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Home My Public Portal About6262 AVON AVE_Electrical__ 76A663f CE806B I2/75 APPLICATION FOR ELECTPICAL PERMIT j � 1 I BUILD AND SAFETY DI SION FOR APPLICANT TO FILL INn,4,P'26,1a Avenue - 1 Residential Bldgs &Pools EACH NO FEE ADDRESS 4,P'26,1p /V�onf AvenY 1 &2 Finaily Sq Ft $ — $ LOCALITY ," G C/T Multi family Sq Ft — NEAREST CROSS ST o/7 ale J1 Residential Swimming Pools OWNER OR ) -� FIRM NAME eJ J� C� Outlets Light Switch &Receptacle ADDRESS P4a N A-An benve- First 20 J) n Additional CITY �N'7 le CI Tel No PLAN CHEOK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel No PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range_ Heater_ D W ADDRESS Oven Dryer W M Top FAU WH CITY Tel No Hood Fan LICENSE OR a Disp A C REG NUMB Class v 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Size&Type HP KW KVA or KVAR w ELECTRICAL WIRING V o.. 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 OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE Over 10 to 50 Incl DESCRIBED RESIDIATV Over 50 to 100 I n c l p E R M I T E E Over 100 SIGNATURE DISTRICT NO P C SED B Yl Services 0 200 Amp Under 600 V (/ O 201 1000 Amp Under 600 V APPROVALS DATE IS SIZ CTOR Over 1000 Amp or Over 600 V S NATURE TEMP POWER POLE Temp Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit ROUGH CONDUIT Additional Sign Branch Circuits (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub Total) UTILITYCO NOTIFIED MM PLAN CHECKING FEE (One Fourth Permit Feel FINAL PERMIT ISSUING FEE NOTES TOTAL FEE PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH 8 6 5 OE 28 2 D Q 0 0 e:f-, pegs pq,� 76A663CES06 1157A PLICATION FOS ! ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ADDRESSJOHN CASSATTALAbGIE D GRUTIN Supt of Bu>l r (�/,��kkkYYY �8 LOCALITY i FOR APPLICANT TO FILL IN CRORE sT I O PERNIIT FEES ITEM NUMBERI EACH FEE OWNER r OUTLETS $ $ MAIL LIGHTS RECEPT SW 10 ADDRESS �! /�A LIG 6 FIXTURES 10 CITY /Y -4 L`T�O I /� ELEC RANGES CLO DRYERS ELECTRICIAN V O(34FI � WATER HEATER6 50 ADDRESS ELEC SPACE HTRS DISHWASHERS / GARBAGE DISPOSERS AUTO CITY A O WASHERS STA COOKING UNITS 25 STATE ` MOTORS ovER" INC H P LICENSE NO J DISTRICT NO GR UP ZONE READY FOR INSPECTION 0 — 1/2 25 a� 1/2 — /2 1 130 y/ 2 - / 5 100 T�INSPECTIOnN RECORD 1 5 — 15 1 50 15 — 50 250 c FAre .S�'!7v> c E .4),,n-) 50— 200 500 SIGNS NO TRANS NO LAMPS SERVICE O 600V 100 SERVICE OVER 600V 500 MISC WIRING PERMIT 1 00 Q[� FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT 50 TOTAL FEE $ Q APPROVALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTORSSIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING p - I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES CO NTY AND STATE OF FIXTURES CALIFORNIA OR THAT AM THE LEGAL O ER OF THE ABOVE POWER DESCRIBED RESIDENTIA OPERTY SIGNATURE UTILITY CO NOTIFIED 1j0- OF PERMITTE FINAL PALO ARTHUR C VETT CK MO _ SUPERVISING ELECTRICAL ENGINEER ASH L CO 5 3 1 4 SEP 3 0 2 A 150 WORKERS COM PENS TION DECLARATION, 76A663 CE • ., APPLICATION FOR ELECTRICAL PERMIT w CE 8CroG (2 80A I hereby affirm that I have a certificate of cc,isent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure or a certificate of Workers Compensation Insurance or a certified copy thereof(Sec 3800(Lab C) FILL IJOB Policy No Company FOR APPLICANT TO EACH N NO FEE ADDRESSw24a N aeon Avei New Residential Bldgs &Pools ❑ Certified copy is hereby furnished 1 & 2 Family Scl Ft $ — $ LOCALITY e MD e_ C l Multi family Scl Ft — NEAREST copy is filed with the county building inspection Residential Swimming CROSS ST d Qn Certified co Pools department OWNER OR k ( ( FIRM NAME Date Applicant Outlets Reo�Light� Sw� MAIL A First 20 l� V ADDRESS von Get CERTIFICATE OF EXEMPTION FROM WORKERS Total No � Additional CITY (3 b Tel No a COMPENSATION INSURANCE ° /!e 1 PLAN CHECK d (This section need not be completed if the work involved tur First 20 � ` APPLICANT ' 0 Lighting Fix by the permit is for one hundred dollars ($100) or less) Additional ADDRESS Total No CITTel No O H I certify that in the performance of the work for which'this Fixed Appliances Not Over 1 HP Y permit is issued I shall not employ any person in any manner PERMIT so as to become subject to the Workers Compensation Laws Range_ Heater—D W W APPLICANT UJ 0. Oven _ Dryer_W M ADDRESS Z DateApplicant Top _ FAU _W H Hood _ Fan _Other_ CITY Tel No NOTICE TO APPLICANT If after making this Certificate of Disp _ Room Air Cond_ LICENSE O Exemption you should become subject to the Workers REG NUMBER Class Compensation provisions of the Labor Code you must forth Power Apparatus& Large Appliances DIST5;CZ NO � PRO ES D BY with comply with such provisions or this permit shall be deemed revoked Size&Type HP KW KVA or KVAR Up to 1 Incl d FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl DATE VALIDATION Over 10 to 50 Incl I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINAL i 9 (commencing with Section 7000) of Division 3 of the Busi Over 100 BY ness and Professions Code and my license is in full force and effect Services�tZ1 p CcC '�n� License Number Lic Class 0 200 Amp Under 600 V 201 1000 Amp Under 600 V Contractor Date Over 1000 Amp or Over 600 V HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractors Sign with One Branch Circuit - License Law for the following reason (Section 7031 5 Busi Additional Sign Branch Circuits z 1 7 7 5 A ness and Professions Code) # o o a o o 2 Misc Conduits&Conductors I as owner of the property will do the work and the Other (See Complete Fee Schedule)— 2 0 - 381 0 structure is not intended or offered for sale (Section 7044 Business and Professions Code) 1 CONSTRUCTION LENDING AGENCY 'o a o 3,81 0 I hereby affirm that there is a construction lending agency _ i for the performance of the work fo which this permit is `� r I 0 30-8 1 issued (Sec 3097 Civ C) PERMIT FEE (Sub Total) LZ i 1 Lender s Name PLAN CHECKING FEE (One Fourth Permit Fee) r Lender s Address PERMIT ISSUING FEE I I certify that I have read this application and state that the TOTAL FEE 1 or-TIP 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 JZ,30 / Signature of Permittee D to ,ry - ON 4-40 MM APPTA CATION FOR PERBUT DEPART31ENT OF BUILDING AND SAFM �� COUNTY OF LOS ANGELS ry wy s Fox c":_r* me:vr= DISTRICT NO GROUP ZONE PERMIT r NA TUR OF INSTALLATION �,�, f f IH�� WIRING FIXTURES SVRVICE [C[IV*[D By READY FOR D/lT[ ItQ�tl RANG[ H[AT[R POWVt !.a FIRST INSPECTION V 1 1►1 I B:GNS MIscrLLANEOUS �- Y APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY �x ot AODRC*S LOCALM EST r CITY, w�fht�# TEL_No A 4 moss R CUUNTY ^ .ct. CERT NO , EXPIRES � � � NAh/E DESCRIPTION OF WORK / z I !NAIL � �� i ADDRC6C NUMBER Cf OUTLETS ON CIRCUITS O '.?CATION BY ROOMS CITY TEL No LIGHT OUTLETSsW PLUGS ►t%T I AM THE LEGAL POBG[880R OF TN DOVE CIRCUIT A B C D E p I O H ANGELES COUNTY C[RTIF: TE AF /ICATION LIVING ROOM I �! [ �C ►M r ABO L THE LEGAL OWNER O THE PRO DESCRII DINING ROOM SRFST RM BATH %t -- CORRECTIONS l� { „rte^♦ r ��'w rti•�i r. n s r ww T...� w..�-J v +r� 't S T'"i� "'n 7►7 r � t n • b — ^ �� a FRONT PORCH - t J. �� i.�)r.►S.. ..gee `�� t..�lr S KITCHEN l�r $$� sERy PCH I+__`_ BORM NO It _ 19nr+. CLOOCT 4 � - TOTAL � ( �� I I • , � i NO OF OUTLETS - t'�' s APPROVALS NO OF FfXTUREs v �+ t DATE INerrcrc3rs MAN[ NO OF MOTORS H P E CONDUIT NO OF SIGNS TRANS rs WIRrMG ` No OF { eR H[ATMG + '� 3 �G. mi-Tt-mm- MICCELLANtoSle r POWER 3 PERMIT FEE a'�pp UVLITYC� NOTIFIRD