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Home My Public Portal About6038 AGNES AVE_Electrical__ 76A663 CE806 9 64 APPLICATION FOR ELECTIMCAL PER T COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FDD G BUILDING AND SAFETY DIVISION U JOHN A LAMBIE COUNTY ENGINEER / COLEMAN W JENKINS SUP T OF BUILDING FOR APPLICANT TO FILL IN RECEPT TOTAL NO lEACH FEE LIGHT y� OUTLETS FIRST 20 $20 $ ' OWNER t /,`f`C ADD L 10 ADDRESS SWITCH ITH OVER 20 T LIGHTING TAL 1 FIRCITY57 20 20 L� M /- (fl TEL NO FIXTURES } �c I ADD L OV R 20 10 ELECTRICIAN RANGES CLO DRYERS WTR HTRS 100 ADDRESS GARB DISP STA COOK CITY /,/ TEL NO DISHwwsH Auro WASH STATE J SPACE HTRS STA APP (/AMP MAX ) 50 LICENSE-N g)/ OVER NOT OVER H P DISTO1 T NO GRLP ZONE P ESSED BY O 1 too J 1 3 150 INSPECTION RECORD >- 3 8 200 a O 8 15 250 V 15 50 300 OZ 50 100 500 U SIGNS NO TRANS d NO LAMPS N Z SERVICE O 600V NOT OVER 200A 100 SERVICE O 600V OVER 200 A 1200 11 SERVICE OVER 600V Soo MISC PERMIT ISSUING FEE 2 00 -' SUPPLEMENTARY PERMIT ISSUING FEE 1100 TOTAL FEE $ 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE 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 L05 ANGELES C NTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN OF AND INTEND TO RESIDE IN THE AB E DESC ED ESIDENT A PROPERT POWER SIGNATURE UTILITY CO NOTIFIED OF PERMITTEE ' FINAL i' 'TOIAi'Er 9�t VALIDATIQPdH JOSEPH C ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER Ir`i.o 0 2 8 7 APR 6 2 D 3 2 0- i1�lqjil-1 76A663 CE 806R 9/76 APPLICATION FOR ELECTRICAL PERMIT - COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ADDRESS ( N E e r FOR APPLICANT TO FILL IN LOCALITY I Q New Residential Bldgs &Pools EACH NO FEE CROSS ST L411 1 &2 Family Sq Ft $ 025 — $ Multi family Sq R 02 — OWNER MN AMOR �c NGS C. l Iht Residential Swimming Pools 20 00\ MAIL ADDRESS O3 C,, 19 u N t Outlets Rec�`Light/Sw q-6 CITY ,e C el No First 20 PLAN CHECK Total No Additional 30 APPLICANT ADDRESS yW Lighting Fixtures First 20 5s , CITY Tel No IT Total No _�_ Additional 30 PERAPPLICANT Fixed Appliances Not Over 1 HP ADDRESS Range_Heater—D W _ CITY Tel No Oven_Dryer_W M LICENSE OR Top —FAU —W H REG NUMBER Class Hood—Fan _Other— 4 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE DlspRoom Air Cond — 2 00 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN i ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING Power Apparatus&Large Appliances i Size&Type HP KW KVA or KVAR . I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Up t0 1 Ind 2 00 THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY Over 1 to 10 Incl 5 00 d Over 10 to 50 Incl 10 00 PERMITTEE C Over 50 to 100 Inc 2000 SIGNATURE V 3000 0 Over 100 DISTRICT NO OCE S D BY O ^l 0 B -� w Services �5 v 0 200 Amp Under 600V INSPECTOR S vii 201 1000 Amp Under 600 V 2500 APPROVALS E SIGNATURE Z Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE Temp Power Pole&Appurtenarces 1000 UNDERSLAB WORK Sign with One Branch Circuit 4 1000 ROUGH CONDUIT Additional Sign Branch Circuits2 00 WIRING Misc Conduits&Conductors 15 00 1 FIXTURES Other(See Complete Fee Schedule) POWER AUTHORIZED UTILITY CO NOTIFIED FINAL PERMIT FEE (Sub Total) NOTES PLAN CHECKING FEE (One Fourth Permit Fee) PERMIT ISSUING FEE $600 TOTAL FEE O PLAN CHECK VALIDATION CK M O CASH P RMIT VALIDATION CK M O CASH �. o 2 v 1 1 0 0 ® � SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE _ ®s 1\\11 f 76A663 CE 8068 101» APPLICATION FOR ELECTRICALPERMIT A COUNTY OF LOS ANGELES �. CYEFARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ADDRESS FOR APPLICANT TO FILL IN LOCALITY New Residential Bldgs.&Pools EACH NO. FEE CNEAREST ROSS ST. Q 1r �. 1 &2-Family,Sq. Ft. $ 025 — $ OWNER OR �+ II , Multi-family Sq. Ft. 02 — FIRM NAME 1(` lA( `� `� Residential Swimming Pools 25.00 MAIL /_ ``,, �'' ADDRESS (DOSS U Q,V1 �S &J� Outlets: Recce Light Sw. 2-- CI1Y C& Tel. No.m a First 20 .50 /J 0 PLAN CHECK Total No. Additional .30 Z APPLICANT ADDRESS Lighting Fixtures ' First 20 .50 17 CITY Tel.No. Additional .30 PERMIT Total No. APPLICANT Fixed Appliances Not Over 1 HP ADDRESS 04 4 Range—Heater Z D.W.— CITY Tel. No. Oven—Dryer_W.M.— LICENSE OR Top —FAU —W.H._ REG.NUMBER Class. Hood_Fan —Other— 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE Disp. — Room Air Cond. 2.50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM >" Up to 1 Inc[. 2.50 THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. 0- Over 1 to 10 Incl. 5.00 / v Over 10 to 50 Incl. 12.50 PERMITTEE C C. Over 50 to 100 Inc. 25.00 SIGNATURE Over 100 40.00 DISTRICT NO. ROCE ED BY d GO Services 0- 200 Amp.Under 600 V 12.50 INSP CTO R'S 201-1000 Amp.Under 600 V 25.00 APPROVALS DATE SJONATURE Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE UNDERSLAB WORK Temp. Power Pole&Appurtenances n 10.00 Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2.00 WIRING7 r Misc.Conduits&Conductors 10.00 FIXTURES Other ISee Complete Fee Schedule' POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL /— PERMIT FEE I (Sub-Total) NOTES PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE $7.00 TOTAL FEE ' PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION, CK. M.O. <CASH ` 9 2 7 i,-JUL L 26 2 U 2 7. 0 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE V i WORKERS COMPENSATION DL`CLARATION CE 806G (2 80) APPLICATION FOR ELECTRICAL PERMIT 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 Policy No Company EACH NO FEE ADDRESS b S New Residential Bldgs &Pools Certified copy is hereby furnished 1 &2 Family Sol Ft $ — $ LOCALITY Certified co y g p Multi family Scl Ft NEAREST copy is filed with the count building inspection 1 CROSS ST department Residential Swimming Pools OWNER OR FIRM NAME Z. =t Date Applicant Outlets Rec fight S Sw ti" MAIL First 20 ADDRESS P Zj Y u XL CERTIFICATE OF EXEMPTION FROM WORKERS Total No AdditionalCITU Tel No r 2 YS COMPENSATION INSURANCE ti � w � } PLAN CHECK CL (This section need not be completed if the work involved APPLICANT w ,JI O by the permit is for one hundred dollars ($100) or less) Lighting Fixtures First 20 ADDRESS Total No 5 Additional F O I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No I-- permit is issued I shall not employ any person in any manner PERMIT so as to become subject to the Workers Compensation Laws Range_ Heater_D W APPLICANT W Oven _ Dryer_W M ADDRESS z Date 7 A Applicant Top _ FAU _W H Hood — Fan _Other_ CITY 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 1, -Class 'Compensation provisions of the Labor Code you must forth Power Apparatus& Large Appliances DISTRICT NO PROCESSED BY with comply with such provisions or this permit shall be deemed revoked Size&Type HP KW KVA or KVAR I Up to 1 Incl FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl DATE r 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 Bust Over 100 BY ness and Professions Code and my license is in full force and .Lxi effect Services 0 200 Am Under 600 V License Number-3�-4 SS �+ Lic Class_ — C 3 4 i 201 1000 Amp Under 600 V ' Contractor 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 Contractors Sign with One Branch Circuit License Law for the following reason (Section 7031 5 Bust Additional Sign Branch Circuits 2 4 2 0,6 A ness and Professions Code) � Misc Conduits&Conductors #,-,- 0 0 0 2 t I as owner of the property will do the work and the Other (See Complete Fee Schedule)— 2 0 0 3 1 7 5 structure is not intended or offered for sale (Section 7044 Business and Professions Code) - ° ° ° 3 1 7 5 c�i CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub Total) 09 1 7—8 4 issued(Sec 3097 Civ C) Lender s Name PLAN CHECKING FEE (One Fourth Permit Fee) Lender s Address PERMIT ISSUING FEE d r I certify that I have read this application and state that the TOTAL FEE above information is correct I agree to comply with all CountyOF ordinances and State laws regulating Electrical wiring and hereby authorize representatives of this County to enter upon the above mentioned propert for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE J � Signature of Pepfnittee Date r