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Home My Public Portal About6149 ENCINITA AVE_Electrical__ 7OAG69-CEBO6-9-57 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES - - DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS i JOHN A.LAMBIE.COUNTY ENGINEER <- V CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY L-� 1 ,..._. .. . .-. NEAREST ! / FOR APPLICANT TO FILL IN cRoss sT. PERMIT FEES ITEM NUMBER EACH FEE° FEE NER OUTLET f f LIGHTS RECEFT. ew. .10 RESS (I LIGHTING FIXTURES .10 TEL. NO.C� !7 ELEC.RANGES CLO.DRYERS CTRI AN 1 WATER HEATERS .50 � ADDRESS EIEC.BPPCE HTRB. DISHWASHERS GARBAGE DI6POSERB AUTO. CITY TEL.NO. WASHERS STA.COOKING UNITS ,25 STATE LICENSE NO. MOTORS: OVER INC. H.P. - DISTRICT NO.. GROUP ZONE I sAo.POR iNsreECYcTioR O — I/ 25 Vz — 2 .50 2 — 5 1.00 INSPECTION RECORD 5 — 15 1.50 15 — 50 2.50 50— 200 5.00 /. I�. /T,/�/y1 SIGNS: NO.TRANS, - /y/ � /-/n / Al/ l-///Y//)-JNi// NO.LAMPS SERVICE 0-600V 1.00 / •T r SERVICE OVER 600V 5.00 MISC. J WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 Ni {gFviNishr-'D` /� - SUPPLEMENTARY PERMIT ,50 -CR- f tYl /-/ Tir�// '�/.7 UT TOTAL FEE s p APPROVALS ,f_ r6 #/P 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GATE 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 M THE LEGAL OWNER OF THE ABOVE p0W ER .% DESCRIBED RESIDENTIA DP T . SIGNATURE / •�'� / UTILITY CO.NOTIFIED OF PERMITTE FINAL XrLg CON $UPERYISING ELECTRICAL ENGINEER CH MoO CASH 850 qr'1 3 3 0m ir.R11 2 WORKERS'COMPENSATION DECLARATION CE- 10/81 APPLICATION FOR ELECTRICAL PERMIT CE-8060 I herelty affirm that I have a certificate of consent to self insure, ' :l certificate of workersCompensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY Dopy thereof(Sec. 3800.Lab.C.) POIIcy,No. ,_'Company FOR APPLICANT TO FILL IN ,JOB // F1tertified copy is hereby furnished. - New Residential BIAgs.& Pools EACH NO. FEE ADDRESS V A cl r/ ❑ 1 & 2-Family,Sq. Ft. $ — $ LOCALITY Certified copy is filed with the county building inspection _ department Multi-family Sq.Ft. NEAREST CROSS SL Date Applicznt Residential Swimming Pools OWNER OR J� ��♦J� �y w FIRM NAME /��A'✓{�G CERTIFICATE OF EXEMPTION FROM,WORKERS' � 4 MAIL Outlets:Rao Light t 2 — t �7/7 COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by the First 20 Total No. Additional CITY permit is for one hundred dollars ($700) or less.) T�. Tel.NO.?&J•�� I certify that.in the performance of the work for which this permit PLAIN L CHECK APPLICANT is issued, I Shall not employ any person in any manner so as to - become subject to the Workers'Compensation taws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY, Tel,No. Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO. APPLICANT: If, after making this Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater_• D.W. _ APPLICANT provisions,ofthe Labor Code, you must forthwith comply with such Oven — Dryer _ W.M._ ADDRESS ' provisions or this permit shall be deemed revoked. Top FAU W.H. LICENSED CONTRACTORS DECLARATION Hood L Fan Other_ CITY Tel.No. - I hereby affirm that am licensed under provisions of Chapter 9 LICENSE OR Dish. Roam Air Cand (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER Cl... Professions Code,and my license is in full force and effect. DISTRICT NO. PR SE V , Power Apparatus& Large Appliances _ }' Size 8 Type HP,KW,KVA,or KVAR S, 0 License Number Lia Class Up to 1 Incl.' FINAL �� U Over i,to 10 Incl. DATE Contractor - - 'Date VALIDATION O Over 10-to 50 Incl. FINAL F• ❑ I am exempt under Sec. Over 50 to 1001nc. B W. 8&P.C. for this reason Over 100 N Services,Swbd.,MCC& Panelboards' D Z Date: 0 - 200 Amp. Under 600 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 2 . . HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit - affirm that am exempt from the Contractors License Law Additional Sign Branch Circuits ACCT.r forr the the following reason(Section 70.3 1.5,Business and Professions �� .T•� Code): 3307 27.50 PUT I ZNL I,as owner of the property,will do the work and the structure Misc.Conduits & Conductors _ .., .--_ ITEMS , is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code), 1 1.D - - -- - -- TOTAL 27. 50 CONSTRUCTION LENDING AGENCY CHECK .27.50 I hereby affirm that there is a construction lending agency for the /.u, nn performance of the work for which this permit is issued(Sec.3097„ ) PERMIT FEE (Sub-Total ' CHINE ,00 Civ. C.). - .PLAN CHECKING FEE _ Lender's Name GOOD-O001 9/15/89 s cern' PERMIT ISSUING FEE J/J.7 1 PH12:07 L Address _ I certify that I have read this application and state 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 - - - proDy for inspection rposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Ig ature ofmemil Date ' I Worm that have COMPENSATIONDECLARATION of corse •76.00tvaPws/a, APPLICATION FOR [ELECTRICAL PERMIT O I hereby pHirm that I have a certificate of consent to self ce%o� insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec. 3800, Lab.-C.)11 .. Policy No Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ' / ADDRESS Y•"/ G/(.G / Y- di V-Q 'Certified copy is filed with the county building inspec- I & 2-Family, Sq. Ft. $ _ $ LOCALITY tion department. Multi-family Sq. Ft. NEAREST Residential Swimming Pools CROSS Sn wle Date Applicant - OR // I i• FIRM NAME C9 e0 `�� (N CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec---41-ight-i—Sw.-L MAIL t / COMPENSATION INSURANCE ADDRESS EiLG2�� First 20 (This section need not be completed if the work'involved by Total No. Additional CITY e C-' Tel. No. the permit is for onehundreddollars ($100)or less.) PLAN 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 Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'Compensation Laws. Date //_1_D_&1 Applican �i eO"5,e C/l/'d""'j�.��////IIe__ Total No.--I— Additional CITY Tel. No. NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over I HP PERMIT Exemption, you should become subject to the Workers'' Range— Heater—D.W. — APPLICATION 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 Disp. — Room Air Cond. Class. I hereby affirm-that I am licensed under provisions of Chapter 9 REG. NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DIST CT N CESSED BY d and Professions Code,and my license is in full force and effect. Size &Type HP, KW, KVA, or KVAR (� License Number Lia Class Up to 1 Incl. FINAL r cc: Over 1 to 10 Incl. DATE lC 7Q?. VALIDATION Contractor Date Over 10 to 50 Incl F ❑ FINAL am exempt under Sea U Over 50 to 100 Inc. \ LU B.&P.C. for this reason Oveir100 �% d Date: Services, Swbd., MCC& Ponelboards - D Z - z 0- 200 Amp. Under 600 V. Signature _ 201 - 1000 Amp. Under 600 V ' Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. ,.I SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Temp. Power Pole 8 Appurtenances y y - I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit „ Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits 33107 ,•4.[f[I Professions Code): ❑ as owner of the property, will o the work and the Misc. Conduits & Conductors s f 1 ITEM structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)— DTOTAL 24 .00 Business and Professions Code). CHECK 24.00 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, Ci, C.). PLAN CHECKING FEE QQQQ-I]QQi 11l28/39 Lender's Name PERMIT ISSUING FEE 7055 1 AM u:= Lender's Address 0 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 - hereby authorize representatives of this County to enter upon _ the a ove-mentio do d property inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date Os