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Home My Public Portal About5623 ENCINITA AVE_Electrical__ r ��yy,,�� pp ��++ ��aa R��p A TEU` PLaE . CO li 1[ leo.e¢of�.eb •` APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES - ' - // -- ' DEPARTMENT ENGINEER BUILDING AND SAFETY DIVISION noDRE4s b (c.2 JOHN A.LAMBIE.COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY ! .0 40 ✓/ �' FOR APPLICANT TO FILL IN CROSS ST - � PERMIT FEES OWNER / L PL ITEM NUMBER EACH FEE MAIL OUTLE $ 4 ADDRESS LIG ECEPT. 7 SW. .10 CITY 77 L TEL NO. �• �3 / LIG TING FIXTURES .f0 ELEC. RANGES CLO. DRYERS ELECTRICIAN WATER H EATERS .5 O ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO. GARBAGE DISPOSERS AUTO: STATE LICENSE NO. WASHERS STA. COOKING UNITS MOTORS: OVER INC. H.P. DISTRICT O. GR P E P SSED BY 0 — Va .25 0 V, — z 50 INSPECTION RECORD z — s 1.00 00 5 — 15 1.50 V C 15 80 2.50 O F 60 200 5.00 - U W NO TRANS. N SIGNS: NO.LAMPS Z SERVICE 0.600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 ..� SUPPLEMENTARY PERMIT ,50 TOTAL FEE 4 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 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 I HEREBY CERTIFY HAT 1 AM PROPERLY REGISTERED ANO/OR LICENSED AS REOU D BY LOS A CLES COUNTY AND STATE OF FIXTURES CALIFORNIA OR T AT I AM THEEGAL OW ER OF T E ABOVE POWER I DESCRIBED RESID UL I&OPE/R71. SIGNATURE UTILITY CO. NOTIFIED - OFPERMITTE _ ., FINA �U�• -yVVwrVF� VALIDATI ARTHURC.VEIT, SUPERVISING ELECTRICAL ENGINEER CK NO ZEN Ij)r.04 6 9 6 I':« 31 2 D 5 .30 9 78AG63.CE806.10.56 APPLICATION FOR ELECTRIC PERMIT . 1 BUILDING AND SAFETY DIVISION Department of County Engineereu1LDIrvG �+ •� '� _ County of Los Angeles ADDRESS / 6 /Ll• ti'U,V/7f� JOHN A. LAMBIE.COUNTY ENGINEER CASSATT D. GRIFFIN. S.F�TOFBUILDING LOCALITY yNEAREST, FOR APPLICANT TO FILL IN CROSS /UL PERM FEES OWNER //jy f�Od'�) t? 0If ALL' LIGHTS RECEPTACLES SWITCHES NUMBER ITEM EACH FEE MAIL ADDRESS TOTAL OUTLETS S .10 $ l T . ELEC. RANGES, WATER HEATERS, CITY •/ TEL. NO. CLOTHES DRYERS .50 ELEC. SPACE HEATERS, STAT-Y. COOK. ELECTRICIAN AIXUC UNIT , GARBAGEDISPOSERS, TWASSHERDISHWASHER .2$ ADDRESS OStSi'L' LIGHTING FIXTURES ,I0 CITY /f TEL. NO. STATE MOTORS i= LICENSE NO. / HORSEPOWER OVER INC. DISTRICT NO. GROU P7 70NE I READY FOR INSPECTION Vz &LESS .25 z .50 INSPECTION RECORD I' 2 5 1.00 5 Is 1.50 Is 50 2.50 so — 200 s.00 .� 7aP fs l 0 1- MISC. Jn1j--Ll. F12 FS '141P/CN ) F R/(, XA Wk- 7--o ' 2 u� nFn• li P,- NO.TRANE r /It/E-`t T1 RF )�i�a VIDFD SIGNS NO. LAMPS Fill?.(Id r1/)7'/FT' RJ`F )C 7- /� q SERVICE 0-600V 1.00 i �' t/F 1n,-lP4" )/)ti D, ° SERVICE OVER 600V 5.00 hA10)'0=7 F/ 7;=pU /9 tfF/19/l/y/'///1. iWIRING PERMIT 1.00 �'/ ;r ,o —.S'O / X TC) FIXTURE PERMIT 1.00 n'D )�9 If ( �/ SUPPLEMENTARY PERMIT .50 ,I", A! APPRIOVALS TOTAL FEE $ DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING tri ` St^p111�,11�E P�n ELECTRICAL WIRING. WIRING OO ( I HEREBY CERTIFY THAT I AM PROPER Y REGISTERED AND/OR y FIXTURES F LICENSED AS REQUIRED BY L N�GECO AND STATE OF CALIFORNIA OR THAT AM/ N BOF THE ABOVE POWER DESCRIBED RESIDENTIAL SIGNATURE UTILITY CO. NOTIFIED OF PERMITTEE �:�' - FINAL JOH NA. LAMBIE. VALIDATION AR- HU C. VEIT. COUNTY ENGINEER �k1 MO cgsH SUPERVISING ELECTRICAL ENGINEER I alj�0 3 0 JUL 18 2 2 .9 0 in 7GA663.CEBO6.10.56 APPLICATION FOR ELECTRIC PERMIT BUILDING AND SAFETY DIVISION _ Department of County EngineerBUILDING County of Los Angeles - ADDRESS ,J (y 6N/(/e L A/!Z/• 'V 1 rA 419?1 JOHN A. LAMSIE. COUNTY ENGINEER T— �: ClSSATT D. GRIFFIN. SUPT of BUILDING LOCALITY / `V�lV/)�)J PO L r'•� NEAREST FOR APPLICANT TOFILL.IN CRosS PERMIT FEES OWNER /N/ LIGHTS / RECEPTACLES SWITCHES / NOM6Eq ITEM EACH FEE MAIL ADDRESS ,9 23 i1,. /-=i✓eii✓i r.Q ✓�. TOTAL OUTLETS $ .10 $ 10 j ELEC. RANGES, WATER HEATERS, CITY TewAsWe— l &/ .l TEL. NG r` -3V/u CLOTHES DRYERS .50 ELECTRICIAN ELEC. SPACE HEATERS, STAT Y. COOK. 'I IND UNITS. GARBAGE DISPOSERS, ADDRESS AUTO WASHERS, DISHWASHER .25 e IV LIGHTING FIXTURES .10 ! [/.� CITY TEL. NO. MOTORS STATE LICENSE NO. y HORSEPOWER X.P. OVER INC. DISTRICT NO. I GROUP ZONE I READY FOR INSPECTION l I/y 8 LESS .25 S h - 2 so INSPECTION RECORD 2 5 1.00 S 15 1.50 15 s0 2.50 50 200 5.00 MISC. SIGNS I NO.TRANS X NO. LAMP6 SERVICE 0-500V 1.00 SERVICE OVER 600V 5.00 WIRING PERMIT 1.00 _ FIXTURE PERMIT I.00 SUPPLEMENTARY PERMIT .50 7 APPROVALS TOTAL FEE s DATE INSPECTORS SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 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 I HEREBY CERTIFY TH T 1 AM PROPERLY REGISTERED AND IOR FIXTURES LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT/ 1 M THE,LEGAL .OWNER OF THE+ABOV POWER ,/ DESCRIBED RESIDEN IAL CREPT SIGNATURE { UTILITY CO. NOTIFIED 7'Zi 'S- P�YIA .0/(' OF PERMITTEE _ -FINAL JOHN A. LGINEER VALIDATCASH SU HUR C. VETT, COUNTY ENGINEER ` lA SUPERVISING ELECTRICAL ENGINEER CK MO GSH I,yL,0 5 1 -S� JUL 22 2 3.5 5 WORKERS' COMPENSATION DECLARATION 76A683 .10/81 APPLICATION FOR ELECTRICAL PERMIT - I hereby'affirm that I have a certificate of consent to self insure, CE806G or a certificate of Workers' Compensation Insurance, or-a certified COUNTY OF LOS ANGELES BUILDING=AND SAFETY copy thereof(Sec. 3800.1_ab. C.) vg _ Policy No. _ Cpmpaoy FOR APPLICANT.TO,FILL IN JOB' ' �� A C u� J,• /I • FEACHtNO. FEE. . ADDRESS.Certified copy is hereby furnished. . New Resitlential Bldgs.8 Poolsr- 1 & 2-Family,Sq.Ft. _ $ 'LOCALITY,ly Cerfrfietl•copy Is filed with county building inspection NEAREST department. - Multi-family Sq:Ft. CROSS v.' •.D t CROSS ST. Date - Applicants Residential Swimming Pools - OWNER OB - FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec Light Sw._ MAIL : 63V. �,�/c„il, .,g. COMPENSATION INSURANCE. ADDRESS (This section need.not be completed if the work involved by the - First ion - CITY �ll Tel.No. �� pp[ � permit is for,one hundred dollars ($100)or less.) Total No. Additional Z �/r 04TO– I certify-that•in the performance of the work for which this permit' i 'PLAN CHEEK' P P r "r _ r” APPLICANT' is issued, I shall not employ any-person in any mannerso as to - -. - become subject to the Warkers Compensation Laws. Lighting Fixtures- First 20 �- ADDRESS Additional " .• i Tel.No' Date - Applicant Fixed Appliances Not Over 1 HPPERMIT NOTICE TO APPLICANT: If, after 'making,this Certificate of APPLICANT O i�VL_. Exemption,you should become subject to the WorkersCompensation 'Range_' Heater_ D.W. y provisions a the Labor Code,you mustforthwith comply with such Oven Dryer _ W.M._ ADDRESS provisions or this permit shall be deemstl,revoked. Top —.FAU _ W.H. ._ CITY - Tel.No. LICENSED CONTRACTORS DECLARATION Hbotl,— Fan Other_ CENSE OR hereby ing ithaLLam licensed under.provisions3 f th of Chapter 9 -0isp. —,Room AirCond. (commencing with SeCtlon 2000) of Division 3 of the Business and REO,NUMBER Professions Code,and my license is in full force and effect Power Apparatus&Large Appliances DISTRICT;NO.. t P 0 SSED 9Y Size& Type HP,KW,KVA,or,KVAR ✓ G T 1 Q License Number Lic.Class ' Up to 1:Incl FINAL q �7 - Over 1,to 10.lncl. _ _ DATE JZ,z_ 4 --.VALIDATION, Contractor Date •' - - O ;❑ _ :Over,10 to 50 Incl: FINAL am exempt under Sec. Over 50 to 100 Inc. BY W - B&P.C..for this reason Over,100 •� -• •_ 'Date:- -Services, Swbd., MCC&pr�16 r5s za Z 0 20o Amp u er s 0 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 1 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 Y .. Code): 19 1�� Misc Conduits&Conductors . I,as owner of the property,will do the work and the structure �- � � F I G!`�'� is not intended•dr offered for sale (Section-7044, Business Other (See.Complete Fee Schedule) and Professions Code). D . CI .✓' CONSTRUCTION•LENDING AGENCY HECK 72.11– 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) PLAN CHECKING FEE ^ Lender's Name t• •• , ill?(IiJ–�f,�ll}, ji I% i`j_ PERMIT ISSUING FEE ' �[ Lender's Address r�71.lV 1; Art 11:t_I Y certify that have read this application and state that the above TOTAL FEE � dJ. . .. .. ... - . 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 perty for inspection puoses. SEE REVERSE FOR EXPLANATORY LANGUAGE. /0 ��-7 Ignature of Permittee Date