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Home My Public Portal About5703 ENCINITA AVE_Electrical__ APPLICA�ION FOR Ed� R CA P�MI(P 76A663-CEB06 1/70 _ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING _ BUILDING AND SAFETY DIVISION ADDRESS j`9Q JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY_.` C• COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING -T - NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS N0, EACHFEE $ S OWNER � D RECEPT._ MAIL [� T 3 E LIGHT_ TOTAL FIRST 20 20 ADDRESS �7 V CZ _ OVER 20 CITY 4`!YI L� C TEL. N0, C SWITCH .10 PLAN CHECK LIGHTING FIRST 20 20 APPLICANT FITOTAL XTURES OVER 20 10 ADDRESS APPLIANCES CITY TEL. NO. PERMIT RANGE` DRVERWTR. HTR._ APPLICANT STA. COOK DISP. F.A.U._ ADDRESS SPACE HTR. AIR GOND. CITY TEL. NO. CLOTHES WASH._DISHWASH. LICENSE NO. CLASS. FAN—OTHER- /+/ 100 �z6 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION (r- AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC, HP. KW. %V A. ELECTRICAL WIRING. SIZE & TYPE OVER TO HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELE5 COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 .- 10 300 RESIDE IN, T ABOVE DESCRIPEO RESIDENTI L PRO ERT Y. } SIGNATURE 6. 70 - 50 5.00 OF PERMITTEE O V 50 — 100 1000 OIS TRICTNO. CLASS GROUP ZONE ROC f Y d' 100 — Soo 15.00 Cr7 _ O V SIGN AND ONE CIRCUIT 3.00 NOTES: D- - w SIGN, GAS TUBE, OR 1/l MARQUEE ADDITIONAL CIRCUITS 100 Z SERVI CENOTOVER 600 VOLTS OR 200 AMP 2.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER600 VOLTS OR 200AMP 500 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 300 - UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE 150% PERMIT FEE) UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 CsLd SUPPLEMENTARY PERMIT ISSUING FEE I00 / JOSEPH/C: ROOHAN TOTAL FEE � �vv / SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION c% M.O. CASHPERMIT VALIDATION DK. M.O. CASH I ^ C) 8 S)2Q MY 5 2 D 4.00- SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE APPLICATION FOR ELECTRICAL PERMIT � COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING (' BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEARESTCROs.$T PERMIT FEES OWNER ITEM NUMBER EACH FEE MAIL OUTLE $ $ ADDRESS LIGHTS ECEPT. 6W. .10 LIGHTING FIXTURES .10 CITY TEL.NO ELEC. RANGES CLO. DR/ERG ELECTRICIAN EATER 6 .SO ADDRESS ELEC.SPACE HTR DISHWASHERS CITY S AN GABRIELTEL.NO. G GE OI6PO6ER8 TO STATE �T� p6M£r STA. COOKIN 9 J ,pg / LICENSE NO. 789 7 'MafORS: OVER INC. H.P. DISTRICT G P Z P D O V2 l .25 �5 — 2 .50 INSPECTION RECORD 2 — 5 1.00 y 5 — is 1.50 0 15 50 2.50 O SO 200 5.00 V W SIGNS: NO TRANS. N NO. LAMPS Z SERVICE 0-600V 1,00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1,00 FIXTURE PERMIT 1,00 an SUPPLEMENTARY PERMIT ,s0 TOTAL FEE $ o . 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 I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING / , �,' Q ••� ELECTRICAL WIRING. - WIRING /CCD CG/I /TK[KJ./!M�•�^ 1 HEREBY CERTIFY THAT 1 AM PRO7L . Y EGI REO AND/OR LICENSED A9 REpU1R 6 BY LOB AN 6 C VNT AND STATE OF FIXTURES CALIFORNIA OR THA AM THE L O ER OF THE ABOVE DESCRIBED IDE T A PROPERT . POWER SI GNATUR UTILITY CO. NOTIFIED OF PERMITT FINA /kLIDATION ARTHUR C.VEIT. MO CASH SUPERVISING ELECTRICAL ENGINEER , CK L `I"�6 3 3 8 NAY j 2 D 9 .6 0 �/ I� ELECTRICAL CFIS p I�I�I�pp ° WORKEQ$' COMPENSATION DECLARATION 16A663 10/8I APPLICATION Im l�� p 4�®p0 I[®11'l IGE ��+ 0 0'(��p L PERMIT O'(Itl98� I -hereby offirrrr tha~I hove a certificate of consent to self CE-8066 Alr Ir iY II N F IL C A insure, or a certificatd of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified cdpy/thereof (Sec. 3800, Lab. C.) /� Policy No. Company FOR APPLICANT TO FILL IN ADDRESS �JOB )7 6 / Certified copy is hereby furnished. New Residential Bldgs, 8 Pools EACH NO. FEE Certified copy is filed with the county building inspec- 18 2-Fomily, Sq. FL $ — S LOCALITY GT tion department. Multi-family Sq. FC — NEAREST {{ –yam Residential Swimming Pools CROSS ST.` / S Date Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Z � COMPENSATION INSURANCE Outlets: Rec_Lig ht Sw._ .5 4P C f 1 r ADDRESS �� (This section need not be completed if the work involved by First 20 �E ` �/ the permit is for one hundred dollars ($100)or less.) Total No. Additional CIT L.0 Zy' Tel. No I certifythat in the performance of the work for which this PLAN CHECK P erAPPLICANT 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 Date !/ ' Ap'licant Total No.� Additional CITY Tel. No. P W��i Fixed Appliances Not Over 1 HE 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. — deemed revoked. Hood Fan _Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION 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 ppDISTRICT NO. P SED BY Il Power Apparatus 8 Large Appliances �r and Professions Code,and my license is in full force and effect. fl U Size 8 Type HP, KW, KVA, or KVAR �O License Number Lic. Class Up to 1 Incl. FINAL Over 1 to 10 Inc. DATE Contractor Date VALIDATION U ❑ Over 10 to SO Incl. FINAL W I am exempt under Sec. Over 50 to 100 Inc. BY N B.BP.C. for this reason Over 100 z Date: Services, Swbd., MCC 8 Panelboards D OF 0 - 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Mainz. Elect. Over 1000 Amp, or Over 600 V SINGLE FAMILY Temp. Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION :1 5 2 50 A Sign with One Branch Circuit I hereby affirm that I exempt from the Contractor's License Additional Sign Branch Circuits # e o 0 o.e '2 Law for the followingg r reason (Section 7031.5, Business and Professions Code): (- -1 3 5 0 /IVt�IYTI I, as owner of the property, will da the work and the Misc. Conduits 8 Conductors e e -.13506 ,, 3506 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ D 7044, Business and Professions Code). - 0a 14-!686 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 Lender's Address { I certify that I hove read this application and state that the I TOTAL FEE J above information is correct. I agree to comply with all County ordinances and Store mus ulating Electrical wiring, and hereby au �resentalives o }Lis County to enter upon the Se-mentioned,p7p erty for ins d ction purposes. (/ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature bf Permittee Date