The URL can be used to link to this page

Home My Public Portal About9133 LAS TUNAS DR_Electrical__ 768663-CE806 10,72 APPLICATION FOR -ELEC ACAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER AooEss R ' BUILDING AND SAFETY DIVI. ION f 1' LOCALITY NEAREST f FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACHI FEE OWNER OR $ $ FIRM NAME 7I_ ,`•-j'. ,Y7! rt:; X. RECEPT._ MAIL FIRST 20 ADDRESS LIGHT - TOTAL .25 CITY - TEL. NO.. SWITCH y ! J OVER 20 10 PLAN CHECK r J LIGHTINGFIRST20 i 25 ;�� APPLICANT TOTAL ADDRESS FIXTURES r I OVER 20 10 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT - �. .. RANGE DRYER_WTR. HTR._ APPLICANT STA. COOK DISP. F.A.U. ADDRESS •-I %.I - c= SPACE HTR. AIR COND. CITY TEL. N0.''•"�� CLOTHES WASH. 01SHWASH. LICENSE OR ::.1 - r, CLASS.,,,. REG. NUMBER ". (, FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND. STATE THAT THE ABOVEIS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND, HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. S1ZE & TYPE OVER TO - HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR }, 0 - 1 J 100 f LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF p_• CALIFORNIA OR THAT_'I AM THE LEGAL OWNER OF THE ABQVE U 1 - 10 3.00 DESCRIP.ED RESIDEYt IAL PROPERTY. � t W 4 P E R M I T E E ` ✓� °..y'.,,. �rlr t�/ f 1 -� 10 - 50 5.00 SIGNATURE �"'�" ✓ ' " ""' '""� V- 50 - 100 10.00 DISTRICT NO PROC SED BY ✓ A ¢ 100 - 500 15.00 ao-' SIGN, GAS yCLw SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE W TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER600VOLTS OR200AMP 3.00 UNDERSLAS WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMP SERVICE, POLE, &APPURTENANCES 5.DO WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) r v,Y� ti NOTES; PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKERS'COMPENSATION DECLARATION CE 86 6G (2-80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or u a certified copythereof(Sec. 3800,Lab.C.) ' 172-71—,3000-2FOR APPLICANT TO FILL IN JOB Policy No. Company Ins. Co. " EACH NO. FEE ADDRESS 9133 Las Tunas O e es New Residential Bldgs.&Pools E] Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Temple Cit Multi-family Sq. Ft; — NEAREST . Certified copy is filed with the county building® Hart inspection CROSS ST department. 1 Residential Swimming Pools OWNER OR Date6-81 Edwards Electric FIRM NAME Applicant Outlets: Rec.—Light—Sw. MAIL ADDRESS First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No. COMPENSATION INSURANCE } PLAN CHECK tl APPLICANT O (This section need not be completed if the work involved Lihtixtues by the permit is for one hundred "dollars ($100) or less.) gng FirFirst Additional ADDRESS cr Total No. p I certify that in the performance of.the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. F- permit is issued, I shall not employ any person-in any manner PERMIT U so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. _ APPLICANT Edwards Electric W a Oven _ Dryer_W.M. ADDRESS 2 535 S. 3rd Ave. z Date Applicant Top _ FAU _W.H.._ pp Hood _ Fan _Other_ CITY -Arcadia Tel N0.447-5 96 NOTICE TO APPLICANT: If, after making this Certificate of Disp. — RooAir Cond. LICENSE OR C-1 O 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. PROCESSED 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 A /�G/ LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE Over 10 to 50 Incl. (! 0 VALIDATION 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 Busi- Over 100 ness and Professions.Code, and my license is in'full force and effect. Services .257191 C-10 0-200 Amp. Under 600 V License Number Lic.Class Edwards Electric July 1982 201-1000 Amp. Under 600 V Contractor ate 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 ness and Professions Code): z 4 7 5 5 A Misc.Conduits&Conductors ' ElI,-as owner of the property, will do the work and the Other (See Complete Fee Schedule)— Ar" } o'0 0 0 0 2 structure is -not intended or offered for sale (Section 7044, Business and Professions Code). 0 0 0 0 0 0'0 p CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency O.G. 1 4—8 1 for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued(Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEES I certify that I have read this application and state that the TOTAL FEE- NO 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 inspection purposes. SEE:REVERSE FOR EXPLANATORY LANGUAGE 4-6-81 . Signature of Permittee Date „ WORKERS' COMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G ,insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lob. C.) f� Policy No. E"Company �`�? T,-31010 FOR APPLICANT TO FILL IN JOB ❑ Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS / 1 ❑ 1 & 2-Family, S Ft. $ — $ LOCALITY Certified copy is filed with the county building inspec- y- q tion department. Multi-family Sq. Ft. — NEAREST CROSS 57. Residential Swimming Pools Date Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL COMPENSATION INSURANCE ADDRESS s section neenot completed if the work involved b First 20 (Thitid t bpleted y Total No. CITY Tel. No. the permit is for one hundred dollars ($100)or less.) Additional PLAN CHECK I certifythat in the fof the work for which this P erormance 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 Exemption, you should become subject to the Workers' Range_ Heater_D.W. — 13 114 li- LILA 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.'— ?.S7 deemed revoked. CITY �cAl��'� Tel. No. .694 " <• Hood _ Fan _Other_ LICENSED CONTRACTORS DECLARATION uCENSE OR G I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. REG. NUMBER Class. -10 �= (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PROCESS and.Professions Code,and my license is in full force and effect. o 0 Size&Type HP, KW, KVA, or KVAR License Number 4WD 4 Lic. Class <<1 Up to 1 Incl. FINAL s �� Over 1 to 10 Incl. DATE ` VALID ION Contractor. 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 Z Date: Services, Swbd., MCC & Panelboards ® ;24469A 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V # s ®.® a m 2 ❑ Over 1000 Amp. or Over 600 Va ® 2 5 0 . Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole & Appurtenances ° 0.- 2 S 5 0 U HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits 04, 1 8-86 Law for the following reason (Section 7031.5, Business and Professions Code): ❑ 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 (SeeCompleteFee Schedule)_ 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY , I he 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 ender's Name t PERMIT ISSUING FEE < nder's Address ertify that I have read this application and state that the TOTAL FEE ve information is correct. I.agree to comply with all County inances and State laws regulating Electrical wiring, and eby authorize representatives of this County to enter upon above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE u T_.& nature of Permittee Date