HomeMy Public PortalAbout9808 DAINES DR_Electrical__ J
COUNTY ,OF LOS ANGELES1 APPLICATION FOR PERMIT
Department of County Engineer AclJ
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer ELECTRIC 1
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN eA_ AcMl-,
CEIVED BY READY FOR DATE ISSUED
ADORE58 5 MTW ' ,411�y�, FIRST INSPECTION D
CITY ® TEL NO pa 1.21Q
W,)�,!
COUNTY LICENSE NO, `� EXPIRES 7 -eq BUILDING �
PERMIT FEES ADDRESS _il_g6_!!1
FEE Z �� 9..�. !) _
NUMBER EACH LOCALITY i
LIGHT OUTLETS NEAREST /�° II
CRO— SS—ST. �l TiC��E .°8�. �fi\
RECEPTACLES
WALL SWITCHES OWNER !� r---,
TOTAL OUTLETS Sc MAIL
ELEC. RANGES }� 25' ADDRESS
ELEC. HEATERS (/ 25
CITY TEL NO.
FIXTUR s
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC _ c-.10 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS A AND STATE LAWS REGULATING ELECTRICAL WIRING.
14DTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MvD. HP DYER INC. FADH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
& LESB $ .25 SIGNATURE OF
I/ 2 .50 PERMITTEE
2 s 1.00 INSPECTION RECORD
5 1s 1.50
15 50 2.50
s0 200 5.00
200 500 10.00 J
500 1000 15.00 - Z
OVER 1000 2000 to
M.G. SET/FREQ. CHANGER-HP Q
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA '
TEMP. MOTORS (75% OF DRIB.)
MOVED MOTORS (75% OF DRIB)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO NO. LAMPS
FOR EACH PERMIT: DATE INSPEC OR'S NAME
WIRING 51.00 0 400 CONDUIT _
FIXTURES $1.00, a Q WIRINGDS�fif�%�Ld•'�f•'Ir-�•..-.---
SUPPLEMENTARY ,50 FIXTURES
POWER
TOTAL FEE UTILITY CD.NOTIFIED
FINAL �-
76A663 DBS#5A 2-53
DBS
DEPARTMENT OF BUILDING AND SAFETY • APPLICATION FOR PERMIT DING
.,COUNTY OF LOS ANGELES ELECTRIC
• WM X CHIEF ENGINEER
ZL DISTRICT NO. GROUP ZONE PERMIT NO.
Q NAME
U ADDRESS < "
CITY AN y RECEIVED BY FIRST INSPECTION READY FOR DATE ISSUED
.J COUNTY
W CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OU'T'LINED PORTION ONLY
D.
DESCRIPTION OF WORADDRESS ° A � X IT/ 0,---) �1
NUMBER OF OUTLETS ON CIRCUITS LOCALITY r 1 ..(JI'I'T/���I�. L_.4��' �i�f
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS SW PLUGS FIXT CROSS ST.
CIRCUIT A B C D E F G H w NAME _✓l �dil f'�( �l A �d r
c Z MAIL
ADDRESS
CITY a TEL.NO. M
r 1 AM THE LEGAL POSSESSOR OF tHE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
•_�
OWNER.
CORRECTIONS
J
Q
Z
O
O
TOTAL
NO. OF OUTLETS 3 $ APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO OF MOTORS H P. $ CONDUIT
NO OF SIGNS TRANS $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER '
PERMIT FEE $i r UTILITY CO NOTIFIED 3—
TOTAL FEE FINAL
76A663-CE806 I1/70 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF COS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 6y goty
BUILDING AND SAFETY DIVISION ADDRESS
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH I FEES
$ $ OWNER02.
1
RECEPT MAIL r,
�--
LIGHT TO FAL FIRST 20 25ADDRESS,
�7 �) OVER 20 CITY ^' TEL NO II
SWITCH "�/ IO PLAN CHECK
TOTAL ��O
LIGHTING FIRST 20 2g
ANT
FIXTURES VER 20 10 ADDRESS ilul 4 ..r •>�+
APPLIANCES CITY jai L TEL NO -
PERMIT
RANGE DRYER_WTR HTR - APPLICANT t I�( �•
STA COOK DISP F A UADDRESS !
SPACE HTR AIR COND CITY Z>bTEL NO
CLOTHES WASH DISHWASH LICENSE NO CLASS
FAN OTHER 100I 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
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 - 10 300 RESIDE IN, THE ABOVE D IBED RESIDENTIAL PROPERTY LL
Q
10 - 50 500 SIGNATURE / V
OF
i GC
50 - 100 1000 DISTRICT N CLASS ZO PRO Y Q
-100 - 500 1500
CL
SIGN, GAS SIGN AND ONE CIRCUIT 500 NOTES N
?
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CE NOT OVER 600 VOLTS OR 200 AMP 300
APPROVALS DATE- INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 1000
TEMP POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONDIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO NOTIFIED
PLAN CHECK FEE
PERMIT ISSUING FEE 300 FINAL
_
JOSEPH C. ROOFJAN
TOTAL FEE SUPERVISING ECTRIC �EGINEER
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATIONcK CASH
L'lLo
4"3 6'64" 'FEB 10 2 0 5.5 0 1�1
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
y
76A663'CE1106 ,,,,7D APPLICATIONS ECTRTOAC•PERMIT''•
-COUNT
Y OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING,
BUILDING AND SAFETY DIVISION =
A,
BUILDING _
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING NEARESTLOCALITY LI
FOR APPLICANT TO FILL%IN CROA ST
RE
SS ST ��-/ ,
(7 �J+ C7 �S IY "�
NO EACH FEE
O
UTLETS 1 OWNER, jj
C�
fly $ $ MAIL
FIRST 20 ' ADDRESS
TOTAL n 25� (7 o
f( aQ CITY H '>'��' '� I��' TEL N13",94—
SWITCH
O -J�
!• 1-'y OVER 20 10 PLAN CHECK
�} FIRST 20 25 APPLICANT,
TOTAL
„'{ ADDRESS
_ OVER 20 10 /
APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER WTR HTR APPLICANT
STA COOK DISP F A U ADDRESS, 1 �, 7
SPACE HTR AIR COND CITY TEL 'NO _67 r
CLOTHES WASH DISHWASH LICENSE NO I o2-0 CLASS
' FAN OTHER l 1001 /HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE,ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING I l WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS, ETC HP KW KVA , ELECTRICAL WIRING ,
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
0 - 1 100 1 LICENSED A5 REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 300 RESIDE IN, THE ABOVE DESCRIED RESIDENTIAL PROPERTY O
10 - 50 500 SIGNATURE V
OF PER
DS
50 - 100 1000 DISTRICTN ASS ZONE PROCESSED BY O
100 - 500 '1500 �� Ilk., d
SIGN, GAS SIGN AND ONE CIRCUIT 500 NOTES ,� "?I t Z
TUBE, OR -
MARQUEE ADDITIONAL CIRCUITS 100
S ERVI CE NOT OVER 600 VOLTS OR 200 AMP 300 a ac
APPROVALS DATE INSPECTO
S ERVI CE OVER 600 VOLTS OR 200 AM P 1000
TEMP POWER POLE
TEMPSERVICE,POLE, &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHOR]ZED
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTIFIED
PLAN CHECK FEE /
S
PERMIT ISSUING FEE 300 �,+j FINAL /
JOSEP C. ROOHAN
TOTAL FEE ,y� SUPERVISING EnAL ENGINEER,
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK` M 0 CASH
luL 9 2 7,25- C'
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE w /
78A8B9-CE80812.58 APPLICATION FOR ELECTRIC PERMIT �.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ca/�
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE.COUNTY ENGINEER �P� G/7'
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY f
FOR APPLICANT TO FIL`L IN CROSS ST V OJ-'a C~ W&S 7—
PERNIIT FEES
OWNER Al T
ITEM NUMBERI EACH FEE I
OUTLETS $ $ MAIL
LIGHTS RECEPT SW. 10 ADDRESS
LIGHTING FIXTURES 10 CITY TEL O '
ELEC RANGESY CLO DRYERS ELECTRICIAN
WATER HEATERS 50
ELEC SPACE HTRS DISHWASHERS
CI TEL No6t?
GARBAGE DISPOSERS AUTO-
STATE / IJ q(�(O/ l../`_`Q
WASHERS STA COOKING UNITS 25 LICENSE NO
MOTORS OVER INC H P DISTRICT NO i GR.QUP
'M P Aft5ESSED BY
0— I/2 25
1/2— 2 50 INSPECTION RECORD
2— 5 100
5— 15 150
is— 50 2 50
50—200 500
SIGNS: NO TRANS
NO LAMPS
SERVICE 0-600V 1 00
SERVICE OVER 600V Boo
MISC
WIRING PERMIT 1 00
FIXTURE PERMIT 1 00
SUPPLEMENTARY PERMIT 50
TOTAL FEE s APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR S SIGNATURE
D
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE,LAWS REGULATING
ELECTRICAL WIRING dV v�
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQU ED BY LOS ANGEL S C NT AND STATE OF FIXTURES
CALIFORNIA OR HA I M THE LE N OF THE ABOVE
DESCRIBED RE DENTI PRO ERTY POWER
SIGNATURE UTILITY CO NOTIFIED Asi Q
OF PERMIT
FINAL
®' DATION SUR ERVISING ELE TRICAL ENGINEER '
' CK MO CASH
LAC07402 0 M g 2 A 2.50 �
1
WORKERS'COMPENSATION DECLARATION
CE-806G (2-801 APPLICATION FOR ELECTRICAL PERMIT
' CE-806
I hereby affirm that I have a certificate of consent to self { COUNTY OF LOS ANGELES AN6 SAFETY'
insure, or a certificate of Workers'Compensation Insurance,or ('
a certified copy thereof(Sec 3800,Lab C)
FOR APPLICANT TO FILL IN JOB r
Policy No Company EACH NO F ADDRESS
ElCertified
Residential Bldgs &Pools
Certified copy is hereby furnished 1 &2-Family,Sq Ft $ — $ LOCALITY �? �'
Ci
OMulti-family Sq Ft — NEAREST
Certified copy is filed with the county building inspection CROSS ST
department) Residential Swimming Pools OWNER OR y �]','t f�
4 FIRM NAME A 1d1f dAC_ J0AAt
Date Applicant Outlets Rec LLightSw� MAIL
First 20 ADDRESS DA E O
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITYLQ/" 1p C r Tel No ��
COMPENSATION INSURANCE PLAN CHECK d
APPLICANT O
(This section need not be completed if the work involved _�� V
by the, permit is for one hundred, dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS
Total No' Additional 0
1 certify that in the performance of the work for which this Fixed Appliances Over 1 HP CITY Tel No F
permit is issued, I shall not employ any person in any manner PERMIT )��A V
so as to become subject to`the Workers' Compensation Laws Range_ Heater_D W APPLICANT, 4�V�W d
Oven _ Dryer_W M ADDRESS 03
Z
Date Applicant 'Top _ FAU,_W H'
Hood Fan _Other_ CITY Tel No
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 NO PRO ESS D BY
with comply with such provisions or this permit shall be
deemed revoked Size&Type HP,KW, KVA,or KVAR
Up to 1 Incl
Over 1 to 10 Incl FINAL
LICENSED CONTRACTORS DECLARATION DATE �ZO �3 VALIDATION
Over 10 to 50 Incl
I hereby affirm that I 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 SeCVO
- `
0 Amp Under 600License Number Lic Class 2mp n er 600 V
Contractor Date Over 1000 Amp or Over 600 V
HOME OWNER-BUILDER DECLARATION Temp Power Pole&Appurtenances 0 3 1!,4 A
Sign with One Branch Circuit,
I hereby affirm that I am exempt from the Contractor's Additional Sign Branch Circuits
License aw for the following reason (Section 7031 5, Bust- „
ness d Professions Code)
Mist; Conduits&Conductors - 2 ° - 30.5 0
el,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
7044, Business and Professions Code)
CONSTRUCTION LENDING AGENCY 0 7, 1 5-8 1
A hereby affirm that there is a construction lending agency �
for the performance of the work for which this permit 'is PERMIT FEE (Sub-Total)
issued (Sec 3097,Civ C)
Lender's Name PLAN CHECKING FEE (One-Fourth,Permit Fee)
Lender's Address PERMIT ISSUING FEE
I certify that I have read this application and state that the TOTAL FEE L�D
above information is correct I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and ,
hereby autho ze representativ of this'County to enter upon
yoned p pert r inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE
L Z
Signature of 4rttee Lo, V-5-fe