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Home My Public Portal About9455 DAINES DR_Electrical__ 76A66�CEo906B-62 APP IL- CAU ON ISO, EL�E��I1�S�M/�1 � I1�IIGII�� COUNTY OF LOS'ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING • BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN, SUPT OF BUILDING : LOCALITY , 15,1 Av-LE �� T ,,.,;,.. „,<•:r ".�,,.4 :"i."4i >. :'... aS ^_ '. i't NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT• TOTAL NO. EACH FEE LIGHT / OUTLETS FIRST 20 $20 $ D OWNER AIL ADD'L ADDRESS SWITCH. J ^ OVER 20 10 LIGHTING TOTFIRST 2020 AL ,. CITY TEL. NO. / I . �"d _ FIXTURES } [ ADD'L 1O ELECTRICIAN ' M'6_ OVVR 20 _may RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOKCITY ..�L/'�U��C'��TEL.NO. Q DISHWASH. AUTO.-WASH. STATE L ( ' SPACE HTR3.- STA.APP.(1/. LICENSE NO.H.P.MAX.) .50 _ MOTORS: OVER NOT OVER H.P. DIST, UCT GROU ONE R C S BY O 1 1.00 Q(�' / 3 1,50 d INSPECTION RECORD 3 8 2.00 d Y e B 15 2.50 ' �' 1s so 3.00 Lf a 50 100 5.00 O U SIGNS: NO.TRANS NO.LAMPS O I— SERVICE 0.60OV-NOT OVER 200A 1.00 W SERVICE 0.60OV-OVER 200 A. 2A0 a' N ' SERVICE OVER 600V 5.00 - ? MISC. PERMIT ISSUING FEE 2.00 ?� ' SUPPLEMENTA13Y PERMIT ISSUING FEE 1.00 TOTAL FEE l ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ;?y APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �;, ELECTRICAL WIRING. ..j WIRING 1 HEREBY,CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFA; FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE w DESCRIBED RESIDENTIAL P �OP6 Y. ;'r' POWER SIGNATURE r UTILITY CO.NOTIFIED - 1 /;N 1 ppl/Jy " OF PERMITTEE ,/ _ ',PH��! if •�•. - - - - - FINAL ALIDATION MO CASH RT•WUR C? VEIT(/ � ` " SUPERVISING ELECTRICAL ENGINEER Lrl0 0 5 5 1-131FEB4 2 D3.60- 76AS63 DBS 5A 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES L WILLIAM J. FOX, CHIEF ENGINEER DISTRICT NO. GROUP ZONE PERMIT N.O. FOR APPLI�T TI7�,ILL IN � r ELECTRICIAN e REC WED BY READY FOR DATE ISSUED ADDRESS t _ A .,,_ .r an-,�i'.'k/�+ FIRST INSPECTION CITY a Q TEL. NO. COUNTY LICENd NO. EXPIRES BUILDING �,, Zf PERMIT FEES ADDRESS FEE g NU M BER EACH LOCALITY Y LIGHT OUTLETS _ gg CROSS ST. VAR/A 3 RECEPTACLES • WALL SWITCHES OWNER & •- x"`r' . TOTAL OUTLETS Sc $ .�7A�r MAIL v ELEC. RANGES 85 ADDRESS `�(j .4 x .. ELEC. HEATERS 25 CITY ,Iq (3 ` TEL. NO.�j Tt vw �. FIXTURES 5 �. +�'@ I HEREBY ACKNOWLEDGE L HAT 1 HAVE READ THIS MISC. 1 APPLICATION A1ND 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 ANGELES COUNTY LICENSE, OR J AM THE LEGAL WNER ly P FEE OF THE RESIDENTIAL P OPERTY DESCRIBED SOVE IjJ NEW MVD. HP OVER INC. EACH !12 3 LESS $ .25 SIGNATURE OF _ 1/22 2 .50 PERMITTEE ? ' lY 2 S 1.00 INSPECTION6RECORD 5 Is 1.50 15 SO 2.50 _ 50 200 5.00 _ 200 500 10.00 s J 500 1 000 15.00 Q Z OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA _ TEMP. MOTORS (75% OF ORio•) MOVED MOTORS (75% OF ORIO.) MISC. SIGNS NO. NO.TRANS. ( APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 CONDUIT �1 FIXTURES $1.00 WIRING ^� / % SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ UTILITY CO.NOTIFIED FINALy'3"r� r f WORKERS'COMPENSATION DECLARATION 76A663 10/81 'I hereby dffirm that I have a certificate of consent to self CE-806G APPUC�Q�0 N FOR ELEC��'�° CAL PERMT insure, or a certificate of Workers' Compensation Insurance, COUNTY OFlosANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Policy No Q _Campan FOR APPLICANT TO FILL IN' JOB r. Certified co s hereby furnishe p EACH NO. FEE ADDRESS��JS �IJES copy Y New Residential Bldgs. & .ools 1 & 2-Famil S Ft. $ — $ LOCALITY— Certified c Certified copy is filed with the county building inspec- Y, q• rry tion department. Multi-family Sq. Ft. NEAREST P CROSS ST. Residential Swimming Pools. , ER OR ISI�sf� Date�9 _ Applicant OWNFIRM NAME CERTIFICATE OF EXEMPTION FRO WO ERS' Outlets: Rec Light Sw._ MAIL COMPENSATION INSURANCE ADDRESS 9+&s (This section need not be completed if the work involved by First 20 Total No. the permit is for one hundred dollars ($100)or less.) Additional CITY ? C T.I. No. PLAN CHECK I certify that in the performance of the work'for which this APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject the Workers'Cop tion Laws. Lighting Fixtures First 20 ADDRESS Additional ' -i---"'•�_ Total No. CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE O APPLICANT: If, after making this Certificate of APPLICANT 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 ` with comply with.such provisions or this'permit shall be Top FAU —W.H.' deemed revoked. Hood Fan _Other_ CITY Tel.,No. LICENSED CONTRACTORS DECLARATION LICENSER I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER -7- Class. C (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. 7/ PROCESSED Y and Professions Code,and my license is in full force a d effect. Power Apparatus & Large Appliances .7 Size--p& 0-Type HP, KW, KVA, or KVAR' v C� License Number `�� Lic. Class X11 Up to 1 Incl. FINAL I!=Over 1 to 10 Incl. DATE O VALID OW Contractor.Gte%mL GV• Date Over 10 to 50 Incl. FINAL W' ❑ I am exempt under Sec. Over 50 to 100 Inc. BY N' Over 100 B.&P.C. for this reason D Z Services,-Swbd., MCC& Panelboards Date: 0 -200 Amp. Under 600 V Signatur 201 - 1000 Amp. Under 600.V Over 1000 Amp, or Over 600 V ❑ Exemption for Reg. Mai Elect. 9 9`1.Q A SINGLE FAMILY Temp. Power Pole & Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit - #to 0 o 0 o2 I hereb"y affirm that I'am exempt from.the Contractor's License 0`0 0 Q 37 - - Additional Sign Branch Circuits ,�/•v Law for the following reason.(sect ion^`7031.5, Business and (a 6...: 22LSSS t5 Professions Code): ❑` 1 as owner of the property, will do the work and the Misc. Conduits&Conductors structure is not intended-or offered for sale (Section Other (See.Complete Fee Schedule)_ D 7044, Business and Professions Code). 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) S (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE _Lender's Addres I certify that I have read th' application and state that the TOTAL FEE 360 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 above-mentio d property for inspection purposes. Q SEE REVERSE FOR EXPLANATORY LANGUAGE r�V Signature erry>JKe Date