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HomeMy Public PortalAbout9462 DAINES DR_Electrical__ . .. 76A663-CE806 1,7p .A PPUCrN FOR ELECTMA�PERNv7/ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BulLDING BUILDING AND SAFETY.DIVISION ADDRESS G 2 JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING VK _ C FOR APPLICANT TO FILL IN NEAREST CROSS ST. 1 OUTLETS NO. EACH FEE OWNER RECEPT._ MAIL ADDRESS 2 /�- - •LIGHT TOTAL FIRST 20 .20 CITY -Fff �` TEL. NOg,7,S7 ls_z SWITCH OVER 20 ,10 PLAN'CHECK LIGHTINGTOTAL FIRST 20 .201 APPLICANT FIXTURES OVER 20 10 ADDRESS . APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR CON D. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. FAN OTHER - 1.00 / ©� 1HEREBY 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 _ 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 - 10 3.00 RESIDE IN, THE ABOVE OESCRIPED RESIDENTIAL PROPERTY. >6 SIGNATURE 9L' 10 - 50 5.00 JrF OPERMITTEE 050 - 100 10.00 I ST I C/T'�NO. CLASS GROUP ZONE PROCEFSSED,BY 100 - 500 15.00 G e "vI SIGN; GAS' Lu SIGN AND ONE CIRCUIT 3.00 NOTES: N TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CENOT OVER 600 VOLTS OR 200 AMP 2.00 SERVI CEOVER 600 VOLTS OR 200 AMP 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 3.00 ' UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 - ROUGH CONDI UT - WIRING FIXTURES PERMIT FEE (SUB TOTAL). PLAN CHECK FEE (50% PERMITFEE) POWER AUTHORIZED UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 -FINAL SUPPLEMENTARY PERMIT ISSUING FEE 1.00 JOSEPH C. ROOHAN TOTAL FEE SUPERVISING-ELECTRICAL ENGINEER. PLAN CHECK VALIDATION CK. M.O. cnsH PERMIT VALIDATION CK. M.O. CASH A(' 7'3 _0"' OCT 2 6 2 D 3,0 0! Q SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663.CE;P6 „r63,,, `QI`PPLICATION FOR ELECTRICAL 'PE�RMIT , COUNTOF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FAR ING gy BUILDING AND SAFETY DIVISION SS 6 (d JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING ITY ST FOR APPLICANT TO FILL IN ST. G RECEPT. TOTAL NO. EACH FEE LIGHT OUTLETS FIRST 20 $-20 S rDADD'L 10AIL SS 6 SWITCH. -,Z/Z - OVER 20 LIGHTINGE��J FiRs7 20I 20 CITY T EL. NO.FIXTURES ADD'L -1OELECTRICIAN OV R 20 / RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY TEL. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(y=N.P.MAX.) .50a LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP QNE �ROCESSED BY O 1 1.00 1 3 1.50 INSPECTION RECORD 3 6 2.00 d 815 2.50 O 15 50 3.00 O 50 100 5.00 ~ f (> SIGNS: NO.TRANS- 0- NO.LAMPS Z SERVICE 0-60OV-Nor OVER 200A 1.00 SERVICE 0-60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 0 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE s O 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 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. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LL REQUIRED BY LOS ANGELES COUNTY D STATE OF FIXTURES OR TH I AM THE LEGAL O E OF TME ABOVE ESIDEN 1 PROPERTY POWER E UTILITY CO.NOTIFIED TEE FINAL 9, iS —V/, LIDATION ARTHUR C. VEIT ( CK MO CASH SUPERVISING ELECTRICAL ENGINEER r 76A663-CE806 1/70 APPUCAMN FOR EdMRKCA D ER `Gv�1/ U ♦ COUNTY OF LOS ANGELES UEPARTMENT OF COUNTY ENGINEER BUILDING X196,2 Da /lie ��' o BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER ITY �Yl1COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING //^^FOR APPLICANT'TO FILL IN NEARES T. C._IOve..v--/ OUTLETS NO. EACH FEE i OWNER RECEPT. _ $ S Q MAIL p LIGHT TOTA / 1 FIRST 20 / .20 o ADDRESS CITY e m I C, TEL. N0.297_S6 rr/ SWITCH OVER 20 ip PLAN CHECK LIGHTING FIRST 20 20 APPLICANT TOTAL FIXTURES -i OVER 20 .10 ADDRESS APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER WTR. HTR. APPLICANT LJ NL- 3 o V STA. COOK . DISP. F.A.U. ADDRESS SPACE HTR._/ AIR COND. CITY TEL. NO. CLOTHES WASH.-DI SHWASH. LICENSE NO. CLASS. FANI—OTHER1.00. U/..� 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION V 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 I HEREBY CERTIFY THAT I .AM PROPERLY REGISTERED AND/OR O - 1 1pp LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM-THE LEGAL OWNER OF, AND INTEND TO 1 - 10 3.00 RESIDE N, THE ABOVE DESCRIP.ED RESIDENTIAL PROPERTY. } SIGNATURE .10 - 50 5.00 OF PERMITTEE a/L 0 _ V 50 - 100 10.00 DISTRICTNO. 1CL'ROUPIZONE PROC S BY OC 100 - 500 15.00 s-5, V SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: 0- a TUBE, OR - N MARQUEE ADDITIONAL CIRCUITS 1.00 z SERVI CENOTOVER 600 VOLTS OR 200 AMP 2.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR 200AMP 5.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 3.00 UNDERSLAB WORK TEMP LIGHT ORRECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING 40 FIXTURES PERMIT FEE (SU B.TOTAL) POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) UTILITY CO. NOTIFIED j PERMIT ISSUING FEE 2.00 FINAL71 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 JOSEPH C. ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER, PLAN CHECK VALIDATION CK: M.O. CASH 'PERMIT VALIDATION cK. M.o. CASH i err 6 3 .� � 17 z a .30 . ,f SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE �'// 76A663-CE806 12-65 QppLOCAMN FOR ELEC IrMC AL pGL3MIr 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 j NEAREST Ldtr,�i�1L FOR APPLICANT TO-FILL IN CROSS ST. RECEPT. TOTAL NO, EACH FEE O UTLETS FIRST 20 $.20 $ D OWNER �J�- /,/� �j�,�.S�Ycl ^j�,� c LIGHT �17� MAIL ADD'L 10 ADDRESS 46 1- VII/GS L1Jl�t.. ° SWITCH � I OVER 20 TOTALFIRST 20I .20 CITY L T EL. NO. LIGHTING 1 FIX URES FIXTURES Jr ADD'L OVER 2010 CONTRACTOR � RANGES /DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY TEL. NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA. APPL. 50 'LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT ©NO. GF UP ZONE PROCESSED BY O 1 - 1.00 1 3 1.50 INSPECTION RECORD CL 3 8 2.00 V 8 15 2.50 O F- 15 50 3.00 V W 50 100 5.00 n' h Z SIGNS: NO.TRANS NO.LAMPS SERVICE 0.60OV-Nor 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 UO SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE TOTAL FEE UNDERS LAB WORK I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES CO AND STATE OF CALIFORNIA OR TH I AM THE LEGAL O E OF, NO INTEND TO POWER RESIDE IN,THE AB E DESCRIBE RES I P PERTY. SIGNATURE UTILITY CO.NOTIFIE*SEPHC. OF PERMITTEE- - -� FINAL VALIDATION ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER LP,to 2 7 1 9 �D l 3 2 D 4.4 � WORKERS'COMPENSATION DECLARATION CE 806G (2-80) G�lPPUCA Il UOO UN FOR LSL EC U ���AL PUNT ' �151�SUG11� II 4I1 hereby affirm that 1 have a.certificate of consent to'self -COUNTY OF LOS ANGELE BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,'or u a certified copy thereof(Sec. 3800,Lab. C.) FOR APPLICANT TO FILL IN JOB Policy No. Company EACH NO. FEE ADDRESS � ax�'7 r��J New Residential Bldgs.&Pools Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ $ LOCALITY � Multi-family Sq. Ft. — CROSSSTNEAREST Certified copy,is filed with the county building inspection Residential Swimming Pools department. •. OWNER OR � FIRM NAMJ ZGt': Date Applicant Outlets: Rec. Light� Sw. ESQ S gDDRESS t V rY First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' t Total No. Additional" CIT - � Tel No. COMPENSATION INSURANCE PLA .CHE 0 (This section need not be completed if the,work involved APPLICAN Lighting Fixtures / First io U by the permit is for one hundred dollars ($"100) or less.) /I/ Additional ADDRESS . Cr 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 l 0 so as to become subject to the'Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT t1 P' Oven Dryer_W.M._ ADDRESS / to �'I- 17 ,4�/ � f .?�/ Top 7✓ '1�/ Z Date -Applicant CITY �y Tel No.` Hood _ Fan _Other_ " .S NOTICE TO,APPLICANT: If, after making this Certificate of Disp. Room Air Cond.= LICENSE R Exemption, you should become subject to the Workers' REG. NUMBER 46 Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCES ED BY with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or'.KVAR (� deemed revoked. - - ,Up to 1 dncl_ FINAL Over 1 to 10 Incl.. DATE �J LICENSED CONTRACTORS.DECLARATION Over 10 to 50.Incl. l Zs VALIDATION I hereby affirm that.l am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL BY 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 0 �t License Number Lic.Class -200 Amp.Under 600 V +- ?A S.. 201-.1000 Amp. Under 600 V , Contractor ate �� / /'"' FI Over 1000 Amp.or'Over 600 V HOME OWNER-BUILDER DECLARATION Temp. Power.Pole&Appurtenances I hereby affirm that I.am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section,7031.5, Busi- Additional'Sign Branch Circuits ness and Professions Code): Misc.Conduits&Conductors 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 z,3 10,5 A 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY # o 0.0'.0.o 2 Ihereby affirm that there is a construction lending-agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) 210 0 1 20 0 issued (Sec. 3097„Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) o o b•1•2 0.10 Lender's Address PERMIT ISSUING FEE 7 24;-8 0 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 the abo e-mentioned property for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Siinature'ot Permittee Date.