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Home My Public Portal About9830 VAL ST_Electrical__ ""I"[ G4W APPLICATION FOR ELECTRI AL PERMI 'I COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �Q E S r BUILDING AND SAFETY DIVISION ADDN'SS JOHN A.LAMBIE, COUNTY ENGINEER T WILLIAM A JENSEN SUPT OF BUILDING LOCALITY/ PIjIlelrY FOR APPLICANT TO FILL IN NEAR PERMIT FEES OWNER O w t )ef ITEM NUMEER ]EACH FE MAIL oUTLST R[�r f0 / • t O ADDRESS uoxrs EVT (1 LIGHTING FIXTURES 10 O aw DRYSRe ELECTRICIAN �✓ r+ C T WATER HKAT[RE so y ADDRESS �1 3 R I Er^ "A=HTRE DISHWAEHERE CITY' &k TEL NO a OAREAGE DNN'OEpIH AUTO. LI lNeE NO WAEHERE ETA COOKING UNITE SD MOTORS OVER INC HP DISIR TGR P E o — Y. ze V2 — H so S`�' INSPECTION RECORD 2 — a 1D e — to leo Ou le — so 250 D: O 50 — zoo 500 SIGNS NO TRA" G NO LAMPS MZ�. SERVICE 0 eoov 100 Q 0 SERVICE OVER e00V goo MISC WIRING PERMIT 100 e FIXTURE PERMIT too O D SUPPLEMENTARY PERMIT OO TOTAL FEE • lr,)r'f 1HERESY ACKNOWLEDGE THAT 1 HAV¢ READ THIS APPLICAPPROVALS DAT[ INSPECTOR 8SIGNATURE ANDSTATE THAT TH¢ AEOVE IR CORRECT AND AGREE TO COWITH ALL COUNTY OFIDINANC[E AND STATE LAW" REOULNDUIT WIRING RING1 HER®Y CE " THAT 1 AM PROPERLY R[OIETERED AHLICENSED Y R[OUIR¢D Y LOO NOdtl COUNTY AND ¢TATTURES CALIFORNIA OR THA *WNM OF THE ADe¢CRIR[D REBID WER SIGNATURE CO NOTIFIED ✓�/ OP PERMITTH 4(1LIDATION ARTHUR C VEIT J NO CA¢H SUPERVISING ELECTRICAL ENGINQOI LCO 5 1 7 8 APR 11 2 D 4.5 0 Tewees-cEeDe s-eE APPLICATION NVORELEC R I C A L PER COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BuILDIN BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE COUNTY ENGINEER COLEMAN IN JENKINS SUPERINTENDENT OF BUILDING GGCAL IT FOR APPLICANT TO FILL IN NEAREST CROSS ST No EACH re[ RECEIPT 3 f OWNER MAIL LIGHT_ TOTAL FIRST 20 20 ADDRESS SWITCH— OVER 20 10 CIT TEL N PLAN CHECK LIGHTING 1j TOTAL FIRST 20 20 APPLICANT FIXTURES J OVER 20 10 ADDRESS RANGE_DRYER_WTR HTR CITY TEL NO STA COOK_DISP _F A U _ CONTRA[ SPACE HTR —AIR GOND ADDREfile 'ey CLOTHES WASH _DISHWASH Ce,149 TEL N WwR FAN_OTHER 1 00 LICENSE Ndor CLASS MOTORS TRANSFORMERS RATING IHEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION IND HEATERS ETC HP KW EVA AMD STAT[ THAT THE AKOV[ Ia CORRECT AND AGREE TO COMPLY SIZE a TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 0 — 1 1 00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED 40/OR ..ICENSED AS RCOUIREO KY LOS ANGELES COUNTY AND STATE OF 1 — 10 ] OO CALI rO RMIA OR THAT 1 AM THE LEGAL OWNER Or AND INTEND TO R! RESIDE IM THE ABOVE DESCRIBED RESIDENTIAL PROPERTY O 10 – 50 S00 V SIGNATURE 50 – 100 10.00 OF PERMITTEE OI- 100 – Soo 1500 CIS Mo GRo EoaE vR c V SIGN GAS SIGN AND ONE CIRCUIT 3 00 TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES —/ — L/,7 FO of I H OLTS OR 200 AAS zoo LTO c L(� O 416"— SERVICE cif/d.✓I I SERVICE OVER 600 VOLTS OR 200 AMP 5 00 . TEMP SERVICE, POLE, &APPURTENANCES 3 00 APVRER P DATE Snv[nona Blmlwnw[ TEMP POWER POLE DOM WORK ROUGH CONDUIT WIRING i Q PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (503 PERMIT FEE) PERMIT ISSUING FEE 2 00 UTILITY CO NOTIFIED .per SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL i �O ,(/. 9J TOTAL FEE JOSEPH C ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CA M D CASH PERMIT VALIDATION6) " . cKMo cAaH IAr,.602OR JUL23 2 D 7.00 Z BEE ewcR or ARV urAn nN FOR cnMVLV Tr nr lc Nrnu lr 7 is - -�7 WOR$ COMPENSATION DECLARATION 7�c%81 APPLICATION FOR ELECTRICAL PERMIT I hereby affum that I have o certificate of consent to set CE 806G insure ora certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY I r a cewrt,fie Ropy thereof (Sec 3800 Lab C ) po}1Cy{�o Wy of S�.mp>�ny FOR APPLICANT i0 FILL IN SOB Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS — Certified copy is filed with the county building im1 & 2-Family SQ Ft $ f LOCALITY pec nmNEAREST on department Residential ody wi Ft — CROSS S7 Vj y� Revdena Swimming Pools , OWNER OR Date —Applicant FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS Outlets RecyL�.Lighl�Sw a MAIL COMPENSATION INSURANCE First 20 A322 ADDRESS (This section need not be completed R the work Irrvofeed by Total No Additional CITY Tel No 77ti� the pormH is for one hundred dollars ($100)or less) I certifyPLAN CHECK that in the performance of the work for which this PLANCHE permit is issued I shall not employ any person in any manner ANT so as to become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS Total No 7 Additional CITY Tel No Date Applicant NOTICE TO APPLICANT If after making this Certificate of Fined Appliances Not Over 1 HP PERMIT Exemption you should become subject to the Workers Range_ Hooter_D W — AwLK4FltZell L0 04", Compensation provisions of the Labor Code you must forth- Oven _ Dryer _ W M — ADDRESS Hood — �� with comply with such provisions or this permit shall be Top Fp`II H deemed revoked Hd Fd her— CITY FCr Tel No —I/f LICENSED CONTRACTORS DECLARATION LICENSE OR y provisions of Chapter 9 Dap _ Room Air Cond — dO� Ciao I hereby affirm that I am licensed under REG NUMBER r (commencing with Section 7000)of Division 3 of the Business power Apparatus 8 Large Appliances DISTRICT NO BY O. and Professions Code and my license is in full force and effecto Size &Type HP KW KVA or KVAR ,,5—. ,9S r (� License Numberl �O LIC Class Up to I Incl FINAL VAUDATION Contract o��Yi �r�lrC � Dote /1 Over 1 to l5lncl DATE —SGC/ O 121!!22d10 Over 10 to 50 Incl FINAL W I am exempt under Sec Over 50 to 100 Inc BY d B 6P C for this reason 100 reason Z_ oto Services Swbd MCC & Ponelboards ► 0 -200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Exemp Over TODD Amp or Over 600 V ion for Reg Moinl Eject SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I herebyaffirm that I am exempt from the Contractor's License additional Sign Branch Circuits for the following reason (Section 7031 5 Business and Professions Code) Mac Conduits&Conductors s as owner of the property will do the work and the Other (See Complete Fee Schedule)— , structure is net d or offered for sole (Section 7044 Business anndd Professions Code) R599. 1 A CONSTRUCTION LENDING AGENCY # e e e e e '2 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 ) I e ? 39,75 PLAN CHECKING FEE e e 939.755 Lander s Name PERMIT ISSUING FEE 1 1.20-86 Lender s Address I certify that 1 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 authorize representatives of this County to enter upon the above meN red pro e0 for i s ction purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ure of Permittee Dote ` • • er b-V6firm that COMPENSATION DECLARATION CE 863 ta,Bl APPLICATION FOR ELECTRICAL PERMIT 4 hereby'4ffum that I have a certificate of consent to self CE 806(' insure or o ce`rlificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800 Lab C ) P❑ol icy No Company FOR APPLICANT TO FILL IN JOB Certified copy Is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS 7-C Certified copy Is filed with the county building mspec 1 8 2-Family Sq FI s — f LOCALITY hon deportment Multi-fomdy Sq Ft — NEAREST CROSS 51 Residential Swimming Pools Date AppLmm OWNER FIRM NAME OR CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec_Llght_Sw_ c COMPENSATION INSURANCE First 20 ADDRESS +/ L (This section need not be completed N the"rk involved by Total No Additional CITY �5�C Tel Na the permit Is for one hundred dollars ($100)or less ) N CHECK 1 certify that in the performance of the work for which this PLANC HE permit is Issued I shall not NT employ any Ce son In any manner so as to become subject to the Worker Com nsohon Laws Lighting Fixtures First 20 ADDRESS AV Total No Additional o CITY Tel No Date pplicont Fred Apphonces Not Over I HP PERMR NOTICE TO APPLICANT If a m kin a Certificate of I APPLICANT sNi Exemption you should become su t to the Workers' Range_ Heater_D W Compensation provisions of the Labor Code you must filth Oven _ Dryer _ W M _ ADDRESS with comply with such provisions or this permit shall be Top _ FAU —W H _ deemed revoked Hood _ Fan _Other_ CITY Tel No LICENSED CONTRACTORS DECLARATION affirm Dup _ Room Air Cond UCENSE OR Class I hereby arm that I am licensed under provisions of Chapter 9 REG NUMBER (commencing with Section 7000) of Division 3 of the Businesspia DISTRICT N PROOF Y d and Profesvoro Code and my license is In full force and effect Apparatus b Large Appliances s i �v Q Size 8 Type HP KW KVA or KVAR V 0 U License Number Lic Class d' Up to I Incl ATE / 0 Contractor Date Over 1 to IO Incl ..•Z� � VALID 15 IDOver 10 to 50 Incl FINAL LU I am exempt under Sec Over 50 to 100 Inc BY 17Y n B 8P C for this reason Over 100 Z Dote Services Swbd , MCC 6 Ponelboards ► 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 SINGLE FAMILY Temp Power Pole B Appurtenances 5 21.4 A HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit hereby affirm that 1 am exempt from the Controctoi s License Law for the following reason (Section 7031 5 Business and Additional Sign Branch Circuits # e e e e e1 Pr enions Code) l e e 2 5 5 0 I as owner of the property will do the work and the Mix Conduits 6 Conductors structure Is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ Poo. s • * 25505 70" Business and Professions Code) CONSTRUCTION LENDING AGENCY 0 81 1 x 8 6 1 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) (f (Sec 3097 Civ C ) PLAN CHECKING FEE Lenders Name Lender s Address PERMIT ISSUING FEE 1 certify that I have read this application and state that the TOTAL FEE p?�j tsj above information is correct I agree to comply with all County ordinances and Sate jaws regulating Electrical wiring and hereby authorize representatives of this County to enter upon the ab ve me tioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ,,�gd � � i f Permittee pore