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HomeMy Public PortalAbout5656 HELEO AVE_Electrical__ TBweaa-LEBOB 7.58 AppLICAON FOR ELECTRIC OERMIT COUNTY OF LOS ANGELES _ DEPARTMENT OF COUNTY ENGINEER, /i]� BUILDING r/l� BUILDING AND SAFETY DIVISION `"Tyyly` ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER /�/ CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST" ' 1 T E M NUMBERI EACH FEE OWNER OUTLE $ $ MAIL LIGHTS RELEPT. SW. .10 ADDRESS LIGHTING FIXTURES .10 CITY TEL. 9!y ELEC..RANGES CLO. DRY s - ELECTRICIAN WATER HEATERS .50 ADDRESS . ELEC.SPACE HTRS, DISHWASHERS ' GARBAGE DISPOSERS / AUTO.- CITY STATE j p WASHERS STA. COOKING UNITS / .25 LICENSE NO. MOTORS: OVER INC. H.P. SO DIS =CT NO. I GROUP jONE PR CESSED BY O— '/z .25 '-� , V2- z 50 INSPECTION RECORD 2— 5 1.00 5— 15 1.50 '�NCe`/ V/✓� G�/�i '� 15— 50 2.50 50-200 5.00 SIGNS: NO. THANS. NO. LAMPS SERVICE 0-600N 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 �P FIXTURE PERMIT 1.00 ' SUPPLEMENTARY PERMIT .50 TOTAL FEE - S// .ti APPROVALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE HE AND STATE THAT TABOVE I6 CORRECT AND AGREE TO COMPLY WITH 'ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT �. ELECTRICAL WIRING. WIRING 3-—7- 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSEDAS REQUIRED/ Y LOB ANG LES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT AM THE L AL GYNE THE ABOVE DESCRIBED RESIDENTIA P ERTY. POWER SIGNATURE UTILITY.CO.NOTIFIED AJ OF PERMITTEE - - - FIN, JI LLDATION ARTHUR C. VEIT, 1/\cJKJ� NO CASH SUPERVISING ELECTRICAL ENGINEER L&7260 1418 4 2 A 11 .65 76A663.CESOB tO-62 APPLICATION FOR ELECTRICAL PERMIT < COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING o BUILDING AND SAFETY DIVISION - 'A"LT" �a - JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY NEAREST !� FOR APPLICANT TO FILL.IN CROSS ST. L Vd G l ey ns RECEPT. TOTAL NO. EACH FEE - LIGHT OUTLETS FIRS, 201 S 20 S -� OWNER H }� MAIL SWITCH. ADD-L ADDRESS OVER 20 .10 r / TOTAL CITY P.'Y:• �' t q TEL. LIGHTING- 1 - - .FIRST 20 - --:20 . ter- -- ,- FIX,TURES )f noo•L ELECTRICIAN OVEF 20 .10 RANGES CLO:DRYERS WTR.HTNs, 1.00 ADDRESS - GARB.915P. STA.COOK r v '✓ OISMWASH.-", AUTO.-WASH. STATE (r'/ SPACE HTRS. STA.APP.(yz H.P.MAXI .50 LICENSE NO. MOTORS(:: OVER NOT OVER H.P. DIST T GR"7[]��JP Z NE PR CE DZ Y 1. 3 1 1.50 ,A INSPECTION RECO D g a 8 2.00 � O 8 15 2.50 - V ad 15 60- 3.00 O 50 100 5.00 - , j a SIGNS: NO.TRANS. I _ - yY NO."LAMPS � " SERVICE O.6OOV-NOT OVER 200A 1.00 SERVICE 0.60OV-OVER 200 A. - 2.00 SERVICE OVER 600V 5.00 MISC. I 1 PERMIT ISSUING FEE 2.00 " SUPPLEMENTARY PERMIT ISSUING FEE 1'.001 , _ ,TOTAL FEE' 5 7 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS flEGULATING ELECTRICAL WIRING. WIRING •�� I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR - LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO STATE OF FIXTURES CALIFORNIA OR THAT P AM THE LEGAL OWNER OF THE\ABOVE DESCRIBED RESIDENTIALLIPROPERT . POWER SIGNATURE. 'V P �P��� UTILITY CO.NOTIFIED t OF PERMITTEE /' FINAL � G LIDATION ARTHUR C. VETT CK MO CASH - SUPERVISING ELECTRICAL ENGINEER'; 9_ t` '3Z JUN 1 2, D 3.70- V WORKERS'COMPENSATIONDECLARATION 76A663 (2-80) APPLICATION FOR ELECTRICAL PERMIT ` I hereby affirm that have a certificate of.consent to Self COUNTY OF LOS ANGELES '� ING AND AFETY insure, or a certificate of Workers'Comp cation Insurance,o 1 n G,h a certified copy thereof(Sec. 3800, Lab ) FOR APPLICANT TO FILL IN JOB. 37,Policy No. Company EACH NO. FEE ADDRESS New Residential Bldgs.&Pools Certified copy is hereby furnished. 1 & 2-Far lg Sq. Ft. $ — $ .LOCALITY Multi-family Sq. Ft. NEAREST 6erti fled'copy is filed:with the county bui In inspection CROSS ST department. Residential Swimming Pools , 'OWNER OR FIRM NAME Date Applicant Outlets: Rec._Light_ Sw._ MAIL First 20 ADDRES (OU CERTIFICATE OF EXEMPTION FROM WORK 'ER Total No. • Additional CITY - Tel No.yytp• a/d y, COMPENSATION INSURANCE a - PLAN CHECK/ Q (This section need not be completed if the work.involved APPLICANT U Fixtures First 20 Lighting. by the permit is for one hundred dollars (5100) or less.) LigADDRESS cc Additional Total No. - - O I .certify [hated: Ishan not employ of the work for which this ' CITY Tal Na U -permit is issued. 1 shall not employ any person in any manner Fixed Appliances Not Over 1 HP` PERMIT _ so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. _ APPLICANT d p Oven Dryer_W.M._ ADDRESS /U/ ceZ' Z Date Applicant Top FAU. _W.H.._ Hood Fan _Other— CITY Tel N e' NOTICE TO APPLICANT: If, after making this Certificate'of Disp. _ Room Air Cond._ LICENSE OR Exemption, you should become subject to the Workers' REG.NUMB R Clads Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. ( PROCES ED BY- with comply with such provisions or this permit shall be deemed revoked. TypeKV " Size& HP, KW, A,or KVAR Up to 1Inclr " - . . � • Over 1 to 10 Incl. FINAL DATE LICENSED CONTRACTORS DECLARATION "' Over 10 to 50 Incl. - VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL - 9i(commencing with Section 7000) of Division 3 of the Busi- BY Over 100 ness and Professions.Code, and my license is in full force and ' effect. Services License Num /r'l. Lic. Class GJ - 0-200 Amp. Under 600 V �GG�(� 201.1000 Amp. Under 600 V .� ] L-2 Contracto0-� UI Date l A Over 1000 Amp.or Over 600 V + HOME OWNER-B LDER DECLARATION Temp..Power Pale&Appurtenances 1 hereby affirm that 1 am exempt Section 7031.5, Busi- Sign with Additional Sign Branch Circuits from the Contractor's t One Branch Circuit License Law for the followiri g reason ( .�8.0 1,4,A ness and Professions Code): ' ' J� # o o•'e a eZ Misc.Conduits& Conductors ❑ 1, as owner of the property, will do the work,and the Other (See Complete Fee Schedule)— o structure is not intended or offered for sale (Section n 2e� 1 1.5 0 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY o e.e 1.50.5 I.hereby affirm that there is a construction lending agency - ( 20 2-82 - . for-the performance of the work for which this .permit is PERMIT FEE (Sub-Total) issued (Sec.3097,Civ.C.). - - - Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE 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 represe at es of this County to enter upon - - the above-mention d pr erty or inspection purposes.. SEE REVERSE FOR EXPLANATORY LANGUAGE - Sit 2k Signalu Vf Permittee Dale // . WORKERS'COMPENSATION DECLARATION- 768063 —vCE806G (2-8b),:. APPLICATION FOR- ELECTRICAL PERMIT ._ 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,ort • '7� �.i q P +'�!�•y_ �'{a F I certified copy thereof(Sec. 3800, Lab' C.),m, •'` - y _ "' i` . ,Ltsrd'eL:/id: Policy No. Company '^ r FOR APPLICANT TO FILL IN 3og f G•. js //J/ l New Residential Bldgs.&Pools 'EACH• NO. FEE ADDRESS Certified copy is hereby furnished.� 1'& 2-Family,Sq. Ft. $ — $ LOCALITY �f��ip�a•�+ sf�t,,,,�..}/ �. — a' Certified copy is filed with the county building inspection' Multi-family SQ Ft NEARESTI CROSS ST r(.y'..� { t• .., department. ((f Residential Swimming Pools OWNER ORj/ f of !.• i. ..r} FIRM NAME d (Date �f Applicant t=- i ''' " Outlets Rec._Light_Sw._ i MAIL f {/ r �i� O r + F.i rst'20 ADDRESS "" A 'A, !' '.✓':...G.-r"> —CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. - _ ,1 'Additional CITY ^+'!Pi?v'-z �.r •`f_.,, Tel No.4+l j�CF' a"'t`.l�tr J_ COMPENSATIIjN INSURANCE '? ' a - "r PLAN CHECK! W APPLICANT (This section need not be completed if the work involved .. } by the. permit is for one hundred dollars ($100) or. less.) Lighting Fixtures First 20 ADDRESS Q Total No. I ' Additional ' • . ' a I certify that in the performance of the work for which this`..` r 7a CITY - Tel No M1 - Fixed Appliances Not Over 1 HP - PERMIT F CC permipermit is issued, I,shall not employ any person In any manner'. r t to become subject to the.Workers' Compensation (Jaws Range_ Heater_D.W. _ APPLICANT Oven Dryer W.M._' ADDRESS `� W ToP FAU ::W.H. v Date - Applicant 1 i Hood Fan CITY s+ aIXiy Tel No/-rte, - , ' — Otherr _ ' NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond.— LICENSE ORe / Exemption, you should become subject to the Workers' REG.NUMBER Class Compensation provisions of the.Labor Code, you must forth- Power Apparatus& Large:Appliances `i DISTRICT NO. ff - PROCESSED BY. with comply with such provisions or this permit shall be. . Size&Type HP,KW, KV'A,or KVAR { '�s Y� - o'f fel deemed revoked. - s Up to 1 Incl. II FINAL Over 1 to 10 Incl.' DATE LICENSED CONTRACTORS DECLARATION .. Over 10 to-50 Incl. i VALIDATION- 1 hereby affirm that 1 am licensed under provisions of Chapter Over 50 to;100 Inc. ' FINAL B Y. , " 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. /� Services License Number Lic. Class _ ,. /L.A 0-200 Amp. Under 600 V If�• ' ✓/ - 201-1000 Amp. Under 600 V f✓• Contractor ' ~•'TDate Rr•�F 'f ' ' Over 1000 Amp.or Over 600 V i. E HOME OWNER BUILDER DECLARATIONL� N Temp.Power Pole& Appurtenances , 1 hereby 'affirm that 1 am exempt from the Contractor's Sign with One Branch Circuit License-Law for the followin Additional Sign Branch Circuits. g"reason (Section 7031.5, Busi- ness and Professions Code): Misc.Conduits& Conductors 1, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— T" r?Is tsj 1�� ' structure is not intended or offered for sale,(Section - 7044, Business-and'Professions Code). _ - _ r i r, . . CONSTRUCTION LENDING AGENCY - l I.;!.-�n�t ' I hereby affirm that there is a construction lending agency for the performance of the work for which thispermitis PERMIT FEE 'ISub-Total) issued (Sec. 3097,Civ.C.). , _ - , Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) - Lender's Address PERMIT ISSUING FEE O ' ;7 I certify that'] have read this,application and state that the TOTAL FEE /f 0 -. 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,for:inspection purposes. + f 1 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee 'lefts Date v -