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HomeMy Public PortalAbout9450 DAINES DR_Electrical__ ctT a em91LECTMICAL 76A6 63-CE806 10/72 APPA CAlr��N Fol COUNTY OF LOS ANGELESl(' IIOuVu U DEPARTMENT.OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. - OUTLETS NO. EACH FEE OWNER OR $ $ FIRM NAME RECEPT. MAIL - FIRST 20 ADDRESS LIGHT TOTAL .25 �J CITY el TEL. NO.0�- W SWITCH OVER 20 .10 PLAN CHECK FIRST 20 .25 APPLICANT LIGHTING TOTAL - FIXTURES OVER 20 10 r ADDRESS � . - RESIDENTIAL APPLIANCES. CITY TEL..No. RANGE DRYER WTR. HTR: PERMIT_ I APPLICANT STA. COOK A_DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO.' 7/,!--90?o LICENSE OR CLOTHES, WASH. DISHWASH. REG. NUMBER CLASS. / FAN OTHER 1.00 ^7y 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER - TO 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA ORTHAI- I AM THE LEGAL OWNER OF THE ABOVE 1 - 10 300 DESCRIP�ED RESIDE Ni IAL PROPERTY. d. O PERMITEE � V 10 - 50 5:00 SIGNATURE 1 Oz O 50 - 100 10.00 DISTRICT NO. SED BY W 100 - 500 is.00 cn SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTO SSIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE, SERVICE NOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES . POWER AUTHORIZED UTILITY CO'. NOTIFIED �j ,,/ FINAL �'-2 �" J PERMIT FEE (SUB -TOTAL) NOTES: , PLAN CHECK FEE PERMIT ISSUING FEE I 3.00 TOTAL FEE 41 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.o. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76:�563CE808.(11 %78) -A 8) QIP IT UCAT�OIIV FOR ELSIS`CUMICQ� O�ISWUV❑�� . 0 0 O O 0 COUNTY OF LOS ANGELES BUILDIN' AMD SAFETY FOR APPLICANT TO FILL IN ",1,1013 , New Residential Bldgs..&Pools EACH NO. FEE-.. ADDRESS 1 &2=Family,Sq. Ft. $ .025 — $ LOCALITY C _.. _ `.02 NEAREST Multi-fomily Sq. Ft. g CROSS OWNER . Residential Swimmin Pools 25.00 FIRM NAME Outlets:.Rec..J—Light Sw. MAIL' _ First'20 .50 - ADDRESS 30 1 CITY Tel No.' Total No. ' Additional; - PLAN CHECK APPLICANT. Lighting Fixtures First 20 .50 ADDRESS 30 Adclitionol Total No. CITY Tel No 4r' , Fixed,AppliaricesNot Over-iHP PER-MIT •• •• . . . _ Range_Heater_D.W. _ APPLICANT OJen_Dryer_W.M.— . . ADDRESS Top- _FAU. W.H.— CITY' 7 -Tel:N Hood_Fan _•Other_ LICENSE OR Disp..__RoomAi _ r Cond. 2.50 REG.NUMBER , �•' Class ' : .� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA. Power Apparatus,&Large Appliances TION AND-STATE THAT THE ABOVE IS CORRECT AND AGREE TO ' "COMPLY'WITH'.ALL--COUNTY"ORDINANCES AND"STATE'°LAWS Size&Typ HP, KW., KVA,or KVAR REGULATING ELECTRICAL WIRING. � UpTo l.lncl. 2.50. `5� M 500 I-HEREBY-CERTIFY'THAT I-APROPERLY REGISTERED"ANWOR' . Over.l to 1.0 Incl ICENSED.AS REQUIRED BY LOS ANGELES COUNTY OF Over 10 to 50 Incl- 1 2.50 CALIFORNIA ORT I AM.THE.LEGAL OWNER'OF_THE ABOVE __ 0 25.00 DESCRIBED RESIDEN AL PROPERLY Over 50 to 100 Inc. Ci1D� Over 100 " 40.00 PERMIT EE SIGNATURE Services - i 12.50 O? 'DISTRICT NO :`PROCES !ED`13Y 0-200 Amp. Under 600 V ' 20 1 `1000 Amp. Under 600 25.001 d : V - - Over-1000 Amp.orOver'600'V, 50'.00 Z` Temp. Power Pole&Appurtenances 10-00 Q Sign with One Branch Circuit 10.00 . 0 < Additional Sign Branch Circuits- 2,00 „ INSPECTION Misc.Conduits&Condctors~ io.00 INFORMATION u �o`o a o'o 2 u - OW REVERSE Other(See Complete Fee Schedule) u. - _.SIDE..:• z 2 � '�-2250- a , • A. o O11 .2.2.50� ' '6 PERMIT FEE (Sub-Total) 11,2 .79 PLAN CHECKING FEE lone-Fourth Permit Feel O PERMIT ISSUING FEE $7:00 ✓ , TOTAL FEE > r INSPECTIO FINALED �/ 7n��� a date: ��G��/ By Q/ " d ©S wr DSS S-A DEPARTMENT 7rygT'g�g�j{p�/`1 Ay�� �'1(� �{�� "PLICATION FOR PER Yf�S'J�191LY H lYfl�LV�p� ®� 9�Y agJ Il1LJ11DiL1p76pS t�l�yl�L➢' w�.tislL&'J g.8 "PLICATION ELECTRIC COUNTY OF LOS ANGELES M. J. FOX CHIEF ENGINEER DISTRICT NO. GROUP ZONE PERMIT NO. U NAME 'Fae / �. � ADDRESS ,/ � �� � - G� ° � R CEIVED BY FIRST INSPECTION DATE ISSUED YYREADY FOR IU CITY TE NO ./ g �. �/�r ,.j COUN D A4 e-, EXPIRES 4��d e 44 I e w CERT.NO. Ql APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY (DESCRIPTION OF WORK ADDRESS ® 140 � � NUMBER OF OUTLETS ON CIRCUITS LOCALITY &ej LOCATION BY ROOMS NEAREST LIGHT OUTLETS ISW. PLUGS FIXT CROSS ST. CIRCUIT A B C D E F G H Q! NAME q Z MAIL 1 t ADDRESS � '-6 0 O CITY TEL.NO. 1 AM THE LE AL POSSESSOR OF THE BOVE LOS ANGELES COUNTY CERTIFI� O QUM TIQN.. ELECTRICIAN. I ABA THE LEGAL OWNER OF THE PROPFRTY DESCRIBED ABOVE OWNER. CORRECTIONS J — Q . Z C7 R O TOTAL @� NO. OF OUTLETS $ ..yy � APPROVALS I NO. OF FIXTURES $ r L! DATE INSPECTOR'S NAME NO. OF MOTORS H.P. CONDUIT „� Ari ,All NO. OF SIGNS TRANS. $ WIRING 6 NO. OF RANGES 6:;;=� $ S. FIXTURES MISCELLANEOUS $ POWER PERMIT FEE D $ � UTILITY CO.NOTIFIED spvf� TOTAL FEE %� FINAL � � 'f Y 4 ?v:✓ � t COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer `PIVISIONf OF BUILDING & SAFETY L T 9� WILLIAM J. FOX, County Engineer 0 FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERPAIT NO. ELECTRICIAN �� ------ - CEIVED BY READY FOR DATE ISSUED ADDRESS /' B - .a,�x✓" � FIRST INSPECTION CITY TEL NO. eta COUNTY LICENSE NO. EXPIRES BUILDING PERMIT FEES ADDRESS y I#Ms- ,y�9. EE FY �bG'g, ---- _ y-- NUMBER EACH LOCALITY y//`� �/� -{ LIGHT OUTLETS CNEAREST ROSS ST. v Y, o RECEPTACLES WALL SWITCHESXl 0�❑WNER- II_ B � � 1�.e r TOTAL OUTLETS �p , Sc 5 -21-YlJ��I L /i � MAIL aVP✓ ELEC. RANGES `� 25 ADDRESS F,�/1P'9'� AS ELEC. HEATERS 25 _ �� CE / ,q r 9 FIXTURES � 5 �� CITY fj � fj J-0,514-,f TEL. NO. `�+J} (�"� 1 HEREBY ACKNOWLEDGE THAT I 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 I CERTIFY THAT 1 POBSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. HP DVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. LESS $ .25 _ �I��43IGNATURE OPE lb 2 .50 PERMITTE 1 2 s 1.00 INSPECTION RECORD 5 1s 1.50 is s0 2.50 50 200 8.00 _ 2130 Soo 10.00 J 500 1000 15.00 Q a AVER IOOQ 20.00 M.G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA _ TEMP. MOTORS (75% OF DRIG•) MOVED MOTORS (75% OF DRIG.) MISC. SIGNS No. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMITS DATL INSPECTOR'S NAME. WIRING $1.00 CONDUIT / FIXTURES $1.00 WIRING r SUPPLEMENTARY .50 FIXTURES POWER ( TOTAL FEE UTILITY CO.NOTIFIED FINAL N 0. 76A663 DBS.#5A 2-53 WORKERS'COMPENSATION DECLARATION -CE806G 10/81 aPPUC AY50M FOR ELECTMAL PERM57 I hereby affirm that I have a certificate of consent to self , insure, or a certificate of Workers' Comperis"ation In`suranse, CbUNTY OF LOS ANGELES % BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) �or Policy No. Company FOR APPLICANT TO FILL IN JOB Certified co is hereb furnished. EACH NO. FEE ADDRESS �' Q PY Y. �w Residential Bldgs. & Pools _1 ❑ $ _ $ LOCALITY t Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. tion department. Multi-family Sq. Ft. NEAREST Residential Swimming Pools S�ROSS ST. OWNER OR Date Applicant FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' � � � AIL COMPENSATION INSURANCE Outlets: Rec Light Sw. ADDRESS This section need not be completed if the work involved b First 20 / ( p Y Total No.l '7 Additional CITY Tel. No. the permit is for one hundred dollars ($100)or less.) I certifythat in the performance of the work for which this PLAN 'HECK P APPLICANT �Vpermit is issued, I shall not employ any person in any manner • so as to become subject to the Workers'Compensation aws. Lighting Fixtures First 20 ADDRESS Tota �O Additional l No. CITY Tel. No. Date Applicant Fixed Appliances-Not Over 1 HP PERMIT NOTIC TO APPLICANT: If, r makin thi rtificote of APPLICANT Exemption, you should'b am e subject t6--the Workers' Range_ Heater_D.W. _ Compensation provisions-o the Labor Code,-you must forth- Oven _ Dryer — W.M.— ADDRESS with comply with such provisions or this permit shall be Top — FAU W.H. — deemed revoked. Hood Fan Other— CITY �� el. N9,6 _ _LICENSED CONTRACTORS DECLARATION. LICENSE OR I hereby affirm that I-am licensed under provisions of Chapter 9 Disp: _ Room Air Cond. REG. NUMBER Class.0.� (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCESS BY and Professions Code;and my license is in full force and effect. Power Apparatus& large Appliances CL CL Size &Type HP, KW, KVA, or KVAR' License Number 1,5- Si/ Lic. Class C Up to 1 Incl. FINAL V Over 1 to 10 Incl DATE i!/ VALIDATIOW 09 Contractor' Date Over 1.0 to 50 Incl e7 7VA1;' ;_f FINAL ❑ I exempt un r Sec. Over 50 to 100 Inc. BY LU B.&P.C. for this reason Over 100 v! Services;Swbd., MCC.&Panelboards D Date: 0 -200 Amp. Under 600 V 1!"1 n. Signature 201 - 1000 Amp. Under 600 V / E� ❑ Over 1000 Amp..or Over 600 V ' Exemption for Reg. Maint. Elect. SINGLE FAMILY _ Temp. Power.Pole &Appurtenances HOME OWNER-BUILDER DECLARATION Sign.with One Branch Circuit ��0.9 8 0 A I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch`Circuits •o,0 6 0 0 2 Law for the following reason (Section 7031.5, Business and Professions Code): 2k 2•,�1'�5 ❑ Misc. Conduits&Conductors o o i I, as owner of the property, will do the work and the i structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ D o.o 0 2 7 7 5 7044, Business and Professions Code). D G 0'S 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. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE O Lender's Address 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 th ove-mentione opert for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Perm,tee Date WORKERS'COMPENSATION DECLARATION. CE-806 '. /� I�fD���CAMN FOR L CTRKAL PERM T �y CE-806G �"�11!'lr /r-J W �"v ova c� 1 Ptierdby`affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY U insure, or a certificate of Workers'Compensation Insurance,i r a certified copy thereof(Sec. 3800,Lab. C.) FOR APPLICANT TO FILL IN JOB >/� �/l A�1 �L"S� Policy No. New Residential Bidgs.&Pools Company EACH NO. FEE ADDRESS C� f /'�/V( ❑ Certified copy is hereby,furnished. 1 &2-Family,Sq. Ft. $ — LOCALITY Multi-family Sq..Ft. — NEAREST �jdvFi✓ ❑ Certified copy is filed with the county building inspection CROSS ST Residential Swimming Pools department. OWNER OR ' �� r/ t� 2 FIRM NAME Vim' Date Applicant Outlets: Rec.LLight�_Sw. �2 MAIL First 20 v ADDRESS CERTIFICATE OF EXEMPTION-FROM WORKERS' Total No.J�� Additional CIT G Tel No. COMPENSATION INSURANCE d - PLAN HECK O (This section need not'be completed if the work involved r APPLICANT U Additional by the permit is for one hundred dollars($100) or less.) Lighting Fixtures First ADDRESS Additional _ � Total No. I 'certify that in the 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 manner PERMIT W so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT �' �GC C (��l�. a• Oven Dryer_W.M. ADDRESS_57f& ?� le 2 Date / ��Applicant �`� ��–�_���`rC Top FAU _W.H.._ . Hood Fan. —Other_ CITdfg_ /e Tel No. d NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond.— ILICENSE O 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. PRO E D BY with comply with such provisions or this permit shall' be Size&Type HP,KW, KVA,or KVAR �a� deemed revoked. Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE LICENSED CONTRACTORS DECLARATION Over 10 to501nc1. VALIDATI N I hereby affirm that I am licensed under provisions of Chapter -Over 50 to 100 Inc. BY AL 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 ness and Professions'.Code, and my license is in full force'and effect. Services License Number Z� ic.Class —w 0-200 Amp. Under 600 V C �/ 201-1000 Amp. Under 600 V t/ (� Contractor Date 41C71Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances Sign I hereby affirm that I am exempt from the Contractor's ional Si Branch Circuit License Law for the following reason (Section 7031:5, Busi- ness and Professions Code): Q' Misc.Conduits&Conductors a 4.6 9, 1 A I, 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 '# i.0 o. 0 02 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY 2 °1° - 6.0.0. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) _ o 0 0 6 O 02: issued (Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 0/ O 9 78 1 . .Lender's Address PERMIT ISSUING FEE - 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 horize repres ntatives is County to enter upon the above-me Toned pr(Vert ori ion purposes. SEE-REVERSE FOR EXPLANATORY LANGUAGE a i�j Signature of Permittee Date'— ' I •