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HomeMy Public PortalAbout9839 HOWLAND DR_Electrical__ DSS SA 25M SETS 1-4E APPLICATION {yl,� q)q}11LfTy� DEPARTMENT OF BUILDING APS SAFKff APPLII ION FOR SL•A1�111 COUNTY OF LOS ANGELES �i , C'�'�tIC . .1. O CHIEF� EN6T�E�•'E NAME ./� /7/OA.LfiJa DISTRICT NO. GROUP ZONE PERMIT NO. {�- ADDRESS /L//n �J/. ^(!!i EA2, J/ y �- l• S6, 57 U CITV/�/px �C,Js-({,��y/�` TEL.NO. RECEIVED DY READY FOR DATE ISSUED W COUNTYFIRST INSPECTION CERT.NO. 'ik EXPIRES; �-/�, Y'-;) APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORK ADDRESS ,a t 3/ NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS nxT CIRCUIT A 13 C D E F G H C NAME 1 1 .7 (e S ; ADDRESS .�/ 3 +et 0 / // cm 6LLeY TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGPI ES COUNTY,CERTIFIO• OF QUALIFICATION., —� � ELECfMC1AN. � I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS J _Z L7 0 O TO AL 1 S Y+ NO. OF OUTLETS �fy� $ I Q APPROVALS NO. OF FIXTURES a7 S ZS DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT n NO. OF SIGNS TRANS. cct} WIRING NO. OF RANGES O HEATERS FIXTURES MISC L N DUS $ POWER PERMIT FEE UTILITY CO.NOTIFIED TOTAL FEE FINAL i`AB"-DESGB 10/74 APPLICATION LEC�iICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY BUILDING AND SAFETY DIVISION fC:.ROSS 79&ATm WLwo Qw GjT FOR APPLICANT TO FILL IN OLI TLETS NO. EACH FEErLcl RECEPT.. S S L !D a , LIGHT TOTAL FIRST 20 25ADDRESS j'1 Io 1` L SWITCH_ OVER 20 JO CITY &UAj7LL [ j7 TEL. NO* S d PLAN CHECK FIRST 20 .25 APPLICANT �T.F��K.. C_ �� LIGHTING TOTAL V FIXTURES OVER 20 1D ADDRESS 1:'LLS C / RESIDENTIAL APPLIANCES CITY 0}S TEL. NO. 2ZIo 7b PERMIT RANGE_DRYER_WTR. HTR._ APPLICANT STA. COOK_DISP._F.A.U._ ADDRESS �� SPACE HTR. AIR COND.� CITY TEL. NO. CLOTHES WASH._DISHWASH._ LICENSE OR CLASS. REG. NUMBE0. FAN-OTHER 1.00 1HEREBY A<XNOW LEDOf THAT HAVE READ THIS APPLICATION AND 9T4TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. XW. RVA. ELECTRICAL W ING. SIZE S TYPE OVER TO I HEREBY ER IFY THAT LY RE415TE D AND/OR O - 1 L00 LICENSED A9 E HIRED BY LOS AN ELES TY A STATE OF T CALIFORNIA 0 NAT AM THE L G4 OW THE ABOVE CD 1 - 10 3.00 DESCR IP�ED R IDEN AL PR OPE U 10 - 60 5,00 PERMITEE SIGNATURE O H U 50 - 100 1000 DISTRICT NO. DOES �Y y 100 - S00 1100 F O SIGN, GAS SIGN AND ONE CIRCUIT 0.00 APPROVALS V DATE INSPEC 'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICE NOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAS WORK SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEM P SERVI CE, POLE, 6 APPURTENANCES 5.00 WIRING 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 3.00 TOTAL FEE 1 0 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. :`/.SWI 6 7 3a,gM .29 2 0, 1953 0 • SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE U/V 76A663-CEB06-6-37 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �° n BUILDING AND SAFETY DIVISION ADDRESS YC. JOHN A.LAMBIE,Coulton ENGINEER /� r CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY_ / L,C NEAREST / FOR APPLICANT TO FILL IN cRoss sr. PERMIT FEES OWNER J41, F. G(,j R.D LIGHTS % RECEPTACLES. SWITCHES NUMBER I T E M EACH FEE MAIL pp TOTAL OUTLETS $ .10 i ^ �T-. ADDRESS e1 �A2o ELEC. RANGES, WATER HEATERS, CITY /'C TEL.NO.'I• / wL CLOTHES DRYERS .50 ELECTRICIAN ELEC. SPACE HEATERS, STAT-Y. COOK- ING UNITS, GARBAGE DISPOSERS, ADDRESS AUTO WASHERS, DISHWASHER .25 LIGHTING FIXTURES .10 CITY TEL.NO. MOTORS STATE LICENSE NO. HORSEPOWER DIS-1RICTNO. GROrUP ON REAOT FOR INSPECTION H.P: OVER INC. y IA 6 LESS .25 v, - z .50 INSPECTION RECORD 2 5 1.00 5 15 1.50 15 5o 2.50 50 200 5.00 MISC. SIGNS I NO.TRANS NO.LAMPS SERVICE O-600V 1.00 SERVICE OVER 600V 5.00 WIRING PERMIT1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT ,50 APPROVALS TOTALFEE g 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A LICA 0 DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING -- ELECTRICAL WIRING. WIRING .// I HEREBY CERTIFY THAT A ROPERLY ftEGi TERED AND/OR LICENSED AS REQUIRED Y S GELES COUNT AND STATE OF FIXTURES _ CALIFORNIA OR THAT LEGAL OWNE OF THE ABOVE POWER \�P DESCRIBED RESIDENT L P SIGNATURE 1/ UTILITY CO.NOTIFIED OF PERMITTEE FINAL JOHN A.LAMBIE, VALIDAT ARTHUR C.VEIT. COUNTY ENGINEER CK Mo< CASw SUPERVISING ELECTRICAL ENGINEER ; 'TO4992-� DEC 10 2 2.40 04` WORKERS'tCI haveiSATI/NcateDECLARATION corse 204019 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT O I hereby affirm that I have a certificate of consent to self ce gp�jC, insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec. 3000, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN ADDRESS ❑Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ❑Certified copy is filed with the county building inspec- 18 2-Family, Sq. Ft. $ — $ LOCALITY T 7LC G� tion department. Multi-family Sq. Ft. — NEAREST / CROSS ST. t Residential Swimming Pools C.? p OWNER OR ^� Date Applicant "- r FIRM NAME'+ TP-�C Ll //,,�� 2 MAIL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: RecLLight�5W._ 1. COMPENSATION INSURANCE '7 First 20 ADDRESS (This section need not be completed If the work involved by Total No. Additional CITY Tel. No. the permit is for one hundred dollars ($100)or less.) certify that in ;he s APPLICANT PLAN CHECK performance of the work for which this permit is issued, shall not employ any person in any manner U so as to become subject to the Workers'Compensation Lows. Lighting Fixtures First 20 � ADDRESS Additional Total No. CITY 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' Range— Heater_D.W. — APPLICATION p ur.Lt Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS A ZL !ter' With comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other CITY „ n� Tel. No.s LICENSED CONTRACTORS DECLARATION = LICENSE OR Disp. — Room Air Cond. REG. NUMBER J Class. .9 I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. PRICES BY d and Professions Code,and my license is in full force and effect. /( Size 8 Type HP, KW, KVA, or KVAR C�+ 0 License Number _Lic. Class] Up to I Incl. FINAL 0 f�AMn/-0rJ ConfS-{ y—2-- Q C Over 1 to 10 Incl. DATE /- VALID N M Contractor Date Over 10 to 50 Incl. 0 ❑ FINALJ_,/ I am exempt under Sec. Over 50 to 100 Inc. BY �vJ/A LLJ B.BP.C. for this reason Over 100 d � .-� �pX Services, Swbd., MCC 8 Panelboords U)Date: 2 0- 200 Amp. Under 600 V 2 0 5 x 4 A ? Signature - 201 - 1000 Amp. Under 600 V I e - 2450 ❑ Over 1000 Amp, or Over 600 V 24,5 0 5 Exemption for Reg. Maim. Elect. a o o SINGLE FAMILY Temp. Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION 0 9,02"8 S 1 hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit Low for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ , 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 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 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-mentioned property for inspection purposes. /r SEE REVERSE FOR EXPLANATORY LANGUAGE Signa ure of Permittee Date es ' WORKERS'haveCOMPENSATION DECLARATION CE-663 ,D,B, APPLICATION, FOR ELECTRICAL PERMIT I hPrebY affi/m that.l have a:ertificate of consent to self insure, CE-Bose ' or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800.Lab.C.) /,�•/1. Policy No. /25fill Company � '�/.i ' � _ FOR APPLICANT TO FILL IN JOB pP 9 ❑ Certified copy is herebyfurnished. EACH NO. FEE ADDRESS {p„7� �M'JL.4-Ic New Residential Bldgs.8 Pools ❑ 1 & 2-Family,Sq.Ft. $ — S LOCALITY_I Certified copy is filed with the county building inspection _ department. Multi-family Sq.Ft. NEAREST CROSS ST '1 k� A_ � Residential Swimming Pools CLs Date .�� Applicant CRM NAMEwow CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Red—Light _ Sw. MAIL COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by the First 20 permit is for one hundred dollars($100) or less.) Total No. Additional CITY Tel.No.L V7 I certify that in the performance of the work for which this permit PLAN CAE is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 - ADDRESS Total No. Additional - CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top _ FAU _ W.H. _ CITY Tel.No.3-j$�8 LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9LICENSE OR //,, gi (commencing with Section 7000) of Division 3 of the Business and Disp. _ Room Air Coed. REG.NUMBER W CI Professions Code,and my license is in full force and effect. DISTRICT N0. PR ED BY �.q q /� Power Apparatus 8 Large Appliances License Number J/� `4/� Lia Class `?� Size 8 Type HP,KW,KVA,or KVAR �4 ��t�-.�-<•!-�.� 0 �j W�� Up to 1 Incl. FINAL COntractor� r/ Date �Zb - Over 1 to t0 incl. DATE I-�( -/J VALIDATION O Over 10 to 50 Ind. FINAL �[ U ❑ I am exempt under Sec. Over 50 to 100 Inc. BY W ILI0 B.&P.C.for this reason Over 100 V! Services,Swbd.,MCC&Panelboards , Z Date: 0-200 Amp.Under 600 V Signature 201 : 1000 Amp. Under 600 V ❑ . - Exemption for Reg.Maint.Elect. Over 1000 Ampor Over 600 V SINGLE FAMILY Temp.Power Pole& Appurtenances 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ACCT.: ' I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits for the following reason(Section 7031.5,Business and Professions7a7 46,]0 Code): , ❑ I,as owner of the property,will do the work and the structure Misc.Conduits 8 Conductors 1 ITEMS TOTAL 46-70 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)'_ and Professions Code). - q{Eq+, 46.70 CONSTRUCTION LENDING AGENCY ru^"GE .00 I hereby affirm that there is a construction lending agency for the C" performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) �/l Civ.C.). . PLAN CHECKING FEE 0000-0001 1/26/96 Lender's Name - PERMIT ISSUING FEE p2 7 � 44]0' 1 AM10�18 Lender's Address - I certify that I have read this,application and state that the above TOTAL FEE en Q 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 - p perty f inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE V " Signature of Pernfi