The URL can be used to link to this page

Home My Public Portal About6102 ENCINITA AVE_Electrical__ 76A 663-CEBO6 10/72 APPLICATB® CT _ Ad PERMIT L� • COUNTY OF LOS ANGELES _ DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION AooRESS ,.f_ LOCALITY I FOR APPLICANT TO FILL IN NEAREST CROSS ST. OUTLETS NO. EACH FEE OWNER OR I MAIL LIGHT T. $ 5 FIRM NAME -+ /- - FIRST 20 2$ ADDRESS (L+1Q [C ry LIGHT_ TOTAL OVER 20 CITY cl TEL. NO. ' S SWITCH_ 10 PLAN CHE LIGHTING FIRST 20 25 APPLICANT FX .10 OVER 20 ADDRESS TURES TOTAL RESIDENTIAL APPLIANCES CIT TEL. NO. PERMIT RANGE_DRYERWTR. HTR.__ APPLICANT STA. COOKDISP. F.A.U._ ADDRESS SPACE HTR. AIR COND.� CITY TEL. NO. CLOTHES WAS H. DISHWAS H._ LICENSE ORREG. NUMBER CLASS. FAN OTHER 100 I , ��1 I HEREBt ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE A80VE 15 CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ' IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. 512E & TYPE OVER TO HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR 0 - I 1 D LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE a I - 10 3.00 DESCRIPED RESIDENTIAL PROPERTY. p CO PERMITEE 10 - 50 5.00 SIGNATUREXo" p ti 50 - 100 1000 CO DISTRICT N0. CESG D BY �6 S 100 - 500 1500 y J z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECT WS SIGNATURE TUBE, OR MAftOU EE ORAL CIRCUITS 100 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP TOO UNDERSLAB WORK SERVJCEOVER600 VOLTS OR 200AMP 1000 ROUGH CONDUIT TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED� an 5 2- FINAL PERMIT FEE (SUB TOTAL) NOTES' PLAN CHECK FEE PERMIT ISSUING FEE 3.00 300 TOTAL FEE PLAN CHECK VALIDATION cK. M.D. CASH PERMIT V LI ATION cK. M.D. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE RATIOI� WORKERS' CIhave ATIONicate of _ CE 806 1081% APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE806G �7 insure, or o certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES r- C.. - BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) / r Policy No. Company FOR APPLICANT TO FILL IN JOB _ Certified copy is hereby furnished. New Residential Bldgs. 8 Pools +, EACH NO. ADDRESS FEE /�( s ❑ Certified copy is filed with the county building inspec- 1 8 2-Fomily, Sq. Ft. 'S _ $ LOCALITY _ in ii tion department. Multi-family Sq. Ft. �� — 'NEAREST Residential Swimming Pools l CROSS OWNERT. Date Applicant _ VIM CERTIFICATE OF EXEMPTION FROM WORKERS' / OR FIRM NAME Vr_J1 COMPENSATION INSURANCE Outlets: Rec Light— Sw. ADDRESS 2 A/• ( 7' C First 20 ' (This section need not be completed if the work involved by Total No.-6--Z Additional CITY21� Tel. No.�'S��s'- the permit is for one hundred dollars ($100)or less.) AN CHECK I certify that in the performance of the work for which This - 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 ADDRESS _ Total No. Additional � CITY Tel. No. Date�Applicofler �` Fixed Appliances Not Over 1 HP PERMIT Exemption, T APPLICANT: If, otter sub 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 Cone. REG. NUMBER Class. (commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. >. and Professions Code,and my license is in full force and effect. PROC SED BY d Size 8 Type HP, KW, KVA, or KVAR' O License Number Lic. Class Up to 1 Ind. FINAL V Over 1 to IO Inc]. DATE VALIDATION Q Contractor Date Over 10 to 50 Incl. FINA !� d V ❑ 1 am exempt under Sec. Over 50 to 100 Inc. BY7 16 W B.SP.C. for this reason Over 100 � Z Services, Swbd., MCC 8 Ponelboards Date: 0 - 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ' Over 1000 Amp. or Over 600 V 1 81.3 A ElExemptionfor Reg. MaiM. Elect. # -is 0 0 1 2 SINGLE FAMILY Temp. Power Pole 8 Appurtenances _ r 4 , HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 2 e e 1'650 1 hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits e o e -(}5� Low for the following reason (Section 7031.5, Business and 6 Professions Code): ❑ 1, as oviner of the property, will do the work and the Misc. Conduits 8 Conductors - 10 610.7—8 A structure is not intended or offered for sale (Section Other (See Complete Fee Schedul 1D 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) D - (Sec. 3097, Civ. C.). PLAN CHECKING FEE ... Lender's Name PERMIT ISSUING FEE (� Q Lender's Address I certify that I have read this application and state that the TOTAL FEE (i -5 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-mentioned property for inspection urposes SEE REVERSE FOR EXPLANATORY LANGUAGE e � ef Signature m f Permittee /,Fe WORKERS'COMPENSATION,DECLARATION 76A6CES63 6G 12801 APPLICATION FOR .ELECTRICAL PERMIT {1 LJI hereby affirm tpkt I,have a certificate of consent to self - COUNTY OF LOS ANGELES BUILDING AND SAFETY insure. or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800, Lab.C.) rl��-•5 Q�� ,�i� _ / FOR APPLICANT TO FILL IN JOB y� Policy No. J ompany,,S L 7"'r/J"/�� EACH NO. FEE ADDRESS G✓D, /< New Residential Bldgs.&Pools ❑ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. S — S LOCALITY Multi-family Sq. Ft. — NEAREST - - ❑ Certified copy is filed with the county building inspection _ CROSS ST Residential Swimming Pools - departme L OWNER M 3 FIRM NAME Date '` t Applicant Outlets' Rec.—Light— Sw. MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORK IRS' Total No. - Additional CITY Tel No., f`aS-6J_S-G COMPENSATION INSURANCE PLAN CHECK >_ CL APPLICANT (This section need not be completed if the work involved Lighting Fixtures First 20 OU by the permit is for one hundred dollars (SI00) or less.) Additional ADDRESS Total No. - Q I certify that in the performance of the work for which thisFixed Appliances Not Over 1 HP CITY Tel No. 0 permit is issued,i shall not employ any person in any manner PERMIT /'� ) U so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT 6P,- Y W Oven _ Dryer_W.M._ ;,DORESS s$7j h Uate Applicant Top _ FAU _W.H., CIT el Nom.-/«J- Z Hood _ Fan —Other— 7 NOTICE TO APPLICANT: If, after making this Certificate of Disp.. — Room Air Cond._ LICENSE OR r S exemption, you should become subject to the Workers' REG. NUMBE 3SZ Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. / PROCESSED BY with comply with such provisions or this permit shall be Size&Type HP, KW, KVA,or KVAR /.� deemed revoked. P U to 1 Incl. r/// FINAL Over 1 to 10 Incl. DATE / ��j VALIDATION LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. r ^S^—" 1 hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL BY IAL 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100w�Q-""--`.. ness and Professions Code, and my license is in full force and _ effect. Services p3S77�S-0 r 0.200 Amp. Under 600 V License Numbe Lic.Class 201-1000 Amp. Under 600 V Contra Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole& Appurtenances -2 2 8 9,9 A I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit - License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits '# e e e e e 2 ness and Professions Code): Misc.Conduits& Conductors 2 ',- 4050 ❑ 1, as owner of the property. will do the work (Section the Other(See Complete Fee Schedulel— a [I:Q,5 Q ox structure is not intended or offered for,sale Section 7044, Business and Professions Code). •• CONSTRUCTION LENDING AGENCY 061.6-83 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE �, (Sub-Total) issued (Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE ' I certify that I have read this application and state that the TOTAL FEE above information is correct. I agree to comply with all,County ordinances and State laws regulating Electrical wiring, and herebv authorize representatives of this County to enter upon the above-mentioned pro for ins coon purposes: SEE REVERSE FOR EXPLANATORY LANGUAGE ' Signature< A r i e Date ,