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Home My Public Portal About9450 LA ROSA DR_Electrical__ B` COUNTY OF LOS ANGELES APPLICATION:FOR PERMIT Department of County Engineer' DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer F❑ APPLICANT TO FILL IN DISTRI�'NO. GROUP 1 ZONE PERMIT NO. ELECTRICIr, �, 1A / G� d'�3rS' R IVED BY READY FOR DAT[ IBBUED ADDRE S FIRSTVPECTION CITY TEL. ,,vv��u.•//ll COUNTY LICEN E NO. EXPIRE8 BUILDING PERMIT FEES AODRE98 - NUMBER EACH FEE LOCALITY 404. _ LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES qq�� WALL SWITCHES OWNERQf° , s _ TOTAL OUTLETS 5C $ •MAIL ELEC, RANGES 25 ADDRESS ELEC. HEATERS 25 CITY l.. TEL NO. FIXTURES 5 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MIBC, PPLICATION 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 [ I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDEN IAL PROPERTY D SC BED ABOVE. 11 V a L[BEI 1$ .25 SIGNATURE at t/2 Z .50 PERMI 2 5 1.00 INSPECTION RE RD 5 15 1.50 15 So 2.5❑ so 200 5.00 200 500 10.00 J _ 500 1000 15.00 Q Z OVER 1000 20.00 M.O. SET/FREQ. CHANGER-HP Q' WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% of ORIG.) MOVED MOTORS (75% OF ORIO.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME_ WIRING CONDUIT FIXTURES $1.00 WIRING /3. /S SUPPLEMENTARY ,SO FIXTURES /Z POWER J '� TOTAL FEE $ 21VOA UTILITY CO.NOTIFIED FINAL 76A663 DBS#5A 4-52 �� r 76A669 •oBs aA '15-49: - 'APPLICATION FOR PERMITDEPARTMENT OF BUILDING AND,SAFETY COUNTY-OF LOS 'ANGELES o E L C T C WILLIAM J.• FOX, CHIEF ENGINEER FOR `�!ICANT TO FI �N DISTRICT.NO. GROUP ZONE PERMIT NO. ELECTRICIAN RECEIVED BY _ READY FOR DATE ISSUED ADDRESSAllf FIRST INSPECTION CITY TEL. NO. COUNTY LICENSE NO. EXPIRES' BUILDING PERMIT EES,. ADDRESS } ' NUMBER �) OUTLETS EACH FEELOCALOCALITY LIGHTS Sc Is 1-0 NEAREST'' CROSS ST'.' .t3 RECEPTACLES •5 FIXTURES 5' ® OWNE•R f ` I WALL SWITCHES S' 140 MAIL ELEC. RANGES 25 - ADDRESS • F ELEC., -HEATERS 25 CITY /. 'TEL. NO. ' misc. } 1" HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS, NUMBER OF CIRCUITS INSTALLED: - APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY -WI,FI ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. NUMBERHORSEPOWER 1' CERTIFY THAT 1.• POSSESS THE 'ABOVE, VALID. LOS FEE EACH � -ANGELES COUNTY-LICENSE, OR 1 AM THE -LEGAL' OWNER O NEW VD. HP VER INC. 1' A OF THE RESIDENT AL&PfRPPE.RTY D/ESCRIB ABOVE._2 50 SIGNVzATURE • 2' 5 1.00 PERMITTE - • - s' i5 1.50 INSPECTION R ORD 15 50 2.50 50 200 5.00 200 500 10.00 500 1000 15.00 _ < -. - Q • .;OVER 1000 20.00 _ Z'" M.G. SET/FREQ. CHANGER-HP WELDERS': AC-KVA _ 'O GENERATORS .KW '• ' TRANSFORMERS - KVA TEMP. MOTORS- (75% OF ORIG.), MOVED MOTORS 475% OF ORIG.) r , MISC. SIGNS ' _ TYPE: NO. TRANS. TYPE: NO. LAMPS 'APPROVALS . • - DATE INSPECTOR'S-NAME FOR EACH PERMIT: - WIRING $1.00 ® �' CONDUIT` FIXTURES ' $1.00 WIRING ' - SUPPLEMENTARY • .SO FIXTURES ` { POWER' TOTAL•FEE.. _ " ' �A�A UTILITY CO. NOTIFIED FINAL .- 76A669-CE60612-5B APPLICATION FOR ELECTRIC PERMIT- COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION AD JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT of BUILDING LOCALITY FOR APPLICANT TO FIL`L IN NEAREST CROSS ST. PERMT FEES OWNER ITEM NUMBER1 .EACHFEE AIL OUTLETS: $ $ ADDRESS LJ LIGHTS RECEPT. ,S W. .70 ' LIGHTING FIXTURES .f0 CITY TEL.NO: ELEC.RANGES CLO.DRYERS- ELECTRI AN W A T E R„ HEATERS .50 ADDRESS Q ` ELEC.SPACE HTR? DISHWASHERS . CITY TEL NO. GARBAGE DISPOSERS AUTO.= 4 -� STATE WASHERS STA COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H P [DISTRICT NO. GROUP ZONE P ESSED BY' 0— 1/2 .25 +/2- z - .50 r SPECTION RECORD 2— 5 100 5— 15 1.50 75— 50 2 50� 50—200 5.00 - SIGNS: NO TRANS NO LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5:00 MISC. WIRING PERMIT 1.00 I FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 �(t TOTAL FEE S APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE- AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMRLY - _WITH•ALL COUNTY ORDINANCES AND'STATE LAWS REGULATING CONDUIT I Jt 9 ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED A5 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PR RTY. POWER _ SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE ' - FINAL v ,f VALIDA ) SUPERVISING SI C. VEIT. SUPERVISING ELECTRICAL ENGI EER CK MO' CASH ' 0 5 5 2 �u� 31 :? A 1 .00 -78A869-CE808 12-58 APPLICATION 'F'O R ELECTRIC PERMIT 1 r COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 7BS JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST A) CROSS ST. PERMIT FEES OWNER ITEM NUMBER EACH FEE OUTLETS: /^ $ $ MAIL �� / (� DS LIGHTS RECEPT.a SW. � ,10 ADDRESS �4+ LIGHTING FIXTURES .10 CITY ^�� ` I 9TEL.NO. ELEC.RANGES CLO._DRY,ERS - ELECTRICIAN .SC'r'�0. 4 WATER HEATERS .5O ADDRESS O !�Y y I �i ELEC.SPACE HTRS DISHWASHE_RS /1 ` CITY ♦ E CI TEL.NO. GARBAGE DISPOSERS AUTO.- STATE -WASHERS STA COOKING UNITS - V .25 V LICENSE NO. 716 MOTORS: OVER � INC. HP 7 DISTRICT O. G P ZONE P ESSED BY O— 1/2 .25 " 1/2— 2 .50 INSPECTION RECO 2— 5 1.00 5— 15 1.50 c 15— 50 2.50 I �� 50—200 5.00 { SIGNS: NO.TRANS. NO LAMPS I,c SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 00, _ '• �" . FIXTURE PERMIT 1.00 �R7 1 ! J L/N SUPPLEMENTARY PERMIT .50 TOTAL FEE $ .� ® APPROVALS IH ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION �i DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. ' - [ HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AN STATE OF FIXTURES CALIFORNIA OR THAT -I AM THE LEGAL OWNER O HE ABOVE DESCRIBED RESIDENT] PE POWER ' SIGNATURE - UTILITY CO NOTIFIED -OF PERMITTE 4-17 FINAL ®F .]DATION ARTHUR ELECTRICAL ENGINEER CCK MOl CASH L..1.Co 6 1 5 4 °k AAA 11 2 A 3.1.0 M WORKER'S COMPENSATION DECLARATION 20-00010,9 DPW(,2-9,) APPLICATION FOR ELECTRICAL PERMIT 20 - I hereby affirm that I have a certificate of consent to self insure, or a certifite of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 3800 Lab. C) , Policy No. Company ��g — �� FOR APPLICANT TO FILL IN SOB ADDRESS Certified copy is hereby furnished _ New Residential Bldgs.&Pools NO. EACH FEE LOCALITY ❑ 1 &2-Family,Sq Ft. — $ $ Certified copy IS filed with the County building inspection NEAREST department Multi-family Sq.Ft CROSS ST Date Applicant s Residential Swimming Pools ASSESSOR PAGE PARCEL CERTIFICATE OF,EXEMPTION FROM WORKERS' OWNER OR COMPENSATION INSURANCE Outlets Rec Light Sw. FIRM NAME First 20 MAIL (This section need not be completed if the work involved by the Total No. �� Additional ADDRESS p permit,is for one hundred dollars($100)or less.) I oertify'that in the performance of-the work for which this permit CITY- � Tel is issued, I shall not employ any'person in'any manner so as to PLAN CHECK become.subject to the,Workers'Compensation Laws_ Lighting Fixtures First 20 APPLICANT- Total No Additional ADDRESS Date Applicant NOTICE TO- APPLICANT..-If„ after making this Certificate of RESIDENTIAL APPLIANCES NOT-OVER 3 HP.- . CITY Tel.No Exemption,you.should become subject to,the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such APPLICANT ITr provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KV AR, ADDRESS _ S I hereby affirm that I am licensed provisions of Chapter 9 Ove 1 Incl (commencing with Section 7000) of Division 3'of'the Business and CITY Te Professions Code, and my license is in full force and effect Over 10 to 50 Incl LICENSE OR Class y Over 50 tc,100 Incl. REG NUMBER 0- Over Over 100 DISTRICT NO R ESSED BY Q License Number Lia Class "'a �i 0 Services,Swbd.,MCC&-Panelboards 4.J• �O GGGCc��r(�., 0-399 Amp, Under 600 V FINAL O Contractor to DATE ❑ 400-1000 Amp. Under 600 V ..' I am exempt under Sec. VALIDATION V Over 1000 Amp.or Over 600Y FINAL W B:&P.C:for this reasonBRANCH CIRCUIT FEES BY fl) Date 15A,or.20A, 120V,Lighting or Recept Z_ 1 To 10 Branch Circwts Signature 11 To 40 Branch Circuits 41 Or More Branch Circuits ❑ Exemption for Reg Maint.Elect. •15A.20A,208V To 277V Lighting Br Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION - I hereby affirm that I am exempt from the'Contractor's License Law Sign with One Branch Circuitll•�•f a e for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits Code): WUi ❑ 1"..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 Lender's Name PERMIT ISSUING FEE' Lender's Address iy I certify that I have read-this application and under penalty of purjury state TOTAL FEE t7 that the above information is correct 1 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. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTEE DA E '