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Home My Public Portal About5053 SERENO DR_Electrical__ TeAaee c[eoe APPLICATION FOR ELEC� L PERMI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION AODReas �. JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST O APPLICANTTO FILL N CROSS ST , RECEPT,Aj 1 TOTAL NO EACH F[[ Jly o-TLET- FIRST 20 20 $ OWNER I D LIGHT FF MAIL SWITCH ADD L 10 ADDRl89 OVER 20 -- TOTAL FIRST 20 20 160 CITY TEL NO LIONTING 11 FI .RES FIXTURES 1 ADD L 1D CONTRACTOR OVER 20 RANGES MY ae wrR HrR[ too ADDRESS OARS DIeP STA COOK CITY TEL NO DI[HWA[H AUTO WASH STAT! SPACE IRRS STA ARL SO LICENSE NO Y, MOTORS. OVER Nor ova NP DI RICT G IS 61 O 1 100 (� I — a ISO INSPECTION -R'fICORD t, a — e 1200 !j - LU FfllCOa.No677 a — 1a 260 Y 16 60 300 d O So 100 MO TRANS Da 61GNaI No "M— SERVICE O 600V NOT OVES 200A 100 / tyS1 SERVICE 0 600V OVER 200 A 2 00 / Z SERVICE OVER 600V Soo ' OTHER (a[[ COMPLETE PRE SCHEDULE) PERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING FEE 100 A DAT[ INSPECTOR •OMA TOTAL FEE a I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLI TION UNDERCLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING 7 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO�OR FIXTUflEY LICENSED AS R[OUIR[D LOS ANGELES COUNTY AND STATWOF CALIFORNIA OR THAT Y E "GAL OWNER OF AND INTEXD TO ►OWER RESIO[IN THE ABO D[ [RTY SIGNATURE UTILITY CO NOTIFI D OF PERMITTEE FINAL LIDAT JOSEPH C ROELEC CK MO CASH SUPERVISING LECTRIGL ENGINEER 8 4 1 4 E`G MAY 8 2 D 4.80- o" 1 G'JZ�'GR-►+v COUNTY OF LOS ANGUM - APPLICATION FOR PERMIT DEPARTMENT OF COUNTY SENGINM SAFEM ELECTRIC 1 DIVISION J. F X COLING 6 91M= WILLIAM . FOE, COIINT! ffi7fid'1ffi FOR APPLICANT TO FlLL IN DISTRI O 6ROU ZONE PERMIT NO ELECTRICIAN / Q f^i 6��-liY�i.. O ADDRESS R IVSD BY READYFOR DATA ISSUED d FIRBTINBFECTION LITS / IX �s/T-� TEL NO �� d ' COUNTY LICEIis[No EXPIRES BbILDING PE UM FEES ADDRESS �0 S � NUMB EA PEE �J LOCALITY .ms's+• �iG LIGHT OUTLETS Y ✓1/ NEAREST r RECEPTACLES WALL SWITCHES Q O NE TOTAL OUTLETS ac 41 ELEC RANGES go ADDRESS G �� 'r �'rstro-erlT ./ �o✓ ELBC HEATERS isIC /f, FIXTURES a CITV "' st,, TEL NO 1 HEREBYJACKNOWLADGji THAT 1 HAVE READ THIS NUMBER OF LIGHT CIRCUITS PPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LO Nureln HORSEPOWER FEE ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER NtM' Mvo HP 0V INC MCMI OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE s LiraIII to SIGNATUR II SO PERM II e 100 INIPEMON RECORD a 1s 1 Eo 1s so a so Y- <-,41-3 aa. Eo 200 a 00 ,manr 200 SOO 1000 J 000 1000 18 00 owe b OVER 1000 20 00 A Q Z M G BET/FRED CHANGER-HP WELDERS AGKVA GENERATORS KW TRANSFORMERS-KVA TEMP MOTORS 75OF oua MOVED MOTO" (75of onto MISC SIGNS NO NO TRANS MOVAM No N LAMPSefccw FOR EACH PERMIT DATE INSPECTOR'S NAME WIRING S1 DO �� CONDUIT FIXTURES $1 00 WIRING SUPPLEMENTARY s0 FIXTURES POWER TOTAL FEE s UTILITY CO NOTIFIED FINALy )M 1Y Dnsj M F11 a APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY ��I� COUNTY OFF LOS LOS ANGELES WILLIAM J. FOX, CHIEF EHSINEER �11 FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN Allf READY MR ADDRE �, / R[Q[IVED SY FIRST INSPECTION DAT[ 1•SU[D BB '+ CITY TEL NO 2r COUNTY LI CENSE NO EXPIREB BUILDING ADDRESS L'O �/ ,�/t PERMIT FEES v`3 X/-C NUMBER EACH xCH LOCALITY LIONT OUTLETS NEAREST RECEPTACLES CROW ST. WALL SWITCHES OWNER TOTAL OUTLETS e° MAIL ELEC RANGES as ADDR[BB ELEC HGTERB 25 CITY TEL NO FIXTURES S 1 HEREBY ACKNOWLEDGE THAT 1 NAV[ READ THIS MIBC APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT NUMBER OF LIGHT DIROUIT13 7' J O AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB NBMeIR HORSEPOWER F[E ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER N[w Mw HP OVER INa Ewen OF TME RESIDENTIAL PROPERTY DESCRIBED ABOVE Ys • We 10 23 SIGNATURE OF 2 SO PERMITTER 2 e IGO INSPECTION RECORD S IS ISO is an 230 - Z eo EGO a oG 200 SOG loam 600 1000 1 S DO = DYER 1000 2000 Q M O BVT/FRM BET/FROHANO[R-HP WELDERBI AC-KVA GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (713OF ows MOVED MOTORS (76 W GRINJ BIONS Na NO TRANS APPROVALS NO NO LAMPS FOR EACH PERMITI DA T[ INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURm 01.00 WIRING OO rIXTUR['S POWER TOTAL FEE • UTILITY CO NOTIFIED O FINAL 4- , +o 7e•663-cee0e Ise APPLICATION � � " PERMIT CO�1U�I1NTY OF L}O}�DS ANGELES DAB UILDIN6 AENT OI�IjF7 SAFETY DIVISIONUNTY ER BUILDING D JOHN A LAM61E COUNTY ENGINEER ADDRESS COLEMAN W JENKINS, SUPBRINTRNOKNT OP BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST (. NO RECEPTNiC S OWNER MAIL LIGHT TOTAL FIRST 20 20 ADDRESS SWITCH OVER 20 10 CITY TEL NO / PLAN CHECK LIGHTING 1TOTAL FIRST 20 20 CG D APPLICANT FIXTURES / OVER 20 10 ADDRESS RANGE_DRYER_WTR HTR CITY TEL NO STA COOK—DISP F A U _ CONTRACTOR SPACE HTR —AIR COMO _ ADDRESS re CLOTHES WASH _DISHWASH CITY A EL NO FAN—OTHER 1 00 LICENSE N CLASS MOTORS TRANSFORMERS RATING IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE 6 TYPE OVER TO AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WIT ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 0 - 1 100 ELECTRICAL WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR I - 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER DF AND INTEND TO d 10 - 30 3 00 RESIDE IN THE DESCPIFED RESIDENTIAL PROPERT 0 50 - 100 10 00 SIGNATURE V OF PERMITTE OE 100 — 600 1500 DIST CT N GR P NE P C D BY (; SIGN GAS SIGN AND ONE CIRCUIT 3 00 IYi TUBE OR d MA RpU EE ADDITIONAL CIRCUITS 1 00 NOTES Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP B 00 TEMP SERVICE POLE 3 APPURTENANCES 3 00 APPROVALS DATE INSPECTOR S SIGNATURE TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (SOt PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 200 UTILITY CO NOTI FIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE Q JOSEPH C ROOH N SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M o c H l d 124 r"27 2 D ^E4.80- IEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE WORKERS CI have COMPENSATIONDECLARATION of corse 'CE8D3 Ia,Bt APPLICATION FOR ELECTRICAL PERMIT 1 hereby affirm that I have a certificate of consent to self �B06C insure, or a certificate of Worker' 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 Certified copy is hereby furnishedEACH NO FEE ADORER New Residential Bldgs 8 Pools ❑ Certified copy is filed with the coupty building inspec- I &2 Family Sq Ft $ — S LOCALITY tion deportment Multi family Sq Ft — CROSS T Residential Swimmi Pools Dote Applicant FIRMER OR N C CERTIFICATE OF EXEMPTION FROM WORKERS MAIL in Outlets Rec_Light_Svv COMPENSATION INSURANCE - Fust 20 S AOORE55 (This traction nor not uy creel dollars if$1 work less Involved by Total No Additional CITU Tel No.:1 - 1M permit IF for one hundred dollar (f100)or lMF ) RAN CHECK I certify that d 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 Worken ompensatio sys Lighting Fixtures First 20 ADDRESS K 9� Total No Additional CITY el No Dote If aft Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after making this ndicok of 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 with comply with such provisions or this permit shall be Top _ FAU —W H deemed revoked I Hood _ Fon _ Other_ CITY Tel No LICENSED CONTRACTORS DECLARATION Dap _ Room Air Cored LICENSE OR Claes I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER (commencing with Section 7000) of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO PROCESSED BY Y and Professions Code and my license is in full force and effect d Size 8 Type HP KW KVA or KVAR /r 0 License Number Lic ClassUp to 1 Incl FINAL - V i rOver 1 to TO Ind DATE VALIDATION � ContractorDate Over 10 to 50 Incl FINAL uOu ❑ I am exempt under Sec Over 50 to 100 Inc BY W B BP C for this reason Over 100 tin -Date Services Swbd MCC 8 Panelboards ► ? 0 -200 Amp Under 600 V T Signature 201 - 1000 Amp Under 600 V ❑ 1 Exemption for Reg Moint Elect Over 1000 Amp or Over 600 V SINGLE FAMILY Tamp Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor s License SignAddwith Sign Branch Grants 1/ Low for the following reason (Section 7031 5, Business and g Professions Code) d;94929A ❑ M I as owner of the property will do the work and the isc Conduits 8 Conductors , ' 1 structure n not intended or offered for sole (Section Other (See Complete Fee Schedule)_ V / � • • •,• • 2 7044 Business and Professions Code) / 2'•+0,2 Q 22'5 CONSTRUCTION LENDING AGENCY ( x I hereby affirm that there is a construction lending agency for • • • 2 6 2'S v :hhee performanceec ) the work for which this permit is issued PERMIT FEE (Sub Total) - 0 9 0 1 —83 Lender aName PIAN CHECKING FEE � � O PERMIT ISSUING FEE Lender s Address ' I cendy that I have read this application and state that the I TOTAL FEE above information is correct I agree to comply with all County - - ordinances and State jaws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon - the abo mentioned prop for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE _ k 7-/-83 Signa ure of Fermat Date