The URL can be used to link to this page

Home My Public Portal About10109 LANDSEER ST_Electrical__ 76Af4§3.C,E9061/70 APPLICATION F8R ELECTRICAL kldlT ��ry ~ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FeU DING BUILDING AND SAFETY DIVISION RESS JOHN A. LAMBIE. COUNTY ENGINEER" ALITY /f COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING / ✓ c REST a FORAPPLICANT TO FILL IN CROSS ST. G OUTLETS NO EACH FEE ! OWNER � RECEPT._ $ $ MAIL_ FIRST 20 0 ADDRESS LIGHT TOTAL OVER 20 CITY �� TEL. NO. SWITCH_ 1 PLAN CHECK FIRST 20 0 APPLICANT LIGHTING TOTAL OVER 20 ADDRESS FIXTURES 10 APPLIANCES CITY TEL. NO. RANGE - DRYER_WTR. HTR. PERMITAPPLICANT STA. COOK DISP. F.A.U. ADDRESS 112 T .- SPACE HTR. AIR COND. CITY � TEL. NO. CLOTHES WASH. 01SHWASH. / LICENSE NO. .2 IIJI CLASS. FAN OTHER 100 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS.APPLICATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - I 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 - 10 300 RESIDE IN, THE ABOVE DESCRIBEL D RESI NTIAL PROPERTY. 10 - 50 500 SIGNATURE OF PERMITTEE r O V" 50 — 100 1000 DISTRICT CLASS OR ZONE PROCESSE Y 1 00 - 500 1500 U eOAZ SIGN, GAS SIGN AND ONE CIRCUIT 00 NOTES: LU 6. TUBE, OR N MARQUEE ADDITIONAL CIRCUITS 100 ? SERVICE NOT-OVER 600VOLTS OR200AMP °° SERVI CE OVER 600 VOLTS OR 200 AMP ,obQ APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 600 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 300 ROUGH CONDIUT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED , UTILITY CO. NOTIFIED PERMIT ISSUING FEE 00 JC� Ar W FINAL S � JOSEPH C, ROOHAN TOTAL FEE SUPERVISING-ELECT ICAL ENGINEER PLAN CHECK VALIDATION CK. M.o CASH PERMIT VALIDATI*4.0 K. M.0 CASH 2 c -,r MAR 30 2 a0 N SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A66G-CE '806 5-67 APPLICATION FOR ELECTRICA PERMIT . COUNTY OF LOS ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING O 6 BUILDING AND SAFETY DIVISION ADDRESS JOHN A.'LAMBIE. COUNTY ENGINEER r WILLIAM A.JENSEN,SUPT OF BUILDING - LOCALITY NEAREST FOR APPLICANT TO FILL IN – - CROSS ST_ _ PERMIT FEES OWNER. Adl 1 T E M NUMBER EACH I FEE MAIL OUTLE ^ S $ ADDRE LIGHTS RECEPT SW. •10 CITY TEL. N LIGHT( G FIXTURES ' ,10 ELEC.,RANGES CLO. DR s ELECTRII, IAN WATER HEATERS .5O ADDRESS E HTRS. DISHWASHERS CITY T ELC.SSPOSERS Auio.-GARBAG / STATE WASHERS 'STA.COOKING-UNITS ,2$ S� LICENSE NO. ` MOTORS: OVER INC. H.P. y '; 'DI N GROUP Z NE PR CES D Y 0— 1/2 .25 1/2- 250 R INSPECTION RECORD 2— 5 1.00 BOd'Dr�e, twat IdGhrA r�" of �' p 5— 15 1.50 d d• v E7 is— 50 2.50 p 50— 2005.00 W m. NO TRANS. - H SIGNS: NO.LAMPS - z SERVICE 0'-600V 1.00 SERVICE OVER 600V 5.00 MISC. a WIRING PERMIT 1.00 'FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT TOTAL FEE $ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND',STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIPING. I WIRING 1, HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR � ./j �r LICENSED AS REOUI RED LO8 ANGELES OUNT A STATE OF FIXTURES /(}(2, CALIFORNIA OR THAT I LEGAL• WNE OF ABOVE - M DESCRIBED RESIDENTIAL O POWER SIGNATURE UTILITY CO.NOTIFIED G OF PERMITTEE it „p.•,;.� y p. FINAL VA41DATION ARTHUR C. VEIT CK Mo• CASH SUPERVISING ELECTRICAL ENGINEER ti n; 76A66C'CE#'806 5.61 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS /ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 10 ) JOHN A. LAMBIE, COUNTY-ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL. IN CROSS sT. PERMIT FEES OWNER 1 T E M - NUMBERI EACH FEE, MAIL OUTLETS: • $ S ADDRESS LIGHTS RECEPT. SW. .10 CITY TEL- O LIGHTING FIXTURES .10 ELEC. RANGES CLO. DRYERS ELECTRICI N WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY TEL GARBAGE DISPOSERS AUTO.- STATE f�f WASHERS STA.COOKING UNITS,- ;25 LICENSE NO. MOTORS: OVER INC. H.P. DIS ICT NO. GFP-VP ZONE P S BY 0— 1/2 .25 ! 11 �. 1/2- z 50 NSPECTION R ORD 2- 5 1.00 O 5— 15 1.50 '�� u 15— 50 �_- o• ad 2.50 0 50— 200 5.00 U W` NO TRANS d SIGNS: N NO.LAMPS - z SERVICE 0.600V 1.00 SERVICE OVER 60OV 500 WIRING PERMIT `. .00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT TOTAL-FEE -S ) I HEREBY ACKNOWLEDGE THAT I 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 9- � ELECTRICAL WIRING. WIRING 9-//�([f6� l,j•}W�;y� , HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRE BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT AM THE L GAL OWN THE ABOVE DESCRIBED RESIDENTIWRTY. POWER SIGNATURE - UTILITY CO NOTIFIED �'° '�`- OF PERMITTEE FINAL [n•�lt � _i".'�C i'ti1 r VA LIDATION ARTHUR C. vEIT T CK MO CASH SUPERVISING ELECTRICAL ENGINEER �7.2 6 9 JAN 2 D 1 .Q WORKERS'C'OMPENSA' TION DECLARATION CE 605G (2=60) - APPLICATIGN FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent%'self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate,of Workers'Compensation Insurance,or C� a certified copy thereof(Sec. 3800,Lab.C.) FOR APPLICANT TO FILL IN ,JOB Policy No. Company I EACH NO. FEE ADDRESS New Residential Bldgs.&Pools I 17/p Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY �Ef-IO�E Multi-family Sq. Ft. — NEAREST Certified-copy is filed with the county building inspection CROSS ST department.- Residential Swimming Pools OWNER-OR c / FIRM NAME �1G/ A.15 Date Applicant Outlets. Rec 7_bghtM Sw �r� (� ADDRESS First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional. CITY �LE lT Tel No. ff /�S" COMPENSATION INSURANCE d PLAN CHECK ' APPLICANT � (This section need not be completed if the work involved '�� ' U by the permit is for' one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS' Total No. Additional Cc • � - , I certify.th'at in the performance of.the work for which this Fixed Appliances Not Over 1 HP CITY Tel N� 0 permit is issued, I shall not employ any person many manner PERMIT () so as to become subject to the W rkers' Compensation Laws. Range_ Heater_D.W. APPLICANT LW Oven _ Dryer_W.M. ADDRESS Z Date-7L Applicant Top — FAU _W.H.'_ ` _ pp CITY ( Tel No. Hood Far!' _Other_ '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 the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO: JPR�OC/ESED BY , with comply with such provisions or this permit shall be Size&Type HP, KW, KVA,or KVAR deemed revoked. Up to 4.Incl. _ D� FINAL LICENSED CONTRACTORS DECLARATIONOver 1 to'l01ncl. DATE .�. >— 'Z VALIDATION Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL BY 9 (commencing with Section 7000) of Division 3 of the Bust- Over 100 .r ness and Professions Code, and my license is to full force and effect. Services License Number Lic.Class 0-200 Amp. Under 600 V- 20f-1000 Amp. Under 600 V Contractor, Date Over 1000 Amp or Over 600 V HOME OWNER-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 f ness and'Professions Code): - �47;69_ A ' �{ Misc.Conduits&Conductors I� 1, as owner ofthe property; will do the work-and the ;# o 0 o e o 2 ' h 7� Other (See Complete Fee Schedule)— structure is not intended or offered for sale (Section 7044, Business and Professions Code). ` 2; '-'2A11-1' 0 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency °I°,° 2 1,.1 Q for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued (Sec. 3097,Civ.C.). , ' _ , 1 07 7,0'6'r—8,2 Lender's Name PLAN CHECKING FEE . (One-Fourth Permit,Fee) Lender's Address PERMIT ISSUING FEE Tic I certify that I have read this application and state that the TOTAL FEE �d above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby a ize representative f this County to enter upon the ab a-m ttoned pr pert f inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE • r 7144PX1 ignature of fermittee gate