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Home My Public Portal About9558 LA ROSA DR_Electrical__ 176A663-CES06 4 65 APPLICATION FOR EL RICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 9 �— �aS JOHN A LAMBIE. COUNTY ENGINEER Irl COLEMAN W JENKINS SUP T OF BUILDING LOCALITY T NEAREST ✓ FOR APPLICANT TO FILL IN CROSS ST RECEPTACLE TOTAL No EACH r FEE �A 1� JII} OUT g $ .,, OWNER 1'&t1R-TI dJ LIGHT FIRST 20 I 20 ,p/ '1►v MAIL (� SWITCH / I ADD'L 10 ADDRESS 9 �(� `� OVER 20 TOTAL FIRST 20 20 CITY G TEL NO nTaD'E LIGHTING FIXTURES r �] FIXTURES ADD'L 10 CONTRACTOR !I �"' �C � z�� OVER 20 RANGES CLO DRYERS WTR HTR. 100 ADDRESS )Q Z-<3 GARB DISP STA COOK CITY I.C TEL NO DISHWASH AUTO-WASH STATE q SPACE HTRS STA APP (V.H P MAX 1 50 LICENSE NO Z J MOTORS OVER NOT OVER HP DIST IC O. GR�UP Z E PRO ED BY O 1 100 I 3 150INSPECTION REC RD 3 8 1200 8 15 250 -15-- - 50 - - 300 - O V 50 100 500 SIGNS NO TRANSO NO LAMPS } , SERVICE 0.600V-NOT OVER 200A loo d N SERVICE 0.60OV-OVER 200 A 200 ? SERVICE OVER 600V 500 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 200 vo SUPPLEMENTARY PERMIT ISSUING FEE 1 00 TOTAL FEE $ -%_ o APPROVALS DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGIS ERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY D STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND TEND TO POWER RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERT SIGNATURE Q UTILITY CO NOTIFIED OF PERMITTEE �•--• FINAL r CK MO MO CA JOSEPH ROOHAN O CASH SUPERVISING ING ELELE CTRICAL ENGINEER I�+� 4 �, 3', AUG 1J7 2 D 2.2 0- - 7GAe8S.'1313S VA 5-49 ® APPLICATION FOR PERM DEPARMIENT OF•BUII.DING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC ' 1' WILLIAM{ J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ' NKS ELtCTRIC Co. ELECTRICIAN FRARECEIv D BY READY FOR DATE ISSUED ADDRESS ,5.319 TELFORD ST. �/ !,/ FIRST INSPECTION LOS ANGELES 22 TEL No 6�, aal�� CITY COUNTY LICENSE NO qC' EXPIRES &;8(503 BUILDING 6f / PERMIT FEES ;I ADDRESS 44555/// FEE NUMBER I OUTLETS,EACH LOCALITY LIGHTS 5C' $ NEAREST CROSS ST '� ♦� RECEPTACLES 5 r� ry j FIXTURES s OWNER 'yo C- i�1� WALL SWITCHES 5 MAIL ELEC RANGES 25 ADDRESS ELEC 'HEATERS 25 I CITY TEL. NO, ' I '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 WITH ALL COUNTY ORDINANCES ",MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING NUMBER HORSEPOWER- ---FEE- I _CERTIFY THAT- I POSSESS__THE ABOVE�VALID LOS- -- R- ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE a L $ 25 1/22 5 z 2 0 / " �,�—SIGN ATPERMITTURE OF ( � '2 � 5 ,ri)Jy I s t�y 1 so INSPECTION RECORD 15 �/�/ v50 2 50 X50/ 200 5 00 F" 20b 500 10 00 500 1 loon is oo a ' OVER 1000 20 00 _ Z M G SET/FREQ CHANGER-HP ,. 2 d' WELDERS AC•KVA 0 GENERATORS - KW - `TRANSFORMERS - KVA TEMP MOTORS (75% OF ORIG-) MOVED MOTORS (75% OF ORIG ) T MISC SIGNS TYPE:• NO TRANS ^ TYPE NO LAMPS APPROVALS DATE INSPECTOR'S NAME FOR EACH PERMIT - WIRING CONDUIT $1 00 FIXTURES $1 00 WIRING' ` SUPPLEMENTARY 50 FIXTURES POWER TOTAL,FEE $ l / UTILITY CO NOTIFIED L FINAL 76A663 DBS 4A 11-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �u �� 1 WILLIAM J. FOX, CHIEF ENGINEER RUC FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZO E PERMIT N . � � I ,O ELECTRICIAN FRANK'S ELECTRIC CO. RECEIVE READ FOR DATE_16SU ADDRESS 5319 TELFORD ST / FIRST INSPECTION CITY LOS ANGELES 22 TEL NO.AN 7464 r 5-- COUNTY LICENSE NO. 1051 EXPIRES Q3.30.S BUILDING PERMIT FEES ADDRESS j � FEE � •"" NUMBER OUTLETS EACH LOCALITY LIGHT Sc $ NEAREST .� CROSS ST. ,e. !>• RECEPTACLES 5 / ' FIXTURES 5 OWNER ` V P,9 --('�t?ii WALL SWITCHES 5 MAIL V ` ADDRESS ELEC. RANGES 25 ELEC. HEATERS 25 CITY TEL. NO. ` I MISC I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: TOTAI- APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES - -- MOTORS--`— a - AND STATE LAWS-REGULATING ELECTRICAL WIRING.- 4, - -- NUMBER HORSEPOWER I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NEW MVD. HP OVFEE ER INC. EACH ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER _ i I/2 6 LESS $ 25 OF THE RESIDENTIAL P ORERTY DESCRIBED ABOVE. g s I/2 2 .50 SIGNATURE OF ��,�NsY�{'71'. 2 5 1.00 PERMITTEE + 5 1s 1.50 INSPECTION RECORD 15 SO 2.50 50 200 5.00 , 2O0 500 10.00 Soo 1000 15.00 ` J OVER 1000 20.00 Z - .A M.O. BET/FREQ. CHANGER-HP WELDERS: AC-kVA tY GENERATORS - KW O TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORI11) MOVED MOTORS (75% OF ORIG.) - M ISC. SIGNS TYPE: NO.TRANS. ` TYPE: NO. LAMPS APPROVALS, FOR EACH PERMIT: - DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ 'UTILITY CO.NOTIFIED " FINAL /V ! d + WORKER'S COMPENSATION DECLARATION 200019 DPW(12-91) 1. 'd APPLICATION FOR ELECTRICAL PERMIT ,I hereby affirm that iy(iave a certificate of consent to self Insure, 76A663 or a-certificare-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) �Cy Nol5Zb-e>L Company �� WA FOR APPLICANT TO FILL IN JOB ADDRESS Q1 Certified copy is hereby furnished New Residential Bldgs &Pools NO EACH FEE LOCALITY 1 &2-Family,Sq Ft — $ $ Q_W% Certified copy is filed with the county building inspection _ NEAREST department, \�+ Multi-family Sq Ft CROSS ST Zlm 19- Y Date 1�_iJ -\=) Applicant �� \ ftS Residential Swimming Pools ASSESSOK Cl (� (�? 7 �� `O PAGE�+� PARCEL"r`- fir CERTIFICATE OF EXEMPTION FROM WORKERS' K Q • r Outlets Rec Light�Sw � Q .�{ FNAME FI WNER OR COMPENSATION INSURANCE First 20 O �Oa V ✓� IRM MAIL (This section need not be completed if the work involved by the Q ADDRESS permit is for one hundred dollars($100)or less) Total No _I Additional I certify '� Tel No that in the performance of the work for which this permit � CITY �� D l.Iv6• is issued, I shall not employ any person in any manner so`as to 4 / �D PLAN CHECK become subject to the Workers' Compensation Laws Lighting Fixtures ,` First 20 APPLICANT Total No LA Additional ADDRESS Date r' Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO, APPLICANT If, after making this Certificate of CITY Tel No Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP revisions of the Labor Code, you must forthwith comply with such PERMIT p p y Power Apparatus&Large Appliances APPLICANT � lrew,� e Q, provisions or this permit shall be deemed revoked ' LICENSED CONTRACTORS DECLARATION Size&Type HP_,KW,KVA,or KVAR / /p ADDRESSAZU I hereby affirm'that I am licensed'under provisions'of Chapter 9 Over 3 to 10 Incl OQ (commencing with Section 7000) of'Division 3 of the Business and CITY Tel N O 'S1 IDv Professions Code,and my license is in full force and effect Over 10 to 50 Incl } LICENSE OR '1 Class a {� Over 50 to 100 Incl REG NUMBER '7 a License Number `��v Llc Class Over 100 DISTRICT NO PROCESSED BY 0 sit,icesSys d MCC P nelboards ' G�GLZLGs�i Contractor Date-\Date 0 -9 Amer 600 V ❑ DATE ' 400-1000 Amp Under 600V VALIDATION V I am exempt under Sec 0 Over 1000 Amp Or Over 600 V FINAL LU B&P C for this reason a BRANCH CIRCUIT FEES BY Date 15A,or 20A, 120V,Lighting or Recept Z_ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits El 41 Or More Branch Circuits Exemption for Reg Mamt Elect` 15A,20A,208V To 277V Lighting Br Circuits P- SINGLE FAMILY Temp Power Pole&Appurtenances _ "'•4 HOME OWNER-BUILDER DECLARATION C.T. I hereby affirm that I am exempt from the Contractor's License Law 'Sign with One Branch Circuit for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits Code) 1 IIEME: ❑ I,as owner of the property,will do the work and the structure Misc Conduits&Conductors , T T2 q 835 is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) `- s" and Professions Code) 121.35 L:•1 CONSTRUCTION LENDING AGENCY t P64,1416E 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) q� Q Civ C) PLAN CHECKING FEE , Lender's Name / PERMIT ISSUING FEE o� (0 0 ''€I AM. 7°4 r Lender's Address /n / I certify that I have read this application and under penalty of purjury state TOTAL FEE Qf Y6 � that the 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-mentioned property for inspection purposSEE REVERSE FOR EXPLANATORY LANGUAGE -Q11) SIGNAIVIE OF FW92 DATE WORKERS'COMPENSATION DECLARATION 200019 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE_806G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec 3800, Lab C ) \\h Policy NJ_3IOCL4"�6 Company ��e- �V`hC� FOR APPLICANT TO FILL IN JOB C1 C 1 1:1Cert4fied copy s hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS 1L ISA ®Certified copy is filed with the county building inspec- 1 &2-Family, Sq Ft $ — $ LOCALITY tion'department Multi-family Sq Ft — NEAREST t� ^ Residential Swimming Pools CROSS SOR��M �� C V Date Apphcont � 11, B� ) FIRM NAME v U�2 CERTIFICATE OF EXEMPTION FROM WORKERS' �t � p MAIL Outlets Rec Light Sw y_ a ESS ADDRrJ V. COMPENSATION INSURANCE First 20 � Zo .3� (This section need not be completed if the work involved byTotal No Additional '� 1 a CITY 6 1C C Tel Nc the_permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this p APPLICANT permit is issued, I shall not employ any person in any manner Lighting Fixtures / First 20 d Yo ADDRESS so as to become subject to the Workers'Compensation Laws C/v Additional Total No CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after making this Certificate of APPLICATION yir v Q,Y'n3X0,\%V Exemption, you should become subject to the Workers' Range— Heater—DW — Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W M — ADDRESS \ 'J with comply with such provisions or this permit shall be Top — FAU WH — deemed revokedHood — Fan Other— d �S CITY ` Tel NoNYSIR-M LICENSED CONTRACTORS DECLARATION, Disp — Room Air Cond � � LICENSE OR � Class ' I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER ` (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO R ESSED By d and Professions Code,and my license is in full force and effect _ r f( Size_8 Type HP, KW, KVA, or KVAR 9� 0 License Number t0> 1 1U Lic Class E� 1 Up to 1 Incl FINAL \\� Q \ DATE cc L01W\Yho�VK, 48no 1 "_30 _01115 (1(� Over 1 to 10 Incl �` .L� VALIDATION 0 Contractor ate Over 10 to 50 Incl FINAL F- ❑ I am exempt under Sec Over 50 to 100 Inc BY - Q B&P C for this reason Over 100 a- Services, Swbd , MCC & Ponelboards , Z Date 0-200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V Exemption for Reg Maint Elect SINGLE FAMILY r Temp Power Pole &Appurtenances i}1 [I ,g _ HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License g � 7 ;t� ,,t7y�I� Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits Professions Code) I1ENS ❑ j, as owner of the property, will do the work and the Misc Conduits&Conductors TOY 11L 97 - 50 structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ Business and Professions Code) HECK CONSTRUCTION LENDING AGENCYt_i-A, -_E 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 ! rl, _ '.i i Lender's Name PLAN CHECKING FEE o - // � _ '}:,�i } - HIS T•-r+;• Lender's Address PERMIT ISSUING FEE 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 authorize representatives of this County to enter upon the above-mentio property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 3-31 -a ST atur o ermitt Date ST _