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HomeMy Public PortalAbout6219 1/2 AVON AVE_Electrical__ "75 70A663 CEBOB B 87 APPLICATION FOR, (ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE COUNTY ENGINEER CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY N Ci Q G2 FOR APPLICANT TO FILL IN NEAREST G d e ri PERMIT FEES OWNER klV,11//Qm RC,/,C ✓T LIGHTS RECEPTACLES � SWITCHES L S NUMBERMAIL TOTAL OUTLETS 10 $1 T E M EACH FEE ADDRESS v�� /!r /�'Tv G 3I �v 3 3 r� ,w ELEC RANGES WATER HEATERS CITY `7 1</ TEL NO / CLOTHES DRYERS so ELECTRICIAN C'1� i'J o ✓ ELEC SPACE HEATERS STAT Y COOK ING UNITS GARBAGE DISPOSERS AUTO WASHERS DISHWASHER 2$ .1 ADDRESS LIGHTING FIXTURES f0 CITY TEL NO MOTORS STATE LICENSE NO HORSEPOWER H P OVER INC DISTRICT NO GROUP ZONE READY FOR INSPECTION yQ&LESS 2s p y /l— 1�2 — 2 so INSPECTION RECORD 2 — s loo s — is 1 50 1s — so 250 sa 200 Boo MISC SIGNSI NO TRANS NO LAMPS SERVICE O 600V 100 SERVICE OVER 600V 500 WIRING PERMIT loo 'yam FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT 50 APPROVALS TOTAL FEE S I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL ELECTRICAL WIINTY RING ORDINANCES AND STATE LAWS REGULATIN WIRING 1HEREBY CERTIFY TH 1 AM PROPERLY REGISTER ND/ FIXTURES LICENSED AS REQUIRED LOS ANGELES COU A ATE 0 CALIFORNIA OR TH4T I AM olTHE LEGAL ER E AB POWER DESCRIBED RESID A P TY ,a., SIGNATURE Y ILITY CO NOTIFIED /or3v S / r �/'/ OF PERMIT" FINAL JOHN A LAMBIE V ATION ARTHUR C VETT :OUNTY ENGINEER Mo CASH SUPERVISING ELECTRICAL ENGINEER s ` a 9 Ou OCT30 2 2.55 n 76A663 CES06 756 APPLICATION FOR ELECTRIC PERMIT 1 BUILDING AND SAFETY DIVISION W Department of County Engineer BUILDING / fy�®�z Aad / y e County of Los Angeles ADDRESS COs6 J /"'I �"Y JOHN A LAMBIE COUNTY ENGINEER 14�� CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY /i • NEAREST �p FOR APPLICANT TO FILL IN CROSS ST /l! PERMIT FEES NUMBER OWNER W.4/ /Q s LIGHT OUTLETS MAIL / 1 ADDRESSg6 RECEPTACLES /� WALL SWIT HES FEE CITY,304 TEL NO TOTAL OUTLETS @ 5Q A1 ELECTRICIAN 0— ELEC RANGES 25 ADDRESS ELEC HEATERS 25 CITY EL NO KW EA STATE 1,5 i LICENSE NO FIXTURES 5 H MOTORS DISTRICT NO GROUP NE READY FOR INSPECTION NUMBER HORSEPOWER FEE _ NEW MVD HP OVER INC EACH I�&LESS $ 25 INSPECTION RECORD 'h 2 50 l0 2 5 1 00 5 15 1 50 15 50 2 50 50 200 Boo M ISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING PERMIT $1 00 i FIXTURE PERMIT $100 SUPPLEMENTARY 50 APPROVALS TOTAL FEE $ DATE INSPECTOR S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS R ULATING WIRING O—�O94 / ELECTRICAL WIRING I HEREBY CERTIFY THA I AM PROPERLY REGISTE E AN OR FIXTURES / J LICENSED AS REQUIRED LOS ANGELES COUN A D/STAT OF POWER CALIFORNIA OR TH�IEAL �N OHE AB VE DESCRIBED RESIDEN UTILITY CO NOTIFIED .� C SIGNATURE OF PERM TTEE FINAL / ic.�� l, O/ 9/eye 1- all— ii/titer-f— IOHN A LAMBIE yALIDATIONARTHUR C VEIT -OUNTY ENGINEER CK Mo CASH SUPERVISING ELECTRICAL ENGINEER LG7364u NPR 19 2 255 to 60- COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engmeer F ETY DIVISION OF BUILDING & SA WILLIAM J FOX County Engineer ELECTRIC I FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE �PERMIT NO ELECTRICIAN pb p�,� _l --`u- 27.2F RECEIVF BY READY FOR DATE ISSUED ADDRESS FIRST INSPECTION Q CITY TEL. N64 COUNTY LICENSE NO EXPIRES .✓ ' BUILDING PERMIT FEES ADDRESS PEE NUMBER EACH _ LOCALITY —, C LIGHT OUTLETS b NEAREST RECEPTACLES CROBB BTd WALL SWITCHES T OWNER TOTAL OUTLETS Sc MAIL ELEC RANGES 85 ADDRESS ELEC HEATERS 25 CITY TEL NO FIXTURES 5 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MIHC APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEw MVD HP OVER INC EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE I/2 s LESS $ 25 SIGNATURE OF f I/ 2 s0 PERMITTEE — 2 B 1 OG INSPECTION RECORD s 1s 1 s0 15 s0 250 s0 200 500 200 500 1000 J 500 1000 15 00 Q Z OVER 1000 20 00 C7 M G SET/FRED CHANGER HP Ir WELDERS AC KVA 0 I GENERATORS KW TRANHFOPMERS KVA TEMP MOTORS (75% of DRID) MOVED MOTORS (75% OF DRID) MISC SIGNS NO NO TRANS APPROVALS NO NO LAMPS FOR EACH PERMIT DATE INSPECTOR S NAME WIRING $1 00 O CONDUIT — 2, rWrff 4-0 FIXTURES $1 Q0 D0 WIRING 2—q �ll SUPPLEMENTARY 50 FIXTURES i O POWER TOTAL FEE $ { UTILITY CO NOTIFIED FINAL 76A663 DBS#5A 452 /I I BS76A6635A' DBS APPLICATION FOR ELECTRIC PERMIT DBS OF BUILDING AND SAFETY Deportment of County Engmeer BUILDING LANI6,Q� q�2 �/O!J /dtUC CnO tp of IAS Angeles ADDRESS eG JOHN A BIE COUNTY ENGINEER A CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY 5 ArIJ G-k S. 1 O, FOR APPLICANT TO FILL IN NEAR s LOQ PERMIT FEES NUMBER OWNER LIGHT OUTLETS /� ` RECEPTACLES ADDRESS&,Q) 9I/- ///AVON /pp�y' `�, �] L WALL SWITCHES FEE CITY SJ�� f=AkS(C O)EL NOAT lddoAA TOTAL OUTLETS @ so $ ELECTRICIAN OWLJ ELEC RANGES 28 ADDRESS ELEC HEATERS 2>s KW EA CITY TEL NO � STATE ` FIXTURES g LICENSE NO MOTORS S DISTRICTNO 1GROUPI ZONE I READY FOR INSPECTION NUMBER HORSEPOWER FEE ' NEW MVD HP OVER INC EACH Y2 Sc LESS $ 25 INSPECTION RECORD Y4 2 so 2 s zoo s is 150 is so 2 150 so 200 Boo MISC AMP, oc 5c Sw. NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING $100 FIXTURES $100 d SUPPLEMENTARY SO APPRovALs TOTAL FEE $ DATE INSPECTOR S SIGNATURE I 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 WIRING ELECTRICAL WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AN / R FIXTURES F► f LICENSED AS REQUIRED BY LOS ANGELES OUNTY TAT F CALIFORNIA OR THAT 1 AM THE LEGAL E VE POWER DESCRIBED RESI7ENly" RTY SIGNATURE UTILITY CO NOTIFIED OF PERM ITT FINAL I OMAR JOHN A LAMBIE COUNTY ENGINEER VALIDATION ARTHUR C VEIT CHIEF ELECT INSPECTOR CK MO CASH r i ACO 5 2 3 7- APR 19 2 2 5 5 I WORKER'S COMPENSATION DECLARATION 9 DPW 9/89 APPLICATION FOR ELECTRICAL PERMIT 76A66 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 W(5RKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab. C.) Policy NO. Company FOR APPLICANT TO FILL IN JOB ADDRESS 'Z (/D•�V ��• Certified copy is hereby furnished. New Residential Bldgs.&Pools $EACH NO. $ FEE LOCALITY ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. _ NEAREST department. Multi-family Sq.Ft. CROSS ST. o £ �� Residential Swimming Pools ASSESSOR Date Applicant MAP BOOK I PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Fl Outlets:Rec._Light SW. RM NAME COMPENSATION INSURANCE 5Ff �d First 20 MAIL (This section need not be completed if the work involved by the ADDRESS permit is for one hundred dollars($100)or less.) Total No. Additional C I certify that in the performance of the work for which this permit CITY Z l T.I.1,10. is issued, I shall not employ any person in any manner so as to �+ become subject to the Workers'Compensation Laws. ting Fixtures First 20 APPNICANTK - r Lighting — Z Total No. Additional ADDRESS Date Z Applicant � ��~� NOTI TO PLICANT: If, after making this Certificate of 15 OR 20A,120V BRANCH CIRCUITS CITY ?IV Tel.No. E ipftion,you should become subject to the Workers' Compensation 1 TO 10 INCLUSIVE EACH provisions of the Labor Code, you must forthwith comply with such 11 TO 40 INCLUSIVE EACH PERMIT 49 �i r provisions or this permit shall be deemed revoked. APPLICANT p P 41 OR MORE BRANCH CIRCUITS EACH LICENSED CONTRACTORS DECLARATION 15 OR 20A,208V TO 277V LIGHTING EACH ADDRESS ,0��/� I hereby affirm that I am licensed under provisions of Chapter 9 CL (commencing with Section 7000) of Division 3 of the Business and CITY 0 Professions Code, and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE ORL o �f Power Apparatus&Large Appliances REG.NUMBER Jr 4 Class.CO O Size&Type HP,KW,KVA,or KVAR DISTRICT NO. PROCESSED BY License Number ` 7f Lic.Class U //t Up to 3 Incl. Q� e- W Contract��ez 4: `czl Date 'j Over 3 to 10 Incl. TINA DATE U) Over 10 to 50 Incl. �J Z ❑ I am exempt under Sec. Over 50 to 100 Incl. ` ~�©` VALIDATION FINAL B.&P.C.for this reason Over 100 By 001 Swbd.,MCC&Panelboards Date: 200 Amp.Under 600 V Signature 1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION 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 f i Code):r_1 1, Conduits&Conductors - (`^ I, as owner of the property, will do the work and the structure •t_:: ir_ is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). CONSTRUCTION LENDING AGENCY , I hereby affirm that there is a construction lending agency for the (•'I=j`t=~` la)!•}• !?y+•r performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ. C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE p? Lender's Address j1 I certify that I have read this application and state that the above TOTAL FEE UG. 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 purpose,% SEE REVERSE FOR EXPLANATORY LANGUAGE 7 Z z 3!UIIE�.�F APPLICANT OR AGENT DATE