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Home My Public Portal About9902 LA ROSA DR_Electrical__ 70^663 OBS SA 2SM SETS I1'48 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ��'� COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER DISTRICT NO. GROUP ZONE PERMIT NO. FOR APPLICANT TO FILL IN ELECTRICIANn r RECEIVED�BY (READY FOR DATE' ISSUED ADDRESS / Zp �fz_A_fl ��/ FIRST INSPECTION CITY TEL. . Z. LICENSE NO. .2 S-1 EXPIRES D D ADDRESS DESCRIPTION OF WORK NUMBER OUTLETS EACH FEES LOCALITY - LIGHTS SC 5 (]s CROSS STREET RECEPTACLES 5 , FIXTURES 5 OWNER WALL SWITCHES 5 Os MAIL ADO RE99 ELEC. RANGES 25 � � ELEC. HEATERS 25 CITY / TEL. NO. MISC. ICERTIFY THAT 1 POVSESS THE ABOVE VALID LOS NUMBER OF CIRCUITS INSTALLED: ANGELES COUNTY LICENSE. LIGHTS RECEPTACLES MOTORS ELECTRICIAN. NDM6ER HORSEPOWER FEE NEW MVO. HP OVER I INC. EACH 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- ( LES. 5 .25 ERTY DESCRIBED ABOVE. 1 2 .5O 2 5 1.00 OWNER. 5 is 1.So INSPECTION RECORD 1 15 50 2.501 1 s0 200 5.001 200 Soo 10.001 Soo 1000 15.001 J OVER 1000 20.001 Z M.G. SET/FRED. CHANGER-HP m WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% DE ORIG.) MOVED MOTORS (75% OF DRi..) MISC. SIGNS TYPE: NO.TRANS. TYPE: NO. LAMPS APPROVALS PERMIT FEE DATE INSPECTOR'S NAME FOR ISSUING PERMIT: I CONDUIT WITHOUT FIXTURES $1.00 WIRING WITH FIXTURES 1.25 1 FIXTURES SUPPLEMENTARY .50 - �� POWER TOTAL FEE 5/ UTILITY CO.NOTIFIED FINAL °` °`°° °° APPLICATION FOR ELECTlICAL PERMIT 'I COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING /1• •# O� /� BUILDING AND SAFETY DIVISION ADDRESS V JOHN A.LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY L///°I 1–L •/ r FOR APPLICANT TO FILL IN CROSSS T PERMIT FEES OWNER ` // 0 IN&L ITEM NUMBER EACH FEE MAIL /� q np OUTLETS: $ $ ADDRESS Q ()SA : LIGHTS RECEPT. SW. .10 CITY C- /r,/TEL NO LIGHTING FIXTURES ,f0 _ ELEC. RANGES CLO. DRYERS ELECTRICIAN WATER HEATERS .50 AODRESS L ELEC.SPACE HTRS. DISHWASHERS Cpiy GARBAGE DISPOSERS AUTO.. STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. 0 / O MOTORS: OVER INC. H.P. D.I$TRICT,NO. GROUP ZONE PRQCESSED By 0 — '/z .25 i' . �_ -fir l'•-� 7.i/.,.n.�c.C.n`�.. V, - 2 50 INSPECTION RECORD 2 — 5 1.00 d 5 15 1.50 O K IS 50 2.50 0 50 — 200 5,00 U W SIGNS: NO TRANS a NO. LAMPS z Z. SERVICE 0.600V LED vU SERVICE OVER BOOV 5,00 MISC. WIRING PERMIT 1 00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT •50 TOTAL FEE $ /1 •�,O 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT y/ ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OW OF HE A -VE DESCRIBED REST DENT] PTY. j POWER SIGNATURE UTILITY CO. NOTIFIED ��✓ L!/ ��V OF PERMITTE FINAL 4IDATION ARTHUR , MO CASH SUPERVISINGNG ELECTRICAL ENGINEER LF.L'0 4 4 b �-- APR 13 2 D 2 .0 0 K �y/ly�iGGLao(,/ DEPARTMfilTPOF BUILDING APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ELECTRIC 1 NATURE . F S ALLATION ISTRICT �• /// S/ }/O.. WIRING �FIXTUREe .•SERVICE__ r� [/PE ��+ �" ./ READY FOR RECEIVED BY DATE' ISSUED RANGE HEATER Y POWER FIRST INSPECTION ; /f//� SIGNS MISCELLANEOUS I APPLICANT FILL IN /HEAVILY OUTLIN�E�(D /PORTION ONLY < NAME ! /f [/� J G{/ _ADDRESS y�J Ll (J _714 f .•,� FADDRESS //I/% /'e �,/�? ;. -� , LOCALITYNEAREST W _CITY li/A/�t— TEL. No. Y7G CROSS ST. Ali/!./-//fi -T�.✓� J STATE COUNTY W LICENSE No. REG. NO. IIS K NAMEw MAIL DESCRIPTION OF WORK ; ADDRESS _P NUMBER OF OUTLETS ON CIRCUITS o CITY TEL. NO. LOCATION BY ROOMS uFNrF ouTLETe SW.I PIUae G FIXT CORRECTIONS CIRCUIT A B IC D El F H LIVING ROOM DINING ROOM SRKFST. RM. BATH V I I I I I ENT. HALL HALL NO. ITI I FRONT PORCH I I I I I I OUTSIDE ( I I I I I I I I KITCHEN I I I I I I J SERV. PCH. ( I I I I I I < DORM. NO. CLOSET _ O TI I I DORM. No. I — CLOSET I I I I I 1 ! 1 1 1 1 1 1 I V I I I I I TOTAL NO. OF OUTLETS s APPROVALS NO. OF FIXTURES F DATE INBPECTOR'R NAME NO OF MOTORS H. p CONDUIT NO. OF SIGNS TRANS. B WIRING NO. OF RABM" OR HEATERS E FIXTURES M19CCLLA NEOUS i S. POWER /7_I (� PERMIT FEE ��LIS UTILITY CO. NOTIFIED �� 7J//^29 ✓/,....,I Y�LFw9 TOTAL FEE - 4 S 7"C FINAL DEPARTMENT OF BUILDING APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ELECTRIC NATURE OF INSTALLATIOND s R� I/ AmiTNO. — WIRING _' V/I%TURES SERVICE • _ / — DY FOR M19CELLANEOU9 I•POWER FIRST INSPECTION RECEIVED BY OAT 189UQD RANGE -41 HEATER I _I__ SIGNS APPLICANT FILL IN HEAVILY OUTLINED(� ( 'PORTION ONLY < NAME Q ADDRESS G�.k7 �� >BL/. C ADORES, I//- rI� �/a.il�..� LOCALITY NEAREST /J w CITY TEL. No. CROJ6 ST. 'I STATE COUNTY W LICENSE No. REG, No. O E NAME DESCRIPTION OF WORN A"ooREf6 f'� `i vl -i. an NUMBER OF OUTLETS ON CIRCUITS 0 CITY TEL. NO. LOCATION By ROOMS - LIGHT OUTLETS BW. PLUGS FM. CORRECTIONS CIRCUIT I^A II El I C I D I E I II I R-iG I M LIVING ROOM DINING ROOM 8RKF9T. RM. BATH I I I I I ENT. HALL HALL No. I I I I FRONT PORCH I I I OUTSIDE KITCHEN I I I J SERV. PCH. I I I I I I Q Z_ BORM. NO. I I I 0 CLOSET I 0 BDRM. No. CLOSET I I I I I I I I I I I I I I I I I I I I TOTAL I I , 6 NO. OF OUTLETS f �IT� APPROVALS NO. OF FIXTURES S /O DATE 1H.PECTOR'R NAMR NO OF MOTORS H. P. I g CONDUIT NO. OF SIGNS TRANS. S WIRING NO. OF RA%GES OR HEIMpgM f FIXTURES MISCELLANEOUS 1r'. '�'_Z_"i, POWER �l /J /• PERMIT FEE S 75 UTILIT.Y.CO. NOTIFIED TOTAL FEE f `— lA FI DEPARTMENT OF BUILDING APPLICATION FOR PERMIT y COUNTY OF LOS ANGELES ELECTRIC 1 NATURE OF INSTALLATION DISTRICT No. GROUP T PE PE(MIT o. WIRING f$�U�RS SERVICE P- I4+�U5 RANGE EATER I POWER READY FOR RECEIVED BY DATE ISSUED FIRST NSPECT'ON SIGNS ISCLLANEOUS U � APPLICANT FILL IN HEAVILY OUTLINED PORTIONONLY NAME n 4 - w <q }y ADDRESS . n �jQ — F ADDRESS L4 C II Al 4 11 LOCALITY _ U ^ NEAREST r � i o I Iwi l Y1 w CITYj _4 ��♦♦ �f TEL. NO. CROSS ST. VV W STATE LICENSE NO. / 4 V" 2-REGU NO. 9,41' NAME DESCRIPTION OF WORK w MAIL NUMBER OF OUTLETS ON CIRCUITS 3 ADDRESS Q/i I,,,A m LOCATION BY ROOMS O CITY TEL NO. uG DU SW. PLUGS IF,XT. CORRECTIONS BI I D I CIRCUIT AlBA B C DD E FIG H LIVING ROOM DINING ROOM I I I I I ( I I SRKFST. RM. BATH 1 1 1 1 1 1 1 I ENT. HALL I I I I I I I I HALL No. FRONT PORCH OUTSIDE I I I I I I I KITCHEN I I I I ,•J SERV. PCH. I 'I Z CLOSET C� BDRM. NO. I I I I I r{ CLOSET I I I I I ! I I I I I � I I III II I I I TOTAL I NO. OF OUTLETS �- s L1 APPROVALS NO. OF FIXTURES 9 DATE INsv CTOR'c NAME • NO OF MOTORS H P $ CONDUIT' NO. OF SIGNS TRANS. S WIRING LL NO. OF RANGES OR HEATERS _ $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ � UTILITY CO. NOTIFIED TOTAL FEE IS FINAL .� DO a-A IO.41 2EN , APPLICATION FOR PERMIT DEPARTMENT- OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES ZZ WM. J. FOX CHIEF ENGINEER a NAME .�1 ..gg.. DISTRICT X10. GROUP ZONE /PERMIT /O. U ADD ESS ' .1.�+ / J-7&1, V / C - _ V CITY / /'R� p p /� ,/R�EECCBIVEiDD BY/� READY-AOR �TE ISSUED m CERT.NO. IXPI RES /'7 '7�i� C �+��L'!�/� FIRST N$P CTION J COUNTY / APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK DDRESSd7.39 00 ZQ J NUMBER OF OUTLETS ON CIRCUITS LOCALITY �114-.C. LOCATION BY ROOMSNEARE //�� LIGHT OUTLETS IF, PLUGS FIXT CROSS ST. a4l o.) _ CIRCUIT A B C D E G H � NAME ,opf Z MAIL 3 ADDRESS CITY TEL.NO. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATF,;OF QUALIFICATION.. ELECTRICIAN. 1 AM THIS LEGAL OWNER OF THE PROPERTY DESCRIBED "OVIS OWNER. CORRECTIONS :J a z It 0 TOTAL I NO. OF OUTLETS "/ a 3•S APPROVALS NO. OF FIXTURES S D DATE INSPECTOR'S NAME NO. OF MOTORS H.P. S CONDUIT �/ NO. OF SIGNS TRANS. S WIRING n NO. OF RANGER OR HEATERS S FIXTURES MISCELLANEOUS S POWER PERMIT FEE S / <� UTILITY CO.NOTIFIED TOTAL FEE �• FINAL i WORKER'SCOMPENo'ATION DECLARATION 76A663 byDPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hore _8?firm that I nave a certificate of consent to self insure, 76A663 - - or a certificate of Worker's Compensation Insurance,or a certified COUNTY OF LOS+ANGELE$.,. DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereoY(Sec. 3800 Lab. C.) r ^A �J /��I . Policy No. Company FOR APPLICANT TO FILL IN - gp0RE55 `b� /ooO 5;i4- AC/L� r_1 Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE �r LOCALITY F-1Certifiedcopy is filed with the county building inspection 1 &i--Family,Sq.F(. S $ department Multi-family Sq.Ft. CROOS955T. &Al 4 � rfp Date Applicant Residential Swimming Pools ASSESSOR p �,p�• MAP BOOK O �O,f L! PAGE CIA� ` PARCEL O O CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rea. I Light Z Sw. Oram NAME .SDU/e}-�YJ;fJ COMPENSATION INSURANCE First 20 MAIL (This section need not be completed It the work involved by the Total No. r Additional ADDRESS permit is for one hundred dollars(5100)or less.) I certify that in the performance of the work for which this permit CITY Com. Tel.No7 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.___2�_ Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: It, after making this Certificate of - CITY Tel,No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Cade, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT L LICENSED CONTRACTORS DECLARATION Size&Type HP,KW.KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 101nc1. (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. Y Over 50 to 100 Ind. LICENSE REG NNUM ER Cleo' Over 100 DISTRICT NQ_ PROCES O License Number Lic.Class /7� C.) Services.Swbd.,MCC&Panelboards '�• �/ Q Contractor Date 0-399 Amp.Under 600 V FINAL 0 El400-1DOD Amp.Under 600 V - DATE am exempt under Sec. VALIDATION W Over 1000 Amp.or Over 600 V FINAL a B.&P.C.for this reasonBY RBRANCH CIRCUIT FEES Date: 115A,or 20A,•120V,Lighting or Recem 'O -�" z Signature 1 To 10 Branch Circuits 11 To 40 Branch Circuits 7 F-141 Or More Branch Circuits '' Exemption tot Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Bt.Circuits A.0 T a SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit `•1-` ") 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 c rI,as owner of the property,will do the work and the structure Misc.Conduits&Conductors )1 t is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)_ , CHECK and Professions Code). I_'UiANIGE CONSTRUCTION LENDING AGENCY �I 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) JJ' (7�LI,f__1i ii11 Civ. C.) PLAN CHECKING FEE ^� 1M h. Lender's Name // PERMIT ISSUING FEE Lender's Address 1Z 4 I certify that I have read this application and under penally of perjury state TOTAL FEE that the above information is correct. I agree to comply with all County -y ordinances and State laws regulating Electrical wiring,and hereby authorize / -245-c(J representatives of this County to ntar upon the above-ment ned property tv J fa n pe on put ses. ��gJ SEE REVERSE FOR EXPLANATORY LANGUAGE 1 a A USE DF PEPIMITTEE DATE DEC TION M-0019 WORKERS't I have a certificate cafe of con;– 7MiS63 DFW 3/87 APPLICATION FOR ELECTRICAL PERMIT O si :;ereby affirm that I have o certificate of conte nt to self �� sure, or o certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or b certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB 11j'1 // 0S Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS lL/ / Certified copy is filed with the county building inspec- 1 8 2-Family,Sq. Ft. $ _ $ LOCALITY tion department. Multi-family Sq. Ft. NEAREST /' /L/�C Residential Swimming Pools CROSS STR )y'��,aa,I�AJA�1A .J Date Applicant FIRM NAME (/bN,1 Lf13, /✓N( ✓(/ CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec—Light_Sw._ MAIL COMPENSATION INSURANCE First 20 ADDRESS rt� (This section need not be completed if the work involved by Total No. Additional f�, CITY F//I �✓– �- Tel. No.415 MI the permit is for one hundred dollars ($100)or less.) .:, PLAN CHECK 1 certify that in the performance of the work for which This y 6 APPLICANT permit 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. Dote Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION Exemption, you should become subject to the Workers Range— Heater—D.W. — Compensotion 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. — deemed revoked. CITY Tel. No. 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 Power Apparatus 8 Large Appliances DISTRICT NO. PR SSED BY d and Professions Code,and my license is in full force and effect. o Size 8 Type HP, KW, KVA, or KVAR �,JQ ��1��- O License Number Lic. Class Up to I Incl. FINAL J Contractor Dale Over 1 to 10 Incl. DATE / G// VALIDATION cc cc OOver 10 to 50 Incl. FINAL U I am exempt under Sec. Over 50 to 100 Inc. BY LU B.BP.C. for this reason Over 100 d Services, Swbd., MCC& Ponelboards Z Date: i' Z 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 HOME OWNER-BUILDER DECLARATION Temp. Power Pole & Appurtenances - I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits -_� _1 Professions Code): ' � as owner of the property, will o the work and the Misc. Conduits 8 Conductors 1 T d17" s for is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ S 14.11 HL -131 -00 Business and Professions Code). r -t 1ltl CONSTRUCTION LENDING AGENCY =•µE�'i` _-- 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 3 11l j? t ill 1°y:•t Lender's Address TOTAL FEE o-0I certify that I have read this application and state 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 -1h�elabove-mentioned yproperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Do a Os