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HomeMy Public PortalAbout5516 SARA MAR LN_Electrical__ DAB 5A1155 APPLICATION FOR ELECTRIC PERMIT 1 DIVISION OF BUU DING AND SAFETY DSpmmtent of county Rogiu YT [MAIL UILDING �'pyy�� oDRESB 16 Sara Mar Lane JOHNA LAN16IE.CCo�N eNGINCHR Temple City, Calif* CASSATT D GRIFFIN BDP•T OF BUILDINO LOCALITY FOR APPLICANT TO FILL,IN EAREST PERWr FM u sr NUMBER WNER LIGHT OUTLETS RECEPTACLES -ADDRESSI 1 C4 WALL SWITCHES FEE CITYL NO TOTAL OUTLETS a 5 ELECTRICIApNG. E. CORBIN ELEC . CO. ELEC RANGES 25 ADDRESS 1800 SO, Curtis_ Ave. ELEC HEATERS 25 0 cm Alhambra, Cali . TEL No tz3 HW EA STATE ],�3 1 FIXTURES 5 LICENSE NO 44 MOTORS DISTRICT NO GROUP ONE RUDT PDR IUPRCTIDM NUMB" HORSEPOWER FEE I +l NRW MVO HP OVG INC EACH .Y !7' A LGS 23 INSPECTION R=RD 2 50 2 5 100 5 15 1 50 15 50 250 50 200 5 00 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING 111100 0 FIXTURES $1 00 SUPPLEMENTARY 50 APPROVALS TOTAL FEE • 65 DATE INSPECTOR 5 SIGNATURE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY CONDUIT / WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING 1 HEREBY CERTIFY THAT I AM PROP AND/OR FIXTURES LICENSED AS REQUIRED BY LOS AN COON D'STATE OF CALIFORNIA OR THAT 1 AM TUM WHEN JHE ABOYE POWER DESCRIBED RESIDENTIAL PEOPASK UTILITY CO NOTIFIED, SIGNATURE S OF PERMITTEE IN FINAL V JOHN A.LAMBIE.Coutm G1NUM MMA77ON ARTHUR C.VErr.cH1EF ELECT. INSPEOTOR CK MO CAR" M8474L Ry 23 2 7.65 n m 009 DA It EB APPLICATION FOR ELECTRIC PERMIT 1 DIVISION OF BUILDING AND SAFETY Dppothawl at C.O®17 mgh1di FADDRESS DING o! Lor ARgld" 6 Sara Mar Lane JOHN A LA SIE• COUNTY ENGINEER Temple City CAGSATT D GRIFFIN purr or SuI1.O1No ALITY FOR APPLICANT TO FILL IN RPERM FEES STNER LIGHT OUTLETS MAIL RECEPTACLES ADDRESS WALL SWITCHES FH6 CIN TEL NO TOTAL OUTLETS S 0 ELECTRICIApNG: E. CORBIN ELEC. CO.- ELEC RANGES 25 ADDRESS 1800 SO. Curtis Ave. eLEc HEATERS zp em Alam hhra Calif. TEL NO(;UJ ICW EA 1132 C STATS FIXTURES p LICENSE NO 10 MOTORS DISTRICT NO I GR U I ZONE I [BAPT Fo[1[[rimm � nurb[R HORSEPOWER FEE NBW MVD HP OV911 INC [ACE e L[sR t zp INSPECTION AECOBD 2 so Y p f 00 0 1p 1 50 IS QO 250 SO 200 p 00 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING 100 FIXTURES floo 1 BUPPLHM ENTARY .Sol I ifi�irMOVAM TOTAL FEE I Is 11 1 DATE INSPECTOR S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING IICHEREBY CERTIFY THAT 1 AM PROPER STERED R R FIXTURES LENSED AS REQUIRED BY LOS ANG AND A OF CALIFORNIA OR THAT I AM TH F TRH OVE POWER _ DESCRIBED RESIDENTIAL PR SIGNATURE UTILTTYCO NOTTFI® OF PERM ITTIKE FINAL J4S JOHN A.LAMBIE.COUNTY ENGIN ATION ARTHUR ET VT.cmar . mwmaTGR ro wx L&8 6 4 6E, HAY 2 8 2 1 .1 D in m r • - - -- - -- - - C-IT of -'T�rt<<� --ci r� - 76P663(F-B06 Ili/7B) � • -r -'---- __APIO CATION_ F_ OR_E_LECTRI_CAL PERMIT_ _ COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB / EACH NO- -"FEE - ADDRESS SS b--_ E-- .LM - — Nevv Residential Bldgs &Pools-- LOCALITY 1 &2 Family Sq Ft $ 025 - b (-(� (`',� Multi family_q Ft- 02 - - NEAREST T Uj Residential Swimming Pools - 2500 WNER OR- FIRM NAME (� Outlets Rec_Light_Sw _ _ _ __ _ _ MAIL First 20 50 ADDRESS ' Mqk .-Total No - Additional 30 CITY--Fr-MRLC•- e1 -Tel,No 2k6-) S - -,- PLAN CHECK - APPLICANT___ Lighting Fixtures First 20 50 ADDRESS. Total No y CITY Tel No r� Fixed Apphances Not Over 1 HP - - - - APPLICANT 1-IC-F C -_ - .�rR llc./ca- -J Range_Heater_D W _ ADDRESS Oven -_WM=.,' ._ _ IO o (3 •z'Ic/L ' Top` _FAU —W H _ _ CITY ` a -Tel No - Hood_Fan _Other_ + LICENSE OR /� p `J Drsp _RamaAv Cond _ 250 - _ REG NUMBER 'd C Class I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA ' Power Apparatus E Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO _ Size 8 i COMPLY-WITH ALL-COUNTY'ORDINANCES AND-STATE-LAWS16 ype HP KW KVA'or KVAR 2 50 REGULATING ELECTRICAL WIRING O -Up to 1_Ind -I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED'AND7OR --(J Over 1 to 10 Ind 5 00 1LICENSED AS REQUIRED BY LOS A LES COUNTY OSTA d Over-10 to 501ncl- 12 50 _ _ CALIFORNIA OR THAT I_A L WE O2500 DESCRIBEDRESIDENTIAL PERiV Over 5010 100 Inc Over 100•^ -4000-ServicesDISTRICT NO " ' PROCESS B`0 200Amp Under600V 1250201 ,1000 Amp Under 600 V - 2500 --- Over 1000 Amp or Over 600 V 5000 = '+' 2 Temp Power Poled Appurtenances - 1000- Sign 000-Sign with One Branch Circuit 10 00 4t Additional Sign Branch Circuits, ' 2 DO INSPECTION _ Misc Conduits d Conductors .r _ 1000 INFORMATION _� r Other(See Complete Fee Schedule)_ ON SIDE i83Q5A # . . . . . 2 I 1 PERMIT FEE + Isud Total) - 2,• • • 9 5 0 1 PLAN CHECKING FEE (One Fourth'Permit Feel _ _ -,- 9505 t PERMIT ISSUING FEE _ _ 157 I Z 1 9-7 9 - TOTAL FEE 5 > INSPECTION FINALED date /1 94sBY ' d(J ms JI�R'SaSATN DECLARATION 7�0°naB3APPLICATION FOR ELECTRICAL PERMIT 20-[1019 DPW B/® I hereby affirm that I haveve a a certificate of consent to eels Insure e or a certificate of Worker a Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV ' copy thereof(See 3800 Lab C) _ U I I - - Policy No Company FOR APPLICAM TO RLL III- -Joe 57 , ❑ Certified copy is hereby furnished I New Residential Bldgs 8 Poole EACH NO FEE CA�ECertified copy Is filed with the county budding impaction 1 8 2-Family Sq Ft $ — 6 �LE�O,AV7 M 1 El , depenmem Mulb family Sq Ft CRpgyT W DQE) lUL ST' _ ST Date VApplicant Rixdentlal Swimming Pods ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORI�RS Outlets Rec Ught Sw _ O 20MER OR COMPENSATION INSURANCE - (This section need not be completed N the work Involved by the FirstMAIL permit Is for one hundred dollars(111100)or lase) Total No Additional I certify that in the performance of the work for which this permit CITY TO Ne is Issued I shell not 9rtiploy any person in any manner so as to I + . r CHECK become subject to the Workers Compensation Le" Lighting Fixtures Find 20 AP TOIBI No Additional %3Date Applicant -+ ADDRESS NOTICE TO APPLICANT If after making this Certificate of = 15 OR 264 120V BRANCH CIRCUITS - - Cmr{ Tat W��- Exemption you should become wbPict to the Workers Compensation 1 TO 10 INCLUSIVE EACH prowsmne of the Labor Code you must forthwith comply with such 11 TO 40 INCLUSIVE EACH - PERKIF provisions or this pennrt shell be deemed revoked 41 OR MORE BRANCH CIRCUITS EACH APPLICANT LICENSED CONTRACTORS DECLARATION - ADDRESS } I hereby affirm that I'am licensed under provisions of Chapter B 15 OR 20A 200V TO 27TV UGFTING EACH d (commencing with Section 7000) of Division 3 of the Business and _ _ CITY Tel W _ _ 0 Professions Code and my license Is In full force and effect RESIDENTIAL APPLIANCES UP TO 3HP LICEl'im OR Cleve ([ PMW Apparatus&Large Appliances - _ _ REO NUMBER O License Number Lx Claes Sae&Type HP KW KVA or KVAR OISTAICT NO PROCESSED/BY Up to 31ric1 '- S. O ♦m UJ a Con�� Date Over 3 d 10 Ind M y El Over 10 to 50 Incl Z 1 am exempt under Sec Over 50 to 100 Incl 'L VALIDAnoN S&P C for it"reason Over 100 BY Af C T e s • Services Swbd MCC&Penemoerde .I _ Da1a 0-200 Amp Under 600 V SP_A --1w T. 00 Signature 201 1000 Amp Under 600 V ❑ 7 Over 1000 Amp or Over 600 V - -. I�ITAL 59 a cc Exempiron for Reg Mamt Elect 'SINGLE FAMILY 7 CHItr. ri'K HOME OWNER BUILDER DECLARATION Temp Power Pob&Appunenencee_ I hereby affirm that I em exempt from the Contractors License Lew Sign with One Branch Cecilll (HA4GE ,t.11 _ for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits Code) raI as owner of the property will do the work and the structure Misc Conduits&Conductors - -[t r_I-i 1+�1 f C1/,t9:9,_ is not Intended or offered for sale(Section 7044, Business Other(See Complete Fee Schetlule) . T and Professions Code) - - - --- - IQ�i 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 3087 .PERMIT FEE - - - (Sub-Total). 39 r 80 Civ C) PLAN CHECKING FEE Lenders Name PERMIT ISSUING FEE . Lender a Address TOTAL FEE I certify that I have read this application and state that the above Information ra tort I agree to comply with all County ordinances end a few r let ctricel wiring and hereby authorize is e t o1 Ie unt to enter upon the above mentioned pr e 1 in on rp a SEE REVERSE FOR EXPLANATORY LANGUAGE ' 5^ \�-Oi�L I I �Tl`b�owmilT DATE