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HomeMy Public PortalAbout10043 LA ROSA DR_Electrical__ 74Ak63-�;M4v 6 3-69 LI T � APPLICAT18KI FOR ELECTRIeAL PERMIT COUNTY OF LOS ANGELES �O/O DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRE55 �Q JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE $ $ OWNER RECEIPT. / MAIL 2 ADDRESS LIGHT TOTAL FIRST 20 .20 �� CITY T L. NO. SWITCH OVER 20 .10 PLAN CHKCK LIGHTING TOTAL FIRST 20 ,20 �� APPLICANT FIXTURES / OVER 20 ,10ADDRESS RANGE DRYER WTR. HTR. CITY TE N;). STA. COOK_DISP. F.A.U. CONTRACTOR SPACE HTR —AIR CONO. ADDRESS TEL.NO. ��9Q CLOTHES WASH. DIS HWAS H. CITY FAN_OTHER 1.00 LIC NSE NO. /J CLASS. MOTORS,TRANSFORMERS RATING IHEREBY ACKNOWLEDGE 'PAT I NAVE READ TRIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE E ABOVE IS CDRRECT ADD AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY OROINAN CES AND STATE LAWS REGULATING ELECTRICAL WIRING. D - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSEDAS REQUIRED BY LOS ANGELES COUNTY ANO STATEOf } 1 - 10 3.00 CALIFORNIA OR THAT N HE LEGAL OWNER OF, AND INTEND TO a RESIDE IN. THE A GIBED PE ID EN TIAL P ERT Y. O 10 - 50 5.00 (J SIGNATURE K 50 – 100 7000 OF PERMITTEE O H 700 – 500 15.00 DISTRICT NO./' cRouv PR o_cEssED BY. U W SIGN,GAS SIGN AND ONE CIRCUIT 3.00 Q TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: _ SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 L U 0 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAS WORK ROUGH.CONDUIT WIRING n PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 .:L O_U UTILITY CO.NOTIFIED 7-7C() ^' �y/, { SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL 7 e-- 70 9 c � py �./ JOSEPH C. ROOHAN TOTAL FEE LC1Q - SUPERVISING ELECTRI ENGINEER PLAN CHECK VALIDATION CR. M.D. CASH PERMIT VALIDATION cK. M.O. CASH IT 1p( 5694% JUL 6 2 .p4.6_0. 1 SEE BACM OF PPPLIf ATION FOB COMPLETE FEE SCHFOIILF I , _"/�W/ ' '��✓Wii'i 7BA663-CE80612-65 APPLICATION FOR ELECTRICAL PERMIT if COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY L FOR APPLICANT TO FILL IN CR055 ST. BOG///l� Iy REC EPT. TOTAL -NO. EACH FEE ,�1/J� OUTLETS I FI S 20 $ /-, OWNER ,4R4.4S c O� LIGHT / lT, MAIL ADD SWITCH OVER L .10 ADDRESS /+ 19JYJ.�' LIGHTING FIXTURETOTALS FIRST 201 .20 CITY . ` TEL. NO 2'3a FIXTURES ADD-L 10 CONTRACTOR OVER 201 RANGES DRYERS WTR.HTRS. 1.00 ADDRESS y GARB.DISP. STA.COOK CITY TEL. NO. DlsHwnsH. nuio.-wnsH. STATE SPACE HTRS. STA. APPL.. .50 LICENSE NO. MOTORS: OVER NOT OVER N.P. DISTRICT GROUP Z PRO O 1 1.00 —1- I I 3 1.50 INSPECTION R C RDa O 3 8 2.00 U K B 15 2.50 O _ u 15 50 3.00 U W d 50 100 5.00 SIGNS: NO.TRANS. _ NO. LAMPS SERVICE O-600V-NOT OVER 200A 11.001 SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 / SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INePECTOR•S SIGNATURE TOTAL FEE 8 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK 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 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM T AL R .ANO INTEND TO POWER RESIDE IN.THE ABOVE DE RE NT} PROPERIY. SIGNATURE / �jIOtL/ UTILITY CO.NOTIFIED OF PERMITTEE ccccvv _ FINAL / VALIDATION- JOSEPH C. F?OOHAN SUPERVISINGSING CK MO ELECTRICAL ENGINEER CASH 5644 Nov 4 2 D 2.901 7fi1�G:�fN/ 76A663 GE-806 16/78) APPLICATION FOR ELEC ICAL PERMIT %COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO F ILL IN JOB 77,77. New Residential Bldgs.&Pools EACH NO. FEE - ADDRESS (1 3 L 1 &2-Family,Sc>Ft. $ .025 — $ LOCALITY Multifamily Sq.Ft. '.02 — - NEACR REST Residential Swimming Pools '25.00 OWNEROR - ''77 FIRM NAME iLirr✓ Outlets: Reca—Ligha—Sw.—,�L MAIL //� First 20 .50' ADDRESS Toll No.� Additional .30 CITY TeL No.yw PLAN CHE A PUCANTK Lighting Fixtures First 20 .50 ADDRESS /, Additional .30 _ Total No.L(,L CITY Tel No. Fixed Appliances Not Over l HP PERMIT - Range_Heater_D.W. APPLICAN Oven_Dryer—W.M.— ADDRESS Top FAU — W.H._ CITYTel.No. Hood-1—Fort —Other— LICENSE OR Disp.—Room Air Cond. 2'50 REG.NUMBER Class. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA - PowerApparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Up to 1 Inc]. 2.50 0 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Ind. 1250 CALIFORNIA OR T I AM THE L OWNER,OF THE ABOVE Over 50 to 100 Inc. 25.00 DESCRI BED RESI N IA R RTY. Over 100 40,00 PERMrtEE. SIGNATURE �. Services DISTRICT NO. - OCES DBY Yi2 0 200 Amp. Under600 V 12,50 - T 0 20)-1000 Amp. Under 600 V 25.00 U U Over 1000 Amp.or Over 600 V 50,00 - Z , O — Temp. Power Pole&Appurtenances 10,00 Q Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2.00 INSPECTION > INFORMATION U Misc.Conduits&Conductors 10,00 ON REVERSE S Other(See Complete Fee Schedule)— SIDE u Z ;94427A q . . . . . 2 PERMIT FEE ISub-Totali 2 • e 1 9.5 0 PLAN CHECKING FEE Ione-Fourth Permit Feei O e m e 1 9.505 PERMIT ISSUING FEE 57.00 0 5 1 7-79 TOTAL FEE 7} > INSPECTION FINALE[) p s dare: 0 �—ajp6 By /-- 6 ©s T&A663>CEB°610/72 APPLICATION ELE CAL PERMIT . COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS J !/ LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. OUTLETS N0. EACH FEE OWNER OR ^ (� 17 FIRM NAME )G .4 rJ 'Fr .,Zit i�nc RECEPT.`1 S 5 MAIL w q I\1(` FIRST 20 25 '1/ 0 ADDRESS OV 3 .v 10S�R D"1 LIGHT TOTAL CITY �.�IPIf �' '(N TEL. NO yy-S OVER 20 PLAN CHECK SWITCH .10 '-'o 1 All GHTING LFIRST 20 25 O a APPLICANT )L D ITOTA i n FIXTURES OVER 20 16 ADDRESS O /"� QG RESIDENTIAL APPLIANCES CITY EJyj / �l�5 TEL. NO. ) /dll li PERMIT [ / RANGEORYERWTR. HTR._ APPLICANT ILgFJ�D/n/'�1)�EA'41rK STA. COOK_DISP._F.A.U._ ADDRESSS, 06tJ �Al /C©$.4 'o'e/�L M SPACE HTR. AIR GOND. CITY/ -,np,14 C(�� TEL. NO.-'/Y4A` 3'5'7 CLOTHES WASH.-X_DISHWASH._ LICENSE OR REG. NUMBER CLASS. FAN OTHER 100 it I XEHEBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION (/ ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY MOTORS. TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SI2E & TYPE OVER TO HEREBY CER i 1FT THAT AM PROPERLY REGISTERED AND/OR D - I 1.00 LICENSED AS REOUIgEO BY LOS ANGELES COUNTY AND OF CALIFORNIA OR l' AM THE LEGAL OWNER OF THEE ABOVE I - 10 300 DESCPIOEO 'n E5 NT L OPERTY. y O PTEE U 10 - 50 5,00 SIGNATURE ` K O 50 - 100 1000 U TDISTRICT ROCE SEO BVCyd100 — 500 1500A d 1SIGN, GAS SIGN AND ONE CIRCUIT 5.00 DATE INSPECTOR'S SIGNATURE TUBE, ORMARQUEE ADDITIONAL CIRCUITS 100 OLE SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 K SERVICEOVER 600 VOLTS OR 200AMP 1000 TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING s TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHOR'ZE0 UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOT 5: PLAN CHECK FEE PERMIT ISSUING FEE 3003201 TOTAL FEE PLAN CHECK VALIDATION cx. .o. CASH PERMIT VALIDATykOONN�_1\ CK M.O. CASH 6 8 1�R'rR 24 2 u 1 1 4.20 A'8 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE I� WORff RS'rOMPF.N5gTION DECLARATION 76AB63 10/81 .t GE-906G APPLICATION FOR ELECTRICAL PERMIT 1 nereby afljrm.that have a certificate of consent to self insure, of 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 FILO IN JOB -- �� ^!^ Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO, FEE ADDRESS ❑ Certifkd copy is filed with the county building inspection 1 & 2-Family,Sq.Ft. ` $ — $ LOCALITY 7&FS'1. & G7 174 department _ y • .. Multi-famil Sq. FL NEAREST CROSS ST. Date Applicant Residential Swimming Pools OWNER OR CERTIFICATE OF EXEMPTION FROM WORKERS � 1VgM NAM ) n rf�U COMPENSATION INSURANCE Outlets'Rec Light Sw ' ADDRESS 169q3 r ZA Pas (This section need not be completed If the work involveAby the " - --First"20 s 7 _ - !7 s/Pi '`` / permit is For one hundred dollars ($700)or less.) Total No. �.J Additional ' "�y - -r GITV Tel Nc� z9�v I,certify that in the performance of the work for whichthis permit PLAN CHECK 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 2, ADDRESS - (� Q 1 Additional Date) / v ApplicantZtl� Total pli CITY - TeL No - NOTICE TO APPLICANT: If, .after ma g. this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption,you should become subject to th Workers'Compensation Range_ Heater_ D.W. _ APPLICANT provisions of the Labor Code, you must forthwith comply with such Oven — Dryer W.M.— r/� ADDRESS provisions or this permit shall be deemed revoked. Top — FAU _ W.H. CITY Tel.No. - LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ hereby affirm that I am licensed under provisions of Chapter 9LICENSE OR (commencing with Section 7000) of Division 3 of the Business and Disp. — Room Air Cond. Glass. REG.NUMBER Professions Code,and my license is in full force and effect. I DISTRICT NO. O/i PROCESSED B Power Apparatus& Large Appliances UX Size& Type HP,KW,KVA,or KVAR c License Number Lic.ClassUp to 1 lopl, FINAL' U Over 1 to 10 Incl. DATE VALIDATION -Contractor Date' Over 10 to 50 Incl. 0 E] FINAL - ' am exempt under Sec. Over 50 to 100 Inc. BY W BAP.C. for this reason Over 100 D. N Services,Swbd.,MCC 8 Panelboartls ► $9 6 Q 9A Z Date: 0- 200 Amp.Under 600 V `^ Signature 201 - 1000 Amp.Under 600 V - ❑ Exemption for Reg.Maint.Elect - Over 1000 Amp.or Over 600 V # 2 - 2325 SINGLE FAMILY Temp.Power Pole& Appurtenances = HOME OWNER-BUILDER DECLARATION - .e 2 3 2 5.50 Sign with One Branch Circuit hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits 051 6-8 8 for the following reason(Section 703 1.5,Business and Professions - r Code): - ❑ Misc.-Conduits&Conductors I,as owner of the property,will do the work and the structure - - is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) , 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, PERMIT FEE (Sub-Total) ' 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 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 for inspection purposes. - r SEE REVERSE FOR.EXPLANATORY LANGUAGE �SignaturP Permittee I Date