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HomeMy Public PortalAbout9909 DAINES DR_Electrical__ 76A663-CE806 1 1-71 APPLICATION-FOR ELECTRICAL PERMIT LJ GtOUNTY OF LOS ANGELES DEPARTMENT BU L NG AND SAFETY DIV DIVISION BUILDING ((%+t k, ADDRESS (� I LOCALITY olry NEARE FOR APPLICANT TO FILL IN CROSSSST. / a OUTLETS NO EACH FEE OWNER p, D,r RECEPT.T $ $ MAIL ��. LIGHT TOTAL FIRST 20 25 ADDRESS J /V r J 194 CITY fFTEL NO. —� �� SWITCH1_ OVER 20 �� 10 PLAN CHECK FIRST 20 25 APPLICANT LIGHTING TOTAL FIXTURES OVER 20 f0 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER WTR. HTR. APPLICANT STA COOK DISP. F.A U ADDRESS SPACE HTR, AIR COND CITY TEL NO. CLOTHES WASH DISHWASH LICENSE NO CLASS. 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 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 RE0U IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO Q 1 — 1O 300 RESIDE IN, THE ABOVE DESCRIBED RESIDE NTI PROPERTY V 10 — 50 500 SIGNATURE OC OF PERMITTEEO 50 - 100 1000 ri DISTRICT NO CLASS ZONE PROCESSED BY W 100 - 500 1500 '.57 a c© —� c Z SIGN A SIGN, GAS AND ONE CIRCUIT 500 NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 SERVICENOTOVER600VOLTS OR200AMP 3 D APPROVALS DATE INSPECTOR'S SIGNATURE SERVICE 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 POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 0.1 31 TOTAL FEE PLAN CHECK VALIDATION CK M 0 CASH PERMIT VinALIDAtION CK M 0 CASH i n [_itL,o n 3 a o JAN 2 2 4.00- SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - 7CAee3-CE80610-61 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS C/ K3C/l JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. I T E M NO. EACH FEE OUTLETS (FIRST 20) $20 $ OWNER LIGHTS RECEPT. SW. MAIL O OUTLETS. (ADD'L UNITS) —10 ADDRESS LIGHTS RECEPT SW. LIGHTING FIXTURES (FIRST 20) 20 CITY1 TEL NO. LIGHTING FIXTURES. (ADDITIONAL) .10 ELECTR IAN RANGE CLO DRYERS WTR HTRS. 1.00 ADDRESS D ` GARB DISP. STA.COOK CITYTEL.NO. fa J J DISHWASH• AUTO.-WASH. STATE D SPACE HTRS. STA.APP.(yn H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H . DISTRICT NO. GROUPEDE P ESSBY O 1 1.00 . 3 1.50 INSPECTION RECORD 3 B 2.00" 8 15 2.50 ` - 4 _ u 15 50 300 0 50 100 Soo C SIGNS: NO TRANS H NO LAMPS Z SERVICE 0.600V-NOT OVER 200A 1.00 SERVICE 0-60OV-OVER 200 A. 2.00 SERVICE OVER 600V 500 MISC PERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING FEE 1100 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT I 1 "yWITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNY AND STATE OF FIXTURES - CALIFORNIA OR THAT I AM THE LEGAL OW R OF THE ABOVE DESCRIBED RESI IA P PERTY. POWER // SIGNATURE UTILITY CO.NOTIFIED / //-- �y�,y�. y OF PERMITTE FINAL GJI(Oa- /�l'is�,d�/✓ LIDATION ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER LAE61'7 3 0Q .m17 2 A 4.00- , - - Q / • 76A663 CES06 4.65 APPLICATION FOR ELECTRICAL PER COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPTACLE1 TOTAL NO, EACH FEE H 'JOU JIS OUTLETS FIRST 20 $.20 $ OWNER I—IJ� VG�� LIGHT MAIL �+�� ` Y SWITCH ADD'L 10 ADDRESS �LJJ OVER 20 _W T TOTAL FIRST 20 .20 CITY SG CI I TEL NO. LIGHTING 1-. FIXTURESFIXTURES ADD'L 1O CONTRACTOR OVER 20 RANGES CLO DRYERS WTR HTR9 1.00 ADDRESS GARB DISP. STA COOK CITY p � EL. NO. DISHWASH AUTO-WASH. STATE SPACE HTRS STA.APP ('/.H P.MAX.) ,50 LICENSE NO �I (l�i'MA MOTORS OVER NOT OVER H P. DISTRICT.,N G RtU PVEORD P E D O 1 1.00 � 1 3 ISO V INSPECTIO 3 a 2.00 e 15 2.50 15 50 300 O 50 f 00 5.00 V OG SIGNS NO.TRANS 0 NO.LAMPS SERVICE 0.60OV-NoT OVER 200A 100 2 IV) SERVICE 0.600V-OVER 200 A. 2.00 Z SERVICE OVER 600V 500 OTHER (SEE COMPLETE FEE SCHEDULE) r PERMIT ISSUING FEE 200 SUPPLEMENTAgY PERMIT ISSUING FEE 100 a TOTAL FEE DATE INSPECTOR'S SIGNATURE 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UND RSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 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, AND INTEND.,TO POWER RESIDE IN,THE ABOVE SCRI RESIDEN IAL PROPERTY e SIGNATURE 1 UTILITY CO.NOTIFIED OF PERMITTEE FINAL (DATION JOSEPH C. ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER LAW 1 .8 ,� d-0 MAY 9 . 2 D 2.50~ v i' 76A663 CES06 4-65 APPLICATION FOR ELECTRI�L IT � COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 9U 17 JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT of BUILDING LOCALITY rc CIT NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPTACLE, TOTAL NO. EACH FEE LIGHT Jly OUTLETS FIRST 20 $•20 $ •Z� OWNER S�C MAIL `, SWITCH OVER 20 .10 ADDRESS 990 � A N �' TOTAL -T TEL. NO. AT 8 LIGHTING 1 FIXTURES FIRST 20 •20 CITY -T FIXTURE6 J( ADD'L1O CONTRACTOR e, OVER 20 RANGES CLO DRYERS ,WTR HTRS 1.00 ADDRESS 'V 9Z GARB DISP. STA COOK ' CITY T- TEL. DISHWASH. AUTO-WASH "STATE SPACE HTRS STA.APP (y¢H.P.MAX ) .50 LICENSE NO I MOTORS OVER _ NOT OVER HP 'DISTF QT N GROUP :PE PR C Y O 1 1 00 1 3 150 INSPECTION RECORD 3 8 200 8 15 2.50 15 SO 3 00 77, �f� 4yo- �40 V_ 50 100 5.00 �•/ t OC SIGNS ' NO.TRANS O NO.LAMPS SERVICE 0.60OV-NOT OVER 200A 1.00 a N_ SERVICE 0.60OV-OVER 200 A. 2.00 Z SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) t , PERMIT ISSUING FEE 200 CTU SUPPLEMENTARY PERMIT ISSUING FEE 1 00 'TOTAL FEE $ APPROVALS DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED A /OR FIXTURES r ^' LICENSED AS RE OU IRED BY LOS ANGELES COUNTY AND STA OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEN TO POWER RESIDE IN,THE ABOVE DESCRIBED(RESTp4\\ENTIAL PROPERTY SIGNATURE w _ UTILITY CO.NOTIFIED OF PERMITTEE FINAL (DATION jos SI SUPERR VISINGG C. ROOHAN MO CASH ELECTRICAL ENGINEER_ CK LI'i�o1 643- APR29 2' D 220- k, WORKERS'COMPENSATION DECLARATION ' 76-663 10%81 CE-Bose F1 /"tt A PPLIC TION.EOR ELECTRICAL PERMIT - I.hereby affirm that I have a certificate of consent to ~it insured 'ia certificate of Workers' Compensation Insurance, or,a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec 3800,Lab C) " Policy N Company FOR APPLICANT,.TO FILL IN JOB ADDRESS ;❑ Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO. FEE 1 & 2-Family,Sq Ft $ ' — $ ,LOCALITY Certified copy is filed with the county building inspection NEAREST. I department Multi-family Sq Ft CROSS ST w 1 Date / Applicant< �� Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS'; ►/ M j I,COMP.ENSATION INSURANCE• Outlets Rec— Light Sw I nit ADAILDRESS 5 First 20, v� (This'section need not be completed If the work involved by the CITY Tel No permit is for one hundred dollars ($100).or less.), Total,No Additional. ' 1 PLAN CHECK I certify,that in the,performance,of the work for which this permit APPLICANT, --------------- is issued, I shall not employ any person in any manner so as to become subject-to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS' Additional /� �,y/ Total No = CITY .,Tel No Dat ` 'Applicant��— 1, NOTICE„ TO. APPLICANT •If, after. making this Certificate of Fixed Appliances Not Over 1 HR`' PER � Ran a Heater_ D W APPLICANT /7�r/`li Q ,t Exemption,you should become subject to the Workers'Compensation g. —_- provisions of the Labor,Code, you must forthwith comply with such Oven Dryer — W M ADDRESS. ` provisions o`r this permit shall be deemed revoked ;. Top FAU W H CITY �✓ el No Z�5 LICENSED CONTRACTORS DECLARATION Hood Fan Other— I hereby,affinn that,I am licensed under provisionsiof.,Chapter,9 LCENSEOR • Disp Room Air Cond REG NUMBER 7 C/ Class •fes _ 4 (commencing wlthcSection 7000) of,Division 3 of the Business and t Professions Code,'and my license is in,full force and effectPower Apparatus'& Large Appliances DISTRICT NO PROCESSED BY /p Size & Type HP,KW,KVA,or KVAR �p V ,± license Number` ! ff6 ``Lic-Class FINAL� ,- Up to 1 Incl DATE' � " Over 1 to 10 Incl, ,� qfo ;,VALIDATION O }' Contractor Date ' FINAL U Over 10 to 50 Incl j _ ❑• -1 am exempt under Sec Over 50 to 100 Inc BY W 1 B&P C for this reason "' Over 100 Z Services, Swbd,MCC& Panelboards , Z "Date 0- 200 Amp Under 600'V ` Signature 201 - 1000 Amp Under 600'V Over 1000 Amp or Over 600 V Exemption for Reg Mamt,Elect `. - "" ,-','�j, �3 50.70 " SINGLE FAMILY Temp_Power Pole&'Appurtenances_ r 1 ITEMS HOME OWNER-BUILDER DECLARATION Sign with One Branch'Circuit p I hereby affirm that I am exempt from the,Contractor's License Law Additional Sign Branch,Circuits TOTAL 50 .70 for the following,reason(Section-7031 5,-Business and Professions ; Code) QfCK• 50.7b ❑` Oisc Conduits &'Conductdrs, C��� o Qd A as owner of the property,will do the work-and the structure ' GG is not intended or offered;for sale'(Section 7044, Business Other(See Complexe Fee Schedule) and Professions Code) r P CONSTRUCTION LENDING AGENCYOQQQ—OQ01 . 2h9196 I hereby affirm than there is a construction'lending•agency for the c r performance of theJwork for,which this permit is issued(Sec 3097, ` PERMIT FEE '' (Sub-Total) 5074 1., AN 9.0o45 "CIV C) • _ . • ` i 1 PLAN CHECKING-FEE Lender's Name PERMIT,ISSUING,'FEE, d Q Lender's Address I cert,fy that"I have'read this application and state that the above TOTAL FEE information is correct I agree to comply4with all County ordinances' and State laws regulating-Electrical wiring, and hereby, authorize y ' representatives of this Cou to enter upon the above-mentioned prop fms es or ection p " �j SEE REVERSE FOR EXPLANATORY LANGUAGE Sign ture a ittee Date y, WORKERS'COMPEIySSTION DECLARAZ[ON :CE 8o6G (2-80 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self 'COUNTY OF LOS ANGELES DIN SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec 3800,Lab C.) ,v FILL 10 B Policy No. Company FOR APPLICANT TO EACH N NO E ADDRESSpZ%rtaC-� ❑ New Residential Bldgs'&Pools Certified copy is hereby furnished 1 &2,Family,Sq Ft $ '— $ LOCALIITY FJCertified Sq Ft — NEAREST i fT1 Certified copy is filed with the county building inspection CROSS ST (� department Residential) ming Pools OWN NA FME Date Applicant Outlets RecAight_4<Sw-!;— v MAIL � _ First,20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No ,2- — Additional 2r6CITY Tel No COMPENSATION INSURANCE } PLAN CHECK p_ APPLICANT 0• (This section` need not be completed if the work involved o U by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First io ADDRESS Total No Additional Ir I certify that in the performance of t work for which this Fixed Appliances Not Over 1 HP CITY Tel No 0 permit is issued, I shall not employ a erson any Wrier PERMIT+ (~j so as to become subject to the Wo ers' Co e s ti awl Range= Heater D W. APPLICANTS ' �� zjl-7m/ W CL Oven Dryer,_w M._ ADDRESS Z d Date / �� A Iicant . ' Top _ FAU _W H Z. pp Hood _ Fan _Other— CITY _1f6 /5z 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_a. 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 Size&Type HP,KW,KVA,or KVAR deemed revoked. • Up to 1 Incl � Over 1 to 10 Incl DIA EL LICENSED CONTRACTORS DECLARATION —�0 VAL'I DATIO 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 ��r ' ness and Professions•Code, and my license is in full force and _ effect Service, 140-11:0Or100 AmUnder 600 V License Number%� Lic Class t��y ` 201-1000 Amp Under 600 V Contractor Date Over 1000 Amp or Over 600 V �7 • 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) 5 0'4,9 A ' Misc Conduits& Conductors , ❑ I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— # o`o`o o ' 2 structureis not intended or offered for sale (Section - , 7044, Bus mess and Professions Code) 3- 7,20 CONSTRUCTION LENDING AGENCY I hereby affirm that, there is a construction lending agency for the performance of the work for,which this permit isPERMIT FEE (Sub-Total) ��/ 3 7 2 0 slued (Sec 3097,Civ C). ender's Name3 0-8 1 PLAN CHECKING FEE (One-Fourth Permit Fee) ,ender's Address PERMIT ISSUING FEE i certify that I have read this application and state that the TOTAL FEE ove information is correct.I agree to comply with all County rdina and State laws regulating Electrical wiring, and iere a thoriz p t tives of this County to enter upon abo -me io erty for insp tion purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ` Signature of Permittee Date