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Home My Public Portal About6010 HART AVE_Electrical__ 76A663 DBS SA -11-50,- APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND :SAFETY COUNTY OF LOS ANGELES I - WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO'FILL IN 'DISTRICT NO. GROUP I ZONE PERMIT NO. ,4, ELECTRICIAN ' — RE EIVED BY READY FOR DATE ISSUED ADDRESS - 51'34 N Acacia St:. FIRST INSPECTION .CITY .• TEL..N 8589 �� s �- COUNTY LICENSE.NO. 1 104 EXPIRES BUILDING Q PERMIT FEES ADDRESS _FEE NUMBER EACH LOCALITY =.F -• LIGHT OUTLETS NEAREST CROSS ST." RECEPTACLES y , WALL SWITCHES OWNER G S TOTAL OUTLETS Sc $ MAIL ' ELEC. RANGES 2ry' - ADDRESS Iz ELEC.. HEATERS 25CITY TEL. NO. FIXTURES S- 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC.. 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 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER FEE, OFITHE RESIDENTIAL PROPERTY DESCRIBED ABOVE. NEW MVD. HP OVER INC. EACH 1/2 8 LESS $ '.25 SIGNATURE OF' 1/2 2 ;50 PERMITTEE 2 .5 . 1.00 INSPECTION RECORD -5 Is" 1.50 15 50 2.50 50 200 .5.00 200 500 10.00 W F- '500 1000 15.00 Q _U OVER 1000 20.00 M G. SET/FREQ. CHANGER-HP - 0 r WELDERS: AC-KVA C GENERATORS-KW --TRA NSFORMERS-KVA ' TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (750%OF ORIG.) " MISC. SIGNS No. No. TRANS. _ APPROVALS NO. NO.'LAMPS . I DATE INSPECTOR'S NAME FOR EACH PERMIT: CONDUIT WIRING $1.00 00 FIXTURES. $1.00 GU WIRING SUPPLEMENTARY .50 -- FIXTURES " POWER _ TOTAL FEE $ UTILITY CO: NOTIFIED ® FINAL . Y. 1 76A663 DBS SA 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN R. F. Walton '�� ADDRESS 5134 N. Acacia -Ste RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION CITY San Gab. TEL. NO.AT 68 COUNTY LICENSE NO. 1104. EXPIRES ADDRC'SS Al I G PERMIT FEES ti ` FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS Sc. $ '/. MAIL . ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE. READ THIS MISC. 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 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER 'EACH I OF THE RESIDENTIAL PROPE Y NEW MVD. HP OVER I . mc. DESCRIBED ABOVE. 1/2 a LESS $ .25 SIGNATURE OF .I/2 2 .50 PERMITTE 2 5 1.00 INSPECTION RECORD' 5 1s 1 1.50 15 50 2.50 50 200 5.00 .' 200 Soo 10.061 2,oK,L hab`L -Y n ag -I Soo 1000 15.00 Q VER 1000 20.0ARMEE N:(.UIP4. z O0 ````��- M. G. SET/FREQ. CHANGER-HP I yTV�� 4' �� O WELDERS: AC-KVA GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (75%OF ORIG.) MISC. SIGNS NO. NO. TRANS. APPROVALS ' NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT:_ WIRING — _ $1.00 I/'�' CONDUIT - WIRING FIXTURES $1.00 SUPPLEMENTARY .50 FIXTURES . I/ POWER TOTAL FEE I $ i{/ O UTILITY CO. NOTIFIED I y ij ® I FINAL7i'LU U 76A663 DEIS SA ++-5o APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES L g�' . WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE . PERMITNO.' ELECTRICIAN R-. . F'. Walton 2- —/ 3REDY FOR ADDRESS 5134 N. Acacia Ste RE EIVEDBY FIRST INSPECTION DATE.ISSUED CITY San Gab. TEL. IN' �- COUNTY LICENSE NO. 1104 EXPIRES BUILDING PERMIT FEES ADDRESS (✓ C1. G�� FEE NUMBER EACH LOCALITY _ LIGHT OUTLETS NEAREST CROSS ST. ' RECEPTACLES WALL SWITCHES OWNER (i - ' ;- .TOTAL OUTLETS . 5C' $ I MAIL ELEC. RANGES 2S ADDRESS ' ELEC. HEATERS 25 CITY TEL. NO. - FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. 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 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS FEE ANGELES COUNTY LICENSE, OR.[ AM THE, LEGAL OWNER NuraeER HORS iPOWER NEW MVO. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. 1/2 9 LESS $ .25 SIGNATURE OF . 1/2 2 .50 PERMITTEE i, �• �� i 5 1.00 INSPECTION RECORD s 1s 1.So 15 so 2.50 50 200 5.00 200 Boo 10.00 J 500 1000 15.00 - Q Z_ t OVER 1000 20.00 (� M. G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA �- O GENERATORS-KW L_ - TRANSFORMERS-KVA TEMP. MOTORS (75%OF ORIG.) MOVED.MOTORS (75%OF ORIG.) MISC. SIGNS NO. NO. TRANS. APPROVALS NO. NO. LAMPS 'DATE INSPECTOR'S'NAME FOR EACH PERMIT: - - I J CONDUIT WIRING $1.00 I�LI WIRING FIXTURES _ $1.00 I l SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ UTILITY CO. NOTIFIED r FINAL P WORKERS'COMPENSATION DECLARATION 76-663 10/81 �j PPp �CAMON FOR ELECT C y�L PERNT I hereby affirm that'I'have a certificate of consent to self insure, CE-806G Nil LLa l� ��J FOR lt= �y6W or a certificate of Workers'Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800, C.) (V ta a i;,(4�bS «� FOR APPLICANT TO'FILL IN JOB Policy No:• Company � ADDRESS O( O ❑ Certified copy is hereby furnished., New Residential Bldgs.& Pools •EACH NO. FEE Certified copy is`filed with the county building inspection 1 & 2-Family, Sq.Ft. $ — $ LOCALITY —1 department.. '// Multi-family Sq. Ft. — NEAREST . 2 C7AC CROSS ST. ((,hYsZ "4c(G� Date �� Applicant o�G l�i-C., Residential Swimming Pools `OWNER OR - - r; i FIRM NAME �w . CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL COMPENSATION INSURANCE Outlets:Rec— Light .gw. ADDRESS r E)it O .(This section need not be completed if the work involved by the First 20 permit is for.one hundred dollars($100)or less.); Total No. Additional CITY "I`�W, (� G� -J Tel.No. I certify that in the performance of the work for,which this permit PLAN CHECK ` is issued, I shall not employ any person in any.manner so as to - APPLICANT become subject to the Workers'Compensation Laws. Lighting Fixtures First 20` ADDRESS Total No. Additional CITY - Tel.No. Date Applicant - Fixed Appliances Not Over 1 HIP PERMIT APPLICANT NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the,Workers'Compensation Range_ Heater_ D.W. (A EC-E C`\-$?A C provisions of the Labor Code, you must forthwith comply with such Oven Dryer W.M._ ADDRESS �Z2� provisions.or this permit shall be deemed revoked. Top FAU_ W.H. _ LICENSED CONTRACTORS DECLARATION, Hood Fan _ Other_ CITY �� Tel.No. I hereby affirm.that_I am licensed under provisions of Chapter 9 LICENSE OR (commencing with Section 70 00) of Division 3 of the Business and Disp. — Room Air bond. REG.NUMBER 3Lz� Class. L(� Professions Code,and my license is in full force and effect. DISTRICT NO. PROCESSE Y Power Apparatus& Large Appliances /a) Size&Type HP,KW,KVA,or KVARv License Number •Lia Class G ' U Up to 1 Incl. FINAL _ ZS' Over 1 to 10 Incl. DATE VA -TION 0 Contractor ' CI_' Date�a`- Over❑ 10 to 50 Incl. U FIN I am exempt under Sec. Over 50 to 100 Inc. gY W . BAP.C.for this reason Over 100, N' Services,Swbd.,MCC& Panelboards Date: 0-200 Amp.Under 600 V Signature 201 -'1000 Amp.Under 600 V O Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp. Power Pole& Appurtenances ;26722A HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law - # 0 0 0 o o.2 for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): ;I o 25.50 ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) D o 0 0 25.5 0.6 and Professions Code). CONSTRUCTION LENDING AGENCY 4t0i3.2 4 s$7 I hereby affirfn 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) Civ.C.). PLAN CHECKING.FEE Lender's Name / , PERMIT ISSUING FEE �! K 61 Lender's Address a� 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 dor inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE -3 '4-5`-7 Signalure o ermittee Date