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Home My Public Portal About9044 HERMOSA DR_Electrical__ 76A663 CE-806 p1 .7B) -_APPLIC_ATI((w��/p r _,ELECT_AL, PERMI' - COUNTY OF LOS ANGELES BUILDING SAFETY FOR APPLIOANTTO FILL IN - JOB �Qj 'f/, llll �Iwv��• �� New Resideniibl Bldgs.&Pools EACH NO. •- FEE- Z7 ADDRESS_/,O_S��.E 1 &2Family:Sq. Ft. b .025 - $ LOCALITY . �f-%v//�L iy: G%;7' �Mvlti family Sq. Ft - _ ` .02 - NEAREST �.L A^/� 25.00, CROSS ST. c Residential5wimming Podls_ _ -OWNER OR• /,-•z---- / /� - - - FIRM NAME Outlets:,Rec_Light_Svyr.— '• qq ,,`` ._ First 20 ' -50- ADDRESS' !'U T iSl __Total No. _ - Additional-- .30• CITY��'JL�pL,C _Gi, _ TeL.No.��(�-�{j/6 - - PLAN CHECK -, APPLICANT__._. ;__. Lighting Fixtures First 20 _•.50 ADDRESS - 30 Toto)No _ CITY -_ • __- Tel. No. - F_ixed.Applionces.NocOver 1-HP ^_ PERMIT -- •- - - -_. _ __. APPLICANT Rang Heater _ •-- -ADDRESS• - -Oven-- Dryer_'Z W:W'M.— Top _FAU W.H. _ CITY ts _Fan "_Other" - LICENSE OR .e. Drs - Room Air Co2.50 .. REG NUMBER ^ -,Class _._ , .. . HEREBY ACKNOWL� THAT CORRECT AND GRFFAPPLICATo Power Apparatus 8 Large Appliances TION AND STATE.THAYfFIE.ABOVE IS CORRECT AND AGREE'LO COMPLY WITH-ALL'-COUNTY+ORDINANCES-'AND-STATE 'CAWS Size&Type HP, KW, KVA;or KVAR T REGULATINGELECTRICAL WIRING. C - '-.Up to 1-Incl. _ . 2.50 0 ------ ---P HEREBY 2ERTIFY-THAT'I-AM'PROPERLY'REGISTERED'ANDYOR -V Over 1 to 10 Incl. 5.00 - LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF jX 0 - --- - ----.Over.l0.ro.501nd �+ 12.50. _ __. _CALIFORNIA,OR THAT RO THE LEGAL OWNER OF THE ABO --..0 _VE 25.00 DESCRIBED RESIDENTIAL PROPERTY F Over 5010 100 ,c. W -40:00 _ PERMITEE Over 100• SIGNATURE Z Services, � ---- - - - _' t � DISTRICT f�Q - - "- PR E BY'-:-- "•' 0- 200 Amp. Under 600, 12.50 •- '/� .1 - -209'-1000•Ampr-Under 60O V - 25.00 -Over 1000 Amp.nor-Over 600 V ' 50.00 Z y ' O Temp.Power Pole.&Appurtenances' •10.00 - - - -- - -• • -•Q - Sign with One Branch Circuit 10-00 ` ' Additional Sign Branch Circui:s +,' 111 .• ' -2,00 _ INSPECTION,, . .4 i INFORMATION 990 6'6'A' Misc.Conduits&Conductors - o'.00 ON REVERSE Other ISee Complete,Fee Schedulel_- l V - _ _ .•'.SIDE....-_ _Z . # e o o o 0 2 9••50 I _ PERMIT FEE :i• "ISub Totals 0'9.505'. .. _. _ .t . PLAN CHECKING•FEE IOne-Fourth Perm it1. O 7L 2:� B e) PERMIT ISSUING FEE . .SZpO _ tr irdrE�L'• . TOTAL FEE - > INSPECTION FINALED - i ]6A66n r �_ _.861v ] APPLICATION FOR ELECTRICAL PE_R_MIT_ COUNTY OF LOS ANGELES BUILDING AND SAFETY 'FORAPPLIOANTTO FILLIN ' JOB New Residential Bldgs.&'Pools` '-EACH; ANO. - �-FEE - - ADDRESS.n. _ S -.025 - $ - LOCALITY l - 1 &2�Fomily,sq. Ft. Mi (amity Sq. Ft. -- -.02 - NEAREST - 25.00 CROSSST. 61.E /V + - Residential SwirnmingPools _ _ OWNER.OR-- - -- - - "-"'-- ' FIRM NAME Av ^L n _ -"ttl L°.Co'/2 Oullets:.Rec_Lig Hi_Sw. MAIL ` First 20 .50 ADDRESS TotalNo.. _ -.Additional _30' - CT•Y`(�N L/r._G,r_� ,.,TeL.No�:�!(j.-2p/,(p. ,�.-, PLAN CHECK - APPLICANT. Lighting Fixtures First 20 - .-50 - ADDRESS. - '-A'dditional .30 - -Total No. - - - - CITY i - - _ 'Tel. No._ Fixed+Applionces`'Nct Over 1HP'-- PERMIT- -r---- --• - J `- - 'APPLICANT + /� Rai Heater_ DW — Ove`n_Dryer-_ W.M _ • . � � - ADDRESS _._Top _FALP — W.H. CITY ' TeL;No. Hood'_ran —Other— '" LICENSE OR Lisp,_Room Air-Cond' _ 2:50 - _ _ REG NUMBER_ Clas�•_„�-_.; HEREBY ACKNOWLEDGE THAT I HAVE READ THIS•APPLICA Power Apparatus&Large Appliances TION AND-STATE THAT'THE ABOVE IS CORRECT AND AGREE TO "'COMPLY"'WITH;"ALL^"COUNTY,-'ORDINANCES-AND-STATE`LAWS Size'&'T - ype HP, KW, KVA,orKVAR .p 50 .REGULATING ELECTRICAL WIRING. 1L 1 + _AUp_to 1.lnd. HEREBY'CERTIFY'THAT'I'AM'PROPERLY REGISTERED"AND7OR' ---U Over 1 to 101nc1. _ 5'00 LICENSED-AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF •pp Over-10 to-501nc1, - : 12.50 _ CALIFORNIA.OR THAYI AM.THE,LEGAL,O,WNER OF JHE ABOVE __Q 25.00 DESCRIBED RESIDENTIAL PROPERTY - F Over 50 to 100 Inc. /y 40.00 - PERMITEEr -/i./ 'Over 100 '" - SIGNATURE Services-m - '.DISTRICT NO'•._._. _. PR ESSE B —'-`_ �•' 0-200 Amp.Under 600 V 1 2.50 .'201'1000'Amp.'Unde, 600 V 25.00 Over 1000 Amp.or Over600 V 50.00 Z' p Temp.Power Pole.&Appurienances 10-00 Signtional One Broach Circuits _ 10.00 [ 4 Additional Branch{ircuits i' + 2'00- INSPECTION x> Misc•Conduits&Conductors ' INFORMATION W 1'0.00 " ON REVERSE 'x t�}r .IYyf� Other(See Complete Fee Scheduler SIDE V 7 2 T Z 6� PERMIT FEE ', _' (Sub-Toto11 _ __ _ _ 1 •' r PLAN CHECKING FEE (One Faur k Permit_Feet + f✓ -- C '0 0 0 4,S'.p y_ - o PERMIT ISSUING FEE Ey57 X00.' +'t'` GI Q•, T9 TOTAL FEE :..5 > •��'; ' INSPECTION FINALED P date: . + By '11 % J (�- r�iION D J 76ECLARATION 63 CE 866G 12-801 APPLICATION FOR ELECTRICAL PERMIT r E1y affr -:.. t have a certificate of consent to self is COUNTY OF LOS ANGELES BUILDING AND SAFETY r insure, or a certificate of Workers'Compensation Insurance,or '. a certified copy thereof(Sec. 3800. Lab.C.) ,FOR APPLICANT TO FILL IN - JOB Policv No. - Company ADDRESS � f New Residential Bldgs.&Pools EACH NO'. FEE r✓ �7` GG Certified copy is hereby furnished. 1 &2-Family.Sq. Ft. $ — Is LOCALITY Multi-family Stl — NEAREST - j ® Certified copy is filed with the county building inspection CROSS ST depart t. .. Residential Swimming Pbols c;. OWNER ORv� / 'JV•,�q t'� t FIRM.N AME Cil Date_l Applicant -0utlets: Recy"Light;' Sw. � +k "t ADDRESS First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No.b Additional - COMPENSATION INSURANCE CITY Tel No. }. PLAN CHECK - 1 (This section need not be completed if the work .involved APPLICANT O by the permit is for one hundred dollars ($100)of less:) Lighting Fixtures First 20Total No. Additional ADDRESS 0 cc I certify that in the performance of the work for which this ' CITY Tel No. F Fixed Appliances Not Over 1 HP permit is issued, I shall not employ any person in any manner PERMIT + •W so as to become subject to the Workers`Compensation Laws. Range_ Heater—D.W. APPLICANT O. • Oven _ Dryer_W.M. ADDRESS _ J Z Date- ;Applicant Top _ FAU _W.H.. ` Hood _ Fan —Other— CITY Tel No.� ,-�j� -71 NOTICE TO APPLICANT: If,after making this Certificate of Disp. _ Room Air Conti_ LICENSE R - J Exemption, you should .become subject to the Workers'' REG. NUMBER Class / .Compensation provisions of the Labor Cade, you must forth- Power Apparatus Si Large Appliances DISTRICT NO. PROCE D BY with comply with such provisions or this permit shall be - deemed revoked. Size&Type HP, KW, KVA,or.KV AR Up to.l.Incl. ✓ Over 1 to 10 Incl. FINALDATE LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. - TION I hereby affirm that I 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 'ness and Professions Code, and-my'license is in full force and i effect. Services - - License Number -Lic.Class 0-200 Amp. Under 600 V - 201-1000 Amp. Under 600 V Contractor Date Over 1000 Amp.or Over 600 V , 2 8,4.7 A HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances _ # is is 0 ' 2 I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031:5, Busi- Additional Sign Branch Circuits - V • 1 650 ness and Professions Code): i ❑ Misc.Conduits& Conductors � � � ) 6,5 0 "I, as owner of the property,.will do the work and the Other (See Complete Fee Schedule)— 0 - structure is not intended or offered for sale (Section 09,04r85 7044, Business.and Professions Code). - CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency - for the performance of the work for which this permit is , issued (Sec. 3097,Co. C.). PERMIT FEE (So b-TQttaall Lender's Name -PLAN CHECKING FEE (One-Fourth Permit Fe�I� Lender's'Address PERMIT ISSUING FEE d I certify that 1 have read this application and state that .the TOTAL FEE - above information is correct. I agree to comply with alt County - ordinances and State laws regulating Electrical wiring, and - hereby authorize representatives of this County to,enter upon ' the - entione property for inspection purposes. - SEE'BEVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date I ' - wm that I have a certificate of consent CE-806 Dre, APPLICATION FOR ELECTRICAL PERMIT {� I hereby affirm that I have a certificate of consent to self insure, ce-3DSG LJ 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 Certified copy is herebyfurnished. EACH NO. FEE ADDRESS New Residential Bldgs.8 Pools n Certified copy is filed with the county building inspection 1 & 2-Family, Sq.Ft. IS _ — $ LOCALITY department. Multi-family Sq.FL NEAREST CROSS ST. Residential Swimming Pools OWNER OR _ Date Applicant FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' - MAIL � COMPENSATION INSURANCE Ouflefs:Rec—Light _ Sw. ADDRESS 07( ¢�jr,.yJypFiQJ �/ (Thissection need not be completed if the work involved by the First 20 { permit is for one hundred tlolla rs,($100)or less.) Total No. Additional CITY Tel.No. PLAN CHECK certify that.in the performance Of the work for which this permit APPLICANT is issued,.I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS - Total No. CITY Tel.No. Da APP), a t Fixed Appliances Not Over 1 HE Additional NOT TO APPLI A T: 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 with such Oven _ Dryer _ W M. _ ADDRESS provisions or this permit shall be deemed revoked. Top .— FAUW.H. — — - LICENSED CONTRACTORS DECLARATION Hood Fan Other_ CITY Tel.No. I hereby affirm that I am licensed under provisions of Chapter 9 UCENSE DR (commencing with Section 7000) of Division 3 of the Business and Disp. — Room Air Cond. - REG.NUMBER class. Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO. PR D BY, O' Size & Type HP,KW,KVA,or KVAR , � License Number Lic.Class �— Up to 1 Incl. FINAL / "Contractor Date Over 1 to tO Incl. DATE G/ VALIDATION 0: ❑ Over 10 to 50 Incl. 0 FIN I am exempt under Sec. Over 50 to 100 Inc. AL BY {VyJ B.&P.C.for this reason Over 100 Services,Swbd.,MCC& Panelboards , z Date: 0- 200 Amp.Under 600 V -- 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 I hereby affirm that I am exempt from the Contractor's License Law Branch Circuitsr Additional Sign B for the following reason(Section 7031.5, Business and Professions r Code): ' - Misc. Conduits & Conductors I,as owner of the property,will do the work and the structure Other (See Complete Fee Schedule) is not intended or offered for sale (Section 7044, Business , and Professions Code). CONSTRUCTION LENDING AGENCY - - 7 2 9.7 A 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) - - Civ.C.). - ;I • • 1 7.5 0 PLAN CHECKING FEE Lender's Name •••�•.1 7.5 0 U PERMIT ISSUING FEE 0622t-87 Lender's Address - ,- 1 certify that have read 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 thisCou ty to enter upon the above-mentioned _ - roperty for inspection our sea. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date