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HomeMy Public PortalAbout10139 LA ROSA DR_Electrical__ 76ns63 DBS.A 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY' LOS ANGELES ELEC'T'RIC 1 WILLIAM FO J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT.NO. GROUP ZONE PERMITNO. J 1 ' ELECTRICIAN —'-' 7v RFjyE1VED BY FOR - DATE ISSUED ADORES$ a FI TINSPECTION .ITV TEL. N 1/ acus COUNTY LICENSE NO. EXPIRES 6 —3U--5 UILDING D 4, PERMIT FEES ADDRESS /F to NUMBER EACH FEE LOCALITY ♦ / 16 LIGHT OUTLETS `--y NEAREST 3 RECEPTACLES CROSS ST. WALL SWITCHES G OWNER TOTAL OUTLETS Sc S MAIL ELEC. RANGES 2S - ADDRESS 1 ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS ' NUM.ER HORSEPOWER - ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER FEE OF THE RESIDENTIAL P OPERTY DESCRIBED ABOVE. NEW MVO. HP OVER INC. EACH 1/z a LES. $ .25 SIGNATURE OF 1A 2 .50 .PERMITTE 2 s 1.00 INSPECTION RVORD 5 15 1.50 _ Is so 2.So —S Iy FL CG so 200 5,00 I 5 SQ✓. E,qz To Re 200 500 10.00 }��p1(F rl/Qj9pG�, J 500 1000 15.00 Z 2 r� dR EwT. C gL E Z OVER 1000 20.00 t41 T M. G. SET/FRED. CHANGER-HP SH OtI l.D (� Jc°lt�/• NFq D _ /�l F✓ 7Rr� &tf r, WELDERS: AC-KVA L GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (75%OF ORIG.) P� ���S� YN� �ys7�5f7GF MISC. T> Cu 4-p V1147c-K SIGNS LC—/e �pQQ,/v//Jy♦= F r'A yi✓.-e NO. NO. TRANS. I APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: CONDUIT L WIRING $1.00 _G WIRING ( - 3"' f� / ✓�z-+/E FIXTURES $1.00 SUPPLEMENTARY .50 FIXTURES. POWER TOTAL FEE $ '•"1 UTILITY CO. NOTIFIED 1_/ir 6, © r FINAL �/ L 76AG63 BBB 5A 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES L CT C '1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ,�y - /9 eO ELECTRICIAN A'{ !� /I. K-7C r as p li RECEIVED BY READY FOR DATE ISSUED ADDRESS �Jrj,��(nqO Il A H VI/II A K�� FIRST INSPECTION CITY P /v/ �1 {I �l0 TEL. NO. COUNTY LICENSE NO. EXPIRES HUILDINo ADDRESS of PERMIT FEES NUMBER EACH FEE LOCALITY L./.moi y LIGHT OUTLETS NEAREST CROSSST. IC /tl YS RECEPTACLES ^/ �yp. QI/�/ p WALL SWITCHES OWNER 27/ ni 'A 7C/_ TOTAL OUTLETS 5c S MAIL 12 /4O /7e) S' C^,O4 / -/ ELEC. RANGES yg ADDRESS of P} GT. ELEC. HEATERS 25 F M D L. �-e CITY '1 TEL. NO. FIXTURES 5 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IG CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB NuMeEHORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw MVv. NPI OVER Irvc� EACH OF THE RESIDENTIAL OPER,TY DESCRIBED ABOVE. I/2 6 LESS S .25 SIGNATUaE OF ✓/� ///� AA I/22 .50 PERMITTEE I/ _ 2 5 7'00 INSPECTION RECORD _ S 15 1.50 _ is 5o 2.50 _ so 200 s.DD L E/a_S C C.o/'le #T CaN.Oyi 7 zoo 500 10.00 / TH 2 ' U O, J Soo 1000 1s.O0 Q OVER 1000 M.G. BET/FREQ. CHANGER-HP C Q•_ / .p c� o a' WELDERS: AC-KVA HDO %v��T/� "/L Y✓/�1 a O GENERATORS - KW Ti, c- o�! i/{�• TRANSFORMERS - KVA _ TEMP. MOTORS (75% OF ERIS-) MOVED MOTORS (7S% of vRIG.) MISC. SIGNS NO. NO.TRANS. I APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 p FIXTURES (9! POWER TOTAL FEE $ UTILITY CO. NOTIFIED FINAL ,. �y"-Y(JRKERS' COMPENSATION DECLARATION 76A663 I0/BI APPLICATION FOR ELECTRICAL PERMIT hereby_ffirm that I have a certificate of consent to self CE-B06G . uTe, ora certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS Certified copy is filed with the county building inspec- 1 8 2-Fomily, Sq. Ft. $ — S LOCALITY tion department Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST. Date Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: RecLight_Sw. MAIL COMPENSATION INSURANCE First 20 ADDRESS (This section need not be completed if the work involved by Total No. Additional CIT Tel No. the permit is for one hundred dollars ($100) or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner 'so as to become subject to the Wor ers'Compens do Laws. Lighting Fixtures First 20 ADDRESS _ Total No. Additional D CITY Tel. No. Dot Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE n, APPLICANT: If, after making this Certificate of APPLICANT Exemption, you should become subject to the Workers' Range_ Heater_D.W. 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. CITY Tel. No. deemed revoked. Hood — Fan _Other_ LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER Class. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PR ED BY } and Professions Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances ^ r/ CL.- Size ._ Size 8 Type HP, KW, KVA, or KVAR' l`J t /VI UX U License Number Lic. Class Up to I Incl, FINAL Q: Over 1 to 10 Ind. DATE Contractor Date [..Pl V ATION F-' ❑ Over 10 to 50 Incl. FIN W I am exempt under Sec. Over 50 to 100 Inc. B O„ B.BP.C. for this reason Over 100- Z_ Date: Services, Swbd., MCC 8 Porelboords -4 6 4 9 4A 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V # •.• • •.e'2 ❑ Exemption for Reg. Mainz. Elect. Over 1000 Amp. or Over 600 V • - 2550 SINGLE FAMILY Temp. Power Pole 8 Appurtenances '• e e 2 a S O cit HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit # 2 1 J 8 7 1 hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and 0PP o{ff ions Code): L'J 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 Other (See Complete Fee Schedule)_ , 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 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 outhoriz re ese olives of this County to enter upon the ob ent on d or for inspection purposes.�7 SEE REVERSE FOR EXPLANATORY LANGUAGE Sig azure of qer e Dote