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Home My Public Portal About6435 ENCINITA AVE_Electrical__ 76A663-CE80612-65 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING y / A� BUILDING AND SAFETY DIVISION ADDRESS 5� /1�0 / /7 JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGS LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL NO. EACH FEE LIG OUTLETS FIRST tI$ 20 $ Q OWNER Q -- // SWITCH AD D'L ADDPE99 /Y —�0—� OVER 20 .IO / l TOTAL FIRST 201 .20 CITY TEL. NO (- LIGHTING l FI%TURES FI%TURES J ADD'L 1O CONTRACTOR 6 f OVER 20 of �,/ RANGES DRYERS WTR.HTRS. 11.00 ADDRESS O 90( J(` � W-5 GARB.DISP. STA.COOK � CITY .i EL.NO T/76 [� OISHWASH. AUTSTA. ADPL. STATE r, J T% SPACE HTRS. BTA. APPL. ,'j0 LICENSE NO. o (dy�j O MOTORS: OVER NDTOVER H.P. DISTRICT NP GROUP Z�Of/�IE PROCLESSSEED BY O 1 1.00 SA(�(/ /� C - ) 1 3 11.50 INSPECTION RECORD 0- 9 e 2.00 O z e 1s � zso YO 15 50 3.00 ly a 50 100 15.00 I (n Z SIGNS-' NO.TRANS. NO.LAMPS SERVICE 0.60OV-NOT OVER 200A 1.001 Q SERVICE 0-600V-OVER 200 A. 2.001 1 SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 12.00 6 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INBPe OR-9 SIGNATURE TOTAL FEE ®� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORN AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT 1 A PROPS LY fl TEREO AN D�OR FIXTURES LICENSED AB REQUIRED BY B A GE CO Y ANO STATE OF CALIFORNIA OR THAT I A HE LE A O N OF, AND INTEND TO POWER RESIDE IN.THE ABOVE O C E R IAL PROPERTY _ SIGNATURE UTILITY CO.NOTIFIED q�GI11 J� AsnR-v„ OF PERMITTEE FINAL C LIDATION JOSE09 CrrOOHAN MO CASH o SUPERVISING ELECTRICAL ENGINEER LATO 3 5 4 5 JUL 18 2 D 5.2 0- v �5-WORKERS'-COMPENSATION- DECLARATION 76AB06 1661 APPLICATION FOR ELECTRICAL PERMIT ip_ / CE-eO6G I N'er;by affirm that I have a certificate of consent(:to self insure 1. ' or a certificate of Workers' Compensation Jnsurance,•or a certifiedv/p �_j COUNTY OF LOS ANGELES BUILDING AND SAFETY , copy thereof (Sec.3800.Lab. C.) 'i /v 1 9 - ' Policy No. <Company. FOR APPLICANT TO FILL IN JOB El Certified copy is hereby furnished. New Residential Bldgs. & Pools , EACH NO. FEE ADDRESS ❑ .Certified .copy is filed with the county building+inspection y. q LOCA 1 & 2Famil ' S FL $ — S C department, Multi-family Sq.Ft. NEAREST T _ CROSS S ' Date ' Applicant - Residential Swimming Pools -OWNER OR • _.µ, FIRM.NAME AGG CERTIFICATECOMPENSATION INSURANCE Outlets: Outlets:Ree— Light _ Sw. — ADDRESS (This section need not be completed If the work Involved bytheFirst 20 , permit is for one hundred dollars ($100)or less.) Total No. AdtlitionalPLA CITY; ` •� Tel.No. I certify that in the performance,of the,work.for.which this permit r -- ApPNICANT CHECK .is issued, I shall not employ any perso2?e manner so tbecome subject to the Workers;Com_pe - aw Lighting Fixtures. First 20 - ADDRESS " •. - - - Additional Total No. - - CITY - Tet.No. ,Date Applicant Fixed Appliances Not Over 1.HP NOTICE TO If, afec .41 making this Certificate of PER .. ,Exemption„you should become suhject to the Workers'Compensation .Range— Heater_ D.W. APPLICANT provisions of the 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. CITYTel.No. �j LICENSED CONTRACTORS DECLARATION Hood _ Fan — Other_ ` ry �a 7 �� .,�. hereby affirm that I am Iicensed'under provisions of Chapter 9 LICENSE OR ,(commencing with Section 7000) of Division 3 of the Business and Disp: — Room Air Cond., / 'J class. �1 — REG.NUMBER ��(� / - �/V Professions Code,and my license is in full force and effect. power Apparatus& Large Appliances DISTRICT NO PROCES D Y Size & Type HP,KW,.KVA, or KVAR' License NumI 1-6�7617Lic.Class C-�O Up to 1 Incl. FINAL ^ U Over 1 to 10 Incl. DATE • G VALIDATION Contractor Date .. Over 10 to 50 Incl. FlNAL ❑ I am exempt under Sec. Over 50 100 Inc. BY W B&P.C. for this reason Over 100 Services, Swbd.,MCC& Panelboards D - Z• - Date. 0-200 Amp. Under 600 V r. 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 HOME OWNER-BUILDER DECLARATION Sign whin One Branch.Circuit 2.. I hereby affirm that I am exempt from.the Contractor's License LawC'� i for the following reason (Section 7031:5,.Business and Professions Additional Sign Branch Circuits - - .9 . Code): ..... 3307 25.50 ❑ Misc. Conduits&'Conductors - I,as owner of property,will de.t work and the structure 1 ITEI'S o ( is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). • f - - D --- TOTAL r7 25 .50 bn CONSTRUCTION LENDING AGENCY - OK25.M- I hereby affirm that there is a construction lending agency for the - performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ. C.). - PLAN,CHECKING FEE Lenders Name M'-0001 6/ 5/89. PERMIT ISSUING FEE Lender's Address - - i 3780 1 AN1147 • I certify that I have read this application and state that the above TOTAL FEE J + information is correct. I agree to comply with all County ordinances , and State law regulating Electrical wiring, and hereby authorize repro n ti § of is Cou y 1 enter upon the above-mentioned pro ort f insp � io pur os - SEE'REVERSE FOR EXPLANATORY LANGUAGE na ure offPer It WORKERS'COMPENSATION DECLARATION 76AS63 10/81 '; ' t" CE-80BG APPLICATION FOR ELECTRICAL PERMIT. {� . I hereby affirm that I have a certificate of consent to self insure, L1 'or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800.Lab. C.) - ' Policy No ,'- .Company. FOR APPLICANT TO FILL IN JOB j - / - ❑r .EACH . NO. FEE ADDRESS Certified copy is hereby furnished. New Residential Bldgs.& Pools ❑ - = $ LOCALITY Certified copy is filed with the county building inspection 1 & 2-Family, Sq FL S A department. .Multi-family Sq.Ft. NEAREST Residential Swimming Pools^ _ CROSS 5T. Date Applicant - ) OWNER OR ./, . I r -FIRM NAME AI Aj r,J. CERTIFICATE OF EXEMPTION FROM WORKERS - A - ( MAIL �-. Outlets:Rae Light Sw .COMPENSATION INSURANCE ' ADDRESS 61 N/�//•T (This section need not be completedif the work involved by the First 20 �'-� p permit Is for one hundred dollars 1100) or less.) Total No. Additional- CITY Tel.No. �/ 7 ;1 I certify that in the performance of the work for which this permit PLAN CHECK is issued, shall.not employ an / APPLICANT p y y person in any manner so as to (J become subject to the Workers'Compensation Laws.. Lighting Fixtures. First 20 ' - 7 ADDRESS '! Additional Total No. CITY - Tel.No, Dated APPIICan Fixed Appliances Not Over 1 HIP ' 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 of the Labor Code„you must forthwith comply wi(h such Oven _ Dryer _ W.M.— ADDRESS provisions of this permiNhall'bedeemed revoked. ,Top — FAU W.H. - LICENSED CONTRACTORS DECLARATION Hood,— Fan —Other_ CITY Tel.No. I hereby affirm-that am.licensed under provisions of Chapter 9 _ i - LICENSE OR (commencing with Section 7000) of Division 3 of the Business and ,Disp. — .Roam Air Cond. REG.4 -NUMBER-. 01.;Ia Professions Code;and my license is in full forceand effect.• DISTRICT N q' _ Power Apparatus& Large Appliances u ; Size & Type HP, KW,.KVA,or KVAR O License Number- Lie. Class Up to 1 Incl. - FINAL -_ Over 1 to 10 Incl. DATE �./Contractor Date ` V ,❑ Over l0 to 50 Ind. .V FINAL am exempt under Sec. Over 50 to 100 Inc. BY W BARC. for this reason Over 100 Services,Swbd., MCC& Panelboards- / - Z Date: 0-200 Amp.Under 600 V .Signature - 201 - 1000 Amp:Under 600 V - • ... '❑ ' - �•` '1 Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. _ - SINGLE FAMILY Temp.Power Pole& AppuFtenances 7 HOME OWNER-BUILDER DECLARATION Sign_with One Branch Circuit hereby affirm that I am exempt from the Contractor's License Lawl-tr.rT as i' for the fallowing reason(Section 7031.5, Business and Professions •Additional Sigri Branch Circuits +�, _ .Code): - ` .ii .(lei � Misc.Conduits& Conductors I'' I,as owner of the property,will do the work and the structure ' I ITFE11 � ' is not intended or offered for sale (Section 7044, Business. Other (See Complete Fee Schedule) • and Professions Code). - '” D - ' '- 'TOT �' C.�.�_ . CONSTRUCTION LENDING AGENCY ., ? ."t" . }} I hereby affirm that there is a.construction''lending agency for the ; ,14th{3E 01I performance of the work for.which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) ..- . . Civ.C.). PLAN CHECKING FEE ' Lender's Name - - }_}1F i—{}E IIS, //21/30 PERMIT ISSUING FEE b _ .. �iC7� 1 AM Z-54 Lender's Address I certify that I have mad 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 - - property fmspectian purposes. � I',/J �-2.7 • 5! lZaee- 9 SEE REVERSE FOR EXPLANATORY LANGUAGE '. � Signature of Permittee Date - WORKERS'COMPENSATION DECLARATION -. ` 76A663IO/Bt I hereby affirm that I have a certificate of consent to self CE-8066 APPLICATION moLICpTION FOR ELECTRICAL ECTRICpL meMIT insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES 7— BUILDING AND SAFETY 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. 8 Pools EACHNO. FEE ADDRESS 35 ��Gti r r.4 ❑ 1 8 2-Family, LOCALITY Certified copy is filed with the county building inspec- y, Sq. Ft. E — E 0_ 4:reC-4 tion department. Multi-family Sq. Ft. NEAREST CROSS ST.- Date Applicant Residential Swimming Pools OWNER OR zz.-.�� FIRM NAME Z CERTIFICATE OF EXEMPTION FROM WORKERS' � AIL i COMPENSATION INSURANCE Outlets: Rec ight_�Sw._ Z 4 ADDRESS This section need not be completed If the work involved b First 20 ( R T Total No. Additional CIT N e& Tel. No.2.X 7L31, the permit is for one hundred dollars ($100)or less.) LA I certify that in the performance of the work for which this P LICANTK permit is issued, I shall not employ any pers o in any manner so as to become subject to the Workers' mpensation laws. Lighting Fixtures First 20 ADDRESS If Additional TICE TO APPLTotal No, CITY Tel, No. X Dote7�J q PPL Applic a Fixed Appliances Not Over 1 HP PERMIT VJOICANT: If, after making this Certificate of APPLICANT Exemption, you-should become subject to the Workers' Range_ Heater—D.W. — Compensation provisions of the Labor Code, you must forth- Oven — Dryer _ W.M._ ADDRESS with comply with such provisions or this permit shall be Top FAU —W.H. CITY Tel. No. deemed revoked. Hood Fan _Other_ LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. REG. NUMBER Class. (commencing with Section 7000)of Division 3 of the Business DISTRICT NO. PROCE$ D BY and Professions Code, and m license is in full force and effect. Power Apparatus 8 Large Appliances Y y Size 8 Type HP, KW, KVA, or KVAR' �70 Q License Number Lic. Class Up to 1 Inc]. FINAL U Over 1 to 10 Incl. DATE /�7 / �O VALIDATION Q Contractor Date - Over 10 to 50 Incl. x---47 O _ FINAL U ❑ I am exempt under Sec. Over 50 to 100 Inc. BY6.�6�� OW. B.BP.C. for this reason Over 100 W Date: Services, Swbd., MCC 8 Ponelboards D 0 - 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Amp. or Over 600 V jo Exemption for Reg. Mainz. Elect. Over 1000 �,3 4 6 5 A SINGLE FAMILY Temp. Power Pole 8 Appurtenances_ HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit # o e o e o 'Z 1 hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits ,/� �' Low for the following reason (Section 7031.5, Business and '/r Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors 2 e - 1 3, cJ 0 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)— D eye e ) 3506 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY 07.08-83 1 hereby affirm that there is o 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 _ 13, 5 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-me coned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE C ,,,, � �� 7-i'd'3 Si ure of Permittee Date