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HomeMy Public PortalAbout9046 LAS TUNAS DR_Electrical__ 76A683-CEBO6 11-57,APP LI CAT I.O.N FQRY,E LE.CTFtIC PEWIT ' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTYENGINEER BUILDING tt BUILDING AND SAFI±TY DIVISION; ADD Ess d (s. . 4.t3 Ilk, 0\^IaLS IO I R L IMffl CoQ F-rQm r r� C 100 b.�GrRIFEIFit.Supt ofiS 0440 LOCALITY �,.]� NEAREST FOR% APLICAIVT TO FILL IN CROSS ST::. A11, PERMIT FEES 1 T E.M - NUMBER EACH -FEE OWNER OUTL'1 TS: $ $ MAIL �Lb u �/ •� 91_IGHLTS 3,tECEPT. SW. .10 ASD-DRESS LIGHTING FIXTURES .10 CITY TEL.NO. ELEC,,RANGES CLO.DRYERS ELECTRICIAN .d WATER HEATERS .50 ELEC.SPAGE HTRS. .DISHWASHERS - ADDRESS � 'U\ �CZ�•C' I Cl"ICJ 1 4.l�C') GARBA�e:DISFOSeRS AUTO.- . CITY TEL.NO. STATE WAEHEP S_ STA.COOKING UNITS .25 L C,E:NSE NO MOTORS: ouER JNC. H.P. ^ p� O I/2 25 1-/I.S .R O. G��„5[U P ONG• READY'FORIN8PECTION°j V2 — 2 .50 z — s 1.00 INSPECTION RECORD 5 — 15 1.50 15 — 50. 2.50 50--- 200 5.00 NO.TRANS. SIGNS: —•— - NO.LAMPS - SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 - FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50' TOTAL FEE $ + - APPROVALS -1 HEREBY ACKNOWLEDGE THAT I HAVE'READ THIS APPLICATION: DATE INSPECTORS SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATfNG ELECTRICAL WIRING, WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGI-STERED AND/OR FIXTURES7-7 LICENSED AS REQUIRED BY S ANGELES COU 2Y AND STATE OF CALIFORNIA OR THAT 1 HE L GAL OW OF THE OVE POWER DESCRIBED RESIDENTIAL 0 RTY. SIGNATURE. UTI LITYCO.NOTIFIED OFPERMITTE DATION ARTHUR C.VEIT.• SUPERVISING.ELECTRICAL ENGINEER' �yCyrKK MC CASH 5090% APR1 � 2 � 2.0 - roc r. ) (� WWO,RKERS'COMPENSATION DECLARATION CE-8066 10/81 APPLICATION FOR ELECTRICAL PERMIT I hVeby affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES , BUILDING AND SAFETY ora certified co y ther (Sec 3800Lab C ), r Policy 0 v Company -0-- FOR APPLICANT TO FILL IN JOB rNO FEE ADDRESSCertified copy is filed with The county building inspec- Certified copy is hereby furnished /NS r CO New Residential Bldgs & Pools EACH1 & 2-Famil S $ $ LOCALITY Temple city y' 9 Ft 'NEAREST tion department e n ResidMultiential wi Ft CROSS ST C/ Residential Swimming Pools OWNER OR Date 12-14-83 applicant FIRMNAMEBun & Bottle CERTIFICATE OF EXEMPTION FROM WORKE � MAIL COMPENSATION INSURANCE Outlets Rec Light Sw_ DDRESS 9046 Las Tunas Dr. (This section need not be completed if the work Involved by First 20 the permit is for one hundred dollars ($100)or less.) Total No Additional CITY Tel No I certifythat the performance of the work for which this PLAN CHECK in e P 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 Total No Additional CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after making this Certificate of APPLICANT Raw or Electric 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 315 S. San Gabriel B1 . with comply with such provisions or this permit shall be Top _ FAU —W H —Room Air Cond LICITYTel No deemed revoked San Gabriel287-0477 LICENSED CONTRACTORS DECLARATION Hood — Fan — Other— CENSE I hereby affirm that I am licensed under provisions of Chapter 9 Disp I REG NUMBEROR 421 7q7 Class r—in (commencing with Section 7000) of Division 3 of the BusinessDISTRICT NO PROCESSED BY y and Professions Code,and m license is in full force and effect Power Apparatus& Large Appliances CL Size &Type HP, KW, KVA, or KVAR © O License Number q 421797 Clss C-10 Up to 1 InclV FINAL Contractor Over 1 to 10 Incl DATE VALIDATION 0 El Over 10 to 50 Incl U FINAL I am exempt under c Over 50 to 100 Inc BY t d B&P C for this reason Over 100 of Date Services, Swbd , MCC & Ponelboards , Z 0 -200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V 7 6 3 5 A ❑ Exemption for Reg MaOver 1000 Amp or Over 600 V mt Elect v. 0 0 0 0 0 SINGLE FAMILY Temp Power Pole &Appurtenances i'n c HOME OWNER-BUILDER DECLARATION 2 6 2 5 Sign wrtli One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits c n 0 2 2 F 1,:Law for the following reason (Section 7031 5, Business and g t Professions Code), 1215—8 3 ❑ • I, as owner of the property, will do the work and the Misc Conduits & Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ ► 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 (Sub-Total) 574 (Sec 3097, Civ C ) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE 1 d 5 Lender's Address 1 certify that I have read this application and state that the TOTAL FEE 2 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 pb -ontione(iproperty for inspection purposes SEE.REVERSE FOR EXPLANATORY LANGUAGE 12-14-83 Signature of Permat a Date WORKERS'COMPENSATION DECLARATION CE-806G 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lab C ) Policy No Company FOR APPLICANT TO FILL IN JOB ADDRESS 1 & 2-Family,Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE Q' IU,4101 S a, S — Certified copy is filed with the county building inspec- Y, 9 Ft $ E LOCALITY e!, tion department Multi-family Sci Ft NEAREST CROSS ST (/ Residential Swimming PoolsOWNER OR Date Applicant FIRM NAME O CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec/Light Sw_ MAIL COMPENSATION INSURANCE ADDRESS completed If the work Involved b First 20 (This section need not be com p Y Total No Additional '� CITY Tel No the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this 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 Total No Additional Date Applicant CITY Tel No NOTICE TO APPLICANT If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Range_ Heater_D W APPLICANT le( Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — W M — ADDRESS 2 G e / with comply with such provisions or this permit shall be Top FAU —W H deemed revoked Hood _ Fan _ Other_ CITYre"eacz Tel No G_ UG LICENSED CONTRACTORS DECLARATION LICENSE R I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond REG NUMBER Class C-le (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO PR SED BY } and Professions Code, and my license is in full force and effect d 2 !�2�f3 C /6 Size &Type HP, KW, KVA, or KVAR 0 License Number Lic Class Up to 1 InclFINAL ' V Over 1 to 10 Incl Contractor DATE _ ConttDate Q C VALI TION 0 ❑ ver 10 to 50 Incl FINA l� II-.O V I am exempt under Sec Over 50 to 100 Inc BY L++ CL B&P C for this reason Over 100 Date Services, Swbd , MCC & Ponelboards , Z 0 - 200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V Over 1000 Amp or Over 600 V Exemption fair Reg MainT Elect ;2 1325 A SINGLE FAMILY Temp Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit # 2 I hereby affirm that I am exempt from the Contractor's License ) Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits - - 2625 Professions Code) e e 2 x Misc Conduits&Conductors v 1, as owner of the property, will do the work and the 0 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ Poo. 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 (Sub-Total) (Sec 3097, Civ C ) /D PLAN CHECKING FEE 5-0 Lender's Name PERMIT ISSUING FEE 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 jaws regulating Electrical-wiring, and hereby authorize repr s ntatives of this County to enter upon gtheoov$-m coned pr perty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 1- Signature of Permittee Date