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Home My Public Portal About9832 DAINES DR_Electrical__ 76A663 OBS•SA 3.55 APPLICATION Y ION F®R ELECTRIC PERMIT , �. DIVISION OF BUILDING AND SAFETY Deportment of,County Engineer County of Los Angeles BUILDING 9�3 � .r WM.J. FOX, COUNTY ENGINEER' ADDRESS CASSATT D. GRIFFIN, SUP'T OF BUILDING , LOCALITY FOR APPLICANT TO FILL IN _ NEAREST PERMITFEES CROSS ST' NUMBER EACH - FEE - _LIGHT OUTLETS OWNER - f , RECEPTACLES MAIL ADDRESS Q i WALL SWITCH ES - - � / J TOTAL OUTLETS 5¢ $ CITY TEL NO C>D .J ELEC RANGES 25 ELECTRICI N ELEC HEATERS 25 i ADDRESS KW EA CITY TEL NO. FIXTURES 5 LICENSE NO.' NUMBER OF LIGHT CIRCUITS - - DISTRICT NO GROUP 7�.CANE READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS �j I rL ✓`�, MOTORS NUMBER HORSEPOWER :FEE INSPECTION RECORD NEW MVD HP OVER I INC I EACH Y2&LESS S 25 1/7 2 50 L�C� - 2 5 . 1 00 _ - 5 15 1 50 _ —'�'� ^r, 15 50 2 50 50 200 1 5 00 MISC. NO SIGNS _ NO.TRANS NO SIGNS NO LAMPS ' FOR EACH PERMIT' " WIRING $1.00• 42 11 FIXTURES $100 SUPPLEMENTARY 50 APPROVALS TOTAL FEE $ DATE - INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT ANDAGREE TO COMPLY WITH ALL' COUNTY- ORDINANCES AND STATE'LAWS, REGULATING WIRING ELECTRICAL WIRING. , I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF•'THE ABOVE POWER. DESCRIBED RESID TIAL PROPERTY. SIGNATURE UTILITY CO. NOTIFIED aa66 f OF PERMITTEE FINAL r WILLIAM J.FOX.COUNTY ENGINEER- VALIDATION A. C.VEIT,CHIEF ELECT. INSPECTOR L, '1 3 4 1 US DEC.3 0 2 125- -,la • � � r 76A663-CES06 8/63 APPLICATION FOR ELECTRI L PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER fADDRESS ILDING BUILDING AND SAFETY DIVISION JOHN A. LAMBIE,'COUNTY ENGINEER ^�` _ / T1WILLIAM A.JENSEN, SUPT OF BUILDING CALITY. / L L.t / I C/i'�AREST n^FOR APPLICANT TO FILL IN OSS ST. l3 �. FAl RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 ffi 20 $ OWNER � mak' T S / ,ME /F y LIGHT MAIL ADD'L f0 ADDRESS SWITCH. - OVER 20 �A��1 p / n S LIGHTING TOTAL F)RsT 20 ,20 CITY Al PI-E Cl TEL. NO. T 6"7 J FIXTURES ADD'L 1O ELECTRICIAN I OVFR ZO RANGES CLO DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP ,STA.COOK Cm , TEL.NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. I .APP.(y■H.P.MAX' .5O—!31 LICENSE NO. MOTORS. OVERT OVER H.P. DISTRICT NO GROUP Z N PR CE Y O 1 1.0o O 1 3 1.50 INSPECTION RECORD 3 a 2.00 d e 15 2.50 O 15 50 3.00 O 50 100 500 - V w SIGNS. NO.TRANS d NO.LAMPS - Z SERVICE 0.600V-Nor OVER 200A 1.00 SERVICE 0.600V-OVER 200 A. 2.00 SERVICE OVER 600V 3.00 MISC. // Z PERMIT 186UIN6 FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �a eLECTRICAL WIRING. WIRING "r� -f< 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR t rr- LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE f UTILITY CO.NOTIFIED OF PERMITTEE FINAL VALIDATI ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER Liao 7 2 9 8 µPR 6 2 D 1 .5 ON f76A663-CE806 8/63 APPLICATION OR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER fNEARE UILDING y BUILDING AND SAFETY DIVISION DDRESS 3 - r �S /C, JOHN A. LAMBIE, COUNTY ENGINEER -Al /1 /► p WILLIAM A. JENSEN, SUPT OF BUILDING OCALITY '-1 1��-E C 17 C�/1 STFOR APPLICANT TO FILL:IN • ROS$sT. � -Al —S 7' RECEPT TOTAL NO. EACH FEE OUTLETS FIRST 20 $20 $ OWNER ST F%/V M-E /I-` /F-1LIGHT MAIL ADD'L ADDRESS SWITCH OVER 20 .10 LIGHTING 1Ir TOTAL FIRST 20 .20 CITY EM` .0 �/ TEL. NO. 7-Pe FIXTURES 1ADD'L 1O ELECTRICIAN OV R 20 RANGES CLO.DRYERS WTR HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK - CITY TEL.NO. DISHWASH. AUTO.-WASH. SPACE HTRS STA.APP.(ys H.P.MAX.) .50 LICENSE NO MOTORS: OVER NOT OVER HP. DIS ICT�NO. GRQI. rj'NE ESSED BY O 1 1.00 1 3 1.so , INSPECTION RECO 1.5 �g ! 3 a 2.00 O P ��!+'/� , a 1s 2.50, L) 18 so 300CIA ' CC 50 foo 5.00 NO.TRANS SIGNS, NO.MPS 6'�1: \�[?) � .� .A & 4.ek Z T4s P — SERVICE o-600V-NOTOVER 200A 1.00 ^ 4i# _,." �y SERVICE 0.600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2 00 SUPPLEMENTARY PERMIT ISSUING FEE 1 00 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATItNAPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATI ' ELECTRICAL WIRING.1 HEREBY CERTIFY THAT, i AM PROPERLY REGISTERED AND/LICENSED A8 REQUIRED BY LOS ANGELES COUNTY AND STATE ES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABODESCRIBED RESIDENTIAL PROPERTY.SIGNATURE OF PERMITTEE , .0CO.NOTIFIED FINAL VALIDATIQAI-1 ARTHUR C.'VEIT ELECTRICAL ' CK MO 'l/C�ABH� SUPERVISING ELECTRICAL ENGINEER a L7 2 5 6:a APR 2 2 D 7.00 W(ORKERS'COMPENSATIONDECLARATION 76A663 APPLICATION FOR ELECTRICAL. PERMIT j here � CE-806G (2-80)y affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec 3800,Lab C) FILL AB Policy No Company FOR APPLICANT TO EACH N NO FEE ADDRESS a New Residential Bldgs &Pools � O /��S ❑ Certified copy is hereby furnished 1 &2-Family,Sq Ft $ — $ LOCALITY Multi-family Sq Ft — NEAREST. rte' ❑ Certified copy is filed,with the county building inspection Residential Swimming Pools CROSS ST 4 ,0 $ department OWNER OR FIRM NAME `Z Date Applicant Outlets Rec_Light SMAIL w ADDRESS y First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY,� Tel No 70 } COMPENSATION INSURANCE PLAN CHECK, d (This section need not be completed if the work involved APPLICANT O " ' Lighting Fixtures First 20 ADDRESS by the permit is for one hundred dollars'($100) or less.) Additional = Total No O 1 certify that in the performance of the work for which thisCITY Tel No U Fixed Appliances Not Over 1 HP permit is issued, I shall not em Joy any p son in any manner PERMIT, LU so as to become subject tot a orkers' om ensatron La Range_ Heater_D W APPLICANT d /�• (j�� Oven Dryer_W MADDRESS Date /J't/QApplicant Top FAU _W H. Z Hood Fan .—Other CITY Tel No NOTICE TO APPLICAN f, after making this'Certificate of Disp _ Room Air Cond.— LICENSE OR ' Exemption, you shout become subject to the Workers' REG NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO PROLE SEDGY with comply with such provisions or this permit shall be Size&Type HP, KW, KVA,or KVAR deemed revoked Up to 1 Incl l0 / Over 1 to 10 Incl FDATEINAL // LICENSED CONTRACTORS DECLARATION Over 10 to 50 Iricl VALIDATION I hereby affirm that I am Incensed 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 m,full force and effect Services License Number Lac Class 0-200 Amp Under 600 V �� 201-1000 Amp Under 600 V Contractor 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 License Law for the following reason (Section 7031 5, Busi- nessand Professions Code) Misc.Conduits& Conductors I, as owner of the property, will do the work andthe Other (See Complete Fee Schedule)— 9 1 7 4,7A structure is not intended or offered for sale (Section 7044, Business and Professions Code) 0 0 0 0 0 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 2 0 0 1 4,5,0 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) 10,0 0 1 4,5 0 c� Lender's AddressPERMIT ISSUING FEE I 0 a 1 �5_8 O 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 anVre ate'laws regul •ng Electrical wiring, and h authopresentatwes thisCountyto enter upon td proper inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date