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Home My Public Portal About10936 DANBURY ST_Electrical__ >OA.li.QE000,-.. APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS LJ > _ JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITYTC�, FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. ITEM NUMBER EACH FEE OWNER OUTL'E M $ MAIL LIGHTS RECEPLL/ BW. 1D ADDRESS LIGHTING FIXTURES 10 / CITY TEL.NO. ELEC.RANGEB CLO.DRYERS _ ELECTRICIA C` WATER HEATERS .50 ADD EBB �([ ELEC.SPACE HTRS. DISHWASHERS CITY TEL. NO ARSAGE DISPOSERS AUTO. v� SPATE ABNERS STA.COOKING UNITS .2$ ry LICENSE NO. MOTORS: OVER INC. H.P. DISTRICT Ori GYUP E I P OCESSED BY 0— 1& .2$ ��j ((// 1 I/E— 2 50 INSPECTION RECORD 2— 5 1.00 5— 15 1.50 15— 50 2.50 50-200 5.00 SIGNS: . NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRINGPERMIT 1.00 iv FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE 4 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES OUNTY AND STATE OF FIXTURES CALIFORNIA OR T T 1 AM THE LEGAL W OF THE ABOVE DESCRIBED RESIDE IAL OPERTY. POWER o SIGNATURE OF IT? UTILITY CO:NOTIFIED .� 1 PERM S1 yT FINAL TATIO N ARTHUR C.VEIT, CMo CASHNG ELECTRICAL ENGINEER LAGo 9 1 3 2 2 APR -11 2 A 1 0.7 0 11 76A663.CE606.2/'$APPLICATION f�® ECTR (CAL PERMIT COUNTY OF LOS ANGELEOBS DEPARTMENT OF COUNTY ENGINEER 'ADDRESS DA URY � I BUILDING AND SAFETY DIVISION FOR PP F, LOCALITY TEM CITY New Residential Bldgs & Pools EACH NO. FEE NEAREST 1 & 2-Family, Sq. Ft. $ .025 — $ CROSS ST. OWNERKEN 0 BE Y Multi-family Sq. F[. .02 — FIRM NAME Residential Swimming Pools 20.00 ADDRESS 10936 DANBURY Outlets: Light, Switch & Receptacle CITYTEMPLE CITY Tel.N..448-5115 First 20 .50PLAN CHECK Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tel.No. Additional '30 PER'IT APPLICANT AQUATIC POOLS Fixed Appliances Not Over 1 HP ADDRESS 101 E. HUNTINGTON DRIVE Range—Heater D.W._ CITYARUAi)YA - TeI.No.- Oven_Dryer W.M.— LICENSE OR TOO _ FAU _W.H._ REG-NUMBER Fj20 Class. Hood_ Fan 2.00 STATETHAT THE ACKNOWLEDGE E IS 1 HAVE PEND THIS APPLICATION Disp._A.C. PND STATE TNAT TXE ABOVE IS CORRECT AND gAgSE TO COMPLY W ITC ALL CODNTY Oq OI NN HOES NHO STATE LAWS gEGO EATING Power A ELECTRICAL WIRING. Apparatus& Large Appliances Size & Type HP, KW, KVA, or KVAR 1 HEED A CERTIFY THAT AM PROPERLY REGISTERED AT OR YP LICENSED 45 gEODIgEO BY LDS ANGELES COUNTYiNiE OF 2,00 CALIFORNIA OR THAI AN.�TNE LEGAL q d �— Up IO 1 Incl. pESCgIf ED gE51OE NTIAI./Pii E TY. O Over 1 to 10 Incl. 5.00 !/f�/ C�„T- Over 10 t0 50 Incl. 10.00 SIGMA PERMITEE V 50 to 100 Intl. 20.00 SIGNATURE N Over 100 30.00 DISTRICT N [//�'� C ED BY Q Services — ' �� W 0- 200 Amp. Under 600 V 12.50 INSPECTOR'S 6 201-1000 Amp. Under 600 V 25.00 APPROVALS DATE SIGNATURE N Z Over 1000 Amp. or Over 600 V 50.00 TEMP.POWER POLE Temp. Power Pole& Appurtenances 10.00 UNDERSLAB WORK Sign with One Branch Circuit 10.00 ROUGH CONDUIT 7;;' Additional Sign Branch Circuits 2.00 WIRING (Other) FIXTURES POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL -`ZZ PERMIT FEE (Sub-Total) NOTES ell4Jw�/NG-O!� PLAN CHECKING FEE (One-Fourth Permit Fee) PERMIT ISSUING FEE $6.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK.- MO. CASH 276fiMAY 13 2 D 1220'A`6 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE O rvr WORKERS'COMPENSATION DECLARATION 76A663IOiBI I hereby affirm that I have a certificate of consent to self CE-806G APPLICATION PP ICATION FOR ELECTRICAL PERMIT insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified coF y!n r of Sec`.3800, Lab. G) Policy No. \ J mpony bl}IO G%UAL+ FOR APPLICANT TO FILL IN JOB q Certified co is hereby furnished. EACH NO. FEE ADDRESS / ^� 5 PY Y New Residential Bldgs. 8 Pools Certified co is filed with the count building p 1 8 2-Family, — LOCALITY PY Y 9 ins ec- Y• $q. Ft. $ — S C-1-T tion department. Multi-family Sq. Ft. 'NEAREST sAw ,f A /� �v/,��- Residential Swimming Pools CROSS ST_ ,.ac�ry• A /'�'Px-1 I•ry AVC Date 1p OJ Applicant VS"�bVA 1� Q I OWNER OR U FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Z $w.� / Z 'MAIL .�` COMPENSATION INSURANCE First 20 7 k-I ADDRESS 1(�3Lp �ii jL (This section nerd not be red dolga it the work involved by Total No. CITY - Tel. No. the permit is far one hundred dollars($I00)or less.) Additional L.E GP ,C,-1 I certify that in the performance of the work for which this PLAN CHECKAPPLICANT permit is issued, I shall not employ any person in any manner I/ so as to become subject to the Workers'Compensation Laws, Lighting Fixtures First 20 ADDRESS l Total No. V- Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT L� NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT W, S 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 4+ • S ad with comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. Hood _ Fan _ Other_ CITY c-ovw Tel. NoLICENSED CONTRACTORS DECLARATION LICENSE OR � �I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. � REG. NUMBER 1 7 `�i� (commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICTAO. CESSED BY and Professions Code,and my license is in full force and effect. Q� G 9Z7- q e� Size 8 Type HP, KW, KVA, or KVAR' �� V O License Number 179Z21D Lic. Class �`I Up to 1 Incl. FINAL �^/^ V �.ySTDD1 Date 11-2-L8-? Over I to 10 Incl. DATE VALIDATION 0 Contractor_ Over 10 to 50 Incl. 1 j F1FINAL am exempt under Sec. Over 50 to 100 Inc. BY B.BP.C. for this reason Over 100 H Date: Services, Swbd., MCC 8 Ponelboards D Z 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Mainz. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole 8 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, as owner of the property, will do the work and the Misc. Conduits 8 Conductors '3 3 5 2,A structure is not intended or offered for sale (Section Other (See Complete Fee 0 0 0 o e Schedule)_ �f D 7044, Business and Professions Code). ,2 CONSTRUCTION LENDING AGENCY 2Ir o 2 7 5 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) o o r 2 1.7 5 chi (Sec. 3097, Civ. C.). •: t PLAN CHECKING FEE 07, 01 -83 Lender's Name PERMIT ISSUING FEE ,0 Lender's Address 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 laws regulating Electrical wiring, and hereb authorize representatives of this County to enter upon the o ve-menti ned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sig a ure of Permittee DTI. 20-0019 ' + WORKER'S thenIhave a certificate DECLARATION 76A663 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT fJ I hereby affirm that I have a certificate of consent to self insure. or a certificate of Worker's Compensation Insurance, or a certified- COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof Sec. 3800 Lab. C.) ❑O ICc1 Go pany � FOR APPLICANT TO FILL IN JADDOB D�A/&(I nV/C / RESS (/ �;J(� `r, Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE ❑ r _ $ $ LOCALITY 7P�E Cj' Certified copy is filed with the county building in a tion 1&2-Family,Sq.Ft. departure L Multi-family S FL NEAREST �.� Y q NEAREST. Date Applic t Residential Swimming Pools MAP BOOR MAP BOOK PAGE '7/1�� PARCEL ,L CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Light Sw._ FIFIRM NAME ✓ S-7Ar J// rp1V COMPENSATION INSURANCE Fust io MAIL i9 C (This section need not be completed 0 the work involved by the ADDRESS/fl DH.vBuR d permit is for one hundred dollars($100)or less.) Total No. Additional I certify that in the performance of the work for which this permit CITY �i �� G� Tel.No. D i5 issued, I shall not employ any person In any manner s0 as to PLAN CHECK Jr become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY TeL No. Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with Such PERMIT /' 7 provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT 6 < /[7� .76- LICENSED CONTRACTORS DECLARATION Size&Type HP, IN VA,or KJ(AF)n ADDRESS I hereby affirm that 1 am licensed under provisions of Chapter 9 - l r 3 to t01n (commencing with Section 7000) of Division 3 o the Business and CITY mpN A. TeL N,. Ma Professions Code,and my license is in full force and effect. ver 10 to 50 Ind. } LICENSE OR / Class. Over 50 to 100 Incl. REG.NUMBER I(o C. CL License Number Lic.Class vover toD DISTRICT NO. p PR CESSED BY O Services,Swbtl.,MCC&Panelboards Cc Contracto - 0-399 Amp.Under 600 V FINALE EJ I am exempt under Sec. 400-1000 Amp. Under 600 V W VALIDATION Over 1000 Amp.or Over 600 V FINAL d BAP.C.for this reason BRANCH CIRCUIT FEES BY _ (/) Date: 15A,or 20A, 120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits 2Exemption for Reg.Maim.Elect 15A,20A,208V To 277V Lighting Br,Circuits 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 Law Lyr�. for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits OkEITE!19§-=G�a�y�'.? 3 Code): tFd9� i:E1GI i l W 3,:ii ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) D 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 (Sec. 3097, PERMIT FEE (Sub-Total Civ. CT ' PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address TOTAL FEE I certify that 1 have read this application and under penalty of purjury state that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this County to enter upon the above mentioned property " for inspection purpose SEE REVERSE FOR EXPLANATORY LANGUAGE �...,�� g �s SIG TUBE OF P MITTEE DATE