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HomeMy Public PortalAbout5949 ENCINITA AVE_Electrical__ 1 76AGS3 CE-11a6 NF 6/78 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING Ty SAFETY FOR APPLICANT TO FILL IN JOB New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 1 &2 Family,Sq. Ft. Sr — $ LOCALITY Multifamily Sq. Ft. — NEAREST CROSS ST. Residential Swimming Pools OWNER OR FIRM NAME Outlets: Rec—Light_Sw._ MAIL First 20 - ADDRESS _ Toro)No. Additional CITY Tel. PLAN CHECK APPLICANT Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel.No. Fixed Appliances Not Over 1 HP PERMIT APPLICANT Range_Heater— D.W. Oven—Dryer— W.M.— ADDRESS n Top _FAU W.H._ CITY Tel.No. Hood—Fan _Other_ LICENS OR Disp.—Roam Air Cond. REG.NUMBER Class. 15'-10 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&large Appliances TION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO Size&Type HP, KW, KVA,or KVAR COMPLY I WWIITH ELECTRICALALL UNTYWIRI .RDINANCES AND STATE LAWS Up to t Incl. HEREBY CERTIFY T OPERLY REGI ER D/OR 0 Over 1 to 10 Ind. LICENSED AS REQUIRE Y LO GELES OU ATE OF V Over 10 to SO Incl. CALIFORNIA OR TH L W R E ABOVE O DESCRI BED RESIDE P TV ` Over 50 to 100 Inc. PERMITEE IT�jI Over 100 SIGNATURE N Services / , -� DISTRICT NO. - P ESS Y Z 0 s 200 Amp.Under 600V Q Q ! 201-1000 Amp, Under 600 V C/ Over 1000 Amp.or Over 600 V 2 O Temp. Power Pole&Appurtenances Q Sign with One Branch Circuit Additional Sign Branch Circuits INSPECTION > INFORMATION Misc.Conduits&ConductorsON REVERSE i 9493,0A Other(See Complete Fee Schedulel_ SIDE u 5 # ao, vo2 2iso19.50 PERMIT FEE (Sub-Total) e,e o 1 9, 50� PLAN CHECKING FEE (One-Fourth Permit Fee) 0'6. 1 4 7 9 F PERMIT ISSUING FEE o TOTAL FEE > INSPECTION FINA-LIED /f • W date: I Z/ 79 By )fi Afi6]-C E80810/]< APPLI ATI I II R® CTRI ' [IIr.R«BIJ RMIT COUNTY OF LOS ANGELES u tltln DEPARTMENT OF COUNTY ENGINEER .IDB BUILDING AND SAFETY DIVISION ADDRESS CI / LOCALITYef e,ZX C HI NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS N0, EACH FEE OWNER OR S S FIRM NAME �j REC EP T._ MAIL ADDRESS O I E LIGHT TOTAL FIRST 20 .25 OVER 20 CITY TEL. N0. SWITCH_ .10 PLAN CHECK GHTING TOTAL LFIRST 20 .25 APPLICANT FI%TURES 10 I OVER 20 ADDRESS . RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGEDRYERWTR. HTR._ APPLICANT STA. COOK_DISP. F.A.U._ ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH.y 015MWA5 H._ LICENSE OR REG. NUMBER CLASS. FAN—OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WIT ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. S12E & TYPE OVER TO HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 00 L ICE NS EO AS "'OU IR BY LOS ANGELES COON T A iD_EiPTE OF CALIFONWA OR TH �IC1 TX LEGAL f OF THE ABOVE 1 — 10 3.00 DESCRIBED RESID N PRO RT CD U FERMITEE 10 — 50 5.00 SIGNATURE U 50 — 700 10.00 DISTRICT NO. PROC SED BY H C_ 100 — 500 . ID.Oo (J 8 ? SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 O UNDERSLAB WORK SERVICEOVER600VOLTSOR200AMP 10.00 ROUGH CONDUIT- f i TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZE ]iJ UTILITY CO. MOTIF D FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 � Cf TOTAL FEE Q� PLAN CHECK VALIDATION CK. M.O. cA H PERMIT VALIDATION CK. M.D. CASH 18 + 25 20 6.00eo SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE v 76AI63C- CE90613 13/73 QY PL!� M FOR ELECT ��A PERMT �I 1 BUILD.INND SAFETY DIVISION 11L.1'1 FOR APPLICANT TO FILL IN JOB q N. /ANG/Nr7y;r New Residential Bldgs. & Pools EACH NO. FEE ADDRESS 5qdV1 &2 Finaily Sq. Ft. $ — $ LOCALITY 7'/ Multi-family Sq. Ft. CROSS ST. V140 D Residential Swimming Pools ' "� R OF FIRM ENAME _ (Lf W. (l//l II.Q TINtf/r Outlets: Light, Switch& Receptacle MDDAIL RESS gqy First 20 A �` ^� Additional CITY v La Tel. No. �J PLAN CHECK APPLICANT Lighting Fixtures First 20 ADDRESS Additional CITY Tel. No, PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range Heater_ D.W. ADDRESS Oven _ Dryer W.M. Tap _ FAU W.H. CITY Tel. No. Hood Fan LICENSE OR a REG. NUMBER Clas, Disp. A.C. v I C...I AI�N..L...E THAI I EASE N.AG TRUE APPLICATION C AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CZ) Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING . Size &Type HP, KW, KVA,or KVAR ELECTRICAL w'R'"`' i Up to 1 Incl. y AND/ORz Over 1 to 10 Incl. LICE SE. ^1 1100 RED 11 S ANGEL" COUNTY AND "IT' 11 Over 10 to 50 Incl. ESCRIBE.R ,.L PRa PERT.. G"` OWN­HE R"A OR THAI THE TRE ARov Over 50 to 100 Incl. PERMITEE Over 106 SIGNATURE Es DISTRIC ED BY Services / f 0-200 Amp. Under 600 V. Y 0 201 - 1000 Amp. Under 600 VAPPROVALS DATE I SPE OR'S Over 1000 Amp. or Over 600 V Over TEMP. POWER POLE Temp. Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT _ XA,Y V (Other) WIRING �/IA FIXTURES POWER AUTHORIZED v / PERMIT FEE (Sub-Total) -UTILITY CO.NOTIFIED f PLAN CHECKING FEE (One-Fourth Permit Feel FINAL I PERMIT ISSUING FEE NOTES TOTALFEE ou ` -PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK1 'r' M.O. ,CASH 6.7 41—JuL 19 2 D; 9.0 0 Anri WORKERS' COMPENSATION r76-603 10:91 .I hereby,affirm that 1-have a certificate of consent in self. CE-8066 'A.DP C ATION FOR ELECTRICAL, ECTRICALL, PERMIT insure, or a Certificote of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO, FEE ADDRESS 5949 Encinit ve F-1r LOCALITY Certified copy is filed with the county building inspec- I & 2-Family, Sq. Ft. $ — $ T tion department. Multi-family Sq. Ft. — NEAREST CROSS ST. Date Applicant Residential Swimming Pools OWNER OR ' FIRM NAME 'Tames Martin CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec_LightSw. MAIL COMPENSATION INSURANCE First 20 ADDREss5949 Encinita Ave. (This section need not be completed if the work involved by Total No. Additional CITY Temple Clt Tel. No.'285_� the permit is for one hundred dollars ( 0 or less.) I certifythat in the erformance of a rk f r wh' is PLAN CHECK 3853 P APPLICANT permit is issued, I shall not employ y on - any er so as to became subject to the W o a 0 s. Lighting Fixtures First 20 ADDRESS Total No. Additional Date 6/6/83 A licant CITY Tel. No. PP Fixed Appliances Not Over 1 HE PERMIT NOTICE TO APPLICANT: If, aft r making t is Certificate of APPLICANT Obert Walter 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 5608 Alessandro AyP_ with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood _ Fan _ Other_ CIT - ' Tel. LICENSED CONTRACTORS DECLARATION LICENSE O hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG, NUMBER 351676 Class.C-1 0 (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCESSED BY and Professions Cade, and my license is in full force and effect. Power Apparatus 8 Large Appliances �2`� ;t 6 Size&Type HP, KW, KVA, or KVAR' l�7 F,J .- � O License Number 151676 Lic. Class r_T n Up to 1 Incl. FINAL V _ Over I to 10 lnd. DATE �' VALIDATION 09 Contractop 11- UlaI tEsr Date 6/6/83 � Over 10 to 50 Ind. / /� � � V ❑ FINAL am exempt under Sec. Over 50 to 100 Inc. I BY B.&P.C. for this reason Over 100 us Services, Swbd., MCC B.Ponelboards _ - Z Date: - 0 - 200 Amp. Under 600 V �' D Signature 201 - 1000 Arnp. Under 600 V ❑ Over 1000 Amp. or Over 600 V r Exemption for Reg. Maint. Elect. � 2 5/a,6 A SINGLE FAMILY Temp. Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit hereby affirm that g r exempt from the Contr31.5, Business nseand Additional Sign Branch Circuits o - ­ 2 Low for the following reason (Section 7031.5, Business and ' ' I Professions Code): jte e-2 5.'5'0 s as owner of the property, will do the work and the Misc. Conduits & Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ D o e e 2 5 5 6 mo 7044, Business and Professions Code), 0 CONSTRUCTION LENDING AGENCY Ib O G—8 83 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 have read this application and state that the TOTAL FEE above infor ion is correc gree to comply wit all ounty "Frerim�We ulati ng Electrics wit' g, and s of this Count to ter upon for inspec Pur osesSEE REVERSE FOR EXPLANATORY LANGUAGE VDate f(ERS'COMPENSATION DECLARATION 71 10/81 APPLICATION FOR ELECTRICAL PERMIT tiy.�that I haveeaa T;ercernat fice•df consent to self insure, CE-806G or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) ' Policy No. Company- - FOR APPLICANT.TO FILL IN JOB- Certified copy is hereby furnished. New Resitlential Bldgs.8 Pools - EACH NO. FEE, _ ADDRESS ❑ - 1 & 2-Family. Sq.Ft. $ LOCALITY Certified copy is filed wibuiltthe county builinspection Multi-family Sq.Ft. NEAREST '- department. CROSS GT. S r Date Applicant Residential Swimming Pools' _ ,OWNER OR .� �A� FIRM NAME ZAN9N5 Wks CERTIFICATEOF EXEMPTION FROM WORKERS' - Outlets:Rec�`S Light S2 Sw MAIL COMPENSATION INSURANCE UADORESS51 AA I (This.section need;not be completed if the work involved by the ^ r First 20 . permit is for one hundred dollars.($100) or less.). Total Nd. �'•� Additional CIT _ G Tel.No. . PLAN CHECK L I certify that it ihe,.performance'.of the work for,which this'permit , - APPLICANT Is issued, I shall not employ anyperson in any manner so as to become subject to the Workers'Compensation La a. Ligating Fixtures first 20 ADDRESS - L Additional ���Q��,�. Total No. lam_ •- CITY Tel.No. Data 1=� APPlican Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If,. after maki� Is+.Certificate oh PERMIT •Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W.— APPLICANT provisions of the Labor Code,you must-forthwith comply with such Oven _ Dryer - W.M. _ ADDRESS provisions or this permit shall be deenni revoked. Top — FAU WTI. — CITY Tel.No. LICENSED CONTRACTORS DECLARATION Hood _ Fan Other_ I hereby affirm that I am licensed under provisions,.of Chapter 9Di — R .Air C . LICENSE OR Died, Room Cond. Class. (commencing with Section 7000) of Division 3 of the Business and P REG.NUMBER Professions Code,and my license is in-full force and effect. Power Apparatus& Large Appliances DISTRICT O-/�)y�,r,.�� PROD ED By Size Type HP`KW,KVA, or KVAR I VV Q License Number Lic.Class Up to 1 Incl FINAL _ - C•� Over 1 to 10 Incl. DATE' +'ontractor Date r Over 10'to 50 Incl. - U .. .. FINA / I am exempt under Sec. Over 50 to 100 Inc. By LU B.&P.C..for this reason ' Over 100: N -Services, Swbd.,MCC & Panelboards - Date: 0=200Amp.,Under 600 V ' Signature 201 -,1000 Amp.Under 600 V n . ' - - Over 1000 Amp.or Over 600 V - Exemption for Reg.Main.Elect. - SINGLE FAMILY - - Temp. Power Pole& Appurtenances - 5;;07 :moi,j�l HOMEOWNER-BUILDER DECLARATION s Sign with'One Branch Circuit - T. - I hereby affirm that I am exempt from the Contractor's License Law Code): TOTAL 32 Additional Sign Branch Circuits 1' ITEMS _ far the following reason (Section 7031.5,Business'and-Protessions - 50 Misc. Conduits & Conductors - - - 32.50 I,as owner d the property,will do the work and the structure CHECK is not intended or offered for sale (Section 7044, Business Other (See Competee-Fee Schedule)'_ and Professions Code). _ _ © 'GHANUE' •011 CONSTRUCTION LENDING AGENCY - - - .- I hereby affirm that there is a construction lending agency for the - - ^ (�I]00_00(�1, .1j 1��1g performance obihe work for which this permit is issued(Sec.3097, PERMIT FEE ,(Sub-Total) pC _.Civ. C.). Da49 1 AM10'-17 - PLAN CHECKING FEE - . - Lender's Name - - PERMIT ISSUING FEE ' Lender's Address � l 1 certify that I have read this application and stale that the above TOTAL FEE - 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 - - property for' pe tion p r ses. SEE REVERSE FOR,EXPLANATORY LANGUAGE , Signatur amuntee Date , WORKERS'COMPENSATION DECLARATION - 76AW 10:81' ' FOR ELECTRICAL PG RMIT I hereby affirm that Ihave a certificate of consent to self CT-806G APPLICATION insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES or AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) T/ Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS ❑ 1 8 2-Family, LOCALITY Certified copy is filed with the county building inspec- y, Sq. Fr. $ — $ C T tion department. Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST. Date Applicant OWNER OR j�7 FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: RecIaLightL L/Sw. MAIL COMPENSATION INSURANCE ADDRESS ,- This section need not be completed if the work Involved h 22QQ First 20 ( P Y Total No.�1 f1_ additional V r CITY Tel. No.�'S the permit is for one hundred dollars ($I00)or less.) PAN CH T I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any in ny n t - so as 1.become subject to the Work s' pe, li S. Lighting Fixtures First 20 ADDRESS 77 nn Additional Total No..:J CITY Tel. No. Date 20 Appticant Fixed Appliances Not Over I HP PERMIT NOTICE TO APPLICANT: If, oftdf"mcffmg ttiK Certificate of APPLICANT Exemption, you should become subject to the Workers' Range_ Heater_Z_D.W, L Compensation provisions of the Labor Code, you must forth- Oven Dryer J— W.M.-IL ADDRESS O with comply with such provisions or this permit shall be Top FAU 4--W.H. — G CITY "G��/ Tel. No.,?k ekw deemed revoked. Hood .� Fan _Other_ LICENSED CONTRACTORS DECLARATION 3 ' LICENSE O I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. REG. NUMBER Class. —!Q (commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. PROCES D BY } and Professions Code,and my license is in full.force and effect. d S/� / ^ Size 8 Type HP, KW, KVA, or KVAR' v/J / O License Number,T !O Lic Class L !_p/i. FINAL - V -'—`!'� Up to 1 Incl. Over 1 to 10 Incl. DAT �/ — VALIDATION Y Contractor y/ Over 10 to 50 Incl. V ❑ FIN L I am exempt under Sec. Over SO to 100 Inc. 0 � B.BP.C. for this leas. Over 100 W Services, Swbd., MCC 8 Panelboards ? °I065K 0 - 200 Amp, Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V L Exemption or Reg. Moint. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Bronch Circuit 1 6 0.5 A I hereby affirm that I am exempt from the Contractor's License n Branch Circuits Law for the following reason (Section 7031.5, Business and Additional Sig #re e e e e 2 Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors .2 r° 1 3 a 0 0 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ D 7044, Business and Professions Code). ''1 3 a 0 0 u CONSTRUCTION LENDING AGENCY 0429-83 1 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 Q Lender's Address z I certify that I have read this application and state that the TOTAL FEE Z r 00 above information is correct. I agree to comply with all County ordina s State law re lacing Electrical wiring, and here au ize p se a of this County toe r upon the a en n p p for inspect'. put ses. SEE REVERSE FOR EXPLANATORY LANGUAGE ignature° Perm tee Date