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Home My Public Portal About4909-4911-4913 SERENO DR_Electrical__ r TEweec C¢#EGE1 E. APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE. COUNTY E..,.- -WILLIAM A JENSEN.SUP T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST cC /PERMIT FEES OWNER In g I T[ NUMB" EACH FEE MAIL OUTLETS / n S ADDRESS uoHTb R[C[P! 6W O`-' 10 CITY TEL NO LIGHTING FIXTURES 10 ELECTRICA CHARD SON ELECTRIC CO. , Inc. R[C RANOE6 CLO DRY[RII Broadway wwi6R H¢wr ERE DO ADDRESS REG SPACE MTRB DUIHWA6H[R¢ Sm [ CITY TEL NO GARewa[DIEPO¢[A➢ Auro STATE WASH[RD ETA COOKING UNITE E0 LICENHE NO MOTORS OVER INC HP DISIWCT Pf I=P I Z PR BY O— Ih 25 Q 'h— 2 DD INSPECTION RECORD //11 100 Ih, P-040 D— Is IDG �l(n— G ' V Is— DO 250 '— 0 H DO— 200 500 U NO TRAM¢ 16 SIGNS No LAM" a S Z SERVICE 0.600V 100 SERV VER 6OqV 500 `( MI i L'/ t'I!C WIRINGPERMIT f 00 doI FIXTURE PER 100 SUPPLEME ARY PERM ITDO Ol TAL FEE f 'j ��'� 1 H¢R EY ACKNOWL600. THAT 1 HAVE READ THIS APFLICATIOM ROVALS / DATE IN¢P[CfOR 5610HATUNE AND ATE THAT THE AEOV[ IE CORRECT AND AOR[t TO COYPLY CONDUIT WITH ALL COUNTY ORDIES NANCAND STATE LAWS REGULATING ELE ICAL WIRING WIRING "^`e I ER6EY DCZRTIFYEQU I AM PROPERLY R601¢T6R0D AND/OR L [NEED AD R[OUIR Y LOO ANO[ va NTY DRAT[ OF FIXTURES IPORNIA AT I AM THE LEGA R T ABOVE D le[D ID 1 PRO ERTT POWER S GNATURE UTILITY CO NOTIFIED O PERMITT FINAL �CgIIDATII ARTHUR N VETT ./fQJ /I Cmi, Mo CASH SUPERVISING ELECTRICAL ENGINEER /uv'Pa u �5 8 O 0 v DEC 6 2 D 4.6 0 n/ TeAae-.1L�[/[1 Cf�10 APPLICATION F ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE COUNTY ENGINEER WILLIAM A JENSEN SOP T OF BUILDING LOCALITY NEAREST FOR A O FIL CROSS ST 1 T K M NO EACH 1H6 oUT f;' (FIRST EO) $ S OWNER OUTLETS, OL Zia adw _ IexL U SW IID MAIL LIGHTS (ADD L UNITS) ADDPEe9 uaXn ICLar Ew O LIGHTING FIXTURES (FIRST 20) 20 CITY TEL NO LIGHTING FIXTURES. (ADOIIIONAL) 10 ELECTRICIAN RAHG CLO DRYEIH WTR MRS 100 ADDRESS 8923 I f.Broadwa OARS OISP STA COOK CITY Ran MAhrial TEL NO AL Dlellwww Avro wAEX STAiN IG vwa HTRI m Srw AR (yAXP MAi) Bp LICfiSfi NOMOTORS. ovNor ovER HP Z NE P E88ED BY O f f 00 Ll 1 a 1150 INSPECTION RECORD a e zoo d O 8 16 II 60 L1 OC is 60 300 r eO 100 500 W SIGNS, NO TRANS G' NO uYPY SERVICE O GOOV NOT OVER 200A 100 SERVICED SOOV OVER 200A 200 SERVICE OVER GOOV 500 MISC PERMIT ISSUING FEE 200 SUPPLEMENTABY PERMIT ISSUING FEE 100 TOTAL FEE It 1 HO Y ACKMOW=GK THAT 1 HAVE RUD THIS APPLICATION APPROVALS Owri IMRECrOR aGIG AMD STATE THAT THE ABOVE IS CORRCT AND AGRER TO COMPLY CONDUIT WITH wLL COOMY OI�INANC4 AND STATE LAWS KIIOGIATING ELECTRICAL WIRING WIRING 1 HERESY CQTIFY THAT 1 AM P"P%RLY RZO.S.— ANO/OR , I LICEMSEB AS REQUIRED ST LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT AM THE LEGAL OWNG OF THE ABOVE D,e Cm=O R MKMTI PR RTY POWER SIGNATURE UTILITY CO NOTIFIED OF PERMITTH FINAL �LI ARTHUR c VEST CK MOO CAS CABX SUPERVISING ELECTRICAL ENGINEER UTO 1258� FEB 2.1 2 0 5.00~ APPLICATIO FOR ELECTRIC PER IT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS Ayh JOHN A LAMBIE. COUNTY EM6INKGR WILLIAMA JENBEN SUPTOFBUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST P MMIT FM CROSS ST ITEM NUNSR EACH FEE OWNER OUTLE f f MAIL LIGHTS REcePT6'0 r7or— SW Ip ADDRESS LIGHTING FIXTURES 10 CITY TEL NO FI EQ RANGES CLO ow tAR WATER HATERS BO 89P3 'P- li'madWay ELM SPACE HTRS DISHWASHOIS TEL NO A1TO 178987 wAaxe BTA Coo RING UNITS 2E MOTORS OV�I INC. H P 0— 'A — Ya 2K Ye— 2 KDINSPECTION RECORD 2— D 100K— 1K 1SOie— e0 2a040—200 600NO TRANS SIGNS NO LAMPS /rte✓�9�( I!`-"�/ SERVICK C-000V 100 SERVICE OVKR GOOV Boo MISC / WIRING PERMIT 100 FIXTURE PERMIT 1 00 SUPPLKMENTARY PERMIT 80 TOTAL FEE ! 17 YI) IHEREGI ACI ZtEOOE THAT I NAVE READ THIS THIS luno. APPROVALS DATE INSPEOTOR S SIGNATURE ... STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 11TH ALL COUNTY OROINANOSS AND STATE "" REO "ming CONDUIT ELEGTNICAL WIRINO WIRING 1 HEREBY CEIRIFY 1 AY PROPNLY 1 OR LICENSED AS REOUIRK0 LOS ANGELES OF FIXTURES CALIFORNIA T AY iTMN[[ 1.[ ABOVE DESCRIBED D PROFttITY POWER t~ SIGNATURK UTILITYCO NOTIFIKD OP PKRM I INAL ®. X RTHURc VIr 1&0 CASH RGTRICAL EWGINNXR DL08401 -� Jm12 2 D 7.90 A WORKER I haveCOMPENSATION DECLARATION 76AM DPW(12 B„ APPLICATION FOR ELECTRICAL PERMIT I hereby affirm ilial I have a certificate of consent to self insure �� 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(Sec 3800 Lab C)1 - i, Policy No Company - APPMCANT TO RLL IN C Certified copy a hereby furnished New Residenbal Bldpa &Poole NO EACH FEE ADDRESSLOCALITY ❑ Cerbhed copy a filed with the county building inspectan 1 8 2 Family S7 Ft $ $ 15 department Mum family Sq Ft — NF�vREST ,. � . CROSS BT Dale Applicant - Residenuaf Swimmurg Poole ASSESSOR MAP BOOK PAGE PM CERTIFICATE OF EKEMPTION FROM WORKERS Outlay Rec Light—1—Sw /F a / =M LOR COMPENSATION INSURANCE 4 (This section need not be completed It the work Involved by the Total No Additional Fermin MAIL A mREss permit ts for one a p.erf r dollars ncii' f the or less) I certify that in ilia perlormanceTot the work for which this permit CITY TM is issued I shell not employ any person In any-manner s0 as t0 PUN ECK become sublect to the Workers,,Compensabon Laws Liphbng Fixtures First 20 APP ANT Total 140 Additional ADDRESS Data ' Applicant RESIDENTIAL.APPLIANCES NOT OVER 3 HP NOTICE TO,,AP PLICANT 11 alter making this CerUlrcte aof CIN Tel No Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP Previsions of the Labor Code you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP KW KVA or KVAR ADDRESS I hereby affirm that I em licensed under provisions`ot Chapter 9 Over 3 b 101nc1 (commencing with Section 7000) of Division 3 of the Business and CITY TU No Professions Code and my license is in full force and effect Over 10 to 50 Ind } Over 50 to t001nc1 UCENSE OR MG NUMBER C� Il Lrcense Number LIC Claes Over IDD DISTRICT 110 BY 0 • i Services Swbd MCC&Panelboards •�O Q Convector Date 0 399 Amp Under 800 V FINAL ❑ I ern exempt under Sec 100 1000 Amp Under 800 V VALIDATION W Over 1000 Amp or Over 000 V FINAL / LU B&P C for this reason BRANCH CIRCUIT FEES BY Daze 15A or 20A 120V Lighting or Recapt _ _ z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circum - ❑ - _ 41 Or More Braili Circum Exemption for Rep chant Elect 15A 20A 208V To 27N Br Ceoim SINGLE FAMILY arioes _ _ HOME OWNER BUILDER DECLARATION Tamp Power Pole&Appurten Sign with One Branch Circuit 3303 - 44.4!1 I hereby affirfollowing that I on exempt 1rom703 the ContrBusiness a s License Lew for the lollowinp reason (Section 7031 5 Business and Professions Additional Sign Branch Cucuta _-----i-ITC-Tb Code) ' r_1 --TOTAL--- ttr�r _ art I I as owner of the properly will do the work and the structure Msec Conduits&Conductoro is not intended or offered for sale(Section 7044 Business, Other(See Complete Fee Schedule) , ----,,uu}{.�EL�r_'�rr'1rr X41 j and Professions Code) t HANI [. .Ali 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 3097 PERMIT FEE (Sub Total) Civ C) % _ [J IJnW-131Q1 4Y2' YY PLAN CHECKING FEE _ 4960 1 til; 5:1! Lender s Name , - - - _.,_ _ _ _ PERMIT ISSUING FEE Larder a Address I cerbly that I have read this application and under penalty of purpiry slate TOTAL FEE V. .41D that the above information is correct I agree to comply with all County ordinanceeand Stmelaweregulabng Eleclrrcalwmng andherebyeuthonze repress atives of this County to enter upon the above mentioned property Ioryellpenji3n purposes SEE REVERSE FOR EXPLANATORY LANGUAGE TORE F PERMRTEE1 . DAM