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HomeMy Public PortalAbout9854 ESTRELLA AVE_Electrical__ 76AG63.CESO6.10.56 APPLICATION FOR ELECTRIC PERMIT BUILDING AND SAFETY DIVISION -- . -.- Department of County Engineer BI11LDNG , County of Los Angeles - ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER or CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY C NEAREST T //•���� � FOR APPLICANT TO FILL IN CROss PERNRT FEES OWNER I LIGHTS RECEPTACLES SWITCHES NU.BER I TEM EACH FEE MAIL ADDRESS TOTAL OUTLETS S AD S ELEC. RANGES, WATER HEATERS, CITY TELNO. i clorxes DRYERS '50 ELECTRICIAN „I.r,✓ 1. Lfit .I., ELEC. SPACE HEATERS, STAT-Y. COOK /j ING UNITS, GARBAGE DISPOSERS, ADDRESS. / ) ;7-tk— 4"�/ AUTO WASHERS, DISHWASHER ;25 LIGHTING FIXTURES .10 CITY tN(j— TEL. NO. MOTORS STATE I LICENSE NO. -Z/& Y! HORSEPOWER DISTRICT NO. GROUP ZONE READY FOR INSPECTION H.F. OVER INC. _. N %¢ IN LESS .25 ✓ Ih z so INSPECTION RECORD 2 - 5 1.00 C /� 5 50 2.50 50 200 5.00 ,L_, r(�,f^z �/�Q/ `6 J/�Uf�s• x E Y SIGNS No.TRANS •j NO.LAMPS SERVICE 0.500V 1.00 BO SERVICE OVER SOOV 5.00 WIRING PERMIT 1.00 Q"(� FIXTURE PERMIT 1.00 i SUPPLEMENTARY PERMIT .50 APPROVALS TOTAL FEE $ - DATE INSPECTOR'S SIGNATURE a I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION •_ q AND STATE THAT THE ABOVE IS CORRECT AND ,f1. L�iR-r./ rij /I WITH ALL COUNTY ORDINANCES AND STATE 'AGREE TO COMPLY CONDUIT A'-,,LAWS REGULATING "r ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED As REQUIRED BY LOS ANGELES COUNTY AND STATE OF r CALIFORNIA OR THAT i AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIA PL ROPERTY. SIGNATURE /x//ILCQ.LPERTY U//I// ��W(--✓F'—' UTILITY CO. NOTIFIED OF PERMITTEE FINAL JOHN A. LAMBIE. - ATION ARTHUR C.VETT. COUNTY ENGINEER N MO CASH SUPERVISING ELECTRICAL ENGINEER �}E09 8 3 7 P JJL 1 2 2.5 0 m 76A663 CE80610/72 APPLICATION R ELE&RICAL' PERMIT` -3 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER - gD�RE55 BUILDING AND SAFETY DIVISION LOCALITY — PNEAREST .FOR APPLICANT TO FILL IN CROSS ST OOLETS NO. EACH FEE OWNER OR _ FIRM NAME ✓r RECEPT. $ 5 MAIL LIGHT TOTAL FIRST 20 !O 25 �� ADDRESS V SWITCH L / D OVER 20 10 CITY TEL. N0. PLAN CHECK LIGHTING' 1 FIRST 20 ,25 APPLICANT J} TOTAL y OVER 20 ADOR ESS FI%TURES .Vo RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE_pRY EP. WTR. HTR._ APPLICANT /✓ STA. COOK_DISP. F.A,U. ADDRESS 6 GT ��i / SPACE HTR. -AIR GOND. CITY CLOTHES WASH. DISHWAS H. ,LICENNUMSSE OR FEG. ER �- CLASS. FAN_OTHER I00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATTING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND, HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING._ S1ZE & TT PE OVER TO HEREBY CE RTIFY TH4 AM PR OPERLT 9E GIS TER 0 AND/OR 0 - 1 1Do LICENSED',AS REp UIREO L05 ANGELES COUNTY AN TAT CALIFORNIA I THAI AM THE LEG 4L OWNER OF T E A OV DESCRIBED RESIDENT PR O PER d 1 - 10 3 00 WINSPECTOR'S PERMITEE 10 - 50 500 SIGNATURE50 - 100 1000 DISTRICT NO.100 - 500 1500SIGN, GAS .SIGN ANO ONE CIRCUIT 5.00 APPROVALS D TUNE. OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT TEMPSERVICE,,POLE, &APPURTENANCES - 5:00 WIRING '71-7 F. 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 300 G TOTAL FEE bO PLAN CHECK VALIDATION CK. M.o. cesx PERMIT VALIDATION cK. M.O. usH . � �� � 25tFEB 72 -0 6.0 mz SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 7e0,83C, 0°6131=,,, APPLICATION FOR ELECTRICAL PERVaIT � 1 rl- a � BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN IOB New Residential Bldgs.& Pools EACH NO.1 FEE ADDRESS 1 &2 Finaily Sq. Ft. S _ S LOCALITY Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST. OWNER OR FIRM NAME Outlets: Light, Switch & Receptacle ADDRESS First 20 6 — � J Ic Additional CITY Tel. No. PLAN CHECK APPLICANT Lighting Fixture First 20 ADDRESS Additional CITY Tel. No. PERMIT / — /Y �/". Fixed Appliances Not Over 1 HP APPLICANT ! / Range— Heater D.W. yJ ADDRESS Oven Dryer W.M. Top FAU W.H. _ CITY �L Q// G Tel. No.! h (� Hood Fan LICENSE OR Disp. A.C. -� REG. NUMBER _ .J CIasS. ti U Power Apparatus& Large Appliances ROIHNRAGCE AN. STATE oLAWS REGHLAT,N v T.-A�ILIGATIGN Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. Up tot Incl. NoioR y Over 1 to 10 Incl. LCC"SEOE.: o ANG =RVE of a Over 10 to 10Incl. oERIV I E>"R OR THAT � TNC `EGA Over rJD LO l0D Incl. PERMITEE Over 100 SIGNATUR _ DISTRICT NO. P CES BY �J Services 0-200 Amp. Under 600 V 201 - 1000 Amp. Under 600 V APPROVALS M E INSPECTOR'S Over 1000 Amp.or Over 600 V SIGNATURE TEMP. POWER POLE Temp. Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit r Additional Sign Branch Circuits ROUGH CONDUIT q (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE IT st NOTES TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PEIRMI'T V LIDATION CK. M.O. CASH 2 7 7�JAN 21 2� 1 4.4 0 n-ld r 4 WORKERS'COMPENSATION DECLARATION 76A663 ,n,B, CE-8066 APPLICATION FOR ELECTRICAL PERMIT L1 Ihereby-affirm that I have a certificate of consent to self insure, , , ' r ' or a certificate of Workers' Compensation Insurance, or a certifies COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec. 3800 Lab. C.) Policy No. )Umpany -'y �� ,�+`^'�• FOR APPLICANT TO FILL IN JOB ,(- ❑ Certified copy is hereby furnished. FEACHNO. FEE ADDRESS �� `New Residential Bldgs. & Pools ;LOCALITYCertified copy is filed with.the county building inspection 1 8 2-Family, Sq.Ft of artment. Multi-family Sq Ft, NEARESTCROSS ST. �l Date �_ Applicant Residential Swimming Pools �\ - ' a OWNER ORFIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' g �`T' MAILOutlets:Rec Li ht Sw.COMPENSATIONINSURANCE j FDORESs •' - First ion - T-� ' (This section neetl not be completedif the work involved by the ^ CITY e `r Tel.Na "permit is for one hundred dollars.($100)or less.) Total No Additional .l certify that.in the performance"of the work for which this permit PLAN CHECK Yl P P APPLICANT - is,issued, I shall not employ any person in any manner sdas to. }become subject to the Workers:Compensation Laws. Lighting Fixtures First 20 ADDRESS. Additional „ Total No. - CITY Tel.No. , Date Applicant .Fixed Appliances Not Over 1,HP PERMIT ` NOTICE TO. APPLICANT: If, after making this Certificate of Exemption,you should become subject 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 bedeemed revoked. Top FAU W.H. Lt ` LICENSED CONTRACTORS DECLARATION Hood Fan Other_ CITY Tel.No.� hereby affir'ntthat I am licensed under provisions of Chapter 9 - LICENSE OR Dish. Room Air Cond. REG.NUMBER 6 Class.,C (commencing with Section 7000) of Division 3 of the Business and Professions'Code,and my license IS:In full force and effectPower Apparatus & Large Appliances DISTRICT NO. P8 CESSED B ' 11r`-gyp ('� Size 8 Type HP, KW,KVA', or KVAR. " vg LicenseNumberL) Lb Lic.Class Up to 1 Incl FINAL Over 1 to 10 Incl. DATE O Contractor l�lr�•'�.•+2'�t79 L� Date( CCC/// , VALIDATION Over 10 to 50 Incl. � FIN ' � ❑ Tam exempt under Sec. _ Over 50 to 100 Ina - - By W B&P.C.for this reason Over 106' d -Services,Swbd.,MCC 8 Panelboards .... . D - Z Date: 0 - 200 Amp.Under 600 V Signature- 201 - 1000 Amp. Under 600 V - - Over 1000 Amp.or Over 600 V E] Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances, . 'r HOME OWNER-BUILDER'DECLARATION - `Sign with One Branch Circuit - - .7 .. I hereby affirm.that I am exempt from the Contractor's License Law Ir,_, _E Business and'Professions Additional Sign Branch Circuits ;_y,7_''a for the following reason(Section 7031.5;_ .. Code): *; ._ .. '207 '70,56 Misc. Conduits B.Conductors I,as owner of the property,will do the work`and.the structure. - i` T is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) .. i EMS S and Professions Code). D - ' ' TOTAL5 CONSTRUCTION LENDING AGENCY . . _ ( i 70. c�l I hereby affirm that there is a construction lending agency for the 2 . performance of the.work for which this permit is issued(Sec.3097, PERMIT FEE ,(Sub-Total) f!-(;�r1,(jF Oct Civ. C.). _ PLAN CHECKING FEE - Lender's Name /may Lffjstri_" I PERMITt11 4/19/sol FEE V v Lender's Address - n'7+�'� 1 0a0r� I certify that I have read this application and state that the above TOTAL FEE �Q J Q L~`, u.'I` 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 above-mentioned property for inspection purposes .SEE REVERSE FOR EXPLANATORY LANGUAGE Signa re of Permittee D .