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Home My Public Portal About10129 LA ROSA DR_Electrical__ ISA663-CE806 5-62 APPLICATION FOR ELECTRICAL PERMIT- COUNTY OF LOS ANGELES ' DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS f�— J'A JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN cR:ose ST. RECEPT. TOTAL NO. EACH FEE OUTLETS (FIRST 20 Z S,zOS O OWNER LIGHT f MAIL SWITCH. OYERADD'L .f0 ADDRESS TOTAL CITY TEL LIGHTING l FIRST 20 .20 FIXTURES I ADD'L -10 ELECTRICIAN OV R 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CIT TEL. NO. za DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(:/H.P.MA%.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT NOGROUP Z NE P0 1 1.00 --��s�Xs 1 — s II.So I INSPECTION /RECORD 3 — s 2.00 /`�1G 3 B is 2.50 1s 50 3.00 /� �' .� " "-/ OV so — 100 _T5_001 !ov t O SIGNS: NO.TRANS U NO.LAMPS SERVICE O.6OOV-NOT OVER 20OA 1.00 Z SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 2 60 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 8 a 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS 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 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE UTILITYCO.NOTIFIED ��P'—� ■ / �� OF PERMITTEE mommommommmm FINAL �LIDATION ARTHUR C. VETT CK MO CASH SUPERVISING ELECTRICAL ENGINEER LAIoO 9 8 1� FEB 15 r D 3.40— -rz-M P+ c Y. 16A663-CES06 5-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY A NEAREST FOR APPLICANT TO FILL IN I CROSS ST. It fl ECEPT. TOTAL NO. EACH FEE OUTL 7 (FIRST 20 oI I.20 OWNER LIGHT I{ MAIL AOD'L ADDRESS SWITCH. OVER 20 TOTAL CITY - TE LIGHTING F1Rst 20 � .20 FIXTURES aOD'L 1O ELECTRICIA OV R 20 RANGES CLO RYERB WTR.HIRE. 1.00 ADDREB GARB.DIS, . BTA.COOK CIT TEL. � 2� DISHWASH. L/AUTO- WASH. /) STATE / SPACE MTRS. GTA.APP.OA X.P.MAX ) `J .50 / LICENSE NO. LTJ y� MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE PROCESSED BY 0 — 1 1.00 S A-! 60LDv1<0' 1 — 3 1.50 INSPECTION RECORD 3 — e 2.00 S 15 2.50 d 15 50 3.00 u 50 100 5.00 CE O NO.TRANS. SIGNS: NO. LAMPS W /I D_ SERVICE 0-600V-NOT OVER 200A 1.00 Ipi Z SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 (' SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 9 IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA ION APPROVALS JDATE INSPECTOR'S SIGNATURE ANO STATE THAT THE ABOVE IG CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 41426 I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANWOR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ( 7) 21 - CALIFORNIA OR THAT 1 AM THELEGAL OWNER OF THE ABOVE DESCRIBED REGIDENTI L PROP Y� POWER j )p /I,� BOA AS GNATURE UTILITY CO.NOTIFIED iI nA �` OF PERMITTEE FINAL OG .gs`* LI O CASH ON ARTHUR C. VETT MO CAS SUPERVISING ELECTRICAL ENGINEER CK ttl�o 2 1 75G' i R 18 2 D 1 4.6 0- v- 4"Glit2(/ 76A663-CE606 8-62 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS /0 /2' z p JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY _ NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE RE<EPi. TOTAL FIRST 20 i$ 20 $ OWNER L^O V fSc�v L OUTLETS LIGHT MAIL SWITCH. A DD'2DL ,0 ADDRESS OVER GHTING LTOTAL F,R5T 20 .20 CITY TEL. NO. I FIXTURES / A61V 10 ELECTRICIAN OV R 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB,DISP. STA.COOK CITY TEL.NO. OISNwASH. AUTO.-WASH. STATE SPACE HTRS. BTA.APP.(lb H.P.MAX.) .50LICENSE NO. MOTORS: OVER NOT OVER M.P. DISTRICTrp Glj Z NE P O B 0 , f.00 S. L/ I s +.sol A INSPECTION RECORD 3 B 2.00 B ,5 2.50 15 50 3.00 50 O 100 5.00 - U SIGNS: NO.TRANS- A I NO.LAMPS 0 SERVICE 0.600V.NOT OVER 200A 1.00 SERVICE O.600V-OVER 200 A. 2.00 , �- �O r 'zYU SERVICE OVER 600V 5.00 _ MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR-8 SIGNATURE AND STATE.THAT THE ABOVE IH COflflECT AND AGREE TO COMPLY CONDUIT f WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ,( ELECTRICAL WINING. WIRING pvn/ GFY I+/ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED A8 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES A .1I CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED .! OF PERMI EE oc FINAL � 7 &. VALmoATCASH ART)IU SI VETT (� CK MO SUPERVISING ELECT ICAL ENGINEER LAO 5 4 6 5 FEB 13 2 0 2.8 0- DEC TION 76A663 / WORKERS'that t I have a certificate cafe of corse CE-806 I0,81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-8066 insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified(copy thereoff//rSec. 3800, Lab. C.) Policy No.U14r 3f�4 3�8LOmpany �iT��F 1 V Ljb FOR APPLICANT TO FILL IN JOB (l�&t Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS O ❑ Certified copy is filed with the county building inspec- 1.& 2-Family, Sq. Ft. $ — $ LOCALITY-T�rihtfLE Cl-t4 lion department. Multi-family Sq. Ft. NEAREST OS OWNEROR Date Applicant Residential Swimming Pools S .3-�L-- �- FIRM NAME EVA0 CERTIFICATE OF EXEMPTIONFROMWORKERS' Outlets: RecIt-LightSw._ AMAIL DDRESS (Ol& LA COMPENSATION INSURANCE First 20 (This section need not be completed If the work involved by the permit is for one hundred dollars ($100)or less.) Total No. Additional CITY No. I Tel. 1y-31C( I certifythat in the performance of the work for which this PLAN CHECK P erAPPLICANT permit 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 I HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT 1"S'• �I�c U K Exemption, you should become subject to the Workers' Range_ Heater_D.W. X T- Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — W.M._ / ADDRESS with comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. Hood _ Fan _ Other_ CITY VIA/A Tel. LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. REG. NUMBER Q Class. la (commencing with Section 7000) of Division 3 of the Business DISTRICT NPROCESSED BY and Professions Code, and my license is in full force and effect. Power Apparatus 8 Large Appliances G Size 8 Type HP, KW, KVA, or KVAR' If Q License Number �S//aa� Li<. Class 2--to 'I Up to I Ind. FINAL V y. El.USt pore ".�-a(o-FyY Over I to 101nd. DATE - VALIDATION 0 Contractor Over 10 to 50 Incl. FINAL 0 ❑ I am exempt under Sec. Over 50 to 100 Inc BY B.BP.C. for this reason Over 100 NJ Z Date: Services, Swbd., MCC 8 Ponelboards / , 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Mainz. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits C `99 6 9 A Law for the following reason (Section 7031.5, Business and Professions Code): o'• e • s 2 ❑ I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors t structure is not intended or offered for sole (Section Other (See Complete Fee Schedule)— ► 2 0�' 2 9.7 5J 7044, Business and Professions Code). o 0 0 29.75' CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for - 0326-84 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 / S 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 n entioned propertypr inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE { Signature of Permi tee Date WO that I have a certificate DECLARATION 76-863 10/81 APPLICATION FOR ELECTRICAL PERMIT {� I hereby affirm that I have a certificate of consent to self insure, CE-808G IJ or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY c(o�(pQJ$(,t,�fej�f (Sec.3p800,1_ab.C.) r•oncY rvo. ` Company � FOR APPLICANT TO FILL IN JOB ❑ Certified co is hereby furnished. EACH NO. FEE ADDRESS PY Y New Residential Bldgs.& Pools LOCALITY �CCerta(ted copy is'diled with the county building inspection Multi-family ylls Sq.Ft. $ _ $ �j/�1�/�fr/ NEAREST Date Applicant` L T'�/M�/� CROSS ST. Residential Swimming Pools OWNER T. FIRM NAME, CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec— Light _ Sw._ MAIL COMPENSATION INSURANCE ADDRESS r (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. �. 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 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 �J 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. — LICENSED CONTRACTORS DECLARATION Hood Fan OtherCITY Tel.No _ I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR (commencing with Section 7000) of Division 3 of the Business and Disp. — Room Air,Gond. REG.NUMSER class Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT No. cE v pll �- v//�/ Size& Type HP,KW,KVA,or KVAR �� !?GZy 0- License Number ✓/D Lia Clase _ � . U Up to 1 Incl. FINAL t Contraco / � VALIDATION Q /9Over 7 to 10 Incl. DATE Q 0 / ❑ Over 10 to 50 Ind. FINA F- E] exempt under Sec. Over 50 to 100 Inc. By W BAP.C.for this reason Over 100• N Services, Swbd.,MCC&Panelboards ► Z Date: 0-200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V ❑ Exemption for Reg.Mainz.Elect. Over 1000 Amp.or Over 600 V SINGLE FAMILY Temp.Power Pale& Appurtenances +. , HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law ACCT•sT for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits ., •Code): D1, �'l I,IJIf ❑ I,as owner of the property,will do the work and the structure Misc:Conduits& Conductors 1 ITEI10 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) ► TOTAL i'jRL a}fl -00 and Professions Code). ' CHECK 20.0111 CONSTRUCTION LENDING AGENCY - I,HANGE JAI I hereby affirm that there is a construction lending agency for the �•�O performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). PLAN CHECKING FEE �UU�-[IUU1 7l11/�:. Lender's Name PERMIT ISSUING FEE /150 1 HN113°--9 Lender's Address I certify that I have read this application and state that the above I TOTAL FEE ' information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize represem y� es of this County to enter upon the above-mentioned s t�( e ion purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ignature o ermittee a e