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Home My Public Portal About4943 ENCINITA AVE_Electrical__ 7GA663 CES06 1096 APPLICATION FOR ELECTRIC PERMIT BUILDING AND SAFETY DIVISION Department of County Engineer BUILDADDRESS 4g 3 Encenitas Street County of Los Angeles JOHN A. LAMBIE.COUNTY ENGINEER CASSATT D. GRIFFIN SUPT OF BUILDING LOCALITY Temple City NEAREST FOR APPLICANT TO FILL IN CROSS ST. Lower Azusa PERMIT FEES OWNER Sue Turnqui st LIGHTSA7 RECEPTACLES SWITCHES , NUMBER I T E M EACH 11 FEE MAIL TOTAL OUTLETS 10 $ 84 ADDRESS 43 Encenitas Street $ O ELEC RANGES, WATER HEATERS, CITY Temple City TEL NO CLOTHES DRYERS 50 ELECTRICIAN '.Mire Rite Electric ELEC SPACE HEATERS, STAT Y COOK ING UNITS, GARBAGE DISPOSERS, ADDRESS 11328 E. Elmcrest AUTO WASHERS, DISHWASHER 25 60 LIGHTING FIXTURES 10 pQ CITY El Monte TEL NO Gi 4-623 v' MOTORS STATE LICENSE NO 164855 -10 HORSEPOWER H P OVER INC DISTRICT O GROUP I ZONE READY FOR INSPECTION 1/2&LESS 25 Yz — 2 50 INSPECTION RECORD 2 — 5 100 5 15 1 50 15 — 50 2 50 50 200 500 MISC SIGNS I NO TRANS NO LAMPS SERVICE 0-600V 100 SERVICE OVER 600V 500 WIRING PERMIT 1 00 (2 FIXTURE PERMIT 1 00 O SUPPLEMENTARY PERMIT 50 3 APPROVALS TOTAL FEE $ DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I 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 ER IHEREBY 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 THE ABOVE POWER DESCRIBED RESIDENTIAL PROPERTY SIGNATURE UTILITY CO NOTIFIED OF PERMITTEE FINAL JOHN A LAMBI . UALMATION ARTHUR C.VEIT. COUNTY ENGINEER cK MCI CASH SUPERVISING ELECTRICAL E INEfiR C LA�3 ,2,.5 Stn JUL 2g 2 A 3AO r� _A„ 76A563-CE80611_71 APPLICATION FOR ELECTRICAL PERMIT - COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS V{' LOCALITY v1� NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLETS NO EACH I FEE OWNER 1� &XV $ $ VL ��to RECEPT MAIL LIGHT TOTAL FIRST 20 25 ADDRESS OVER 20 CITY �, TEL NO �- SWITCH_ 10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT FIXTURES OVER 20 10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO R RANGE PERMIT DRYERWTR HTR APPLICANT STA COOK DISP F A U ADDRESS�3Z UA�IoJ� �l QQ SPACE HTR AIR COND CITY (, TEL NO_n9.rq4.b CLOTHES WASH DISHWASH LICENSE NO Zk CLASS G`b 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 O - 1 100 LICENSED AS RED IRED BY LOS ANGELES COUNTY AND STATE OF d CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO O lO 300 RESIDE 1N, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY `7J V SIGNATURE 10 - 50 500 OF PERMITTEE i O 50 - 100 1000 1 DISTRICTNO CLASS ZONE PROLES By W 100 - 500 1500 s' Q / o- to SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES ? TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 SERVICENOTOVER 600 VOLTS OR 200 AMP ` 300 � X APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER600VOLTS OR200AMP 1000 TEMP POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 500 UNDERSLAB WORK TEMP LIGHT OR RECEPT SYSTEM 300 ROUGH CONDIUT WIRING FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED FEE UTILITY CO NOTIFIED PLAN CHECK FINAL PERMIT ISSUING FEE 300 TOTAL FEE PLAN CHECK VALIDATION CK M o CASH PERMIT V 1DATION ®rK' M o CASH 1 9 8 473 JUL 2 2 D 9.0 0tAl - SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE C, L � , " '.YORKERS' COMPENSATION DECLARATION CE-806 10/Bl AP LICATION 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 3900, Lab C ) f Policy No Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS /� �•VC/�(/!r� ❑ 1 & 2-Family, S Ft $ _ $ LOCALITY Certified copy is filed with the county building mspec- Y- 9 tion department Multi-family Sq Ft NEAREST CROSS ST Residential'Swimming Pools OWNER OR Date Applicant Q FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec�Light Sw L 1, , zy� ADDRESS MAIL COMPENSATION INSURANCE First 20, C!(J (This section need not be completed if the work involved by Total No Additional ' ' CITY,' Tel Nop2�6 � the permit is for one hundred dollars ($100)or less ) 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 Additional Total No CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, aft making this Certificate of APPLICANT Q f �lL�iPIG 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 i Hood Fan _Other CITY Z 171 Tel No y�j/2ge4,_ LICENSED,CONTRACTORS DECLARATION a LICENSE OR p j hereby affirm that I am licensed under provisions of Chapter 9 Disp _RRoom Air Cond REG NUMBER �v1Qb Classes; � (commencing with Section 7000) of Division 3 of the Business fC e,�,0,* Q 1 15� DISTRICT NO PROCE E BY and Professions Code,and my license is in full force and effect Power Type us& L , K ppl nces �� /') /!G Size 8 Type HP, KW, KVA, or KVAR 1 (f O License NumbeI Li Class %�� Up to 1 Incl FINAL V Over 1 to 10 Incl DATE VAATION Q Contractor ate Over 10 to 50 Incl FIN (~j ❑ I am exempt under Sec Over 50 to 100 Inc BY W CL B &P C for this reason Over 100 H Services, Swbd , MCC& Panelboards pool 0 - 200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V .26 2 a 7 A ❑ Over 1000 Amp or Over 600 V Exemption for Reg Maint Eject # 0 0 0,0 2 SINGLE FAMILY Temp Power Pole & Appurtenances I 0 0 43.00 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 e o 0 43 003 Law for the following reason (Section 7031 5, Business and Professions Code) 0 1.05,-87 ❑ 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)_ , 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 ll PERMIT ISSUING FEE (/ Lender's Address I certify that I have read this application and state that the TOTAL FEE 316 41 above information is correct I agree to comply with all County ordinances and State jaws regulating Electrical wiring, and hereby authorize representatives of this unty to enter upon the a mentioned property for ins tion purpos / SEE REVERSE FOR EXPLANATORY LANGUAGE gnature of Permittee Date WORKERS'COMPENSATION DECLARATION 806G (2 80)63 CE APPLICATION - FOR ELECTRICAL PERMIT CE 8 I hereby affirm that I have a certificate of consent to self J COUNTY OF LOS ANGELES BUILDING AND SAFETY - insure, or a certificate,of Workers'Compensation Insurance,or a certified copy thereof(Sec 3800,Lab C) FOR APPLICANT TO FILL IN JOB Policy No Company EACH NO FEE ADDRESS New Residential Bldgs &Pools Certified copy is hereby furnished 1 &2-Family,Sq Ft $ — $ LOCALITY J91 N 71- Multi-family Sq Ft — NEAREST Certified copy is filed with the county building inspection Residential Swimming Pools CROSS ST department OWNER OR FIRM NAME Date Applicant Outlets Rec ht SwAIL First 20 M, o?XADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY Tel No COMPENSATION INSURANCE PLAN CHECK PPLICANT !.1 (This section need not be completed if the work involved Lighting Fixtures First 20 ADDRESS by the permit is for one hundred dollars ($100) or less) Additional 1 certify that in the performance of the work for which this F xed Appliances Not Over 1 HP CITY Tel No � permit is issued, I shall not employ any person in any manner I PERMITW W so as to become subject to the Workers' Compensation Laws Range Heater--D W APPLICANT 0- ��//gg y Oven Dryer_W M ADDRES94 Z Date _ZU _OApplicant Top FAU _W H ? Hood _ Fan _Other_ CITY Tel No SJ NOTICE TO APPLICANT If, after making this Certificate of Disp —/— Room Air Cond_ LIC NSE OR !L 9 /D Exemption, you should become subject to the Workers' REG NUMBER �l Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT �? P C SED BY with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or KVAR ( deemed revoked � Up to 1 Incl FINAL Over 1 to 10 Incl DATE 4 Q LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl ' ` VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc BY AL 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 —{— ness and Professions Code, and my license is in full force and effect Services syr/ i License Number Lic Class 0 200 Amp Under 600 V . 1/_('Cf� 201-1000 Amp Under 600 V [% U 144' Contractor to �'— Over 1000 Amp or Over 600 V 1 1 HOME OWNER-BUILDER DECLARATIONI 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) ' Mist; Conduits&Conductors y268 9 A � 1, as owner of the property, will do-the work and the Other (See Complete Fee Schedule)— structure is not intended or offered for sale (Section # 0 0 0 0 102 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 2,0 to 2 7, 1 0 for the performance of the work for which this permit is PERMIT FEE (Sub-Total) ' issued(Sec 3097,Civ C ) 00 t° 27, 1'0 6 Lender's Name PLAN CHECKING FEE (One-Fourth Permit Feel • 0 1,2 01!--8-2 Lender's Address PERMIT ISSUING FEE 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 hereby authorize representatives of this County to enter upon / the above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE , 72� gnature of Permittee Date :WVORKER'S COMPENSATION DECLARATION 9 DPW 9/89 76A663 APPLICATION FOR ELECTRICAL PERMIT 76A66 hereby affirm that I have a certificate of consent to self insure, or a certificate of VADrker'S Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.:OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 3800 Lab.C.) Policy No. • Coinpany FOR APPLICANT TO FILL IN JOB ADDRESS i � f ei Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE LOCALITY r4 CA $Ft $ S il Famy, q. . _ Certified copy is filed with the county building inspection 1 &2- NEAREST department. Multi-family Sq.Ft. CROSS ST. L WC-fL Date Applicant Residential Swimming Pools ASSSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS'_ -. Outlets:Rec. Light Sw.1- OWNER OR NAME COMPENSATION INSURANCE 7D Z V First 20 MAIL G (This section need not be completed if the work involved by the Total No. Additional ADDRESS I43 N` J permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY Tel.No. is issued, I shall not employ any person in any manner so as to PLAN CHECK SCJ become subject to the Workers' Compensation Laws. Lighting Fixture First 20 APPLICANT Total No. Additional ADDRESS Date Applicant 15 OR 20A,120V BRANCH CIRCUITS NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers' Compensation 1 TO 10 INCLUSIVE EACH provisions of the Labor Code, you must forthwith comply with such 11 TO 40 INCLUSIVE EACH PERMIT P Y P Y APPLICANT provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH >_ LICENSED CONTRACTORS DECLARATION ADDRESS 0.. I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH a (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. 0 Professions Code, and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR cc Power Apparatus&Large Appliances REG.NUMBER Class. O Size&Type HP,KW,KVA,or KVAR DISTRICT NO. PROCESSED BY F- License Number Lic.Class 0 Up to 3 Incl. l/ O 0- Over 3 to 10 Incl. FINAL C0 Contractor Date DATE Over 10 to 50 Incl. r Z El I am exempt under Se c.• Over 50 to 100 Incl. Z- VALIDATION B.&P.C.for this reason Over 100 BY AL Services,Swbd.,MCC&Panelboards r Date: 0-200 Amp. Under 600 V Signature 201 -1000 Amp.Under 600 V El 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 i I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits _ Code): _ TTEM I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors i€( �._ _ - 5 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). , f`'"' u=``Is 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.C.) ... 'n F-s PLAN CHECKING FEE I fi, }, i;;;i;;; Lender's Name PERMIT ISSUING FEE ZY Lender's Address I certify that I have read this application and state that the above TOTAL FEE 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 inspections purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ( y, /tAjJf i 9iti,i �i Q '?/2-9 SIGNATURE OF APPLICANT OR AGENT I DATE I