The URL can be used to link to this page

Home My Public Portal About6166 AVON AVE_Electrical__ 76A669 CES06 1056 APPLICATION FOR ELECTRIC PERMIT' BUILDING AND SAFELY DMSION Department of County Engineer B U I LDING County of Los Angeles ADDRESS L 11 JOHN A LAMBIE COUNTY ENGINEER til dA� CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY �Y IY jj i L_ NEAREST FOR APPLICANT TO FILL IN CROSS ST PERMT FEES OWNER LIGHTS RECEPTACLES SWITCHES MAIL NUMBER ITEM EACH I FEE ADDRESS y t �¢•ti TOTAL OUTLETS $ 10 $ I < Ian! RS ELEC RANGES WATER HEATERS CITY 1J' 1 ' l\ �i LTE�L'+NO V1 CLOTHES DRYE50 ELECTRICIAN �j�.✓�/—'t-a ELEC SPACE HEATERS STAT Y COOK IN' UNITS GARBAGE DISPOSERS ADDRESS AUTO WASHERS DISHWASHER 25 LIGHTING FIXTURES 10 V CITY TEL NO MOTORS STATE LICENSE NO HORSEPOWER H P OVER INC DISTRICT NO I GROUP ZON/yE(� READY FOR INSPECTION I/3 &LESS 25 1/2 - 2 50 INSPECTION RECORD 2 — 5 100 , 5 15 1 50 15 50 250 50 200 500, MISC SIGNSI NO TRANS NO LAMPS SERVICE 0 600V tool SERVICE OVER 600V 500 fs1' WIRING PERMIT 1 00 V FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT 50 APPROVALS TOTAL FEE $ DATE INSPECTOR S SIGNATURE I HEREBY 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 �y ��Z ELECTRICAL WIRING WIRING 1f I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOSANGELES C UNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL 0 NER OF THE ABOVE pOWER DESCRIBED RESIDENTIAL PROPE TY I SIGNATURE �c7. UTILITY CO NOTIFIED OF PERMITTEE FINA JOHN A LAMBIE VALIDA N ARTHUR C VEIT COUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER CK MO CASH M/0 8 7 1 lu"-$ A 20 1.35 7GA663 CES06 1086 APPLICATION FOR ELECTRIC PERMIT BUILDING AND SAFETY DMSION Department of County Engmeer ADDRESS 6166 Avon County of Los Angeles JOHN A LAMBIE COUNTY ENGINEER Tempe City CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN Ross PERM FEES LIGHTS RECEPTACLES 15 SWITCHES 5 OWNER NUMBER I T E M EACH FEE MAIL 28 TOTAL OUTLETS $ 10 $ 2 180 ADDRESS ELEC RANGES WATER HEATERS CITYTEL NO CLOTHES DRYERS 50 ELEC SPACE HEATERS STAT Y COOK ELECTRICIAN �'.orh1n F,lAntri d IG UNITS GARBAGE DISPOSERS ADDRESS Q(� NAUTO WASHERS DISHWASHER 25 I+d`I-O-`Stn• 01iri i4 ASA • r LIGHTING FIXTURES 10 CITYA1�1Fnbr-8- Cali f. TEL NO 01,33526 MOTORS STATE LICENSE NO 113244 C 10 HORSEPOWER H P OVER INC DISTRICT NGROUP ZONEREADY FOR INSPECTION 1/a&LESS 25 5 1 RA >V2 — 2 50 INSPECTION RECORD 2 5 1 00 5 18 1 50 15 50 2 50 50 200 500 MISC SIGNS I NO TRANS NO LAMPS SERVICE 0 600V 1 00 1 00 " SERVICE OVER 600V 5 00 WIRING PERMIT 100 00- FIXTURE 0 FIXTURE PERMIT too SUPPLEMENTARY PERMIT 50 APPROVALS TOTAL FEE $ 6 6o 1 HEREBY ACKNOWLEDGE THAT t 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 PROPE E/R GIST ED /OR 1 LICENSED AS REQUIRED BY LOS ANG UNTY AD S OF FIXTURES c CALIFORNIA OR THAT I AM THE NER OF T APOVE POWER DESCRIBED RESIDENTIAL PROPER i SIGNATURE UTILITY CO NOTIFIED OF PERMITTEE FINAL -2i 3-s JOHN A LAINE E VALIDATIONoCASH ARTHUR C V�IT COUNTY ENGINEER ( cK MO CASH SUPERVISING LECTRICAL ENGINEER ` �� - ,0973; AUG 9 2 660 76A663 CE806 10/72 APPLICATION FOR ` ELECTRICAL PERMIT I COUNTY OF LOS ANGELES / DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION , ADDRESS - LOCALITY— 1 NEAREST I FOR APPLICANT TO FILL IN CROSS ST loelll OUTLETS NO EACH FEE OWNER OR $ $ FIRM NAME ') RECEPT MAIL FIRST 20 26 ADDRESS (J LIGHT TOTAL OVER 20 CITY EL N07,7/-,t<- SWITCH., 10 PLAN-CHECK FIRST 20 APPLICANT LIGHTING TOTA 25 � FIXTURES OVER 20 10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO , f RANGE DRYER WTR HTR PERMIT _ APPLICANT STA COOK DISP F A UV ADDRESS ' SPACE HTR AIR COND CIT CLOTHES WASH DISHWASH LIC E NSE OR REG NUM BEP, CLAS FAN OTHER 100 1 HEHEBI ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING' IND HEATERS ETC HP KW KVA ELECTRICAL WIRING SIZE & TYPE OVER TO I HEREBY CERTIFY THAT AM PROPERLY REGISTER A '/OR O - 1 100 LICENSED AS REQUIRED OS ANGELES COUNTY AN ST E OF CALIFORNIA OR THAI A E L A O ER O TH ABOVE 1 - 10 300 DESrRIFED RES DEN AL PER f O PERMITEE V 10 - 50 500 SIGNATUR oz O 50 — 100 1000 c~i DISTRM N PROCE E Y LSI 100 — 500 1500 ti Z SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR SIGNATURE TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP i 300 UNDERSLAB WORK SERVICEOVER600VOLTS OR200AMP 1000 ROUGH CONDUIT TEMPSERVICE POLE &APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES �✓ POWER AUTHORIZED � UTILITY CO NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 300 TOTAL FEE PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDA ION cK M O CASH 3 3 5 APR 2 2 A 5 0 0 &e8 4 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ` i 1 r a WORKER S COMPENSATION DECLARATION 720 6A663 DPW 9/89 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self Insure 76A663 'or a certificate of%Worker s Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C) ` Policy No Company FOR APPLICANT TO FILL IN JOB t ADDRESS GG � � V OO X Certified copy Is hereby furnished' New Residential Bldgs &Pools $EACH NO $ FEE LOCALITY P L t C ElCertifiedcopy Is filed with the county building Inspection 1&2 Family Sq Ft i NEAREST �, IAGE department -< MuIUfamily SqFt CROSS ST1V J YDate licant Residential Swimming Pools ASSESSORAPp MAP BOOK PARCEL CERTIFICATE OF EXEMPTION FROM WORKERSe �a.SN L OWNER OR t COMPENSATION INSURANCE Outlets Rec Light 7 FIRM NAME J �QQ First 20 ( � 7 Q O MA (This section need not be completed If the work Involved by the t ADDRESSIL permit Is for one hundred dollars($100)or less) I Total No Additional j V I certify that in the performance of the work for which this permit CITY 11 t L Tel No ZAJ' 233 c0 is Issued I shall not employ any person in any manner so as to become subject to the Workers Com ensatio LawV Lighting Fixtures First 20 PLAN CHECK �\„ , ' A� , A I p 9 9 �� APPLICANT ( �iMJ 1 {�f/_S _CJ 00 Total No — Additional �n Date '4pplicant k W M !) ADDRESS 'L LOw t� �L�l� w 15 OR 20A 120V BRANCH C CUITS a `� l NOTICE TO APPLICANT If aft e mating this Certi ate of ;� 1 CITY ON� Tel No _%14-1 Exemption you should become subl t to the Workers Compensation 1 TO 10 INCLUSIVE EACH 1 PERMIT QOOVo % �C provisions of the Labor Code you must forthwith comply with such 11 TO 40 INCLUSIVE EACHF�IV` APPLICANT L '�- 1 L provisions or this permit shall be deemed revoked r 41 OR MORE BRANCH CIRCUITS EACH p h ICENSED CONTRACTORS DECLARATION ADDRESS Zq b SPRI N LA } I hereby affirm that I am licensed under provisions of Chapter 9' 15 OR 20A 208V TO 277V LIGHTING EACH O (commencing with Section 7000)of Division 3 of the Business and /_ CITY Q) e ,� r Tel No 1►4 40 U Professions Code and my license is in full force and effect RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR (1 n Power Apparatus&Large Appliances REG NUMBER 2 1 �" Class --t Q License Number Llc Class `—`v Slze&Type HP KW KVA or KVAR t DISTRICT NO PR E E BY l r a — _ Up to 3 In - 11J J nn r Contractor M,C. OC�dyb!-T �t' ate (� ✓ Over 3 to 10 Ind FINAL 11 Over 10 to 50 Incl DATE CO ❑ 1 am exempt under Sec Over 50 to 100 Incl r l � VALIDATION Z ~ Over 100 FINAL B&P C for this reason BY Date _ Services Swbd MCC&Panelboards / 2C7 0 200 Amp Under 600 V 23 20 23 Signature 201 1000 Amp Under 600 V - Over 1000 Amp or Over 600 V 1 # 2 / ❑ Ex mpUon for Reg Mamt ElectV ' w SINGLE FAMILY r G 2 * * 13 3 2 3 Temp Power Pole&Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit J - 13 3 2 3 Y I hereby affirm that I am exempt from the Contractors License Law v F for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits _ Code) 2 v 1 >� ❑ p property V Mlsc Conduits&Conductors - L 1 n 8 . I as owner of the ro ertwill do the work and the structure U o is not Intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) and Professions Code) — r I1 L 7 2 C n CONSTRUCTION LENDING AGENCY U U 1 l 7 L I hereby affirm that there Is a construction lending agency for the Y 0 i 3 performance of the work for which this permit is Issued (Sec 3097 PERMIT FEE r .. (Sub Total) Civ C) PLAN CHECKING FEE Lender s Name � f PERMIT ISSUING FEE 7\ Lenders Address I certify that I have read this application and state that the above TOTAL FEE t 33 23 Information is correct I agree to comply with all County ordinances and State laws reg ting Electrical wiring and hereby authorize represent tiv of I County to enter upon the above mentioned - pro rty r s e iopurposes SEE REVERSE FOR EXPLANATORY LANGUAGE i O TURE OrWPPTICANT OWAGENT DATE '