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HomeMy Public PortalAbout6212 AVON AVE_Electrical__ 76A663 CES0610 39 APPLICATI®N! FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS (o C JOHN A LAMBIE COUNTY ENGINEER / �f WILLIAM A JENSEN SUP T OF BUILDING LOCALITY �1° yytyle C/ / I/ FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST G fT I T E M NUMBERI EACH FEE OWNER G e-o Y/ OUTLETS $ $ MAIL ADDRESS LIGHTS RECEPT SW 10 LI TURES to CITY 1i TEL NO 1 7 7 ELEC RANGES CLO DRYERS ELECTRI A1�N P WATER HEATERS 50 ADDRESS Y ELEC SPACE HTRS DISHWASHERS S � e TEL NO y U CITY GARBAGE DISPOSERS AUTO STATE WASHERS STA COOKING UNITS 25 LICENSE NO MOTORS OVER INC HP DISTRIg,'LNO GROUP I ZONE PR BY 0— 1/2 25 1/2— 2 150 INSPECTION RECORD 2— s 100 5— 1s 150 1s— 50 250 50-200 Boo V Z = /l f dl�116 C '� a.�rr✓ ]- O / /i1✓ �iT�/N T L SIGNS NO TRANS NO LAMPS SERVICE O 600V Q 67-0 1 00 SERVICE OVER 600V 500 MISC WIRING PERMIT 100 FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT 50 TOTAL FEE $ D 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY POWER SIGNATURE UTILITYCO NOTIFIED 7-2-1-10 9-7, OF PERMITTE !/ FINAL ®R ADATION ARTHUR C VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER 3,9 2 5 1 JJL 2 a 2�A 2 50 Y, 167-jw4,Vl WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-97) APPLICATION FOR ELECTRICAL PERMIT LI 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.) G(, � Policy No. � j� o pang �� yN FOR APPLICANT TO FILL ADDRESS 69/�/✓" /•T f� o N Certified co is hereby furnished. NO. EACH FEE PY Y New Residential Bldgs.&Pools 4 Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. $ $ LOCALITY— -7department. Multi-family Sq.Ft. NEAREST CROSS ST. Dat 7 —12 Z Applicant Residential Swimming Pools ASS �j PAGE Q / PARCEL ©I CERTIFICATE OF EXEMPTION FROM WORKERS' utlets:Reaf?Li ht�f Sw. Y Q ' � OWNER OR COMPENSATION INSURANCE `� O FIRM NAME Qs L /G.� 1f5 . MAIL (This section need not be completed if the work involved by th Total NoAddFa itional A permit is for one hundred dollars($100)or less.) .DDRESS I certify that in the performance of the work for which this permit CITY Tel.No. SI� is issued, I shall not employ any person In any manner so as to PLAN CHECK become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. ll Additional ADDRESS Date ApplicantESIDENTIAL APPLE/ CE NOT OV R H L� IF- NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS � � I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000) of Division 3 of the Business and CITYTel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. Over 50 to 100 Incl. LICENSE S�OSa 3 - >_REG.NUMBB ER Class a License Number SS-06E2 3 Lic.Class Over 100 DISTRICT N0. ✓�� PR SSED B / Q Services,Swbd., MCC&Panelboards . Q Contractor /"�✓�J C(k_t x Date 7 ^�7 0-399 Amp.Under 600 V FINAL DATE /f O ❑ 400-1000 Amp. Under 600 V I am exempt under Sec. Over 1000 Amp.or Over 600 V FINAL v VALIDATION W B.&P.C.for this reason BRANCH CIRCUIT FEES BY CL CD Date: 15A,or 20A, 120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances y:.-.- e HOME OWNER-BUILDER DECLARATION s?:`s_.f I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit ; for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits %ji Code): El C Misc.Conduits&Conductors I, as owner of the property, will do the work and the structure Mr --,: •I�}•1-••+s is not intended of offered for sale (Section 7044, Business Other(See Complete Fee Schedule) (i L and Professions Code). itS,3 ' CONSTRUCTION LENDING AGENCY I 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) Civ. C.) _ PLAN CHECKING FEE I M`fL! "L( 5 L•'f` Lender's Name :::•_- PERMIT ISSUING FEE Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the 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 above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE / f- SIGNATURE OF PERMITTEE DATE - `- - .H - .1....';,;-. _ .,•yam ✓\ .... DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT I COUNTY OF IAS ANGELES ELECTRIC . ATH E OF 1! tiSTALI.ATION DISTRICT No. GROU? TY,PE I PERMiT No. Iy.In IwIG I ` I FIXTURES L� LERVICE NEAUV FOR I ",Tc. 159VE? RANCE HEAfER I i POWER FIRST INSPECTION 17, SICNS M19C ELLANEOV9 i r APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY I I JoeA - `< .rA7.IE .-�-•-I ! ADDRESS ) v 1 r ADORELff a L Z�sy'}l�..yLOCALITY UNEAREST ,( . Y CITY •�'�nG:6�")�.__�.'7 T[L NoL•P I f CROSS ST. t • y STATE �—CONTYUr 1 - LICENSE NO. REG. / ,3 W I—ADDRESS NAME DESCRION OF WORKRK 3 MAIL PTI i NUMBER OF OUTLETS ON CIRCUITS t -- LOCATION BY ROOMS O I CITY TEL No. IHIM LIGIIT OUTLETS I{W. + PLUGS .I►IXT. _ { ( NMI. I 1 1 1 _ I I CORRECTIONS CIRCUIT I A : H ! C ! D 1 ►! r LIVING ROOMI 21 I ! DINING ROOMI / I I_ I I I / I / I I I/ _. I f v I BRFST. RM. IIIII I I I I BATH Err T. HALL HALL No. II 1 rPONT PORCHI / I I___I�_I / I I�_I7 ,�L� ._ Z crrv. PCH. I n�-�R7E� `.i��Tc�r,k��'1G'7tt+k�ec:s`�y....1n6-•Ysi+xw!aN�tsl�(a.�•:.:�.y'9�s1�. � ['.. 1 1 '.:'I .j.. �.<_- _ - .. .. � ��'r ... SC�3i •.-_... j_--- -.,.:.-_ _._...._ ! ���;.Y-,''� '%w� - ::�)e:;;t••s«cRsr.��>„R.,�,..;►u;.:a:sa-:._.::�,t';`•;:;.:��� CLOSET I I I j I '•t .;,•. ..-f i . no Boom. No, CLO ET I _ APPROVALS DATE Iw/I[ROR-A ..vett 1 ( I. CONDUIT'71 I '. WIRING I L� .:-? ! �,1 i• .i�� .� TOTAL -•J� I I ( I /�_ V I POWER FIXTURES I I — NO. OF OUTLETS • II , I r('{-UTILITY CO. MOTt FIED; t7/ '/ _ �i i.��r NO, OF FIX ILHGb �I FINAL I'x—J 1_` '..I NO. OF MOTORS H, P. ! _ _{ ' •� I AM THE L2GAL OWNER OF THE ABOVE LOS ANGELES NO. OP 3tGPIS TRANS. ! - COUNTY REGISTRATION NUMOER-7 NO. OF RANGES OR HEATERS s - It MISCELLANEOUS SABOVE.1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIGED PERMIT FEf 5 - ' TOTAL FEF f i3 :_.6