Loading...
HomeMy Public PortalAbout10106 RANDWICK DR_Electrical__ L%_', f`ry o-t- errl to (--!,i TL k 76.0.663-CE606 ,D,72 APPLICATION FO ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FAODD BUILDING AND SAFETY DIVISION Jp /0 LAt1 G TY vG (11 A T FOR APPLICANT TO FILL IN ST. OUTLETS N0. EACH FEE R / /l $ s FIRM NAME c lc RECEPT._ MAIL LIGHT TOTAL FIRST 20 25 ADDRESS 1 /��/� OVER 20 ' SWITCH_ f0 CITY TEL. NOPLAN CHECK LIGHTING TOTALI FIRST 20 25 APPLICANT FIXTURES OVER 20 •10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO.PERMIT �7 L RANGE DRYER_WTR. HTR. APPLICANT ` C�� IL �,S7-A /�, STA. COOK. DISP. F..A.U. ADDRESS .r(�9_-2D &_ ,egA1. SPACE HTR. AIR COND. CITY 7') _ k-:' 4 jjZ TEL. NO p70 CLOTHES WASH. DISHWASH. LICENSE REG. NUMBER '_�/ CLASS. 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 ^w ' 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF he I/-�1/Vl CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 1 — 10 3.00 DESCRIBED RESIDENTIAL PROPERTY. at 10 - 50 5.00 PERMITEE SIGNATURE 50 - 100 10.00 DISTRI 0. P SED BY C13 100 500 15.00 ;04 SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS VVV..•JJJ DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICE OVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE,&APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL d��� ---t.- PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. CASH P RMIT VALIDATION CK. M.O. CASH 0 1 I 8 0 3 Nov 13 2 D 6.0 0 ©yid SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE Vr '6A668-CES0610-62 APPLICATION FOR ELECTRICL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING / • BUILDING AND SAFETY DIVISION ADDRESS / 0 ® JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY °� (.�L5 NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL NO. EACH I FEE LIGHT OUTLETS OUTLETS FIRST 20 $20 $ 2/ OWNER %,J tk MAIL ADD'L ADDRESS SWITCH. OVER 20 .10 TOTAL CITY TEL.NO. LIGHTING FIRST 20 .20 FIXTURES ADD'L + OVER 20 .10 ELECTRICIAN s- L RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY Mo 6 STAT DISHWASH. AUTO.-WASH. E TEL.NO.E A = SPACE HTRS. STA.APP.(+/$H.P.MAX.) .50 LICENSE NO. f MOTORS: OVER NOT OVER H.P. DISTRICT 9JN E P R O $ B O 1 1.00 e t a 1.50 INSPECTION RECORD s s 2.00 d^ S is 2.50 8 15 50 8.00 I 0 s0 foo 5.00 1iVL SIGNS: NO.TRANS. ifs NO.LAMPS Z SERVICE 0-600V-NOT OVER 20OA 1.00 SERVICE 0.600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 (yam SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INBP O 'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1. AM PROPERLY REGISTERED AND/OR LICENSED AS RECUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE _ DESCRIBED RESIDENTIAL P OPERTY. POWER SIGNATUREUTILITY CO.NOTIFIED OF PERMITTEE FINAL s LIDATION ARTHUR C. VEIT MO CASH SUPERVISING ELECTRICAL ENGINEER CK LAUD 9 07 1'G VAR 2 2 D 3.4 0'' 46. ` ■ '6A668-CE60810-82 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING , BUILDING AND SAFETY DIVISION ADDRESS 16 JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT of BUILDING LOCALITY NEAREST FOR APPLICANT TO. FILL IN -CROSS ST. RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 $.20 $ OWNER K-1 Lp LIGHT �� MAIL SWITCH. ADD'L ADDRESS OVER 20 .i0 • TOTAL Y CITY TEL.NO. LIGHTING )) Flasr 20 .20 6 FIXTURES ADD'L .10 ! ELECTRICIAN OVER 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS CARE-211112STA.COOK CITY TEL,NO. DISHWAS AUTO.-WASH. STATE SPACE HTRS. STA.APP. .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. D1STR1 T NO. GROUP ZONE Paoc.ESSED BY O 1 1.00 I 31.50 INSPECTION RECORD s d a 2.00 vb O 8 is 2.50 r t"4 A=915 so 5.00 p so 100 5.00 SIGNSI NO.TRANS. ne NO.LAMPS V?� ®� Z SERVICE 0.600V-Nor OVER 200A 1.00 SERVICE 0-600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $/� 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT 3 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ' ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDfOR r '� LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE 14 DESCRIBED RESIDENTIAL PROPERTY. POWER _ SIGNATURE ` UTILITY CO.NOTIFIED //.d JAZA- OF PERMITTEE FINAL lo, ,q,[,I/v1.y�'-^ti•1 AR LIDATION T I iftc."VEIT SUPERVISING ELECTRICAL ENGINEER CK MO CASH LA 1 8 0 3Q PAY 19 2 D 1 3.50N WORKERS'COMPENSATION DECLARATION 76-663 10,61 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, CE-806G or a certificate of ftrkeft Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy there Se 8 La C. Policy Ao. Company FOR APPLICANT TO FILL IN JOB n l ❑ Certified copy is herebyfurnished. EACH NO. FEE ADDRESS New Residential Bldgs.&Pools �- — $ G . �^' Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. $ LOCALITY — de rtment. Multi-family Sq.Ft. NEAREST CROSS -�V Date �:Y--f—/Applicant ` C / E Applicant Xn' Residential Swimming Pools OWNER OR G,��-•�A/7 FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec—Light_Sw.— MAIL COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by the First 20 CITY Tel.No. permit is for one hundred dollars($100)or less.) Total No. Additional PLAN CHECK I certify that in the performance of the work for which this permit 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 Total No. Additional CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of PERMIT APPLICANT v �.1�/l/ Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ e.. 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 W.H. CITY ( Tel.No. oe LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other_ r✓ I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR r� (commencing with Section 7000) of Division 3 of the Business and Disp. — Room Air Cond. REG NUMBER < Class.q* Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRICT NO. PROCESSED BY >' Size&Type HP,KW,KVA,or KVAR License Number 7- 711 Lic.Class g Up to 1 Incl. FINAL V L,�/�� T Over 1 to 10 Incl. — DATE (� VALIDATION 0 Contractor Date Over 10 to 50 Incl. v ❑ FINAL 15 I am exempt under Sec. Over 50 to 100 Inc. BY W BAP.C.for this reason Over 100 W Services,Swbd.,MCC&Panelboards ® Z Date: 0-200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V t ❑ 'Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit L I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits I"�-�'' for the following reason(Section 7031.5,Business and Professions Code): ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductorsi is not intended or offered for sale (Section 7044, Business Otf er(See Complete Fee Schedule) _ and Professions Code). I : ; ;. 31 J.,,��.) CONSTRUCTION LENDING AGENCY _- _t.t•• ;�:'_ 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) ��` =�f''�'=L Civ.C.). PLAN CHECKING FEE Lender's Name ,' '. PERMIT ISSUING FEE """ - '`� `'` 7. Lender's Address •�'i� a s I certify.that have read this application and state that the above TOTAL FEE hs!A;:--U in ' correct.I agree to com y with all County ordinances and Stat ws regulatin ric iring, and hereby authorize represe Ives of this o ty o ter upon the above-mentioned proper fo pecrpos ✓��� SEE REVERSE FOR EXPLANATORY LANGUAGE NWRgrfature of Permittee Date