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Home My Public Portal About4856 HELEO AVE_Electrical__ 76A663A-CE806A 4/72 APPLICATION FOR ELECTRICAL PERMIT lJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDREss -n LOCALITY •f-- C' NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER I�/ RECEPT. $ S MAIL ' _, ��0 LIGHT TOTAL FIRST 20 ADDRESS CITY �' TEL. NOaf53606 SWITCH OVER 20 PLAN CHECK LIGHTING IRST 20 APPLICANT F 1 TOTA a FIXTURES T OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. _ PERMIT RANGE DRYER.PWTR. HTR._ APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TE CLOTHES WASH. 01SHWASH. LICENSE N0. CLASS. FAN OTHER IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Rf fAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Q MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING E. IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. �. SIZE & TYPE OVER TO CD I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR I.- 0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF W CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO Oj 1 - 10 RESIDE IN, E ABOVE DESCRIBED RE DENTIAL PROPERTY. (/) SIGNATURE 10 - 50 OF PERMITTEE -- 50 - 100 DISTRIC N0. CLASS lz ONE P OC SED BY 100 - 500 4, O SIGN, GAS SIGN AND ONE CIRCUIT NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS SERVICE NOT OVER 600 VOLTS OR 200 AMP APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR 200AMP �' TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM �- ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEES FINAL PERMIT ISSUING FEE TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDA TIO CK. M.O. CASH 4 1 2 'AVG 2 2 1) 17 O �y� 76A663 DSS SA 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL N DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRESS ,� FIRST INSPEC ION CITY TEL.NO. � ,G (/�� COUNTY LICENSE IJ13. EXPIRES BUILDING ADDRESS PERMIT FEES NUMBER EACH FEE L0CALITY��/ LIGHT OUTLETS NEAREST n v C. G.v�� CROSS ST. � QG2/IlI h�A— RECEPTACLES p WALL SWITCHES /� �-� OWNER (/.�%/1�_//� A p G /:�F � bZJ 0 TOTAL OUTLETS 5c $ C) Z,e) MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS �q 25 CITY L�,`�} TEL. NO FIXTURES a 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 G NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. & LESS $ .25 SIGNATURE OF�/a V2 2 .50 PERMITTEE 2 5. 1.00 INSPECTION RECORD 5 15 1.50 is 50 2.50 50 200 5.00 200 500 10.00 Q 500 1000 15.00 Z OVER 1000 20.00 (+J M.G. SET/FREQ. CHANGER-HP R' WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG•) MOVED MOTORS (75% OF DRIG.) i MISC. SIGNS NO. NO.TRANS. I NO. NO. LAMPS APPROVALS DATE INSPECTOR'S NAME FOR EACH PERMIT: CONDUIT WIRING $1.130 WIRING FIXTURES $1.00 I A. t� �,.a! .V SUPPLEMENTARY .50 FIXTURES 2 �^1 POWER TOTAL FEE $ 3 v UTILITY CO.NOTIFIED FINAL WORKERS'COMPENSATION DECLARATION 76-663 ,o,s, APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, CE-606G or a.certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Se 3800.Lab.C.) }'r7 Policy.NO. Company - FOR AP.PLICANT.T.O FILL IN JOB ❑ Certified copy is hereby furnished. EACH NO. FEE ADDRESS New Residential Bldgs.& Pools ❑ Certified copy is filed with the county building inspection 1 & 2-Family,Sq.Ft. $ — $ LOCALITY G departmee/WA.. // Multi-family Sq.Ft. — NEAREST Ui-�i,d.'�' /f ✓ Residential Swimming Pools CROSS ST. Date .r t Applicant �� OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec Light S. BA AMAIL DDRESS . COMPENSATION INSURANCE (This section need not be completed if the work involved by the //�j � First 20 permit is for one hundred dollars($100)or less.) Total NO.c�L Additional .70Z4CITY 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 Date Applicant CITY Tel.No. NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT �/7 Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. PLICANT � ,�.( 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 W.H. LICENSED CONTRACTORS DECLARATIONHood — Fan Other_ �D 0 CITY yPJ �� Tel.Noi-r'��l¢n 28J_%; I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE OR , a (commencing with Section 7000) of Division 3 of the Business and REG.NUMBER J�`Q Class. ,• Professions Code,and my license is in full force and effect. DISTRICT NO. PRC SED BY Power Apparatus& Large Appliances d License Number �105�,L Lia Class Size& Type HP,KW,KVA,or KVAR �� U Up to 1 Incl. FINAL ��rL7 �� Over 1 to 10 Incl DATE VALIDATION 0 Contractor, C/ Date ❑ Over 10 to 50 Incl. I am FINAL exempt under Sec. Over 50 to 100 Inc. BY W 100 �- B.&P.C.for this reason Over � Date: Services,Swbd.,MCC& Panelboards ® _Z 0- 200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. 7 SINGLE FAMILY Temp.Power Pole&Appurtenances ACCTo8 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ,330+ ia2 �a I hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): 1 ITEMS ❑ Misc.Conduif I,as owner of the property,will do the work and the structure s& Conductors TOTAL 102.80 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) CHECK iD��ED and Professions Code). CONSTRUCTION LENDING AGENCY CHANGE °Da 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) r Civ.C.). Doan-0001 11/29i95 Lender's Name PLAN CHECKING FEE 3480 1 PM 12Q1 PERMIT ISSUING FEE Q Lender's A ess y� I certify at I have read this application and state that the above TOTAL FEE G' r g� inform ion correct. I agree to comply with all County ordinances 4antat laws regulating Electrical wiring, and hereby authorizee {atives of this County to enter upon the above-mentioned r inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Per Dat