HomeMy Public PortalAbout6254 ENCINITA AVE_Electrical__ 7"663-CEfO6 3-69 X
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES _
Ar 'DEAPARTME NT OF COUNTY ENGINEER BUILDING �� /
BUILDING AND SAFETY DIVISION ADO HE55 ' G
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITYik
FOR APPLICANT TO FILL IN NEAREST
CRO55 ST.NO. EACH FEE /
$ 3 OWNER L
RECEIPT.' MAIL Nl // Y 1
LIGHT TOTAL
FIRST 20 .20 ADDRESS /(. {. ' c itA; I CL
CITY ebl•1 IQ Ci i TEL.NO.
SWITCH_ OVER 20 .10 PLAN CHECK
LIGHTING TOTAL FIRST 20 ,20 APPLICANT
FIXTURES OVER 20 ,10 ADDRESS
RANGE_DRVER_WTR. HTR. CITY TEL.NO.
STA. COOK_OISP. F.A.U._ CONTRACTOR a SAti LJ- ti o rA It
SPACE HTR.—AIR CORD. ADDRESS �. ful Cd
CLOTHES WASH._DISHWASH._ CITY le.11 rTEL.NO. o- J-E C7
FAN OTHER 1.00 LICENSE NO. CLASS.C-149
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
O - 1 1.00 Q� 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
_ICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF }
1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF. AND INTEND TO
flINI.G N. THE ABOVE DESCRIBED RE ENTIAL OPERTY. O
10 - 50 5.00 U
SIGNATUREA
50 - 100 10.00 OF PERMITTEE O
100 - SOO 15.00 DISTflICT NO. GHOUR ZONE PRO EO
W
SIGN, ri
GAS SIGN ANO ONE CIRCUIT 3.00 N
TUBE, OR Z
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
TEMPSERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
1
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE ISO% PERMIT FEE)
PERMIT ISSUING FEE 2.00 Oo UTILITY CO.NOTIFIED �K
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE '` QG JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION cK. M.Q. CASH
{ 4(',_,3 7 6 1L-- FEB 19 2 0 6.0 0
/\SEE BACK OF APPLICATION FOP COMPLETE FEF. Sf.HFNUI.F _
'9A883-CE80610-81 APPLICATION F ECTRIrAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING / ,,jj
BUILDING AND SAFETY DIVISION ADDRESS 6 2-Sl/' - E CI S .
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY L C/
NEAREST
FOR APPLICANT TO FILL IN CH,, Sr. �,., G
1 T E M NO. EACH FEE
OUTLETS: 1FIRST 20) 6 S OWNER hAFAtAr
LIGHTS RECEPI'. W. 2 O '20 �j 00 MAIL
OUTL 5: (ADECUNITS) 27 10 7o ADDRESS
LIGHTS flE<EPT. BW.
LIGHTING FIXTURES: (FIRST 20) 2 ,20 2I O CITY TEL. NO.
LIGHTING FIXTURES: (ADDITIONAL) 10 I ELECTRICIAN F_jr4C> <L
RANGES CLO.DRYERS WTR.HTR.. 1.00 Ir ADDRESSy C, IZA [-
GAR..OISP. , STA.COOK
CITY
TEL. NO.
DI9HWA.N, AUTO-WASH. TKZ77A
SE
SPACETR3L LICENSE NO. 1 a
STA.APP.U/2 H.P.MAX.) .50
MOTORS: OVER NOT OVER H.P. DIST ICT O. GROUP ZONE PR ESSEDB�YJ
O 1 1.00 —' i✓!rcL��L� /
I 3 1.50 INSPECTION RECORD
9 8 2.00 D_
6 15 2.50
C
15 50 3.00 AA i (:( 0
50 100 5.00 IIiL,-
a
SIGNS: NO.TRANS. {z
NO.LAMPS
SERVICE 0.60OV-NOT OVER 200A I' 1.00 Q`
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 2Q
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ 3
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'SSIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT f L_'II
11,
WITH ALL COUNTY ORDINANCE. AND STATE LAW. REGULATING �� II'1I V1 I
ELECTRICAL WIRING. WIRING �^ / 1/I1l V /Y
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTEfl O ANO/OR Al
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AN� STATE OF FIXTURES 'I /,Al V C .
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE �^
DESCRIBED RESIDENTIA PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERM ITTE FINAL
VALIDATION ARTHUR C. VEIT
1 U I
MO CASH SUPERVISING ELECTRICAL ENGINEER
1, 0983 "� APR2 2 D 13.10
l......cQ`...... APPLICATION WME EA"L PERMIT
COUNTY OF LOS ANGELES --
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE, COUNTY ENGINEER _
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLI CANT TO-FI LL IN NEARE37
CROSS ST.
PERMIT FEES OWNER
ITEM NUMBER EACH FEE MAIL
OUTLETS: 5 8 ADDRESS
LIGHTS RECEPT. 6W. 10
LIGHTING FIXTURES 1O CITY TEL. O J
ar
ELEC.RANGES CLO. DRYERS //fsII ELECTRIC N _
WATER HEATERS .5O ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO.
GARBAGE DISPOSERS AUTO.• STATE
WASHERS STA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRIC NO. G P ONE CESSED Y
0 — 1/z .25
V. — 2 50 INSPECTION RECORD
2 — S I.00 y
S 15 1.50 O
V
15 SO 2.50
O
50 200 5.00 ~
V
w
SIGNS: NO TRANS. 11
NO. LAMPS z
SERVICE O.BOOV 1.00
SERVICE OVER SOOV 5.00
MISC.
WIRING PERMIT 1.00 I-
FIXTURE PERMIT 1,00
SUPPLEMENTARY PERMIT ,5p
TOTAL FEE 5
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING ' /NPi✓ r'1ll"Ci'VL/L���.� J
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
LICENSED A9 REQUIRED Y LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I THE LEGAL OWNER F THE OVE
DESCRIBED RESIDENTI R TY. POWER
JA
SIGNATURE UTILITY CO. NOTIFIED
OF PERMITTE751 FINA
VALIDAT19P7---, ARTHURC.VEIT.
CK MO. QOASH SUPERVISING ELECTRICAL ENGINEER
7 9 6 i o JI;;J 2 2 D 1 .5 0
TEMPLE UTY
"'°9Cep4.0 APPLICATION FOR ELECTRICAL PERMIT-
COUNTY OF LOS ANGELES - -
DEPARTMENT OF COUNTY ENGINEER FAUILDING
BUILDING AND SAFETY DIVISION JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING OCALITY /'
1 e
FOR APPLICANT TO FILL IN NEARESTROss ST
PERMIT FEES
L
NER
ITEM NUMBER EACH FEE L
OUTLETS: S S RESS
LIGHTS RECEPT. SW. .10 _
LIGHTING FIXTURES 10 TEELEC. RANGES CLO. DRYERS CTRI IAN
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO.
GARBAGE DISPOSERS AUTO.. STATE
WASHERS ETA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. 25 DIST, ICCI NO. yG�P Ol � PR CESSED BY
O — /z // l%l% O 1,
V, - 2 .50 INSPECTION RECORD
2 5 1.00 �c/ /�---•lam ..,wr /�cP]- y
B _ X15 1.50 /L " O
15 — 50 2.50 D'
O
50 — 200 5.00 U
$IGN$1 NO TRANS. W
NO. LAMPS 1
N
Z
SERVICE 0.600V 1.00
SERVICE OVER 600V 5.00
MISC.
r
WIRING PERMIT 1.00 It
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE S
h
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS PATE IN6PECT0 SSIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE COMPLY /,
WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING CONDUIT / /'
ELECTRICAL WIRING. V WIRING
I HEREBY CERTIFY THAT 1 PROPERLY REGISTERED AND/OR
C
LICENSED AS REQUIRED BY LOS ANGELES COUNTY
ANO STATE OF FIXTURES
I CALIFORNIA OR THAT I M THE LEGAL OWNER OF THE ALE
DE5CRI B ED RESIDENTIA PROPERTY. POWER
SIGNATURE UTILITY CO. NOTIFIED
OF PERMITTE - � �
VALID, 4 ARTHUR C.VETT.
NO
OK NO AeH SUPERVISING ELECTRICAL ENGINEER
LI07 6 9 3 IY ? 2 D 2 .00
• r
WORKERS'COMPENSATION DECLARATION OF86 , APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to.self CE-8066G
insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or cl ceHified copy thereof (Sec. 3800, Lab. C.)
Policy No. Company FOR APPLICANT TO FILL IN JOB ry
Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO, FEE ADDRESS /G
210"Cerlified copy is filed with the county buildin inspec- I & 2-Fomily, Sq. Ft. $ _ $ LOCALITY C•
tion deportment, e. spy Multi-family Sq. FI.' 'NEAREST
q rt�j Io/ost4 •�GMO�OI CROSS ST. O
Date G-z•g3 Applicant sidential Swimming Pools OWNER OR
FIRM NAME
CERTIFICATE OF EXEMPT ON FROM WOR R ' utlets: Rec-Light_J__ MAIL 2S"
COMPENSATION INSURANCE ADDRESS WitYG
(This t be completed First 20
( is section neenoPleted if the work Involved b T Total No. 14 Additional CITY �^ B / Tel. No.
the permit is for one hundred dollars ($100)or less.)
P CHECKOr
I certify that in the performance of the work for which this PPUCANT
permit is issued, I sholl not employ any person io any manner
so as to become subject to the Workers'Compensation Laws, Lighting Fixtures First 20 - ADDRESS
s
Additional
• Total No. .3 CITY Tel. No.
Dote Applicant Fixed Appliances Not Over I HP 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 / s• Cs L7
with comply with such provisions or this permit shall be Top FAU —W.H. CITY Tel. No.-91,1.1621V
deemed revoked. Hood Fan _ Other_
LICENSED CONTRACTORS DECLARATION LICENSE O
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. REG. NUMBER Class. 4f
(commencing with Section 7000) of Division 3 of the Business power Apparatus 8 Large Appliances DISTRICT NO. PROC SED BY �,
and Professions Code, and my license is in full force and effect. y d
Size & Type HP, KW, KVA, or KVAR' J Q
License N/.�mber Lia. Class�.. 40 Up to I Incl. FINAL V
/7tOS YJ G-z�� Over 1 to 10 Incl. DATE �- ���� VALIDATION l
Contractor G/MG ���ate Over 10 to 50 Incl. FINAL O
h-
I am exempt under Sec. Over..50 to 100 Inc. BY .�..�`. W
BAP.C. for this reason Over 100 W
Date' Services, Swbd., MCC& Ponelboards D
0 -200 Amp. Under 600 V
Signorh 201 - 1000 Amp, Under 600 V
Elinz. Over 1000 Amp. or Over 600 V
Exemption for Reg. Maec t.
Oli
SINGLE FAMILY Temp. Power Pole & Appurtenances
HOME OWNER-BUILDER DECLARATION ;2241.4 A
Sign with One Branch Circuit
hereby affirm that I exempt from the Contractor's License Additional Sign Branch Circuits # s ° o o ° 2'
Low for the followingg r reason (Section 7031.5, Business and ,
Professions Code):
- ° °
I, as owner of the property, will do the work and the Misc. Conduits & Conductors .2 2 4`7 5
structure is not intended or offered for sale (Se<lion Other (See Complete Fee Schedule)— D .o ° - 2,17 5 cit .
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)
(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 information is correct. I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and
hereby authorize represemotive of thi only to enter upon
tl -mentioned pr er or in ion aria oses.
y SEE REVERSE FOR EXPLANATORY LANGUAGE
ignoture of Permit Date