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HomeMy Public PortalAbout6152 AVON AVE_Electrical__ r 'v I 76AG63 CES08 11 SIAPPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �^ BUILDING AND SAFETY DIVISION ADDRESS r]OHN A LAMIE Couaty eer [rte CI[SSA1T D GRWIN Snp t of ylldt� LOCALITY FOR APPLICANT TO FILL IN CROSSNEARE$ c ` PERMIT FEES ITEM NUMBERI EACH FEE OWNER ff OUTLETS $ $ MAIL LIGHTS RECEPT SW 10 ADDRESS LIGHTING FIXTURES to CITY { TEL NO ELEC RANGES /--- CLO DRYERS l ELECTRICIAN r Q 1(1/-"f WATER HEATERS C 50 ADDRESS ELEC SPACE HTRS DISHWASHERS GARBAGE DISPOSERS AUTO CITY-5,4-1V TELLS N a/'Z- WASHERS STA COOKING UNITS 25 STATE LICENSE NO MOTORS OVER INC H P DISTRICTGR READY FOR INBPECTION O — 1/z 2 S7 1/2 — 2 50 2 — 5 100 INSPECTION RECORD 5 — 15 150 15 — 50 250 50— 200 500 SIGNS NO TRANS NO LAMPS SERVICE O 600V 100 QO SERVICE OVER 600V 500 MISC WIRING PERMIT 1 00 Q Q FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT 50 TOTAL FEE o APPROVALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 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 LICENSED AS REQUIRED BY LOS ANGELES CO TY AND STATE OF FIXTURES CALIFORNIA OR THAT IA L L 0 ER OF THE ABOVE POWER DESCRIBED RESIDENTIAL P R SIGNATURE UTILITY CO NOTIFIED /Q - OF PERMITTEE— FINAL VALIDATION ARTHUR C YEIT CK Mo CASH SUPERVISING ELECTRICAL ENGINEER I x 'To5 4 3 6 00. OCT 2 2 A 250 El y i 76AG63 CES06 1056 APPLICATION FOR ELECTRIC PERMIT 1 BUILDING AND SAFETY DMSION Deportment of County Engineer BUILDING County of Los Angeles ADDRESS JOHN A LAMBIE COUNTY ENGINEER CASSATT D GRIFFIN $UP T OF BUILDING LOCALITY41 NEAREST FOR APPLICANT TO FILL IN CROSS ST PERMIT FEES OWNER J(/ w LIGHTS RECEPTACLES SWITCHES �/+mofji NUMBER 1 T E M EACH FEE MAIL ADDRESS TOTAL OUTLETS $ 10 $ ELEC RANGES WATER HEATERS CITY EL NO CLOTHES DRYERS 50 ELEC SPACE HEATERS STAT Y COOK ELECTRICIAN 1 ING UNITS GARBAGE DISPOSERS ADDRESS AUTO WASHERS DISHWASHER 25 LIGHTING FIXTURES 10 CITYkZ TEL N MOTORS STATE P LICENSE NO HORSEPOWER H P OVER INC DISTRNO GRO P � READY FOR INSPECTION 1/7 @ LESS 25 / Ih — 2 50 INSPECTION CORD 5 15 1 50 GV 15 50 250 50 200 500 MIBC SIGNS I NOT ANS NO LAMPS SERVICE O 600V 1 00 SERVICE OVER 600V 500 WIRING PERMIT 100 FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT 50 APPROVALS TOTAL FEE S DATE INSPECTOR S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 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 1 AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL P ERTY I SIGNATURE UTILITY CO NOTIFIED OF PERMITTEE FINAL JOHN A LAMBIEA ATION ARTHUR C VEITE COUNTY ENGINEER cic Mo CASH SUPRVISING ELECTRICAL ENGINEER 325k� 27 2 A 220to k 76AG63 CES06 1066 APPLICATION FOR ELECTRIC PERMIT 1 BUILDING AND SAFETY DMSION Deportment of County Engmeer BUILDING County of Los Angeles ADDRESS JOHN A LAMBIE COUNTY ENGINEER CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS PERNIIT FEES OWNER LIGHTS RECEPTACLES SWITCHES NUMBER 1 T E M EACH FEE MAIL ADDRESS TOTAL OUTLETS $ 10 $ ELEC RANGES WATER HEATERS CITY TEL NO CLOTHES DRYERS 50 ELECTRICIAN I..J / ELEC SPACE HEATERS STAT Y COOK �e ING UNITS GAR 6A2X AISPOSERS �A ` ADDRESS [i AUTO WASHERS DISHWASHER 25 a(J LIGHTING FIXTURES 10 CITY TEL N MOTORS STATE �7 i LICENSE NO HORSEPOWER H P OVER INC DISTRIQTKIO IGTl --����II����P �/ J READY FOR INSPECTION 1/2 @ LESS 25 2 50 INSPECTION RECORD 2 — 5 foo 5 15 1 50 15 50 250 50 200 500 MISC SIGNS I NO TRANS NO LAMPS SERVICE O 600V 100 SERVICE OVER GOOV 500 WIRING PERMIT too FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT 50 APPROVALS TOTAL FEE S DATE INSPECTOR S SIGNATURE 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 P RTY /J SIGNATURE ��� UTILITY CO NOTIFIED OF PERMITTEE C- ---- -e FINAL JOHN A LAMBIE ATION ARTHUR C YEIT COUNTY ENGINEER cK MO CASH SUPERVISING LECTRICAL ENGINEER �,2 3 1 IN JUN 26 2 A .75 76A663 CES06 1056 APPLICATION FOR ELECTRIC PERMIT 1 BUILDING AND SAFETY DMSION Department of County Engineer BUILDING ,, r/� County of Los Angeles ADDRESS Q t - JOHN A LAMBIE COUNTY ENGINEER CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN Ross ST PERMIT FEES OWNER /✓�, LIGHTS RECEPTACLES JAI SWITCHES NUMBER I T E M EACH FEE MAIL rn1 TOTAL OUTLETS $ 10 $ ADDRESS� W ELEC RANGES WATER HEATERS CITY TEL NO CLOTHES DRYERS SO ELECTRICIAN ELEC SPACE HEATERS STAT Y COOK IN UNITS GARBAGE DISPOSERS ADDRESS AUTO WASHERS DISHWASHER 25 LIGHTING FIXTURES 10 CITY TEL NO I MOTORS STATE I LICENSE NO HORSEPOWER H P OVER INC A DISTRICT NO GROUP Z NE I READY FOR INSPECTION 1/2 8 LESS 25 1/2 2 50 INSPECTION RECORD 2 — 5 100 5 15 1 50 ✓/ r //� 15 SO 250 50 200 Soo MISC SIGNS I NO TRANS NO LAMPS SERVICE O 600V 1 00 '00 SERVICE OVER BOOV Soo WIRING PERMIT 100 0 FIXTURE PERMIT 100 I .00 SUPPLEMENTARY PERMIT 50 APPROVALS TOTAL FEE DATE INSPECTOR S SIGNATURE LCALIFORNIA BY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT L COUNTY ORDINANCES AND STATE LAWS REGULATING CAL WIRING WIRING EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF NIA OR THAT I AM E LEGAL OWNER OF THE ABOVE POWER ED RESIDENTIAL�RO TY I UTILITY CO NOTIFIED URE RMITTEE ld"= FINAL .f 1 JOHN A LAMBIEATION ARTHUR C VETT COUNTY ENGINEERSUPERVI81Nd ELECTRICAL ENGINEER CK MO CASH 1903 00, JM162 A 6.95 e WORKERS COMPENSATION DECLARATION 863 loiel APPLICATION FOR ELECTRICAL PERMIT I herbyy CE affirm that I have a certificate of consent to self CE 806G ' insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800 Lab C ) Policy 4p iRRK) 82'rompany!�3nmFOR APPLICANT TO FILL IN JOB Certified co is hereby furnished EACH NO FEE ADDRESS f PY Y � New Residential Bldgs & Pools dCertified copy is filed with the county building inspec 1 & 2 Family Sq Ft $ — $ LOCALITY tion department Multi family Sq Ft — NEAREST CROSS ST , ���C�fc Residential Swimming Pools OWNER OR NA Date 24plicant FIRM ME CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec�Light Sw� / MAIL COMPENSATION INSURANCE �� d{7 ADDRESS f This section need not be com leted if the work involved First 20 ( p b Y J Total No Additional P CITY�� Tel No s— the permit is for one hundred dollars ($100)or less ) jg I certifythat in the performance of the work for which this PLAN CHECK P � PPLICANT permit is issued 1 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 Date ` Applicant CITY Tel No , Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT If after making this Certificate of ( PERMIT Exemption you should become subject to the Workers Range_ Heater_D W APPLICANT Compensation provisions of the Labor Code you must forth Oven _ Dryer — W M e. ADDRESS with comply with such provisions or this permit shall be _ Top FAU —W H NX deemed revokedHood Fan _Other_ /� CITY Tel No y LICENSED CONTRACTORS DECLARATION g!/ LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp Room Air Cond REG NUMBER Q t Class (commencing with Section 7000) of Division 3 of the Business power Apparatus& Large Appliances DISTRICT NO PROCESSED BY and Professions Code and my license is in full force and effect d Size & Type HP KW KVA or KVAR O License Number3Q011,`—::n Lic Class Up to 1 InclA /I V FINAL �i *,(�J' Im ContractorDate \`L—\—�� Over 1 to 10 Incl DATE "� VALIDATION O s Over 10 to 50 Incl ❑ FINAL am exempt under Sec Over 100{ Over 50 to 100 Inc BY w B 8P C for this reason t�R i e \�,_�_� Services Swbd MCC & Panelboards ► Z 0 200 Amp Under 600 V Signature %//s / 201 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V Exemption for Reg Maint Eject SINGLE FAMILY Temp Power Pole& Appurtenancesy HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit + I hereby affirm that I am exempt from the Contractor s License Additional Sign Branch Circuits d r Law for the following reason (Section 7031 5 Business and 7 3 2 5 A Professions Code) ` ❑ I as owner of the property will do the work and the Misc Conduits &Conductors o e o o 0 2 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ 7044 Business and Professions Code) ° ° 3 7 7 5 CONSTRUCTION LENDING AGENCY 'F o o a 3 7 r7 a 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) t 205-83 (Sec 3097 Civ C PLAN CHECKING FEE Lender s Name 0 PERMIT ISSUING FEE Lender s Address 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 hereby authorize representatives of this County to enter upon the r erty for inspection purposes � SEE REVERSE FOR EXPLANATORY LANGUAGE � 1 Signs re o�errnt�tee �� Date J