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HomeMy Public PortalAbout5210 ENCINITA AVE_Electrical__ oBs S „ �6 _ ----- ' APPLICATION FOR PERMIT �3 AR�'11I —ENT OF' RUH DING AND SAFff COiJNJ. OF LOS ANG E& �1 . CTRIC ' WM. J. FOX CHIEF ENGIN �' _Q NAME �l DISTRICT�NO. GROUP ZONE PERMIT NO. U ADDRESS /1 �S RECEIVED BY READY FOR DA ISSUED CITY _ ., 1 TEL.NO. FIRST INSPECTION w COUN / (/ CE O. EXPIRES �► / APPLICANT FILL. IN HEAVILY OTIT D PORTION ONLY JOB DESCRIPTION OF WORD ADDRESS ,�►� t NUMBER OF OUTLETS-ON CIRCUITS LOCALITY LOCATION BY ROOM'S' NEAREST LIGHT.OUTLETS SW. PLUGS FIXT CROSS ST. CIRCUIT A B- C D E F G H rc NAME + m MAIL Z ADDRESS O 1` . CITY TEL.NO r 1 AM p pTHE LEG POSSESSO OF THE BOVE LOS ANGd1rw COUNTY ERTIFICATE F QUALIFICATION.. ELECTRICIAN. r I AM THIS LEGAL OWNER OF THE PROPDESCRI ABOVE \ ._l Y OWNER. -�� COR.LiEMONS a F fM, ���,, ,� R/c a �t�,os�'cnsi�v t•-o ifA-,C�re Z_ E3 lY OTAL _ _ NO. OF OUTLETS r ( ~ APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT r NO. OF-SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS IS FIXTURES f MISCELLANEOUS ' —POWER PERMIT-FEE , $ UTILITY CO.NOTIFIED TOTAL FEE 0 f2 7 FINAL 7SA663-CES06-6-57- APPLICATION FOR ELECTRIC PERMIT COUNTY 1 - 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 LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST PERMIT FEES .'I J OWNER LIGHTS Q RECEPTACLES / SWITCHES NUMBER 1 T E M EACH FEE MAIL g ADDRESS Jr TOTAL OUTLETS .10 $ . y ELEC. RANGES, WATER HEATERS, CITY TEL NO CLOTHES DRYERS 'SO ELECTRICIAN ELEC SPACE HEATERS, STAT'Y COOK- ge 1NG UNITS, GARBAGE DISPOSERS, ADDRESS AUTO WASHERS, DISHWASHER .25 _ C LIGHTING FIXTURES 10 Bb. CITY TEL NO. y� STATE MOTORS LICENSE NO HORSEPOWER H P' OVER INC. r DISTRICT NO. I G P ON READY FOR INSPECTION 'A&LES9 .25 - y 'i2 — 2 50 INSPECTION RECORD 2 s � 1 00 5 — - Is 150 15 50 250 50 — 200 500 MISC. i SIGNSI NO.TRANS NO.LAMPS ,,rr11 SERVICE O-600V1.00 D V SERVICE OVER 600V 500 ` ,p WIRING PERMIT too / (1 6 FIXTURE PERMIT 100 4 SUPPLEMENTARY PERMIT 50 APPROVALS TOTAL FEE I g ' J I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 9PFFLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT J / WITH ALL COUNTY ORDINANCES,AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT i 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 PROP •Y SIGNATURE , UTILITY CO.NOTIFIED 1� r OF PERMITTE FINAL JOHN A:LAMBIE,` VALIDATION A HUR C.VEIT, COUNTY ENGINEER CK MO aHt SUPERYISING ELECTRICAL ENGINEER a; -AC0 3 9 0 3 OCT 3 0 2 1 1 .rJ 5 M t 1 76A889-CE606-6-57 APPLICATION FOR ELECTRIC PERMIT 1"V COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING�-47 BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER f CASSATT D GRIFFIN,Sup'T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN cRoss sT7f 7 dQ 7f PERMT FEES OWNER Jz Z ' LIGHTS RECEPTACLES SWITCHES NUMBER 1 T E M EACH FEE MAIL ADDRESS TOTAL OUTLETS $ .f0 $ ELEC. RANGES, WATER HEATERS, CITY 7ie� TEL N CLOTHES DRYERS .50 ELEC SPACE HEATERS, STAT'Y COOK- ELECTRICIAN-/F' 2 6 ING UNITS, GARBAGE DISPOSERS, ADDRESS AUTO WASHERS, DISHWASHER .25 LIGHTING FIXTURES 10 CITY /(/ TEL NO .MOTORS - - c STATE j C LICENSE NO HORSEPOWER DISTRICT O. GROUP ZON READY FOR INSPECTION HP- OVER INC &LESS 25 Y2 - 2 50 INSPECTION RECORD 2 — 5 foo 5 — 15 1 50 15 50 250 so — 200 5 00 ' MISC. SIGNSI NO.TRANS NO LAMPS SERVICE O-600V 100 SERVICE OVER 600V 1500 WIRING PERMIT 100 FIXTURE PERMIT loo SUPPLEMENTARY PERMIT •50 APPROVALS TOTAL FEE ; I 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 THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _ CALIFORNIA OR THAT I AM THE LEGAL OWNEW OF THE ABOVE POWER ry DESCRIBED RESIDEN RT SIGNATURE UTILITY CO NOTIFIED OF PERMITTEE FINAL JOHN A.LAMBIE. ATION AR HU C.VEIT, COUNTY ENGINEER ' SU ERVISING ELECTRICAL ENGINEER CK MO CASH ` k_�;tLa 4 •7 4 8 'DEC 2 2 125- - . r , 78A689_CEBDB_S,S7 ,A9 Y LeCATION FOR ELECTRIC PERMIT 1� -COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER Bu1Lo1Nc BUILDING AND SAFETY DIVISION , ADDRESS CJ JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D GRIFFIN,SUPT OF BUILDING "LOCALITY NEAREST- FOR APPLICANT TO FILL IN CROSS Sr PERMIT FEES `I T E M NUMBERI EACH FEE OWNER I n $ MAIL OUTLET LIGHTS RECEPT SW. 2 1O ©- ADDRESS LIGHTING FIXTURES ¢, l L- •10 Q CITY r .TEL NO 17 A ELEC.RANGES' CLO DRYERS ELECTRICIAN WATER HEATERS 50 ADDRESS ELEC.SPA6E HTRS. DISHWASHERS GARBAGE DISPOSERS' - --AUTO- - - - - --CITY- - T L NO ' WASHERS STA COOKING UNITS 25 f STATE A LICENSE NO MOTORS: OVER INC HP DISTRICT N GROUP ZONE 'READY FOR INSPECTION O — 1/2 25 I/z — 2 !vy 50 - - - 41 1 INSPECTION:RECORD 2'= 5- _ - 100- 5 — 15 150 15 — 50 250 ' 50- 200 Soo NO TRANS SIGNS: NO LAMPS //.. SERVICE 0-600V 100 C1 V SERVICE OVER 600V Soo MISC WIRING PERMIT 100 G v FIXTURE PERMIT 1.00 06 SUPPLEMENTARY PERMIT -.50 TOTAL FEE: $ APPROVALS I 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 L 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES G/ f/ LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I M THE LEGAL OWNER, OF THE ABOVE DESCRIBED PER POWER RESIDENTIA SIGNATURE UTILITY CO NOTIFIED OF PERMITTEE I FINAL ATION -ARTHUR C.VEIT, _ SUPERVISING ELECTRICAL ENGINEER:' CK MO CASH 3 6 4 4':3 N-- NOV 7 - 2 A 7.4 0 AR4.. A6c,3 SA 25M BETH -aH _ "MC&TM FOR PERNU AR EI11'I' OF BUILDING AND SAFFM --,� - COUNTY OF LOS ANGELES ELECTRIC M. J. FOX. CHI F N Z DISTRICT O. GROUP ZONE PERMIT NO. NAME O 1N/�1� jj- _ U ADD12E88^O �S TL/JSP V S CITY ` 7 /J.y TEL.NO. V?ZV RECEIVED BY FIRST INSPECTION READY FOR DATE ISSUED L IJNTY,NO. / / EXP PIRESCD/e�4r _ APPLICANT FILL IN EflAVMY OUTLEWD PORTION ONLY / IDESCRIPTION OF WORK ADDRESS G _��Jpp m d5�VN.;A NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS 7NE r - LIGHT OUTLETS 8W. PLUGS FIXT CIRCUPi' A^ B C D E F G H ic' 57-0�/ MAIL 5 rbVE A4 O d CITY TEL.NO. ` 1 AM THE LEGAL POSSESSOR ,OF:�--THEF ABOVE LOS ANGgLES COUNTY CERTIFIGA�TE�,.OE} FICATION..- `/'Il/ ELECTRICIANK _ I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED iABOVE t OWNER. ' C01.R MONS_ ,,L ,T - H el/(' f Q - Z_ O TOTAL NO. OF OUTLETS CO ' $ 0 O APPROVALS NO. OF FIXTURES oC, $ - DATE INSPECTOR'S NAME NO. OF M6TORS34 H.P. 71 $ 00 - CONDUIT / NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ I' UTILITY CO.NOTIFIED TOTAL.FEE FINAL WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self Insure, 76A663 • or a certificate ap, Worker Compensation Insurance, or a Certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS -BUILDING AND SAFETY DIV copy thereof(Se 3800 Lab C) Policy NO Company- FOR APPLICANT TO FILL IN JOB ADDRESS �4/0 Certified copy is he furnished New Residential Bldgs &Pools NO EACH FEE LOCALITY ❑ 1 &2-Family,Sq Ft — $ $ Certified copy is filed with the county budding inspection _ NEAREST- / ,- department Multi-family Sq Ft CROSS ST vh /�_ Date Applicant ' Residential Swimming Pools MAP DOR PAGE IPARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR /► n i ., Outlets RBC —Light Sw �� p P� M NAME 'T( C 4I COMPENSATION INSURANCE First 20 d D 'I (This section need not be completed If the work involved by the ADDRESS C 2� �n � �t 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 C C4JF17JV Tel No�S^�2`/ Is Issued, I shall not employ any person in any manner so as to, PLAN CHECK become subject to the Workers' Compensation Laws Lighting Fixtures First 20 APPLICANT Total NoAdditional • ADDRESS ------ Date ----Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP a 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 - rovisions of the-Labor Code;you must forihwith com I with such PERMIT provisions or this permit shall be'deemed`revoked p - p y Power Apparatus&Large Appliances APPLICANT - . LICENSED CONTRACTORS DECLARATION,' Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of-Cliapter 9 Over 3 to 10 Incl _ - (commencing with Section 7000) of Division 3 of the Business and CITY Tel No Professions Code, and my license is In full force and effect Over 10 to 50_lncl - LICENSE OR Class " Over 50 to 100 Incl REG NUMBER CL O Over 100 DISTRICT NO R SSED BY U License Number Lic Class d Services,Swbd,MCC&'Panelboards v0 G �t/ a: 0-399 Amp Under 600 V FINAL 8 O Contractor Date DATE ❑ 400-1000 Amp Under 600 V ( i at' T°g U I am exempt under Sec - v 330- ,3 LIDATION i°30 W Over 1000 Amp or Over 600 V FINAL 'S'�vtgf� d B&P C for this reason BRANCH CIRCUIT FEES BY 1 ITEMS Date 15A,or 20A, 120V,Lighting or Recept35-30 . Z 1 To 10 Branch Circuits TOTAL 35-30 Signature 11 To 40 Branch Circuits35.30 CHEt�I�� _ ❑ 41 Or More Branch Circuits Exemption for Reg Maint Elect 15A,20A,208V To 277V Lighting Br Circuits CHANGE .00 SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit f�t �1 O I hereby affirm that'1 am exempt from the Contractor's License Law Qow—QQQ1 3/26/96 for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits Code) .�28 T PM 12 Q5 ❑ 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) ' 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 C) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address � D I certify that I have read this application and under penalty of purjury state TOTAL FEE 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 my to enter upon the above-mentioned property f Insp ction purpos SEE REVERSE FOR EXPLANATORY LANGUAGE SIGN URE OF PERMITTE � � UA I L`�� ^ , I' WORKERS'that COMPENSATION DECLARATION 76A663CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT P hereby�ffirm that I have a certificate df-consent to self CE-806G' mst,fre, or a Vrtificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES 'BUILDING AND SAFETY or a Certified copy thereof (Sec 3800, Lab C ) PoAAAlicy olicy No Company FOR APPLICANT TO FILL IN JOB' �- { Certified copy is hereby furnished• New Residential Bldgs &,Pools EACH NO FEE ADDRESS �a _ $ $ 1 & 2-Famil q LOCALITY El Certified copy is filed with the county building inspec- y, S Ft — L— �: tion department Multi-family Sq Ft — ' 'NEAREST p,, t� Residential Sw mming Pools CROSS ST 471 �' Date Applicant OWNER OR �p {� ` -•- I FIRM NAME v1T L� CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets RecLight Sw_ f5 MAIL COMPENSATION INSURANCE "' J ADDRESS QUv, i -� �✓�. This section need not be completed if the work involved b AddFirst 20 ( p T Total No Additiondl`' CITY, a� Tel 45j )C, O�, ' the permit is for one hundred dollars ($100)or less.) - - , , , I certify that in the performance of the work for which this PLAN CHECK APPLICANT i permit is issued, I shall not employ any person in any manner so as to become subject to the Wor ers';Compe sat n Laws t Lighting'Fixtures Fust 20 y ADDRESS ' Additional �.,�.( 455 Total No CITY' Tel No Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after maAtk2k g this Certificate of- _ _ {� 1 / �- " 'Exemption, you should become subject to the Workers' _Range_ Heater_D W — APPLICANT IC ,5 C SQL C . Compensation provisions of the Labor Code, you must,forth- Oven Dryer W M — ADDRESS�i �� L 1 with comply with such provisions or this permit shall be To •_ FAU —W H — v deemed revoked Hood _ Fan _Other_ CITY UJ 1), I 1 Tel 'LICENSED CONTRACTORS DECLARATION ; LICENSE OR Phereby affirm that I am'licensed under provisions of Chapter 9 Disp Room Air Cond REG NUMBER 7j 506> Class C d (commencing with Section-7000) of Division-3:of the Business_- - ' Power Apparatus & Large Appliances DISTRICT NO PR S D BY and Professions Code,and my license is in full force and effect Size & Type HP, KW, KVA, or KVAR 0 License umber �,, V'� Lic Class c— Up to 1, Incl FINAL t V Over 1 to 10 Incl _ DATE f VALID ION 0 Cont ate 1>( Over 10 to 50 Incl FINAL I am exempt under Sec Over 50 to 100 Inc BY / W CL B&P C for this reason Over 100 til z, - Services, Swbd, MCC & Panelboards � fS � /.� Date 0 -200 Amp Under 600 V. ' Signature 201 - 1000 Amp Under'600 V �. .3 1.7- ❑ Over 1000 Amp or Over 600 V # 0 0 0 0 0 Exemption for Reg Maint Elect SINGLE FAMILY 1,0 o 4 4,7 5 Temp Power Pole 8 Appurtenances o 0 0' (G 4 7 5 v HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 85t I hereby affirm that I am exempt from the Contractor's LiAdditional Sign Branch Circuits cense = 0 1,p•9— Law for the following reason (Section 7031 5; Business and - Professions Code) Misc'Conduits & Conductors j j, as owner of the property, will do the work and the structure is not intended or offered for sole (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 it issued PERMIT FEET (Sub-Total) • (Sec 3097, Civ C ) PLAN CHECKING-FEE Lender's Name ` PERMIT,ISSUING FEE- _ Lender's Address I certify that I have ad this application and state that the TOTAL FEE-,. above informatio is correct I agree to comply with all County ordinances a State jaws regulating Electrical wiring, and ; Mrepresent fives of this County to enter upon - ne pro erty or inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur o Per itte . Date