Loading...
HomeMy Public PortalAbout5029 SERENO DR_Electrical__ 76A863CES06 8.62 APPLICATION FOR ECT RIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING `D x BUILDING AND SAFETY DIVISION AODRESf .! JOHN A LAMBIE. COUNTY ENGINEER WILLIAM A JENSEN Our T or BuILDwD LOCALITY NEAREST 1 O FI N cRo9e ST R[CEPT I TOTAL NO EACH m: 1 OUTLETS FIRST 20f 20 f OWNERgd—A LIGHT MAIL ADD'L ADDRESS SWITCH ' OVER 20 10 / TOTAL CITY TEL NO L� ad LIGHTING � F1RaT 20 � 20 FIXTURES ADD'L 10 ELECTRICIAN .0!/l.. ov R 20 RANGES CLO DRYOIS WTI, MRS 100 ADDRESS S 3 G OAIO DIY STA COOK a. / CITY TEL NO �Y DIWWACI AUTO WASH STATE / WAC[MRS STA AFP (WHIP MAIC 1 SO LICENSE NO MOTORS' OVER Nor oY[I, HrCT G ZO P ESSED Y O 1 100 L I — a 150INSPECTION RECORD s — e 2O e — to 280 15 60 300 d so — loo Goo OV SIGNS' No TRANS OL NO LAID[ �0 SERVICE O 600V NOT OVQ 200A loaf {Tj IL SERVICE O SOOV OVER 200 A 200 2 SERVICE OVER o00V 500 MISC PERMIT ISSUING FEE 200 �.. SUPPLEMENTARY PERMIT ISSUING FEE 100 TOTAL FEE • 0 I N:RI[r AOLNOWL[DD[ THAT I HAVE READ TNIS APPLIGTHINAPPROVALG IN R naris AND "AM THAT TH[ ABOVE 19 CORR:CT AND AORXK TO CONPLY CONDUIT wRH Au rnuNrr ORDIH KS ARD STATE "W[ REGULATINo [L[QTBICAL WIRIMo WIRING 1 HO101' CERTIA' THAT I AN rROKRLY R[OIST[R[D ANDIOI, LICCI[m AN RWUMMD BY LO[ ANO[W COUNTY AND STAT[ OF PI)rTUREe CALIFORNIA OR THAT 1 AM TH[ LEGAL O"M OF THE ABOVE DEIO IQBIDIXT rROP[RTY POWER SIGNATURE �C UTILITY CO NOTIFIED OF PERM ITTE FINAL �LI ARTHUR C VETT MOO CAS CAEN SUPERVISING ELECTRICAL ENGINEER j 0 9 4 212 OCT 2 2 D 3,60- 9 101" ✓ I7eA663✓CEE0e 'J-E2 APPLICATION FOeELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER SU I LOING BUILDING AND SAFETY DIVISION ADDRESS - SEiP w,, JD JOHN A LAMBIE. COUNTY ENGINEERWILLIAM A JENSEN, SUP T OF BU ILD INo LOCALITYRESTI IN CRoss ST /Y/�.RECEPT I TOTAL Xo GCM ![[OUT ETS FIRST 20 s2Os OWNER /¢ /YILIGNT MAIL ADDRESS e/ D S� R IDWITCH OVER 20 10TOTAL CITY - L T2L NLIGHTING P1Rer 20 � 20FIXTURES A00'L 10 ELECTRICIAN OY RIORANGES CLO CATERS, WTR HTRI 1oo ADDRESSGARS DIW STA COOKclTr TEL NOIS11WAeM AUTO WARN STATE WA HHU WA APP ILSHP MAR I So LICENSE NO MOTORsi GvER HOT OYER HPDISTRSGT GROUP N 0 1 100 1 — a 160 INSPECTION R CORD n 6 S 200 r / S -- Is 250 -1\SO / y V1- r/Gv 16 — so 000- ( Ov ISO too 600 S O 21GN61 No LAAMM rw� n 90TVICE0600V NOTGYst1200A 100 1 s21SVICE 0 600V OvIot 200 A 200 Z SERVICE OVER 600V 600 MISC PERMIT ISSUING PER 200 SUPPLEMENTARY PERMIT ISSUING FEE 1100 TOTAL FEE 1 X[RERY ACKNOWLEDGE THAT 1 HAV[ READ THIS, APPLICATIONAPPROVALSI IN ,y ANO RAT[ THAT THE AROYL 16 COI01[CT AND ACRES TO COMPLY CONDUIT I // WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING ELCCTIIICAL WIRING WIRING 1 IIIERGEllY CERTIFY THAT 1 AM PROPERLY REOIRTEREG AND/OR LIC mo M REGUIESD BY LAHO[L[S, COUNTY AND STAT[ OF FIXTURES f iA/�.//,/ CALIFORNIA GA THAT I AS,AM THS, LEGAL OWNER OF THE AS,OV[ OERCGIF[D RERIOENTI L PROPERTY - POWER ` A SIGNATUREUTILITY NOTI►IED n OF PERMITT2 FINAL VA G) URC Vert CK MO MO CADS UPERV181N0 ELECTRICAL ENGINEER Ujj;o6 9 0 9% NOV-13 2 D 3.00- ' Aa� �� I �'I �O��Mo�■ RAPWPRZRMW MEN WNW ■■■■■■■MIEN■■ .. . . ■■■■■■■M■NM■ MMM■■■■■MM■NM■ ■■■■■■■MIEN■■ ■■■■■N■■■N■■■ MEN ■■■■■■M■■N■ ■ MIMMEEN ■■■■■■■■MN■ ■ MMIM■■■■■■MN■ IN MMMI■■■■MM■N■ ■ MEMI■I■■■MIEN■N■ M�■ ■■■MIEN■■■ MEMI■■N■■■N■N■■ MEMI■■■■■■■■■■■ MEN�■■■■■■■■■■M MEN MEN MEN ■■■■■■■■■■■ MEN earn FMM© :. .., FEEMI ;:, .:.. ..1 . MENWMOMNMIMMM IN . . �� 1�nr�r�n "INS aA I "ii' ►1 1 I 1.: W JC13woS I AN THE LEGAL. PO"�R OF THE ABOVII LOS . a��wwwwo©ww© - .cwwww■ri©wwe r,��nwwww�eww� �wwwwwwwww� 1 .,- OF QuAL'Flr-AT'om- 1 ..,.:.� . . swwwwwwwwww . " wwwwwwwwwwww ►1 1 wwwwwwwwwww■ ��wwwwwiwwwww IN �wwwwwwwwww■ wwwwwwwwww■ ■ wwwwwwwwww■ MOMMEMIMIM SEE�w■ww■www■ ■ MMMIwwwwwwwwww■ EMINIww■wwwwwMEN MMMIwwwwwwwwwNo ■ IMMIwwwwwwwwwww SME�wwwwwwwww■w �GM_7wwwIENIMww7w ONE fl�7rm ; 1 . � !w� !ww !ww �� PEE NEI �> �� WORKER' COMPENSATION DECLARATION 7&M63 10,81 APPLICATION FOR ELECTRICAL PERMIT IrhorplSy gHirm that I have.o certificate of consent to self CE r�suie or a cernficpt. of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or o cerhhed copy thereof (Sec 3800, Lab C ) - P❑olicy No Company FOR APPLICANT 70 FILL IN JOB Certified co is hereby furnished EACH NO FEE ADDRESS PY Y New Residential Bldgs 8 Pools ❑ Certified copy is filed with the county building Impec 1 8 2-Family Sq Ft f — f LOCALITY tion department Multifamily Sq Ft — NEAREST CST Residential Swimming Paola OWNEWM R OR Dote Applicant FIRM NAME we-Z CERTIFICATE OF EXEMPTION FROM WORKERSL MAIL Oudeh Rec_�Llght�5ws COMPENSATION INSURANCE qq ��-- First 20 ��� Q (This section need not be completed N the work Involved by Total No J&fe Additional - CITY Tel No G the permit is for one hundred dollam($100)or leu) RAN CHECK 1 certify that m the performance of the work for which this APPLICANT i permit is issued I shall not employ any person in any manner t so as to become sublect to the W r Compensa n Laws Lighting Fixtures First 20 ADDRESS �— Additional .[ Total No CITY % � Tel No Dote/ -/—fir APPLc nt Fixed Appliances Not Over 1 HP PERMIT -54 NOTICE TO APPLICANT If of r a u g this Certificate o APPLICANT 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 jo with comply with such provisions or this permit shall be Top _ FAU _WH _ deemed revoked Hood _ Pon _ Other_ CITY �Qpel No LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that am licensed under provisions of Chapter 9 Disp — Room Air Cond REG NUMBER 87 CIO C (commencing with Section 70DD) of Division 3 of the Business DISTRICT NO P BY and Professions Code and my license is in full force and effect Power Apparatus 8 Large Appliances 6 Size 8 Type HP KW KVA, or KVAR Q License Number L¢ Class _ FINAL V Up to 1 Incl Conrroc Uate��` Over 1-to 10 Ind DNS l VALID ION Q ❑ Over 10 to 50 Incl „" I am exempt under Sec Over 50 to 100 Inc BY TaSr B 8P C for this reason Over 100 # Date Services, Swbd , MCC 8 Ponelboords / ( • 93300 Z 0 -200 Amp Under 600 V nnx9 Signature 201 - 1 ODD Amp Under 600 V ❑ OO 4 ` Exemption for Reg Mamt Elect Over 1000 Amp or Over 600 V SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Grcurt I I hereby affirm that I am exempt from the Contractor s License SignAddwith Sten Branch Circuit Low for the following reason (Section 7031 5, Business and - Circuits Professions Code) ❑ 1 as owner Mix Conduits 8 Conductors structure property will do the work and the Other (See Complete Fee Schedule)_ ► I aucture is not t intended or offered for sole (Section 7044 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) (Sec 3097 Civ C ) PLAN CHECKING FEE Lender's Name _ PERMIT ISSUING FEE Lender's Address J I I certify that I have read this application and state thatTOTAL FEE the above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring and hereb r outhonze representatives of this County to enter upon t ve manila properly for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE a �8 Signature of Perminee Dote ( WORKER I have a ceSATcoN DECLARATION �e DPW n2 91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure or 6 certificate of Worker a Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereoh(Sec 3800 Lob C) C l .f POIKry No Company FOR APPLICANT TO RLL IN JOB ❑ 'CandledADORESS copy ie hereby lumiehed Y New ResWenml Bldgs 8 Paola NO EACH FEE LOCALITY ❑'• ,Cemlmd copy is filed with the county building irmpection 1 6 2 Family Sq Ft — i i department Multifamily Sq Ft — NEAREST _ CP099 b? Date + = ` Applicant Residential Swimming Pools ,�yEgSOq MAP BOOK PAGE PMCEL CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Roc _Light—Sw OWNER OR wl -COMPENSATION INSURANCERRM NAME J , (This section need not be completed i1 the work Involved by the First 20 MAL C /l Total No Additional - AD permit b for one hundred dollars(i100)or lase) , I certify that in the performance of the work for which this permit Cm' �`G Tei No to issued I shell not employ any person In any manner so as to - i PLAN CHECK become subject to the Workers Compensation Laws Lighting Fixtures First 20 APPLICANT �Zz _ Total No Additional ADDRESS Dere ^�a Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If alter making this Certificate of CITY Tel No Exemption you,should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code you must forthwith comply with such PERMIT provisions or this permit shell be deemed revoked' Power Apparatus i Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size i Type HP KW KVA or KVAR _ ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3Io 101nc1 (commencing with Section 7000) of Division 3 of the Business and CITY Tel No Professions Code and my license is in full force and effect Over 10 to 60 Incl Over 50 to 100 Incl LICENSE OR Clssa d REG NUMBER Over 100 DISTRICT NO Q P EO BY O License Number Ln: Claes a i Services Swbd M i Panelb{pvarlgg FINAL Contractor _ Date cc 0 389 P n er B00*4 / _ �� DATE - i 0 ❑ I em exempt under Sec 400 1�Amp Under 800 V 9/ ��T•t LIDATION Over 1000 Am or Over B00 V _/•o �W Amp By J B 8P C for Mm reason - BY U) BRANCH GRCUR FEES Date 15A or 20A 120V Lighting or Recept _ _ 1 ITEM Z Signature ' 1 To 10 Branch Circuit TOTAL 61 - 65 I l To 40 Branch Circuits - ❑ _ 41 Or More Branch Circuits C HECK 61.51 Eiempuon for Rep SING Elect 154 20A 20BV To 27N Br Circuits SINGLE FAMILY Temp Power Pole 6 Appurtenances CHANGE I]I] . HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor a License Law lar the to lowing reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits 0000—�1 5/ 493 Code) o 01 I as owner of the property will do the work end the structure Misc Conduits a Conductors 0107 1 AM 8:41 is not intended or offered for sale (Section 7044 Business Other(Sea Complete Fee Schedule)_ 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(Sec 3097 PERMIT FEE (Sub-Total) Civ C) PLAN CHECKING FEE Lenders Name PERMIT ISSUING FEE Lender a Address / I cartty that I have read this application and under Density of pugury state TOTAL FEE that the above information its correct I agree to comply with all County - ordinarlceeandStatelaweregulatingElectricalwinng and hereby authorize representa of County to enter upon the above-mentioned property - for p SEE REVERSE FOR EXPLANATORY LANGUAGE DATE WORKER S COMPENSATION DECLARATION SDPW„tat, APPLICATION FOR ELECTRICAL PERMIT BABB3 I hereby affirm that I have a certificate of consent to Bell Insure 7A6W 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)I Policy No Company FOR APPLICANT TO FILL IN El LOCALITY L� IV CJCC.• V Cemlietl copy u hereby lumiahetl New Residential Bldgs 8 Pools NO EACH FEE ❑ CemOed copy re bled win the county binding inspeclwn 132 Family Sp Ft — $ $ LOCALITY tlepartment Multi family Sq FI — pp�oss sr !Q-,g'f\U"tb 6 W D Date Applicant Residential Swimming Fools t ` ASSESSOR T C i1AP BOOK FADE o 16 PAR//C��EL��a^I7' I CER-nRCATE OF EXEMPTION FROM WORKERS OZ Rec Llght 9—Sw FlPId�NAM�E F�A•F' 1JL.Z COMPENSATION INSURANCE (This eectlon need not be completed If the work Involved by the �_ Add uonal i ADDRESS 5b3� N S D2_- permit Is for one hundred dollars(5700)or leu) Total No ,� .ten Oa•� I certify that in the performance of the work for which this permit CITY1 t `h Tel '^tTo,��- is Issued I shall not employ any person in any manner so as to PIAN CHECx ,/� /� �> become subject to the Workers Compensation Laws Llghtmg Futures Flrat 20 gPPLICANT 0-,04' 'E,V4 c� Total No Atlditional ADDRESS C Date Applicant NOTICE TO APPLICANT If after making this Certificate of RESIDENTIAL APPLIANCES NOT OVER HP CITY Tel No Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP ►L� (lam provisions of the Labor Code you must forthwith comply with such PERMIT provisions or this permit shell be deemed revoked Pii Apparatus 3 Large Appliances ARPLK I LICENSED CONTRACTORS DECLARATION Size 3 Type HP KW KVA or KVAR ADDRESS - I hereby affirm that I am licensed under provisions of Chapter 8 Over 3 to t0lncl (commencing with Section 7000)of Division 3 of the Business and CITY Td N$ Profesaoss Code and my license is in full force and effect Ovsr 10 to 50 Ind LICENSE OR Over 50 to 100 Incl REG NUMBER QW a Llcerlse Number Lic Class Over 100 DISTRICT 10 ED eY O - Services Swbd MCC 3 Panelboards r D (¢� Contractor Date 0 383 Amp Under 800 V OAS 0 ❑ I am exempt under Sec 400 1000 Amp Untler 800 V VALIDATION V Over 1000 Amp or Over 800 V FINAL Ui a B 3P C for this reasonBRANCH CIRCUIT FEES BY Date ISA 20A 1 V u or Recept Z Squirture - -- II To 40 Branch Cuaib 41 Or❑ ch Orcurts Exemption for Reg Mant Elect 1 S 204 208V To 277V L Mang Br BrCirraMs — - ACCLIF SINGLE FAMILY Temp Power Pole 3 Appurtenances - - - - HOME OWNER BUILDER DECLARATION Sign vnm One Branch Circuit M7 I hereby affirm that I am exempt from the Contractor a License Law $' for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits _ - 1 ITEM h7 Code) _ _ _ ❑ Mmc Conduita a Conductors - - TOTAL rJ$ . OS I as owner of the property will do the work and the structure �g�.I� ��••iiG� is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule)_ DECK and Professions Code) - �.fgg711< •� CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construction lending agency for the �Ia� �fe performance of the work for which this permit is issued (Sec 3087 PERMIT FEE (Sub Total) 3/i7/93 Civ C) PLAN CHECKING FEE $ 1 PM12:17 Landers Name _ _ - _ PERMIT ISSUING FEE Lender s Address I comfy,that I have read this application and under penalty of purjury$tate TOTAL FEE r O that the above informetwn is correct I agree to comply with all County ordmitncei and State laws regulating Electrical winng and hereby authorize representatives of thus County to enter upon the above-mentioned property for Inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 3- 17-93 TIRE OF PEHIdrTfEE DATE