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HomeMy Public PortalAbout6329 ENCINITA AVE_Electrical__ TGAGBG.CEBOG. IG.56 APPLICATION FOR ELECTRIC PERMIT BUILDING AND SAFETY DIVISION Department of County Engineer BLDING County of Los Angeles AODREssUI JOHN A. LAMBIFI COUNTY ENGINEER C HN A. D GRIFFIN. ENGINEER LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST, r PERMT FEES OWNER LIGHTS RECEPTACLES SWITCHES R NUMBER I T E M EACH FEE MAIL ADDRESS TOTAL OUTLETS S .10 S r ELEC. PANG WATER HEATERS. - CITY �� ..rte TEL, NO. ` LOTHC9-rR ERB 50 37-0 ELEC. SPACE HEATERS, STAT-Y.'000H- ELECTRICIAN ING UNITS, GARBAGE DISPOSERS, ADDRESSj. AUTO WASHERS, OISHWASHER '.25 t LIGHTING FIXTURES ,10 CITY TEL. NO STATE MOTORS LICENSE NO. 1 HORSEPOWER - _ .. ., H.P. OVER INC. DISTRICI NO. GROUP ZONE READY FOR INSPECTION I/i IS LESS .25 h - 2 50 INSPECTION RECORD 2 5, 1.00 5 15 1.50 15 50 2.50 50 200 5.00 MISC. SIGNS I NO.TRANS NO. LAMPS 4 SERVICE 0-600V 1.00 DO SERVICE OVER 600V 5.00 - LEL,ECTRICAL G PERMIT 1.00 �Q RE PERMIT 1.00 EMENTARY PERMIT .50 '{ APPROVALS• TOTAL FEE $ - l/' - DATE INSPECTOR'S SIGNATURE CATIdN ATE THAT HEREBY �HEEABOYEDGE RIS CORRECT T I HAVE RAND AGREEEAD THIS ATOL ICOM PLY CONDUIT _7__G'i (%sI/J/ii i�f C� LL COUNTY ORDINANCES AND STATE LAWS REGULATING / - v/ (/A'Yrprv� �r ICAL WIRING. WIRINGREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURESED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF RNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWERBED RESIDENTIAL RO➢ERTYTURE - UTILITY CO. NOTIFIED ('/ERMITTEE FINAL JOHN A. LGINEER _ ALIDATION ARTHUR C.VEIT. COUNTY ENGINEER crc Mo CASH SUPERVIOING ELECTRICAL ENGINEER ;ado 9 9 0 7 JUL 9 2 2.5 0 L� 71SA663 CE-806 111 /781 APPLIICA- -.F®R ELE RE AC PERMIt COUNTY OF LOS ANGELES BUILDING AND SAFETY . FOR APPLICANT TO FILL IN JOB New Residential'Bldgs.'&"Poo EACH NO: FEE- ADDRESS b`32-'9 �r-t C.lN'✓/ - . .L� - -- 1 &2.Family,Sq. Ft: $ .025 - $ LOCALITY Multi family Sq'Ft. .02 - NEAREST , Residential Swimming Pools 25.00 CROSS OWNEROR - - /rA. FIRMNAME • �2 C-�N aA- /a.�A•aSFLM Outlets:Rec 30 Light �7 Sw.✓8 /C/ v AAAIL DDRESS First 20 .50 -JotolNo. �'� - Additional .30 _J� CITY _T C' - - r TeI_N.,;;_ 4R'j PLAN CHECK APPLICANT. Lighting Fixtures First 20 .50 / ADDRESS. Additional - ..30 . Tgtol No. 'M - CITY ---_ - _- --- Tel No, _ �• Fixed Appliances Not Over.1 HP-- - :PERMIT .- --- - - -- Range—Heater APPLICANT +_ S�,I•E� -Oven.—Dryer W.M. - - ADDRESS-- - - -r- ---'--- -- Tap _FA.0 W.H._ CITY _ _ _ Tel No:•__ -_ �y -_„�_ HoodFan _Other_ LICENSE OR _Disp._—Room Air Cond 2'50 _ REG.NUMBER -_ Class. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS.APPUCA - PowerApparatus&Large Appliances TION AND STATE THAT THE ABOVE 15 CORRECT AND,AGREE TO * COMPLY WITH ALL-COUNTY•ORDINANCES-AND-STATE-LAWS A Size 8 Type HE,KW,KVA,or KVAR 'REGULATING ELECTRICAL WIRING. d Upao 1Incl 2'50 - HEREBY CERTIFY•THACIIAM PROPERLY'REGISTERED'AND/OR --U Over 1 ro 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF as - Over l0 to. ncl. -1250 CALIFORNIA OR THAT.I AM THE LEGAL OWNER OF THE ABOVE, _ 0 -25.00 DESCRIBED RESI NTIAL PROPERTY. Over 50 to 100 Inc. PE"nMITEL A 40.00 - Over 10Q, - S I G N A T UR -Ib ��_ - ? Services ff-� - - -• 'DISTRICT NO: - ' -- "i' P5 ES D-BY" ' `-- 0 20 Amp. Under 600 V 12.50 f 201-I00b Amp: Under 600'V" - � 25.00- - - "''`� � 00 Over-1000 Amp.or Over 600 V 50. Z O Temp. Power Pole&.Appurtenances' 10.00 Sign with One Branch Circuit ... 10.00 - Additional Sign Branch Circuits t 200 INSPECTION- _> INFORMATION " t8,2 6 4 A Misc'Conduits&Conductors. 10:00'•' - ON REVERSE-- " •S ' Other(See Complete Fee Schedule)_ SIDE _ u 0 0 0 0 0 '2 5 2 Is . 4,850 oo64H50E PERMIT FEE t (Sub-ToraD ---;-Z IP. ]-7-79 PLAN CHECKING FEE , (One-Fourth.Permit Feel PERMIT ISSUING FEE - -_ $7.00 TOTALIFEE / > r- INSPECTION FINALED oar �J date: BY /�ZG �/ •'�✓�-�.J Uds WORKERS'COMPENSATION DECLARATION 76A66 CE-806G (2-801 • . APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that 1 have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a cer i d co y [[hereof(5ec. 3800, Lab. C. s /:�S i JOB FOR APPLICANT TO FILL IN ' Poli y o. Company C-� JOB New Residential Bldgs.&Pools EACH NO. - 'FEE ADORES Certified copy is hereby furnished. 1 &.2-Family,Sq. Ft. $ — S LOCALITY _ C _ 'etried copy u Multi-family Sq. Ft. NEAREST filed with the county building inspection CROSS ST G department. Residential Swimming Pools OWNER OR FIRM NAME _ 7 Date Applicant Outlets: Rec.—Light—L SvIvIl._ MAIL First 20 ADDRESS 63 G' CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No.•g(� 777 / } COMPENSATION INSURANCE A PLAN CHECK d F � �� / PPLICANT 0 (This section need not be completed if the work involved S . U by the permit is for one hundred dollars (SI00) or less.) Lighting Fixtures oat 20 ADDRESS Additional Total No.� p I certify that in the performance of the work for which this - / CITY / Tel No. L0,3 F ermit is issued, 1 shall not employ an Fixed Appliances Not Over 1 HP p p y y person in any manner ,PER Ir' U so as to become subject to the Workers' Compensation Laws. Range_ Heater—D.W. �� - APPLICANT 1 d Oven Dryer_W.M._ /' / ADDRESS / 2 Top FAU _W.H. / — Dale Applicant CITY Tel No. 2J Hood _ Fan —Other— / LL G..� NOTICE TO APPLICANT: If, after making this Certificate of Disp. Room Air Cond._ LICENSE OR ' s 3 Exemption, you should become subject to the Workers' REG. NUMBER D S lass Compensation provisions of the Labor Code, you must forth. Power Apparatus& Large Appliances DISTRICT NO. PROCESSED gV ' with comply with such provisions oi this permit shall be deemed revoked. Size& Type HP,KW, KVA,or KVAR 31-/; � .L,1 Up to 1 Inc[. . ; �"�-- Over 1 to 10 Incl. FINAL DATE q VALIDATION LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. �Z� —o I hereby affirm that 1 am licensed under provisions of Chapter , Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 BY ! _ w ness and Professions.Code, and my license is in full force and 1- effect. Services t•� v ' .� S^�S— e_r3- 0-200 Amp. Under 600 V License Nu 'er Lic. Class 201-1000 Amp. Under 600 V Contract Date Z-2/—s ( Over 1000 Amp.or Over,600 V / HOME OWNER-BUILDER DECLARATION Temp. Power Pole& Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit , License Law for the following reason (Section 7031.51 Busi- Additional Sign Branch Circuits R O O 7.S A ness and Professions Code): Misc.Conduits&Conductors �_ # e o 0 0 0 2 El1, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— ' structure is not intended or offered for sale (Section 2 e e 3 Q 0 O 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY e e o 3 Q.0 Q U 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) U 06,08-8 ) r issued (Sec. 3097,Civ.C.). - Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE 7j CO I certify that I have read this application and state that the TOTAL FEE above information is correct. 1 agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the abov - enti ned r erty for inspectionpupurposes. SEE REVERSE FOR EXPLANATORY LANGUAGE F/ 0 ignaf6re of Permitteeof Permittee ate i2:=c