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Home My Public Portal About10234 RANDWICK DR_Electrical__ 78A863- 10/7 _q APPLICATIONObIt ELECTRICAL PERMIT • COUNTY OF LOS ANGELES DEPAn1"MEW OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS 2� (�(JI C�. � LOCALITY NEAREST o J FOR APPLICANT TO FILL IN CROSS ST. ✓11 RE 7EP TS N0. EACH FEE OWNER OR FIRM NAME I FIRST 20 $ P5 ADDMAIRESS 0 Z-3 6,2 1-11 C c- TOTALOVER 20 CITY TEL. NO. t0 PLANCHECK TOTAL LIGHTING FIRST 20 •ZS APPLICANT FIXTURES OVER 20 f0 ADDRESS . RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. -APPLICANT STA. COOK DISP. F.A.U. ADDRESS Q V 7 SPACE HTR. AIR COND. CITY ojN (_) TEL. NO2? Cy CLOTHES WASH. DISHWASH. LICENSER 'L CLASS- l0 REG. NUMBER FAN OTHER?`f VSs �-- 1.00 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION v 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 IN TYPE OVER TO I HEREBY CERTIFY 7 T 1 AM PROPERLY REGISTERED ANDJOR 0 - 1 100 LICENSED A9 REOUIR B LOS A S CO NTY AND STATE OF CALIFORNIA OR TH I M THE EGA 0 ER THE ABOVE i - 10 3.00 ]� DESCRIBED REBID NTI PROPE Y. C/ PERMITEE 10 - 50 5.00 SIGNATURE � 50 - 100 f0A0 DISTRICT NO. ES BY a 100 - 500 1B.001 '5 -0 8 Z SIGN, GASSIGN AND ONE CIRCUIT 5.00 APPROVALS DAT INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 1jL UNDERSLAB WORK SERVICEOVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING 0 TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES 1 POWER AUTHORIZED7 . f \ roli UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: I b� t PLAN CHECK FEE ` PERMIT ISSUING FEE 1 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 877tiSEP 16 2 D 1 6..50azz SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - - 76A6'93-CEh6 4-68 _ APPLICATION FOR ELEECTRI AL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILD NG AND SAFETY DIVISION ADORES JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO ILL IN CROSS ST. NO. EACH FE G ADDRESS FAC HS OWNER le— RECEPT.-I MAIL 20 LIGHT TOTAj- FIRST 20 .20 ADDRESS SWITCH 10 CITY TEL. NO. OVER 20 .10 PLAN CHECK FIRST 20 .20 APPLICANT LIGHTING J.TOTAL .20 AV , ANT .10 'ADDRESS FIXTURES .10 RANGE—DRYER—WTR.HTR.— CITY TEL. NO. STA.COOK—DISP.—F.A.U.— CONTRACTOR SPACE HTR. AIR COND.— ADDRESS ro CLOTHES WASH.—DIS.HWASH.— CITY FAN—OTHER HER '001 LICENSE 1110. CLASS 4- MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 1 00" ELECTRICAL WIRING. 0 - 1 1.00 - — I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ARD/OR I - 10 3.00 LICENSED ASREQUIRED BY LOS ANGELES COUNTY AND STATE or CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 10 - 50 5.00 RESIDE I W, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE so - 100 10.00 OF PERMITTEE 100--- Soo 15.00 SSED B - 131SIC NO. G p PRAZE SIGN,GAS =SIGN AND ONE CIRCUIT 3.001 0 ff X!!L4v 01 TUBE, OR MARQUEE I ADDITIONAL CIRCUITS 1.001 NOTES: (3 SERVICE NOT OVER 660 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 PERMIT FEE (SUB TOTAL) WIRING - FIXTURES IPLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.001 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00l FINAL JOSEPH C. ROOHAN TOTAL FEE SUPERVISING cm ELEC CAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH L7%r J&24 2 D 4-P-0,el EE BACK OF APPLICATION FOR COMkETE FEE-SCHEDULE e / TY d F C/Tr 5AB63-CES06 5-62 APPLICATION FOR EECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION /. ADDRESS 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 OUTLETSFIRST 20 S 20 �^ OWNER LIGHT AOD'Lr MAIL SWITCH. �� OVER 20 .10 ._(. ADDRESS TE LIGTOTAL v HTING Ftesr 20 � .20 —� CITY L.NO., FIXTURES } ADD•L .f0 ELECTRIC. OVFR 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DIBP. / BTA.COOK CITY EL.NO. LVI 9, DISHWASH. / AUTO.-WASH. STATE 1 2V•7 SPACE HTR8. BTA.APP.(Vi X.P.MAX.) .50 LICENSE NO. �/ MOTORS. OvEh NOT OVER H.P. DISTRICT NO. GR UPI ZONE I PROCESSED BY O 1 1.00 0 S Eat 1 a 1.50 INSPECTION RECORD a B 2.00 B 15 2.50 D}, 15 so 3.00 0 so foo 1 5.00 O SIGNS: NO.TRANS. t V NO.LAMPS W IL SERVICEO'.SOOV'.NoT OVER 200A 1.00 H Z SERVICE O-SOOV-OVER 200 A. 2.00 r SERVICE OVER SOOV 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 11.00 TOTAL FEE '5 17 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI ATION APPROVALS DATE INSPECTOR'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 I AM PROPERLY REGISTERED AND/OR LICENSED AS.REQUIRED BY S ANGELES COUNTY AND STAT OF FIXTURES CALIFORNIA OR THAT I AM HE LEGAL NER FTH OVE pr DESCRIBED RESIDENTIAL PR E POWER [ SIGNATURE " UTILITY CO.NOTIFIED OF PERMITTEE � � FINAL PIDATION ARTHUR C. VEIT' CK MO CASH SUPERVISING ELECTRICAL ENGINEER L.fco 9 7 0 1 Go JAN 16 2 ID 1 7.0 0 SA668-CESOB 5-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING. BUILDING AND SAFETY DIVISION �/ ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A..JENSEN,,SUP-T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. ROCEPT. TOTAL -NO. EACH FEE OUTLETS FIRST 20 5.20s OWNER LIGHT - MALL AWL SWITCH. OVER 20 .10. ADDRESS TOTAL CITY TEL.NO LIGHTING TOTAL 20 .20 FIXTURES } AWL . f0 ELECTRI AN OVER 20 RANOBS, CLO.DRYERS WTR.H..T118. 1.00 ADDRESS- At 4Z GARB.DISP: BTA.COOK CITY TEL.NO.. DIBHWASH. AUTO:-WASH. STATE-" SPACE HTRB. STA.APP.(V,H.P.MAX.) .SO LICENSE NO. MOTORS: OVER NOT OVER N.P. DISTRICT NO. GR UPZONE PROCESSED BY 0 1 1.00 'SIL 02 6 0"V KO- 1 s 1.50 INSPECTION RECORD s S. 2.00 `` `7 o I1 -►6-63 s 15 2.50 a 1s so 3.00 O 50 100 5.00 SIGNS- NO.TRANS. 1- NO.LAMPS - :U D_ SERVICE'0:600V-NaTOVER 200A 1.00 U) Z SERVICE O-SOOV.OvER 200 A. 2.00. - SERVICE OVER SOOV 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 8 I HEREBY ACKNOWLEDGE THAT 1 HAVE pEAD THIS APPLICA710N APPROVALS DATE INSPECTOWS SIGNATURE AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT' WITH ALL-COUNTY ORDINANCES'AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ��/• LICENSED AS.REQUIRED LOS ANGELES LINTY AND STATE OF FIXTURES CALIFORNIA OR THAT I LE OF E ABOVE r DESCRIBED RESIDENTIAL POWER SIGNATURE UTILITY CO.NOTIFIED OF PER- ITTE FINAL LIDATION ARTHUR C. VEIT __ CK MO CASH SUPERVISING'ELECTRICAL ENGINEER L.►�o2 4 4 6 Ga X15 2 a2.00- PORKERS'COIIiave a TION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I h�rdby'afftl'm thatsl have a certificate of consent to self CE-8066 insure, or a certificate ofsWorkers4Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS D l� Certified copy is filed with the county building inspec- 1 &2-Family, —S q' Ft. $ $ LOCALINEAREST ' tion department. Multi-family Sq..Ft. Residential Swimming Pools CROSS ST. Date Applicant _ OWNER OR N CERTIFICATE OF EXEMPTION FROM WORKERS' FIRM COMPENSATION,INSURANCE Outlets: Rec-rLight Sw.First 20� � 0� ADDRESS , (This section need not be completed if the work involved by CITY Tel. No. r' the permit is for one hundred dollars($100)or less.) Total No. Additional PLAN CHECK ` I certify that in the performance f the work for which this APPLICANT permit is issued, I shall.not empl any pe on in any ner so as to become subl'gct to the orkers'' m,pe at' aws. Lighti g Fixtures First 20 ADDRESS r Additional t I'No. CITY Tel. No. D Y Ap Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Exemption, you should become subject to the Workers' Range_ Heater_D.W. Compensation provisions of the Labor Code, you must forth- Oven —Dryer _W.M.— ADDRESS with comply with such provisions or this permit shall be Top _ FAU —W.H. — CITY Tel. No. deemed revoked. Hood _ Fan _Other_ �• LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER Class. (commencing with Section 7000)of Division 3 of 4he Business DISTRICT NO. PROC D BY l and Professions Code,and my license is in full force and effect. Power Apparatus.•&Large Appliances s,_ ow Size&Type HP, KW, KVA, or KVAR' ✓t t/O I License Number Lic. Class Up to 1 Incl. FINAL %) Over 1 to 10 Incl. DATE V. ATION Contractor. Date Over 10 to 50 Incl. U ❑ FINAL I am exempt under Sec. Over 50 to 100 Inc. BY IL B.&P.C. for this reason Over 100 Date: 'Services,Swbd., MCC&Panelboards 0 -200 Amp. Under 600V Signature 201 -1000 Amp, Under 600 V _ ❑ Over 1000 Amp: or Over 600 V 2 2 2 9 A Exemption for.R'eg. Maint. Elect: SINGLE FAMILY Temp. Power Pole&Appurtenances # 0 0 0 0 0 2 I HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License 1 0 0 1 9.5 0 Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits `Pro ssions Code): I' o o - 1 9.506 I, as owner of the property; will do the work and the Misc. Conduits$Conductors 1/ i structure is. not intended or offered for sale (Section Other(See Complete Fee Schedule)_ , (� 1V Q 1 0-8 5 7044, Business and Professions Code). �(`J CONSTRUCTION LENDING AGENCY I hereby affirm that thereis a construction lending agency for �( the performance of the work for which this permit is Issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). Lender's Name' PLAN CHECKING FEE PERMIT ISSUING FEE , Lender's Address I certi at I have read this application and state that the TOTAL FEE 9 Sb i abov rmation is correct. i a to comply with all County ordl es and tate laws r ul mg Electrical wiring, and her authori represent ve f this County to enter upon th bove-m .tioned rt y or inspection p7yposv. SEE REVERSE FOR EXPLANATORY LANGUAGE II gnature o Per mitte Date