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HomeMy Public PortalAbout10906 WILDFLOWER RD_Electrical__ ,r ►GAG e:CEGOG_G_B, APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS �0 JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY NEAREST FOR AP.pPLLIICA TT TO IN CROSS ST. MT OW ER LIGHTS RECEPTACLES SWITCHES ` NUMBER 1 T E M EACH FEE MAIL ADDRESSUWE TOTAL OUTLETS $ .10 $ ELEC. RANGES, WATER HEATERS, CITY TEL.NO. CLOTHES DRYERS '$O ELECTRICIAN a ELEC. SPACE HEATERS,STAT-Y. 000E- / ING UNITS, GARBAGE DISPOSERS. ADDRESS AUTO WASHERS, DISHWASHER .25• D LIGHTING FIXTURES .10 CITY EL.NSa4 XX MOTORS STATE LICENSE NO. HORSEPOWER H.P. OVER INC. DISTRICT N - G. P READY FOR INSPECTION _ yp S:LESS .25ma - +/2 — 2 So / -/�i. � S CTION RECORD. -'� 2 -- 5 1.00 so 2.50 J1/ !� r. / i /�:• -A- SO - SO — 200 S.Oa MISC. SIGNSI NO.TRANS NO.LAMPS SERVICE O-600V i.0a SERVICE OVER 600V 5.00 WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 APPROVALS TOTALFEE $ �d DATE INSPECTOR'S I. HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A LICATIO. AND STATE THAT THE ABOVE IS CORRECT AND AGREE 0 COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS EGULATING ELECTRICAL WIRING. WIRINGiI HEREBY CERTIFY T T 1 AM PROPE LY REGISTERED ND/ORFIXTURES �� /�� �( /r'ILICENSED AS REQUIRED 0 ANGEL COUN AND AT OF '. / -CALIFORNIA OR THAT E LEG OWN OF E OYE POWER DESCRIBED RESIDENTI TYSIGNATURE UTILITY CO.NOTIFIED /,l0OF PERMITTE IOHN A.LAMBIE, IMATION ARTHUR C.VEIT,. 'OUNTY ENGINEER CK MG CASH SUPERVISING ELECTRICAL,ENGINEER ' ACO 3 4 8 7-r OCT 18 2 425 7BASSS-CESOB_S_87 • APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINM BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE.COUNTY ENGINEER f ,y CASSATT D.GRIFFIN,SUPT OF.BUILDING LOCALITY NEAREST FOR APPP LE IICCIIAT T TTO+SFILL IN CROSS ST. �l OWNER LIGHTS RECEPTACLES SWITCHES MAIL NUMBER ITEM EACH FEE ADDRESS TOTAL OUTLETS $ .10 $ ELEC, RANGES, WATER HEATERS. CITY S'4 TEL.NO. '� U CLOTHES DRYERS '150 ELECTRICIAN ate!/ ELEC. SPACE HEATERS,STAT'Y. COOK- �/ IN6 UNITS, GARBAGE DISPOSERS. ADDRESS •7 Q�•L Lt AUTO WASHERS, D19HWASHER .215' LIGHTING FIXTURES .10 CITY J TEL.NO �J a i MOTORS STATELICENSE NO. HORSEPOWER D H.Pr OVER INC. IcTNO. GRO P ZONE READY FOR INSPECTION , B:LESS .215 V2 - 2 •SO ,/,0-j V�-7 INSPECTION RECORD � i — 5 1.00 15 15 1.150 i8 — so 2.80 ` 50 — 200 8.00 v tw / izr r SIGNS NO.TRANS NO.LAMPS SERVICE O-'800V 1.00 SERVICE OVER 800V 8.00 WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT •150 APPROVALS TOTAL FEE $ z DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A LICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF , CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE - POWER DESCRIBED RESIDENTIAL PR Y. SIGNATURE UTI LITYCO.NOTIFIED •%�'�V OF PERMITTE FINAL Im IOUN A. N Y41MATION ARTHUR C. EIT. :OUNTY ENGINEER cc 1 Mo cash SUPERVISING ELECTRICAL ENGINEER ;uIC32395t; OCTA 2 220 - 0 WORKER S'COMPENSATION DECLARATION 76A663 Arm CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT CE-806 I hereby affirm that I have a certificate of consent-to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) ! FOR APPLICANT TO FILL IN JOB ; ;r,tf ���7 Policy No. Company EACH NO. FEE ADDRESS " i New Residential Bldgs.&Pools. �Fr' Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ i LOCALITY,. ,:= Y;''d . ' 7 ❑ Multi-family Sq. Ft. NROSS ST �� � Certified copy is filed with the county building inspiection Residential.Swimming Pools r department. OWNER OR 'j, , w::T t. !f.<� �( � >- ii FIRM NAME'. Date Applicant Outlets: Rec.-'L—Light Sw. I j� MAIL r' , ii j 1' /40 7 .�� ADDRESS�r� f�i � h. ;� iti 'f U First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional ,CITY /t 0"I`��.L 4 r/ COMPENSATION INSURANCE Tel No. ���"` '+` •A%•.+< J PLAN CHECK LL (This section need not be completed if the work involved APPLICANT } Fixturhting First 20 by the permit is for one hundred dollars ($100) or less.) LigADDRESS Ir Total No. Additional B - I certify that in the performance of the work for which thisHP CITY Tel No. O Fixed Appliances Not Over 1 permit is issued, I shall not employ any person in any manner PERMIT 0 so as to-become subject to the Workers'Compensation Laws. Range_HeaterD.W. _ APPLICANT CL Oven _ Dryer_W.M._ ADDRESSUJ Date Applicant Top _ FAU _W.H.._ AZ , Hood _ Fan• _Other— CITY V W Tel No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond.— LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. r� PRO�SEY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW,KVA,or KVAR Up to 1 Incl. FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE �— VALIDATION Over 10 to 50 Incl. •I hereby affirm that.I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL ' 9 (commencing with Section 7000 of Division 3 of the Busi- BY ( g ) Over 100 ness and Professions Code, and my license is in full force and effect. I Services License Number L•ic.Class 0-200Amp.Under 600 V ~ 201-1000 Amp.Under 600 V Contractor I Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- IAdditional Sign Branch Circuits ness and Professions Code): Misc.Conduits&Conductors I, as owner of the property, will do .the work and the Other(See Complete Fee Schedule)— yv; structure is not intended or offered for sale (Section t+A 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY ' ts';a-0i;q'.0.0PJ I hereby affirm hat there is a construction lending agency for the perfor nce. of the work for which this permit is PERMIT FEE (Sub-Total) issued(Sec.309 ,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) la va Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that,the TOTAL FEET 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-mentioned property for inspection purposes. .% SEE'REV.ERSE FOR EXPLANATORY LANGUAGE Signature`eff Permittee / F Date WORKER S'COMPENSATION I)ECLARATION r,,;, "CE-806 APPLICATION FOR EdECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES r—� BUILDING AND SAFETY insure,or a certificate-of Workers'Compensation Insurance,or / l� warcg Pied copy thereof(Sec.3800,Lab.C N1—e'V 774 ra►�,rr FOR APPLICANT TO FILL IN JOB t1/' Policy No'. Comp any"G• "o ��� EACH NO. FEE ADDRESS /Q 9AO& New Residential Bldgs.&Pools. Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Certified copy copy is filed "h the count buildin Multi-family Sq. Ft. — NEAREST y g inspection Residential Swimming Pools CROSS ST rr Ga41s1117 department. OWNER OR Dat Applicant Outlets: Rec. ight Sw. AARIM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' First DDRESS Total No. Additional CITY Tel No. COMPENSATION INSURANCE PLAN CHECK Q}. (This section need not be completed if the work involved. APPLICANT 0 Lighting Fixtures First 20 r U by the permit is for one hundred dollars ($100) or less.) ADDRESS. Total No. Additional cc I certify that in the .performance of the work for which this ' CITY Tel No. 0 permit is issued, I shall not:employ any person in any manner Fixed Appliances-Not Over 1 HIP FU- PERMIT so as to become subje . t.e rs'.Co pe Laws. Range_Heater D.W. _ APPLICANT i Oven _ Dryer W.M._ ADDRESS6.*y W Date`2 Applican Top _ FAU _W.H. CITY a Tel No. m Hood'_ Fan _Other_ OTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond— LICENSE OR- Exemption, R Exemption, you should become subject to the Workers' REG.NUMBER 26 Class Compensation,provisions of the Labor Code, you must forth- Power Apparatus&LargeAppliances DISTRICT NO. PROCEFAED BY with comply with such provisions or this permit shall be `y deemed revoked. � Size&Type HP,KW,K\/A,orKVAR fT Up to 1 Incl. Ad—'�e� I FINAL ' Q LICENSED CONTRACTORS DECLARATION Over 1.to 10'Incl. DATE.Over 10 to 50 Incl: VALIDATION I hereby affirm that I am licensed under provisions.of Chapter Over 50 to 100 Inc.. I FINAL 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY ness and Professions.Code, and my license is in full force and effect. Services License Numbed-J�_79 Lic.Class e0-200 Amp.Under 600 V 201-1000 Amp.Under 600 V / - Contractoe,(�/ Date- © � Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION ' i Temp..Power Pole&Appurtenances I,hereby affirm that I am exempt from the Contractor's Sign with,One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): r I, as owner of the property, will do the work and the Misc.Conduits&Conductors 2 2 1,0 A i Other(See Complete Fee Schedule)— structure is not intended or offered. for sale (Section o 0-0,0.c.2 7044,Business and Professions Code). 'CONSTRUCTION•LENDING AGENCY I hereby affirm that there is a construction lending agency i 2 0 - 1 .0.90 for the performance of the work for which this permit is aPERMIT FEE (Sub-Total) 0 0 o0'.9,00x issued(Sec.3097,Civ.C.).' I a 1 Lender's Name ) PLAN CHECKING FEE (One-Fourth Permit Fee) j 1 2,08-8.1 Lender's Address PERMIT ISSUING FEE 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 ereby authorize representatives of this County to enter upon tke. ove-mentio edr er spection purposes. . 9 SEE'REVERSE FOR.EXPLANATORY LANGUAGE L.Z-1 Sign..ature.of Pe ittee Date l