HomeMy Public PortalAbout9426 DAINES DR_Electrical__ 76A663-CE806 12-65 App.MCAMN_ POR RECTM QL PERNU
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING, LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS 'ST.
ROS$ $T.
RECEPT. TOTAL No, I EACH FEE
LIG E OUTLETS i F1 � $,20 $ OWNER
AIL
ADD'L 10 ADDRESS
SWITCH
----I OVER 20 .
TOTAL FIRST 20 .20 � CITY TEL. NO.
LIGHTING 1 FIXTURES
FIXTURES )( ADD'L 10 CONTRACTO
OVER 20
RANGES DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITYTEL. NO.-
DISHWASH. AUTO.-WASH. STATE �a
SPACE HTRS. STA. APPL. .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT Nn. OUJZ NE Pt,Qc ED BY
O 1 1.00 D <<L t
D_
s 1.50 INSPECTION R CORD
O
3 8 2.00 U
w
8 15 2.50 0
15 50 .00 - V
W
a
50 100 5.00 N
Z
SIGNS: NO.TRANS
NO.LAMPS
SERVICE 0.600V-NOT OVER 200A 1.00
SERVICE 0-600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00 eJ
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPL16ATIO N� ° U'NDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT c.b.p 11
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO POWER
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
r
SIGNATURE - UTILITY CO.NOTIFIED �7
OF PERMITTEE _ FINAL
LIDATION J SEPH C. ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
4::.0 2 o JUN 14 2 D 4.00
i
0
DBS S-A 12-44 ti APPLICATION FOR PERMIr
DEPARTMENT OF BUILDING AND SAFETYELECTRIC
COUNTY OF LOS ANGELES
WM. J. FOX CHIEF ENGINEER
a NAME // DISTRICT NO. GROUP ZONE PERMIT NO.
ADDRESS Z�-Y' 3 i �' / �/ Eq-
?I
� T�
U CITY TEL.NO. a ( RECEIVED BY READY FOR DATE ISSUED
W FIRST INSPECTION
J COUNTY
WI CERT.NO. 0 2 EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORD. A DRESS 2D 2-0
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS lsw. PLUGS I FIxT CROSS ST. n /�
CIRCUIT A B C D E F G I FI 1 0: NAME 1
Z
MAIL
3 ADDRESS
O
CITY TEL.NO.
AAM THE LEGAL POSSESSOR OF THE ABOVE LOS
FJ..ES COUNTY CERTIFI_C,4TE OFrgUALIF_QUALIFICATION.
E
C\/7�J DJ VL LE,nLECTRICIA_N..
I! AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
V CORRECTIONS
Q
z
0
a
TOTAL
NO. OF OUTLETS $ 6Y APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
ii NO. OF MOTORS H.P. $ CONDUIT
l
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ tJ0 UTILITY CO.NOTIFIED ;
TOTAL FEE 2fl OS FINAL
S-A 12-44 APPLICATION FOR PEIBIi U
DEPARTMENT OF BUILIDING,ANID SAFETY
COUNTY OF LOS ANdELES ELECT
WM. J. FOX CHIEF ENGINEER
z .�`a��+ � DISTRICTNO. GROUP ZONE PERMIT NO.
Q NAME ! o m Fi �. '!
ADDRESS �� S 6/!Y�/� / f / _ `/
U CITY f_ ( p�/f� TEL.140.
i / I RECEIVED BY/ FIRST INSPECTION DY FOR DATE ISSUED
W CERT.NO. r EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS � I/+ ii s
NUMBER OF OUTLETS ON CIRCUITS LOCALITY ia /®
LOCATION BY ROOMS
NEAREST � (�
LIGHT OUTLETS SW. PLUGS FIXT CROSS ST. 7� �p O i Pte. �+
CIRCUIT A B C D E F G H it NAME {e; yV 1 U t
f� Z MAIL
.t" Cf 3 ADDRESS
NT °
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTYC� EPTaF.ICATE OFrQUALIFICATION..
d�L - ELECTRICIAN.
�T' 1 AM THE LEGAL O!%NER OF TmE PROPERTY DESCRIBED
ABOVE
lJ• //,�•I1 / 13 OWNER.
CORRECTIONS
PAF /
A 6A
-- a
z
0
TOTAL I2.
FNO.
F OUTLETS 1-13 $ 1. / .� APPROVALS
1F FIXTURES j $ DATE. INSPECTOR'S,/NAME
F MOTORS H.P. $ CONDUIT
F SIGNS TRANS. $ WIRING
F RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ /^ POWER
PERMIT FEE $ ' �J UTILITY CO.NOTIFIED
TOTAL FEE '' d FINAL
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of'County Engineer
DIVISION OF BUILDING & SAFETY EU T RUC -
WILLIAM J. FOX, County Engineer
FOR APLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
/I J
ELECTRICIAN
/^ nRECEIVED BY READY FOR DATE ISSUED
ADDRESS �$ I !i I FIRST INSPECTION
CITY TEL. NO.
COUNTY LICENSE NO. 3641
EXPIRES BUILDING
PERMIT FEES ADDRESS
F
NUMBER EACH FEE _LOCALITY_
LIGHT OUTLETS NEARESTA /�
CRO85 ST. CL:•
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS Sc $ MAIL
ELEC. RANGES l 25
ADDRESS
EIEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
M15C. 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 I 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 PROPERT DEWRIBED ABOVE.
_ .%2 6 LESS $ .25 SIGNATURE a
_ 1/2 2 .50 PERMITTE �, i t. Lr�7/d4 _—+ ---
V
2 s 1.00INSPECTION RECORD
_ 5 15 7.50
is 50 2.50
2005.00
5D0 10.00 J
s13r51000 15.00 z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA - O
GENERATORS - KW
TRANSFORMERS - KVA _
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF 0R1s3J
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
N0. NO. LAMPS
FOR EACH PERMIT: ATE iNSPECTOR'B NAME
WIRING $1..00 f J (j CONDUIT _
FIXTURES $1.00 WIRING �, "°'�—•—• �•
SUPPLEMENTARY ,So FIXTURES
POWER /
TOTAL FEE �/ ` UTILITY CO.NOTIFIED / r, '- _
FINAL r,... �,L��.s"°•" E` ��
76A663 OBS#5A 2-53 v
76A663-CE806 9-66 /p\ '{ �/>� v _ 0
!rte\ �7[r0EI,EC MC S PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING v, / ,y '
BUILDING AND SAFETY DIVISION ADDRESS �L Ill A Ld IC
JOHN A. LAMBIE, COUNTY ENGINEER / T_-
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY P-
L "
'�
a. -. . • _ ,. NEAREST
FOR APPLICANT TO FILL IN CROSS ST. ' e
RECEPT. TOTAL NO. IEACH FEE _ A� s
•� LIGHT 1 OUTLETS FIRST 20#----:00
20 $ OWNER /Y �_ `' }/�1 1 , �/
r, MAIL �f
J ADD'L ADDRESS Ale-C"..
SWITCH OVER 20° .�f
111 TOTAL FIRST 20 CITY.'7 Q a • T TEL.NO.
LIGHTING ) l FIXTURES
FIXTURES J( ADD'L CONTRACTOR
OVER 20 .10,
RANGES DRYERS WTW HTRS. 1.00 _ ADDRESS
• GARB.DISP.'• STA.COOK'•
CITY TEL. NO.
DISHWASH.'• AUTO.-WASH.% STATE
.' SPACE HTRS.• STA. APPL. .50 LICENSE NO.
"s MOTORS: OVER NOT OVER H.P. DISTRICT? �UP ZO E P�jQ-cF�SjSED BY
0 1 1.00 .0-. 0 !(/
�0 1 3 1.50 INSPECTION RECORD
3 8 2.00
8 15 2.50
15 50 3.00 a
50 100 5.00 0
SIGNS: NO.TRANS-
NO. LAMPS O
H
G U
SERVICE 0.600V-Not OVER 200A _ 1,00 UJ
d
SERVICE 0-600V•OVER 200 A. - 2.00' N
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00 CJ
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTORS SIGNATURE
TOTAL FEE J lJ�
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERS LAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT �� X '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING J
ELECTRICAL WIRING. WIRING - ) 1�"4 ew14-1
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT i AM THE LEGAL OWNER OF. AND INTEND TO POWER
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE UTILITY CO.NOTIFIED .r y '�✓ �
OF PERMITTEE
FINAL
VALIDATI JOSEPH C. ROOHAN r
CK MO ASH SUPERVISING ELECTRICAL ENGINEER
L 9074 JUN14 2 D 40ON
/ DBS 5-A
' 12-44
DEPARTMENT OF RgMg)HNry AND
cSgETp ^f MPUCAr®N FOR
PE
' �� � 1L�11.�1
COUNTY OF LOS ANGELES
WM. J. FOX CHIEF ENGINEER. �
z DISTRICT NO. GROUP ZONE PERMIT K-0—
NAME—
r2
O
_Q NAME�� ,,/f `4C�
U ADDRESS Lid
U CITY TEL.NO. J �— RECEIVED.�BY FIRST INSPECTION EADY FOR DATE ISSU�E/DS
J COUNTY "7 —Vel,
i W CERT.NO. U L 13 EXPIRES
APPLICANT FILL IN HEAVILY OUTLINE® PORTION ONLY
JOB
IDESCREMON OF WORK ADDRESS .1-0
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY:ROOMS
NEAREST
LIGHT OUTLETS lsw. PLUGS IFl2iT CROSS ST.
CIRCUIT A B C D I E F G H a NAME , e
}� Z MAIL
?- ADDRESS
CITY TEL.NO.
� 7— "L r , 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
e ANGELES COUNTY CERTIFICATE QUALIFICATION..
C '
13 to'14 - l / t
ELECTRICIAN.
9 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
r44.m— / f qt ABOVE
! OWNER.
COMECTIONS
J
— Q
Z
[7
O
TOTAL
NO. OF OUTLETS / $ o S APPROVALS
NO. OF FIXTURES $ I✓ DATE INSPECTOR' NAME
NO. OF MOTORS H.P. $ CONDUIT 1r'. A ,gN
NO. OF SIGNS TRANS. $ WIRING V
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ 1 POWER
PERMIT
•�// ,�
PERMIT FEE $ ( �-S UTILITY CO.NOTIFIED Y'Cd
TOTAL FEE
WORKERS'COMPENSATION DECLARATION 76--06 /�1 fD PIU (� 6� 5��N FFP ELECTRICAL
PER 1 11�1T '
CE-8-06G (2-8Q.) G�llrlr �a(r`�lu I1V I!- P. LS L� Illy �b Il'LSII�SUC/11 Il
I hereby affirm that I Iiave 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.)
FOR APPLICANT TO'FILL IN' ,JOB
Policy No.—Company ADD,RESSC V 4 1 Pv e--I i c.Z
New'Residential Bldgs.&Pools EACH NO. FEE
Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY P ` f ,� lw
F71Certified
Sq. R. — EOSSAREST
Certified copy is filed with the county building-inspection RST 2
department. Residential Swimming Pools OWNER OR
FIRM NAME 5 % IV-V 1 I1,/
Date Applicant Outlets: Rec. Ligh 'SwMAIL
First 20 -1v/t4l `
1 t .� ADDRESS , . 0 ia' I
`
CERTIFICATE OF EXEMPTION.FROM WORKERS' Total No. Additional- CITY el No.
COMPENSATION INSURANCE `~ `�' �' U }
P AN CHECK _ d
(This section need not be completed if the work involved APPLICANT. 0.
by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures, First io ADDRESS V..
Total No.
Additional ix
I certify that'in the performance of the work for which thisFixed Appliances Not Over 1 HP CITY Tel No. 0
permit is issued, I shall not employ any person in any manner PERMIT (~j
sous to become subject to the Workers' Compensation Laws. Range_Heater_D..W. APPLICANT a
.
0-
Oven _ Dryer_W.M.
ADDRESS
Date Applicant Top FAU _W.H.
Hood _ Fan _Other_ CITY Tel No.
NOTICE TO APPLICANT:'If, after making this Certificate of Disp. Room Air Cond.— LICENSE OR
Exemption, you should become subject to the Workers' REG.NUMBER Class
Compensation provisions of the Labor Code,'you must.forth- Power Apparatus& Large Appliances DISTRICT NO. PROCESSED BY
with comply with such provisions or this 'permit shall be Size&Type HP, KW, KVA,or KVAR )
deemed revoked. ®,T �+ti/ -
Up to 1 Incl.
FINAL
LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE
Over 10 to 50 Incl, V a VALIDATION
I hereby affirm that I am licensed under provisions of Chapter Over 50 to.100 Inc. FINAL
9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 BY
• ness and Professions.Code, and my license is in full force and
effect. Services
0-200 Amp. Under 600 V
License Number Lic. Class
201 -1000 Amp. Under 600 V F
,Contractor. Date Over 1000 Amp.or Over 600 V
HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances
Sign with.One Branch Circuit
d hereby affirm that I am .exempt from the Contractor's r
�'
License Law for the following reason (Section 7031.5, Additional Sign Branch Circuits 4;7 Q,$ A Busi- - z '
ess and Professions Code): g.
Misc.Conduits&Conductors # o o 0 0 o 2
ID 1, 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 1 9.90
i 7044, Business and Professions Code). ,'
CONSTRUCTION LENDING AGENCY 0.0.0 T 9,905
�,r
hereby affirm that there is a construction lending agency
the performance of the work for which this permit is PERMIT F,EE (Sub-Total) 0 7t 0 1 —8.2
sued (Sec. 3097,Civ.C.).
lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)
�rider's Address PERMIT ISSUING FEE
Iertify that I have read this'application and state that the TOTAL FEE':
ove information is correct.I agree to comply with all County
finances and State laws regulating Electrical,'wiring, and
eby authorize representatives of this County to enter upon
'above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
'i ignature of Permittee Date