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Home My Public Portal About5413 ENCINITA AVE_Electrical__ v 768663-CE806 10/72 APPLICAY116RAOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES y-- DEPARTMENT OF COUNTY ENGINEER ADDRESS G�Lii /�/ BUILDING AND SAFETY DIVISION LOCALITY f� NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLETS NO EACH FEE FIRM IRM NAME 11, $ RECEPT_ MAIL FIRST 20 ADDRESS LIGHT TOTA 25 CITY TEL NO SWITCH/ OVER 20 10 PLAN CHECK LIGHTING FIRST 20 25 X� APPLICANT TOTAL ADDRESS FIXTURES OVER 20 10 RESIDENTIAL APPLIANCES CITY TEL NO PERMIT RANGE DRYER_WTR HTR APPLICANT ✓ I'1S �iL STA COOK DISP TF A U ADDRESS 31y Q e;lol SPACE HTR AIR COND CITY 4r1y TEL NO CLOTHES WASH DISHWASH LICEREG NUM ER / d/f CLASS C O 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 W ITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING 1 SIZE IN TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS RED U[RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGA WNER OF THE ABOVE d 1 - 1O 300 DESCR[PED RES L P OPERTY O U PERMITEE 10 - 50 500 SIGNATURE '>= O H 50 - 100 1000 C.') DISTRICT NOPROCE SED BY W 100 - 500 1500 1 Z SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECy6R,s SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK SERVI CE OVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES POWER AUTHORIZED UTILITY CO NOTIFIED FINAL 41/Y--7 r PERMIT FEE (SUB TOTAL) NOTES PLAN-CHECK FEE I PERMIT ISSUING FEE 300 Q(> TOTAL FEE PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION /p�j M 0 CASH 6 2 9 FEB 7 2 �..�6.2 5 A Sb SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE . 76A6(3-CE8,0610/72 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES \ DEPARTMENT OF COUNTY ENGINEER FNEAREST BUILDING, AND SAFETY DIVISION �.� �JG♦/i r 4 ^� FOR APPLICANT TO FILL IN CROSS ST OUTLETS NO EACH I FEE ,OWNER OR RECEPT y 'c $ 5 Q �� IRAMLNAME G LIGHT TOTAL FIRST25_20 ADDRESS , CITY TEL NO SWITCH OVER 20 10 PLAN CHECK , LIGHTINGTOTAL FIRST 20 25 APPLICANT � FIXTURES OVER 20 10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO PERMIT RANGE DRYER WTR r HTR APPLICANT N'.S STA COOK DISP F A UJADDRESS `I �c=d' SPACE HTR AIR COND CITY Qy�s ' TEL NO J'It L 7L CLOTHES WASH OISHWASH LICENSE OR D� CLASS C "�U REG NUMBER J FAN I OTHER 100 ®D 1 HEHEBI 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 ' 51ZE & TYPE OVER TO I HEREBY CERTIFY THAT I 'AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES ONTYI AND STATE OF CALIFORNIA OR THAI I AM THE LEGA OWUNER OF HE ABOVE 1 - 10 300 DES�R11'ED Ry&fffE1 O RTY pr O PERMITEE U 10 - 50 500 SIGNATURE O 50 - 100, 1000 V DISTRICT NO PR SSED BY LV 100 - 500 1500 s� SIGN GASSIGN AND ONE CIRCUIT 500 APPROVALSSJJJ DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVI CENOTOVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK SERVI CE OVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 500 WIRING �� v TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES POWER AUTHORIZED UTILITY CO NOTIFIED ' FINAL -Y�' v�`a , PERMIT FEE - (SUB TOTAL) NOTES PLAN CHECK FEE ' ' PERMIT ISSUING'FEE 300 d D TOTAL FEE ®� PLAN CHECK VALIDATION CK M Q CASH PERMIT VALIDATIONcK M o CASH L 2 8 2c"-'1IAR 28 2 D 5.0 0 A18 SEE BACK OF APPLICATION FOR COMPLETE'SCHEDULE -76gE143-CE806,10/72 APPLICATION OR ELE ICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS �7 `7�l�'?! �4) BUILDING AND SAFETY DIVISION LOCALITY 7z,' NEAREST o'pv FOR APPLICANT TO FILL IN CROSS ST - OUTLETS NO EACH FEE OWNER OR �u FIRM NAME l- RECEPT f $ $ MAIL ADDRESS LIGHT TOTAL FIRST 20 � 25 `� Cl TY TEL NO SWITCH OVER 20 10 PLAN CHECK LIGHTINGFIRST 20 25 APPLICANT TOTAL ADDRESS FIXTURES OVER 20 10 RESIDENTIAL APPLIANCES CITY TEL NO PERMIT &I V ff 0 b1 RANGE DRYER_WTR HTR APPLICANT �,`.- !s STA COOK DISP F A U ADDRESS ��j" �3� '00 � SPACE HTR AIR COND CITY • l` TEL NOffy �� CLOTHES WASH DISHWASH LICENSE OR e OS REG NUMBER CLASS FAN OTHER 100 / �� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ TH15 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 0 — I 100 LICENSED AS REQUIRED BY LOS ANGEL COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEG OWNER THE ABOVE >- 1 — 10 300 DESCRIPED RE ERT Y O PERMITEE U 10 - 50 500 SIGNATURE O C) 50 - 100 1000 DISTRICT NO PROCES ED BY W 100 - 500 1500 a SIGN, GAS=SC ONE CIRCUIT 500 APPROVALS DATE INSPEC 'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICENOTOVER 600 VOLTS OR 200AMP 300 UNDERSLAB WORK SERVICEOVER600 VOLTS OR 200AMP 1000 ROUGH CONDUIT Aw TEMPSERVICE, POLE, &APPURTENANCES 5D0 WIRING TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES ' POWER AUTHORIZED ` UTILITY CO NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 300 TOTAL FEE PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M o CASH 3 4 5 h pv ' 2 U 4.6 U A=te SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ,,�� ? Lu 76Ab¢3-CE806,10/72 APP LIC ►PION OR ELE CAL PERMI COUNTY OF LOS ANGELES T DEPARTMENT OF COUNTY ENGINEER gDDRESS / C •/Q� BUILDING AND SAFETY DIVISION LOCALITY Q vim Lie c NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLETS NO EACH FEE OWNER OR XJ y FIRM NAME/r {/', RECEPTiA $ $ MAIL FIRST 20 ADDRESS LIGHT � TOTAL 25 r7 CITY TEL NO SWITCH ,�_ OVER 20 10 PLAN CHECK FIRST 20 .j_ 25 APPLICANT LIGHTING TOTAL r� OVER 20 ADDRESS FIXTURES L 10 RESIDENTIAL APPLIANCES CITY TEL NO PERMIT RANGE DRYER_WTR HTR APPLICANTtc.II,: STA COOK DI SP F A U ADDRESS '� A/ la I'IA V C, SPACE HTRAIR COND CITY - TEL NO CLOTHES WASH DISHWASH LICENSE OR 16 S-� CLASS D REG NUMBER FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO 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 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL tlC NER OF THE ABOVE 1 - 1O 300 DESCRIPED RESID PR RTY O PERMITEE U 10 - 50 500 SIGNATURE H 50 - 100 1000 DISTRICT NO PROCESS D BY W O.. 100 - 500 1500 to C Z SIGN, GAS=AND ONE CIRCUIT 500 APPROVALS DATE INSPECTO ' SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP ` 300 O 0 UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 500 WIRING � , r TEMP LIGHT OR RECEPT SYSTEM 3 DO FIXTURES R ®o POWER AUTHORIZED UTILITY CO NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 300 Qa TOTAL FEE "f r • � PLAN CHECK VALIDATION CK M 0 CASH PERMIT VA ATION cK' M 0 CASH 5 3 rayl y 2 0 A= SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKERS'COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy ..thereof (So 3800, Lob C ) - - Policy NoQ_,�C6mpany � FOR APPLICANT TO FILL IN JOB ❑ Certified copy is hereby furnished New Residential Bldgs 8 Pools rEACH 1 &2-Family, NO FEE ADDRESS S 3 = Certified copy is filed with the county building inspec- � Sq Ft $ LOCALITY NEAREST tion de artment Multi-family Sq Ft CROSS ST Date plicant Residential Swimming Pools OWNER OR f FIRM NAME d ERTIFICATE OF EXEMPTION FROM`WORKERS' Outlets Rec�Light Svv AIL COMPENSATION INSURANCE ADDRESS First 20 (This section need not be completed if the work involved by Total No Additional CITY , ` Tel No the permit is for one hundred dollars ($100)or less ) LICHECK- I certify that in the performance of the work for which this A PLAN 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 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 deemed revoked Hood Fan _Other_ N S2:6 LICENSED CONTRACTORS DECLARATION LICENSE OR /t�� d/ I hereby affirm that I am licensed under provisions of Chapter 9 Disp _ Room Air Cond REG NUMBER OC Class w (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO PROCESSED BY >„ and Professions Code,and my license is in full force and effect 0. /y// /7 Size 8 Type HP, KW, KVA, or KVAR Q License Number �7 �S �G Ert Class Up to 1 Incl FINAL V CK h� Y Over 1 to 10 Incl DATE �� VALIDATION Q Contract o t Date cx Over 10 to 50 Incl FINA V ❑ I am exempt under Sec Over 50 to 100 Inc BY W 0. Over 100 B&P C for this reason Date Services, Swbd , MCC& Ponelboards ► 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) ' ❑ Misc Conduits& Conductors ;21 'd a l A 1, as owner of the property, will do the work and the structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , # 0. 0 0 0.0 2 7044, Business and Professions Code) t CONSTRUCTION LENDING AGENCY - - 2-, 2,5 1 hereby affirm that there is a construction lending agency for `0 0 0 1 U 2 5 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) PLAN CHECKING FEE 0.a 2 4'-84 Lender's Name PERMIT ISSUING FEE D Lender's Address f I certify that I have read this application and state that the TOTAL-FEE l 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- ntioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date