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Home My Public Portal About6204 AVON AVE_Electrical__ 7SA663 CESOU 113/ APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES BUILDING p , DEPARTMENT OF COUNTY ENGINEER UILDI S ,Q AAOU-1 BUILDING AND SAFETY DIVISION — ]]OHN A LAM I[E Couaty En a CASSATT D GSIFFIIi Sup t of 8uldi� 1_oCALITY- --- - i LB FOR APPLICANT TO FILL IN CRASS S PERMIT FEES ITEM NUMBERI EACH FEE OWNER OUTLETS �y $ MAIL LIGHTS RECEPT SW "J 10 ADDRESS LIGHTING FIXTURES 10 CITY TEL NO ELEC RANGES CLO DRYERS ELECTRICIAN ` /�_ '/WATER TT E R HEATERS 50 ELEC SPACE HTRS DISHWASHERS ��n ADDRESS � A*' ��I ��,PJ »1 4ifs � _ GARBAGE DISPOSERS AUTO `'ITY - rX/ ;d TEL NO WASHERS STA COOKING UNITS 25 STATE /_ ��'�•.. MOTORS OVER INC H P LICENSE NO DIS RIC O 1GROUP1,ONEREADY FOR INBPHCTION 0 — 1/2 25 1/2 — 2 50 oftj 2 — 5 100 INSPECTION RECORD I 5 — 15 ISO 15 — 50 250 50— 200 500 SIGNS NO TRANS NO LAMPS SERVICE 0 600V 100 SERVICE OVER 600V 500 MISC WIRING PERMIT 1 00 t ; FIXTURE PERMIT 100 1 SUPPLEMENTARY PERMIT 50 TOTAL FEE $ APPROVALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LICATION 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 –f 1 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROPERTY SIGNATURE �� r �� UTILITY CO NOTIFIED OF PERMITTEF I /�P w Ydif FINAL VALID Ti ARTHUR C VETT CK Mo CASH SUPERVISING ELECTRICAL ENGINEER ►� 02491u- Ja 2 2A 530 76A663C CE8061312/75 APPLICA H FOR ELECTRICAL PERMIT BUILDING D SAFETY DTVI N FOR APPLICANT TO FILL IN JOB 7 �j V / rRedtenyalal Bldgs & Pools EACH NO FEE ADDRES 6 Sq Ft $ — $ LOCALITY Sq Ft — NEARESTC/i ��,/JwCROSS ST ((JJwimming Pools FORM NMESwitch&ReceptacleMAIL First 20 d ADDRESS Additional Additional CITY /i U�� CTeI No G O Q PLAN CHECK 1 APPLICANT Lighting Fixtures First 20 ADDRESS Additional CITY Tel No PERMIT Fixed Appliances Not Ove/f 1 HP APPLICANT .� Range Heater! D W ADDRESS Oven Dryer W M Top FAU W H CITY Tel No a Hood Fan LICENSE OR O Disp AC �� SN QO REG NUMBER Class v I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Q AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY V Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING uA ELECTRICAL WIRING a. Size&Type HP KW KVA or KVAR Z Up to 1 Incl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OP CALIFORNIA OR THAT 1 A HE LEGAL OWNER OF THE ABOVE Over 10 to 50 Incl DESCRIBED RESIDE 1 L OPERTY T Over 50 to 100 Incl PER MIEE Over 100 SIGNATURE DISTRICT NO SSED BY Services a 0 200 Amp Under 600 V 201 1000 Amp Under 600 VIAPPROVALS DATE ECTOR S SIGNATURE Over 1000 Amp or Over 600 V TEMP POWER POLE Temp Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit ROUGH CONDUIT �j-7� / Additional Sign Branch Circuits ��i/ (Other) WIRING ` FIXTURES ]POWER AUTHORIZED PERMIT FEE (Sub Total) UTILITYCO NOTIFIED AL PLAN CHECKING FEE (One Fourth Permit Fee) FIN PERMIT ISSUING FEE TOTAL FEE NOTES M 3 PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M 0 CASH 9 5 2r--APR 27 2 ® 1 7.3 0 b,� } WORKERS COMPENSATION DECLARATION CE 863 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereh affirm that I hpve a certificate of consent to self CE 8p6G 'l.oure certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or, certified copy thereof (Sec 3800 Lab C ) Policy No Company FOR APPLICANT TO FILL IN JOB n/ ,/J!'O� '/� Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS b //V !/ ❑ 1 & 2 Family S Ft $ — $ LOCALITY d 7 G Certified copy is filed with the county building inspec Y q tion department Multi family Sq Ft — NEAREST CROSS ST 'Y! h—)1 Residential Swimming Pools Date Applicant OWNER OR D CERTIFICATE OF EXEMPTION FROM WORKERS � "F�i FIRM NAME 1.1 � JV Outlets Rec —Light Sw_ IL Q COMPENSATION INSURANCE ADDRESS /// �/-' -41 First 20 (This section need not be completed if the work involved by Total No 2- Additional CITY �.7, &��Tel Na� Q the permit is for one hundred dollars($100)or less ) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued I shall not employ any person in any manner so as to become subject to the Work s�^ro ' mp 8tion Laws Lighting Fixtures First 20 ADDRESS ��/ Total No Additional CITY T N Date Applica ' xed Appliances of Over 1 HP PERMIT NOTICE TO APPLIC NT If after making this Certificate of APPLICANT Exemption you should become subject to the Worker Range Heater_D W Compensation provisions of the Labor Code you must f th Oven 4e Dryer — W M — ADDRESS with comply with such provisions or this permit shall be Top _ FAU —W H — deemed revoked Hood Z Fan _ Other_ CITY Tel No LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp _LL Room Air Cond REG NUMBER Class (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO PROCESSE Y } and Professions Code and my license is in full force and effect � Size &Type HP KW KVA or KVAR S O License Number Lic Class Up to 1 Incl FINAL U Over 1 to 10 Incl DATE VAL ATION CK Contractor Date 1111111 10Over 10 to 50 Incl FINAL I 0 ❑ I am exempt under Sec Over 50 to 100 Inc BY u 100 N B&P C for this reason Over 00 ,2 4+4 Date Services Swbd MCC & Panelboards 0 200 Amp Under 600 V 7 7 � 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 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 z 7 8 5 A Law for the followingreason Section 7031 5 Business and Professions Code) I as owner of the property will do the work and the Misc Conduits & Conductors # o 0 0 0 0 2 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ - 4025 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY ° o 0 4 0,2 5 F2 I hereby affirm that there is a construction lending agency for 0 910-87 the performance of the work for which this permit is issued PERMIT FEE (Sub Total) (Sec 3097 Civ C ) 1 PLAN CHECKING FEE Lender s Name PERMIT ISSUING FEE Lender s Address I certify that I have read this application and state that the TOTAL FEE ar above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring and here thorize representatives of this County to enter upon t /a a men r� property for inspection purposes 1 SEE REVERSE FOR EXPLANATORY LANGUAGE —Signature of ermittee ate WORKERS COMPENSATION DECLARATION 806 10/8 CEBose APPLICATION FOR ELECTRICAL PERMIT hereby affirm that I have a certific'a'te of consent to self insure CE ora certificate of Workers Compensation Insurance or a certified COUNTY OF LOS ANGELES `BUILDING AND SAFETY copy,thereof(Sec 3800 Lab C) , c Policy No Company FOR APPLICANT TO FILL IN JOB / , j ❑ Certified copy is hereby furnished New Residential Bldgs & Pools -EACH NO FEE ADDRESS rp r // UU / N ❑ 1 & 2 Family Scl Ft $ — $ LOCALITY Certified copy is tiled with the county building inspection NEAREST department Multi family Scl Ft CROSS ST Date Applicant 7 Residential Swimming Pools ` ' OWNER ORS a , FIRM NAME CERTIFICAT'=OF EXEMPTION FROM WORKERS Outlets Rec Light Sw MAIL t �, COMPENSATION INSURANCE - ADDRESS First 20 (This section need not be completed if the work involved by the CITY e 6 permit is fo'r one hundred dollars ($100) or less) Total No Additional �1t� a l No 7 I certify that in the performance of the work for which this permit T PLAN CHECK APPLICANT is issued I shall not employ any person in any manner so as to y become"subject to the Workers Compensation Laws Lighting Fixtures First 20 - ADDRESS Date Applicant ` Additional Total No CITY t t Tel No NOTICE TO APPLICANT If after making this, Certificate of Fixed Appliances Nott Over 1 HP PERMIT n Exemption you should become subject to the Workers Compensation Range_ Heater_xDW _ APPLICANT provisions of the Labor Code you must forthwith comply with such Oven _ Dryer _ W M _ ADDRESS provisions or this permit shall be deemed revoked ° To FAU W H � p — _ � CITY Tel No LICENSED CONTRACTORS DECLARATION Hood — Fan _'Other_ I hereby affirm that ,I am licensed under provisions of Chapter 9 Disp — Room'Air Cond LICENSE OR T Class (commencing with Section 7000) of Division 3 of the Business and REG NUMBER Professions Code and my license is in full force and effecC DISTRICT NO PRO D BY _ Power Apparatus& Large Appliances Size& Type HP KW KVA or KVAR ,5 '09 License Number Lic Class Up to 1 Incl FINAL z Over 1 to 10 incl DATE VALIDATION t Contractor Date Over 10 to 50 incl " ❑ FINAL v y O I am exempt under Sec Over 50 to 100 Inc BY Over 100 C" B&PC for this reason Cl) Date Services Swbd MCC&Panelboards 0 200 Amp Under 600 V Signature i 201 1000 Amp Under 600 V v Over 1000 Amp or Over 600 V EJ Exemption for Reg Mamt Elect z � - SINGLE FAMILY Temp Power Pole& Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractors License Law ti ACCT.V for the following reason(Section 7031 5 Business and Professions Additional Sign Branch Circuits r- �n Code) ` ,�07 �, o,AJ I as owner of the property will do the work and the structure Misc Conduits & Conductors f y` 1 TTc� r is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) ' < i Gi 1.725.50 y and Professions Code) _ L ' TOTAL 25 s 5O CONSTRUCTION LENDING AGENCY - r w CAM a 25.50 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec 3097 PERMIT FEE (Sub Total) - CHAME,L1x a '00 Civ C) F _ PLAN CHECKING FEE " at Lenders Name i QO0—M1~ 7i 389 r c r PERMIT ISSUING FEE �,V„ 1 wd�o� Lenders Address A 1 38 I certify that I have read this application and state that the above TOTAL FEE informationos correct I agree to comply with all County ordinances and State laws regulating Electrical wiring and hereby authorize , represent es of this County to enter upon the above mentioned n grope f inspe purposes .+ SEE REVERSE FOR EXPLANATORY LANGUAGE ., t eu 77nature of Permittee Date