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Home My Public Portal About9963 DAINES DR_Electrical__ '+az 76A668-CE006-6-57 ACATI®N R ELECTRIC Pr RMT 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 b LOCALITY °' •• NEAREST FOR APPLICANT TO FILL IN CNA.sr. BaldWin PERM FEES OWNER MeyerS LIGHTS RECEPTACLES SWITCHES - - NUMBER I T E MEACH FEE MAIL ADDRESS TnIAL OUTLETS' $ .10 1 ELEC. RANGES WATER HEATERS, . O CITY TEL.NO. CLO RS •50 ELECTRICIAN Conl ee & Son Electric ELEC. SPACE HEATERS, STAT-Y. COOK- ING UNITS, GARBAGE DISPOSERS, AUTO WASHERS, DISHWASHER .25 ADDRESS 0 0 N.' Grandview Ave, LIGHTING FIXTURES .10 CIT`$O Sari- Gabriel TEL.NcAtO-2007 MOTORS STATE LICE SE NO. 0 - HORSEPOWER' H.P: OVER INC. DISTRICT GRO P ZONE READY FOR INSPECTION _ V2 9 LESS .25 1/2 2 .50 INSPECTION RECORD 2 — 5 1.00 \ 5 — 15 1.50' 6,v- U g q ttj. OV t,*A2 -LLp Is — 50 2.50 w y►�AiIJ, QrvvEdc K'&�_ 1�-G so — 200 5.00 nft IF y C l 24cat-r . A MISC. ' hA cs(A OV'A'L• _ ai,® T SIGNS NO.TRANS NO.LAMPS • A SERVICE O-600V 1.00 iLgn SERVICE OVER 600V 5.00 F WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT . .50 APPROVALS u TOTAL FEE s 2.50 DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY - CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 3 /O tf 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF " CALIFORNIA OR THAT, V)AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENT(IL ROPERTY, SIGNATURE UTILITY CO.NOTIFIED n OF PERMITTE _ FINAL JOHN A.LAMBIE. ATION SUPERVISING ELECTRICAL ENGINEER COUNTY ENGINEER CIc Mo CASH �o l 7 4 1 S FEB 2 8 2 A 2.5 0 �- 76AB63-CE806.9_.7 APPLICATION FOR -ELECTRIC PERMIT �. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER euiLDlriG ' BUILDING AND SAFETY DIVISION ADDRESS w CIT 14,05 JOHN A.LAMBIE,COUNTY ENGINEER C�h- ( +� CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY ` V NEAREST - FOR APPLICANT TO FILL IN CROSS ST. AL PERMIT FEES pp I T.E M NUMBER EACH FEE OWNER BV - OUTLETS: $ $ MAIL _ LIGHTS RECEPT. SW. .10 ADDRESS LIGHTING FIXTURES .10 CITY TEL.NO. J ELEC.RANGES CLO.DRYERS ELECTRICIAN G N Lf-� 12+�1Av�e., WATER H E A T E RS .50 ADDRESS , Q-ILA Y V ELEC."SPACE HTRS. •DISHWASHERS .e RBAGE DISPOSERS -- AUTO.- CI TEL.NO. s� =' WASHERS STA.COOKING UNITS .25j + Z� STATE. ,� _ LICENSE NO: MOTORS:. OVER INC. •H:P. -DISTRICT NO. JGRQUP ZO E READY FOR NSPECTI I/z — 2 .50 / ,�/ = 5 l.00 INSPECTION RECORD 2 . . 5 — 15 1.50 . .. 15 —' S0 2.50 . 50— 200 1 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 s SERVICE OVER 600V 5:00 MISG WIRING PERMIT 1.00 I FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .SO' TOTAL FEE g APPROVALS _ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 I HEREBY CERTIFY TH AM.PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS "REQUIRE BY OS GELES COUNTY AND STATE OF CALIFORNIA OR THAT1 AM THE OWNER OF THE ABOVE POWER DESCRIBED RESIDENTI L E SIGNATURE ` UTILITY CO.NOTIFIED OF PERMITTE FINAL r VALIDATION ARTHU C.VETT. SUPERVISING ELECTRICAL ENGINEER CK MO CASH ' f`� o1.4:5 g'''8 s.}g 9 � 5 2 DBS 5A 25M SETS 2-47 pSIIL8d9W1ON FOR PEAWr DEPARTMENT OF BNOlAD SAFFff COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER Q NAME DM ��Ee Sy a DISTr T NO: G OUP ZOONE PERMIT NO. ��- ADDRESS II � jCITY L TEL.NO. 47-46 �C�EI�ED BY FIRST INSPECTION DY FOR A rtUED ulCOUNTY A CERT.NO. �/ EXPIRES q�T APPLICAN'd' FILL IN HEAVILY OYJ WY EED PORTION ONLY JOB DESCREMO OAS' WORK ADDRESS b NUMBER OF OUTLETS ON CIRCUITS LOCALITY / /.E GIT/' LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW.I PLUGS FUR CROSS ST w e cmdurr A B C I D I E F G IH IZ NAME c a Z MAIL ,6' 3 ADDRESS O CITY TEL.NO. 1 AM THE LEGAL POSSESSOR F THE ABOVE LOS ANGELES COU H�G e R QUALIFICATION.. v ELECTRICIAN. Q AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS J Q Z_ E . R O FOTAL o� ld FOUTLETS J $ a APPROVALS F FIXTURES $ ® DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT �^ NO. OF SIGNS TRANS` $ WIRING NO. OF RANGES O EATERS / $ �' FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ UTILITYCo.NOTIFI�' `y TOTAL FEE FINAL �rT� GT !FM Oc 7, `76A66.,3-CE806-it/70 APP UCAMN ' FOR RECYMCL pEG°MIr -LI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING ' BUILDING AND SAFETY DIVISION ADDRESS COLEMAN W'. JENKINS SUPERINTENDENT OF BUILDING LOCALITY e NEAREST / FOR APPLICANT.TO•FILL IN 'CROSS ST. ' OUTLETS NO. EACH I FEE 'OWNER Q�L� ,e RECEPT.� $ $ MAIL LIGHT TOTAL FI.RST 20 `0 25, �� ADDRESS yy- OVER 20 CITY � ' G/r• TEL. NO.j' - 8 SWITCHO� 10 PLAN CHECK FIRST 20 LIGHTING 25 APPLICANT. TOTAL FOVER 20 ADDRESS' IXTURES 10 APPLIANCES CITY TEL. NO. PERMIT RANGE DRYERWTR. HTR. APPLICANT STA. COOK DISP. •F.A.U. ADDRESS - SPACE DDRESS -SPACE HTR. AIR COND. : CITY TEL. NO. CLOTHES WASH. DISHWASH. - LICENSE N0. ' CLASS. FAN-- OTHER 1.00 I HEREBY ACKNOWLEDGE THAT,] 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. ELECTR I CAL.WIRING. , SIZE & TYPE OVER TO I .HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 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 DESCRIBED RESIDENTIAL PROPERTY. 0 SIGNATURE �;,�I _ -:� �/ `1� V 10 _ 50 5.00 OF PERMITTEE CC • 50 - 100 10.00 � D_ISTRICTN CLASS � ZONE PROLErEDYF- 1 00 - 500 15.00 0' LU SIGN, GAS' SIGN AND ONE CIRCUIT 5.00 NOTES: N TUBE, OR' ? MARQUEE ADDITIONAL CIRCUITS SERVICENOT'OVER600VOLTSOR200AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE S ERVI CE OVER 600 VOLTS OR 200 AM P 10.00 . TEMP.POWER POLE ' TEMP SERVICE,POLE, &APPURTENANCES 5.00 , _ UNDERSLAB WORK TEMP LIGHT OR RECEPT.'SYSTEM 3.00 ROUGH CONDIUT WIRING i 7 PVL • FIXTURES POWER AUTHORIZED PERMIT FEE "(SUB TOTAL) UTILITY CO. NO _ PLAN CHECK FEE _ FINALZ141 � •�' PERMIT ISSUING FEE 3.00 ,� _ JOS PH C.'ROOHAN TOTAL FE-E Qv SUPERVISING ELECTRICAL ENGINEER. PLAN CHECK VALIDATION. CK.. `M.0. CASH PERMIT VALIDATION M.O. CASH .0 ' 9 7 �'. JAN 1 4 Z D .00- - SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - i WORKERS'COMPENSATION DECLARATION 76A663 10/8t o 0 0 0 0 0 �I hreb;"affirm that I'have a certificate of consent to self CE-8066 appdOC��O[�1 FOR CdCC�Q��ad pCQG�liv ��' insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec..3800, Lab. C.) P�licy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS j ❑ Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH = NO. FEE ❑ Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. E — $ LOCALITY �tion department. Multi-family Sq. Ft. — 'NEAREST CROSS ST. Residential Swimming Pools `fir =�— Date Applicant_ v'. OWNER OR � FIRM NAME /L�f"- f ef(,L CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:.Rec Light Sw._ MAIL ' COMPENSATION INSURANCE ADDRESS (Thitin need t bcompleted s section not if the work involved b First 20 ' Y Total No. Additional CITY'�� Lr Tel. Nq�.J, •f/j'j the permit is for one hundred dollars ($100)or less.) I certify' ertiif that in the of the work fo,r which this PLAN CHECK Y at e performance APPLICANT permit is'•issued, Fshall not employ any person in any manner so as to become subject to the Woikers'.Compensation.Laws. Lighting Fixtures First 20 ADDRESS Additional Total No. CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Exemption, you should become subject to the Workers' Range_ Heater_D.W. — Compensation provisions of the Labor Code, you must forth- Oven Dryer W.M.— ADDRESS with comply with such.provisions or this permit shall be Top FAU —W.H. — deemed revoked. Hood _ Fan _ Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER Class. (commencing with Section 7000) of Division•3 of the,Business DISTRICT NO. PRO SED BY CL and Professions Code,and m license is in full force and effect. Power Apparatus 8 Large Appliances Y CL Size &Type HP, KW, KVA, or KVAR' to O License Number Lic. Class Up to 1 Incl. FINAL V Over.1 to 10 Incl. DATE VA DATION 0 Contractor Date Over 10 to 50 Incl. FINAL � ❑ I am exempt under Sec. Over 50 to 100 Inc. BY LU B.&P.C. for this reason Over 100 rn Services,'Swbd., MCC & Panelboards D Date: 0 -200 Amp. Under 600 V Signature '201 -1000 Amp. Under 600 V Over 1000 Amp. or Over 600 V ❑ Exemption for Reg. Maint. Elect. 1 6-6 5 SINGLE FAMILY Temp. Power Pole &Appurtenances # 0 0 0 0 0 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit o 0 I.hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits o 0 0j 8 Law for the following reason (Section 7031.5, Business and Professions Code): n 3,.1 1 -85 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)_ D 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE - Lende�'s Name PERMIT ISSUING.FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE Sb above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and U hereby authorize representatives of this County to enter upon )he above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date