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Home My Public Portal About5019 FARAGO AVE_Electrical__ WORKERS COMPENSATION DECLARATION 63 CE 806G (2 80) APPLICATION FOR ELECTRICAL PERMIT CE 8 I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES �" BUILDING AND SAFETY insure or a certificate of Workers C,02 Insurance or / a certified copy thereof(Sec 3800 P any FOR APPLICANT TO N JOB &I/ y/►�/ �{ New Residential Bldgs &Pools EACH NO FEE ADDRESS Certified copy is hereby fur shed �'.� -P-,7117 1 &2 Family Sq Ft $ — $ LOCALIT Mi�4 wit the ounty bui in coon Multifamily Sq Ft — NEAREST Residential Swimming Pools CROSSST OWNEIRMNA ir�.L ets ReLight Sw MAILFirst20 DDRESSCERTIFICATE OF EXEMPTION F O R S Total No _ Additional CIT T o COMPENSATION INSURANCE PLAN CHECK d (This section need not be completed if the work involved APPLICANT O by the permit is for one hundred dollars ($100) or less) Lighting Fixtures First 20 ADDRESS U Total No Additional <r I certify that in the performance of the work for which this CITY Tel No O Fixed Appliances permit is issued I shall not employ any person in any manner Not Over 1 HP PERMIT so as to become subject to the Workers Compensation Laws Range_Heater DW APPLICANT W Oven _ Dryer_W M ADDRESS Qi Z Date Applicant Top _ FAU _W H Hood _ Fan _Other_ CIT No NOTICE TO APPLICANT If after making this Certificate of Disp _ Room Air Cond_ LI CEWSE 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 DISTRICT NO PROCESSED BY with comply with such provisions or this permit shall be deemed revoked Site yp HP KW KVA or KVAR Up to 1 Incl Q 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 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 7S-117 14 4 0 a 9 A -� 0 200 Amp Under 600 V License Number Lic Class 201 1000 Amp Under 600 V #,o 10 0 0 0 2 Contractor Date J 'l�'Zo �/ Over 1000 Amp or Over 600 V 2 io o HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances Sign with One Branch Circuit o o)o 1 21010 I hereby affirm that I am exempt from the Contractors Additional Sign Branch Circuits License Law for the following reason (Section 7031 5 Busi 0S20-82 nese and Professions Code) Misc Conduits&Conductors J I as owner of the property will do the work and the Other (See Complete Fee Schedule)— structure is not intended or offered for sale (Section 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 PERMIT FEE (Sub Total) issued(Sec 3097 Civ C) Lender s Name PLAN CHECKING FEE (One Fourth Permit Fee) COQ Lender s Address PERMIT ISSUING FEE O 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 rize represe tN2fV ter upon the ab e m ntioned pr r J SEE REVERSE FOR EXPLANATORY LANGUAGE 'Signature1 ,4 of Permittee Date /J 76AS S3 CE806 9 57 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS d/ IC t4. o C*. r JOHN A LAMBIE COUNTY ENGINEER CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST PEEMT FEES ITEM NUMBFRI EACH FEE OWNER /` J, f. OUTLET $ $ MAIL LIGHTS RECEPT a SW 10 jlftL ADDRESS 10 LIGHTING FIXTURES 10 CITY~ C T TEL NO& '(e ELEC RANGES CLO DRYERS ELECTRICIAN WATER HEATERS 50 ELEC SPACE HTRS DISHWASHERS ADDRESS GARBAGE DISPOSERS AUTO CITY AV TEL NO WASHERS STA COOKING UNITS 25 i STATE LICENSE NO MOTORS OVER INC H P Nn 0— 1/ 25 DISTRI _N GROUP ONE READY 0 Ns E TON V2 — 2 50 .� — l 2 — s 100 INSPECTION RECORD a — 1s 150 18 — 50 250 0 ]50 — 200 500 i SIGNS NO TRANS ..Ili2AW &Q el Af,,-- NO LAMPS ,crRl 7"j j- gmIr SERVICE O 600V too !' SERVICE OVER BOOV Soo /7 /�A P MISC !CT C �/C 11 �[��" Cf 7-0 fit&)V�' 1L CFAle * a rA /� WIRING PERMIT 100 Q j11 �! . A L Ak �lLA9 FIXTURE PERMIT 100 �� Af 11 6WAY r/ow JT SUPPLEMENTARY PERMIT SO /-)111069htriO 7-0 TOTAL FEE APPROVALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA ION DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT ��y WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING �� r yp/ ELECTRICAL WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROPERTY A,��f ��+ / SIGNATURE UTILITY CO NOTIFIED ry// / 0""10-vAr OF PERMITTEE FINAL VALIDA ARTHUR C VETT CK MO CAS SUPERVISING ELECTRICAL ENGINEER s192atrEB13 2A 290 76A663 De53A 3,55 APPLICATION FOR ELECTRIC PERMIT �. DMSION OF WELDING AND SAFETY Dep,=tmant of County Engmees County of Los Angeles BUILDING J®V 17 fg�� j aV 4L WM J FOX COUNTY ENGINEER ADDRESS CASSATT D GRIFFIN SUP T of BUILDING �A! y� LOCALITY Te NY1 m I dL ` 1 I L✓ FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST NUMBER EACH FEE S LIGHT OUTLETS � MAI L OWNER ��w�1 Cd.S�/�o�¢$ 3 1 aL C.k RECEPTACLES ADDRESS 4 9 /�G. b of Z! X41/4. WALL SWITCHES1 p TOTAL OUTLETS 5¢ S A CITY J'IL'1 !�!R air'. TEL NO/oIr VA ';.S-6 ELEC RANGCS 25 ELECTRICIAN _ELEC HEATERS 25 ADDRESS KW EA CITY TEL NO FIXTURES 5 LICENSE NO NUMBER OF LIGHT CIRCUITS DISTRICT NO GROUP( ZQNE j READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS �d NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD HP OVER INC EACH .014 I/2&LESS $ 25 ) r--e Q� 1/1 2 50 2 5 too 5 15 150 15 50 250 50 1 200 5 00 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PER WIRING $1 00 j FIXTURES $1 00 [ r SUPPLEMENTARY 50 APPROVALS TOTAL FEE $ 7 DATE INSPECTOR S SIGNATURE 1 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 REGULATING WIRING ELECTRICAL WIRING IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES7.-13 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT l AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RE IDENTIAL PROPERTY I UTILITY CO NOTIFIED 174f SIGNATURE � i rlle�l OF PERMITTEE FINAL r r� WILLIAM J FOX COUNTY ENGINEER VALIDATION A C `EIT CHIEF ELECT INSPECTOR i- G 3 9 2 1 ZR MAR 9 2 295 �� 6A663 CEBDB 10-61 APPLICATION FOR ELECTRICAL PERfVl,..T 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 LOCALIT NEAREST FOR APPLICANT TO FILL IN CROSS ST. I T E M NO. EACH FEE ` - OUTLETS: (FIRST 20) $20 $ ;1 OWNER LIGHTS RECEPT. SW. -7 MAIL - OUTLETS: (ADD'L UNITS) 7O ADDRESS LIGHTS RECEPT. SW. - LIGHTING FIXTURES: (FIRST 20) ,20 J CITY TEL. NO. LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDR - .U GARB.DISP. STA.COOK ' CITY,/_Z__7 TEL. NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.('/z H.P.MAX.) .SO LICENSE NO. MOTORS: • OVER NOT OVER H.P. O S DISTRICT NO. GROUP ZONFr PRBY O 1 1.00 b v v 1 3 1:.50 INSPECTION RECORD CL 3 B 2.00 rr,�,�, m yipzdh rA •o 8 15 F 2.50 A •;is;I' .st� //9.- " .fr 15 50 3.00 0 - 50. 100 5.00 C. SIGNS: NO.TRANS. - h NO.LAMPS SERVICE 0.600V-NOT OVER 200A 1.00 SERVICE 0-60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 - M I SC. PERMIT ISSUING FEE 26o aD SUPPLEMENTARY PERMIT ISSUING FEE 1.0011 ' TOTAL FEE �6 I •HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS + DATE INSPECTOR'S SIGNATURE AND'STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT 2A' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I ELECTRICAL WIRING. WIRING - It I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS RE(U D BY LOS ANGELES COUNTY AND STATE OF FIXTURES - CALIFORNIA OR A 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED REBID NT L PROPE/gJ' - POWER SIGNATURE JY �I UTILITY CO.NOTIFIED I I A OF PERMITTEE "!� FINAL /VALIDATION ARTHUR C. ELEC SUPERVISING ELECTRICAL ENG/ EER CK MO CASH 0 WORKERS COMPENSATION DECLARATION CEA806G 10 /81 APPLICATION FOR ELECTRICAL PERMIT n I ftefi?by 'affirm that I have a certificate of consent to self insure s '7 I � or a certificate of Workers Compensation Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY 'L JI copy thereof(Sec 3800 Lab C) Policy NO Company FOR APPLICANT TO FILL IN JOB- N �t ❑+ Certified copy is hereby furnished New Residential Bldgs &Pools EACH NO FEE ADDRESS J Q�9 R��bl/ A1/o ❑ 1 & 2 Family Sq Ft $ — $ LOCALITY Certified copy is filed with the county budding inspection department { + Multi family Sq Ft — NEAREST ai CROSS ST I s Residential Swimming Pools OWNER OR Date Applicant a , x FIRM NAME (! CERTIFICATE OF EXEMPTION FROM WORKERSr Outlets Rec�Light Sw MAIL I �COMPENSATION INSURANCE 3 ADDRESS / (This section need not be completed if the work involved by the First 20 permit is for one hundred dollars($100)or less) j Total No Additional w CITY Tel o 0 I certify that in the performance of the work for which this permit PLAN CHECK APPLICANT 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 f j' _ �f� Total Not Additional CITY Tel No Date / CQ Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT If after making his Certificate of PERMIT Exemption you should become subject to the Workers Compensation Range_ Heater_ DW APPLICANT provisions of the Labor Code you must forthwith comply with such Oven _ Dryer _ W M ADDRESS ' provisions or this permit shall be deemed revoked Top — FAU WH LICENSED CONTRACTORS DECLARATION Hood — Fan � OtherCITY Tel No _ I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond _ LICENSE OR Class (commencing with Section 7000) of Division 3 of the Business and REG NUMBER Professions Code and my license is iin full force and effect Power Apparatus& LargedAppliances DISTRICT NO PROgfSSX BY Size&Type HP KW KVA or KVAR ��Q ZZZ A License Number Lic Class r Up to 1 Incl FINAL 1 Contractor' 1 Date Over 1 to 10 Incl DAT VALIDATION I= ❑ Over 10 to 50 Incl FINA I am exempt under Sec _ Over 50 to 100 Inc BY W ` Over 100 B&PC for this reason ZC Services Swbd MCC&Panelboards N Date - 0 200 Amp Under 600 V `Signature 201 1000 Amp Under 600 V ❑ J Over 1000 Amp or Over 600 V d Exemption for Reg Maint Elect , I SINGLE FAMILY Temp Power Pole& Appurtenances iM17 17 00 HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractors License Law ' for the following reason(Section 7031 5 Business and Professions Additional Sign Branch Circuits 1 as owner of the property will do the work and the structure Misc Conduits&Conductors 19 is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule),_ + 11 H AL Y.7 m 00 and Professions Code) a AO 11 OU CONSTRUCTION LENDING AGENCY i - +l �i�GL Go 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) " 4 Civ C) PLAN CHECKING FEE OL%-J 1 _2/ US? r Lenders Name i i PERMIT ISSUING FEE � � l�ii �. An 9 L 21 Lender s Address 4 I certify that I have read this application and state that the above TOTAL FEE 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 i 7� Signa of rmit as Oate J S WORKERS COMPENSATION DECLARATION CE 810/81APPLICATION FOR ELECTRICAL PERMIT {� I hereby affirm that I have a certificate of consent to self insure CE e06osG �J or a certificate of Workers Compensation Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY ' copy thereof(Sec 3800 Lab C) I Policy NO Company FOR APPLICANT TO FILL IN JOB 1"O/ ❑ Certified copy is hereby furnished EACH NO -FEE ADDRESS �] r�/rfJ r Y , New Residential Bldgs &Pools ❑ Certified copy is filed with the county building inspection 1 &2 Family Sq Ft $ _ $ LOCALITY ��P NEAREST } department Multi family Sq Ft CROSS ST 1 Date+ Applicant Residential Swimming Pools \ OWNER OR n FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec—Light_Sw MAIL t i COMPENSATION INSURANCE ADDRESS J/ (This section need not be completed if the work involved by the r ,First 20 permit is for one hundred dollars($100)or less) Total No iAdditionalPLAN CHEC A CITY Tel i 8�?01 I certify that in the performance of the work for which this permit APPLICANT K is issued I shall not employ any person in any manner so as to r , become subject to the Workers Compensation Laws ] Lighting Fixtures First 20- ADDRESS i jTotal No Additional CITY , Tel No Date �� Applicant AEry ' Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after making 4his Certificate of Exemption you should become subject to the Workers Compensation Range_ Heater_ DW APPLICANT provisions of the Labor Code you must forthwith comply with such Oven _ Dryer _ W M a_ ADDRESS rt provisions or this permit shall be deemed revokede Top FAU WH CITY Tel No LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ V I hereby affirm that I am licensed under provisions of4Chapter 9 x Disp — Room Air Cond- LICENSE OR Class (commencing with Section 7000)of Division 3 of the Business and REG NUMBER 6 Professions Code and my license is in full force and effect Power Apparatus&Large Appliances DISTRICT NO ^ PR S D BY Size&Type HP KW KVA or KVAR V 0 O License Number Lic Class Up to 1 Incl FINAL _ V Over 1 to 10 Incl DATE , O 4 Contractor Date VALIDATION Over 10 to 50 Incl FIN U ❑ I am exempt under Sec ' Over 50 to 100 Inc , r BY d B&PC for this reason Over 100 Z Services Swbd MCC&Panelboards " _ t Date 0 200 Amp Under 600 V Signature � 201 1000 Amp Under 600 V b� ❑ Over 1000 Amp or Over 600 V Exemption for Reg Maint Elect SINGLE FAMILY Temp Power Pole& Appurtenances ' 2 f , HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit r A�� 9 I hereby affirm that I am exempt from the Contractors License Law Additional Sign Branch Circuits s v for the following reason(Section 7031 5 Business and Professions Code) u�h,77VV-+7n7 , -+� .r 90 I as oMisc Conduits&Conductors 1wner of the property will do the work and the structure i r , is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) Poo. 32.50 and Professions Code) o CONSTRUCTION LENDING AGENCY r CMH 32 90 I hereby affirm that there is a construction lending agency for the f CHM E [fit performance of the work for which this permit is issued(Sec 3097 PERMIT FEE h (Sub Total) a Civ C) PLAN CHECKING FEE t 0000_0001 3/20/89 Lenders Name PERMIT ISSUING FEE +} 1973 1 AM 10 50 Lenders Address + r I certify that I have read this application and state that the above TOTAL FEE y a information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring and hereby authorize a f r r i representatives of this County to enter upon the above mentioned property for ins ection purposes + SEE REVERSE FOR EXPLANATORY LANGUAGE Signature Per ittee Date R ti