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Home My Public Portal About9151 LA ROSA DR_Electrical__ 76A663-CE80612-65 APPLICATION FOR ELECTRICAERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS / � 'Z Rel At JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING. LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. � +1 R EC EPT..3B TOTAL I NO. EACH FEE LIGHT OUTLETS 1 FIRST 20 ,1Q $.20 $ Cly OWNERMAIL --_/—� ADD'L r� ADDRESS SWITCH /•,3 OVER 20 0 •10 C0 1 TOTAL FIRST 201 Zv .20 �( �67 CITY TEL. NO. LIGHTING FIXTURES r FIXTURES ADD'L RUSH ELECTRIC J OVER 20 /19 •10 / 90 CONTRACTOR RANGES DRYERS WTR.HTRS. 1'00 ADDRES10124'RE7•�/}�RUSH STREET A GARB.DISP. STA.COOK CITYSO• EL MONM,, TEL.No.448-8911 DISHWASH. AUTO.-WASH. _ STATE SPACE HTRS. STA. APPL. .50 LICENSE NO. ' 137586 C-10 Tc. ��2— MOTORS: OVER NOT OVER H.P. DISTRICT GROUP ONE P �ED O 1 1.00 1 3 j 1.50 v INSPECTION RE ORD 3 8 2.00 V 8 Is 2.50 rp 15 50 3.00 t/ W IL 50 100 5.00 N Z SIGNS: NO.TRANS NO.LAMPS SERVICE 0.60OV-NOT OVER 200A 2, 1.00 ,Z 00 SERVICE 0.600V-OVER 200 A._ 2.00 SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) 11 6 PERMIT ISSUING FEE 2.00 06 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S BIGNATUItt TOTAL FEE $ Zz p 3 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK moi Y/ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. V WIRING , ✓ y ., 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES CO NTY AND STATE OF FIXTURES 1f� CALIFORNIA OR THAT M THE LEGAL OWN OF, AND INTEND TO POWER RESIDE IN,THE VE ESCRIBED RE ID IAL PROPERTY. _ SIGNATURE UTILITY CO.NOTIFIED " OF PERMITTEE mss. FINAL LMCI C J EPH ROOHAN MO CK CASH H SUPERVISISI NG ELECTRICAL ENGINEER Lko 9 3--9-:6: Jull 3 0 2 D 22.40- CQ G ,-A y o f 7F_k,...p It,In- C4,,fy 76A663-CE80612-65 APPLICATION FOR ELECTRICAL PERMIT 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 NEAREST FOR APPLICANT TO FILL IN CROSS ST. Al t 1t A-4-t'! RECEPT. 1 TOTAL NO. LEACH FEE LIGHT J} OUTLETS I FIRST 20 .20 $ OWNER �AJd — /TL's- C_•O MAIL SWITCH ADD'L 10 ADDRESS OVER 20 1 TOTAL LIGHTING FIRST 201 20 CITY TEL. NO. l FIXTURES FIXTURES )( ADD'L CONTRACTOR RUSH ELECTRIC OVER 20 .10 RANGES DRYERS WTR.HTRS.` 1.00 ADDRESS 10124 E. RUSH STREET GARB.DISP. STA.COOK CITYSO• EL MONTE _TEL.N0.448-8911 DISHWASH. AUTO,-WASH. STATE ' _ PACEHTRS STA. APPL. .50 LICENSE NO. - 586 AZO MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP I Z(?I`jE PROSED BY O 1.00 1 3 =,y ,�[ 1.50 INSPECTION RECORD 0 3 8 .i z 2.00 "y B-Q (J 8 15 /'a /. 2.50 p- O 15 50 3.00 IL1 IL 50 100 5.00 h Z SIGNS: NO.TRANS NO.LAMPS SERVICE 0.60OV-Nor OVER 200A 1.00 SERVICE0.60OV-OVER 200 A. /e46,- J,. 2.00 Z 00 SERVICE OVER 600V 3wzq'o 1 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) f PERMIT ISSUING FEE 2.00 O SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE TOTAL FEE B I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERS LAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT _ �r WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA ORT AM THE LEGAL OWNER OF,AND INTEND TO POWER RESIDE IN,TH ABOV DESCRIBED RESIDEN IAL PROPERTY, SIGNATURE UTILITY CO.NOTIFIED ..._.�-.+ OF PERMITTEE - ^yty g, L� FINAL SSOOr� �! LIDATION JO EPH C. ROIOHAA CK MO CASH SUPERVISING ELECTRICAL ENGINEER LAUO9 AUG 2 2 D 34.5Q� d WORKERS'COMPENSATION'DECLARATION 76-663 10/81 CE-806G APPLICATION FOR ELECTRICAL PERMIT - I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec 3800,Lab. C) Policy rho Company - FOR APPLICANT TO,FILL IN' JOB + A El Certified copy is hereby furnished. New Residential Bldgs.& Pools EACH NO FEE ADDRESS H ❑ - — Sq Ft LOCALITY Certified copy is filed with the county.building inspection. 1 & 2 Family, $ — $ department Multi-family Sq Ft NEAREST p7 ., CROSS STCA Date Applicant Residential.Swimming Pools OWNER OR • FIRM NAME rn M Q�'i CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw MAIL COMPENSATION INSURANCE ADDRESS This section need not be com leted.if the work involved b the First 20 ( p Y CITY �f� - Tel No permit is for one hundred dollars-($100) or less.) Total No Additional, - ° •- I I . 1 . . I PLAN CHECK - I certify that in the performance of the work for which this permit 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 Additional Total No CITY Tel No Date Applicant y Fixed Appliances Not Over 1 HP NOTIC T ' APPLICANT- If, after making this Certificate of PERMIT �� Exemption,you should become subject to the Workers'Compensation' - Range_ Heater_ DW APPLICANT .provisions.of the Labor Code, you must forthwith comply with such Oven Dryer _ W M ADDRESS 5' C 5 provisions or this permit shall be deemed revoked Top FAU ._ W H. _ CITY Tel No LICENSED CONTRACTORS DECLARATION• Hood Fan Other_ I hereby affirm that I am licensed under.provisions of Chapter 9 DiSp ROOmAir COnd LICENSE REG NUMB ' BER Class (commencing with Section 7000) of Division 3 of the Business and Professions"Code,and my license Is in full force and effect Power Apparatus& Large Appliances . DISTRICT NO PROCESSED BY Size& Type HP, KW,KVA,or.KVAR License Number. �Z Lic.Class,'.0 (,L_ Up to 1 Incl FINAL Over 1 to 10 Incl; DATE Contractor Date — /: VALIDATION 0 Over 10 to 50 Incl LJ / U' I am exempt under Sec Over 50 FINAL to 100 Inc BY � LLJ B.&P.0 for this reason Over 100 a Date Services;Swbd MCC& Panelboards ® Z 0, 0 A Under 600 V Signature 201 - 1000 Amp Under 600 V Over 1000 Amp or Over 600 V Exemption for Reg Maint.Elect SINGLE FAMILY Temp.Power Pole& Appurtenances HOME OWNER-BUILDER DECLARATION Sign wt One Branch Circuit1 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 Branch Circuits Code): „ 0 I,as owner of the property,will do the work and the structure - Misc. Conduits & Conductors 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 -330 Lender's Name PERMIT ISSUING FEE _ . I -ITEM Lender's Address I certify that I•have read this application and state that the above TOTAL FEE. TOTAL 31 ® 00 p information is correct. I agree to com I with all County ordinances i and State laws regulating Electrical wiring, and hereby authorize • t" �' �lal�i representatives of this County to enter upon the above-mentioned f;H1U o{ I - property for inspection purpose 'SEE REVERSE FOR EXPLANATORY LANGUAGE Apd/W gnature of Permittee Date 3/--o/90 WORKERS',COMPENSATION DECLARATION ` 76-663 ,ops, gppLICATION FOR ELECTRICAL PERMIT ,I-hereby affirm that I have,'a,certificate of`corisent to self insure, PE-806G or a cer ificate of"orkers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES, BUILDING AND SAFETY copy thereof (Sec 3800,Lab C) • Policy No. Company' FOR APPLICANT TO FILL IN. JOB �• ^ a Certified copy is hereby furnished - New'Resldentlal Bldgs & Pools EACH Nb -FEE ADDRESS � o L� Il�(f-/`/' V`r •: '. LOCALITY- F-1 ' Certified copy�Jsfitwith.the county budding inspection1 & 2-Family,Sq Ft $ $ e department., Multi-family Sq Ft CROSSNEAREST Residential Swimming Pools, OwNER OR Date,' Applicant ••• - FIRM NAME 645&ZM e 15AK _ CERTIFICATE,OF EXEMPTION FROM WORKERS'.•• MAIL y- COMPENSATION INSURANCE Outlets Rec Light Sw ~ ' ADDRESS ;., Y.Cl, (This section need not be�com leted,if•th6' Y the work involved b First 20 ( P Additional CITY TeL,No . - Total No Additl -- ��6 7 permit is for,one hundred dollars($,100),or less.), - I certify-that in the erformance of the work for which this,permit PLAN CHECK ' .P, '� .. •t � APPLICANT'? is issued, 1,-shall not employ any person in any,manrier so as to become subject to the,Workers'Compensation Laws Lighting Fixtures First-20 - ;.ADDRESS f. Additional '- Total No. - •- , CITY - 4:,.- -Tel.No Date Apphcanf Fixed Appliances Not Over`•1•HP ` NOTICE TO IT APPLICANT If, aftdr making this 'Certificate of �, .'' APPLICANT ?Exemption,you should become subtect-to the Workers'Compensation Range_;Heater_ DW _ provisions of the Labor Code, you must forthwith comply with such, Oven Dryer _ W M _- ADDRES§-- provisions or;thiis permit skhll,be'deemedrevoked Top FAU W.H ` CITY Tel No LICENSED CONTRACTORS DECLARATION Hood Fan Other_ I hereby affirm that•I am_kensed urider-,provisions of Chapter,9,.•" Co, = LICENSE OR Disp ROOm,Air COnd:, =•"'- REG NUMBER �Z�� Class G�-' D (commencing'with Section 7000)•of Division 3 of,the Business and• , ,- - �- �- Professions Code;and my license is,in'full force and effect Power Apparatus& ces DISTRICT NO P ESSED BY Large_ Applian Size& Type HP,KW,KVA,or KVAR !Jy License Number ��// �� Lic ClassUp to 1 Incl" "" FINAL /� Over 4 to 10 Incl Contractor- r7/f7�r/ / / 'Date / r DATE, . VALIDATION Q Over 10'to 50 Incl FINAL (~) ❑ I am exempt under Sec Over;50 to.100 Inc BY a B.&P.0 for this reason Over)00 Z Services;Swbd,MC C-& Panelboards, - ® , Date 0- 200'Amp Under 600 V Signature 201 - 1000 Amp.Under"600 V n'• - _ Over, 1000,Amp.or Over 600 V, { Exemption for Reg Maint Elect ❑, SINGLE FAMILY Temp Power Pole& Appurtenances r` HOME OWNER_'BOILDER DECLARATION " Sign with One Branch Circuit r s I hereby affirm that I;am exempt from the Contractor's License Law P..•C.T.'Ir for the following reason (Section 7031 5,Business and Professions Additional Sign-Branch Circuits Code) X3137 ` 49.47 ❑ Misc.•Conduits&-Conductors 1,ITEM: •. 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,Sch'edule) _ TOTAL ® • O and Professions,Code). , " CtiECY CONSTRUCTION LENDING AGENCY ,+ _ �'`��`r,1 I hereby affirm that.there is,a construction lending agency for the CHANGE performance of the work for which,this permit is issued(Sec 3097, _ _PERMIT FEE (Sub-Total) _ r Civ C), —4 i.11 f.�1 PLAN CHECKING FEE Lender's Name � r-` .-J i 0000-Q 13/90 PERMIT ISSUING FEE -4 t• _ 9472 i - AM 9:32 Lenders Address ! I certify that I have re ad.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 purpose ' SEE REVERSE FOR EXPLANATORY,LANGUAI Signature of Permittee Date