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HomeMy Public PortalAbout6012 IVAR AVE_Electrical__ - .. /� ® I'1I .. - . ''fir{.j ���111�' �1{^�77 '2r IN1 /l/\/� 1/�//� 1O1I R IGA668-CEB064.90 fin` Il Pkv C /•` 13 �,O V FOR C�CS{��JTrjl\�.�7 /_\ L7 PERNT/1 Il Tj COUNTY OF LOS ANGELES" �L�} I�J�(� �(/[r�4\J. I�J�\\%/��IIII Ilfl DEPARTMENT OF COUNTY ENGINEER 13DNG BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE, COUNTY ENGINEER _ , � WILLIAM A.JENSEN, SUPT OF BUILDING - LOCALITY ©FOR APPLICANT TOFILL IN NEAREST — r ©� CROSS ST. PERMIT FEES A OWNER 1 is T' / I TE M NUMBER EACH FEE MAIL: OUTLETS: $ $ ADDRESS LIGHTS RECEPT. SW. .1O _ LIGHTING FIXTURES" 10 CITY TEL.NO. ELEC. RANGES CLO. DRYERS ELECTRICIAN WATER FI E A T E R S' .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS J CITY J TEL.NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. DISTRrj�TNO.�1GROUPI ZONE I ESSEDD BY F O — I/2 .25 Ii2 - 2 .50 INSPECTIO RECORD 2 5 .1.006 oc _ 5 — 15 1.50 l� 146;- �x t!/Jff/� /'✓� OV 15 50 2.50 50 200 5.00 V SIGNS: NO TRANS. NO. LAMPS SERVICE 0.600V 1.00 SERVICE OVER 600V 5.00 MISC.' ... - WIRING PERMIT 1.00 f FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 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 REGULATING 4 ELECTRICAL WIRING. ' WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF �" FIXTURES CALIFORNIA OR THAT i AME LEGAL OWNER OF THE ABOVE ' DESCRIBED RESIDENTIAL P T RTY °.. POWER SIGNATURE UTILITY CO. NOTIFIED n OF PERMITTE ,IV ALIDATION ARTHUR C.VEIT' CK MO CASH SUPERVISING ELECTRICAL ENGINEER_ `= 3n52 � tfi 9 2 fi 2.9Q 76A663 CE-806(6/78) APPUCAMN FOR E(I'2uC PUC n '^V^1N L PER �f J . COUNTY OF LOS ANGELES LLC 8U=ILDiNG AND SAFETY FORAPPLICANTTO FILL IN ,JOB New Residential Bldgs.&Pools IEACH NO. FEE ADDRESS O eat 4-4' 1 &2-Family,Sq. Ft. $ .025 — $ LOCALITY' 4 y Multi-familySq.,Ft. 02 — NEAREST �'77v"d•. Residential Swimming Pools 25.00 CROSS ST. cr '6JZ'YjLla� tlf OWNER OR FIRM NAME X/r j,6 t D Outlets: Rec Light—Sw. MAIL , ,per First 20 .50 ADDRESS SO/;t '- f- tZAI? Total No. Additional. . .30 CITY ���^ c; Tel. No.jkR;:�``,jf PLAN CHECK APPLICANT Lighting Fixtures First 20 .50 ADDRESS Additional .30 CIT. Total No. Y Tel.No. Fixed Appliances Not Over 1 HP PERMITA _ APPLICANT Range—Heater—D.W. _ Oven—Dryer_W.M_' ADDRESS Q w �.• Top _FAU — W.H:_ CITY r Tel.No. Hood_Fan —Other— LICENSE OR Disp.--.Room Air Cond. 2'50 REG..NUMBER ® L Class. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA- Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT, AND AGREE TO Size&T COMPLY WITH ALL COUNTY. ORDINANCES AND STATE LAWS ype.HP, KW, KVA,or KVAR REGULATING ELECTRICAL WIRING. 2.50 Up to 1 Incl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE•OF W Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE as 25.00 DESCRIBED RESIDENTIAL PROPERTY. 0 Over 50 to 100 Inc. Over 100 40.00 PERMITEE SIGNATURE Services 'DISTRICT NO. PROCESSED BY 0-200 Amp.Under 600 V 12.50 201-1000 Amp. Under 600 V 25.00 ®� m��U 00 ` Over 1000 Amp:or Over 600 V 50. Z O Temp. Power Pole&Appurtenances 10.00 a Sign with One Branch Circuit 10.00 Q `Additional Sign Branch Circuits 2'00 INSPECTION 1000 INFORMATION W Misc.Conduits&Conductors ON REVERSE x Other(See Complete Fee Scheduler SIDE u Z Q d PERMIT FEE (Sub-Total) % 0 0 N :M Z o o 0 KID PLAN CHECKING FEE (One-Fourth Permit Feel - 00 0 o N PERMIT ISSUING FEE $7.00 d Qn � 20 :O 0 SA 3n Cil o 0- TOTAL TOTAL FEE ! ��C �,H C) N 3�:, INSPECTION FINALED cc LU dater Z4•2 Y Byli�t��� ©s • WORKERS'COMPENSATION DECLARATION 76A663. /�.1 (pill �/f' G157��(�p (�©(6� �L(C'C�fo��� /nl p fD IL([ /��105� CE-806G (2-80) /�11!'l!"L� ICA U N FOR E IlS ALt, U"15IY�StIC/U ll I hereby aTfirm thn? I have a'ceriificate 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 ZrJOf� New Residential Bldgs.,&Pools' Certified copy is hereby fur "s e 1 &2-Family,Sq. Ft. $ — $ LOCALITY �� � �At 6,?7". ❑ Multi-family Sq. Ft. — NEARESTp� Certified copy is filed with the county building CROSS ST �✓/inspection (� department. Residential Swimming Pools OWNER OR : 7l / y FIRM NAME Date ApplicantOutlets: Re �LightC Sw. F �f ADDRESS First 20 l� CERTIFICATE OF EXEMPTION FROM WORKERS.' Total N -Additional / 'CITY Tel No' COMPENSATION INSURANCEr . �� PLAN'CHECK tl be.completed if the work involved APPLICANT O (This section need not by, the permit is for one hundied dollars ($100) or less.), Lighting Fixture First ADDRESS Total No. Additional cc I certify that in the performance of the work for which this Fixed Appliances Not.Over,1 HP CITY Tel No. permit is issued, I shall not employ any person in any,manner i PERMIT i W so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT d „ Oven — Dryer_W.M. ADDRESS N Z Date Applicant Top FAU W.H.._ Hood Fan _Other_ CITY Tel No. NOT-1,E TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond-_ LICENSE'OR ExemptS1n, you should become 'subject to the Workers' REG. NUMBER Class Compenssakion provisions of'the Labor Code, you must forth- power Apparatus& Large Appliances DISTRICT O.. P CE ED BY with' comply with such provisions or this permit.shall be Size&Type HP, KW, KVA,or KVAR � deemed revolted. Up to 1 Incl. FINAL ` Over 1 to 10 Incl DATE r' LICENSED CONTRACTORS VALIDATION Over 10 to 50 Incl. NAL I hereby affirm that I amIlicensed under'provisions of Chapter Over 50 to-100 Ino. 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. Services License Number :'Class 0-200 Amp. Under 600 V I 201-1000 Amp. Under 600 V Contractor Date ` Over 1000 Amp:or Over 60O V, HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I am exempt from the"Contractor's Sign with One Branch Circuit 24 1 5'9 A Sign Branch Circuits License Law for the following reason (Section 7031:5, Busi- Additional Sige • - ,. n2,and Professions Code): W.,o 0 o 0 2. Misc.Conduits&Conductors ' I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— 2 9,7 structure is not intended or offered for sale (Section 7044, Business and Professions Code).' o 0 0 2 9. -0= CONSTRUCTION LENDING AGENCY I hereby affirm'that there is a construction lending agency 0 5 2 8.—82 for the performance of the work for which this permit is PERMIT.FEE (Sub-Total) issued(Sec. 3097,Civ.C.). / Lender's Nam Z 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 7 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. SEE'REVERSE-FOR EXPLANATORY LANGUAGE Signatzure of Permittee Date