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Home My Public Portal About9708 LEMON AVE_Electrical__ COUNTY OF LOS ANGELES I APPLICATION FOIA PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. 01 n A/ IL5 ELECTRICIAN U ADDRESS. RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION CITY / TEL. NOQq COUNTY LICENSE NO. EXPIRES BUILDING PERMIT FEES ADDRESS _ d3 SPY FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS Sc $ MAIL ELEC. RANGES 25 ADDRESS 4 ELEC. HEATERS 28 CITY TEL. NO. FIXTURES A s a 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS M18C. APPLICATION AND STATE THAT THE ABOVE I8 CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS i CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMe[R HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw MvD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. V2 6 LESS $ .2S 13113NATURE OF 0 V2 2 .50 PERMITTEE_ ----- -- 2 s 1.00 INSPECTION RECORD 5 is 1.50 15 SD 2.50 _ 50 200 5.00 200500 10.00 J _ Soo 1000 15.00 Q Z OVER 1000 2000 1' M.O. SET/FREQ. CHANGER-HP Q' WELDERS: AC-KVA 0 _ GENERATORS - KW TRANSF13RMERB - KVA _ TEMP. MOTORS (75% OF ORIG.)J� MOVEo MOTORS (75% OF ORIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS No. NO. LAMPS — DATE INSPECTOR'S NAME FOR EACH PERMIT: CONDUIT -- WIRING FIXTURES $1.00 WIRING - 1 SUPPLEMENTARY ,50 FIXTURES POWER TOTAL FEE $ �_ UTILITY CO. NOTIFIED ` E p /'fO��, wA FINAL � 51 rr V/!/lly� , 76A663 DBS$ 5A 4-52 WORKER'S COMPENSATION-DECLARATION 20-0019 DPW(12-91)76A663 APPLICATION FOR ELECTRICAL PERMIT ' I hereby affem that I have a certificate of consent to self Insure, ,i N or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF-#'UBLIC"WORKS BUILDING AND SAFETY DIV. copy thereof(Sec 3800 Lab C) FOR APPLICANT TO FILL IN JOB QQ � t6kA t' V9 Policy No Company ADDRESS 16 b GI•,��v �Q� Certified copy Is hereby furnished New Residential Bldgs &Pools NO EACH FEE LOCALITY Sq Ft $ $ ❑,:, Certified copy Is filed with the county bud1 &2-Family, ding Inspection _ NEAREST �. n �.I department Multifamily Sq Ft CROSS ST qj Date - Applicant Residential Swimming Pools ASSESSOR MAP BOOK ^PAGE �) PARCEL OR CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec _Light Sw FFIIRM NAME COMPENSATION INSURANCE First 20 MAIL (This sectiori rived not be completed if the work involved by the Total No Additional ADDRESS 41D permit is for one hundred dollars($100)or less) I certify that in the performance'of the iwoik for which this permit CITY ap�ml) 1 00 Tel s7�f�oa3 .is issued, I shall not employ any person In any manner so as to PLAN CHECK become subject to the Workers'.Compensation Laws Lighting Fixtures First 20 APPLICANT Total No Additional ADDRESS Date Applicant ��h NOTICE TRESIDENTIAL APPLIANCES NOT OVER 3 HP,O APPLICANT If, after making this Certificate of CITY 4PC � 4v 9l.. Tel Exemption,you should become subject to the Workers!,Compensation OTHER APPLIANCES NOT OVER 3 HP fovisions of the Labor Code, you must forthwith coni I with such PERMIT p p y Power Apparatus&Large•Appllances APPLICANT provisions or this permit shall be'deemed revoked ' • LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS hereby affirm that I am licensed'under provisions of Chapter 9 Over 3 to 10 Incl (commencing with Section 7000) of-Division 3 of the Business and CITY Tel No Professions Code,and my license Is In full force and effect Over 10 to 50 Incl >_ Over 50 to.100[net REG LICENSE (LClass a Over 100 DISTRICT NO PROCESSE Y O License Number Llc Class � 0 8 U - - - - � Services,Swbd, C&Panelboards - � 9 mp Under 600 V FINAL Contractor _ Date - DATE ❑ I am exempt under Sec 00 0 Amp Under 600 V (�—� LU VALIDATION e 000 Amp or Over 600 V FINAL d B&P C for this reason- IRCUIT FEES BY 4 Date f7r:20A 120V,Lighting or Recept Z Signature � 1 To 10 Branch Circuits 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption`for-Reg Maint Elect 15A,20A,208V To 277V Lighting Or Circuits SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION t -a I hereby affirm that I am exempt from the Contractor's License L Sign with One Branch Circuit tis_S.t,a for the following reason (Section 7031 5, Business•and Professions Additional Sign Branch Circuits 3 — - -- - n Code) T 6F.:o413 I,as owner of the property, will do the work and the structure Mlsc Conduits&Conductors x i IMS Is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) TOTAL 42=90 and Professions Code) C HECK 42 e 9II CONSTRUCTION LENDING AGENCY _ CHANGE I hereby affirm that there is a construction lending agency for the / CHANGE ,liil performance of the work for which this permit Is Issued (Sec 3097, PERMIT FEE (Sub-Total) j!O Civ C) PLAN CHECKING FEE ,3011 Lender's Name _ . _ PERMIT ISSUING FEE a 1122- ---1 ��-ivy, Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE p(, that the 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 ter upon the above-mentioned property for In pection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE f' - c 111P ��IG ATURE Orz5p,1111EE ATE WOfiKERS'COMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT j ��+`. CE-806 I herby affirm that I have a certificate of tonsent to'self Insure, orfp certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY cop. thereof(Sec 3800,Lab C) !i , p y FOR APPLICANT TO FILL IN - JOB p 70 f1 y_ / ��t . / 4-Me' //� Policy Nom Company ADDRESS / 4 G L tl��J /Q I/ ❑ Certified copy is hereby furnished New Residential Bldgs & Pools . EACH NO FEE Certified copy Is filed with the county building Inspection 1 & 2-Family, Sq Ft $ _ $ LOCALITY �-E{ department Multi-family Sq Ft NEAREST n >> CS ROSS T l, �7 1 Residential Swimming Pools OWNER OR Y,,N� Date Applicant - - FIRM NAME / CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec 30 Light A Sw 14 MAIL -6 n COMPENSATION INSURANCE ADDRESS Qd ;5 -1^4� /w9 I (This section need not be completed if the work involved by the First 20 p Total No � Additional C�/d�� /%Ud Tel N �Q)¢7�/—OZT� i permit is for one hundred dollars($100)or less) PLAN LAN CHE CHECK I certify that in the performance of the work for which this permit APPLICANT is Issued, I shall not employ any person In any manner so as to become subject to,the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS Total No Additional CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation Range_ Heater_ DW _ APPLICANT provisions of the Labor Code, you must forthwith comply with such Oven Dryer _ W M _ ADDRESS provisions or this permit shall be deemed revoked _ Top FAU _ WH LICENSED CONTRACTORS DECLARATION Hood Fan _ Other CITY Tel No I hereby affirm that I am licensed under provisions of Chapter 9 Dlsp — Room Air Cond LICENSE OR Class (commencing with Section 7000) of Division 3 of the Lsiness and REG NUMBER Professions Code,and my license Is'in full force and effect Power Apparatus& Large AppliancesDISTRICT NO PR SED PD xy >; Size & Type HP,KW,KVA,or KVAR e O V CLCL License Number LIc Class Up to 1 Incl FINAL U Over 1 to 10 Incl DATE Contractor Date ZT.1. VALIDATION w I ❑ Over 10 to 50 Incl OFINAL j I am exempt under Sec Over 50 to 100 Inc BY W Over 100 G. j B&PC for this reason It N Date Services,Swbd,MCC & Panelboards ® Z 0- 200 Amp Under 600 V r' j Signature 201 - 1000 Amp Under 600 V j Over 1000 Amp or Over 600 V ❑ Exemption for Reg Maint Elect j SINGLE FAMILY Temp Power Pole & Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit A I hereby affirm that I am exempt from the Contractor's License Law AC.GT.s e for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits Code) 3307 59.40 ❑ Misc Conduits &•Conductors ii C ITEi°i� - I,as owner of the property,will do the work and the structure l is not intended or offered for sale (Section 7044, Business Other (See Complete Fee Schedule) and Professions Code) TOTAL 59 m-40 CONSTRUCTION LENDING AGENCY CHECK 59.40 I hereby affirm that there Is a construction lending agency for the CHANGE M performance of the work for which this permit is issued(Sec 3097, PERMIT FEE (Sub-Total) Civ C) PLAN CHECKING FEE iJtJtJt.)—W O1 bf -/90 Lender's Name UVVV WJ+J ?7 PERMIT ISSUING FEE L3 00 i4�� 1 AtU�t �si Lender's Address 1„/� 1 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 property for-inspection oses SEE REVERSE FOR EXPLANATORY LANGUAGE ,,-W 6 b2 /Ob Slgnatu t Vf Perm tee Date •-rt —