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Home My Public Portal About4836 ENCINITA AVE_Electrical__ D7,BS6AG63 1254 1 APPLICATION FOR ELECTRIC PERMIT 1 DIVISION OF BUILDING AND SAFETY Department of County Engmeer 110 P County of Los Angeles ,, BUILDING ` WM J FOX, COUNT-Y ENGINEER ADDRESS CASSATT D GRIFFIN, SUP T OF BUILDING FOR APPLICANT TO FILL IN LOCALITY PERMIT FEES NEAREST CROSS ST NUMBER EACH FEE LIGHT OUTLETS OWNER RECEPTACLES MAIL ADDRESS WALL SWITCHES TOTAL OUTLETS 54 S CITY 'T EA0 NO ELEC RANGES 25 ELECTRICIAN yy ELEC HEATERS - 25 ADDRESS ,,[[ KW EA CITY l?6 1 �q TEL N /9?. FIXTURES 5 LICENSE NO �� 6 NUMBER OF LIGHT CIRCUITS NUMBER OF RECEPTACLE CIRCUITS DISTRICT NO GROUP ZONE I READY FOR INSPECTION MOTORS NT NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD HP OVER INC EACH tt _ I�&LESS $ 25 2 50 1/2 5 b'7"I 1 _ 5 15 150 15 50 2 50 50 1 200 500 "5— e� MISC 1 NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING $100 FIXTURES $100 SUPPLEMENTARY 50 APPROVALS TOTAL FEE $ DATE INSPECTOR S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRfCAL WIRING IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES CQUNTY AND STATE OF CALIFORNIA OR THAT 1 AM TH LEGAL NER OF#THE ABOVE POWER DESCRIBED RESIDENTIAL P P R SIGNATURE UTILITY CO NOTIFIED / T' OF PERMITTEE L FINAL WILLIAM J. FOX, COUNTY ENGINEER v � 8'n W 2 ?, 60,0 A MY O DEPUTY / P f K 176A683 CE 806R 10/77 APPLICATION FOR ELECTRICAL PERMIT J,rt COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERJOB BUILDING AND SAFETY DIVISION ADDRESS �✓ ' FOR APPLICANT TO FILL IN LOCALITY New Residential Bldgs &Pools EACH NO FEE CROSS 3T 1 &2 Family,Sq Ft $ 025 — $ Multi family Sq Ft 02 — OFIRM NA , Residential Swimming Pools 2500 AMAIL DDRESS Outlets Rec Light_5w CITY x. Tel No First 20 50 PLAN CHECK Total No Additional 30 APPLICANT ADDRESS Lighting Fixtures First 20 50 CITY Tel No Additional 30 PERMIT Total No APPLICANh:j Fixed Appliances Not Over 1 HP ADDRESS Range_Heater_D W CITY Tel No Oven —Dryer—W M LICENSE OR Top —FAU —W H REG NUMBER Class Hood—Fan '_Other- HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp — Room Air Cond 250 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING Power Apparatus&Large Appliances Size&Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA O AT I AM ?' Up to 1 Incl 2 50 THE LEGAL OWNER OFT BOVE DESCRIBED IDENTIAL P OPERTY C" Over 1 to 10 Incl 500 v Over 10 to 50 Incl 1250 PERMITTEE �� E Over 50 to 100 Inc 2500 _ SIGNATURE o Over 100 4000 DISTRICT NO ROCE_2SSE BY Services � 0 200 Amp Under 600 V 1250 INSPECTOR 5 201 1000 Amp Under 600 V 2500 APPROVALS DATE SIGNATURE Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE UNDERSLAB WORK Temp Power Pole&Appurtenorces 1000 1000 ROUGH CONDUIT Sign with One Branch Circuit 200 Additional Sign Branch Circuits WIRING Misc Conduits&Conductors 1000 FIXTURES Other(See Complete Fee Schedule) POWER AUTHORIZED UTILITY CO NOTIFIED FINAL' PERMIT FEE (Sub Total) NOTES ' PLAN CHECKING FEE (One Fourth Permit Feel PERMIT ISSUING FEE $700 '— TOTAL FEE PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 CASH 067Eli-IhR 14 3 2:; U SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76,kp, C• CE84,13 12,75 APPLICATION FOR ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN JOB .LL.. rResidential l Bldgs & Pools EACH NO FEE ADDRESS -` Sq Ft $ — $ LOCALITY a� q Ft — NEAREST CROSS ST wimming Pools OWNER OR FIRM NAME Outlets Light, Switch & Receptacle MAIL ADDRESS d C3 ,A_Z_ ZLpI__ ... Additional CITY �Teell N.n/3-9 -_33 PLAN CHECK APPLICANT Lighting Fixtures First 20 ADDRESS Additional CITY Tel No PERMIT Fixed Appliances Not Over 1 HP APPLICANT (�J Range Heater_ D W ADDRESS ' Oven Dryer W M Top FAU W H CITY Tel No Hood Fan LICENSE OR REG NUMBER Class Y&b O Disp A C c.1 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING Iy Up to 1 Incl HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR N z LICENSED AS REOUIR ED BY LOS ANGELES COUNTY ANDkSTATE OF Over 1 to 10 Incl s CALIFORNIA OR Tqt 1 AM THE LEGAL OWNER OF THE ABOVE Over 10 to 50 Incl DESCRIBED RESIDENTIAL PROPER/TYY"t / Over 50 to l�ncl PERMITEE f 1� r r Over 100 SIGNATURE l�^�/r�E DISTRICT NO _ ` 'PROC S `��" ED BY Services _ o 0-200 Amp Under 600 V e 201 - 1000 Amp Under 600 V APPROVALS DATE INSPECTOR'S Over 1000 Amp or Over 600 V SIGNATURE TEMP POWER POLE Temp Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING i FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total)1 UTILITY CO NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) 1 FINAL PERMIT ISSUING FEEa• 1 t `a v NOTES TOTAL FEE _ ` r 'CSI �,• �y PLAN CHECK VALIDATION CK M O CASH ; PERMIT VALIDATION CK M O CASH 991NMk- 9 2 1) Q C) U � l COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J FOX, County Engineer FOR APPL CANT TO FILL IN , DISTRICT NO. (3R P ZONE PERMIT NO. ELECTRICIAN // ie I C -- ADDRESS ®��p �II0 RECEIV D BY FIRSTpDY FOR INSPECTION DAT ISSUED CITY ,,qq TEL NO tk i {,Y• l/�L COUNTY LICENSE NO. r2tO EXPIRES 0Ul G B PERMIT FEES ADD ESB Qp iiSS// NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST CROHB RECEPTACLES WALL SWITCHESOWNER TOTAL OUTLETS S SO _ MAIL �® A t ELEC RANGES 85 ADDRESS f1�J (may' ELEC HEATERS 25 CITY TEL NO FIXTURES 5 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS _ AND AGREE _TO_CO_MPLY�WITH-ALL- COUNTY-�ORDINANCEB ` _NUMBER�OF'RECEPTACLEFCIRCUITH-- - `—` AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM HE LEGAL OWNER NFw MVO HP OVER INC EACH OF THE RESIDENTII�Lss{�PROPERTY DESC 4BED ABOVE I/Z 6 LEGS 111 .25 SIGNATURE OF // K t A✓7 !�f I/ 2 .50 PERMITTEE `- 2 B 1.00 INSPECTION RECORD -- 5 15 1 so is 50 2.50 so 200 Soo 200 Soo 1000 J 500 1 1000 15.00 ~01,000N Q OVER 1000 2000 C7 MG SET/FREQ. CHANGER-HP WELDERS AC-KVA O , GENERATORS - KW TRANSFORMERS - KVA TEMP MOTORS (75% OF ORIG) MOVED MOTORS (75% OF ORIS) MISC S113NS NO NO TRANS APPROVALS NO NO LAMPS FOR EACH PERMITS DATE INSPECTOR'S NAME WIRING $1.00 0 p CONDUIT FIXTURES $1.00 QQ WIRING SUPPLEMENTARY 5D FIXTURES r POWER TOTAL FEE �� UTILITYCO NOTIFIED A , s FINAL 76A663 DBS.#5A 4-52 WORKERS'COMPENSATION DECLARATION 76AW 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-8066 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❑allcy No Company FOR APPLICANT TO FILL IN JOB Certified co s hereby furnished' EACH NO FEE ADDRESS copy Y New Residential Bldgs & Pools ❑ 1 & 2-Family, S Ft $ = S LOCALITY Certified copy is filed with the county mg i spec- Y 9 tion department Multi-family Sal Ft NEAREST CROSS ST c 2y—oc Applic , _ Residential Swimming Pools ORM NAME SOvr ""A/ A Date / CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec Light Sw_ MAIL COMPENSATION INSURANCEADDRESSZZ iiu/S (This section need not be completed if the work involved by First 20 the permit is for one hundred dollars ($100)or less ) Additional CITY Tel Total No &A M PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit 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 F Total No Additional 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 — CITY Tel No deemed revoked Hood Fan _Other— LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Canal LICENSE NUMBER Class (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO PRM- >, and Professions Code, and my license is in full force and effect U tL Size &Type HP, KW, KVA, or KVAR 0 License Number Lic Class Up to 1 Incl FINAL V Over 1 to 10 Incl DATE .� �� IM Contractor Date Over VALI TION - 0 IDOver 10 to 50 Incl FINAL V 1 am exempt under Sec /Oo HP Over 50 to 100 Inc BY d Over 100 4N B&P C for this reason Z Date Services, Swbd , MCC& Panelboards 0 -200 Amp Under 600V Signature 201 - 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V ( o o61,50 Exemption for Reg Maint Elect = o 0 - 61.5 SINGLE FAMILY4,29—H v 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 Additional Sign Branch Circuits Law for the following reason (Section 7031 5, Business and 1 Professions Code) ❑ Misc Conduits&Conductors 1, as owner of the property, will do the work and the structureis not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , 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 Lender's Name PERMIT ISSUING FEE Lender's Address I certify that 1 have read this application and state that the TOTAL FEE ) above inf ion is correct I agree to comply with all County OLP na ces and St��aw's regulating Electrical wiring, and _ hereby author a representatives of this County to enter upon the abov a oned ropertyr inspection purposes - SEE REVERSE FOR EXPLANATORY LANGUAGE 6, 226 r/—/�-2 Si nature of Permittee V, Date