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Home My Public Portal About6254 BURTON AVE_Electrical__ TBABBB-CEDOO T-BB APPLICATION FOR . ELECTRIC PERMIT Il COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER GUILD'NG ISION , ry� BUILDING AND SAFETY DIVAOORESS -e! JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN cRoSS ST. F / PERM FEES I T E M NUMBERI EACH FEE OWNER S (J OUTLETS: $ $ MAIL LIGHTS RECEPT. BW. .10 ADDRESS LIGHTING FIXTURES .10 CITY TEL. NO. ELEC. RANGES CLO. DRYERS ELECTRICIAN c WATER HEATERS .50 ADDRE$$. S ELEC.SPACE HTRS. DISHWASHERS GARBAGE DISPOSERS AUTO.- CITYS _SATE WASHERS STA. COOKING UNITS .25 LTC ENSE NO. {—(��10 "7 MOTORS: MOTORS: OVER INC. H.P. ... .. .. .. o _.�_. .. ... .. DISTRICT NO. GROUP NE P ESSED BY e — 0— Vz .25 v:- z so INSPECTION R9CORff 2— 5 1.00 5— 15 1.50 is— 50 2.50 50-200 5.00 NO. TRANS. SIGNS: NO. LAMPS SERVICE 0-600V 1.00 / SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 - TOTAL FEE $ APPROVALS 1 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 COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING C I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 LE L OWNER OF THE ABOVE DESCRIBED RESIDENTIA NOPERT POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE _ FINAL A ATION ARTHUR C. VETT, VMO GSH SUPERVISING ELECTRICAL ENGINEER �i�to3a � 7� OCT 13 2 A 1 .25 76AGOS-CESOG T-BB APPLICATION FOR ELECTRIC PERMIT Il COUNTY OF LOS ANGELES . DEPARTMENT OF COUNTY ENGINEER eUD LOIN G BUILDING AND SAFETY DIVISION ADDRESS -JOHN A: LAMBIE, COUNTY ENGINEER Q CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES caoss sT. o I 1 T E M NUMBERI EACH FEE OWNER OUTLET J $ $ MAIL LIGHTS RECEPI'./ SW. .10 Q ADDRESS LIGHTING FIXTURES .10 Q CITY TEL. NO. ELEC. RANGES CLO. DRYERS ELECTRICIAN WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS GARBAGE DISPOSERS AUTO.- CITY /TEL. NO. 197-Z6-672 ATE WASHERS STA. COOKING UNITS .PS LICENSE NO. MOTORS: OVER INC. H.P. DIST] T NO. GROUP z0NE P ESSED BY i O— VB .zs v,— z so INSPECTION RECORD z— s 1.00 5— 15 1.50 FA71/. 9Y/ 15— 50 2.50 , 50—200 5.00 SIGNS: NO. TRANS. NO. LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V - 5.00 M ISC. WIRING PERMIT 1.00 010 FIXTURE PERMIT 1.00 QO - - SUPPLEMENTARY PERMIT .50 TOTAL FEE S Q APPROVAIS 1HEREBY 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 COUNTY ORDINANCES AND STATE LAWS REGULATING O ELECTRICAL WIRING. WIRING I/ 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR I LICENSED AS REQUIRED BY LOS ANGELES COUUTY AND STATE OF FIXTURES 97. CALIFORNIA OR THAT 1 TH EG O OF THE ABOVE " DESCRIBED RESIDENTIAL OP PTT POWER SIGNATURE UTILITYCO.NOTIFIED - 6`O/ OF PERMITTEE FINAL MO CASHDgTCASH ARTHUR C. VETT, SUPERVISING ELECTRICAL ENGINEER C l_ACO 2 4 9 0 ^ SEP 11 2 A 6.2 0 WORKERS'COMPENSATION DECLARATION CE-806 to/et APPLICATION IrOR ELECTRICAL PERMIT I her�'afFlrmandi'Y hove a certificate of consent to self CE-806G insure, or a'cenificale of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILC/ING AND SAFETY or a'certified-copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB 2 54 '^ ' Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO, FEE ADDRESS ! F-1Certifiedcopy is filed with the county building inspec- 1 8 2-Family, $q. F. $ — $ LOCALITY. Pv tion department. Multi-family Sq. Ft. — NEAREST CROSS Si. Date Applicant Residential Swimming Pools OWNER OR FIRM NAME 1- eo CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec 1.ight_Sw._ AMAIL DDRESS COMPENSATION INSURANCE First 20 1 (This section need not be completed if the work involved by Total No. Additional CITY 7 Tel. No. 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 permitis issued, I shall not employ any person in any manner So.as to beco esu ject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS t, Additional b Total No. CITY - Tel. No. NO E ` / � o pIf, aft r 'aki this e of Fixed Appliances Not Over 1 HP PERMIT \ NOTICE AP Ishoul If, after making this Certificate of APPLICANT J (� 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. — ` deemed revoked. Hood Fan _Other_ CITY /Llpw✓�l1- Tel. No. 3-5 D LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm -that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER G Class. e (commencing with Section 7000) of Division 3 of the Business power Apparatus 8 Large Appliances DISTRICT NO. D J PRO ED BY and Professions Code,and m license is in full force and effect. 1 U/ Size 8 Type HP, KW, KVA, or KVAR' O License Number Lic. Class Up to 1 Incl. FINAL V Over.) to 10 Incl. DATE _ VAIID ION 0 cl Contractor Date Over 10 to 50 In . FIN ~ ❑ I am exempt under Sec. Over 50 to 100 Inc. B.BP.C. for this reason Over 100 UPI Services, Swbd„ MCC 8 Panelboards 2 Z Date: 0 -200 Amp. Under 600 V /�( I"� ;212 4,4 A. Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V # e e e e • `2 Exemption for Reg. Mainz. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances ( e e 2 5 5 0 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit e e - 25500 1 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 ( 2 8—$4 Professions Code): ❑ 1, as owner of the property, will do the work and the Misc. Conduits 8 Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)— D 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-Totol) 1,5' D - (Sec. 3097, Civ. C.). PLAN CHECKING FEE - - Lender's Name 0 PERMIT ISSUING FEE .Lender's Address I certify that I have read this application and state that the TOTAL FEE r 5D e above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and herY a horize rep es ntatives of this County to enter upon - - Ih a /ba -mention operty for inspection purposes. Z SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of P Hlee Dat