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Home My Public Portal About9155 LAS TUNAS DR_Electrical__ 76A663-CE606�10/72 APPLICATION FOR ELECTRICAL PERMIT ' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION e LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST.OUTLETS NO. EACH FEE OWNER OR $ $ FIRM NAME f� G RECEPT. b MAIL '�- FIRST 20 25 ADD RES /� LIGHT TOTAL� CITY T N0. G.� SWITCH OVER 20 .10 PLAN CHECK FIRST 20 25 APPLICANT LIGHTING TOTAL ADDRESS FIXTURES OVER 20 .10 RESIDENTIAL APPLIANCES clrY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE OR CLASS. REG. NUMBER FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND 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 - 1 1.00 LICENSED AS REQUIR 1l.Y LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THA I AMTHE LEGAL OWNER OF HE A80VE C, 1 - lO 3.00 Q 6 O DESCR IOED RESIDE T L PROPERTY. Cl- ,J U PERMITEE V 10 - 50 5.00 SIGNATURE O 50 - 100 10.00 W DISTRICT N0. PROCESS D BY o ,-- 1,00 — soo 15.00 C- N SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES 4 k POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 6 v TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 6 0 7 Aub 20 2 0 1 0.5 0 .9b SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76^663°E8°6 9-66 APPLICATION FOR ELECTRI L ERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY 71 NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL NO. EACH FEE 1I OUTLETS FIRST 20 $.20 $ O_WNER LIGHT J MAIL SWITCH ADD'L 10 ADDRESS t X� OVER 20 _— ,p LIGHTING 1 FIRST 20 .20 CITY (�_ TEL. NO. FIXTURES FIXTURES } ADD'L 1D CONTRACTOR (/ OVER 20 RANGES DRYERS WTR.HTRS. 1.00 ADDRESS GARS.DISP. STA.COOK �y S CITY ,��TEL. N DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA. APPL. .SO LICENSE NO. MOTORS: OVER NOT OVER H . DISTXC N ROUP Z NE P BY O 1 1.00 1 3 1.So INSPE ION RECORD 3 B 2.00 8 15 2.50 15 50 3.00 p}. O 50 100/0 5.00 L.1 SI N NO.TRANS //3 NO.LAMPS O V SERVICE 0.600V-Nor OVER 200A 1.00 uj a SERVICE 0.60OV-OVER 200 A. 2.00 H Z SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE. TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK ADSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I 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, AND INTEND TO POWER RESIDE IN,THE ABOVRIBED RESIDE IAL PR ERTY. �J SIGNATURE UTILITY CO.NOTIFIED ,, /f t OF PERMITTEE / ///7 � `._� FINAL ! tom/ (DATION JOSEPH SING EC CK MO CASH SUPERVISING ELECTRICAL ENGINEER u L&OS 1. 1 7Qo- APR 19 2 D 4.0 0- 76A663C_ CIE-806B 12,75 APPLICATION FOR ELECTRICAL PERMIT BUILDI G N SAFETY D VISION FOR APPLICANT TO FILL IN ,SOB FResidential Bldgs.&Pools EACH NO. FEE ADDRESS �7 lv Sq. Ft. $ — $ LOCALITY LQ �q. Ft. — NEAREST CROSS ST. 6 P6 06— wimming Pools OWNER OR FIRM NAME Outlets: Light, Switch& Receptacle MAI L C��c`am,/ First 20 a ADDRESS' d,7 S? C Additional CITY P�L el. No.0? 2 077` PLAN CHECK n rl APPLICANT Lighting Fixtures d First 20 ADDRESS F j Additional CITY Tel. No. Q B PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range Heater_ D.W. ADDRESS Oven Dryer W.M. �y dd/ Top FAU W.H. CITY Tel. No.oCQ.(p / d Hood Fan LICENSE OR �, REG. NUMBER 220 3[a Class. "' Disp. A.C. c� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. C.� Size&Type HP, KW, KVA,or KVAR LU Up to 1 Incl. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR � Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANG ES COUNTY AND STATE OF - c CALIFORNIA OR T T I A THE AL OWNER OF THE ABOVE Over 10 to 50 Incl. DESCRIBED REST TIAL P Over 50 to 100 Incl. PERMITEE Over 100 I SIGNATUR DISTRICT NO. PROCE ED Services � " n 0-200 Amp. Under 600 V t7 201 - 1000 Amp. Under 600 V APPROVALS DATE I CTURE —SIGNATURE Over 1000 Amp.or Over 600 V TEMP. POWER POLE Temp. Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit ROUGH CONDUIT Additional Sign Branch Circuits (Other) WIRING l- —72-77;7 FIXTURES ],POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE NOTES TOTAL FEE @Kg4�ffF,K!3A WFAbIoI`. MATTfC% tASV4 PERMIT VALIDATION CK. M.O. CASH acs. .Ci 8 8 11cC 15 2 D 1 4.9 0 POLICY HOLDER: POLICY NUMBER: y vS r WORKERS'COMPENSATION DECLARATION 76A663 y CE-806G (2-80) APPLICATION FOR FO.R ELECTRICAL PERMIT 1-hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELE �, ---RU-LLDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or. a certified na th a ec. �QO, ) ,�j�/�� C��'I .7 � FOR APPLICANT TO FILL IN 'Og Policy No. Company EACH NO. FEE AD SS New Residential Bldgs.&Pools Certified copy is'hereby furnished. r, 1 &2-Family,Sq. Ft. $ — $ LOCALITY �J��'' Multi-family Sq. Ft.. — NEAREST ElCertified copy is filed with the c u uil ing ection CROSS ST y epartment. Residential Swimming Pools OWNER OR /��/! Date://VOApplicant Light_ Sw. FIRM NAME �!/ �./A�. First 20 ADDRESS CERTIFICATE OF.EXEMPTION FROM WORKERS' Total No. Additional CITY /�jG7 +�ef%7""feI No. COMPENSATION INSURANCE PLAN CHECK d APPLICANT (This section need not be completed if the work involved Lighting Fixtures First by the permit is for one hundred dollars ($100) or less.) Total No. Additional �. I certify that in the performance of the work for which this Fixed Appliances Not Over 1-HP CITY Tel No. O permit is issued, I shall not employ any person in any manner PER �j / e (~j so as to become subject to the Workers' Compensation Laws. Range_Heater_D.W. APPLICANT 11 iV C'rLCG7 iIm Oven _ Dryer_W.M. ADDRESS/ � rJ, i�J,l/i�'f (n Date Applicant Top _ FAU _W.H.. Z Hood — Fan _Other— CITY 'Tel NolOV-'3260 NOTICE TO APPLICANT: If, after making this Certificate of .DipLICENSE OR s . _ Room Air Cond.— Exemption, you should become subject to the Workers' REG. NUMBER 7 Class Compensation provisions of the Labor Code,you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCE D BY with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or KVAR 6t'� deemed revoked. Up to 1 Incl. •, FINAL Over 1 to 10 Incl. DATE V.ALIDATI LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. / 0 I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000 of Division 3 of the Busi- BY ( g ) Over 100 ness and Professions.Code, and my license is in full force and effect. Services License Numberic.Class �� 0-200 Amp. Under 600 V 201-1000 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 7031.51 Busi- Additional Sign Branch Circuits ness and Professions Code): Misc:Conduits&Conductors ❑ I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— structure is not intended or offered for sale (Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY � r ` J 1 t'7.Q .A I hereby affirm that there is a construction lending agency " for the performance of the work for which' this permit is PERMIT FEE (Sub-Total) c o 0 0 0 issued(Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Feel - Lender's Address PERMIT ISSUING FEE 1,2 1 – C 0 I certify that I have read this application and state that the TOTAL FEE above infor tion is correct.I agree to comply with all County ordina and to ws r ulating Electrical wiring, and he y hor' r sent of this County to enter upon e m ti pro r for inspection purpos SEE'REV•ERSE FOR EXPLANATORY LANGUAGE xv, gn re oT Pe itte Date