The URL can be used to link to this page

Home My Public Portal About9702 DAINES DR_Electrical__ 76A663-CE606 9-64 APPLICATION FOR CAELECTRIL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING D BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS, SUPT OF BUILDING LOCALITY /J7� NEAREST FOR APPLICANT TO FILL IN CROSS ST FDISHWASH TOTAL NO EACH FEE f OUT//LETS FIRST 20 $ 20 $ OWNER 4 MAIL ADD'L 10 ADDRESS OVER 2O TOTAL CITY TE G FIRST 20i 20 Q ES ' _ I AOD'L 10 ELECTRICIA I OVER 2O CLO DRYERS WTR HTRS 1100 ADDRESS gg STA COOK 1D CITY AUTO-WASH _ STAS STA APP (%H P MAX ) 50 LICENSE NO MOTORS OVER NOT OVER HP' DISTRICT NCI. GROUP NE P ESS�/ED�.�/BY�/ 0 1 ' 100 C� 1 3 15o INSPECTION RECORD >- 3 8 200 d O 8 15 250 V IS 50 300 Dg 50 100 5 00 O V SIGNS NO TRANS d NO LAMPS H Z SERVICE 0.60OV-NOT OVER 200A 100 SERVICE 0.60OV-OVER 200 A 200 SERVICE OVER 600V 500 MISC PERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING FEE 100 TOTAL FEE i go 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'$SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT / A J WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING J ELECTRICAL WIRING WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGEkUTY AND STATE OF CALIFORNIAORTH I AM TH LEGALF, AND INTEND TO C Vo RESIDE IN, THE AB D C D RESTROPERTY POWER SIGNATURE UTILITY CO NOTIFIED w OF PERMITTE FINAL VALIDATIH JOSEPH C 'ROOHAN CK MO (CASUPERVISING ELECTRICAL ENGINEER ; ; �� 4 1 0 3-0 Jut 29 2 D 55.90- r 76A683_CESOB-e_57 APPLICATION FOR ELECTRIC PERMIT, 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �.I, y41 BUILDING AND SAFETY DMSION ADDRESS CJ- � JOHN A.LAMBIE,COUNTY ENGINEER 4' CASSATT D GRIFFIN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSSST PERMT FEES OWNER LIGHTS RECEPTACLES SWITCHES NUMBER MAIL I T E M EACH FEE MAIL TOTAL OUTLETS $ 10 $ - ELEC RANGES, WATER HEATERS, CITYTEL NO CLOTHES DRYERS SO ELECTRICIAN ELEC SPACE HEATERS, STAT Y COOK //J {_. ING UNITS GARBAGE DISPOSERS, ADDRESS //d f� �} AUTO WASHERS, DISHWASHER 25 LIGHTING FIXTURES 10 - CITY/, TEL NOCK S�S�� STATE MOTORS LICENSE NO n G/ HORSEPOWER H P OVER INC DISTRICT NO. GROUPI ZON READY FOR INSPECTION y B:LESS 28 - /Y- +/2 2 50 INSPECTION RECORD 2 - 5 100 8 — 15 1 50 18 — 50 250 50 200 500 MISC SIGNS NO TRANS NO LAMPS \ SERVICE O-600V 100 SERVICE OVER 600V 500 WIRING PERMIT 100 FIXTURE PERMIT too SUPPLEMENTARY PERMIT 50 APPROVALS TOTAL FEE $ / DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A P KATION ,{ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT 6 /I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I THE LEGA NER OF THE ABOVE POWER A DESCRIBED R SI OPERT // SIGNATURE UTILITY CO NOTIFIED OF PERMITTE FINAL JOHN A LAMBIE. VALIDATION ARTHUR C VEIT. COUNTY ENGINEER GK MO CASH SUPERVISING ELECTRICAL ENGINEER , LACO 3 1 1 9 -OCT 8 2 1 1.0 0 M C ' 4- 0 f �� IL cl '6 A 663=1806,10/72 APPLICATION OELECTRICAL P RMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESSBUILDING AND SAFETY DIVISION LOCALITY r - r NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLETS , NO EA71 CH FEE OWNER OR FIRM NAME rj RECEPT _ S S ADDRESS LIGHMAIL T TOTAL FIRST 20 25 ' CITY (. TEL NO SWITCH OVER 20 i0 PLAN CH LIGHTING TOTAL FI RST+201 25 APPLICANT FIXTURES OVER 20 tp . ADDRESS RESIDENTIAL APPLIANCES CITY TEL ND i f PERM IT T RANGE DRYEPWTR HTR APPLICANT STA COOK DISP F A U1t I ADDRESS oq SPACE HTR AIR CONDCI TYTTEL NO i , ^ ' CLOTHES WASH DISHWASH LICENSE OR_ CLASS REG NUMBER FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ'THIS,APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING ` i WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS, ETC HP KW KVA i� ELECTRICAL WIRING SIZE & TYPE OVER TO I HEREBY,CERTIFY THAT IMAM PROPERLY REGISTERED AND/OR '0 --1 Ipp LICENSED AS REQUIRE[) BY LOS ANGELES COUNTY,AND STATE OF A CALIFORNIA OR THAI- I AM THE LEGAL OWNER OF THE ABOVE 3'a 1 - 10 300 DES FRIPED RESIDENTIAL PROPERTY O 10 - 50 500 , PERMITEE INA SIGNATURE l/L 1 w 50 - 100 1000 DISTRICT NO SED BY W ' 1 00 - 500 1500 - N Z SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS/ DATE INSP�OTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE , SERVICENOTOVER600VOLTSOR200AMP l r 300 UNDERSLAB WORK SERJICEOVER 600VOLTS OR200AMP,1 1000 ROUGH CONDUIT TEMP SERVICE, POLE, &APPURTENANCES 500 WIRING _ TEMP"LIGHT OR RECEPT' SYSTEM 300 ` FIXTURES ` POWER AUTHORIZED I. 1�' UTILI`TY CO NOTIFIED i FINAL PERMIT FEE (SUB TOTAL) p NOTES PLAN CHECK FEE ' PERMIT ISSUING FEE 3'00 3 TOTAL"FEE -19 o o+ rl. , �-1IT PLAN-CHECK VALIDATION CK M Q CASH PERMIT VALIDATION# M 0 CASH 4 0 5r--NAY 28 2 9'.0 0_Ae6' ,SEE BACK OF APPLICATION FOR COMPLETE'SCHEDULE WORKERS'COMPENSATION DECLARA CE 8t APPLICATION FOR ELECTRICAL PERMIT C E 8' I 2 I hereby affirm that I have a certificate of consent to self ^ COUNTY OF LOS ANGELES r—^ BUILDING AND SAFETY u insure, or a certificate of Workers'Compensation In ranee,or ti I a certified copy thereof(Sec 3800,Lab C) FOR APPLICANT TO FILL IN JOB Policy No Company EACH NO FEE ADDRESS E] New Residential Bldgs &Pools Certified copy is hereby furnished 1 &2-Family,Sq Ft $ $ LOCALITY Multifamily Sq Ft — NEAREST 19 Certified`co _ py is filed wit a cou y b i g inspection Residential Swimming Pools CROSS ST department OWNER OR h� FSE / ML Date �l4 Applic Outlets Re6Light�Sv _ (� ADDRESS First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No UL7 Additional CITY-'� Tel No COMPENSATION INSURANCE a AN CHECK 0 (This section need not be completed if the work involved P PPLICANT U ti Addio by the permit is for one hundred dollars ($100) or less.) Lighting Fixtur First Additional 1 ADDRESS cr_ Total No 0 I certify that in the performance of the work for which thisF Fixed Appliances Not Over 1 HP CITY Tel No permit is issued, I shall not employ any person in any manner PERMIT -so as'to become subject to the Workers' Compensation Laws, Range_ Heater_D W APPLICANT aW i I IOven _ Dryer_W M ADDRESS � +' � ff Date Applicant Top _ FAU _W H �w Z Hood _ Fan _Other_ CITY Tel N 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 NOPROCE ED BY with comply with such provisions or this permit shall be deemed revoked Size&Type HP, KW, KVA,or KVAR �� U Up to 1 Incl Over 1 to 10 Incl DATE LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl 7; LICENSED I I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FNA F BY 9 (commencing with Section 7000) of Division 3 of the Busi Over 100 ness and Professi' License Nu onnss,Code,�a�nd my license is in full force and effect 1 Services (ti?j- 0-200 Amp Under 600 V r Lic bass 201-1000 Amp Under 600 V Contra Date 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 additional Sign Branch Circuits License Law for the following reason (Section 7031 5, Busi- 4 1 7 A ness and Professions Code) Misc Conduits& Conductors # o o o o o 2 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 2 - 2295 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY ' o o'0 2 2 O =c I hereby affirm that there is a construction lending agency i for the performance of the work for which this permit is PERMIT FEE (Sub-Total) 0 9, 1 2-84 issued (Sec 3097,Civ C) Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 1 Lender's Address PERMIT ISSUING FEE, (� J Icer y t I have read this application and state that the TOTAL FEE �a ,Me is correct I agree to comply with all County 111 ate laws regulating Electrical wiring, and — sentatives of this County to enter upon operty for inspection purrposes SEE REVERSE FOR EXPLANATORY LANGUAGE Cy mittee Date