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Home My Public Portal About5508 SARA MAR LN_Electrical__ 'TSABSS DESOS_S ST APPLICATION FOR ELECTRIC PERMIT 1' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING S BUILDING AND SAFETY DIVISION ADD R Esa JOHN LAMBIE COUNTY ENGINEER , CASSATT D GRIFFIN SUP T or BUILDING LOCALITY FOR APPLICANT TO FILL IN CHOS AT REST PERM FEES 1 ITEM NUMBER 'EACH PEE OWNER OUTLETS, f 6 MAIL I LIGHTS RSCSPT r [W10 ADDRESS LIGHTING FIXTURES f0 I TEL NO 'I2.'1 [LEC.RANGu, CLD DRYOTS ELECTRICIAN WATER HEATERS 50 ADDRESS - [LEC.SPACE HTRS DISHWASHERS 1` OMSAOM DISPOSERS AUTO- CITY L- NO WASHERS STA COOKING UNITS 28 STATE ' LICENSE NO MOTORS OVER INC X P O — I/a 20 1 151 HIL;I NU nawor row Ixvamox 'R W — 2 EO PF 2 — f too WSPE=0N RECORD f — f8 150 S GF m Is — 00 2150 {- 0 F T,o EO— 200 0 00 /"O Y C slarus NO TRANS NO unRro SERVICE 0.6010V 100 SERVICE OVER BOOV 500 MISC WIRING PERMIT 100 FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT 00 TOTALFEE f APPROVALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A UCATIOR DATE INSPECTOR SSIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING 1 AEREBT CERTIFY I AY PROPERLT REGISTERED AND/OR UCENSEO A8 REQUIR B LOS ANGE COUNTY AND STATE OF FIXTURES CALIFORNIA OR THA I Y E LEG OWM OP HE ABOY[ POWER DESCRIBED RESIDENT L OP SIGNATURE UTILITY CO NOTIFIED OF PERM X}u.IDAIION ARTHURC VETT, IAG ION 9U►�W GING F�IT. ENGINEER LG27820R &M 11 2 A 220 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADORES JOHN A LAMBIE COUNT ENGINEER I CAS"TTD GRIFFIN SUPTOPSUILDING LOCALITY FOR APPLICANT TO FILL IN NR 59 SST PERM FEES , T t M NUMB" eACH P[[ OWNER OUTLET yJ 17 f f MAIL 1'�.y LIDHm CCPIY 5W 10 ADDRESS�7�'C i O ✓ LIGHTIN FIXTURES 10 TEL N �^ L ��RANom cLo ortrm� ELECTRICIAN WAT[N HeAT[N5IN 50 �- [L[C.5►AC6lRi11D DISHWADH� ADDRESS OARBAD[DI[POsiump AUTO- CITY TEL NO wA[H[M STA cOONiNO uNm STATE 25 / �+ LICENS NO MOTORS Oven INC H F 0— VA 26 R[AGT FOA D1[F[CTI0N VA — 2 ` 50 2 — a 100 INSPECTION RECORD is — 15 150 In — 50 250 DO— 200 500 SIGNS NO "ANS NO LAMP[ SERVICE O.e OOV 100 SERVICE OVER eOOv 500 MISC. WIRING PERMIT 100 FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT 50 TOTAL FEE f APPROVALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPUCATION DATE INSPECTOR SSIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COYPU CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING AN7— I HEREBY CERTIFY T 1 AN PROPERLT REGISTERED AND/OR LICENSED AS 11EOU1 ED BY LOS ANGELESCOUNT AND STATE OF FIXTIINES -7/1 CALIFORNIA OR TH T LARTHE WHEN OF THE ABOVE POWER DESCEBCD NESID SIGNATURE UTILITYCO NOTIFIED 7 OF FERMI Fl 0 CAM BA u c YO ASH UPEIVISIN6 f.•'1'W GINYYR 1. 0l 6 s2aR MAY 8 '2 A 1350 8 WORKERS COMPENSATION DECLARATION 63 tD,B, APPLICATION FOR ELECTRICAL PERMIT I hereby affirm 9m that I have a certificate of consent to self � OOC insure, or o certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or o c shed co/p�y tt�hereof ((�ec 3800 Lab C ) \ <' Policy 0 ( — CSmpo & C FOR APRKANT TO RLL IN JOB �- ^ � Certified ca is hereby furnished ADDRESS 'J PY Y f x New Residential Bldgs B Pools �� NO � Certified copy is fled with the county budding mspec 1 8 2 Family t s = $ LOCALITY " ^, (7G' Ali non de rtment / Multi family Sqcl Ft NEAREST CROSS ST Residential Swimming Pools OWNER OR Date 4 "antlie FIRM NAME CERTIFICATE F EXEMPTION FROM WORKE AIL \ _ COMPENSATION INSURANCE Outlets Rec_Light_Sw_ First 20 5�C 10 (This emit I nod not wn co d dolga If$1 work Inwlwd by Total No Additional CITY Me / o 7 the jwrmN Is for one hundred dollars({100)or bu) PAN CHECK I certify that in the performance of the work for which this APPLICANT 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 Total No Additional CITY Tel No Dote Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after making this Certificate of APPLICAM / 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 1 (S If- with comply with such provisions or this permit shall be Top _ FAU _WH _ deemed revoked Hood — Fon —Other_ CITY .r Tel No r LICENSED CONTRACTORS DECLARATION LICENSE OR 1 hereby affirm that I am licensed under provisions of Chapter 9 Dnp — Room Air Cored REG NUMBER C Class (commem,ng with Section 7000) of Division 3 of the BusinessDISTRICT NO PROCESSED BY Power Apparatus 8 Large Appliances > and Professions Code and my liven js in full force and effect 6 r r n Size 8 Ty P KW KVA w KVAR S /O O O / L V License Number LIE Class Size to I Incl FINAL - K Over 1 to 101nc1 DATE — — VALIDATION O Contractor Over 10 to 50 Incl FINAL V ❑ I am exempt under Sec Over 50 to 100 Inc BY sir d B 8P C for this reason Over 100 - Z Date Services Swbd MCC 8 Ponelboords , Q�/ 16 4 23 A 0 200 Amp Under 600 V ((pp Signature 201 1000 Amp Under 600V $ • • • • `2 ❑ Over 1000 Amp or Over 600 V �2 Q rJ Exemption far Reg Mamt Elect SINGLE FAMILY Temp Power Pole 8 Appurtenances _ • • 1 4,5 0 U HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I g r exempt from the 31Contractor'sBurin ss n d Additional Sign Branch Circuity 1028-83 Law for the following reason (Section 7031 5, Business and , Professions Code) _ ❑ I as owner of the property will do the work and the Misc Conduits 8 Conductors -' structure is not intended or offered far sale (Section Other (See Complete Fee Schedule)_ ► 7044 Business 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 PERMIT FEE (Sub-Total) - (Sec 3097, Civ C ) PLAN CHECKING FEE Lender s Name PERMIT ISSUING FEE _ Lenders Address I certify that I have read this application and state that the TOTAL FEE "(9 - above information is correct I agree to comply with all County ordinances and State jaws regulating Electrical wiring and - herebtYe orde representatives of this County to enter upon the ae ne ty for inepe on purposes "P � SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date / ION WORKERS have a certificate of cLAerit to 78-603 10y81 APPLICATION FOR ELECTRICAL PERMIT r I herebyaHum that I have a certiticete d consent to sell Insure CE-606G «a certificate of Workers Compensation Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY �I y t d(Sec 36o/Q2 Lab C) /[ Ydah.u/ 0 O«npary • /-� FOR APPLICANT TO FILL IN ADDRESS 0 NN. ❑ Garbled copy s her furnshe0 New Resdental Brigs &Pools EACH NO FEE 1 & 2-Farmy Sci Ft $ — E LOCALITY O ` department copy s bled with the county balglmg _ NEAREST depe3 "mgnt _ _ ResideMufti-fntial Sq Ft C•1 )��vs7Y Resdentsl Swimming Pods, CRGSS ST Data Applicant . OR F*W N •/ T FPoA NAME • ♦ V �L.. CERTIFICATE OF EXEMPTION FROM WORKERS ` ` MAA. d COMPENSATION INSURANCE Outlets Rbc—Lgnt —Sw — ADDRESS O r4 2 1v (This section need not be completed If the wok Imdved by the First 20 permit to f«one hundred dollars($100)or lees) Total No Additional CITY Tel No I certify that In the performance of the work for which this Wind PUN CHECK APPLIG111T b sewed shall not empty any person In any manner so as to becarnla 6ublact to the Workers Compensation Laws Lighting Futures First 20 ADDRESS • r Total No Additional GITY Tel No Date Applicant Fixed ApPliencee Not Over 1 HP NOTICE TO APPLICANT If alter making mm Certrlcete of =NT Euanplan you should become subbfect to the Workers Compensation Range_- Heater_ DW _ Pn:msio s of the Labor Code you must forthwith comply with such Oven _ Dryer _ W M _ ADDRESS prowsxxns or the permit shall he deemed revoked Tap — FAU _ WH _ LICENSED CONTRACTORS DECLARATtON r – CITY e / �r Tel I hereby affirm that I am licensed,under pfmyaera d Chapter 8 Hood _ Fen _ Other_ OR (commencing with Secton 7000)of Dwrson 3 d the Business and DsP ��Nr CArd REG NUMBER d ipau, C3 8 Professions Code, and my license s in lull force and effecct1'9 Ppwer Appanatus 8 Large Appliances DISTRICT NO ^ o PROLE By License Number�0 37.3.5 Ln Cs0 C Size E Type HP KW KVA,or KVAR U /� UP to 1 Ind FINALon ac«(p dNNO rL 3,Z,Z Over 1 to,10Incl DA — VA LO cfY Date Over 10 to 50 Incl Fl WO _❑ 1 am exempt under Sec Over 50 0 100 Inc a BBPC for this reason Over 100 N Date Services Swbd MCC d Panalboards # 9 2 w 0- 200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V '• ser 1000 Amp or Over 600 V , I • * 17.50 ❑ Frampton for Reg Malin Elect • • • 17.505 SINGLE FAMILY - Temp Power Pols 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Ca" Q 5 2 2"8 8 I hereby affirm that I am exempt from the Contractor a License Law Additional Sign Branch Gmata for the following reason(Section 7031 5,Business and Professions q Code) ❑ Msc Conduits&Conductors I as owner of the property will do the work end the structure OB1er(�Complete Fee Schedule Is not intended or Neared f« sale (Bacton 7044 Bushes ) and Professore Code) CONSTRUCTION LENDING AGENCY ` I hereby affirm that there Is a conatructicn lending agency for the Performance of the work for which the permit a ssned(Sec 3087 PERMIT FEE (Sub-Total) CRI C) PLAN CHECKING FEE Lenders Nemo PERMIT ISSUING FEE - - 770- Lenders Address O I oerlrty that 1 have mad the application and state that the above TOTAL FEE nf«maton Is correct I agree to comply with all County ordmeress , and State Tawe regulating Electrical wrong antl hereby au0lonze repmeentatives of this County to enter upon the above-mantored prop for I penton pury0 s � _ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature Of Permittee Date