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HomeMy Public PortalAbout6025 HART AVE_Electrical__ �nmrpr_76A6E.3-CE80611-71APP UGQ4H FOR C�dCC��4G��C�a �n1U4�Q O4OO Q COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 44 LOCALITY FOR 'APPLICANT TO .FILL IN NEAREST CROSS ST. 1��( OUTLETS N0. EACH FEE . C OWNER $ $ RECEPT._ MAIL FIRST 20. 25, ADDRESS LIGHT TOTAL OVER 20 CITY .I EL. NO.. SWITCH_ .10, PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT.- FIXTURES OVER 20 ADDRESS .10 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT T STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY- ftNjpjA TEL. NO .. L CLOTHES WASH. DISHWASH. - LICENSE NO. CLASS. FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATETHATTHE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING W ITH ALL COUNTY ORDINANC ES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LO ANGELES COUNTY AND STATE OF > CALIFORNIA OR. THAT •1 AM.THE. EGAL OWNER OF, AND I TEND TO 1 - 10 3.00 RESIDE, IN,. T A OVE .DESVIBED,�;U P PERT Y. O 10 — 50 5.00 SIGNATURE OF PERMITTEE O 50'— 100 10.00 DISTRICT NO. CLASS Z ONE PR CES ED. W 100 — 500 t 5.00 `� t� SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: ? TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 - APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP_LIGHT OR RECEPT.SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED '..PLAN CHECK FEE FINAL 7Z PERMIT ISSUING'FEE 3.00 TOTAL FEE t PLAN CHECK VALIDATION CK. M.G. CASH PERMIT VALIDATION CK. M. CASH + SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE +f 76AS63-CES067-88 All P DCA I�'f OO R FOR ELECTROC LL ERMT t;S COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY-ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY A..-_ .y, ... y - FOR APPLICANT TO FILL IN c NEAREST - I MUM �TCROSS ST. 1 T E MNUMBER EACH FEE OWNER _ OUTLETS: EC $ $ MAIL LIGHTS REPT. SW. ,10 .� ADDRESS LIGHTING FIXTURES .10 CITY /TEL. NO. A . �5 ELEC. RANGES CLO. DRYERS ELECTRICIAN ` WATER H EATERS .50 ADDRES _ e ELEC.SPACE HTRS. DISHWASHERS - CITY TEL. NO. $ • GARBAGE DISPOSERS AUTO.-' STATE `v WASHERS STA. COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. -" '� ». ,". "":_�'.: - - ."+,» 't'c .••t-'H.:.r;-. O— I/i .25 DISTRICT NO. GROUP ZONE `P CESSED BY ' 1/2— 2 1 .50 INSPECnOiV REtORD 2— 5 1.00 5— 15 1.50 / /// 15— 50 2.50 rn�/.Gra i pn / well _ 50-200 5.00 re1 ca ed p{/ F�(/✓I'C atr26 J V NO. TRANS. - LN'. <;, ! )Yn nJ' l.:r L'I IA e A SIGNS: ` NO. LAMPS SERVICE 0-600V 1.00 An- b 1 Y L; ql ZS" X A/ SERVICE OVER 600V 5.00 , MISC. I - ! �n . CvLt o�t1C.(�0 WIRING PERMIT 1.00 �, "X A f-Qr n FIXTURE PERMIT 1.00 �L)<.-'f- n.f�. �..w.r1 nd) �`/J/ L�I.r('v- SUPPLEMENTARY PERMIT .50 �(0l1,1.v.•n t.? V�.l�,:�'�i j,� >?. c'� �� b 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 v r I'vc 1 HEREBY CERTIFY THAT 1 AM PROPERLY R ISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES C TY AND STATE OF FIXTURES v0 CALIFORNIA OR THAT M THE LEGAL ER OF THE ABOVE DESCRIBED RESIDENTIAL PR PERTY. 9 POWER SIGNATURE 1 UTILITY CO.NOTIFIED OF PERMITTEE ` FINAL `�" `� l./%IV<vr,tt•wr ATION ARTHUR C. VEIT, CK Mo CASH SUPERVISING ELECTRICAL ENGINEER LACO 3 7 3 8 n .MAil 20 2 A '220 76A668_CE80612.58 APPLICATION FOR E LE CT R,A CPERMIT .. COUNTY OF LOS ANGELES -.',DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION „ ADDRESS O` -JOHN A.LAMBIE,COUNTY ENGINEER �( 'CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST d d CROSS ST. - PERMIT FEES OWNER ITEM NUMBER EACH FEE - :OUTLETS' - - `/ //�; MAIL LIGHTS�-' ,RECEPT:)'7�L:` SW. ;�V .10 ?(I ADDRESS - LIGHTING FIXTURES �.?% .10 CITY TEL.NO. • - ELEC,RANGES-' CLO.DRYERS 1. ' •�l " IP ® _ELECTRICIAN � ELECTRICIA WATER sHEATERS .50 S '7 ELEC.SPACE HTRS. DISHWASHERS . f TEL.NO: . - CITY - GARBAGE D_IISPOSERS AUTO.- 3� �/\y/ STATE WASHERS J .STA.COOKING UNITS LTi ..25 + V'Nu LICENSE NO. _ MOTORS: •OVER INC.. H.P: "STRhE N0.t, GR-,QLI,P ZONE PROCESSED BY ,O— 1/2 / A.1� Y2- 2 '50 t7t INSPECTION RECORD 5— 15 1.50 -� -" is— 50 2.50 3 50--200 5.00 -- c SIGNS: NO.TRANS. NO. LAMPS - SERVICED-600V' 1.00 - 'SERVICE OVER 600V 5.00 - - �, MISC. - WIRING PERMIT 1.00 f i ® FIXTURE PERM-IT 1.00 t (� SUPPLEMENTARY PERMIT .50 I ' L OTAL FEE SIT t�-D' APPROVALS EBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE ATE'THAT THE ABOVE IS CORRECT AND-AGREE TO COMPLY _ LL"COUNTY 'ORDINANCES AND STATE LAWS REGULATING CONDUITICAL WIRING. - WIRING EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ORED AS REQUIRED BY LOS.ANGELES COUNTY AND STATE OFFIXTURESRNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVEBED RESIDENTIALPROPERTY. �"/' 1 P.OWERTURE !..'f / YL( UTILITY CO.NOTIFIED ERMITTEE � 'c - FLNAL ®F '' - /VALIDATION ARTHUR C. VEIT, SUPERVISINGELECTRICAL E ENGINEER MO •A 2, 4, 4 .l y110RKER'S COMPENSATION DECLARATION 76A663 DPW(12-91) APPLICATION �L FOR ELECTRICAL n ECTRI A PERMIT I hLTeby affirm that I have a certificate of consent to self insure, SIJ �y I� u�u or a certificate of Worker's Compensation Insurance. or a certified COUNTY OF LOS'ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab. C.), Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS O S ❑ , C-rtified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE $ $ LOCALITY ❑ Certified co Is filed with the count building inspection 1 &2-Family,Sq.Ft. PY Y g P NEAREST department., Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' SW. FIRM AME 7, � OWN Outlets:Rec. Light ER COMPENSATIONN INSURANCE /� First 20 "' "" �""H MAIL' (This section need not be completed if the work involved by the Total No.�L Additional ADDRESS permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY Tel.No. t is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ) APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO, APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMITAtA P y p Y Power Apparatus&Large Appliances APPLICANT (� provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS 15 L, I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. 14, (commencing with Section 7000) of Division 3 of the Business and CIT '-•f Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE - Class. Over 50 to 100 Incl, REG.NUMBB ER A Over 100 DISTRICT NO. F ESSED BY Q License Number Lia Class aA' ) V Services,Swbd.,MCC&Panelboards "4(,�� Contractor Date 0 FINAL-399 Amp.Under 600 V c� DATE G ❑ 400-1000 Amp.Under 600 V I am exempt under Sec. VALIDATION C) Over 1000 Amp.or Over 600 V FINAL W B.&P.C.for this reason BRANCH CIRCUIT FEES BY Date: 15A,or 20A, 120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits 7 SINGLE FAMILY Temp.Power Pole&Appurtenances 2 HOME OWNER-BUILDER DECLARATIONA •L I hereby affirm that I am exempt from-the Contractor's License Law Sign with One Branch Circuit ACCT Sign for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits 3303 57.30 Code. I ITEMSt d &C it d Conus Conductors I, as owner of the property,will do the work and the structure Misc. _ is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) D TOTAL 57 m ,.0 and Professions Code). �?e3� CONSTRUCTION LENDING AGENCY CHECK 1 hereby affirm that there is a construction lending agency for the CHANGE .00 performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) L) Civ.C.) ' PLAN CHECKING FEE 0000-0001 5/31796 Lender's Name PERMIT ISSUING FEE Q 6688 I AMI0=47 Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the 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 I or inspection urposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 5 4 -SIGNATURE OF PERMITTEE DATE