _ - RANGES CLO.DRYERS WTR.HTRS. 1.00 "ADOKt61 U ,, GARB.DISP. STA.COOK CITY /g S (`� TEL.NO DISHWASH. AUTO.-WASH. STATE t` `� �ry ,SPACE HTRS. STA.APP.(yLICENSE H.P.MAX.) .50 E NO / y / V 5 � MOTORS: OVER - NOT OVER H.P. DIICT D 73 O - 1 1.00 ` 1 3 1.50 INSPECTION A&ORD 3 8 2.00 8 15 2.50 15 50 3.00 _ D. 50' 100 5.00 O _? SIGNS: NO.TRANS. NO.LAMPS _ 'I SERVICE 0.60OV-NOT OVER 200A 1.00 �� �; O W SERVICE 0.600V-OVER 200 A. 2:00 -� • cry SERVICE OVER 600V 5.00 'Z MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING-FEE 1.00 ' TOTAL FEE. 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ' APPROVALS DATE INSPECTOR'.8 SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY y CONDUIT ` .�, WITH ALL "COUNTYC . ORDINANES AND STATE LAWS REGULATING t, , ELECTRICAL WIRING. $, WIRING ,G IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Y�! LICENSED AS REQUIRED BY LOS ANGELES`COU TY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWN OF THE ABOVE - ., DESCRIBED RESIDENT L p PERTY� `p POWER - A Q � SIGNATURE -UTILITY CO.NOTIFIED 4, ,• ;.q OF PERMITTEE ru FINAL L DATION ART UA C. VEIT of SUPERVISING ELECTRICAL ENGINEER CK MO CASH jj"0 6 6.9 - JUN 3 0 2 0 5.0'0~ I � 76A663 CE-816/78),. L AP Lt,CA M 011e( EE �CAL PUUG V " COUNTY OF LOS ANGELES BUILDING AND SAFETY ...... FOR APPLICANT-TO FILL.IN .JOB ' New Residential'Bldgs. &Pools EACH' NO. FEE ADDRESS /,3141 '. �.�GL(ivti.ty 'V° 1 &2-Family,Sq. Ft $ .025 $ LOCALITY: Multifamily Sq. Ft, .02 — NEAREST 5, CROSS ST. Residential Swimming Pools 2 .00 OWNER OR, u FIRM NAMEXia_, Outlets: Rec Light Sw. MAIL• p v First 20 .50 ADDRESS / /Y C . a4," ' Total No. Additional 30 CITY Tel. Nod ',7..9,L►.3. PLAN CHECK APPLICANT Lighting Fixtures First 20 .50 ADDRESS Additional .30 Total No" CITY el. No. Fixed Appliances Not Over 1 HP PERMIT, Range_Heater_ D.W. APPLICANT Oven—Dryer W.M.— ADDRESS Top —FAU — W.H._ CITY Tel. No. Hood_Fan _Other_ LICENSE OR Disp.—Room Air Cond. 2'50 REG'.NUMBER Class THEREBY A OWLEDGE THAT I HAVE READ THIS APPLICA< Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT.AND AGREE TO Size&T pe HP, KW,KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND-'STATE LAWS Y 2.50 REGULATING ELECTRICAL WIRING Up to 1 Incl IHEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR_ Over 1 to 10 Incl. 5.00 LICENSED AS.REOUIRED BY LOS ANGELES COUNTY AND STATE OF' � Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE` DESCRIBED RESIDENTIAL PROPERTY. Over 50 to 100 Inc. 25.00 Over 100 40.00 PERMITEE SIGNATURE "' Services DISTRICT NO. P D•BY- 0-200 Amp. Under 600 V 12.50 201-1 oo0•Amp. Under 600-V 25.00 Over 1000 Amp.or Over 600 V 50.00 Z ' O Temp. Power Pole&Appurtenances 10.00 Q Sign with One Branch Circuit 1.0.00 Additional Sign Branch Circuits 2.00 INSPECTION > INFORMATION Misc.Conduits&Conductors 1 0'00 ON REVERSE z Other)See Complete Fee Schedule) SIDE v ;?5 2 1.3 A Z 1F AL 2oo'o950 PERMIT FEE )Sub-Total) Z o 9.50M PLAN CHECKING FEE (One-Fourth Permit Feel O PERMIT ISSUING FEE $7.00 C 629-79 J TOTAL FEE ;-JU > INSPECTION FINAXED date: � CG B ©s r. ti r WORKERS' COMPENSATION DECLARATION 76A663 10/81 n PPn CAMOIN FOR ELECUMC n L PER( /N I hereby affirm that I have a certificate of consent to self CE-806G (i=� L� If CJ LC lV (i=� uVu in`su're', or a certificate of Workers' Compensation Insurance, COUNT OF LOS ANGELES BUILDINGq31AND SAFETY or a certifieeJ cop thh reof (Sec. 3800, Lab. C..�) Policy No.•� 91 744Company I&A`neleANr k FOR APPLICANT TO FILL IN JOB a ❑ Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS ,p /�/,P s — LOCALITY /� Certified copy is filed with the county building,inspec- 1 & 2-,Family, Sq: Ft: $ — $ PRt <<P � -t, tion department. ' Multi-family Sq. Ft. 'NEAREST Gj `�_�l �JwG � Residential Swimming Pools CROSS ST. Dater' Applicant 'W/ow .� I OWNER OR FIRM NAME OL / /V/,/ N CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL Outlets: Rec Light Sw._ ADDRESS COMPENSATION INSURANCE s section neenot completed if the work involved b First 20 (Thitid t b p y Total No. CITY Tel. No. the permit is for one hundred dollars ($100)or less.) Additional that in the'performance of the work for which this PLAN CHECK I certify 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 Total No. Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT /� n NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT eOAJNUdr2 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 L Q with comply with such provisions or this permit shall be Top_ — FAU —W.H. — / yNCi nig �e4 deemed revoked. Hood Fan _Other_ CITY /f 0f Tel. No.7 LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions-of Chapter 9 Disp. — Room Air Cond. .— REG. NUMBER 7 U17? Class. 3� (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCES D Y and Professions Code, and m license is in full force and effect. Power Apparatus& Large Appliances � - >- yb373s C Size 8 Type HP, KW, KVA, or KVAR' (� v License Number �f Lic. Classss Up to 1 Incl FINAL lam+ /V/u 8/� Date '7^ �- -Over 1 to 10 Incl. DATE f VALID IOM O Contractor d / ❑ Over 10 to 50 Incl. FIN ~ I am exempt under Sec. Over 50 to 100 Inc. BY a. Over 100 B.BP.C. for this reason t/f Services, Swbd., MCC 8 Panelboards 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. 9 2 9 0 4 A SINGLE FAMILY Temp.-Power Pole &-Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit # 0 0 0 0 0 2 I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits o o Jr Q Law for the following reason (Section 7031.5, Business and Professions Code): ❑ I, as owner of the property, will do.the work and the Misc. Conduits &Conductors o 0 0 1 7,5 d 30: structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ D 7044, Business and Professions Code). 9, OG-8 rJ 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 PERMIT FEE (Sub-Total) (Sec. 3697, 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 TOTAL FEE t 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 property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE zl?All /,2-Y-S- Signoture of Permittee Date