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Home My Public Portal About9070 LAS TUNAS DR_Electrical__ D5S-5A 3.58 APPLICATION FOR ELECTRIC PERMIT DBS•BA DMSION OF BUILDING AND SAFETY Deportment of Couhty Engineer /y- JAI County of Los Angeles ADDREISS NG �Q ;7/ ✓� X Qs /ooaS �t•.I4ao, WM.J. FOX. COUNTY ENGINEER CASSATT D.GRIFFIN. SUPT OF BUILDING ; e ••�]^ ' LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. GL • FEE LIGHT OUTLETS NUMBER EACH _ OWNER S. d-ae RECEPTACLES MAIL ADDRESS S U WALL SWITCHES // TOTAL OUTLETS _ % $ CITY _ L e- C& TEL NO ELEC RANGES 25 ELECTRICI IAN 13 s • _ELEC HEATERS 25 ADDRESS / % EE.L!J KW EA CITY J tI' / TEL NO.S FIXTURES 5 LICENSE NO ��D(� NUMBER OF LIGHT CIRCUITS - DISTRICT NO. I GROUP I ZONE I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS .S MOTORS NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD HP I OVER INC I EACH tY, 1/2&LESS $ .25 2 ff_ 2 2 so ^t,0 5 1.00 15 150 50 250 50 1 200 500 misc. &g, See U NO.SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING $1.00 d FIXTURES $100 SUPPLEMENTARY 50 APPROVALS TOTAL FEE g �� vS DATE INSPECTORS SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING --- ELECTRICAL WIRING IHEREBY 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 OWNER OF T ABOVE POWER DESCRIBED RESIDENTIAL PROe0KY UTILITY CO.NOTIFIED b S SIGNATURE OF PERMITTEE FINAL b WILLIAM J.FOX.COUNTY E GINEER VALIDATION A.C.VEIT.CHIEF ELECT. INSPECTOR A.0 6 7 8 JUN 2 2.2 5 r D69 5-A 6-46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WN. J. FOX CHIEF ENGINEER NAME DISTRICT NO. GROUP I (Z/OyffjE PER/MIT NO. ADDRESS 7s / ` J 7d 6 CITY TEL.NO. �I ( RECEIVED BY READY FOR DATE ISSUED V FIRST INSPECTION m COUNTY G 7 -V W CERT.NO. A EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORD DDRESS O NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS JSW. PLUGS FIXT CROSS ST. CIRCUIT R I B C D E F G H 0! NAME / Z MAIL 3 ADDRESS / O CITY TEL.NO. AM THE LEGAL POSSESSOR OF THE ABOVE LOS 1 ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. Y ELECTRICIAN. I AM THE LEGA.OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS J Q Z_ [9 [Y O TOTAL NO. OF OUTLETS ffi ® APPROVALS NO. OF FIXTURES $ A� DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING 6 NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ / POWER PERMIT FEE ffi ( UTILITY CO.NOTIFIED TOTAL FE �® FINAL WORKERS'COMPENSATION DECLARATION CE-806 10ie1 APPLICATION FOR ELECTRICAL PERMIT { hereby affirm that I have a certificate of consent to self CE-806C' insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lab ) Policy No s�7'70 Company �'� FOR APPLICANT TO FILL IN JOB w El Certified copy is hereby furnished New Residential Bidgs & Pools EACH NO FEE ADDRESS b 7E . �S r A� S 9 Ft $ $ LOCALITYS _ f Certified copy Is filed with the county building Inspec- 1 & 2-Family, tion department Multi-family Scl Ft 'NEAREST Residential Swimming Pools CROSS ST Date Applicant OWNER OR FIRM NAME f an III CERTIFICATE OF EXEMPTION FROM WORKERS' � J IL COMPENSATION INSURANCE Outlets Rec Light Sw_ yy ADDRESS (This t bcompleted if the involved b First 20 '� m"c' ( s section neenoe com p - e wornvoveY Total No Additional CITY � � Tel No b the permit is for one hundred dollars ($I00)or less.) I certify that in the performance of the work for which this - PLAN CHECK APPLICANT bk LJ L 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 '1 LwS N Total No Additional Date Applicant CITPPL-Gr � Tel No 28�_9 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 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 — deemed revoked Hood Fan _Other_ CITY 6&HI-Sr Tel- No LICENSED CONTRACTORS DECLARATION - LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Dlsp _ Room Air Cond REG NUMBER 41'jJ S10 Class g (commencing with Section 7000) of Division 3 of the Business DISTRICT NO PROCESS D BY and Professions Code, and my license is in full force and effect Power Apparatus& Large Appliances p� d �� Size & Type HP, KW, KVA, or KVAR sr 0 O 0 License Number144q+rg4O� Lic Class Up to 1 Incl FINAL V _ Q��j Over 1 to 10 Incl DATE — VALIDATION Q Contractor�'��fJ�' � a 2�1"� ef Over 10 to 50 Incl FINAL ~ u I am exempt under Sec Over 50 to 100 Inc BY 0. B&P C for this reason Over 100 m vl Date Services, Swbd , MCC&Ponelboards 0, ? 0 -200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V Over 1000 Amp or Over 600 V Exemption for Reg Mamt Elect SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit Io Io l.2.7 1 hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits o'o'o 2 7 rj=c: Misc Conduits&Conductors Law for the following reason (Section 7031 5, Business and Professions Code) 7.30-84 ' 1, as owner of the property, will do the work and the 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) a (Sec 3097, Civ C ) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE U Lender's Address 1 certify that I have read this application and state that the TOTAL FEE �02� above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize represents Ives his County to enter upon t abov -mentioned pro rt f I pectlon purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ) , 7- c-- Signature of Permittee Date