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HomeMy Public PortalAbout9565 LAS TUNAS DR_Electrical__ 76A66 3-0 8067-56 _APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF.COUNTY ENGINEER- BUILDING BUILDING AND SAFETY DIVISION ADDRESS- " JOHN A. LAMBIE; COUNTY ENGINEER CASSATT D:GRIFFIN, SUP'T,OF BUILDING 'LOCALITY, FOR APPLICANT' TO FILL IN NEAREST' PERM FEES cRoss REST 1 T E.M, NUMBERI EACH FEE OWNER OUTLETS; - $'. $ MAIL 41, - LIGHTS, RECEPT. SW. .10 ADDRESS Is �••�' ' LIGHTING, - 10 I • . ,, CITY TEL. NO. ELEC.'RANGES CLO, DRYERS .ELECTRIf AN G/Id .W,A.T E R H E A T E RS .SO ADDRESS -Q110 - ELEC.SPACE HTRS.' DISHWASHERS l- TEL. NO.� GARBAGE DISPOSERS - AUTO.- CITY' ' �. -- STATE WASHERS, STA. COOKING UNITS .25 - LICENSE NO. - MOTORS: OVER INC. H.P. - - DISTRICT NO. GROUP NE, P ESSED BY O I/z 2 5 +�2- 2 50 INSPE ON ,RECORD 2— '5' 1.00 5— 15 -4:50 15— .50. 2.50 200 5.00 SIGNSz NO..TRANS. NO. LAMPS SERVICE 0-600V 1:00 - - - - SERVICE OVER 600V 5.00„ MISO. WIRING PERMIT - 1.00 FIXTURE PERMIT' - 1.00 SUPPLEMENTARY PERMIT, so TOTAL FEE $ APPROVALS 1 HEREBY,ACKNOWLEDGE THAT-I HAVE READ THIS."APPLICATION DATE.. INSPECTOR'S SIGNATURE AND.STATE THAT THE ABOVE IS CORRECT.AND AGREE T0,COMPLY CONDUIT - WITH FALL COUNTY ORDINANCES AND ;STATE SLAWS REGULATING - ELECTRICAL WIRING. - _ WIRING IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AME LEGAL OWNER OF THE' ABOVE 'POWER DESCRIBED RESIDENTIAL PRpPER - SIGNATURE /� 4 UTI LITYCO.NOTIFIED:. _. OF PERMITTEE a""^ FINAL VALIDAPON ARTHUR C. VEIT;' ' - - - •" CK Mo ca�es SUPERVISING ELECTRICAL ENGINEER � ' I .� 2, N iiCiiICAL P IT. -.76A663-CE8061-68 APPLICATIO FOR EL COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 7,7 JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST. FOR APPLICANT TO FILL IN CROSS ST. ' NO. EACH FEE _ $ $ OWNE � ler l J76 RECEPT._1 MAIL LIGHT ,(`TOTAL FIRST 20 .20 -ADDRESS ✓I77���''_ SWITCH_/ OVER 20 .10 CITY T'EL. NOpc� p! �_ � ✓ PLAN CHECK LIGHTING �TOTAL FIRST 20 .20 APPLICANT FIXTURES OVER 20 .10 ADDRESS R.AN.GE_DRYE.RWTR.HTR. CITY .TEL. NO../ STA.COOK DIS P.—F.A U,_ ,CONTRACTOR ' -4 4,c_7 A SPACE HTR.. ' AIR CON D.- ADDRESS EJS �jC/� CLOTHES'WASH. DISHWASH._ 'CITY /Y' � /G`�L. N�(OSIJ f -FAN'—OTHER 1 00 - LICENSE IJO_ 0111's-6 CLASS'! Q MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA.. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION .AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE: & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. - "0 - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - - 10 3.00 -LICENSED AS REQUIRED BY LOS ANGELES COUNTY A.ND. STATE OF CALIFORNIA OR THAT I AM T LEGAL'OW ER-OF, AND INTEND TO d 10 - 50 5.00 RESIDE IN, THE ABOVE ES RIP D SIDENTIAL PROPERTY. CL SIGNATURE 50 - 100 10.00 pF PERMITTE'E 100 - 500 15.00 O DI$�'�`RICT NO. G O ZO P OC SSED BY V SIGN,.GAS SIGN AND ONE CIRCUIT 3.00 J d �� •W TUBE, OR a _ MARQUEE ADDITIONAL CIRCUITS 1.00 .NOTES: Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE. &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING. FEE 2.00 Q UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE D JOSE H C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDAZIDN 0IK M.O. CASH LAW 5:°3- 7 4r JUL I 3EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE .. WORKERS;COMPENSATION DECLARATION, ,C 163 10/si pP�,1 I�.'aa/� BO�gJ ®®�,. ,LE.CTp,I�p ,,DC,®Ai�p1. '- • { 'GE806G 0�9 L !� A �tl 9-9 R A`'� r �GRM Thereby affirm that 'I,have a'certificate'of consent to self Insure; ora certificate of,N/orke�s',Compensation;'insurance;-or arcertified' COUNTY=OF.LOS ANGELEB'r.- BUILDING AND SAFETY copy theredf(Sec.,3800 Lab: C.) ->... Policy,Nd - :`•: '� -Company. i' '" -' FOR,APFLICANTTO FILL IN'e-,j. r .JOB � ,,AA �• ` - „� + •' a .9DDRESSVi,� �7�' Tv rtif°ed co }is hereb furnished: e.+ q :- } EACH NO, ;. .x .FEE pY„ Y. „, y New Residential Bldgs.& Poo s. J ^ ` ' U: $ — S," iLOCALITY.z /y C./T C & 2-Famll S Ft _ , "Certified copy is filed"with,,the'county"buildingp'Inspection 1 y 9 - " + Mult°ifamil S `Ft. w department i.'f`.-F' .;. e�,° y q. NEARES e_. - 'CROSS ST.` r 1•,,' , ,�.�.. ?, k ,:." r =1.'` '��- - '.Residential,Swimming Pools.: r ' a %OWNER OR " Date Applicant , /�,(� ..P.%r .x.-"w•� w`,.a'.. y.. .:; Ir` .f. l..L +FIRM NAME:: +VC(/ ~`•ar CERTIFICATEiOF EXEMPTION FROM;,W08KERS .:, O. .tdK ., _ ':=.. :ut,lets:Rec'� :Light ,,a' �ADDRESS3r -"2 t`S.. „COMPENSATION INSURANCE r°. r. . r /� ?,•(Thisaection need•not be°completed d�dhe•work,mvolved by-the- ; ; j CITY° el No . n , e Total`No. Additional," a r. x ;;permit rs;for one,hundredl;dollars:.($.100)or less): x..;a PLAN l;certify,that in dhetperformance of the:work-,for,which hi§spermit. r f'„ �', „ ' "' _ PLIC _ , ,. , as.issued; I'shall'not,'em to ,an' erson in 'an manner so as.to ' c.. .., ti..,p -Y YPY , t t �.• .,.r .... > AP ANTK become subject jto the.Workers',Gompensat°on RLaws `<• . Lighting Fixtures, First 20 ADDRESS; H .: ,. i ddlonal _ .a % ° _ } Total No. �� d- CITY Tel`No Date � >� Applicant .. <, , . Fixed Appliances N t'Over,1'HP eERMIT NOTICE-.T.O', APPLICANT:' If, after.Makin t is =Certificate.,of - ._ -. ,,.:. a•3. '� .g,`, ,-:., - - , , .:.i t .:APPLICANT`` EOI,;•� �r � .C�.'.'.•.Q. .: Ran e— Heater_ D W. � Exemption,you should becomesubject;tothe:Workers Compensation=, _ g r ..,�•., t ,,it ADDRE.... :,,provisions of the Labor Code„you must:forthwith,comply with such?:, Oven Dryer— W:M r r »., ., ss 3, provisionst;or this permit shapbe deemed revoked To FAU W.H ' „ p :CITY d...w LICENSED CONTRACTORS'DECLARATION H Other C� 'O ood Fan .-Lhereb .affirm_that I am,license, under provisions:of Chapter]9. - •- LICENSE OR •, Y- ._ .. -;;� ,..na Dlsp. Room AIr.;Cond.,—.;« Class ('sQ (commencing wit h•,Sectiorn 7000) of Division;3 of.the'Business-and" n. _ - Pr f i`ns ode and.m 'license is, full forceand'effect.,.` " ''' " DISTRCTDI6ER n P O S D Y• gesso C ,,, y. Power.Apparatus,'.& Large Appliances �... }: Size&Type,HP,<KW KVA,or KVAR •License=Number Z` 3 Lia Class' U`to-1 Incl.. ;r' FINA �'' Over 1•to-10 Incl a VALIDATION ,� -. - Contractorz Date 3 2�'" Over 0:to:50`Incl FINAL"' T ) Y 1,am exempt under Sec: Over 50 to;:1.00 Inc V i , y-. BY t , � " W. Over. 100 BAP.C.for this reason e Services;Swbd MCG-& Panelboair a '.� N Date. ' Z 0. 200 Amp:'Under.600 V Signature 201 mp'U V',411r{ b t, 01 1000 A nder 600 -.Over 1000 Amp.or Over-600 V Exempt°On'for Reg:'Maint Elect:,- SINGLE'FAMILY ; 'Temp.Power Pole.&Appurtenances V "j J a. , HOME OWNER RATION" a;.,-, -Sign with One Branch'Clrcuit - I'hereby,affirm"that'1'.am exempt•from,the'Contractor s License Law': +" for'the'foilowin reason Section 7031.5 Business'and'Pr`fessions-;` Additional Sign Branch Circuits,. g ( A{ ` + Misc:�Conduits,& Conductors'' f. El re'�t - u„ a'\ ;' , ;• 4 ` is nbtjner.ofthepoffer' will.do.thework,andahestructu, Other(See Com Iete,:FeeSchedule,; s not intended or offered for:sale:(Section 7,044;•Busine'ss; P ) t .' and Professio is Code):, �, . TOTAL s=P m 0 �i 4 • N LENDING AGENCY L• � CONSTRUCTION � I hereby affirriiAhat,there is a'construction'lend,ng agency for the' ;,a]I performance of the�work for which this permit.is`issued(Sec.3097,;;. PERMIT'FEE ' v W t:(Sub`Totaq } t PLAN CHECKING FEE :,.' ".' 011004, ,-�nf�,i t I Lenders Name a a i1 �f 1% r� PERMIT ISSUING FEE, i f -7 t &R Lender's'"Address. :—U- cP7T • ✓/ T o0 7� =5 ut S T v1 �'� s��r ryT , "1',certify that I.have:read ibis application and.'state that the atiove OTAL FEE information is-correct:'I:agree''to comply•with all;County,ordinances• n c and State'laws?.regulating Electrical wiring, and-hereby"authorize a r..•- n i representatives of'this County,,to•;ente`r'upon.the above-mentiohe i ;p r2p arty for inspection',pur ses. q SEE REVERSE FOR,EXPLANA Y LANGUAGE # e of Permdtee Date,,to-, • T WORKERS' CI Kaye, c-' DECLARATION -76A6i9oPwaie7 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that have a e` cafe of consent-to, self CE-806G F1 O insure, or o tertificate of Work` . mpensation-lnsurance, t COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a.certified copy thereof (Sec. 3800, Lab. C.) Policy,No. '' Company FOR APPLICANT TO FILL IN JOB ❑`Certified copyjs hereby furnished New Residential Bldgs: 8 Pools EACH N0. FEE ADDRESS ✓�n�/J -, a Certified copy is filed'with the county building inspec- 1 & 2-Family, Sq. Ft. li $ $ LOCALITY tion department. Multi-family Sq.Ft. - NEAREST Residential Swimming Pools, CROSS SO ' Date Applicant T. Resi OWNER OR f•; FIRM NAME .CERTIFICATE OF EXEMPTION EMPTIOIN FROM.INSURANCE Outlets: Rec Light Sw.= AMAIL DDRESS > - ATION First Add i20 ESS (This section need not be'completed if:the work involved by CITY Tel. No. the permit is for one hundred dollars ($100)or less.) ` Total No. onal .<✓✓! .i , a • PLAN CHECK I certify that in the performance'of the work for which this APPLICANT permit.is issued; I shall not employ any personin any manner t Lighting'Fixtures First 20 ADDRESS so as to become subject to-the Workers Com pe sati .Laws. �Q. � �✓�L7` � `. T_ Additional q Total No. CITY Tel. No. 7 Date JVApplicant "' """` Fixed Applianees.Not Over 1,HP. NOTICE TO APPLICANT: If, aft J. makin this Certificate o PERMIT 1 9 Ran e— Heater—D:W. _ APPLICATION Exemption, you 'should become subject* to the Workers' g Compensation provisions of the Labor Code,'.you must forth'-: Oven'— Dryer —W.M.— ADDRESS with comply with such provisions or this per,rnit shall, be Top ;— FAU _'W.H r— deemed.revoked: Hood' Fan —Other— CITY . Tel. No. LICENSED CONTRACTORS DECLARATION' LICENSE OR Disp. Room Air Cond. +� I heCh hereby affirm that I am licensed under provisions of apter9 REG. NUMBER Class (commencing with Section 7000)of-Division 3 of-the'Business Power Apparatus& Large Appliances DISTRICT O. PIRSED Y d and Professions Code,and my license is in full force and effect. ( �� (�.�(� Size&Type HP, KW, KVA, or KVAR O License Number` Lic.'Class Up to 1 Incl.. FINAL U ;� Over 1 to 10 Incl.. DATE VALIDATION- - Contractord P(�' te 0 W] Over 10 to 50 Incl. FIN• IL ~ ❑ 'I am exempt under Sec. �! Over;50 to 100 Inc.. gY` V Over 100. d B.&,P.C: for this reason � f /l/z'C LY'• • .. . n Services,,Swbd., MCC& Ponelboards Z Date: 0-200 Amp, Under 600 V Signature 201 - 1000 Amp._Under 600 V Over 1000 Amp. or Over 600 V Exemption for Reg..Maint. Elect. _ SINGLE.FAMILY' Temp."Power Pole-&ApPyrtenances ACCT.� HOME OWNER-BUILDER DECLARATION Sign with One-Branch Circuit " I hereby affirm that I am exempt from the Contractor's License w UJ 14•„11' Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions:Code): x 'i_;'E I ❑ - 3 l, as owner of the ro""ert "wilLMisc. Conduits&Conductors Rdo'the.work'and the _ 00 structure is not intended.or.offered for sale(Section 7044, Other,(See Complete.Fee Schedule)— Business and Professions Code). CHECK 6.5.cli_ CONSTRUCTION LENDING AGENCY _ r1 I hereby affirm that there is,a'constructio`n'lending agency.for the performance of the,work for which this,permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). 0,000-0-03 r:3"'•€ PLAN-CHECKING FEE 71 Lender's Name t; rr ;::c 1 PERMIT ISSUING FEEk_3 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 laws'regulating Electrical-wiring, and hereby authoria representatives of this County to,enter.upon the abov�Aproper�ty,jorinspection'tinned purposes: SEE REVERSE FOR EXPLANATORY LANGUAGE ©s Sig nat r of Permitt Dote WORK- i, InN DECLARATION -476A6i9�pw3ia7 gppLIC�4Tl®IV FOR ELECTRICAL PERMIT I hereby affirm: a c te.��f consent to self z6n663 tCE-8Q6G insure, or cern t'b orker 'pensation,Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORK$ or ,ertifiield opy tk ereof S,�e/�/'.3800,(L)ab,. C ) :'- Poli No.W O06Drnpany rv'^'� ,I �r�' " FOR APPLICANT TO FILL IN 106 Po copy is hereby furnished.• New Residential Bldgs: &Pools EACH NO. FEE ADDRESS - Certified copy is'filed with the county building inspec- l &2-Family, Sq. Ft.' $ $ ' LOCALITY El tion d artment. Multi-family Sq. Ft. — NEAREST t/Date• � � 'Applicant) Residential Swimming Pools - CROSS ST. FIRM ERTIFICATE OF EXEMPTION ROM WORKERS' � 'MAIL NAME L� ER OR Outlets:'Rec Light Sw. ` COMPENSATION'INSU RANCE ' ADDRESS --First 20 s (This section need not be completed if,the work involved by CITY: G el. No: the permit is for one hundred dollars(;100)or less.)' Total No.- L. Additional C.1ti. �. I certify'that in the performance of the work for.which.this PLAN CHECKAPPLICANT �permit is•issued, I shall not employ any person in any manner k so as.to lee me'subject to the Workers'Compensation Caws. Lighting Fixtures First 20 ADDRESS - Additional. UU Total No. CITY Tel. Nod' /ate ' Applicant - rr NOTICE T A CANT: If;.af' r t is,Certificate of Fix'ed.Appliances;Not O er 1 HP J PERMIT 6 Exemption, you should become subject To 'the Workers' Range— Heater D.W. APPLICATION Compensation provisions of the Lobor Code, you must forth- Oven,.— Dryer —W.M.— ADDRESS �, 1 with:comply, with such•provisions or this permit,shall be ,Top FAU —W,H. deemed revoked.. • ,, •1, . CITY C Tel. No. Hood Fan, —Other_ LICENSED.CONTRACTORS:DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp: ROOm'Alr Cond. Cla S. REG'NUMBER (commencing with Section7000)'of Division 3 of the Business Power Apparatus& Large licences DISTRICT NO P ES D BY end Professions Code,and my license is in full force and effect. 0- l Size &Type HP, KW, K - or KVAR t Q /fes cense Number 2 Lic. Class Up to l Incl. yj FINAL V 1--,"'Contractor Date Z Over 1 toJO Incl. DATE U V LIDATION �' �� ❑ G% Over 10 to 50 Incl. FINAL U I am exempt under Sec. Over 50 to 100 Inc. LLJ gY B.&P.C.for this reason Over 100 LV a Date: Services, Swbd.•, MCC & Ponelboords 0- 200 Amp. Under6 •r�te}#��j Signature '201 - 1000Amp. Under.600 V Over 1000 Amp. or Over 600 V �;?;i gal' Exemption for Reg,,Maint. Elect. r f SINGLE FAMILY . 1 HOME OWNER--BUILDER DECLARATION Temp. Power Pole&Appurtenances , I hereby affirm that l am ezempt'from the Contractor's License Sign with One Branch Circuit Law for the following reason (Section 7031.5, Business,and Additional'Sign':Branch Circuits Professions Cod`e): I,•as owner of the property, will.do the work and-the Misc, Conduits&Conductors - ;structure is not intended or offered for•sale(Section'7044, Other (See Corriplete,Eee Schedule)_ Business and Professions Code) CONSTRUCTION LENDING;AGENCY, I hereby affirm that there`js a construction lending agency for the performance'of the work,for which'this permit is issued PERMIT FEE (Sub-Total)' (Seca 3097, Civ. C.). � PLAN CHECKING FEE Lender's Name ' Q . LA ERMIT.ISSUING FEE Lender's Address � '. I certify that I have read t is application and state that.the TOTAL 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 � y the above-mentioned property for-inspectio pulp ses. SEE REVERSE FOR EXPLANATORY LANGUAGE Sign of a O Date s