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Home My Public Portal About6105 SAINT JAMES DR_Electrical_7/16/1965_ 76A663-CES06 D RA APPLICATION FOR ELECT ICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDINa�/D 5- ST TfI/Jj�.S BUILDING AND SAFETY DIVISION ADDRESS LY cl JOHN A LAMBIE COUNTY ENGINEER �+ COLEMAN W JE XKIMS SUP T OF BUILDING LOCALITY �! NEAREST FOR APPLICANT O FILL IN I CROSS BT W141vei� RECEPT TOTAL NO EACH F[[ LIGHT OUTLETS FIRST 20 S2O8 OWNER / L!/�.��5 MAIL / 9WITCX ADD'L 1O ADDRESS 1 OVER 20 LIGHTING I TOTAL FIRST 20 YO CITY JG TEL NO FIXTURES JI AD.'LR2O 1O ELECTRICIAN CCv .P OV RANGES CLO DRYERS WTR HTR[ 100 ADDRESS /fJ ,SON O UM 01" STA COOK CITY w TEL NO OS3S DISHWASM AUTO WASH STATE SPACE HTRS A STA AIMP (WHF MAX) SO D LICENSE NO ig O MOTORS OVER NOT OVER MP DIST ICT NO G NE P 5BED BY 0 1 100 1 a IBD INSP TION REC RD a e 200 C B 1S 250 L1 in — So 300 w FO 00 100 500 " No TRANS a SIGNS NO LAMPS Z SERVICE O COOV NOT OVEN 200A 100 SERVICE O SOOV OVER 200 A 200 SERVICE OVER 600V 5040 MISC PERMIT ISSUING FEE - 200 SUPPLEMENTARY PERMIT ISSUING FEE 1001 O O TOTAL FEE 1 H[IRDY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INO[CTON E 11 O IATURIC ANO STATE THAT THE ABOVE IS CORRECT AND AGAVES TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS RIGULATINO ELECTR9CAL WIRING WIRING HERESY C[RTI FY THAT I AM PROPERLY REGISTERED AMD/DR FIXTURES LICR.I.. A! REQUIRED BY L09 ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO REBID! IN THE ABOVE OCSCR B!O RESIDENTIAL Pp OPERTY POWER SIGNATURE e---poo UTILITYCO NOTIFIED OF PERMITTEE FINAL - J (DATION JOS PH C ROOHAN CKMO GEN SUPERVISING ELECTRICAL ENGINEER LRLO 3 7 1 9 JUL 16 2 D 2.00- {76A669-CES06 6412 APPLICATION FOR ELECTRICAL/ PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING / S S R/�PS BUILDING AND SAFETY DIVISION ADDRESS (D JOHN A LAMBIE COUNTY ENGINEER WILLIAM A JENSEN SUP r Or BUILDING LOCALITY T/w NEAREST ,PAR 'R v D AP LIC T TO FIL I CROSS ST RECEPT TOTAL NO EACH LIGHT OGUTLETS FIRST 20 - 6 EO aVOO MWNER /i, / �I�INr Ir•J AIL �S ADD'L L4 ADDRESS !WITCH efL� -.. DVDR 20 a to y- LIGHTING TOTAL F1R1T20 �� 20 y 00 CITY / TEL N/0-777 SIJ FIXTURES ) ZZ ADD-L rf t0 T ELECTRICIAN C G OVFR 20 Ci RANGES O anTUR[ wTR NTRS to()-- ADDRESS 1- GAIS DI&Rf4e STA COOK CITY EL NO OLSSJ DIEHWASH46-' AUTO WASH .�os{ STAT! '7� SPACE HIRE STA APP (Y.N r MAI ) � 60 / W LICENSE NO 0 GV MOTORS OVER NOT OVER HP DISTRI16 % G UPLTICESSED B NE 0 + 100 1 — a 150 1 INSPECTION RECORD e 200 a — Is 260 is — ao 300 y a ao too 300 O V SIGNS NO TRANS No uMPE 0 SERVICE O 000V NOT OYER 200A 100 SERVICE O 600V OVER 200 A 200 0. N SERVICE MM SOON 500 Z MISC PERMIT ISSUING PEE 2 00 SUPPLEMSNTABY PERMIT ISSUING PEE 1100 TOTAL FEE �/ 0 1 HER[RY ACKNOWLEDGE THAT 1 HAVE READ THIS A LICATbM A PR GATE IN! RA PR SAT[ IMSP R SIa� AND STATE THAT THE ASOV[ IS CORRECT AND AGR[[ To CO"LY CONDUIT WITH ALL COUNTY ORDINANCES AND RTAT[ LAWS REGULATING KL[CTIKCAL WIRINa WIRING S 1 HtpmY CERTIFY THAT I AN PROPERLY R[OIST[IMD AND/OR YCQ(EEp AE RX RED aY ANO[lll COUNTY AND STATE OF PIXTURIa V 1 CALIFORNIA SPR THwr I E LEGAL OWN" Or THE ABOVE OESCRIS[D RESIDENTIAL POWER SIGNATURE UTILITY CO NOTIFI[D , or PERMITTEE FINAL /PALI A C VETT MOO CASH SUPERVISING ELECTRICAL ENGINEER LACO3 5 3 6V. JUL 12 2 0 1 8.4 0- wKER�coMENSATIONDECLARATION �aPw3r® APPLICATION FOR ELECTRICAL- PERMIT herirO I by b£ m that I have a certificate of consent to self aeosc in4ure; or acertificate of Workers Compensation Insurance 4 COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS Ncyartified I d<opy th rreof (Sec 3800 Lab C ) y /Com n / ,[. FOY A►PLICANT TO RLL IN JOB copy is hereby furnished EACH New Residential Bldgs 8 Pools EACH NO FEE ADDRESS Ver, hed copy is filed with the county building i zpec 1 8 2-Family, Sq Ft S — S LOCALITY T Ade artment Mulirfamily Sal Ft NEAREST CROSS ST �/Applicant Residential Swimming Pools, OWNER /n/ .✓/ 4 FIRM NAME " Y /yes AI CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL Outleri Rec�_Light�Sw L_ COMPENSATION INSURANCE ADDRESS O MiPS' (This stolon need not be completed If the work Im shrod b First 20 the permit is for one hundred dollars ($100)or toss Y Total No Additional CIN T� Tel No _ d I certify that in the performance of the work for which this PIAN CHECK APPLICANR permit 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 Additional Date Applicant Total No CITY Tel No Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after making this Certificate of Exemption, you should become subject to the Workers' Range— Heater—D W _ APPLICATION N Compensation provisions of the-Lobor Code you must forth- Oven _ Dryer W M — ADDRESSCEN/ JtT with comply with such provisions or this permit shall be Top FAU 1-W H — deemed revoked Hood — Fan —Other_ CITU 7e/No/to LVIYV Tel N _ /s LICENSED CONTRACTORS DECLARATION Disp = Room Air Cond — LICENSE OR0 I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER S'Cdl�lms (commencing with Section 7000)of Division 3 of the Business Power Apparatus S Large Appliances DISTRICT NO PROC D and Professions Code and my license is in full force and effect 5L, d Size 8 Type HP, KW, KVA or KVAR O License Numbber. 67 Lic CTaCss�3 BY Up to I Incl FINAL U C"ONnleiL 2 �Xp T— Over 1 to IO Ind DATE V DATION cr Contractor ,L nate — ✓ 0 OOver 10 to 50 Incl FINAL I am exempt under Sec Over 50 to 100 Inc By LU W B 8P C fee this reason Over 100 L d Services, Swbd , MCC 8 Panelboards Date 0-200 Amp Under 600 V , R 0 3 7 6'A Z Signature 201 - 1000 Amp Under 600 V -O s e s s e .z Over 1000 Amp or Over 600 V Exemption for Reg Mainz Elect ( • * 23.25 SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION e s e 2 3 2 Jr. 2i 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 Q a, 0 8—8 8 Professions Code) , ❑ I as owner of the property will do the work and the Mix Conduits 8 Conductors structure is not intended or offered for sole(Section 7044, Other (See Complete Fee Schedule)-- Business chedule)_Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is o construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) 1 (Sec 3097, Civ C ) r PLAN CHECKING FEE Lender s Name ' PERMIT ISSUING FEE Lender's Address TOTAL FEE 3 I certify that I have rood this application and stote,thot the above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and l hereby authorize representatives of this County to enter upon the abpve mentioned prop or inspection purposes I I�P9 � O SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date a �s i