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Home My Public Portal About6113 IVAR AVE_Electrical__ 76A663-CEBO6 10/74 1PP7A0V �R �ER�FUCA7 Piff �7 �c.• . L� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOBDREss• ®0�7 ►/� BUILDING AND SAFETY DIVISION LOCALITY NEAREST - FOR APPLICANT TO FILL IN CROSS ST. OUTLETS. . NO. EACH FEE OWNER OR FI RM NAME RECEPT ao �$ 01 ADDRESS — MAIL LIGHT TOTAL FIRST 20 OVER 20 3 I (� CITY TEL. NO. SWITCH PLAN CHECK LIGHTINGFIRST 20 / p APPLICANT TOTAL FIXTURES OVER 20 ) ADDRESS RESIDENTIAL APPLIANCES CITY TEL. N0. PERMIT `fA ` RANGE DRYER_WjR, HTR, APPLICANT LAZ STA. COOK—DI F.A.U. ADDRESSLtf 01--e— SPACE HTR. 2— AIR COND.• C I T Y&I TEL. NO. �fg4f/ CLOTHES WASH.B/ DISHWASH. REG NNUMBSE ER CLASS. 0_` .b FAN&----OTHER �.. Jf L�f� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION (J �/V 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.& TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 - LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA ORTHAI I AM THE LEGAL OWNER OF THE ABOVE I - 1 O 3.00 DESCRIPED RESIDENTIAL PROPERTY. d�\\y\ CD PERMITEE CJ 10 - 50 5.00 SIGNATURE p 1-- 50 - 100 _ 10.00 DISTRICT N0. P CES O BY U W 100 - 500 15.00 Gj Z SIGN, GAS SIGN AND ONE.CIRCUIT 5.00 APPROVALS - DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER600VOLTSOR200AMP voft UNDERSLAB WORK SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMP SERVICE, POLE, &APPURTENANCES 5.00 WIRING 72� TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: �7 PLAN CHECK FEE PERMIT ISSUING FEE vw S U TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE "- '" 76A663-CE806 10/74 Qppd�.C�Q��OO BOO � rQDC� d pCQ�n1�� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER gooREsS / 11-3 "`� (//j( BUILDING AND SAFETY DIVISION ip- LOCALITYNEAREST FOR APPLICANT TO FILL INCROSS ST. L(7 'V!� G l✓D �l/ OUTLETS NO. EACH FEE OWNER ORf c� $ $ FIRM NAME RECEPT._ ADDRESS I� C? LIGHT TOTAL FIRST 20 _25 OVER 20 CITY �� TEL.,NO. "''�l�' SWITCH_ .10 PLAN CHECK - LIGHTING l TOTAL FIRST 20 25 APPLICANT l �, , I FIXTURES .10 OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER WTR. HTR, APPLICANT -- ' STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. OR CLOTHES WASH. DISHWASH. LICENSE REG. NUMBER CLASS. FAN OTHER 1.00 I 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 & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d CALIFORNIA OR THAI' I AM THE LEGAL OWNER OF THE ABOVE 1 - 10 3.00 DESCRIBED ENTIRE PROPERTY. V PERMITE 10 — 50 5.00 SIGNATUR O� U 50 — 100 10.00 L` DISTRICT NO. OCE ED BY N 100 - 500 15.00 Z SIGN, GAS =SIGN ONE CIRCUIT 5.00 APPROVALS v DATE INSPEC SSMNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE . 0 SERVICENOTOVER600 VOLTS OR 200AMP 3.00 UNDERSLAB WORK' " SERVICEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED ' FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE ,PERMIT ISSUING FEE 3.00 TOTAL FEE ((]� PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALID TION CK. M.O. CASH 2 3 .3."nr.T 20 2 D 1. 2.0.0 ,&�d SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKERS'COMPENSATION DECLARATION. 76A66a,410/81 no n0 p �p FOR o0 p 0n2 0 �/� I hereby affirm that I have a certificate of consent to self CE-806G li-�11f"If"L�OC/r�1�� N FOR EL EC Il I ICAL� l�LSRI1 Ir 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 Certified co is hereby furnished. EACH NO. FEE' ADDRESS PY' Y New Residential Bldgs. & Pools S — Certified copy is filed with the county building inspec- 1 & 2-Farnil Y, q� Ft. $ $ LOCALITY tion department. Multi-family Sq. Ft. TNEAREST Residential Swimming Pools CROSS SL Date Applicant j% ,pp OWNER OR c�� g i