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Home My Public Portal About6050 AGNES AVE_Electrical__ r r 76663 CE806 1 68 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING /�J1 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 Al- NO lEACH FEE RECEPT $ $ OWNER 1141 �/ ' 1 MAIL �� () i7Al' LIGHT��/j�//(�`TOTAL FIRST 20 20 ADDRESS �v SWITCH /~ OVER 20 10 CITY T, C TEL NO PLAN CHECK LIGHTING TOTAL FIRST 20 20 APPLICANT FIXTURES OVER 20 10 ADDRESS RANGEDRYER—WTR HTR — CIT TEL NO .. r STA COOK_DISP _F A U COIJTRAC TOR SPACE HTR AIR COND ADDRESS % G 19-P�1+e ((�� / CLOTHES WASH —DISHWASH CITY n ^^ TEL' NO / - ,?146 FAN—OTHER 1 00 LICENSE 1,10 �/i4CLASS C /{/ MOTORS TRANSFORMERS RATING IND HEATERS ETC HP KW KVA I HEREBI ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & 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 AND/OR 1 - 10 1 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LFFF,FFF&��GAL OWNER OF AND INTEND TO 10 - 50 5 00 RCL I SIDE IN THE ABOV JIFED RESIDENTIAL�PROPER 0 SIGNATURE tJ 50 - 100 10 00 OF PERMITTE - 100 - 500 15 00 DISTRICT N IS ZONE SSED G TUBE SIGN A SIGN AND ONE CIRCUIT 3 00 �Ot6 - d MARQUEE ADDITIONAL CIRCUITS 1 00 �w h NOTES Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 I � SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE POLE &APPURTENANCES 3 00 II APPROVALS DATE INSPECTOR S SIGNATURE t ( 4 I TEMP POWER POLE UNDERSLAB WORK 1 F,OUGH CONDUIT I PERMIT FEE (SUB TOTAL) MIRING FIXTURES PLAN CHECK FEE (507 PERMIT FEE) I FOWER AUTHORIZED 117 PERMIT ISSUING FEE 2 00 00 LTI LI TY CO NOTI FI ED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE D 11 JO E H C ROOHAN I SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M O CASH 5274 JUL 1 2 D 380N I SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 1 76A663 CE 806R kOJ77 APPLICATION FOR ELECTRICAL PERMIT ` '�OUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERJOB ADDRESS BUILDING AND SAFETY DIVISION NEAREST FOR APPLICANT TO FILL IN LOCALITY e New Residential Bldgs &Pools EACH NO FEE CROSS ST $ �/� 1 &2 Family Sq Ft $ 025 — $ OWNER OR Multi family Scl Ft 02 — FIRM NAME Residential Swimming Pools 2500 MAIL ADDRESS Outlets RecL ght-�Sw CITY Tel No �G aAtl First 20 50 OD PLAN CHECK Total No Add tional 30 APPLICANT ADDRESS Lighting Fixtures First 20 50 j J CITY Tel No Additional 30 PERMIT Total No APPLICANT Fixed Appliances Not Over 1 HP ADDRESS 2 , ,,ejl.q (/�� Range_Heater_D W CITY Tel No -3��2j& Oven _Dryer_W M_ LICENSE OR Top —FAU —W H REG NUMBER 33 '9 Class Hood_Fan _Other_ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp — Room Air Cond L 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 10 1 Incl 2 50 THE LEGAL OWNER OF THE ABOVE DESCRIBEAA RESIDENTIAL PROPERTY G Over 1 to 10 Incl 5 00 C..')Over 10 to 50 Incl 1250 PERMITTEE ' Over 50 to 100 Inc 2500 SIGNATURE Over 100 4000 [DISTRICT NO PROCE D BYNServices 1 1250� 0 200 Amp Under 600 V APPROVALS DATE ISISP ATURE 201 1000 Amp Under 600 V 2500Over 1000 Amp or Over 600 V 5000 MP POWER POLE UNDERSLAB WORK Temp Power Pole&Appurtenorces 1000 4— - - 1000 ROUGH CONDUIT / Sign with One Branch Circuit Additional Sign Branch Circuits 200 WIRING Misc`Conduits&Conductors 1000 FIXTURES Other(See Complete Fee Schedules POWER AUTHORIZED UTILITY CO NOTIFIED p� FINAL PERMIT FEE (Sub Total) p 001 NOTES �.�� PLAN CHECKING FEE (One Fourth Permit Feel /Z PERMIT ISSUING FEE $7'00 O A100avaveL 'Y -Z-c 9 TOTAL FEE BV ' M O CASH PERMIT VALIDATION CK M O CASH [�. v Y HOLDER �!�� 1i 2 � 3/k7 . 1 700 ®��, Y NU9,40 :kPPLICATION FOR COMPLETE SCHEDULE .. 76A663 CE 6068 I ,77 APPLICATION F6i ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB 7ADDRESSj60�5_0BUILDING AND SAFETY DIVISION /�FOR APPLICANT TO FILL IN TY Tl.. New Residential Bldgs &Pools EACH NO FEE NEAREST ST 1 &2 Family Sq Ft $ 025 — $ OWNER OR cn ` Multi family Sq Ft 02 — FIRM NAME Residential Swimming Pools 2500 MAIL / ADDRESS SSS E Outlets Rec Light_Sw CITY_DVdqe746 Tel No s First 20 50 PLAN CHECK Total No Additional 30 APPLICANT ADDRESS Lighting Fixtures First 20 50 CITY Tel No Additional 30 PERMIT Total No APPLICANT Z Fixed Appliances Not Over 1 HP ADDRESSZ S-S-LJ Range—Heater_D W CITY Tel No Oven_Dryer_W M_ LICENSE OR Top —FAU —W H REG NUMBER 3 - Class 11 d Hood_Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp — Room Air Cond 250 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 Ind 2 50 THE LEGAL OWNER THE ABOVE DESCRIB RESIDENTIAL PROPERTY p ' Over 1 to 10 Incl 500 v Over 10 to 50 Incl 12 50 PERMITTEE O Over 50 to 100 Inc 2500 SIGNATURE Over 100 4000 IFIXTURES STRICT NOJ FROG SSEQ'#Y d Services 0 200 Amp Under 600V 1250 INSPECTOR S 201 1000 Amp Under 600 V 2500 APPROVALS DAT SIGNATURE Over 1000 Amp or Over 600 V 5000 MP POWER POLE Temp Power Pole&Appurtenarces 1000 DERSLAB WORK Sign with One Branch Circuit 10 00 UGH CONDUIT 200 RING / Additional Sign Branch Circuits or Mlsc Conduits&Conductors 1000 Other(See Complete Fee Schedules WERAUTHORIZED ILITYCO NOTIFIEDAL Z� PERMIT FEE (Sub Total) NOTES PLAN CHECKING FEE (One Fourth Permit Feel PERMIT ISSUING FEE $700 TOTAL FEE C PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 CASH �P/YLG��Ci1 7 _9 6 7 3 'J1JL 14 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE r Wf*KERS COMPF�ISATION DECLARATION 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT I firm that I have a certiricate of consent to self CE 6066 insure certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY / or`a certified copy thereof (Sec 3800('Lab C ) - a Policy No 40 111190 JO Company It'll f e &,4/ FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS 60 / Ar4 '7 — Certified copy is filed with the county builds m 1 8 2 Family Y S 9 Ft $ $ LOCALITY tion department i Multi family Sci Ft — NEAREST f / Residential Swimming Pools CROSS ST p% Date Applicant OWNER OR '' II FIRM NAME /T✓-t L wif CERTIFICATE OF EXEM TI ORKERS Outlets Rec Light SW MAIL ' COMPENSATIO I SUR CE ADDRESS G CC c/1 [ ✓y- (This section need not be completed if the work Involved by Total No _ AdditFirst 2ional CITY T Tel No yz Q y(, the permit is for one hundred dollars ($100)or less ) PLAN CHECK I certify that in the performance of the work for which this FAPPLICANT permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS Total No_& Additional CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP PERMIT / NOTICE TO APPLICANT If after making this Certificate of APPLICANT e f►'{ L ` e—J Exemption you should become subject to the Workers Range_ Heater_D W — L Compensation provisions of the Labor Code you must forth Oven _ Dryer W M — ADDRESS ') /l4 C C✓ if D with comply with such provisions or this permit shall be Top — FAU W H — deemed revoked Hood Fan Other_ CITY T C Tel No r-/y2,pyov LICENSED CONTRACTORS DECLARATION Disp RmiopAir Con d '-/ I ILIbb LICENSE OR ' I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER J j}(} 3 Class g (commencing with Section 7000) of Division 3 of the Business - SPS DISTRICT NO PRO S D BY and Professions Code and my license is in full force and effect Power Apparatus 8 Large Appliances !,C/ CL Size 8 Type HP KW KVA or KVAR � (J1( 0 License Number be Class Up to 1 Incl FINAL U Over 1 to 10 Incl DATE 1_ 7 !_ VALID ION CK Contractoe f{/Yy L_ �,ey�r�ate Lc ( O Over 10 to 50 Incl FIN L ~ I am exempt under Sec Over 50 to 100 Inc BY W Over 100 B 8P C for this reason N Services Swbd MCC 8 Panelboards ' / Z Date 0 200 Amp Under 600 V Signature 201 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V 1 6 9 7 A Exemption for Reg Maint Effect SINGLE FAMILY # o o e e o 2 Temp Power Pole 8 Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I o o 6700 I hereby affirm that I am exempt from the Contractor s License l Sign i Additin Branch Circuits Law for the following reason (Section 7031 5 Business and g o o o 670050 Professions Code) \ Misc Conduits 8 Conductors 121 5-85 I as owner of the property will do the work and the structure is not intended or offered for sale (Section Other ( ee Complete Fee Schedule)_ 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY i 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 ) PLAN CHECKING FEE Lender s Name rPERMIT ISSUING FEE Lender s Address n o I certify that I have read this application and state that the TOTAL FEE V above information is correct I agree to comply with all County } ordinances and State jaws regulating Electrical wiring and hereby authorize representatives of this County to enter upon the above m nti d property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE i a � o ermittee Date