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Home My Public Portal About10922 WILDFLOWER RD_Electrical__ f �GAGSS_pE606_5-87 ,APPLICATION FOR ELECTRIC PE,RMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEIIt j BUILDING B=ING AND SAFETY DIVISION / ADDRESS (/ JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPPL�ICAjT TSS ILL IN CROSS STT. LIGHTS RECEPTACLES SWITCHES OWNER NU14HER ITEM EACH FEE MAIL ADDRESS TOTAL OUTLETS $ .10 $ ELEC. RANGES, WATER HEATERS, - C1. L.NO CLOTHES DRYERS •Sa ELECTRICIAN ELEC. SPACE HEATERS,STAT-Y: COOK- O ING UNITS, GARBAGE DISPOSERS, ADDRESS •AUTO WASHERS, DISHWASHER .25' - r� LIGHTING FIXTURES 10 CITY EL.NO v` MOTORS .STATE LICENSE NO. HORSEPOWER H.P: OVER INC. DISTRICT NO, GRO ON READY FOR INSPECTION 4I•&LESS .25 , Ilk 2 .50 INSPECTION RECORD z. s 1.00 s 1s 1.Sa 1s so 2.50 sa 200 S.Oa 'MISC. SIGNS! I NO.TRANS NO.LAMPS SERVICE O-600V Loo SERVICE OVER 600V 5.00 WIRING PERMIT 1.00 FIXTURE PERMIT. 1.00 SUPPLEMENTARY PERMIT Sa APPROVALS TOTAL FEE g I HEREBY'ACKNOWLEDGE THAT 1. HAVE READ THIS APP iC ION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND-AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING r ' ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR / ,.f r LICENSED AS REQUIR BY LOS ANG ES CO NTY STATE OF FIXTURES fi-i 4 Y CALIFORNIA OR THA AM THE AL 0 E THE ABOVE POWER DESCRIBED RESIDEN ERTY. SIGNATURE UTILITY CO.NOTIFIED /I��R�iL1Ii�a-�7 OF PERMITTE FINAL �6 > IOHN A.LAMBIE. VALIDATION ARTHUR C.VETT, rOUNTY ENGINEER CK MO CASH SUPERVISING ELECTRICAL ENGINEER 4 1 0 9 I� NOV 7 2 9.90 - 0in �/l PLICATION FOR ELECTRICAL PERMIT 76A668_CE8061-88 :AP ^ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEARFOR APPLICANT TO FILL IN CROSS ST CROSS ST. NO. AC FEE $ $ OWNER RECEPT._ MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS •a SWITCH_ OVER 20 .10 TEL. NO. PLAN CHECK ) LIGHTING ITOTAL FIRST 20 .20 APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGE—DRYER—WTR.HTR.— CITY TEL. NO. STA.COOK_DISP.—F.A.U.— CONTRACTOR . 1 SPACE HTR. AIR COND.— ADDRESS JJ (//p CLOTHES WASH._DISHWASH.� CITY'Agp EL3 N0 FAN—OTHER 1.00 LICENSE NO. gCLASSS. C3/ MOTORS, HEATERS TRANSFORMERS HPRKW RATING I HEREBY ACKNOWLEDGE THAT I HAVE RE/ TFf15vAP PLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 I HEREBY CERTIFY T•H AM PROPERLY REGISTERED AND/OR' 1 - 10 3.00 LICENSED AS REQUIRE Y S ANGELES COUNTY AND STATE OF 'CALIFORNIA OR THAT A HE LEGAL OWNER OF, AND INTEND TO d. 10 - 50 5.00 RESIDE IN; THE BO DE RIBED SIDENTIAL PROPERTY. SIGNATURE V 50 - 100 10.00 f E ollel 100 - 500 15.00 0 I' NO _GR ZONE &SSE SIGN,GAS v W TUBE, OR SIGN AND ONE CIRCUIT 3.00 MARQUEE ADDITIONAL CIRCUITS 1.00 S: Z SERVICE NOT OVER 600 VOLTS OR200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00APPROVALS DATE INSPECTOR'S SIGNATURE POWER POLE SLAB.WORK ROUGH CONDUIT \ PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN-CHECK FEE.(50% PERMIT FEE) POWER AUTHORIZED oe PERMIT ISSUING FEE 2.00 UTILITYCO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE Qd JOSEPH C: ROOHAN, SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CnsH :E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE h -u RKERS`COMPENSATION DECLARATION 76-883 10/81.CE-806G APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I Have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800.Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS® I� �i !+• I /"�10 EACH NO. FEE Certified copy is hereby furnished. N $ $. LOCALITY.•New Residential Bldgs.&Pools _ � . 14J� Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. _ , �� department. Multi-family Sq.Ft. NEAREST B� CROSS ST. f6f/ D Date - Applicant Residential Swimming Pools OWNER OR {� 'FIRM NAME J:1JZ B�V CERTIFICATE.OF EXEMPTION FROM WORKERS' Outlets:Rec—Light_Sw.— ' MAIL COMPENSATION INSURANCE I ADDRESS ® a*2+ �• /e•ytj 01 This section need not be completed if the work invol d b the First 20 e (. P Y ? CITYl� .gyp Tel.No. s permit Is for one hundred dollars($100)or less.) Total No. Additional — S �I.*. G9.7 1 PLAN CHEC I certify that in the.performance of the ork for which i -I APPLICANT K is issued, I shall. not,employ any pers in any mann become subject to the orkers'Co ation.Law Lighting Fixtures First 20 ADDRESS Additional ,S Total No. PITY Tel. Date '' Applica ' NOT.I E TO AP (CANT: If; after making this rtificate f 1 Fixed Appliances Not Over 1 HP 'PERMIT Exemption,you should become subject to the Wprkers'Compensat' n Range_ Heater D.W. _ (APPLICANT provisions of the Labor Code,'you must forthwith comply with s h Oven _ Dryer_ W.M._ ADDRESS ' provisions or this permit,shall be deemed revoked. Top —. FAU _ W.H. LICENSED CONTRACTORS DECLARATION I' Hood _ Fan _ Other_ ;CITY Tel.No. I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE.OR Class (commencing with Section 7000)of Division 3 of the Business and ,.REG.NUMBER Professions Code,and my license is in'full force and effect. Power Apparatus&Large Appliances [DISTRICT NO, PROCESSED Size&Type HP,KW,KVA,or KVAR ��C/� License Number Lic..Class, Up to 1 Incl. FINAL 8 Over 1 to 10 Incl. DATE Contractor Dae I VALI -TION t ❑ Over 10 to 50 Incl. F I.am exempt under Sec. Over 50 to 100 Inc. IV U B.&P.C.for this reason Over 100 N Services,Swbd.,MCC&Panelboards Date: l 0-200 Amp.Under 600 V r Signature 201 - 1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.•Maint.Elect. I I _ SINGLE FAMILY Temp:Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION j I Sign with One Blanch Circuit 9 4 Q 8 A I hereby affirm that I am exempt from the Contractor's License Law IAdditional Sign Branch Circuits I for the following reason(Section 7031.5,Business and Professions #.0 0 0 0 0 2 Code): Imo► Misc.Conduits&Conductors, I 1 0 0 25-50 I,as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044, Business Other(See Complete.Fee Schedule,) _ 0 0 0 2. 5 and Professions Code). 019 CONSTRUCTION LENDING AGENCY . 4' 18—8 8 1 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 i Lender's Name, PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the above TOTAL FEE information is correct.I agree to comply ith all County ordinances and State laws regulating Electric 1 and hereby authorize �p7rp resen atives of this,Co ty to the above-mentioned ert for inspectip pose SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permitte ate