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Home My Public Portal About10932 WILDFLOWER RD_Electrical__ ,BABGB_CEBOB_e.B� APPLICA`T'IO1\i �'®R .ELECTRIC PEI�MI'Y COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING . BUMDING AND SAFETY DIVISION `�' ADDRESS ' JOHN A.LAMBIE.COUNTY-ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY NEAREST FOR APPL IICCAIT T�T+EOS ILL IN CROSS ST.. LIGHTS RECEPTACLESOWNER SWITCHES - NUMBER - ITEM EACH I FEE MAIL LAU ADDRESS: TOTAL OUTLETS $ ,10 $ EL'EC. RANGES, WATER HEATERS,. CITY TEL:•NO. . CLOTHES DRYERS - _ .SO ELEC.SPACE HEATERS,STAT'Y. COOK- /� ELE TRiCi ING UNITS, GARBAGE DISPOSERS, ADDRESS AUTO WASHERS, DISHWASHER .29' a LIGHTING FIXTURES .10 10 -CITY Ye� TEL.N KKV STATE r MOTORS LICENSE NO. v HORSEPOWER DIS 'R CT NO. GR .IJP ON READY FOR INSPC710R H:PJ' OVER INC. 8 LESS. .29' S .. 2 .90 INSPECTION RECORD 2' S 1.00 9 18. 1.9d 18 SO 2.5.0 : 90 — 200 9.00 MISC. $IGNs>t.' NO.TRANS .I MO.LAMPS SERVICE O.600V 1.00 SERVICE OVER 600V 9:00 WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .90: APPROVALS TOTAL FEE ' DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP ICPPION. AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND- STATE LAWS REGULATING ELECTRICAL WIRING., WIRING /!�y[`�"T /r�..�i,n�?nt�in�i.•r n' 1 HEREBY=CERTIFY T AT 1 AM PROP LY REGISTERE AND/OR FIXTURES LICENSED AS REQUIRE HY' LOS ANGE S•COU TY TATE OF CALIFORNIA OR THA AM THE LE L 0 R E ABOVE POWER DESCRIBED RESIDEN RTY. . SIGNATURE .. 0. UTILITY.CO.NOTIFIED: � OF 'PERMITT FINAL /.r J• i P✓L1NL IOHN A LAMBIE, VALIDATION ARTHUR C.VEIT. .OUNTYWNGINEER CK. MO CJCBH� SUPERVISING ELECTRICAL ENGINEER - _:�O 4 - '0 8';. NOV '7 2 9'.9 0 . M 76A6�� -CE866 ,-A APPLICATION - R ELE TRI AL RMIT COUNTY OF LOS ANGELES TELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER - COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN 'CROSS ST. NO. EACH FEE RECEPT._� $ $ OWNERMAI L LIGHT TOTAL FIRST 20 .20 ADDRESS SWITCH 1 OVER 20 .10-1 CITY TEL. NO. PLAN CHECK .LIGHTING TOTAL FIRST 20 .20 Arl APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGEDRYERWTR.HTR.— CITY TEL. NO. STA.COOK_DISP.—F.A.U._ CONTRACTOR SPACE HTR. AIR COND. ADDRESS ••r CLOTHES WASH._DISHWASH.L CITY f TEL. NO. FAN_OTHER 1.00 LICENSE IJO. CLASS. MOTORS,TRANSFORMERS RATING r .IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE RENb THIS APPLICATION 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 THAT. 1 AM PROPERLY REGISTERED AND/OR d 1 - 10 3.00 - SLI LENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF O CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO V 10 - 50 5.00 RESIDE IN, THE ABOVE DESCRMED R.ESIDENTIAL PROPERTY. uj iNOTES: IGNATURE 'j 50 - 100 10.00 F PERMITTEE,~ ✓�" V' 100 - 500 15.00 DISTRICT NG. GROUP ZOE PROC�S$ETl1BE, OR Q$}r °C SIGN,GAS IGN AND ONE CIRCUIT 3.00 X! %'� 4 yIx MARQUEE ADDITIONAL CIRCUITS 1.00O SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 W H SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. ' M.O. CASH w i EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE w 0 6�_ 6A663 CE-606(6/76) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANTTO FILL IN JOB New Residential Bldgs.&Pools EACH NO. FEE ADDRESS. L LvGr1. 1 &2•Fomily,Sq.Ft. $. .025 — $ LOCALITY e ,—) Multi-family Sq.Ft. .02 — NEAREST Residential Swimming Pools 25.00 CROSS ST.. ,e8 OWNER OR FIRM NAME 4 DrZ 11 L ND Outlets:Rec._Light_?_Sw. ZI MAIL � lFirst 20 .50 O ADDRESS Total No. Additional 30 f I .3D CITY Tel.No. PLAN CHECK APPLICANT I Lighting Fixtures First 20 •50 Oa ADDRESS Additional .30 Total No, Additi � CITY Tel.No.. 'Fixed Appliances Not Over 1 HP PERMIT LAG Range—Heater—D.W.— APPLICANT , Oven—Dryer—W.M.— ADDRESS.ul- Top _FAU —W.H._ CITY E G/7y Tel.No. a_ Hood_Fan —Other LICENSE OR Disp.—Room Air Cond. 2.50 REG.NUMBER 3 Q _ Closs.C– o I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS.APPLICA. Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP,KW,KVA;or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS Yp REGULATING ELECTRICAL WIRING. Up 2.50 i U to 1 Incl. I HEREBY CERTIFY THAT I AAA PROPERLY REGISTERED AND/OR o Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF V Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE O Over 50 to 100 Inc. 25.00 DESCRIBED RESIDEN IAL PR ... TY. Over 100 40.00 PERMITEE SIGNATURE + Services DISTRICT NO. P,RC�CES D BY 0-200 Amp.Under r 0 V 12.50 j) J (P 201-1000 Amp.Under 600 V 25.00 (� Over 1000 Amp.or Over 600 V 50.00 Z O Temp.Power Pole&Appurtenances 10.00 _ Q Sign with One Branch Circuit 1.0.00 'Additional Sign Branch Circuits 2.00 INSPECTION INFORMATION '� Misc.Conduits&Conductors 10.00 ON REVERSE _ 2 5 6 Other(See Complete Fee Schedule) SIDE v 0 0 0 0 0 Z' r 2 5 ' . d 0 0 0 o o 2 PERMIT FEE (Sub-Total) �y 0 #+0 o ,3380 PLAN CHECKING FEE (One-Fourth Permit Feel O �$ 0 0 0 0 0 2 PERMIT ISSUING FEE $7.00 QTf o 2 o o 3 a 8 Q TOTAL FEE > 0 0 0 3 7 8 0 INSPECTION FINALEP W o. dater By r fa �Q' es WORKERS'COMPENSATION DECLARATION 76-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I her affirm that I have a certificate of consent to self insure, CE-6066 or a Fe ificate�ppf Workers' Compensa Insurance, or a cer d COUNTY OF LOS ANGELES BUILDING AND SAFETY copy llLie (S�c.3800, C,) ►!,g/� .Policy Nf9/_3mpafly FOR APPLICANT TO FILL IN JOB ❑ Certified coy is hereby furnished. EACH NO. FEE. ADDRESS a t-✓ P New Residential Bldgs.&Pools M Certified copy is filed wiXhCOy Ing inspection 1 &2-Family,Sq.Ft. $ _ $ LOCALITY J"C part ent.ri Multi-family Sq.Ft. NEAREST Residential Swimming Pools CROSS ST. Date ApplicaOWNER OR FIRM NAME CERTIFICATE OF EXEM OR MAILl� COMPENSATION INSURANCE Outlets:Rec—Light_ t 2. — ADDRESS C (This section need not be completed if the work Involved by,the ' First 20 Total No. Additional I CITY Tel.No. permit is for one hundred dollars($100)or less.) , OF I certify that in the,performance of the work for which this permit PLAN CHECK is issued, I shall not employ any person in any manner so as to APPLICANT become subject to the Workers'Compensation Law Lighting Fixtures .First 20 ADDRESS s' Additional �- Total No. CITY Tel.No. Date pp icant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If.. of eking th' Certificate of APPLI Exemption,you should become.subject to the Workers'Compensation Range_ Heater D.W. provisions of the Labor Code,you must forthwith comply with such Oven. _ Dryer W.M._ J ADDRESS, provisions or this permit shall be deemed revoked.. Top — FAU W.H. _ CIT Tel.N a —/I LICENSED CONTRACTORS DECLARATION Hood _ Fan Other_ I hereby affirm that I am licensed under provisions of Chapter 9Disp. — Room Air Cond. gIJ LICENSE OR Clas (commencing with Section 700.0)of Division 3 of the Business and REG.NUMBER c�Sd� / Professions Code,and my license is in full force and effect. DISTRICT NO. P -CE BY • Power Apparatus&Large Appliances s —7 Size&Type HP,KW,KVA,or KVAR k*�)t Q License Nu �� Lic.Class vQ Up to 1 Incl. FINAL 8 �y Over 1 to 10 Incl. rFINAL Contractor Date O VALIDATION 0 ❑ Over 10 to 50 Incl. I exempt.under Over 50 to.100 Inc. W BAP.C.for this reason Over 100• N Services,Swbd.,MCC&0anelboards t Z Date: 0-200 Amp.Under 600 V Poo. M Signature 201 - 1000 Amp.Under 600 V ❑ Exemption for Reg.Maint.Elect. Over•1000 Amp.or Over 600 V SINGLE FAMILY Temp.Power Pole&Appurtenances 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License.Law a for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits -COT°v Code): 3307 14°00 ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors 1 ITEMS is not intended dr offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). ® TOTAL 116.00 CONSTRUCTION LENDING AGENCY <1CHECK 14°00 1.hereby affirm that there is a.construction lending agency for lthe performance.of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub Total) ° Civ.C.). PLAN CHECKING FEE Lender's Name 0000-COI 8/16/$9 PERMIT ISSUING FEE 5119 1 Anil-0144. Address I certify that I have read this application and state that the above TOTAL FEE information is correct.I agree tocomply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned C Wlyf purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ture ofrmitt Date