HomeMy Public PortalAbout8710 HERMOSA DR_Electrical__ 76ABBS-CE80612-58 APPLICATION FOR ELECTRIC PERMIT Z
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING L
BUILDING AND SAFETY DIVISION ADDRESS E. I
JOHN A.LAMBIE.COUNTY ENGINEER
GASSATT O.GRIFFIN,SUPT OF BUILDING LOCALITY AQ w,
FOR APPLICANT TO FILL IN NEARESTCROSS
PERMIT FEES OWNER
4
OWNR
ITEM NUMBER EACH FEE
OUTLETS . +T g g MAIL
LIGHTS RECEPT. SW. .rG ,10 ADDRESS
LIGHTING FIXTURES .10 I Q CITY TEL.Nopor
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS LC
ELEC,SPACE NTRS, D15HWASHERS
CITY TEL.
GARBAGE DISPOSERS AUTO.-
STATE
WASHERS STA,COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRI T NO. I G��j//jf�pfy���!f/–/��UP ONE %R ESSED BY
0— I/e .25 /�'Yl. � �/
2 / .50 INSPECTION RECORD
2— 5 1.00
5— 15 50
IS— 50 2.50
50-200 5.00
SIGNS: NO.TRANS,
NO. LAMPS
SERVICE 0-600V $" ,o
SERVICE OVER 600V
MISC.
WIRINGPERMIT O
FIXTURE PERMIT Q
SUPPLEMENTARY PERMIT .50
TOTAL FEE Sy// APPROVALS
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONDATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY I Iy
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT T' /l
ELECTRICAL WIRING. WIRING
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR , ff
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE -
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE TILITY CO.NOTIFIED /
OF PERM ITTEJJA � /
FINAL �
®` VALIDA ARTHUR C. VETT,
cn mo �ca�H SUPERVISING ELEOTftiCAL ENGINEER
l ? .0 7 7 1 rlllv 5 2 n 2.9 `i
"ABBB-DEBDBI2-SB APPLICATION FOR ELECTRIC PERMIT I
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGNEER BUILDING C POP
p 'a a
BUILDING AND SAFETY DIVISION ADDRESS Q
JOHN A. LAMBIE,COUNTY ENGINEER _ L ��{
CASSATT O.GRIFFIN.SUPT OF BDILOING LOCALITY Sf.Af Q r�B Kdk'
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST. c l
I T E M NUMBER EACH FEE OWNER ® , I✓E/C
OUTLETS: E E MAIL . ri
LIGHTS RECEIPT. SW. ,10 ADDRESS
LIGHTING FIXTURES .10 CITY YI Op TEL.NO
ELEC.RANGES CLO.DRYERS ELECTRICIAN 1
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
CITY TEL.NO.
GARBAGE DISPOSERS AUTO.-
STATE
WASHERS STA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRI T O. GROUP I ZrE P CESSED Y
O— y2 .25 ��j
vz— 2 .50 INSPECTION RECORD
2— 5 1.00 i �F/H iy/iPF /i/aTi°�.PH/97E/J
5— 15 1.50 '
15— 50 2.50
50-200 5.00
�r79�. �✓
SIGNS: NO.TRANS
. -
NO. LAMPS
SERVICE 0-600V 1.00
SERVICE OVER GOOV 5.00
misc.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE E APPROVALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT p,,. p )
/%
ELECTRICAL WIRING. - //
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR WIRING
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. &INPOWER n�
SIGNATURE UTILITY CO.NOTIFIED Q'- -2
OF PE RM ITTE
FINAL
®` VALIDAQjggqwwwi��� SUR
CK MO �ABH� ERVISING ELE TRICAL ENGINEER
�A Cog % d 6 Ja 20 2 A 2 .00 1,
/��t/
76A663-CEB06 4-65 /+
COUNTYAPPLIO,ATION FOR ELECTRICAL PERMIT
OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /
BUILDING AND SAFETY DIVISION ADDRESS /�}
JOHN A. LAMBIE, COUNTY ENGINEER /
COLEMAN.W. JENKINS. SUPT. OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPTACLE TOTAL NO. EACH PEE �F
LIGHT OUTLETS FIRST 20 S.20 S OWNER .J�-JJ'f JJ / .S,rJ
✓� MAIL
SWITCH �J ADD'LOVER
1O ADDRESS
OVER 20
TOTAL FIRST 20 20 ) CITY TEL, NO.
LIGHTING FIXTURES qq }__
FIXTURES 1 Ap0'L 10 C0NTRACTO
OVER 201
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS) 75 , __J /J✓.E) eQe
GARB.DISI. STA.COOK CITY Ll / Q TEL. NO. bbl'�
DISHWASH. AUTO.-WASH. .STATE
SPACE HTRS. STA.APP.(yy H.P.MAX.) .50
LICENSE NO. /.�/ '2
MOTORS: OVER NOT OVER H.P. DISTRIC NO. GROf1P %E PX/QE E BY
O 1 1.00 _ �I
1 3 1.501 INSPECTION RECORD
3 8 2.001
8 15 1 2.50
a
15 50 3.00 O
50 100 S. V
ix
SIGNS: NO.TRANS. V
NO, LAMPS
SERVICE 0.60OV-NOT OVER 200A 1.001 N
SERVICE 0.60OV-OVER 200 A. 1 2.001 Z
SERVICE OVER 600V 1 5.001
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
0 iT `)
TOTAL FEE v APPROVALS GATE I INSPECTOR'S SIGNATURE
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK lA
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
WIRING
1 HEREBY CER Y THAT 1 AM PROPERLY REGISTERED ANO/OR FIXTURES
LICENSED AS R 4U EO BY LOS ANGELES CO NTY AND STATE OF
CALIFO gNIA OR HA: I AM THE LEGAL OWNE OF. NO INTEND TO POWER
REB
OF PERM TTA Ove oE�Ct i o s oErv�At RT �J' UTILITY CO.NOTIFIED
FINAL
//KALI JOSEPH C. ROOHAN
CK MOOO CAS CASH SUPERVISING ELECTRICAL ENGINEER
L1" 0 3 0 8� MAR 9 5 A 3,80"
WORKERS'
have
a certificate of
DECLARATION 76.603 10/81 APPLICATION FOR ELECTRICAL PERMIT {�
I hereby affirm that I have a Certificate of consent to self insure, CE-6066 �j
or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
:copy thereof ISec.3800.Lab.C.)
-adcy)No. Company FOR APPLICANT TO FILL IN J06 /
•Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH FEE ADDRESS L
Certified copy is filed with the county building -inspection 1 & 2-Family,Sq Ff.
$ — $ LOCALITY
T ; 1 ^lA
department. Multi-family Sq, Ft. CROSS NEARESST �3
. V
AAPf
Date Applicant l✓
Residential Swimming Pools OWNER OR ^ , r`
1/
FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' Oulle(s:Rec Light Sw. MAIL
—
COMPENSATION INSURANCE j�' ADDRESS
(This section need not be completed if the work involved b the First 20
y Total No.
Additional CITY Tel No.
permit is for one hundred dollars ($100)Or less.)
I certify that in the performance of the work for which this permit PLAN CHECK
APPLICANT
is issued, I shall not employ any person in any manner so as t0
become subject to the Workers'Compens tion Laws. Lighting Fixture First 20 - ADDRESS
rrr") �^ Additional
' �.A'1 Total No. CITY Tel.No.
Date UUUU ���, Applicant
NOTICE TO APPLICANT: It, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT
Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT
provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M._ 'ADDRESS
provisions or this permit shall be deemed revoked. Top — PAN _ W.H.
GITV2R el.No; •39
LICENSED CONTRACTORS DECLARATION Hood — Fan Other—
I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR ['� rJ^!
(commencing with Section 7000) of Division 3 of the Business and Disp. — Room Air Cond. REG.NUMBER fJ V Class.
Professions Code,and my license is in full farce and'effect. DISTRI N PRO ED e n n
Power Apparatus& Large Appliances ' /� 1 O
O Size& Type HP,KW,KVA,or KVAR 1 U '
License Number AW Lic.Class L Up to 1 Incl. FINAL U
ContractorZ�r-/1('i- �$ Date ( l�'-i ¢` a / Over 1 to 10 Incl. DATE'�� VALIDATION Q
❑ Over 10 to 50 Incl. I--
I am exempt under Sec. Over 50 to 100 Inc. BY BV � W
B.&P.C. for this reason Over 100 / V EL
Date: Services,Swbd.,MCC& Panelboards D ► Z
0-200 Amp.Under 600 V j
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 with One Branch Circuit 2
1 hereby affirm that I am exempt from the Contractors License Law Additional Sign Branch Circuits ACCT)
for the following reason(Section 7031.5, Business and Professions
Code):
3307 51.00
13 I,as owner of property,will do the work and the structure Misc. Conduits& Conductors
o 1 ITEMS
Other(See Complete Fee Schedule)
is not intended or offered for sale (Section 7044, Business 1
and Professions Code). ► TOTAL C 1 r.0fyd�
CONSTRUCTION LENDING AGENCY CHECK 51.OD
I hereby affirm that there is a construction lending agency for the r�r�
performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) .... CHANGE .00
PLAN CHECKING FEE --
Lenders Name 0000-0001 10/19/89
PERMIT ISSUING FEE
Lender's Address 6301 1 AM 11;50
1 certify that I have read this application and state that the above TOTAL FEE
information is correct. I agree to comply with all County ordinances
and Stale laws regulating Electrical wiring, and hereby authorize
representatives of this County to enter upon the above-mentioned
propert r insp 'tion »-V 901
purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permute Date