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HomeMy Public PortalAbout4917 ENCINITA AVE_Electrical__ t TiEM SLE CATV 76A663 CES06 f0 61 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPkRTMENT OF COUNTY ENGINEER FNEAREST ING BUILDING AND SAFETY DIVISION ESSvla Ak JOHN A LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN, SUP T OF BUILDING ITY FOR APPLICANT TO FILL IN ST .� 1 T E M NO EACH FEE / OUTLETS (FIRST 20) $20 $ OWNER 4 LIGHTS RECEPT SW MAIL O OUTLETS (ADD'L UNITS) IO ADDRESS V LIGHTS RECEPT SW LIGHTING FIXTURES (FIRST 20) 20 CITY 142,169 1, TEL NO LIGHTING FIXTURES (ADDITIONAL) 10 ELECTRICIAN RANGES CLO DRYERS WTR HTRS 100 ADDRESS !I GARB DISP STA COOK CITY TEL NO DISHWASH AUTO-WASH $TATE SPACE HTRS STA APP (I/a H P MAX ) 50 LICENSE NO MOTORS OVER NOT OVER HP DIST g1P�T IO GROUP Z E PR SSED BY O 1 1 00 (ate < 1 3 15 JNXECTION R ORD r 3 B 200 O 8 15 250 U G' 15 50 300 O 50 100 500 rW a SIGNS NO TRANSH NO LAMPS L SERVICE O 600V NOT OVER 200A 100 SERVICE O 600V OVER 200 A 1200 SERVICE OVER 600V Soo MISC PERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING FEE 100 TOTAL FEE $ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI ATION APPROVALS 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 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE LrSCRIBEDSIDENT L PROPERTY REPOWER SIGNATURE T UTILITY CO NOTIFIED 1 ✓I OF PERMITTEE FINAL VALIDAT0 ARTHUR C7 VETT CK MO CASH SUPERVISING ELECTRICAL ENGINEER LACO2367k.- a&31 , 2 D 1.50- 78A883 CE608 10 81 APPLICATION FOR ELECTRI AL PERMI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST 1 T E M NO EACH FEE OUTLETS (FIRHr 20) 0 ECCH H $ A� OWNER C? LIGHTS RECEPT SW _2O (1_L, MAIL OUTLET (ADD'L UNITS) f0 /1 ADDRESS LIGHTS RECEPT SW T� LIGHTING FIXTURES (FIRST 20) 20 CITY J C G EL NOT LIGHTING FIXTURES (ADDITIONAL) 10 ELECTRICIAN GU RANGES CLO DRYERS WTR HTRS 100 ADDRESS GARB DISP STA COOK CITY TEL NO DISHWASH AUTO-WASH STATE SPACE HTRS STA APP (1/.H P MAX ) 50 LICENSE NO MOTORS OVER NOT OVER HP DISTRIC 13P ZON P ,'E D 0 t 100 'S , 1 3 150 INSPECTION RECORD . r 3 8 200 f 8 15 1250 �. A/1 ,/ / ce V 15 50 30 / Iv- ef O 50 100 500 CLW SIGNS NO TRANS J' J/ 0) NO LAMPS /_, - ZN A SERVICE O 600V-Nor OVER 200A 100 / SERVICE 0-600V OVER 200 A 200 SERVICE OVER 600V Soo MISC - �� �� r p PERMIT ISSUING FEE 2 00 SUPPLEMENTARY PERMIT ISSUING FEE 100 TOTAL FEE � - 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATI N APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT 7 / WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE L O ER OF•THE ABOVE DESCRIBED RESIDENTIAL PROPERTY POWER ,�p SIGNATURE�� UTILITY CO NOTIFIED 4,� 8A JA097 III Ig OF PERM[ FIJ NAL VALIDATI —�) ARTHUR C VETT S CK MO CASH SUPERVISING ELECTRICAL ENGINEER D69 'AliJs1 2 D 13 .7 ���2� D95$-A 4-46 r A PLICATION FOR PERIM ,DEPARTMENT OF BUILDING AND SAFETY Ara aua�ta a v au�iai COUNTY OF LOS ANGELES ELECTRIC WM J FOX.-CHIEF ENGINEER Z DISTRICT NO. GROUP ZONE PERMIT NO. Q NAME spy ADDRESS jtj:CE%f Y READY FOR I DATE ISSUE CITY TEL NO FIRST INSPECTIONA COUNTY �y1 W CERT NO EXPIRES ® •i� APPLICANT FILL IN HEAVILY OUTLINEII PORTION ONLY JOB DESCRIPTION OF WORK -ADDRESS/f IS AtC /11/1fo NUMBER OF OUTLETS ON CIRCUITS LOCALITY e1 I411 LOCATION BY ROOMS NEAREST LIGHT OUTLETS ISW PLUGS FIXT CROSS STc CIRCUIT A I B C D I E I F G lH w NAME dill ZMAIL ADDRESS O CITY , TEL NO 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGKLFS COUNTY CERTIFICATE OF QUALIFICATION. ELECTRICIAN. I AM THE LEGAL OWNER OF THE PROOPP�ERTYDESCR BED B AOVE � f (X 09VNER CORRECTIONS J Q Z_ O TOTAL i NO. OF OUTLETS y S O 0 APPROVALS I NO OF FIXTURES $ o DATE INSPECTOR'S NAME NO OF MOTORS H P. $ CONDUIT NO OF SIGNS TRANS. $ WIRING NO OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE UTILITYCO NOTIFIED b TOTAL FEE ��' �'° FINAL DB9 5-A 12-44 �M—��0� FOR� ' PERNW "IIDEP�$TMENT OF BUILDING AND ELECTRIC D COUNTY OF LOS ANGELES WM J. FOX CHIEF ENGINEER a NAME DISTRICT NO. GROUP ZONE PERMIT/NO. ADDRESS —/ 09 CITY IRECIIVED BY READY FOR DATE ISSUED J COUNTY A �" FIRST INSPECTION W CERT NO EXPIRES �� 6 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLYJOB / (DESCRIPTION OF WORK —ADDRESS � A��I A Btu NUMBER OF OUTLETS ON CIRCUITS LOCALITY0 LOCATION BY ROOMS NEAREST LIGHT OUTLETS Isw I UGS I FIXT CROSS ST ^ ffke A O CIRCUIT A B C D I E F G 1H R NAME <� 3 Z MAIL 3 ADDRESS O d' CITY TEL NOS 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGRI Ir COUNTY CERTIFICATE OF QUALIFICATION. ELECTRICIAN. 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE I OWNER CORI6yMONS I 0 TOTAL NO. OF OUTLETS $ APPROVALS 1 NO OF FIXTURES $ DATE INSPECTOR'S NAME NO OF MOTORS H P $ CONDUIT NO OF SIGNS TRANS $ WIRING ® NO OF RANGES OR HEATERS $ FIXTURES d MISCELLANEOUS $ POWER PERMIT FEE $ C) U UTILITYCO NOTIFIED ( / TOTAL FEE __ FINAL r 7GA663 DBS 6A 6-49 ® APPLICATION FOR PERM DEPARTMENT OF BUILDING AND SAFETY � ELECTRIC� �� � � _ COUNTY OF LOS ANGELES WILLIAM J FOX, CHIEF ENGINEER DISTRICT NO., GROIPJ ZONE PERMIT NO. FOR APPLICANT TO FILL IN ELECTRICIAN RECEIVED BY READY FOR DAT ISSUED ADDRESS � FIRST INSPECTION `Z� /2/r CITY TEL NO / f/ry� COUNTY LICENSE NO EXPIRES BUILDIN ADDRESS / / Q PERMIT FEES FEE NUMBER OUTLETS EACH LOCALITY it � 1*n LIGHTS 5c Is n NEAREST CROSS ST RECEPTACLES 5 • FIXTURES 5 I .L7 OWNER WALL SWITCHES 5 MAIL `,.,, I ELEC RANGES 25 ADDRESS 'q'f 3V,�.G' +G -n 1 ELEC HEATERS 25 CITY FsGt .� .1G g! ITEL NO MISC 1 HEREBY�ACKNOWLED E THAT 1 HAVE READ THIS NUMBER OF CIRCUITS INSTALLED APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS - AND STATE LAWS REGULATING ELECTRICAL WIRING NUMBER HORSEPOWERI CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD HP OVER I INC EACH IOF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. vi a LESS $ 25 + +/x 2 50 SIGNATURE OFA� 2 5 1 00 5 15 1 so INSPECTION RECORD 1 Is so 2 so �wz - 50 200 5 00 200 500 10 00 !-7 D L ! X Soo 1000 15 00 + .0 O p,1 / OVER 1000 20.00 Z M G SET FREQ CHANGER-HP 0 WELDERS AC KVA Q'0 GENERATORS - KW TRANSFORMERS - KVA TEMP MOTORS (75% OF ORIG ) MOVED MOTORS (75% OR ORIG ) MIS- SIGNS TYPE NO TRANS TYPE NO LAMPS APPROVALS p' FOR EACH PERMIT DATE INSPECTOR'S NAME WIRING $1 00 CONDUIT FIXTURES 1 00 o C;� WIRING '� 2•!��'U ..�G� - SUPPLEMENTARY 50 FIXTURES �7 ® POWER TOTAL FEE $ G. UTILITY CO NOTIFIED / J / FINAL /a t, eOVERS' COMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT i►hereby,ibffirm 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 ) Policy No Company FOR APPLICANT TO FILL IN JOB jv -�+ ` /� Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS / / .1. ❑ 1 & 2-Family, S Ft $ _ $ LOCALITY NEAREST Certified copy is filed with the county building inspec- y� q tion department Multi-family Sq Ft CROSS ST �(� V F✓ m Date Applicant Residential Swimming Pools OWNER OR /'� !!// FIRM NAME / r CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec�Light WSW MAIL COMPENSATION INSURANCE O ADDRESS First 20 (This section need not be completed if the work involved by Total No Additional - CITY $� el No the permit is for one hundred dollars ($100)or less ) I certifythat in the performance of the work for which this PLAN CHECK //+�, p APPLICANT �� G permit is issued, I shall not ploy any person in any ma er so as to become subject to th Workers'Compen do s Lighting Fixtures First 20 ADDRESS Total No Additional CITY Tel No Date Applican Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, fter making this a tate of APPLICANT .-1 QLA 141 Exemption you should be a 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 BY >_Power Apparatus& Large Appliances c/ and Professions Code, and my license is in full force and effect Tj�64, �( O Size&Type HP, KW, KVA, or KVAR �/ v V License Number Lic Class Up to 1 Incl FINAL O Over 1 to 10 Incl DATE Date ate VAII ION b aOver 10 to 50 Incl FINA W I am exempt under Sec Over 50 to 100 Inc BY B &P C for this reason Over 100 Z Date Services, Swbd , MCC& Panelboards 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 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 Additional Sign Branch Circuits Law for the following reason (Section 7031 5, Business and Professions Code) 2 3 2 Q O A j, as owner of the property, will do the work and the Misc Conduits &Conductors # 0 0 0 0 0 2 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ 7044, Business and Professions Code) 1 0 033,00 CONSTRUCTION LENDING AGENCY 0 0 0 0 0 0 j hereby affirm that there is a construction lending agency for Q 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 I have read this application and state that the TOTAL FEE 33 ,001 above information is correct I agree to comply with all County ordinances and State jaws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned pr erty for ection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE , e of P r t Date