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HomeMy Public PortalAbout8811-13 LAS TUNAS DR_Electrical__ 7DBS-SA6AS63'EAE"3.55 APPLICATION FOR ELECTRIC PERMIT Z DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles BUILDING WM.J. FOX. COUNTY ENGINEER ADDRESS CASSATT D. GRIFFIN, SUP-TOF BUILOINc mcEmnammmLOCALITY C . Ga SLe=I = FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. MU saTL[_ NUMBER EACH FEE LIGHTOUTLETS OWNER F'A R hl GTT RECEPTACLES 3 MAIL ADDRESS WALLSWITCHES TOTAL OUTLETS SE 5 CITY TEL NO. ELEC. RANGES 25 ELECTRICIAN f4c—:-At-c� CLJ=C :;—,II A(C G _ELEC. HEATERS 25 ADDRESS3I3 SO , GA2FIEL-b tFVE..n KW EA CITY TEL. NO FIXTURES 5 LICENSE NO. 100'> '-U C- 10 NUMBER OF LIGHT CIRCUITS AD DISTRICT NO. GROUP ZONE Y FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS REAC j I MOTORS ✓J NUMBER HORSEPOWER I INSPECTION RECORD FEE NEW MVC1. HP OVER INC. EACH I I/$&LESS 5 ,25 _ IA A 2 .50 2 5 1.00 5 15 1.50 is 50 2.50 50 200 5.00-- MISC. .00MISC. NO.SIGNS NO.TRANS. NO.SIGNS NO. LAMPS FOR EACH PERMIT: WIRING 51.00 FIXTURES S1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE Is 313 DATE INSPECTORS SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT LY ALL COUNTYH ORDINANCESC AND CSTATE LAWSER REGULATING WITH NG WIRING ELECTRICAL WIRING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNEF OF THE ABOVE POWER DESCRIBED RESIDENTIA RO PITY. UTILITY CO.NOTIFIED SIGNATURE IC; ZS SF OFPERMITTEE X. FINAL V r WILLIAM J. FOX, COUNTY ENGINEER VALIDATION A. C.VEIT.CHIEF ELECT. INSPECTOR G8 4 0 8 -� SEP 27 2 3.35 0 76A663-CE606 8-62 APPLICATION -FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUI DING •P )QB BUILDING AND SAFETY DIVISION ADDRESSJOHN A. A. JENMBI PE, COUNTY ENGINEER WILLIAM AEN. SUT OF BUILDING LOCALITY �NE REST FOR APPLICANT TO FILL IN CRo6S 6T.RECEPTOTAL NO. EACH FEELIGHT T OUTLETS FIRST 20 $2O $ OWNERAOD'L 10 LGHTING P1RST 20 .20 ADDRESSSWITCH. OVER 20TOTAL CITY TEL. NO. IFIXTURES ADD'L ,1O ELECTRICIANOV R 20RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRE66GARB.DISP. STA.COOK CITY TEL. NO. /1YDISMwASH. Auio.-WASH. STATESPACE HTRS. STA.APR.Iyy N.P.MAXI .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DIST ICT OGROUP ZONE PR CE O 1 1.00 S 1 3 1.50 INSPECTION RECORD 3 S 2.001 1 6 15 2.50 15 50 3.00 T 4 50 100 5.001 0 SIGNS: NO.TRANS. K NO.LAMPS O H SERVICE O.600V.NoT OVER 200A 1.00 W d SERVICE 0.600V.OVER 200 A. 2.00 Z SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ '' 1 HEREBY ACKNOWLEDGE THAT I 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 WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATujt> UTILITY CO.NOTIFIED OF PERMITTEE FINAL �LIDATION ARTHUR C. VEIT / C MO CASH SUPERVISING ELECTRICAL ENGINEER Lp,60 4 a s 3 G 14,AY 117 2 D 4,00 r ^ WORKERS'COMPENSATION DECLARATION 76A66310/81 � �zy Z;4firm shot I have a certificate of consent to self CE-8060 APPLICATION FOR ELECTRICAL PERMIT insure, or a $ertificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lob. C) Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS egg S % AM 11 ❑ Certified copy is filed with the county building ins c- I &2-Family, Sq. Ft. $ — $ LOCALITY ��� Cry / �on department. 1 Multi-family Sq. Ft. — NEAREST Q /�k- 6 Residential Swimming Pools CROSS ST. Date pplh 1 OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec�Light�Swy MAIL COMPENSATION INSURANCE ADDRESS (This section need not be completed If the work involved by First 20 the permit is for one hundred dollars ($100)or less.) Total N6.-.,--7- Additional CITY Tel. No. PLAN CHECK iperrimil rtify that in the performance of the ark for which this APPLICANT is issued, I shall not employ an 'son in any manner s t become subject to the Wor rp nsat' n aws. Lighting Fiztures� First 20ADDRESS � Total No. �7 Additional CITY Tel. No. e pFixed Appliances Not Over I HP PERMIT E TO APPLICANT: IfI r making this Certificate of APPLICANTpryouhould bec0 .subject to the Workers' Range_ Heater_D.W. _ OC �,Lpensation provisions of the Labor Code, you must forth- Oven _ Dryer W.M.— ADDRESS 6vj ,urefh comply with such provisions or this permit shall be Top _ FAU JZW.H. —med revoked. Hood Fan _Other_ CITY (i i v Tal. No. 22avil;LICENSED CONTRACTORS DECLARATION LICEN E OR 1 ! i u Disp. _ Room Air Cond. 6" Closs.reby affirm That I am licensed under provisions of Chapter 9 REG. NUMBERmer iRg with Section 7000) of Division 3 of the Business DISTRICT NO. PROLE E BY d'Power Apparatus 8 large Appliances X Professions Code,and my license is in full force and effect. // C)C Size &Type HP, KW, KVA, or KVARnsa Nu Lia Class ` Up to 1 Incl. FINAL Er [x Over I to IO Incl. DATE VALI TION I�- tractor Date Over 10 to 50 Incl. FIN W I am exempt under Sec. Over 50 to 100 Inc. B B.&P.C. for this reason Over 100 - j z to. Services, Swbd., MCC & Ponelboards 0 - 200 Amp. Under 600 V Signora e I n' v 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V :9 6 3 3 2 A Exempt for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole &Appurtenances # o e o e is 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ( o o 3 0 5 0 1 hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Low for the following reason (Section 7031.5, Business and • o 0 3 Q 5 0_ Professions Code): 5Q ❑ 1, as owner of the property, will do the work and the Misc.'Conduits &Conductors Other Complete Fee Schedule 1'�1 3-87 See Com structure is not intended or offered for sale (Section ( P ) 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 issued PERMIT FEE (Sab-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE 0 Sid ' 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 rlJgabe e- entio d, r/ arty for insp"ction purposes.� SEE REVERSE FOR EXPLANATORY LANGUAGE L — 3 7 ignotur of Permittee Date DEC TION WORKERS'that t I have a certificate cafe of corse CE-806 I0/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have o certificate of consent to self CE-8066 insure, or o certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lob. C.) © I ' n Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS U ` VTS UW�" S Certified co Is hereby furnished. EACH NO, FEE PY � Y New Residential Bldgs. 8 Pools ❑ Certified copy is filed with the county building inspec- 18 2-Family, Sq. Ft. $ — E LOCALITY + tion department. Multi-family Sq. FL — NEAREST Residential Swimming Pools CROSS ST. l`V. L^'_c' J:t, Dote Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: RecLight_Sw._ MAIL ��jj1 ( LP"- COMPENSATION INSURANCE ADDRESS8v This section need not be completed if the work involved b _ ! '! ( P Y First 20 Total No. Additional CITY 1 e,yrs �t Tel. o. '-(B4 �-Li the permit is for one hundred dollars ($f00)or less.) I certify e that in the performance of the work for which this PLAN CHECK permit is issued, shall not employ any person in any moaner APPLICANT so as to become subject to the Workers'Compensation Lows. lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 His 1 L NOTICE TO APPLICANT: If, after making this Certificate of PERMIT APPLICANT `L 'l•GGfI \ ,, Exemption, you should become subject to the Workers' Range_ Heater—D.W. — Compensation 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. — CITY Tel. No. deemed revoked. Hood Fan _ Other_ r C r :Ja- ��7 LICENSED CONTRACTORS DECLARATION LICENSE OR \` Dis Room Air Cond. L11613'1-- n Class. V �\ bhereby affirm that I am licensed under provisions of Chapter 9 F� REG. NUMBER �d� /.-- �.L 1 (commencing with Section 7000) of Division 3 of the Business - DISTRICT NO. PROC SED BY and Professions Code, and my license is in full force and effect. Power Apparatus 8 Large Appliances ? / Size 8 Type HP, KW, KVA, or KVAR License Number y�U` Lic. Class G1 U to 1 Inc]. kc� o / DATE / (7 /L /LC� w��JR4 Over FINAL er I to 10 Incl ( ® "� � O VALIDATION t Contractor Date❑ Over 10 to 50 Incl. Utr FINAL I am exempt under Sec. Over 50 to 100 Inc. BY B.BP.C. for this reason Over 100 Date: Services, Swbd., MCC 8 Ponelboards r., ^ ► 0 - 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Maim. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ;108 0 4 A I hereby affirm that I am exempt from the Contractor's License additional Sign Branch Circuits Low for the following reason (Section 7031.5, Business and # o e o,e,e '2 Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors ( ° - 2550 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , 7044, Business and Professions Code). o e - 25502i CONSTRUCTION LENDING AGENCY ( (10-1 --84 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 O "- Lender's Address 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-mentioned property for insp tion purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ' )�� fa- � - ey Sign ure Permittee �z Date