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Home My Public Portal About10150 LA ROSA DR_Electrical__ APPLICATION FOR ELECTRICAL PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER rOCAL,TY uLDIrvG BUILDING AND SAFETY DIVISION DRESSJOHN A.LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN. SUPT OF BUILDING FOR APPLICANT TO FILL IN NEAREST . PERMIT FEES CROSS ST OWNER TEM NUMBER EACH FEE MAIL OUTLET / S S �} ADDRESS LIGHTS RECEPT 6W. .1G r.1 gC - LIGHTING FIXTURES � .10 d CITY TEL NO. ELEC.RANGES CLO. DRYERS ELECTRICIAN WATER HEATERS .50 XST�TF RESS / ELEC.SPACE HTRS. DISHWASHERS TEL. GARBAGEDISPOSERS I AUTO.. NSE NO.WASHERS STA.COOKING UNITS / .25 MOTORS: OVER INC. H.P. DISTj1CT G UP Z NE CESSED BY v O V. .25 v — 2W2450 INSPECTIONECORD 2 s op"y.9:f4.�. - rinrr I' d 5 IS 0 15 — 50 O 50 — 200 U SIGNS: NO TRANS. W O NO. LAMPS / V7 SERVICEO.600V 1.00 / Z SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 / FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMITE=l: .50 TOTAL FEE 4S// 0 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECT 'SSIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT p ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PRO RLY REGIS E D AND/OR - LICENSED AS R0.EOUIRTHATED LOS ANG- S CO NTT STATE OF FIXTURESCALI OESCRIBEDARESIDENTIAI R E',LEG OW ER HE ABOVE POWER v, -lel /-�1-^„- SIGNATURE UTILITY CO. NOTIFIED / / .17-,r)( K % _4 OF PERMITTE , FINAL �� / wl '�/U ,-"LIDATION ARTHURC.VEIT. MO CASH SUPERVISING ELECTRICAL ENGINEER 2 7 o 7 FEB 17 z D 1 1 .0////5 n �iZGWs /. '4ASB9-CESOG IO-SO APPLICATION FOR ELECTRICAL PERMIT - 1 COUNTY.OF LOS ANGELES DEPARM ENT OF COUNTY ENGINEER BUILDING n ^� J BUILDING AND SAFETY DIVISION - ADDRESS JOHN A: LAM BIE, COUNTY ENGINEER WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY 'lyif�'✓1 9 - i �L NEAREST FOR APPLICANT TO FILL IN - , CRo55 sr., PERMIT FEES owNER, `.�� I T E M NUMBER EACH FEE MAIL F�OUTLETS: $ $ - ADDRESS ECEPT. SW. '1OQTY TE NO. IXTURESLPZS D. DxYER /T ELECTRICIAN �. WATER HEATERS .$O l: ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY � � 'TEL NO. - GARBAGE DISPO STATE wABHERs A.CO G U .25 'J if LICENSE NO. . C15 MOTORS: OVER INC. H.P. EB - DISTE2IC�JT f110. GROUPZONE PRESSED BY i— 2 Bo INSPECTION RECORD 2— 5 O 5— 15 1.50 - U im Is— 50 2.50 0 1O 50— 200 I S, O _ U SIGNS: NO TRANS. / IyL NO.LAMPS Iz SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRINGPERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT 50 - TOTAL FEES I HEREBY ACKNOWLEDGE THAT I 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 I HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND ATE OF FIXTURES - CALIFORNIA OR THAT 1 THE LEGA OWNE F ABOVE DESCRIBED RESIDENTI ERTY. _ POWER t SIGNATURE UTILITY CO.NOTIFIED .L OF PERMITTE FINAL - VALIDATIQf Ll ARTHUR C..VEIT CK NO ASH SUPERVISING ELECTRICAL ENGINEER X37' 2S63 SEP 1 rj 2 D 3 .00 .. APPLICATION FOR ELECTRICAL ERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER eU1LDING BUILDING AND SAFETY DIVISION ADOREss JOHN A.LAMBIE, COUNTY ENGINEER / WILLIAM A. JENSEN. SUP'TOF BUILDING '� LOCALITY FOR APPLICANT TO FILL IN CROSS sT . PERMIT FEES OWNER �if/I1�/�rtii. 1 T E M NUMBER EACH FEE OUTLET& Jy S 5 AD RE9 ✓ ) i LIGHTS RECEPT. 6W. .10 LIGHTING FIXTURES 10 -CITY t k'kt TEL.,AO. ELEC. RANGES CLO. DRYERS ELECTRICIAN �/ i /I WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO 1 G GARBAGE DISPOSERS AUTO. STATE - WASHERS BTA. COOKING UNITS ,25 LICENSE NO. °J MOTORS: OVER INC. H.P. DISTRICTNO. GRTO�UP Z N P ESSED B O — Yz 25 7 i - z 50 INSPECTION RECORD 2 5 1.00 a 5 f5 1.50 - Q 15 — 50250 0 50 —. 200 5.00 V SIGNS: NO TRANS. - W NO. LAMPS In 6. z ` Z SERVICE 0.500V 1,00 / SERVICE OVER 500V 5.00 MISO.:+ If WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE S I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE IN5PECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY TH/fr I AM PROPERLY REGISTERED AND/OR CALIFORNIALICENSED BORETHATE ID M H E Y LOS ANGELES OWNER/OF THE STATE ABOVE FIXTURES DESCRIBED RESIDENTIAL ROPERTY.// r POWER SIGNATURE II ��`�� UTILITY CO. NOTIFIED OF PERMITTE FIN& H ,/nA I O CAS ARTHUR C.NG ELECTRICAL , ' OK MG Gex SUPERVISING ELECTRICAL ENGINEER LAC01 8 0 4 JAN 3 0 2 D 62.2 0 �e - WORKERS'COMPENSATION DECLARATION CE-6 10/81 APPLICATION FOR ELECTRICAL PERMIT . {� I hereby affirm-that I have a certificate of consent to self insure06, cE-eosG, � LJ ' •or a gertificate of workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY @'*PY t11e(v'Of ec 3800.1-ab. mPany FOR APPLICANT TO FILL IN - - 'JOB Pofc s \J'771�yrS/ ❑, Certified copy is hereby furnished, ,. New Residential Bldgs.&.Pools EACH NO. FEE, •ADORE55. 'v.,�� Cer}ified copy is;filed with the county building inspection. 1 & 2-Family,Sq. Ft. $ — $ LOCALITY. tl artmenr. _ Multi-family Sq.FL — NEAREST. _Residential Swimming Pools -"'. OWNER OR Date _ APPlican CROSS ST !Fill NAMEtiJ CERTIFICATE OF EXEMPTION FROM WO ERS' Outlets'Ree/mac LighLL Sw 12 T ' MAIL COMPENSATION INSURANCE - - Q L�"OADORESS (This section need not be completed ifthework Involved by,the (7 First 20 permit is foronehundred dollars($100)or less.) Total No. 'Additional Q- Q CITY, Tel. I certifythat in the performance of the work for which this permit - - PLAN CREC P P 1 is issued, I shall not employ any person in any manner.so as to APPLICANT become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 1 ADDRESS ; n 'Additional � Total No. /O. , CITY Tel.No. Date -Applicant - Fixed Appliances Not Ov r 1 HP ' ' - NOTICE TO APPLICANT: If, after making. this Certificate- of sed PERMIT Exemption,you should become subject to.the Workers'Compensation Range_ Heaterg D.W. a `0 � APPLICANT provisions,of.the Labor Code, you must the comply with such Oven _ Dryer _ W.M. _ ADDRESS ` provisions or this permit shall be deemed revoked. Top FAU- W.H.._ `CITY el.Nay (d9 -/-:P// .LICENSED CONTRACTORS DECLARATION Hood — .Fan _ Other_ hereby affirm that I am licensed under provisions of Chapter 9 _ _ LICE OR -Disp. Room Air Cond. REG:NUMBER Class.- (commencing with Section 7000) of Division of the Business(and Professions Gdde,.and my license is in full force and effect., ..Power Apparatus& Large Appliances DISTRICT NO. p PROCESSEDBY 'A _�/ Size 8 Type HP,KW,KVA,or KVAR - _ Qp L U. License umher J J O� Lia Class/s: 7�/��_9•-�' Up to I Incl. FINAL' / Contr ctor site �1C�-/J - - Over 1 to 10 Incl. DATE -3 VALIDATION • 0 ... E] Over 10 to 50 Incl. - '.0 am exem t near Sec. Inc.-Over 50 to 100 Inc. BY W B&P.C. for this reason Over 100 N Services,Swed.,MCC& Panelboarc�s - - Z Date: 0-.200 Amp.Under 600 V r- no - Signature_ - 201 -1000 Amp.Under 600.V; - Over 1000 Amp.or Over 600 V tn ' Exemption for Reg.Maint Elect. SINGLE FAMILY ._ Temp. Power Pole&.Appurtenances I�C(:T.I - HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 3607 70:60 I hereby affirm that I am exempt from the Contractor's License Law for the following.reason (Section 7031.5;Business and.Professions' - .Additional Sign BranchCircuits .. f„ 1 1!tI Code): I I ❑ Misc.Conduits & Conductors ;" TOTAL •'70 - 6C)- I,as owner of the property,will do the cti n 70 the structure Other(See Complete Fee.Schedule) is not intended or offered for sale (Section 7044, Business -. _ - I_a{F(:K 70.Act - and Professions Code). ® _ .. CONSTRUCTION LENDING AGENCY Lf�Hf��E' .[UI I hereby affirm that there is a construction lending agency for the - - performance of the work for which this permit is issued(Seca 3097, PERMITTEE` "" ' ' (Sub-Total) Giv.C.). 1713130-Ui3Ui i13i 4/913 PLAN CHECKING.FEE - - - - a1o6 • AN10=b: Lentler's Name - - '- /� - - - - PERMIT ISSUING FEE ' Lender's.Address - I certify that I have read this applicadon and state that the.above TOTAL FEE - 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 prop to nSpection purpo n - I SEE REVERSE FOR EXPLANATORY LANGUAGE Signatu .of Permit