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Home My Public Portal About5426 HILTON AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Def of County Engineer ELECTRIC DIVISIONION OFOF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN ep « Ll I L / Z y - RECEIVED BY READY FOR DATE ISSUED ADOREH(H' 9 rel FIRST INSPECTION P `/ EL NO. / 8 ✓ 4 �v� COUNTY LICENSE NO. D EXPIRE. -,� PERMIT FEES _ADD REBS _J_/ i iy/ /V }' NUMBER EACH FEE LOCALITY Y �( /h pl,e C. I / 1, LIGHT OUTLETS _ 0 — NCROSEARESST // Q ST. V RECEPTACLES _� _ WALL SWITCHES S OWNER �p R /I/✓�eC�i�{!�. I CJ &L TOTAL OUTLETS 77 Sc B MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY 7. TEL. NO. FIXTURES A 5 O O — I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. �j APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS I-� p AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, O I M THE LEGAL OWNER NEw Mvo. HP ovER iNo- E^cam OF THE RESIDEERTY 0 R18EG ABOVE. �/e s LES. $ .25 SIGNATURE OF _ I/2 2 .50 PERMITTEE - 2 H l.00 INSPECTION ORD 5 15 1.50 I _ 15 50 2.50 ,r r✓ 4- s iyo �- J S�O 200 5.00 200 500 10.00 J 500 IOOD 15.00 Z —---_ OVER 1000 20.00 --- 0 M.G. SET/FREQ. CHANGER-HP d' WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA _ TEMP. MOTORS (75% OF DRRr-) MOVED MOTORS (75% of oRIG.) MIBC. SIGNS NO. NO.TRANS APPROVALS NO. NO. LAMPS — ---- FOR EACH PERMIT: D INSPECTOR'S NAME_ WIRING $1,0 Q•{J CONDUIT _ FIXTURES $1.00 �- WIRING SUPPLEMENTARY .50 FIXTURES POWER 75�� TOTAL FEE $ UTILITY CO. NOTIFIED .3-3 it? FINALS 76A663 DDS#SA 4-52 LI J6g663-CEBO610/T2 r%APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES f.;' 77 /�� DEPARTMENT OF COUNTY ENGINEER gDOREss r_,J �!� / (� �L BUILDING AND SAFETY DIVISION 1ro-9 LOCALITY 2`LL,-tVA_ G (,,,.y' IT y NEAREST ,�( , _p FOR APPLICANT TO FILL IN CROSS ST. (1 V OUTLETS NO. EACH FEE OWNER OR rr FIRM NAME V Q L('� e-m S C RECEPT.� S S MAIL LIGHT TOTAL FIRST 20 25 ADDRESS CITY TEL. NO. SWITCH OVER 20 ,1p PLAN'CHECK LIGHTING TOTAL ,FIRST 20 25 APPLICANT FIXTURES .10 OVER 20 ADDRESS ' RESIDENTIAL APPLIANCES CITY TEL. NO. t,� ^� 2,1 RANGE ORV EF. WTR. HTR._ PERMIT APPLICANT ` Lt Sf C �- FL G STA. COOK DISP. F.A.U. ADDRESS 3743 - M LltCdTe ve, SPACE HTR. AIR CONO. CITY CIS' F-11 Q,) TEL. NO.Z _47• CLOTHES WASH. DISH WAS H._ FFG.NNUM9ER CLASS FANOTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE B TYPE OVER TO HEREBY CRTHAT AM PROPERLY REGISTERED AND/OR — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF THAI CALIFORNIA OR THAI_ I AM THE LEGAL OWNER OF THE ABOVE r 1 — 10 300 OESCRIP.EO 'n R51 AL PROPE Y, p„ O SIGNATURE IGNAPERMIT R - 9��f�. V 10 — 50 5.00 SIGNATURE V �" O 50 — 100 10.00 DISTRICT N0. PROCES O OV u.l 100 — 500 15.00 H Z_ SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE IN PECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE SERVICE NOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMPSERVICE, POLE. &APPURTENANCES S.OU WIRING —1C/ TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES �� ^I 27�Y >) POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL 9 7 "tp�j CC PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK." CK. M.S. CASH PERMIT VALIDATION crc. I M.D. DASH Y V 5 6 7�,AFR 17 2 D 7.7 5 oyg SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A65S `Eeb6 10/72 APPLICATION —W"C ICA ERMIT CIILJII' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB %26-NO Hilt= vZ BUILDING AND SAFETY DIVISION ADDRESS LOCALITY ygjnpU NEAREST OUVO FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. I EACH GEE OWNER OR S IS FIRM NAME RECEPT._ MA00 AIL LIG HT TOTAL FIRST 20 25 KESS 1�f t- Ci lar 20 CITY y yp yy TEL. N0. SWITCH_ .10 PLAN CHECK LIGHTING FIRST 20 25 APPLICANT FXTURES TOTAL 10 OVER 20 ADDRESS . RESIDENTIAL APPLIANCES CITY iyf(- -••1�---- Y•�•I'_ 1.T EEL. NO. PERM RANGE DRYER WTR. HiR. APPLIICANT More.329 vB.�I,.BC VL'1C STA. COOK DISP._E.A.U. ADDRESS.-3'Z23_bl• MUscalsl AVO* SPACE HTR, AIR CORD. CITY p TEL. NO. 280-1 '^ CLOTHES WASH. DISH WAS H._ REG.NUMBER2279 2 CLASS.C-10 FAN-OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WIT ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC, HP. KW. MVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO HEREBY CERTIFY THAT AM PROPERLY NTT ANN S AND/OR Q - 1 100 LICENSED PS REQUIRED BY LOS AIIG ELES COUNTY AND STATE OF CALIFORNIA A THAI AM THE LFG /;Wfl O TXE 4tlOVE 1 - 1O 300 DESCFICEORESI(O�+TIALPq0J/ERT 1TEE 10 - 60 ' 500 SIGNATURE CJY"�� b O 50 - 100 10.00 DISTRICT NO. ROCES EO BY U W 100 - S00 15.00 O X N V _Z SIGN, GAS SIGN AND ONE CIRCUIT SOO APPROVALS DATE INSPECICR>41RINATURE TUBE, OR I i MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE SERVICE NOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SER'VICEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE. &APPURTENANCES 5.00 WIRING - TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES � . -7# POWER AUTHORIZED UTILITY CO. NOTIFIED ��^ �,y g } FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 300 TOTAL FEE $6* W PLAN CHECK VALIDATION CM. M.0. CASH PERMIT VALIDATION cK. M.D, CASH 7 6:5�S& 4 2 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE _ /\ WORKERS'COMPENSA'[ION UEELARATION CE-806G (2 80) APPLICATION OO� ELECTRICAL PERMIT E-806G I hereby affirm that I' have a certificate of consent to self COUNTY OF LOS ANGELES i BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or /certyi fsied co y t e eof1Sec. 3388-00)Lab. ) ' 3e:3�1 :34�44+7 FOR APPLICANT TO FILL IN JOB /�lJ y lley No. Company ADam(.' New Residential Bldgs.&Pools EACH NO. FEE DRESS JY' ❑ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. NEAREST •/� Certified copy is filed with the county building inspection CROSS ST {/ dep tme Residential Swimming Pools OWNER OR - /..,/ p i A t FIRM NAME o /L= ll Dat 7.0 Applicanil�°`Y� j Outlets: Rec.—Light—Sw._ MAIL First 20 ADDRESS �. CERTIFICATE OF EXEMPTION FROM WORKERS' ' r 3• a >_Total No. Additional CITY Tel No COMPENSATION INSURANCE � d PLAN CHECK _ O (This section need not be completed if the work involved APPLICANT U by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 Total No. . Additional ADDRESS O I certify that in the performance of the work for which thisCITY Tel No. (- Fixed Appliances Not Over 1 HP U permit is issued, I shall not employ any person in any manner PERMIT W so as to become subject to the Workers' Compensation Laws. Range_ Heater—D.W. APPLICANTd Oven _ Dryer_W.M. ADDRESS ^ �"= - �� ✓; z Date Applicant Top — FAU _W.H. Hood _ Fan _Other_ CITY •7 Tel No NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air'Cond,_ LICEN EOR f.. Exemption, you should become subject to the Workers' REG. NUMBER Class rol Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROLE ED Y with comply 'with such provisions or this permit shall be deemed revoked. Size&Type HP,KW, KVA,or KVAR Up to 1 Incl 0 FINAL LICENSED CONTRACTORS DECLARATIONOver 1 to 10 Incl. DATE g �T7/ VALIDATION Over 10 to 50 Incl. Lr C1 1 hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 1 _� 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 BY ness and Professions.Code, and my license is in full force and _ effect. �, - / 'Services -r License Number) v� Lia Class �-+ 0-200 Amp. Under 600 V 7� Z �J 201-1000 Amp. Under 600 V Contract Date / L� � Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole& Appurtenances I hereby affirm that [ am exempt from the Contractor's Sign with One Branch Circuit I License Law for the following reason (Section 7031..5, Busi- Additional Sign Branch Circuits ness and Professions Code): :2053.0 A Misc.Conduits&Conductors ❑ 1, as owner of the property, will-do the work and the Other o ° o 0 2 Oiher (See Complete Fee Schedule)— structure is not intended or offered for sale (Section 7044, Business and Professions Code). 2 o - 3200 , CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 'O ° 0 3 2 0 0Q= for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued 2$I�8 ) issued (Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE I certify that 1 have ea�,is application and state [hat fhe TOTAL FEE above i n Is otter[. agree to comply with all Connty , ordinane an Sta laws egulating Electrical wiring, and , hereby uthori ere esenta ves of this County to enter upon oval d r try for inspection purpose SEE REVERSE FOR EXPLANATORY LANGUAGE ` Sig tore o rml a e � Date