The URL can be used to link to this page

Home My Public Portal About9707 DAINES DR_Electrical__ 76A883-CESOB-6-57 APPLICATION FOR ELECTRIC PE,RMITi - 1� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D GRIFFIN,SUPT OF BUILDING LOCALI NEAREST FOR APPLICANT TO FILL IN CROSS ST PERNIIT FEES OWNER - C LIGHTS RECEPTACLES SWITCHES NUMSERI I T E M EACH FEE MAIL TOTAL OUTLETS $ 10 ADDRESS$ U ELEC RANGES, WATER HEATERS, CITY TEL NO CLOTHES DRYERS 50 ELECTRICIAN ELEC SPACE HEATERS, STAT Y COOK- ING UNITS GARBAGE DISPOSERS, ADDRESS S AUTO WASHERS, DISHWASHER 25 D LIGHTING FIXTURES 10 CITY TEL NO d STATE /%3�7 MOTORS LICENSE NO (p !/ HORSEPOWER H P. OVER INC DISTRICT NSC GROUP ZION READY FOR INSPECTION Vy 3 LESS 25 J Z A - 1/2 - 2 50 INSPECTION RECORD 2 5 100 5 — 18 1 50 15 — 50 250 SO' 200 500 MISC SIGNS1. NO TRANS NO LAMPS SERVICE O-600V 100 SERVICE OVER 600V 5 00 WIRING PERMIT I 100 0-0 FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT SO APPROVALS TOTAL FEE S dQ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A P ICATION 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 �7 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES r LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 THE�I.EGA WNER OF THE ABOVE POWER DESCRIBED RESM PERT SIGNATURE ff UTILITY CO NOTIFIED OF PERMITTE // FINAL JOHN A.LAMBIE, ` ATION ARTHUR C.VEIT, COUNTY ENGINEER - �cK Mo CASH SUPERVISING ELECTRICAL ENGINEER 02344 OCT 1 2 11 .00 - WORKERS'COMPENSATION DECLARATION 76A663 1081 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-1806G - msu�e, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lab C ) Policy No Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS ❑ Certified copy is filed with the county building inspec- 1 & 2-Family, Ft S q- — LOCALITY , $ — $ ' tion department Multi-family Sq Ft NEAREST Residential Swimming Pools CROSS ST �C- Date Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets RecLight�Sw MAIL COMPENSATION INSURANCE First 20 ADDRESS (This section need not be completed if the work involved by Total No CITY Tel No d the permit is for one hundred dollars ($100)or less.) Additional /� I certify that in the performance of the work for which this PLAN PLICANTK ' permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation La7v, Lighting Fixtures First 20 ADDRESS Additional + Total No CITY Tel No Date Applicant �� Fixed Appliances Not Over 1 HP PERMIT NOTICE TO AP LICANT If, after making this Certific of APPLICANT l Exemption, you should become subject to the Workers' Range_ Heater_D W j AX Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — W M — ADDRES with comply with such provisions or ,this permit shall be Top _ FAU —W H deemed revoked Hood Fan _ Other_ CITY Tel No 7 LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 ' Disp — Room Air Cond REG NUMBER C Class (commencing with Section 7000) of Division 3 of the Business DISTRICT NO PR D BY and Professions Code,and m license is in full force peffect Power Apparatus& Large Appliances .. !� y Size & Type HP, KW, KVA, or KVAR 06Q License Number, Lc Class Up to 1 Incl FINAL V Over 1 to 10 Incl DATE VALIDATION Q Contractor Date Over 10 to 50 Incl FINAV ~ I am exempt under Sec Over 50 to 100 Inc BY W B&P C for this reason Over 100 J tail Services, Swbd , MCC& Panelboards Z Drate 0 - 200 Amp Under 600 V Signature 1 J, 201 - 1000 Amp Under 600-V ❑ Over 1000 Amp or Over 600 V Exemption for Reg Mai t lett SINGLE FAMILY Temp Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031 5, Business and Professions Code) i ❑ ,I, 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)— , 7044, Business and Professions Code) 6 0 1 A CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for # 0 0 0 0 0 7 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) - - - (Sec 3097, Civ C ) PLAN CHECKING FEE- ( 0 0 1 5.75 Lender's Name J o 0 0 1 5 7 5 c=.) PERMIT ISSUING FEE _ Q v r Lender's Address 1 1,L 6 8 6 ` 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 jaws regulating Electrical'wiring, and hereby authorize representatives of this County to enter upon thea ve- ntioned property r inspection urposes SEE REVERSE FOR EXPLANATORY LANGUAGE Si nature of Per ittee Date