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Home My Public Portal About6050 HART AVE_Electrical__ 76AG63 DBS SA 7-51 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. 3176 ELECTRICIAN 1 - RECEIVED BY READY FOR DATE ISSUED ADDRESS FIRST INSPECTION CITY TEL. NO. v ,' • �r�l_��' COUNTY LICENSE NO. EXPIRES BUILDBG PERMIT FEES ADDRE NUMBER EACH FEE LOCALITY 7,F—rM LIGHT OUTLETS NEAREST CROSS ST. V ��I RAL DJ RECEPTACLES WALL SWITCHES _ OWNER TOTAL OUTLETS _ Sc $ MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY ` GPp'l_-'6s TEL. 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 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I�2 & LESS $ .25 , 'SIGNATURE OF / !/2 2 .50 PERMITTEE 2 5 1.00 INSPECTION RECORD 5 is 1.50 15 SO 2.50 _ 5O 200 5.00 /� / zoo 5Do iO.DD Zl-S?_ Ake'( �Ji/bdl`- 95'-./)Gj � 500 IOOD 15.00 -ro CA vi-e P,' Z OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA _ TEMP. MOTORS (75% OF DRIG.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS ND. NO.TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 106 CONDUIT FIXTURES $1,00 4fL._ WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE �45 UTILITY CO.NOTIFIED r q FINAL �.F?' @ '� '�,��•,t,.C. 7GA668-CE8067-5B APPLICATION FOR ELECTRIC PER>�,�,I��IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS S d !/ JOHN A. LAMBIE, COUNTY ENGINEERy-- CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO. FILL IN NEAREST 22 Z - PERMIT FEES, CROSS ST. I T E M NUMBERI EACH FEE OWNER OUTLETS: $ .$ MAIL .LIGHTS RECEPT. SW. .10 'ADDRESS D // I LIGHTING FIXTURES .10 CITY• TEL. C� ELEC. RANGES CLO. DRYERS ELECTRICIAN ,G.C WATER H EATERS .50 'ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY TEL. NO. •" GARBAGE DISPOSERS AUTO.= - ;STATE . ^ WASHERS STA. COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. '" ''�'� "•f` -`I"t` ' a O— 1/2 .2 5 �"�DISTRIC�-i�it7.L =P J /NE,� P OCESS D BY � 1/2- 2 .50 INSPECTION RECORD 2— 5 1.00 5— 15 1.50 IS— 50 2.50' 50-200 5.00 - NO. TRANS. e ff; SIGNS: NO. LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRLI,q PERMIT 1.00 �°J - F 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT .rt ELECTRICAL WIRING. - WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIREDBY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL"EROFABOVE DESCRIBED RESIDENTIAL PROPERTY. OWER SIGNATURE TILITY CO.NOTIFIED OF ,PERM ITTE AL fl VALIDATI ARTHUR C. VEIT, CK Mo CAHSUPERVISING ELECTRICAL ENGINEER 7 5k t EB 2 2 A 2.00 . WORKERS'COMPENSATION DECLARATION CE-806 -i0/81 APPLKAUMH FOR EL ECUMCad pC�RNU I hereby affirm that.l have a certificate of consent to self CE-806G insure, or o certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING ARID SAFETY or a certified copy thereof (Sec. 3800, La C. Policy No. ' Company FOR APPLICANTTO FILL IN JOB I "O� Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS -- 1 & 2-Famil S Ft. $ — $ 'LOCALITY . Certified copy is filed with the county building ins pec- y- q• — tion pament. 'Mulli-family Sq. Ft. NEAREST r Residential Swimming Pools CROSS T OWNER OR Date a p Applicant z�2a444 FIRM NAME �'CEWIFICATE OF EXEMPTION FROM WORKERS' � MAIL ' COMPENSATION INSURANCE Outlets: Rec Light Sw. ZADDRESS First 20 "' (This section need not be completed if the work involved by Total No. /2 Additional Q44 41 CITY - Tel. No. the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner so as to bec me�'ubject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No. _ Applicant Fixed Appliances Not Over 1 HP PERMIT NOTI TO APPLICANT: If,:after making this Certificate of APPLICANT Exemption, you should become subject to the Workers' Range_ Heater_D.W. — Compensation provisions of the Labor Code, you must forth- Oven _ Dryer W.M.— ADDRESS o � with comply with such provisions or this permit shall be Top ._ FAU —W.H. — deemed revoked. CITY � Tel. NT�ffl Hood Fan _Other_LICENSED CONTRACTORS DECLARATION LICENSE OR 2J-J �I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. — REG. NUMBER c7�- (commencing with Section 7000) of Division 3 of the Business DISTRICT-NO. PROC SED BY and Professions Code,and my license is in full force and eff. ct. Power Apparatus& Large Appliances /` (� AL / r� �� Size &Type HP, KW, KVA, or KVAR' Va License Numb 'Z / J Lic. Class Up to 1 Incl FINAL V 3 Over 1 to 10 Incl. DATE VALIDATION Contractor Date Over 10 to 50 Incl. O FIN - ❑ I am exempt under Sec. Over 50 to 100 Inc. BY LU B.&P.C. for this reason Over 100 Dater Services, Swbd., MCC & Panelboards 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V �.9 31.4 A ❑ Exemption for Reg. MainT. Elect. Over 1000 Amp. or Over 600 V � o o:0 0 0,2 SINGLE FAMILY ' Temp. Power Pole$Appurtenances HOME OWNER-BUILDER DECLARATION Z' ° ° 2�, 5 � Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits o-o o Law for the following reason (Section 7031.5, Business and _ ^.`5 Professions Code): . 7 ,10 1 -8 4 ❑ I, as owner of the property, will'do the work and the Misc. Conduits & Conductors 3 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-Total) (Sec. 3097, Civ. C.).' PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE v Lender's Address 1 certify that I have read this application and state that the TOTAL FEE Z above info ation is correct. I agree to comply with all County ordinanc and State laws re luting Electrical wiring, and hereby thorize repr t t' s of t is County to enter upon the ab a-me io a prop y for i pection pure ses. SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of er I Dat