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Home My Public Portal About6201 IVAR AVE_Electrical__ 76A663-CE8061/70 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JA ILDING /I O BUILDING AND SAFETY DIVISION DRESS _A(JOHN A. LAMBIE, COUNTY ENGINEER CALITY COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGNo AREST FOR APPLICANT TO FILL IN CROSS ST, OUTLETS NO, EACH FEE A OWNER RECEPT. $ $ MAIL LIGHT TOTAL FIRST 20 20 ADDRESS SWITCH OVER 20 .10 CITY TEL. NO. PLAN CHECK LIGHTINGTOTAL FIRST 20 20 ® APPLICANT ADDRESS FIXTURES � OVER 20 .10 APPLIANCES CITY TEL. yyN��O.PER �J IT RANGE DRYERWTR. HTR. C) APPLICANT STA. COOK DISP.___�__F.A.U. / D ADDRESS SPACE HTR. AIR COND. / 40 8 CITY S TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. G �,16 (` CLASS.G� FAN OTHER 1.00 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITN 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 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 - 10 3.00 RESIDE IN, THE ABOVE ESCRIPED ESID NTIAL PROPARTY. 10 - 50 5.00 SIGNATURE d OF PERMITTEE O V 50 - 100 10.00 DISTRICTNO. CLASS I:r ZO100 - 500 15.00 (3'dU 14 / V SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: Lu CIL TUBE, OR I N MARQUEE ADDITIONAL CIRCUITS 1.00 z SERVICE NOTOVER 600 VOLTS OR 200 AMP 2.00 JL APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR 200AMP 5.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 3.00 UNDERSLAB WORK TEMP LIGHT QR RECEPT, SYSTEM 3.00 ROUGH CONDIUT WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 FINAL i SUPPLEMENTARY PERMIT ISSUING FEE 1.00 JOSEPH C. ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER, PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONS m.o. CASH 0 3 9 JUN24 2 D 6.40N SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE �./� 7GA663-CES06-11_51APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 4 BUILDING AND SAFETY DIVISION ADDRESS 1x-017 rOlfx A. LAMBIE, Cow En eo CASSA3r D. GRIFFIN,Sup t of SufidfaQ LOCALITY FOR APPLICANT TO FILL IN CROSS S PERMIT FEES IT E M NUMBERI EACH FEE OWNER OUTLETS: $ $ MAIL LIGHTS RECEPT. SW. .1O ® ADDRESS LIGHTING FIXTURES .10 R ® CITY ISt-,- TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN C Its �✓z.. WATER HEATERS .50 � " � ELEC.SPACE HTRS. DISHWASHERS ADDRESS gz ! .lr9 ((J��%J7 GARBAGE DISPOSERS AUTO.- CITY _ l•,.p TEL.NO S �a WASHERS STA.COOKING UNITS .25 STATE �y- (! MOTORS: OVER INC. H.P. LICENSE NO. A S o — 1/2 .25 DISTRIC NO. IGROUPT—ZONE READY FOR INSPECTION 1/2 — 2 .50 INSPECTION RECORD 2 — 5 1.00 5 — 15 1.50 15 — 50 2.50 so — 200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00too FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50' TOTAL FEE g d APPROVALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 7 IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE %' °8L-,q� - UTILITY CO. NOTIFIED OFPERMITTEE_��-�� • h 9 FINAL sa IDATIO(`- ARTH U R C.YEI MO CASHH/J SUPERVISING ELECTRICAL ENGINEER CK #.., 3 6 3 4 cu0w AUG .7 2 A 2.4 0 9 WOFIKER'S COMPENSATION DECLARATION 9 DPW 9/89 APPLICATION FOR ELECTRICAL PERMIT " 76A66 I hereby affirm that I have a certificate of consent to self insure, 76A663 ora certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy'thereof(Sec.3800 Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS MG Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE � El _ $ LOCALITY Certified copy is filed with the county building inspection 1&2-Family,Sq.Ft. _ NEAREST department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR , MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' to f� /0D � OWNER OR COMPENSATION INSURANCE Outlets:Rec._Light Sw. FIRM NAME (This section need not be completed if the work involved by the First 20 1 Z& MAIL ADDRESS permit is for one hundred dollars($100)or less.) Total No. Additional13Z :WW �t I certify that in the performance of the work for which this permit CITY Tel.No.r/All,,�' is issued, I shall not employ any person in any manner so as to vfi VGA CHECKPLAN become subject to the Workers'Compensation Laws. Lighting Fixtureg First 20 1 APPLICANT Total No. Additional 3 ADDRESS Date —( ✓� 3 Applicant 1515 0 120V BRA CUITS /s NOT(CE TO APPLICANT: If, aft4r making this C tifica CITY Tel.No. Exemption,you should become subject to the Workers'Compen 1 TO 10 INCLUSIVE EACH provisions of the Labor Code, you must forthwith comply with such 11 TO 40 INCLUSIVE EACH PERMIT provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH APPLICANT LICENSED CONTRACTORS DECLARATION ADDRESS 49 I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH �Q fl (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. Q C) Professions Code,and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR �v ZC Power Apparatus&Large Appliances REG.NUMBER Class. O License Number Lic.Class Size&Type HP,KW,KVA,or KVAR DISTRICT NO. /ryv PR C SED BY U Up to 3 Iricl. ��U W Over 3 to 10 Incl. FINAL a' Contractor Date DATE ❑ Over 10 to 50 Incl. > Z I am exempt under Sec. Over 50 to 100 Incl. 33 VALIDATION FINAL B.&P.C.for this reason Over,100 BY Services,Swbd.,MCC&Panelboards Date: 0-200 Amp.Under 600 V Signature 201 -1000 Amp:Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. �. SINGLE FAMILY Temp.Power Pole&Appurtenances `'{: a HOME OWNER-BUILDER DECLARATION ACCT.a I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit J307 q 17. for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits '""""' '" ti Com° ) 1 ITEMS Lam' I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors TOTAL -117 .92 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) "" EC _ and Professions Code). , CHECK 117.4 CONSTRUCTION LENDING AGENCY CHANGE .011 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE 0000_0001 1l13/93 Lender's Name 756 9:07 PERMIT ISSUING FEE f•!��3' A Lender's Address I certify that I have read this application and state that the above TOTAL FEE 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 proper or ins ection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE �--1,e2=2_3 SIG ATURE OF APPLICANT OR PCVAT DATE �.-ff..J.vyf��r,�''. � �,f-r-i. " U.? y.[ E.. R � -�^�r�i � � t � • S i. :i •P.�s+1Sr►�•i�!"R�+. •.LV -F-.-. f L.' r + •a N� t .._..'J� _ 7 I1 ' fi�' r� r�-Cl�+,.t•..�„M1 ♦ '�� cS f / ''� f s h s t tts• s.E •••`-v +' • � +1'.�.'F �• t l�'ar.-.r- F ✓t' n ��4 �� 11 � � t y.....y. M La .. , pv .x..'-�4.•w.c ti a � �`• +.'+„5,�.-•ty,� ..��a♦t f , [; ; ...--ca `I'� 6 ♦ M. �i r Rt ys a - T' q t �• ,p ,,,,.. t LJ' .L ►t •< '•i �., Rt. - ` - .~ t r - `t+ R "� f ...+ 1 aa.�t1• r 4 �•lyti;s�!•b y,4i tt �Y,s'j��,�i ! T� ri- y,`- tai,�,, a� Z T at C r; +,` n ? 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