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Home My Public Portal About9174 LAS TUNAS DR_Electrical__ DBS-S9 S-5A 11-55 APPLICATION FO'R ELECTRIC PERMIT DB DMSION OF BUILDING AND SAFETY Depaj ent Of County Engineer BUILDING / County Of LOS Angeles ADDRESS ATI (21h JOHN A. LAMB1E,COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES c OSS ST, NUMBER OWNER LIGHT OUTLETS MAIL RECEPTACLES ADDRESS _ L WALL SWITCHES FEE CITY' TEL. NO. , TOTAL OUTLETS @ 5¢ $ ELECTRICIAN ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 i CITY TEL. NO. KW EA STATE n FIXTURES g LICENSE-NO. d� MOTORS DISTRICT NO.. GRO�P!j ZONE I READY FOR INSPECTION NUMBER HORSEPOWER FEE I � NEW MVD HP OVER INC. EACH &LESS $ .25 INSPECTION RECORD 1 2 .50 2 5 1.00 515 1.50 15 50 2.50 50 200 5.00 MISC. r NO.SIGNS NO.TRANS. NO. SIGNS NO. LAMPS FOR EACH PERMIT WIRING FIXTURES $1.00 SUPPLEMENTARY .50, APPROVALS TOTAL FEE $ DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A LICA AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULAO^� ,\ Ia ELECTRICAL WIRINGI HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANESLICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATCALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ADESCRIBED RESIDENTIA P ERN. Y CO.NOTIFIEDSIGi:4kTUREOFPE JOHN A.LAMBIE,COUNTY ENGINEER VALIDATIO ARTHUR C.VEIT,CHIEF ELECT. INSPECTOR CK MO I q n r� 2 7 8w 'MY 2 3 1� .0 0 � ,76A663-CE8�6 10/72 APPLICATI N ELE, CAL PERMITi"�'�o -COUNTY OF LOS ANGELES p ry DEPARTMENT-OF COUNTY ENGINEER joe Joe ADDRESS 711 E. Las 'Tunas BUILDING AND SAFETY. DIVISION LOCALI TY Tem le Cit NEAREST ' N RES CROSS ST Encinitas FOR APPLICANT TO FILL IN .�' OUTLETS, NO EACH FEE OWNER NAME r Mr Bripino RECEIPT MAIL$ 5 ADDRESS 9174 E. Las Tunas LIGHT TOTAL FIRST 20 28 O CrTY Temple City TEL,NO SWITCH OVER+2 1p ' " PLAN CHECK LIGHTING TOTAL FIRST 20 25 - APPLICANT } ADDRESS * ' FIXTURES J - OVER 20 . 10 r RESIDENTIAL APPLIANCES-' CITY TEL NO 'PERMIT RANGE -DRYEP_WTR HTR APPLICANT Gilles Electrical Cons 0 STA .COOK DISP F A U ADDRESS P. • Box 626 SPACE HTR AIR COND CITY Montrose 1020 TEL NO 684-2773 CLOTHES WASHDISH WASH I LICENSE OR REG NUMBER . 26o526 CLASS FAN OTHER - 1,00I HEHEI' ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ` AND STATE THAT THE'A13OVE 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 - IHEREBY CERTIFY THAT`I�AM PROPERLY IS TER ED ANO/OR 0 — 1 100 LICENSED AS REQU NGELES UN Y AND STATE OF CALIFORNIA OR HA I AM THE LEGA R� OF THE,ABOVE 1 — 101 300 PE5CRIDED RESI PROPERTY tROUGH ' _ V LO - 50 500 CD 50 - 100 1000 NOOCES ` BY W 100 - 500 1500 [/ Z_ SIGN, GAS SIGN AND ONE CIRCUIT 500 VALS DATE INSPECTO ' SIGNATURE TUBE, OR. MARQUEE ADDITIONAL CIRCUITS 100 ER POLE SERVICENO,TOVER.600VOLTSOR200AMP 300 WORK , � SERVICE OVER 600VOLTS 0R200AMP' 1000 DUIT TEMPSERVICE, POLE, &APPURTENANCES 500 TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES POWER AUTHORIZED UTILITY CO NOTIFIED FINAL PERMIT FEE '•(SUB TOTAL) / NOTES PLAN CHECK FEE' ' PERMIT ISSUING FEE 300 ,3' r/(/ TOTAL FEE PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH 4.3 SEE BACK OF APPLICATION FOR,COMPLETE SCHEDULE 612 affirm that76A663 R'S COMPENSATION DECLARATION 20-0019 DPW(12.91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self Insure, , br a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C) Policy NO _ Company FOR APPLICANT TO FILL IN' JOB ADDRESS 91,71-11- �` Certified co Is hereby furnished NO EACH FEE aJ 70 r PY Y New Residential Bldgs &Pools LOCALITY Certified copy is filed with the county building Inspection 1 &2-Family,Scl Ft NEAREST / department Multi-family Scl Ft CROSS ST Date Applicant Residential Swimming Pools ASSESSOR PAGE PARCEL OWNER B OR / / n CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw / QQ FIRM NAME ( " C COMPENSATION INSURANCE First 20 MAIL0 (This section need not be completed If the work Involved by the ADDRESS 540 permit is for one hundred dollars($100)or less.) Total No Additional 1 certify that in the performance of the work for which tF(Is permit CITY Tel No is issued, I shall not employ any person in any manner so s t PLAN CHECK become suble tot Workers' Compensation-L s Lighting Fixtures First 20 APPLICANT ' Total No Additional ADDRESS GG Date � Applicant" RESIDENTIAL APPLIANCES NOT OVER 3 HP NOT E'TO/APPLICANT If, after making this Certificate of CITY Tel No Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP 41 PERMIT ` « provisions of the Labor Code, you must forthwith comply with such Power Apparatus&Large Appliances APPLICANT fr provisions or this permit'shall be deemed revoked ! LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS if 0 j I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl (commencing with Section 7000) of Division 3 of the Business and CITY ` �/� n Tel Professions Code,and my license is in full force and effect Over 10 to 50 Incl LICENSE OR ••�� yy'1 �) Over 50 to 100 Incl REG NUMBER 40-9 Class�"_/n a License Number �7 / /O LIC Class C -1`' Over 100 DISTRICT NO �j P:;��O�C�ESSED BY 7 (J O /j Services,Swbd,MCC&Panelboards �•GO Celt Contractor L /�/ Date / n 0-399 Amp Under 600 V FINAL DATE El / 400-1000 Amp Under 600 V l"�Oar VALIDATION V I am exempt under Sec W - Over 1000 Amp or Over 600 V FINAL B&P C for this reason BRANCH CIRCUIT FEES BY Yli�- Date(Z fnY 15A,or 20A, 120V,Lighting or Recept Z / 1 To 10 Branch Circuits j/ Si-g-nature � 11 To 40 Branch Circuits El 41 Or More Branch Circuitst'i ) ° Exemption for Reg Mamt Elect 15A,20A,208V To 277V Lighting Br Circuits SINGLE FAMILY Temp Power Pole&Appurtenances _�ri,M HOME OWNER-BUILDER DECLARATION 1TCI; I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits 7--7,-d69 - 60 Code) t d &C t d Conuis Conductors I,as owner of the property,will do the work and the structure Misc _ Is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _. t- .3E °:11_ and'Professions Code) A-, CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the � Tj 10�I—e performance of the work for which this permit is issued (Sec 3097, PERMIT FEE (Sub-Total) �=iy Civ C) ` PLAN CHECKING FEE Lender's Name // - PERMIT ISSUING FEE �(o, Lender's Address I certify that I have read this application and under penalty of pur)ury state TOTAL FEE that the above information is correct I agree to comply with all County ordinances andtate�s regulating Electrical wiring,and hereby authorize rep sentative�Ips County t enter pon the above-mentioned prope y for inspection p r oses SEE REVERSE FOR EXPLANATORY LANGUAGE /d SIGNATURE,OF'PERMITTEE DATE I