The URL can be used to link to this page

Home My Public Portal About9729 VAL ST_Electrical__ " as .'O61"°APPLI ATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BU g DING AND D V pDRESS 9729 E. VAL ST. LOCAA LITV New Residential Bldgs& Pools EACH NO FEE NER T 1 & 2 Family,Sq Ft 025 — CROSS ST OWNER OR Multi-lemlly Sq Ft 02 — FIRM NAME Resldentlsl Swimming Pools 2000 MA ADDRESS SAME Outlet[ Light,SWntch & Receptacle CITYr.Try Tel No afi—V109 First 20 50 Additional 30 APPLICANT ADDRESS Lighting Fixtures First 20 50 CITY Tel No Additional 30 PERMIT APPLICANT Fixed Appliances Not OVer 1 HP ADDRESS 2034 N PECK RD Renge_Heater_D W CITY Tel No Oren_Dryer_W M LICLINbit UK_ Top_ FAU _XW H _ REG NUMBER 265094 Clan C-10 Hood_ Fen ___ XENE$TATE'THAT THAT 1 HAVE NERD TXIE TO COMPLY OT ON LY Disp_AC _ 200 WITH !TATE TOUT THE ORDINANCES E CORRECT AND AGREE E COMPLY W lix ALL COUNTY ORDIMAx<Ef AND !TATE UNf REGULATING CLE CTRICAL WIRING Power Apparatus& Large Appliances Sao& Type HP, KW, KVA, or KVAR I HSED A CERTIFY THAT I AM PNDP[R LY REGISTERED ATE OR 0, LAS REQUIRED I BY LOS ANGELES COUNTY AND STA iE Or � [}� tip t0 1 InCI 200 CALIFORNIAA LIFORMOR THAT I •Y THE LEGAL OWNER OF THE •e0V[ O Over 1 to 10 Inc[ 5 00 OEfrPIrED RESIDENTIAL OPfR U Over 10 to 60 InCI 1000 PERMITEE Over 50 t0 100 InCI 20 00 SIGNATURE Over 100 3000 DISTRICT NO P DBY f Services O W I 0. 200 Amp Under 600 V 1250 INSPECTOR'S d 201 1000 AMP Under 600 V 25 00 APPROVALS DATE SIGNATURE Z Over 1000 Amp or Over 6D0 V 5000 TEMP POWER POLE Temp Power Pole& Appurtenances 1000 UNDERSLAB WORK Sign With One Branch Circuit 10 00 ROUGH CONDUIT Additional Sign Branch Clrouits 200 WIRING (Other) FIXTURES POWER AUTHORIZED UTILITY CO NOTIFIED ]FINAL PERMIT FEE (Sub-Total) 6 00 NOTES PLAN CHECKING FEE (One Fourth Permit Feel PERMIT ISSUING FEE $600 450 TOTAL FEE 10.50 PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION MO CASH 1-9.91ZHAY 10 2 6 10-5 0 AM SEE SACK OF APPLICATION FOR COMPLETE SCHEDULE TIAGG"980510"A APPLICA I OR EI RICAL PERMIT COUNTY OF LOS ANGELES g RESS DEPARTMENT OF COUNTY ENGINEER t/�` S BUILDING AND SAFETY DIVISION �OOD LOCALITY16^j//7P` 7 NEARET FOR APPLICANT TO FILL IN CROSS SST QLFF,f.V OUTLETS NO EACHOWNERLONs7 5 $ FIRMMNAM NAME RECEPT MAIL n LIGHT T T L FIRST 20 ADDRESS � G/f OVER 20 CITY TEL NO'7 '� SWITCH 49, PLAN CHECK TOTAL LIGHTING FIRST 20 3 25 APPLICANT FI%TURES J Z OVER 20 ID a ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO RANOE_DRYER—WTR HTR__ ERMiT APPLICANT L L CC G STA COOK_DISP _/__FF A U ADDRESS B, G^y �/j SPACE HTR AIR COND CITY jIfFf/yry (/te TEL NO ` r CLOTHES WASH / N DISMWASH REO Ui BEMR CLASS FAN.,/-OTHER100 I NERDY ACKNOWLEDGE THAT I NAY[ R[AD THIS APPLICATION AND STATE THAT THE ABOVE Il CONR[CT ANO AGR[[ TO COMPLY MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STAT( LAWS REGULATING IND HATERS, BY HP KW KVA ELECTRICAL WIR INS n[E G TYPE OVER To I NSEDGY CERTIFY THAT 1 AM PROPERLY REGISTERED ATE OF O - 1 100 LICENSED AS R[THAI I A LOS ANG(L(I COUNTY AND STAT[ OF CALIFORNIA OR THAI I AM TN{ LEGAL OWNER OE THE ABOVE 1 - iD 800 0[ICRIR[0 R{S10[MTIAL OP[RTY C7 10 - 80 500 PERMITEE SIGNATURE O 80 - 100 10.00 DISTRICT PRO SED BY 100 - S00 1500 d Z SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSP IINNUTUR( TUBE, OR TEMP POWER POLE MARQUEE AODI TIONAL CIRCUITS IOD 5ERVICENOTOVER 600 VOLTS OR 200 AMP 300UNDERSLAB WORK SERVICEOVER 600VOLTS OR200AMP 1000 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES BOO WIRING TEMP LIGHT OR RECEPT SYSTEM 3 D FIXTURES POWER AUTHORIZED UTILITY CO NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 1 SOD TOTAL FEE -:U. /S PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK O CAIN 0 1 6ra a 3 6.1 5 e*3s GEE BACK OF APPLICATION FOR COMPLETE SCHEDULE TION WORKERS CI have COMPENSATION of corse CE 863 ,O,Bt APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self '��' ' insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES e FSUILDING AND SAFETY or a certified copy thereof (Sec 3800 Lab PoI1kgP J �3 Company FOR APPLICANT TO FILL IN JOB ❑ Certified copy is hereby furnisifed New Residential Bldgs 8 Pools EACH NO FEE SSS Certified copy is filed with the county bwldin spe 18 2 Family, Sq Ft T — $ LOCALITY hon epartmen Multi-family Sat Ft — NEST ST Dote ApplicantResidential Swimming Pools OWNER OR CERTI KATE OF EXEMPTION FROM WORKERS � FMAIL IRM NnME COMPENSATION INSURANCE Outlets Rec Ught Sw / ADDRESS his section need not be completed R the cork Invol•ed ,/ First 20 (T P Total No� Additional CITY Tel No the permit Is for one hundred dollen($I00)or bas) I certify that in the performance of the work for which thisPLAN C�JIEMfJ( 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 ADDRESS Total No S Additional CITY Tel No Data Applicant Fixed Appliances Not Over 1 HPPERMIT NOTICE TO APPLICANT If after making this Certificate of APRIfANT 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 _WH _ deemed revoked Hood Fan Other_ Dlsp _ Room Air Cored CITY Tel No _ _ LICENSED CONTRACTORS DECLARATION LICENSE I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER Class (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO PROCE D BY Y and Professions Code and my license is in full force and effect y G �� ,�/9� � �j—/ Size 8 Type HP KW KVA or KVAR O License Numddberr. �� Lic Class Up to 1 Ind FINAL V Contractor,ua �/n3 Date Over 1 to 10 Incl DAA D VALIDATION OI.. ❑ Over 10 to 50 Incl FINAL V I am exempt under Sec Over 50 to 100 Inc BY d B 8P C for this reason Over 100 Z Date Services, Swbd , MCC 8 Panellsoards — 0 -200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Exemption for Reg MaOver 1000 Amp or Over 600 V mt Elect 13 3 7 4 7 A SINGLE FAMILY Tamp Power Pole 8 Appurtenances # is is • • • 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor s License 21- . 2625 Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits • t Professions Code) •t • 2 6 2 5 5 ❑ I as owner of the property will do the work and the M,sc Conduits 8 Conductors ' structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)- 0823-84pop. ss 7044 Busineand 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 3047 Civ C ) RAN CHECKING FEE Lender s Name PERMIT ISSUING FEE (J O Lender's Address I certify that I have read this application and state that the TOTAL FEE AZ 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 thSArblolia mention prop r inspection purposes TSEE REVERSE FOR EXPLANATORY LANGUAGE gnature of ermihee rate