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Home My Public Portal About6261 ENCINITA AVE_Electrical__ 75A663-CE806 10/T2 APPLICATION FOR E' CTRICAS PERMIT ER IR `� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB '�• �j `� .�`,.�� mi " BUILDING AND SAFETY DIVISION ADD HESSLOCALITYNEARESTFOR APPLICANT TO FILL IN NCROSSEARE ST.OUTLETS NO. EACH 'FEE OWNER ORFIRM NAMERECEPT.ti S SMAILESSLIGHT_ TOTAL FIJRST 20 / 25 7� NO.� SWITCH OVER 20 .10 PLAN CHECK' FIRST 20 25 FI%TURES .10 APPLICANT' TOTAL LIGHTING T l(` OVER 20 ADDRESS' . / � RESIDENTIAL APPLIANCES CITY " '•• TEL. NO. 1�',- RANGE_D0.YER_WTR. MTR. 'PERMIT J/ �,"'C'e-e�...� o �J STA. COOK_OISP. / F.A.U._ . ADDRESS -/+C��/�L / SPACE HTR. AIR COND. Cl TK +�K.+LI >�+y�r TEL. N0. -y L CLOTHES WASH. DISHWASH./ REG. NUMBER a� �0•o J'YI CLASS. '/b FAN_OTHER 2 1.00 / �.� 1 HEREBY ACKNOWLEDGE THAT I_HAVE READ THIS APPLICATION f� AND STATE THAT THE'ABOVE'IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS PAYING WITH ALL COUNTY ORDINANC95 AND STATE LAWS REGULATING IND. HEATERS' ETC. HP. KW. KVA, ELECTRICAL WIRING. S1ZE & TYPE OVER TO I HEREBY CERTIFY THAT .1 AM PROPERLY. PEGISTERED AND/OR IM- 0 O - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF p CALIFORNIA OR THAI" I AM'THE LEGAL OWNER OF THE ABOVE V 1 - 10 300 DESCPIP.EO PESIDf NTIAL Pfl OPEflT Ly 10 - 50 5.00 PERMITEE / - W SIGNATURE • r y [C 50 - 100 1000 DISTRICT NO, .PROCESSED BY CZI 100 _ 500 15 00 w SIGN, GAS SIGN AND ONE CIRCUIT '5.00 APPROVALS DATE INSPECTOP!S GIOHATURf TUBE, OR MARQUEE Ap01.TI0NAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER 600 VOLTSOR 200 AMP / 3.00 CO UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL .PERMIT FEE (SUB TOTAL) NOTES: ' PLAN CHECK FEE PERMIT ISSUING FEE 3.00 J J TOTAL FEE !' _ t;- r•_, PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. M.O. �, CASH u 0 4 E BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CE806 10/72 APPLICATION FOR ELECTRICAL DERMA 4 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADORESG (p` G i➢` - LOCALITY —� NEAREST FOP APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER OR �j S $ FIRM NAME RECEPT. N MAIL ESS FYb • , LIGHT_ TOTAL FIRST 20 3 25 CIT CF TEL. NO.� 84 pJ.�o SWITCH OVER 20 .10 pL N CHEC LIGHTING FIRST 20 .25 APPLICANT TOTAL OVER 20 ADDRESS FI%TURES 10 RESIDENTIAL APPLIANCES CITY TEL. no. PERMIT RANGE_DRYER_WTR. HTR._ APPLICANT STA. COOK_DISP. / F.A.U._ ADDRESS 'O/L. QCu 5 SPACE HTR. AIR CONO. CIT D/ TEL. N0. CLOTHES WASH. OISHWASH./ SE R REG. UMBER ;2 /, 9}->- CLASS.C-/O FANOTHER 2 1.00 1 HEREBY ACKNOWLEDGE THAT NAVE READ THIS APPLICATION O AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS. TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. EVA. ELECTRICAL WIRING. k SIZE & TYPE OVER TO IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR D - 1 100 LICE"SEC AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE AB VE 1 - 10 3.00 IES CRIBEO RESIDENTIAL PROPERT p U 10 - 50 5.00 PERMITEE SIGNATURE O 50 - 100 10.00 w tCONDUIT CE ED BY 100 - 500 15.00 � Q SIGN, GAS SIGN ANO ONE CIRCUIT 5.00 DATE INSPECTO SIGNATURE TUBE, OR 100 ESERVICENOT OVER 600 VOLTS OR 200 AMP / 3.00 Q.0 SERVICEOVER 600 VOLTS OR 200AMP 10.00 TEMP SERVICE,POLE, &APPURTENANCES 5.00 Y WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMITFEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00S4 .00a U TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.D. CASH 8 0 OnJUL 1 2 D 8.7 5 ee. SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKER'S haveCOMPENSATION DECLARATION 76A669 DPW(1291) APPLICATION FOR ELECTRICAL PERMIT 0-001 I hereby offirM that I have a certificate of consent to self insure, or'aeertificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB /, I N t Imo' 1 N p V G ❑ Y ADDRESS tP Z v ' <. 1 I FF r\ Certified copy is hereby turnisned. New Residential Bldgs.&Pools NO. EACH FEE $ LOCALITY Te yN f'L c C i 'T Certified copy is filed with the county building inspection 1 &2-Family,Sq. Ft. NEAREST department. - Multi-family Sq.Ft. CROSS ST. 1-0 IJ Date Applicant Residential Swimming Pools MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS! Outlets:Rec.—Light Sw. Oiam NAME COMPENSATION INSURANCE A PA E-_5)+ C iA 0��-{ JJ (This section Deed not completed First 20 MAIL ADDRESS the work involved by the b L6 N T C permit is for one hundredd dollars(5700)or less.) Total No. Additional � N � CI ( � �v 1 certify that in the performance of the work for which this permit CITV '�M P�C C( � W17q�e1.No.(S�D� �-pfY_� _Z IS Issued, I Shall not employ any'person in any manner So as to PLAN CHECK- 1 become subject to the WorkersCompensation Laws, Lighting Fixtures First 20 APPLICANT Total No Additional • ADDRESS Date - Applicant. ` RESIDENTIAL APPLIANCES NOT OVER 3 HP} NOTICE,TO APPLICANT: If, after making this Certificate of CITY - - T.I.No. Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. revisions of the Labor Code, you must forthwith complywith such PERMIT p Power Apparatus&Large Appliances APPLICANT yCyJ�Z provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION - Size&Type HP,KW,KVA,or KVAR ADDRESS . I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Ind.(commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE OR Class. Over 50 t0 100 nC. REG.NUMBER d Over 100 DISTRICT N0, P O SSEO BY O License Number Lic.Class V ' Services,Swbd..MCC&Panelboards Contractor Date 0-399 Amp.Under 600 V Ol FINALpp Q ❑ I am exempt under Sec 400-1000 Amp.Under 600 V ' - Z --/ ~ VALIDATION V Over 1000 Amp.or Over 600 V - FINAL W B.&P.C.lot this reason - BRANCH CIRCUIT FEES 9Y a- Date: 15A,or 20A,120V,Lighting or.Recept - Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits - ❑ - 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances i HOME OWNER-BUILDER DECLARATION 1 therapy affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits 3 Code): `w_ ❑ Misc.Conduits&Conductors TI- =� I, as owner of the property,will do the work and the structure _ is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) 45 PEI and Professions Code). TOT .� CONSTRUCTION LENDING AGENCY F 'I-Y1 I hereby affirm that there is a construction lending agency toy the CHIA i`ar performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) . Civ. C.) PLAN CHECKING FEE •r f'IrF r_,,;.F.0 Lender's Name / _itl_ky .L PERMIT ISSUING FEE �/O 274 y Fill 12:I Lender's Address / f I certify that I have read this application and under penalty of purjury state TOTAL FEE Cop/ j that the above information is correct. I agree to Comply with all County - ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this CCu ty tOae�uponabove-mentioned propertyIcr inspec(`h C'pos SEE REVERSE FOR EXPLANATORY LANGUAGE NA u FJPERM1YI pATE ' WORKERS' COMPENSATION DECLARATION :so.0019ovw3re7 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm shpt I have a certificate of consent to self E insure, or a cQrtificate of Workers' Compensation ansurdnce, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec.'3800,'tab: C.) " Polity No. Company FOR APPLICANT TO FILL IN - JOB Jr N• E C 1 f'f� V '� OCertified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS 2-4 Certified copy is filed with the county building inspec- 18 2-Family, Sq. Ft. $- — $ LOCALITY iroN n department. Multi-family Sq. CRE055 AREST ST. Date Applicant Residential Swimmm ing Pools OWNER OR _ FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: RecZ4Light�Sw. /!' ADMAIL DRESS �`�10 COMPENSATION INSURANCE 50First 20 �..J �r _� C \ 1 1 Il (This section need not be complafedif the work involved by Total No.,LY Additional CITY Q W/ Tel. No. the permit Is for one hundred dollars ($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 / so as to become subject to the Workers'Compensation Lows. Lighting Fixtures First 20 ADDRESS b`2 PIA 4 Q_ Additional Dote Applicant Total No. CITY 2.TA Q �� eAj A. No. 2`f�'L�'"q`�i NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT g 3C APPLICATION = `' Exemption, you should become subject to the Workers' Range— Heater—D.W. - Compensation provisions of the Labor Code, you must forth- Oven L Dryer W.M. ADDRESS N C t{G. Yrs with comply with such provisions or this permit shall be To FAU —W.H. �- deemed revoked. P CITY (2s'sl k n�r(7 Tel. No. I �i' Hood Fon —Other— �j LICENSED CONTRACTORS DECLARATION - Disp: O` UCENSE OR ` - L 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 DISTRICT NO. PR SED BY Y and Professions Code,and my license is in full force and effect. /l O Size 8 Type HP, KW, KVA, or KVAR �/ License Number Lic. Class Up to I Incl. FINAL Over I to 10 Incl. DATE VALIDATION 0 Contractor Date Over 10 to 50 Incl. H- ❑ FINAL am exempt under Sec. Over 50 to 100 Inc. BY V W 0.8P.C. for this reason Over 100 / d Date: Services, Swbd., MCC 8 Panelboords D Z 0- 200 Amp. Under 600V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Maint, Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole 8 Appurtenances 2 \ HOME OWNER-BUILDER DECLARATION ACCT.: \ 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 .��07 ?rjrQ[i Professions Code): 1 ITEMS as owner of the property, will o the work and the Misc. Conduits 8 Conductors s f structure isnot intended or offered far sale(Section 7044, Other (See Complete Fee Schedule)_ TOTAL 75,. 00 Business and Professions Code), D CHECK 75.130 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for CHANGE •11 I the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ. C.). PLAN CHECKING FEE 13000-13001 11/2v/9 Lender's Name ' (� PERMIT ISSUING FEE /0 7054 I AM 4`%4? Lender's Address v I certify that I have read this application and state that the TOTAL FEE 5+a above information is correct. I agree to comply. omply with all County ' ordinances and State laws regulating Electrical wiring, and herebyau horiz a of me resentatives of This County to enter upon t d property f 'nspection p poses. � SEE REVERSE FOR EXPLANATORY LANGUAGE ®r at re of Permittee Date