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Home My Public Portal About10259 NADINE ST_Electrical__ 76Asse om aA 11 49 APPLICATION FOR PERMIT DEPARTMENT OFANG AND SAFETY ELECTRIC i COUNTY OFF LOS LOS ANGELES WILLIAM J FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRI7 NO GROUPI ZON PERMIT NO ELECTRICIAN u RECEIV READY POR DAT ISSUED ADDRESS ✓Nr1.M� FIRST INSPECTION CITY TEL.NO r COUNTY LICENSE NO � EXPIRES BUILDING � PERMIT FEE ADDRESS NUMBER OUTLETS EACH FEE LOCALITY LIGHT sc NEAREST CROBB ST RECEPTACLES S FIXTURES s OWNER WALL SWITCHES B MAIL ELEJC RANGES gs ADDRESS ELEC HEATERS BB CITY TEL. NO Mina 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF CIRCUITS INET LED TDT � APPLICATION AND STATE THAT THE ABOVE Is DONNEC A LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING NUMBER HORSEPOWER FEE 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB NEW MVD HP mmm I IND EACH ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER 8 LEES * gs OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE YZ B so SIGNATURE OF SB 1 00 PERMITTE r s is ISO INSPECTION CORD is so 250 so sou Sao 8CO BOO 1000 SOO 1000 isco Q OVER 1000 2000 Z M G BET/FREQ CHANGER HP Is WELDERS AD KVA m GENERATORS - KW O TRANSFORMERS KVA TEMP MOTORS (71 or ones) MOVED MOTORS (75or CRIB) MIDC SIGNS TYPE NO TRANS. NO LAMPS APPROVALS FOR EACH PERMIT DATE INSPECTORPS NAME WIRING *Ica CONDUIT FIXTURES 111111313 WIRING /�(�.�.. ✓ �� v SUPPLEMENTARY sp FIXTURES POWER TOTAL FEE UTILITY CO NOTIFIED FINAL l 4 76AGW ORS sA 11-411 APPLICATION FOR PERMTl' DEPARTMENT OFBUILDING AND SAFETY ELECTRIC COUNTY OFF LOS LOS ANGELES WILLIAM J FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO _^ a ?7 7 ),9 '1--- ELECTRIC AN 1 // RE D SY READY FOR DA RBiU ADDRESS FIRST INSPECTION / CITY TEL.N COUN114 LICENSE NO EXPIRES BUILDING PERMIT ADDRESS NUMBER OUTLETS EACH FtE LOCALITY LIGHT So NEAREST CRoss ST RECEPTACLES a I FlxruREs a OWNER d WALL SWITCHES a MAIL ELEC RANGES gg ADDRESS ELEC HEATERS Sa CITY TEL. NO NUMBER P IRCUITS N8 ALLED I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS TOTAL APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIuHTR RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING [Numemit HORSEPOWER PEE 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NEW Mw HP I OVER INC EACH ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER e LE99 0 25 1 OP THE RESIDENTIAL PROPERTY DESCRIBED ABOVE It 60 SIGNATURE OP S S 111013 PERMITTE a is Igo INSPECTW RECORD is-- so 250 so $oo Bao SDO woo loco Soo loco 1500 J OVER 1000 1 2000 Z M G arwirmica CHANGER NP 0 WELDERS AC KVA GENERATORS - KW TRANSFORMERS - KVA TEMP MOTOR8 (78% or omen) MOVED MOTORS (75% Or ORO) MISC SIGNS TYPE: NO TRANS TYPE NO LAMPS APPROVALS FOR EACH PERMIT DATE INSPECTOR B NAME WIRING mica CONDUIT FIXTURES mica WIRING RUPPLEMEN FIXTURES POWER TOTAL FEE • IUTILITY CO NOTIFIED FINAL -Oeste{ WORKERS COMPENSATION DECLARATION 810/81 APPLICATION FOR ELECTRICAL PERMIT {� ��i--h2Feby'affirm that I have a certificate of consent to self insure CE�e06osG I..1 or a certificate of Workers Compensation Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec 3800 Lab C) Policy NO Company FOR APPLICANT TO FILL IN JOB ❑ Certified copy is hereby furnishedEACH NO FEE ADDRESS New Residential Bldgs &Pools ❑ 1 & 2 Family Sq Ft $ — $ LOCALITY ,yi o el-1v Certified copy is filed with the county building inspection department Multi family Sq Ft NEARESTCROSS S7 v Date Applx ant ` Residential Swimming Pools OWNER T II�� FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec Light A Sw � MaL Rev COMPENSATION INSURANCE ADDRESS //✓� T (This section need not be completed If the work involved by the First 20 permit is for one hundred dollars($100)or less) Total No-� Additional CITY ,G�,. a Tel No I certify that in the performance of the work for which this permit APPU�TK r is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws j Lighting Fixture Fust 20 ADDRESS 0 ,{ Date Applicant A041 W Total No Additional ; CITY 2a / Tel No NOTICE -APPLICANT If after making this rtifroate of Fixed Appliances Not Over 1 HP PERMIT 7 Exemption you should become subject to the Wft=s Compensation Range_ Heater DW _ APPLICANT provisions of the Labor Code you must forthwith comply with such Oven_ Dryer_ W M _ ADDRESS ' ZVA D 4AIIef ' provisions or this permit shall be deemed revoked Top — FAU _ WH _ _ LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ CITY Tel No 1 hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond LICENSE Class (commencing with Section 7000)of Division 3 of the Business and REG NUMBER Professions Code and my license is in full force and effect Power Apparatus&Large Appliances DISTRICT NOOCESSED BY Size&Type HP KW KVA or KVAR Gh License Number Lie Class Up to 1 Incl FINAL �* Contractor Date Over 1 to 10 Incl DATE D 13 Over 10 to 50 Incl FINA I am exempt under Sec Over 50 to 100 Inc BY B&PC for this reason Over 100 N Services Swbd MCC&Panelboards Z Date 0 200 Amp Under 600 V Signature 201 1000 Amp Under 600 V ❑ Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V 1 5 1 p SINGLE FAMILY Temp Power Pole&Appurtenances Z = 3 7 $ HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractors License Law for the following reason(Section 70315 Business and Professions Additional Sign Branch Circuits e • * 37500! Code) Misc Conduits&Conductors 1 1 1 6—8 8 I as owner of the property will do the work and the structure is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) _ ► 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(Sec 3097 PERMIT FEE (Sub Total) Civ C) PLAN CHECKING FEE Lenders Name PERMIT ISSUING FEE Lenders Address ' I certify that I have read this application and state that the above TOTAL FEE information is correct I agree to comply with all County ordinances and State laws regulating Elects wiring and hereby authorize, representatives of this County to nter on the above mentioned ` property for Insp��epurpos SEE REVERSE FOR EXPLANATORY LANGUAGE � Signa Oreittee Date i L or 20 OD19 WORKERS CI have COMPENSATION of consent 7&AW DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT Q I hereby affirm that I have a certificate of consent to self+ insure sir a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS or a certified copy thereof(Sec 3800 Lab C ) Policy No laildo Compan � FOR APPLICANT TO FILL IN JOB r ❑Certified copy is hereby furnished New Residential Bldgs &Pools EACH NO FEE ADDRESS 20 �i rtified copy is filed with the county building inspec 1 &2 Family Sq Ft $ = $ LOCALITY tion department Multifamily Sq Ft NEAREST ST Residential Swimming Pools CROSS OWNER T Dat —V Applicant FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec Li ht Sw_ MAIL COMPENSATION INSURANCE g First 20 ADDRESS Z I.7 (This section need not be completed If the work involved by Total NoAdditional CITY227 vt� L Tel No 7 ` the permit is for one hundred dollars($100)or less) I certify that in he performance of the work for which this , PLAN CHECK permit is issued I shall not employ any person in any manner' APPLICANT so as to become subject to the Workers Compensation Laws Lighting Fixtures i First 20 ADDRESS Total No Additional Date Applicant CIN Tel No , PERMIT( t Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT If after making this Certificate of APPLICATION Exemption you should become subject to the Workers Range— Heater—D W Compensation provisions of the Labor Code you must forth Oven — Dryer —W M _ ADDRE with comply with such provisions or this permit shall be Top — FAU —WH — deemed revoked Hood — Fan —Other_ CITY---j Tel No LICENSED CONTRACTORS DECLARATION IT nUMB 1 hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond — REG NClass (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO PRQCESSED BY >- and Professions Code and my license is in full force and effect d � 1� ti _/ Size 8 Type HP to KVA or KVAR Q License Number 7 Lic Class,.,'t L_ U � Up to 1 Incl FINAL Contractor''TMCL2y mate Over 1 to 10 Incl DATE �iL Cl VALIDATION0 ❑ r Over 10 to 50 Incl FINAL -- I am exempt under Sec Over 50 to 100 Inc BY / B&P C for this reason Over 100 jL Services Swbd MCC&Panelboards , Z Date 0 200 Amp Under 600 V Ay — Signature 201 1000 Amp Under 600 V Over 1000 Amp or Over 600 V '+ ❑ Exemption for Reg Maint Elect +- SINGLE FAMILY Tem Power Pole& Al C) AT HOME OWNER BUILDER DECLARATION P Appurtenances I hereby affirm that I am exempt 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 Code) + ❑ I as owner of the property will do the work and the Misc Conduits&Conductors Ti iTAL 31. 00 structure is not intended or offered for sale(Section 7044 Other(See Complete Fee Scheduled , t hE(Fi 1 I lu Business and Professions Code) i CONSTRUCTION LENDING AGENCY CHANGE IT 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) (Sec 3097 civ c) i OCO-0013 t 12 4/al PLAN CHECKING FEE Lender s Name ) � 4��¢ 1 - AM Z -- PERMIT ISSUING FEE ,3 Lender s Address ` 1 certify that I have read this application and state that the I TOTAL FEE QQ 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.a,entioned ro erty for inspection pur ses SEE REVERSE FOR EXPLANATORY LANGUAGE \1Si4nature of Permittee Date ®s _ J r WORKERS COMPENSATIQN DECLARATION CE76AS63806 70/61 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure CE eo6G "fl or cert icata of Workers Compensation Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY coP, there Df(Sec 3800 Lab C) _A Policy No Company!e !=' Lrl_ ,a•=•� FOR APPLICANT TO FILL IN JOB ❑ Certified copy is hereby furnished New Residential Bldgs &Pools EACH NO FEE ADDRESS Certified copy IS filed with the county building inspection 1 &2 Family Sq Ft IS — $ LOCALITY department Muni family Sq Ft — NEAREST CROSS ST Date Applicant ��M a l Residential Swimming Pools OWNER OR FIRM NAMEMEW CERTIFICATE OF EXEMPTION FROM WORKERS � �� r / I MAIL Outlets Rec Legh Sw � COMPENSATION INSURANCE ADDRESS (This section need not be completed d the work Involved by the First 20 permit Is for one hundred dollars($100)or less) Total No Additional • CITY r Tel No 77 1 certifythat In the performance of the work for which this permit PLAN CHE K p p APPLICANT 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 AdditionalDate Applicant Total No .10 CITY Tel No NOTICE TO APPLICANT If after making this Certificate of Fixed Applla es Not Over 1 HP PERMIT Exemption Range Heater / DW 'D�� pt you should become subject to the Workers Compensation 9 provisions of the Labor Code you must forthwith comply with such Oven Dryer_ W M ADDRESS provisions or this permit shall be deemed revoked Top FAU WH LICENSED CONTRACTORS DECLARATION Hood Fan _ Other_ �Q -� CITY Tel No .O Z7 I hereby affirm that I am licensed under provisions of Chapter 9 Disp Room Air Cond LICENSE B 91�3 Cls (commencing with Section 7000)of Division 3 of the Business and REG NUMBER Professions Code and my license is in full force and effectDISTRICT NO PROCESSED BY Power Apparatus& Large Appliances �' p� Size uT�pe Hp 1�W_I lel KVAR �' �d Q License Number Lx: Class � �� FINAL Q Contractor a Date — Over 1 to 10 Incl DATE �� VALIDATION Over 10 to 50 Incl ❑ BY / ,p U.11I am exempt under Sec Over 50 to 100 Inc BYvfG B&PC for this reason Over 100 N Services Swbd MCC&Panelboards Z D 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 ACTe? I hereby affirm that I am exempt from the Contractors License Law Additional Sign Branch Circuits for the following reason(Section 7031 5 Business and Professions 3M7 130.al Code) � , ❑ I as owner of the property will do the work and the structure Mlsc Conduits&Conductors 1 ITEM h7M� is not Intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) _ ® TOTAL 1:30.60 and Professions Code) (ASH 130■60 CONSTRUCTION LENDING AGENCY Ci e I hereby affirm that there Is a construction lending agency for the 00 performance of the work for which this permit Is Issued(Sec 3097 PERMIT FEE (Sub Total) Civ C) PLAN CHECKING FEE X�0000-OM1 9/19/C90 Lenders Name PERMIT ISSUING FEE 273[1 1 AM 9u-51 Lenders Address I certify that I have read this application and state that the above TOTAL FEE Zor 60 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 prope�ectl ur oses SEE REVERSE FOR EXPLANATORY LANGUAGE Sig a re of Permittee Date