HomeMy Public PortalAbout10102 LANDSEER ST_Electrical__ 76A663CE-BO�S -APPLICATION OR ELEGY ,Ad PERMIT
j COUNTY OF LOSANGELES BUILDING AND SAFETY
/ FOR APPLICANT TO FILL IN
New Resident ial Bldgs. &Pools ' ' , EACH NO FEE ADDRESS L010,2k, L
1 &2-Family. SQ Ft: $ 025 — $ LOCALITY .� �-T
Multi-fomily Scr- Ft 02 — NEAREST
Residential SwimmmgfPools 25 00 CROSS ST
OWNER OR
Fl Lhi S MAIL
First
Outlets Recce i g•
First 20 50 ADDRESS
-Total No Additional 30 CITY Tel No —
P AN CH
PLI T
Lighting Fixture's First 20 50 AD ESS'
•' 'Additional 30
Total No.s- ITY Tel- No
Fixed Appliances Not Over 1,HP PERMIT T
Range_Heater-__ D W. — APPLICANT
Oven Dryers W M_ ADDRESS
Top _FAU W H CITY Tel No
Hood_Fan Other_
2 50 LICENSE OR
Disp —Foam A'ir Cond REG NUMBER Class
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA-
Power Aproratus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
F KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
Size x Type HP, KW, REGULATING ELECTRICAL WIRING
/ Up'to 7 Incl. 2 50 1 HEREBY CERTIFY THAT I AM.PROPERLY REGISTERED AND/OR 0
f Over 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF V
Over 10 to 50 Incl 12 50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
I 25 00 DESCRIBEWRESIDENTIAL PROPERTY V
Over 50�to 100 Inc (�±
40 00 PERMITEEy!
Over 100 . SIGNATURE '
Services DISTRICT N PR SE BY
0-200 Amp Under 600 V 12 50 ,Z
201-1000 Amp Under 600 V 25 00 '0
Over 1000 Amp or Over 600 V 50 00
2
O
Temp Power Pole&Appurtenances 1000 r
Sign with One Branch Circuit
1000 _a
Additional Sign Branch Circuits 2 00- J
INSPECTION >
10 00 INFORMATION U
M sc Conduits&Conductors ON REVERSE _
Other(See Complete Fee Schedule) SIDE u
Z
3 s3935A -
PERMIT FEE (Sub-To}al) # x 0 0 0 0 2
One-Fourth.Perm it Feel 9 5
PLAN CHECKING FEE OZ Z o o Q
PERMIT ISSUING FEE $700 ' _o G 0 0 0 7 (? 0 =
TOTAL FEE
04,23-79
INSPECTIO FINALED
LU
date. Az 7
�s-
76A68C-CE#806 5-81 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS /ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING Ov
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.'LAMBIE, COUNTY ENGINEER WOE
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST )
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES OWNER
I T E M NUMBER EACH I FEE MAIL
OUTLET s ADDRE
LIGHTS RECEP SW. •10 CITY TEL. NO.
LIGHTING FIXTURES .10
ELEC.-RA@��'S CLO. DRY RS ELECTR CIAN
WA�FFR HEATERS .50 ADDRESS
ELEC.SPAC HTRS. DISHWASHERS
CITY -
GARBAGEISPOSERS l AUTO.- STATE
S ,25
WASHERS STA.COOKING UNITLICENSE NO.
MOTORS: OVER INC. H.P. DIS T GROUP Z NE P E Z BY
0— 1/2 .25
1/2— 2 50 hINSPECTION RECORD
CL
2— 5
1.00 ������9 /1 rev 1 ��'+' p
5— 15 1.50 v r V
:� ce
15— 50 2.50 �' O
56— 200 5.00 W
NO TRANS. a
SIGNS: H
NO.LAMPS z
SERVICE 0-600V 1.00 -�
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1 00
'FIXTURE PERMIT 1 00
SUPPLEMENTARY PERMIT .50
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT A 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
_ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRE Y.LOS ANGEL COU Y N STATE OF FIXTURES IiI�E ,y Y �. ir
CALIFORNIA OR THAT AM THE LEGA OW R HE ABOVE r v
DESCRIBED RESIDENTI TY. POWER
SIGNATURE UTILITY CO.NOTIFIED j ?
OF PERMITTEE v // L
FINAL ,,�iP/PA�=-
-VALIDATION ARTHUR C. VEIT
cK MO CASH SUPERVISING ELECTRICAL ENGINEER
• Ir ^'I
ti '7, 2 G 1 1 0 0 E:
WORKERS'COMPENSATIONDECLARATION CE-806G (2-80)
CAPPLICATION FOR ELECTRICAL PERMIT
• •• CE-806x•
I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES. BUILDING AND SAFETY
I
nsure, or a certificate of Workers'Compensation Insurance,or
1 a certified copy thereof(Sec. 3800, Lab. C.)
FOR APPLICANT TO FILL IN JOB R�
Policy No. Company ADDRESS .1/ 02-
New Residential Bldgs.&Pools EACH NO. FEE
' $ — $ LOCALITY C l
Certified copy is hereby furnished. 1'&2-Family,Sq.•Ft.
Multi-family Sq. Ft. — NEAREST
Certified copy is filed with the county building inspection Residential Swimming Pobls- CROSS ST
department. OWNER OR ��
FIRM NAME `-
Date Applicant Outlets RedA Light Sw. > sb ADDRESS
First 20
CERTIFICATE•OF EXEMPTION FROM WORKERS' Total No � Additional CITY(r qL4 d �r Tel,No. -
COMPENSATION INSURANCE
- PLAN CHECK .' d
APPLICANT
(This section need not be completed if the work involved U
by the permit is foi. one hundred dollars Additional($100) or less.) Lighting Fixtures First onal ADDRESS
�
r Total No.. O' '
I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. -• U
permit,is issued, I shall not employ any person in any manner PERMIT W
so as to become subject to the Workers' Compensation Laws. Range_ Heater D.W. APPLICANT
Oven _ Dryer_W.M._ ADDRESS - Z
Date Applicant 'Top _ FAU _.W.H. —
Hood — Fan _Other_ CITY Tel No:
NOTICE TO APPLICANT 'If, after making this Certificate of -Disp. _ Room Air Cond— LICENSE OR
Exemption, you should become subject to the Workers' REG.NUMBER Class
Compensation provisions of th'e Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCESSEp BY.
with comply with' such provisions or this permit shall be Size&Type HP,KW,.KVA,or KVAR
deemed revoked.
Up to 1 Incl.
FINAL ! '
Over 1 to 10 Incl: DATE
LICENSED CONTRACTORS DECLARATION-
Over 10 to 50-Incl. C�+ VALIDATION
I hereby affirm that I am licensed under provisions of ChapterOver 50 to 100 Inc. FINAL
- 9 (commencing'with Section 7000) of Division 3 of the Busi- Over 100 BY \
'ness and Professions,Code, and my license is in full force and
effect. Services
License Number \ Lic. Class 0-200 Amp. Under 600V_
201-1000 Amp. Under 600 V
Contractor Date• Over 1000 Amp.or Over 600 V . .
HOMEOWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances
I hereby affirm that 'I am exempt from the Contractor's Sign with One Branch Circuit
License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits
ness-and Professions Code):
Misc.Conduits&Conductors
[, as owner of the property, will do the work and the Other(See Complete Fee Schedule)—
structure is not intended or offered for sale (Section
7044, Business 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
PERMIT FEE (Sub-Total)
issued(Sec. 3097;Civ.C.). jJ? �� 1`L11 i [��(�• �' ,� v
Lender's Name PLAN CHECKING FEE- (One-Fourth Permit Fee) 41
Lender's Address PERMIT ISSUING FEE
/ 8 nn ii v
I certify that I have read this application and state that the TOTAL FEE Z
above information is correct.I agree to comply with all County
ordinances and State laws regulating Electrical wiring, andO '
hereby authorize representatives of this County to enter upon ;
the above-mentioned property for inspection purposes.
SEE'REVERSE FOR EXPLANATORY LANGUAGE_30 02
gnature of Permittee Date