The URL can be used to link to this page

Home My Public Portal About5526 ENCINITA AVE_Electrical__ 76A6€3tE 80616/7) APPLICATION FOR EIECTRICAI PERMIT _ COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB 5526 ENCINITA AVE New Residential Bldgs &Pools EACH NO FEE ADDRESS 1 &2 Family Sq Ft $ 025 — $ LOCALIff Multi family Sq Ft 02 —25 00 CROSS ST NEAREST Residential Swimming Pools OWNER OR _ FIRM NAME FRANS Outlets Rec Light Sw MAIL First 20 50 ADDRESS 5 Total No Additional 30 CITY TEMPLE CITY Tel N2285-1881 PLAN CHECK APPLICANT WALNUT POOTS Lighting Fixtures First 20 50 ADDRESS Additional 30 Total No CITY Tel No Fixed Appliances Not Over 1 HP PERMIT _ APPLICANT WALNUT POOLS, Range_Heater_ D W Oven—Dryer_ W M — ADDRESS 21450 GOLDEN SPRINGSDR: Top —FAU — W H CITY WALNUT Tel No 912-154 Hood_Fan —Other LICENSE OR Disp —Room Air Cond 25_0 REG NUMBER 319018 Class C-53 IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP KW KVA,or KVAR COMPLY-WITH ALL COUNTY ORDINANCES AND STATE LAWS yp2 50 REGULATING ELECTRICAL WIRING Up to 1 Incl 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Incl 12 50 CALIFORNIA OR THATi(IAM THE LEGAL 0 NER OF THE ABOVE — Over 50 to 100 Inc 25 00 DESCRIBED RESIDENTIAL PROPERTY Over 100 40 00 PERMITEE SIGNATUR Services DISTRl T O PROCESSED BY 0 200 Amp Under 600 V 12 50 �`O 201 1000 Amp Under 600 V 25 00 Over 1000 Amp or Over 600 V 5000 Z ° @1205-A Temp Power Pole&Appurtenances 10 00 Q Sign with One Branch Circuit 1000 2 # 0 0 0 0 0 2 Additional Sign Branch Circuits 2 00 INSPECTION > 10 00 INFORMATION 2 - 3200 Misc Conduits&Conductors ON REVERSE x Other(See Complete Fee Schedule) SIDE u - 32006 Z 11,07-78 PERMIT FEE (Sub Total) Z PLAN CHECKING FEE (One Fourth Permit Fee) O PERMIT ISSUING FEE $7 00 C TOTAL FEE > r _ INSPECTION FINALED o�c date //��p By '� Os 76A663 CE 80616/761 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDRESS New Residential Bldgs &Pools EACH NO FEE 1 &2 Family Sq Ft $ 025 — $ LOCALITY ` Multi family Sq Ft 02 — NEAREST CROSS ST Residential Swimming Pools 25 00 OWNER OR FIRM NAME Outlets Rec Light Sw ^ MAIL First 20 50 r ADDRESS Total NoAdditional 1 30 CIT Tel Nc,,-;; - PLAN CHECK or APPLICANT Lighting Fixtures First 20 50 ADDRESS Z Additional 30 Total No t CITY Tel No i Fixed Appliances Not Over 1 HP PERMIT r Range_Heater_ D W `' APPLICANT Oyen_Dryer—W M— ADDRESS Top _FAU — W H CITYl &No Hood_Fan —Other LICENSE OR Disp —Room Air Cond 2 50 REG NUMBER Class Cbl 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS 2 50 REGULATING ELECTRICAL WIRING Up to 1 Incl 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Incl 12 50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE Over 50 to 100 Inc 25 00 DESCRIBED RESID L P OPERTY 40 00 / PERMITEE Over 100 SIGNATURE Services DISTRICT O CE 0 200 Amp Under 600 V 12 50 / 201 1000 Amp Under 600 V 25 00 ! -Over 1000 Amp or Over 600 V 50 00 Z O - Y- Temp Power Pole&Appurtenances 1000 Q Sign with One Branch Circuit 1000 Additional Sign Branch Circuits 200 INSPECTION > Misc Conduits&Conductors 1000 INFORMATIONON REVERSE x Other(See Complete Fee Schedule) SIDE u Z a 3 1 2 7 A ego o o o o2 PERMIT FEE (Sub Total) 2 o o 1 9.50 Z PLAN CHECKING FEE (One Fourth Permit Feel _ O o o a 1 9 5 Q c= PERMIT ISSUING FEE $7 00 c a 03108-79 TOTAL FEE / > r INSPECTION FINALED W date � � ) �� By � Os .WORKERS' COMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT I h�.�, of?i rm that I have a certificate of consent to self CE-806G ins.re, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a.cer4ified copy thereof (Sec 3800, Lab C ) I I a Policy No Company FOR APPLICANT TO FILL IN JOB R Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS'S L-igCx,grTA A v G Certified copy is filed with the county building inspec- 1 & 2-Family, Sq Ft $ — $ LOCALITY ['�M f(. C `�' tion department ' Multi-family Sq Ft — NEAREST CROSS ST Date Applicant Residential Swimming Pools OWNER OR PP - FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL COMPENSATION INSURANCE Outlets Rec Light Sw ,7 ADDRESS This section need not be completed if the work involved b J G First 20 the permit is for one hundred dollars ($100)or less ) y Total No ""K� Additional / CITY C"}� Tel No I certifythat n the performance of the work for which this PLAN CHECK iP 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 DRESS FAQTotal No - Z/` Additional CITY � Tel No Date S pplicant 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 � �H — deemed revoked Hood Fan V Other_ CITY Tel No _ LICENSED CONTRACTORS DECLARATION 3 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 Power Apparatus& Large Appliances DISTRICT NO FIR FIR D B and Professions Code, and my license is in full force and effect d Size &Type HP, KW, KVA, or KVAR J License Number Lic Class U to 1 Incl / V Up FINAL �Over 1 to 10 Incl /�`/, r Contractor Date � DATE/ �� IDATION 0 ❑ Over 10 to 50 Incl FINA( ~ 1 am exempt under Sec Over 50 to 100 Inc BY d B &P C for this reason Over 100 � h Date Services, Swbd, MCC & Ponelboards , 0 - 200 Amp Under 600 V Signature 201 - 1000 Amp Under 600,V 2 1 9.6 A Over 1000 Amp or Over 600 V Exemption for Reg Maint Eject # o o o o o 2 SINGLE FAMILY Tem Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION pCiI' o o 5 312 5 Sign with One Branch Circuit z I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits o 0 o 5 3 2 55 Law for the following reason (Section 7031 5, Business and 0 605785 Professions Code EQ1, as owner of the property, will do the work and the Misc Conduits& Conductors 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 Si Lender's Address - I certify that I have read this application and state that the - TOTAL FEE 3•�S above information is correct 1 agree to comply with all County ordinances and State jaws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon theabove-mentioned property for inspection purposes ��_ SEE REVERSE FOR EXPLANATORY LANGUAGE 4� , Signature of Permittee Date