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Home My Public Portal About4906 HELEO AVE_Electrical__ D6.9.SA2SM.SETS 110-47 , CATION FOR PERwr DEPAgS8ENI , OF DaggDgNG ANDSAFEIM COQ7NTY Of LOS ANGELES. ELECTRIC WM. J. FOX CHIEF EtIGI NEER DISTRICT NO. GROUP. ZONE PERMIT NO. Q NAME A 1 ADDRESS 1 k `v RECiIVED BY READY FOR DATE ISSUED 1 U CITY TEL NO. FIRST INSPECTION W' COUNTY _ CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WOES; ADDRESS PLUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS V NEAREST- -LIGHT OUTLETS JSW. PLU63 FIXT -CROSS ST. Jf �_ t CIRCUIT 'A B C D E F G H � NAME ,,��>11-oAl"YJ6 AIe�,/� ADDRw MAIL ESS, " -a O CITY „* TEL.NO. 1 AM THE -LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE :OF QUALIFICATION.. ELECTRICIAN. ➢ AM THE I:,EGAI:OWNER OF THE PROPERTY DESCRIBED ABOVE �{.q'��7�pyEsp�pg�}�. OWNER. J Q Z L7 a O TOTAL d�I1 - NO. OF OUTLETS $ O APPROVALS `s NO. OF FIXTURES $ ' S DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING- -� d �� v,4 4 NO. OF RANGES OR HEATERS $ 7 FIXTURES i MISCELLANEOUS- $ APOWER ! 'PERMIT FEE $ J UTILITY CO.NOTIFIED TOTAL F ® 1 in FINAL WORKERS'COMPENSATION DECLARATION, 76A663 O O CE-806G,- -801 APPLICAMN FOR ELECTRICAL PUNT I hereby affirm that I'have a certificate`of consent`to self "fl COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or �" f a certified copy thereof(Sec. 3800,Lab.C.) FOR APPLICANT TO FILL IN JOB _ Policy No. Compan New Residential'Bldgs.&Pools EACH ADDRESS NO. FEE ❑ Certified copy,is.hereby furnished. 1 &2-Family,Sq. Ft. $ _ $ LOCALITY' O' Multi-family Sq. Ft. — NEAREST Certified copy,is.filed with the county building inspection CROSS ST "2o'sft department) ` Residential Swimming Pools OWNER OR (/ FIRM NAME77� Date Applicant Outlets: Rec.(LLight.4 . Sw.6 Q f AMAIL DDRESS y�j��/ First 20 /`/ CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No "f. d COMPENSATION INSURANCE PLAN CHECK 0 (This section need not be completed if the work. involved APPLICANT CJ by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20ADDRESS Total No. Additional 0 I certify that in the performance of the work for which this CITY Tel No. U permit is issued, I shall not employ an person in an manner Fixed Appliances Not Over 1 HP P P Y Y p Y r PERMIT LLJ so as to become subject.to the. or rs' Co ensation Laws. Range_ Heater_D.W. APPLICANT 0- rn �� Oven _ Dryer—W M.— ADDRESS � z Date ,.a_0 �AppIican Top FAU —W.H,..- 7, Hood — Fan _Other_ CITY Tel No. NOTICE TO APPLICA T: , after making this Certificate,of Disp. _ Room Air Cond._ LICENSE OR Exemption; you sho d ecome subject to the Workers' REG. NUMBER Class, Compensation provision of the Labor C. you must forth- Power Apparatus,& Large Appliances DISTRICT NO. PROCESSED-BY v• ; with comply with such provisions or this permit shall be' deemed revoked. Size&Type HP,KW, KVA,or KVAR ;v, �. Up to 1 Incl. r ° .• FINAL .. . Over 1 to 10 Incl. DATE. LICENSED CONTRACTORS DECLARATION -��"o?q- VALIDATION Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL BY 9 (commencing with Section 7000)'of Division 3 of the Busi- Over 100 C I ness and.Professions-Code; and my license is in full force and effect. Services License Number Lic.Class 0.-200 Amp. Under 600 V 201-1000 Amp. Under 600 V ContractorDate Over 1000 Amp.or Over 600 V HOMEOWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances Sign with One Branch Circuit I hereby.affirm that I am exempt from the Contractor's Additional Sign'Branch Circuits License Law for the following reason.(Section 7031.5, Busi- ;.p.; ness and Professions Code): ..t' Misc.Conduits&Conductors I as owner of the property, will do-the work and the # 0;;o 0 0 0 2 Other(See Complete Fee Schedule)— _ structure, is not intended or-offered for sale (Section a 7044, Business and Professions Code). 2 o eo 2 1..7'0 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction' lending.agency ;0 010 2'�, Q U • for'theperformance of the work for which this permit is PERMIT FEE (Sub-Total) o G 2 2,—8 2 issued(Sec. 3097,Civ.C.). Lender's Name , _ PLAN CHECKING FEE (One-Fourth Permit Feel , Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEES d above information is correct.I agree to comply with all County• ordinances and State laws regulating Electrical wiring, and her by.,a thori epresentatives of this County to enter upon th bo - ion d p oper for inspection purposes. SEE-REVERSE FOR EXPLANATORY,LANGUAGE Signature of Permit! Date ..WOkKERS'COMPENSATION DECLARATION 76A663 10,81aG'pUCL IMN FOR EL�E��MC AL pL�QIMVI T 1 hereby`affirm that I have a certificate of consent to self CE-806G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IW JOB Certified copy is hereby furnished. New Residential Bldgs.& Pools EACH NO. FEE ADDRESS4 V06 G C.eo 1 & 2-Famil S Ft. $ — $ LOCALITY P�.�� - Certified copy is filed with the county building inspec- y, q NEAREST 11,� tion department. Multi-family Sq. Ft CROSS ST. 0 S A Date Applicant Residential Swimming Pools OWNER OR q _ FIRM NAME SC� /v CU✓ G y CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec ' Light w. MAIL COMPENSATION INSURANCE `;,• ADDRESS � This section need not be completed if the work.involved b First 20' ( P Y Total No. Additional CITY �� Tel. No. ` ,2' the-permit is-for one hundred dollars ($100)or less.) that in the performance of the work for which this PLAN CHECK I certify P APPLICANT �'✓/ �. permit is issued, I shall not employ any person in any manner Q so as to 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 HP PERMIT NOTICE 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 with,comply with such provisions'or this permit shall be Top FAU —W.H. — deemed revoked. Hood Fan _ Other_ CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond.• — REG. NUMBER Class. (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PROCIESSEP BY and Professions Code,and my license is in full force and effect. Size&Type HP,.KW, KVA, or KVARO License Number- Lic. ClassUp to 1 Incl. FINAL W Over 1 to 10 Incl. DATE J VALI TION a Contractor Date• Over 10-t6,50 1nel, FIN U ❑ I am-exempt under Sec. Over 50 to 100 Inc. BY UJI B.&P.C. for this reason Over,100 to Services, Swbd., MCC & Ponelboards Date: 0 -200 Amp. Under 600 V 1 5 LL A Signature 201 - 1000 Amp. Under 600 V #'.o o'0 0.0.`2 El Exemption for Reg. Maint. Elect. Over 1000 Amp. o Over'600 V 11.0 01 a00 SINGLE FAMILY Temp. Power Pole& Appurtenances , HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 0,Q;01 a•,0,0 v' I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5; Business and 0.21 9.t,-8 5 Pr fessions Code): I, as.owner of the property, will do the work and the Misc. Conduits&Conductors structure �- is not'intended or offered for sale (Section Other (See Complete Fee Schedule)- 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 Jo Lender's Address I certify that I have read this application and state that the TOTAL FEE 'U above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical .wiring, and Phb ori representatives of this County to enter upon tion d ropert or inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Permi tee Date WORKERS'COMPENSATION DECLARATION CE-806G (2-80) APPHICATION FOR ELEC�T�°3 AL pEG°31� T _ CE-806 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'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab. C:) FOR APPLICANT TO FILL IN ,JOB Policy No. Company, - 'EACH NO. FEE ADDRESS New Residential Bldgs.&Pools Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY J. ` G ` ❑ Multi-family Sq. Ft. — NEAREST Certified copy is filed with the county building inspection CROSS ST department. Residential Swimming Pools OWNER OR FIRM NAME' 641-) Date Applicant Outlets: Rec.—Light—Sw. MAIL First 20 ADDRESStjL(G G /y CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional, CITY"" G ±Tel No. COMPENSATION INSURANCE >- PLAN CHE d (This.section need not be completed if the work involved APPLICANT O by the' permit.is for one hundred�dollazLighting.Fixtures First 20 s ($100) or less.) ADDRESS Additional Total No. I certify that in the performance of the work for which this CITY Tel No. � Fixed Appliances Not Over 1 HP permit F- is�issued', I'shall not employ any person in any manner PERMIT W so as to become subject to the Workers' Co ens nrLRange_ Heater_D.W. APPLICANT /Gl fL K Oven _ Dryer_W.M. ADDRESS d (� �d �� / ✓fe0� Z _ Datpp Top _ FAU` W.H..� A lican CITY Tel N� � Hood _ Fan _Other_ NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room.Air Cond._ LIC OR Exemption, you should become subject to the Workers' REG. NUMBER&?,Z ' 9 Classes Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCE SED BY with comply with such provisions or this ,permit shall be deemed revoked. Size&Type HP,KW,KVA. or KV.. ( /jI I'll 1 Up to'1 Incl. \� FINAL / �`� �(�p- LICENSED CONTRACTORS DECLARATION / Over 1 to 10 Incl. DATE Over 10 to 50 Incl. to VALIDATION . I hereby affirm that I am licensed'under provisions of Chapter Over 50 to 100 Inc. FINAL 7 BY 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 ness and Professions.Code, and my license is in full force and effect. Service's of �/° �� r S 0-200 Amp. nd r 6 0 / 16 ,�- License Number -2.y' t' Lic.ClassG�D 201-1000 Amp. Under 600 V /U f� } '�-e-G ContractorNhC/,/-S %n%[ Date/Z- V —,Yt Over 1000 Amp.or Over 600 V �7 HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I am exempt from the` Contractor's Sign with One Branch Circuit �� 7 License Law for the following reason (Section 7031.5, Busi Additional Sign Branch Circuits ness and Professions Code): Misc.Conduits&Conductors I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)= 2 21 .74 A structure is not intended or offered for. sale (Section 7044, Business and Professions Code). #,o o�o•0 0 'Z CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 2io'o. 2 3.5 0 for the .performance of the work for which this permit is PERMIT FEE (Sub-Total), r issued (Sec. 3097,Civ.C.). o)o'o 2.3 5 0 Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 1 Lender's Address 204=8.1PERMIT ISSUING FEE ,I certify that I have read this application and state that the TOTAL FEE above information is correct. I agree to comply 'th all County ordinances and State ws regul ' g Elec wiring, and hereby aut o ' e repr entatide o his Qom to enter upon the ab - tione roper f inspe t1� urposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date _ I _ WORKERS'COMPENSATION DECLARATION CE-806 ,D,B, APPUC A750H FOR UECTPUC AL PERN7 I hereby affirm that I have a certificate of consent to self CE-806G insure, or:a"certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab.-C,) Policy No. Company FOR APPLICANT TO FILL IN JOB /^� / C Certified copy is hereby furnished. New Residential Bldgs.l& Pools EACH NO. FEE ADDRESS q C/(�j �V, HL O S 'Certified copy is.filed with the county building inspec- 1 & 2-Fcimily, Sq. Ft. $ — $ LOCALITY PLC' C/ tion department Multi-family Sq. Ft.' — 'NEAREST /J CROSS ST. (//� �C''`OS�! Date Applicant Residential Swimmirg Pools OWNER OR FIRM NAME x/. CERTIFICATE OF EXEMPTION FROM WORKERS' 3 MAIL COMPENSATION INSURANCE Outlets: RecL3 Light It 2 ADDRESS This section need not be completed if the work involved b First 20. ( p y" Total No.� Additional CITY•t��J'f PL�' N� Tel. No ��8sy 9 the permit is for one hundred dollars($100)or less.) PLAN CHECK 1 certify that in the performancethe work for which this PPLICANT permit is issued, I shall not emplo an, person in any manner so as to'become subject to the W ker p ati 'n.Laws Lighting Fixtures First 20 ADDRESS Total No. 3 Additional �- CITY Tel. No. Date ^� Appl' nt �"� Fixed Appliances Not Over 1 HP. PERMIT ^�— NOTICE TO APPLICANT: 11 - of r making this Certificate of APPLICANT Exemption, you should (ecme subject to the Workers' Range_ Heater_D.W.Compensation provisions Labor Code, you•must forth- Oven _ Dryer — W.M.— ADDRESS 06 /V l�Ee,Ea with comply with such provisions or this permit shall be Top FAU —W.H. — deemed revoked. CITYttF yJa wiAz Tel. No. �L��Z• ' LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp: — Room Air Cond. REG. NUMBER Class. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PRO SED BY and Professions Code, and m license is in full force and effect. Power Apparatus& Large Appliances y Size &Type HP, KW, KVA, or KVAR License Number Lic. ClassFINAL U Up to 1 Incl.. Contractor Date Over 1 to 10 Incl. ODATE,33 7/ _C VALIDAT 0 ❑ Over l0 to 50 Incl. GG ~ I am,exempt under Sec. Over 50 to 100 Inc. UJB.&P.C. for this reason Over-100 Date: Services, Swbd., MCC & Panelboards 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V 9 + OOver 1000 Amp. or Over 600 V # �',�'91 Exemption for Reg. Maint. Elect. ti� SINGLE FAMILY Temp. Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License ° ° 2 7 0:0' Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code):, ° ° ° 2 7.0 0" I; as owner of theproperty, will do the work and the Misc. Conduits&Conductors 'iI'Q 1 684 structure is.not intended or offered for sale (Section Other_(See Complete Fee Schedule)— D 7044, Business and Professions Code). 1 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 (� 5 Lender's Address 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 authorize representatives of this County to enter upon the bov -m on op rty foo inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Permittee Date