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Home My Public Portal About5142 BARELA AVE_Electrical__ 7GA668-CE608 8-69 APPLICATION FOR ELECT ICAL PE IT I ' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALI FOR APPLICANT TO FILL IN NEAREST / CROSS ST. NO. EACH FEE $ $ OWNER RECEIPT. MAIL LIGHT TOTAL FIRST 20 ,20 ADDRES + C Y TEL.NO I SWITCH OVER 20 •10 PLAW CHECK LIGHTING TOTAL FIRST 20 ,20 APPLICANT FIXTURES } OVER 20 ,10 ADDRESS RANGE DRYER WTR. HTR. CITY Tn.NO STA. COOK_DISP._F.A.U. CONTRACTOR oold SPACE HTR. AIR COND. ADDRESS 0 CLOTHES WASH._DISHWASH. CI .EL.NO or FAN-OTHER 1.00 LICENSE N0. CLASS. MOTORS,TRANSFORMERS RATIN6 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE � TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. _ 0 - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR a I - 10 3.00 CALI FOR N JA OR THAT I AM THE LEGAL OWNER OFoLICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF O 1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, ND INTEND TO V RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL .PERTY. 10 — 50 5.00 SIGNATURE � 50 — 100 10A0 OF PERMITTEE U W 100 - SOD 1'55.00 D ISTRICT NO. GRO 7F PR Y EL N SIGN,GAS SIGN AND ONE CIRCUIT 3.00 z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1-.00 G SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 �..r SERVICE OVER 600 VOLTS OR-200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00ROVALS DATE INSPECTOR'S SIGNATURE WER POLE B WORK' ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE 2.00 I dW UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 1 FINAL TOTAL FEEJOSEPH C. ROOHAN SUPERVISING ELECT L ENGINEER PLAN CHECK_ VALIDATION CK. •M.0. CASH PERMIT VALIDATION cK M.O. CASH �^4 2 7 5 cl:-5 HAR30 2 D 2.2 0 , v BEE BACK OF APPLICATION FOw I:OMPI.FTE FEE SCHEDULE D.� 76A863-CE806 5-62 APPLICATION FOR ELECTRIC L PERMIT � COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �� BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY CO. e NEAREST FOR APPLICANT TO FILL IN ' CROSS ST. Q RECEPT. TOTAL NO. EACHFEE LIGHT OUTLETS FIRST 20 /1$.20 .$ �1 OWNER a ;e AIL SWITCH. -� pVER'L .10 G' ADDR �ESS � �I CITY �Gi 1 TEL.NO. c LIGHTING Ftasr 20 .20 FIXTURES (/1,� ADo'L .10 ELECTRICIAN ov -iL OV R ZO A-I RANGES CLO.DRYERS VVTR.HTRB. 1.00 ADDRESS GARB.DISP. STA.COOK CITY TEL.NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRB. BTA.APP.(Vs H.P.MAX.) .50 LICENSE NO. MOTORS, OVER NOT OVER H.P. DISTRIC� NO GR VN P O 1 1.00 •a 12cv 1 s 1.50 1 INSPECTION RECORD 3 8 2.00 8 15 2.50 Gam.. O is so 3.00 V so too 5.00 O F- NO.TRANS. V ✓ SIGNSs NO.LAMPS d� SERVICE 0.60OV-NOT OVER 260A 1.00 _ SERVICE 0.600V•OVER 200 A. 2:00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 III SUPPLEMENTAIRY PERMIT ISSUING FEE 1.00 TOTAL FEE $ f 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE 'INSPECTOR'88,GNATURE AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING ` I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED R1:810ENTIA�E"Y, POWER SIGNATUREUTILITY'CO.NOTIFIED OF PERMITTEE FINAL Af VALIDAT ARTHUR C.VETT CK MO CA6 SUPERVISING ELECTRICAL ENGINEER '� i.fL 7 2 9 8 NOV 21 2 D 4.20,:- • 1 WORKERS',CO,&AieJSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT 11-ereby�,affirm�4 th`af�!.�1,.•Ge a -certificate of consent to self CE-806G "insb�e,'oF a cQ'rfiicatof Workers- Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified 1{ropy t^, reof (Sec. 3800, Lab. C.) Policy No.—"' Company FOR APPLICANT TO FILL IN 1 JOB q ` Certified copy is hereby furnished. New Residential Bldgs. & Pool EACH NO. FEE ADDRESS 5 pr #V r ` Pools _ 1 & 2-Famil S Ft. g — g LOCALITY r Certified co is filed with the count building inspec- Y� q PY Y 9 P tion department. Multi-family Sq. Ft. NEAREST CROSS ST. Z(J . Date Applicant Residential Swimming Pools OWNER OR CERTIFICATE OF EXEMPTION FROM WORKERS' 7�, f FIRM NAME �S vSe Cats Outlets: Rec,2�Light� Sw C(- MAIL COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by First 20 the permit is for one hundred dollars ($100)or less.) Total No. 7Q Additional / () /` CITY Tel. No. / I certify that in the performance of the work for which this PLAN CHECKAPPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First tr�� lJ S ADDRESS Date Applicant II Total No. 10 Additional � v CITY /Tel. No. ��% r r �] !, NOTICE TO APPLICANT: If, after making this Fixed Appliances Not Over 1 HP PERMIT ertificate of APPLICANT V" Exemption, you should become subject to the Workers' Range_ Heater_D.W. Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS U with comply with such provisions or this permit shall be Top FAU —W.H. — deemed revoked. CITY Tel. No. LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ Dis Room Air Cond. LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 P' REG. NUMBER Class. (commencing with Section 7000) of Division 3 of the Business power Apparatus 8 Large Appliances DISTRICT NO. _ PROCESSED BY 4' and Professions Code,and my license is in full force and effect. /� EL Size&Type HP, KW, KVA, or KVAR j JL V License Number Lic. Class Up to 1 Incl. / ✓ FINAL ` Over 1 to 10 Incl. 700 DATE �� VALIDATION 1-^ Contractor Date Over 10 to 50 Incl. W FINAL I am exempt under Sec. Over 50 to 100 Inc. BY��✓ B.&P.C. for this reason Over 100 / Z Date: Services, Swbd., MCC& Panelboards t 0 -200 Amp. Under 600 V e Signature 201 - 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 Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): I, as owner of the property, will do the work and the Misc. Conduits &Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ 7044, Business and Professions Code). , z 7 2 9.8 a CONSTRUCTION LENDING AGENCY } • ® • • • 2 1 hereby affirm that there is a construction lending agency for 11 e - 33.00 33OO the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). 00 - 3 3,0 0 PLAN CHECKING FEE Lender's Name / 0622-87 PERMIT ISSUING FEE �Ll `jG Lender's Address 1 certify that I have read this application and state that the TOTAL FEE 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 Signaturefof ermittee Date WQRKEW. 10 TION DECLARATION CE-806 ,o/B, APPLICATION FOR ELECTRICAL PERMIT I her�hy r firm 'tcertificate of consent to self CE-806G insure; or q cerrrncaterreFs' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a,cwtified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB 7 Certified co is hereby furnished. EACH NO. FEE ADDRESS Gr copy Y New Residential Bldgs. & Pools ❑ 1 &2-Family, S Ft. $ _ $ LOCALITY Certified copy is filed with the county building inspec- Y• q• tion department. Multi-family Sq. Ft. NEAREST CROSS ST. Date Applicant F Residential Swimming Pools OWNER IRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw. MAIL / o COMPENSATION INSURANCE ADDRESS b` First 20 (This section need not be completed if the work involved by Total No. Additional CITY Tel. No. 7 Oyu 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 Workers'Compensation Laws. 'Lighting Fixtures First 20 ADDRESS Additional _ , Total No. CITY � Tel. No. Date /f- 2 .�-9?Applicant ' Fixed Appliances Not Over 1 HP PERMI NOTICE TO APPLICANT: If, after making 64 Certificate of APPLICANT Exemption, you should become subject to the Workers' Range— Heater—D.W. — Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top FAU =W.H. — CITY Tel. No. deemed revoked. Hood — Fan —Other— LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER Class. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PR OC SED BY and Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances D_ Size&Type HP, KW, KVA, or KVAR' CSJY� O License Number Lic. Class Up to 1 Incl. FINAL U Over 1 to 10 Incl. DATE 1^ �s � IDATIONlee Contractor Date Over 10 to 50 Incl. FIN v G- v ❑ 1 am exempt under Sec. Over 50 to 100 Inc. B rL a Over 100 B.&P.C. for this reason 2 7 7 3,9 A Z Date: Services, Swbd., MCC & Panelboards 0 -200 Amp. Under 600 V #'• s o e e 2 Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V 1 o�- 2 5,5 0 Exemption for Reg. Maint. Elect. • .'0 2550'. SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit .08,25-87 I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): 2 1, as owner of the property, will do the work and thea Misc. Conduits&Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)— , 7044, Business and Professions Code). 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 PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name /O PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE 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 Signakirf Permitte0l Date �I