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Home My Public Portal About6161 ENCINITA AVE_Electrical__ °a Ix„ "" APPLICATION FOR PERMIT DEPARTtCOUN OF BUILDING AND SAFETY ELECTRIC d�14r �. COUNTY OF LOS ANGELES g M. J. FOX CHIEF ENGINEER G NAME T E L FC° 7,,,y S H-6 P DISTRICT NO. GROUP ZONE PERMI-I'NO. U ADDRESS 2 //j ^' P,c- / FKF U CITY i , L/_ TEL.NO.A /-/.3/ Z RECEIVED BY READY FOR DATE ISSUED ry I� FIRST INSPECTION J COUNTY c'J •� I D -3o.liu III CERT.NO. 7-7 EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORK ADDRESS S 9 IYo, 5&c-/ N 7 A IP NUMBER OF OUTLETS ON CIRCUITS LOCALITY M YI F LOCATION BY ROOMS NEAREST / b h / LIGHT OUTLETS SW. PLUGS Flxi CROSS ST. l� 1J All CIRCUI,,r /A, B C D E /� /FG H ^ K NAMEIL C �Llyl; -/r {- /2- /" ADDRESS O CITY / �/ I PL/z-- TEL.NO. B r-_ ,o ie I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRI IAN. I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS J Z Z L7 E O TOTAL NO. OF OUTLETS $ G/C APPROVALS NO. OF FIXTURES $ /� DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER A PERMIT FEE $ UTILITY CO.NOTIFIED ) �/ TOTAL FEE inn 0 FINAL, 6A663-CEBDTL5-62. APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER SUILDING BUILDING AND SAFETY DIVISION ADDRESS (� JOHN A. LAMBIE, COUNTY ENGINEER y WILLIAM A. JENSEN, SUPT OF BUILDING o LOCALITY NEAREST 1 1FOR APPLICANT TO FILL IN CROSS STRIZCU . �pN Pte✓ LIGH! . I TOTAL No. $.20 II OUTLETS �FIRST 20^ EACH S FPl OWNER C c[o.S fy YY�C LIGHT S �.L� MAIL �, ��[/�I, A DD2 10 ADDRESS SWITCH. � OVER 20 LIGHTING TOTAL FIRST 201 .20 C CITY / • TEL. NO. ZCo FIXTURES � � ADO'L IO ELECTRICIAN Li .AJ OV R 20 RANGES CLO.DRYERS WTR.HTRS. I.00 I ADDRESS GARB.DISP. STA.COOK CITY TEL. NO. DIBHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APR.I-/.H.P.MAX.) ,so LICENSE NO. ` mo7oR3: OVER NOT OVER HP.- DISTRICT G O OU _ P E D B L/ (� �1 ,.00 , — 3 1.50 �J ]INSPECTION RECORD s — e 1 12.001f 314 8 16 2.501 , /� } ,sso 3.00 C1�i f-t/� i �O so 100 15.001 11 �. / i� O SIGNS: No.TRANS. NO. RAMS. { W AMPE SERVICE 0.600V.NOT OVER 200A 1.00 SERVICE 0.60OV-OVER 200 A. 2.001 o/ J SERVICE OVER GOOV 15.00 1 W � ✓__ \ MI$Q y Y PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE f.00 ' TOTAL FEE ®'_J, Q I HEREBY ACKNOWLEDGE THAT I 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 .4 M1 Ls 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR 'ill v LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES '�,rd CALIFORNIA OR THAT 1 AM THE LEGAL OWNER F THE ABOVE } DESCRIBED RESIDENTIAL OPERTY. POWER L I//�//. , SIGNATURE UTILITY CO.NOTIFIED�I';, AI OF PERMITTEE alAt _ FINAL VA11DATI ARTHUR CC CK MO CASH SIIPERVELECT ELECTRICAL ENGINEER UCO1 3 0 6G FES25 2 D 76,6613-DEB96 4-68 .APPLI CATIO � FOR ELEC V�_� l€f�AAV� COUNTY OF'LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADORESs JOHN A. LAMBIE, COUNTY EN COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY /MI /L L/ FOR APPLICANT TO FILL IN NEAREST caoss sr. D.E! �C.✓ NO. AC F E RECEPT� s S OWNER MAIL /- LIGHTTY'a TOTAL FIRST 20 .20 1, ADDRESS {W fit/. E.de..✓,7i9 �77 / p SWITCHLJ_ OVER 20 .10 CITY e C EL. NO,? W,1 ZG� +� PLAN CHE K LIGHTING TOTAL FIRST 20 .20 APPLICANT FIXTURES �--L— OVER 20 .10 ADDRESS RANGE—DRYER WTR.HTR._ CITY TEL. NO. STA.COOK_DISP. F.A.U._ CONTRACTOR SPACE HTR.—AIR COND._ ADDRESS CLOTHES WASH._DISHWASH._ CITU EL. NO FAN—OTHER 1 1.00 LICENSE NO. CLASS. MOTORS.TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR I - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF T CALIFORNIA OR THAT I A HE LEGAL OWNER OF. INTEND TO 10 - 50 5,00 RESIDE IN, THE ABO DESCRII:ED R IDENT PROPER Q U 50 - 100 10.00 SIGNATURE O OF PERMITTE 100 - 500 15.00 U SIGN.GA S DISTRICT GROUP NE PROCESSED BY IV TUBE. OR SIGN AND ONE CIRCUIT 3.00 - N Z I. MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE. &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER,POLE pl' _ UNDERSEA$WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES I PLAN CHECK FEE (50% PERMIT FEE) d(f) � POWER AUTHORIZED FA 4 PERMIT ISSUING FEE 2.00 UTILITYCO.NOTIFIEDI146 of SUPPL EMNTARV PERMIT ISSUING FEE I.00 FINAL TOTAL FEE I JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CA Y 6� 0 2 9 0 Q8 JUJU 2 D 4.8'0 v ;EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE �r _w- ,�WORKgRS'COMPENSATION DECLARATION 76A,xa DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT heYe�ay aff"rm that ( have a certificate of consent to self CE.� L 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.) Policy No. Company FOR APPLICANT TO FILL IN JOB ❑Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS /V G f If %1 T p Certified copy is filed with the county building inspec- 1 8 2-Family, $q. Ft. LOCALITY $ "- $ tion department. Multi-family Sq. FI. '— NEAREST Residential Swimming Pools CROSS ST. Date a Applicant OWNER OR /r �q FIRM NAME C CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: RecZZ1_ight�Svv.± ADD C COMPENSATION INSURANCE ADDRES (This section need not be completed If the work involved by First 20Total No �� Additional- CITY /� Tel. No. . the permit is for one hundred dollars ($100)or less.) _ PLAN CHE r I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person' any manner so as to be orae ubject to the Workers'Com a sation Laws. Lighting Fixtures First 20 ADDRESS /� � - Tocol No.� Additional a CITY Tel, No. Date Applicants - (' Fixed Appliances Not Over 1 HP NOTICE 10 A PLICANT: If, after making this Certificate of \ PERMIT � , CG Exemption, you should become subject to the Workers' Range— Heater—D,W. _ i APPLICATION ^^ G Compensation provisions of the Labor Code, you must forth- Oven _ Dryer —W.M.— ADDRESS -J& 4(�, s +L-I -S with comply with such provisions or this permit shall be Top — FAU —W.H. — w deemed revoked. Hood — Fan —Other— CIT . `/•t/ �r/(��- Tel. N 3 -j�o3 LICENSED CONTRACTORS DECLARATION LICENSE OR Disp. — Room Air Cond. REG. NUMBER Class.C—fd I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PRCI,ESSED BY d and Professions Code, and my license is in full force and effect, '1 Size &Type HP, KW, KVA, or KVAR L 0 License Number 414g9Io ctrl Lic. Class —�C! / Up to I Incl. FINAL V - /P[ Date V C� Over 1 to 10 Incl. DATE `� LIDATION cO Contractor Over 10 to 50 Incl. F- O0 FINAL U am exempt under Sec Over 50 to 100 Inc, BY W B.&P.C. for this reason Over 100 D. Services, Swbd., MCC 8 Ponelboards �_ Z Date: 0- 200 Amp. Under 600 V//.AM.a — Signature 201 - 1000 Amp. Under 600 V/ ❑ Over 1000 Amp. or Over 600 V :2033. 1 A Exemption for Reg. Mainz. Elect. SINGLE FAMILY Temp. Power Pole & Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit '# as,e e - 2 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits ( s to 5 3.5 0 Professions Code): 5 3.5 0Z ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors - structure is not intended or offered for sole(Section 7044, Other (See Complete Fee Schedule)— D .Q 0 2,-S 8 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) (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 6,3i 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-mentio - properly for inspection urp es. SEE REVERSE FOR EXPLANATORY LANGUAGE z' let Signature of Permittee Date �s