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Home My Public Portal About4941 SERENO DR_Electrical__ Tewees-ceeae t2-65 c, r e APPLICATION FOR ELECTRICAL PERMIT L1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS ✓ eqv Dl - c A LAMBIE COUNTY ENGINEER COLEMAN JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST APPLICANT TO FILL IN I CROSS ST RECEPT lI TOTALCH LIGHTI- .? l OUTLETS I FIRST 20 NO S 20 S �ROO MWNER AIL SWITCH Jr /S ADD L ADDRESS o I' OVER 20 t0 TOTAL pIRBT 20 20 La CITY C. TEL NO 11 LIGHTING FIXTURES FI XTUREH JF OVER io 10 CONTRACTOR n H t RANG" DRYERS WTR WAS 100 ADDRESS GARS DISP STA COOK CITY — — 8L NO DISXWASX AUTO WASH - STATE SPAC[NTM STA ATL , SO LICENSE NO MOTORS ovER NOT OVER HP I pISICT GROUP ZONE ESSED BY o 7 100 1 a 160 INSPECTION RECORD O la a 200 1 I V e — 16 a so O0 O is — so 300 Ip �i SO 100 boo 1 a Z SIGNS No TRANS NO LwYFS SERVICE O 6GOV NOT wER 200A 100 QQ SERVICE O SOOV OVER 200 A 200 SERVICE OVER 600V goo OTHER ISEG COMPLETE FEE SCHEDULEI i PERMIT ISSUING FEE a DO L SUPPLEMENTARY PERMIT ISSUING PEE 1 00mu INSPECTOR Slaximm !TOTAL FEE _ I MERLIN ACKNOWLEDGE THAT I HAVE READ THIS APPLI TIOORKAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLUITWITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINELECTRICAL WIRING 1XLRESYCERTIFY THAT 1 AM PROPERLY REGISTERED AND/OLICENSED AS REQUIRED 6Y LOS ANGELES COUNTY AND STATE OCALIFORNIA OR THAT IAMTHE LEGAL OWNER OF AND INTEND TRESIDEINTHEABOVE DESCRIBED RESIOENTIAL PR ERTSIGNATURE TIPIED 1F OP PERMITTEE FAL �LIDATION JOSEPH C ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER _- Lto g 9.21 tg MV 21 2 D 7.10- 9 TyAeeS.0€eD3 3-69 APPLICATION FOR ELECTRICA PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS • o JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST MO EACH /[[ 3 $ OWNER FREIPT� MAIL T�_ TOTAL FIRST 20 2p AGGRESS / p tCITY TEL NOCH OVER 20 10 PLAN C ECK TING T 'TTAL FIRST 20 2pAPPLICANT URES } 'tI OVER 20 10 AGGRESS RANGE DRYER WTR KTR CITY TEL NO STA COOK_DISP _F A U CONTRACTOR (.p/f./Y SPACE HTR —AIR CONO ADDRESS CLOTHES WASH _DISHWASH CITY TEL NO FAN_OTHER 1 00 LICENSE NO CLASS MOTORS TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION IND HEATERS ETC HP KW KVA AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY SIZE d TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 0 — 1 1 DD 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED Mp/oR �ICEN$ED AS REQUIRED BV LOS ANGELES COUNTY AND STATEO/ I — 10 3 OO CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO OL RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY O 10 — 50 5 00 L) SIGNATURE CE 50 — 100 10.00 OF PERMITTEE 10I— 100 — S00 1500 o13TR o GRo xon o e Y V X� w SIGN,GAS SIGN AND ONE CIRCUIT 3 00 Dv / TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1 Qp NOTES _ SERV ICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 001 AA TEMP SERVICE POLE, 6 APPURTENANCES 3 00 APPROVALS DATE nnECTaRs SIGNATURE TEMP POWER POLE R UNDERSLAB WORK RR rRHNDUIT WIRING PERMIT FEE (SUB TOTAL) UTHORIZEDPLAN CHECKFEE (50% PERMIT FEE)PERMIT ISSUING FEE 2 00 CO NOTIFIEDSUPPLEMENTARY PERMIT ISSUING FEE 1 00 B TOTAL FEE JOSEPH C RODMAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M 9 Ar,54147 Q 6,fEULT ALIg ADT ION 6K Al 0 v ueH . 14_ -- .7• 1 Se[ ewcK or APPLICATION FOR COMPLETE /[E SCHEDULE WORKERS COMPENSATION DECLARATION 10i91 APPLICATION FOR ELECTRICAL PERMIT I hereby offum that I have o certificate of consent to self CE 006G insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lab C ) Policy No Company FOR APPLICANT TO FILL IN❑ JOB EACH NO IEE ADDRESS Certified copy is hereby furnished New Residential Bldgs B Pools I$ s LLOCALITYCeruhed copy is filed with the county balding mapec 1 8 2 Family Sq Ft = NEAREST non deportment Multi family Sq Ft - CROSS ST ,I;W ! ' Residential Swimming Pools I I OWNER OR Dote Apphaont FORM LANAE CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec_Llght13__Sw MAIL ADDRESS' DDRESS COMPENSATION INSURANCE First 20 c,,^ (This section need riot be completed If Me work Imrolved by Total No Additional CITY e e Tel No 1837 b the parmit Is for one hundred dollars($100)or less) RAN CHEQ I certify that in the performance of ?he work far which this APRICANT permit is issued I shall not employ any person in any manner so as to become subject a the Workeri Compensation Lo s Lighting Fixtures First 20 ADDRESS Total No Additional Cin. I No Dote�� ApplicoM Fixed Appliances Not Over 1 HPPERM NOTICE TO APPLICANT If after making this Cerlific a of APPLICIT you should become sublect 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 _WH _ CRY Tel No deemed revoked Hood _ Fan _Other_ LICENSED CONTRACTORS DECLARATION LICENSE OR Close I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond REG NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO PROLE Y d and Professions Code and my license is in full force and effect 5 Q8 8 Size 8'Type HP KW KVA or KVAR License Number Uc Class Up to 1 Ind FINAL yJ� a Over I to 10 Ind DATE C/ VALID ON Contractor Date Over 10 to 50 Incl ❑ FIN a I am exempt under Sec Over 50 to 100 Inc BY Ln B BP C for this reason Over 100 ? pate Services Swbd MCC 8 Ponelboords / ► 0 0 -200 Amp Under 600 V Signoture 201 - 1000 Amp Under 600 V ❑ Exemption fOver 1000 Amp or Over 600 V , , or Reg Maint Elect ;14451A SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit # 0'04002 1 hereby affirm that I am exempt from the Contractor s License Additional Sign Branch Circuits Law for the following reason (Section 7031 5 Business and ) e • 2LOO kPr�ofI ions Code) CJ I as owner of the properly, will do the work and the Other Conduits 8 C to Fee c • e • 21.005 pr ed or Other Sea Complete Fee Schedule ► structure a not intended or offered for sole (Section ( P >— 06 16+86 704" 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 Nome PERMIT ISSUING FEE Lender s Address I certify that I have read this application and state that the TOTAL FEE above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring and hereby avihorize representatives of this County to enter upon the be mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Sig tura of Pernirlifee Date WORKERS have a ceSATIONDEC consent o 76A6e3 ,D,B, APPLICATION FOR ELECTRICAL PERMIT I hereby et1um that I have a certificate of consent to self aware �BoeO �J or a cart211te of Vgrmem Canpensabon Insurance or a carried COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec 3800 Lab C) ' Policy No Company FOR APPLICANT TO RLL IN Certified copy is hereby furnishedEACH NO FEE ADDRESS New Residential Bldgs 8 Pods Certified copy s filed Wath the county budding nspadlon 1 8 2-Family SO Ft $ — $ LOCALITY department Multi-family So Ft — NEAREST CROSS ST aill A C: Resdentel Swimming Pooh OWNER OR Date Applicant RRM NAME V�, CERTIFICATE OF EXEMPTION FROM WORKERS Cutlets Recst Lght a S. a_ Mill.COMPENSATION INSURANCE Q ADDRESS (This section need not be completed H the work involved by the First 20 permit Is for one hundred ddlary(5700 s9 1 Total No Adddcnsl CITY Tel No I carbfy that in the performance of worm for nit this permd M is *sued I shall notempty ery arty nor so as to become wbled to the Workers t Lighting Futures First 20 ADDRESS Date I I Apphrxm Total No Atlditwrl8l v l A CRY - Tel No NOTICE LIC If a r makl Certificate d Fixed Appliances Not Over 1 HP WRT PE Exemptw you should becane sub to the rkers Compensation Range_ Heater_ DW _ APPLICANT provisions of the Labor Code you compty with such Oven _ Dryer _ W M _ ADDRESS provisions or this permit shall be deemed revoked Top _ FAU _ WH LICENSED CONTRACTORS DECLARATION Hood — Fen Other— CRY .CZ Tel No�S 1 hereby affirm that I am licensed under provrapna of Chapter 9 Diyp _ Room Air Cord LICENSE OR _ Clam (Comm (Commencing With Section 7000) of Division 3 of,the Business and REG NIAABER Professions Code and my license is In full force and effect wer DISTRICT NO D BY PoApparatus 8 Large Appliances Size 8 Type HP KW KVA or KVAR , p License Number Lac Class Up to 1 Ind FINAL o Contractor Date Over-1 to 10 Ind DATE - 1 -1 VALIDATION ❑ Over 10 to 50 Incl FINAL l (/ Q I am exempt under Sec Over 50 to 100 Inc BY a BSPC far this reason Over 100 YA Date Services MCC d 600 V Pads r 200 Z 0- 200 Amp Under 800 V Sgnature 201 - 1000 Amp tinder 800 V r Esempnon for Reg Mart Elect Over 1000 Amp or Over 600 V SINGLE FAMILY Temp Power Pole 8 Appurtenances ;r HOME OWNER BUILDER DECLARATION Sign With Ore Bench Circuit hereby affirm that I am exempt from the Contractor a License Lew j a for the following reason(Section 7031 5 Business and Professions Additional Sign Branch Circuits Al-I.Tr Code) 307 X2.70 I as Avner d the property Wall do the work and the structure 'Misc Canduis 8 Conductors 1 ITEMS Other(See Complete Fee Schedule) _ and Prole�p�na offered f« sale (sec can 7044 e 9 Daae TOTAL 42. 70 CONSTRUCTION LENDING AGENCY (HECK 42.70 1 hereby affirm that there is a construction lending agency for the ��LLlIuA�rI�� performance of the work for which the permit a issued(Sec 3097 PERMIT FEE (Sub-Total) 1.T1nITVG .ai Cry C) ips PLAN CHECKING FEE Lenders Name 0000-0001 2/11/91 PERMIT ISSUING FEE _ Lenders Address 557 1 Ali 9:0 1 certify that I have mad the application and state that the above TOTAL FEE nforma a c I agree to campy with all County ordinances ces ?E!5K ismrrrggq end hereby authorizeer-� Me shwa-mentioned►V\ ' 2I ( - SEE REVERSE FOR EXPLANATORY LANGUAGE Sigrifure of Permit Date WORNCOMPENSATION DECLARATION ;DPW af� APPLICATION FOR ELECTRICAL PERMIT I Aereby affirm thattIhave have a certificate of consent to sell mauve, or a cen18cete of Worker a Compensation Insurance or a certifled COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C) Polwy No —Company FOR APPLK:AW TO RLL N- - X66L49L4 t ❑ Canted copy a hereby fummhed, New Resldemlel Bldgs 6 Poole EACH NO FEE LOCALJI'Y ❑ 182 Faimy,Sq Ft department copy Is Bled with the spumy Mnldhig Inspection s — NEAREST department '. Muth lemly 9q FI — 1 CROSS ST Q+ Residential SwlmmkV P ^ - AggEggpR y Dale APPIIfAnI ' I �.{ ``�♦ ♦ MAP BDOK O PAGE PIALEL 3 c• CERTIFICATE OF EXEMPTION FROM WORKERS' i_ Outlets Ree LL Llghl Sw 1 y 1 FIRM NAME OR COMPENSATION INSURANCE (This potion need not be completed U the work Involved by the �,(/�{F�io MAa permit Is for one hundred dollen(1100)or bp) _ Tolel No `T dddwnel ADOREBB I sanity that In the DeAorman*e,.so.n or whl h this permit aTL' Td No Is Issued shell not employ y e or ep as to I , become subject to the Workersn Loft Fixtures Firm 20 PLAN CHECK _ APPLICHE //�� 4�1�Q�� Total No Addf uonej ADDRESS Dee�G_1/�_Appl �� _NOTICE TOO�•APPLLTTCANT IIg thl C llf celeof - 16 qi 20ru 120V BRANCH CIILg1fB CfTY TSI No Exemption you should becomeWorkers'Campansetion 1 TO 10 INCLUSIVE EACH provielom of the Labor Coda hwdh,win ly with such it T040INCLUSIVE EACH APPLICANT provielorts or this permit shall be,deemed revoked 41 OR MORE BRANCH CIRCUITS EACH LICENSED CONTRACTORS DECLARATN - ADDRESS >_IO I hereby affirm that I em licensed under provisions o1 Chapter 8 15 OR 20A 208V TO 27TV LIGHTING EACH 0 (commencing with Section 7000) of Division 3 of the Business and _ _ _ CITY Ta No 0 Professions Code and my license is in full force and effect RESIDENTIAL aAPPLIANCESCUP TO 3HP �1 R ir Powir Apparatus MBER Licenme Number Llc Clan Sue 6 Type HP KVI KVA cr KVAR DISTRICT NO BY F_ UP to 3lnd _ _ _ I)v LU Contractor Over 3 m 10 Incl Flt A !/J _10 to 50 Incl _ _ �L�} U) ❑ I am exempt under Sec Date Over 50 to 100 hal �� `L 'l ALIDATION Z B 8P C fa this reason _ - - Over 100 _ - BY BY Seryces Swbd MCC a Perelboards ' Data 0 200 Amp Under 800 V Signed" 201 1000 Amp Under BOO V - - ❑ Exenpbn for Reg Maim Elect Over 1000 Amp or Over BDO V SINGLE FAMILY Temp Power Pole a Appurtenances r 'HOME OWNER BUILDER DECLARATION Sign wne ith OBranchlrou Cn i lrtI t-�•'P I hereby affirm that I am exempt from the Contractor a License Lew ' for the following reason(Section 7031 6 Business and Professions Adddlorel Sign Branch Clrade . _ ? 117 67.25 Code) ❑ I as owner of the property will do the work and the structure Mite Conduits 8 Conductors Is not Intended or offered for sale (Section 7044 Business Other(Sea Complete Fee Schedule) , I Nk 67 - 25 and Professions Code) i - - - - NECK 6-7.25 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the MIM_ .1-11) performance of the work for which this permit is Issued (Sec 3087 PERMIT FEE _ (Sub-Total) Civ C) PLAN CHECKING FEE 10Hl-t�i_'U1 ref�n•,'7� Lenders Nemo , PERMIT ISSUING FEE p� 40 i;,, T An 9.47 Lenders Address I certify that I have reed this application and state that the above TOTAL FEE Information le correct I agree to comply with all County ordinances Anda ewe re a ng Electrical wiring end hereby authorize nlal a this C my to enter upon the above mentio edy for I pectloo ee I SEE REVERSE FOR EXPLANATORY LANGUAGE O NR1 N MTs / WORKERS CI have COMPENSATIONDECLARATION of corse 7&-03 DAY3�8J APPLICATION FOR ELECTRICAL PERMIT O I Ifbreby affirm that I have a certificate of consent to self �a� + insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS cr a certified copy thereof(Sec 3800 Lab C ) 11 - Policy No Company FOR APPI.KIINT TO FILL IN JOB EJ Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADD ❑Certified copy is fded-wnh the county budding inspec- 1 8 2 Family, Sq Ft $ — $ LOCALITY hon department' Multi-family Sq Ft — NR's CROSS STResidential Swimming Pools OWNER OR C Date Applicant FIRM tJPJAE CERTIFICATE OF EXEMPTION FROM WORKERSOutlets Rec LLight S� w 3 O a2 G MAIL COMPENSATION INSURANCE _ ! ADDRESS first 20 (This section need not be completed If the work Involved by Total No Additional CITY Tel No the permit Is for one hundred dollars(1111 OD)or lass ) A I certify that in the performance of the work for which this APPLICANT CHECK 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 0 �' ADDRESS Additional Total No � CIN Tel No Date—Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after making this Certificate of APPLICATION 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 Dup _ Room Air Cond _ Clea LICENSE hereby affirm that 1 am licensed under provisons of Chapter 9 REG NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO SSED BY Y and Professions Code,and my license is in full force and effect + d Size 8 Type HP, KW, KVA, or KVAR . O License Number Lic Class Up to 1 Incl FINAL U Over 1 to 10 Incl DATE •Z7- L VALIDATION Cr Contractor Dote Over 10 to 50 Incl ❑ FINAL ~ am exempt under Sec Over 50 to 100 Inc BY1 LU U B 8P C for this reason Over 100 d In Dote Services, Swbd , MCC 8 Panelboards Z 0-200 Amp Under 600 V , Signature 201 - 1000 Amp Under 600 V + ❑ Over 1000 Amp or Over 600 V Exemption for Reg Mainz Elect r SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Temp Power Pole 8 Appurtenances -i - ' hereby affirm that I am exempt from the Contractor's License with One Branch Circuitee - y Low for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits Alt,ucture ions Code) Mac Conduits B Conductors �'tlt 4i'+ as owner of the property, will f o the work and the r-.r m not intended or offered form (Section 7044 Other (See Complete Fee Schedule)_ 1 11D`11- Business r I_ Business and Professions Code) , �IJ7t Y ` Ct CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for i- -' cc',t,51 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 I Il_Iltl-1 a PERMIT ISSUING FEE Lender's Address - I certify that I have read this application and state that the TOTAL FEE '+'0 1 Gfrt C 1� above information is correct 1 agree to comply with all County ordin rices and State laws regulating Electrical wiring, and In y n ew�e resantabves of this County to enter upon _ Love-m �r(on roperty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 2 no re of Per its a to - 4