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Home My Public Portal About9614 LIVE OAK AVE_Electrical__ 79A6G3_CEBO6_6_37 APPLICATION FOR ELECTRIC PERMIT _ 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER _ CASSATT D GRIFFIN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST PFJMT FEES OWNER � LIGHTS RECEPTACLES SWITCHES MAIL NUMBER IT EM EACH EE ADDRESS TOTAL OUTLETS $ .10 $ ELEC. RANGES, WATER HEATERS, CLOTHES DRYERS .SO '; CITY TEL NO ELEC SPACE H as, ;;�Y. coo K- ELECTRICIAN Q ING UNITS, GARBAGE�iS POSE RS, ADDRESS AUTO WASHERS, DISHWASHER .25 LIGHTING FIXTURES •10 CITY �+ TEL NO. MOTORS STATE I / ,ip (mLICENSE NO `�Y``��' E% g HORSEPOWER (STRICT NO. ROUP ON READY FOR INSPECTION H P: OVER INC ( - y S LESS 25 • -r ✓ +iZ — 2 5o INSPECTION RECORD 2 — 5 too S — 15 1 so . A.\/ is — 50 250 SO — 200 Boo MISC. SIGNSI NO TRANS NO LAMPS SERVICE O-600V 100 SERVICE OVER 600V Soo ' WIRING PERMIT 1 00 ' FIXTURE PERMIT too SUPPLEMENTARY PERMIT 50 APPROVALS TOTAL FEE I HEREBY ACKNOWLEDGE THAT I HAVE READ THI P CATION 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 i ..r., 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF - CALIFORNIA OR THAT I AM THE LEGAL 0 N OF HE ABOVE POWER DESCRIBED RESIDEN RTY. SIGNATURE UTILITYCO NOTIFIED _ OF PERMITTE .FINAL JOHN A.LAMBIE, ATION ARTHUR C.VEIT, COUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER ` CK MO CASH 1'0 '54 UN- MAY a=p_ 2 � 3 2:5.`.0 � • t r - 76AG63-CESOO-6-57 APPLICATION FOR ELECTRIC PERMIT - 1� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �® BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST o PERMIT FEES OWNER sa LIGHTS RECEPTACLES SWITCHES NUMBER ITEM EACH FEE MAIL ` ADDRESS TOTAL OUTLETS $ .10 $ ELEC. RANGES, WATER HEATERS, v CITY TEL.No CLOTHES DRYERS '50 ELECTRICIAN ELEC SPACE HEATERS, STAT'Y COOK- ING UNITS, GARBAGE DISPOSERS, ADDRESS_ AUTO WASHERS, DISHWASHER 25 - /nf LIGHTING FIXTURES .10 CITY A,I r TEL NO.CSI S� MOTORS STATE �y LICENSE NO HORSEPOWER ISTR H P. INC IC�O. GROUP N READY FOR INSPECTION OVER y IN LESS 25 r--� — Is So 2 — s 100 INSPECTION-RECORD z -may � — 1s, 1 50 V �� A� ��/�J 1s1 sod yQ.� �200 h s oo ti.NV'V-1 av 7 "'WIIII 1(� MI v 1 - SIGNS NO TRANS NO LAMPS SERVICE O-600V 100 V SERVICE OVER 600V 500 WIRING PERMIT 100 0 0 FIXTURE PERMIT too SUPPLEMENTARY PERMIT .50 APPROVALS TOTAL FEE g I 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 .�8 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR P LICENSED AS REQUIRED BY LOS �1N'GELES COUNTY ND STATE OF FIXTURES CALIFORNIA OR TH=LORE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENSIGNATURE UTILITY CO NOTIFIEDOF PERMITTE I/ INAL JOHN A. LAMBIE, ARTHUR C.VEIT, _ COUNTY ENGINEER VAIPATION SUPERVISING ELECTRICAL ENGINEER (�`CK MO CASH [o O,1 9�4'�, APR' 2 4 2 R 2.2 0 WORKER'S COMPENSATION DECLARATION 20-0019 DPW(,2-9,) APPLICATION FOR ELECTRICAL PERMIT , I hereby affirm that I have a certificate of consent to self Insure, 76A663 or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING ANDSAFETY DIV =' copy thereof(Sec 3800 Lab C) Policy No Company FOR APPLICANT TO FILL IN JOB ADDRESS Certified copy'is hereby furnishedNew Residential Bldgs &Pools NO EACH FEE 9, - Al zr Ale enV ❑ — $ $ LOCALITY _ . Certified copy is fled with the county'building inspection 1 &2-Family,Sq Ft department Multi-family Sq Ft CROSSSST DateApplicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROMWORKERS' �� `7� �� O NER OR Out ets ec _Lig Sw PM NAME COMPENSATION INSURANCE First 20 (Ttiis section need not be completed if the work Involved by the MAIL permit Is for one Hundred dollars($100)or less) Total No Additional ADDRESS , 1 certify that'in the performance of the work for which this permit CITY Tel o is issued, I shall not employ any person in anymanner's as to Lighting Fixtures First 20 PLAN CHECK Q become subject to the Workers' Compensation Laws 9 g APPLICANT ! 11 Total No Additional ' ADDRESS Date Z' Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NO •ICE,TO APPLICANT er making i Certif e of CITY Tel No Exemption,you should bec ublect to the kers'Cc nsation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code, you must forthwith compl with such, ERMIT provision`s or this permit shall be deemed revoked Power Apparatus&Large Appliances APPLICANT fes ItLICENSED CONTRACTORS DECLARATION' Size&Type-HP,KW,KVA,or KVAR ADDRESS I 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 CITYTel o �f Professions Code,and my license is in full force and effect Over 10 to 50 Incl E A LICENSOR y / Class REG NUMBE Over 50 t0 100 Incl R �f' // U Over 100 d License Number �`�/ �� LIC CIeSS � DISTRICT NO PRO SSED BY Q Services,Swbd,MCC&Panelboards d pp ContractorvO f Date 0-399 Amp Under 600 V FINAL _ 0 400-1000 Amp Under 600 V DATE I am exempt under Sec t VALIDATION V Over 1000 Amp or Over 600 V FINAL W B&P C for this reason _ _ BRANCH CIRCUIT FEES BY ?- 15A,or 20A, 120V,Lighting or Recept Z ate _ •1 To 10 Branch Circuits �rmt 11 To 40 Branch Circuits 41 Or More Branch Circuits ��✓� /n/ 2 ption for Reg M t Elect 15A,20A,208V To 277V Lighting Br Circuits t r T n a SINGLE FAMIL Temp Power Pole&Appurtenances rf HCCT Q HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 330 1 hereby affirm that I am exempt from the Contractor's License Law {{ �t for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits 1 ITEMS Code) A Mlsc Conduits&Conductors TOTAL 34 ®9 e I, as owner of the property, will'do the work and the structure CHECK -� is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) ® L�!-tECK 'S4' and Professions Code) CHANGEe00 CONSTRUCTION LENDING AGENCY 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) 2 �UK, Civ C> - 0000-0011 1�1.� PLAN CHECKING FEE 7 3"11 1 ,��' Lender's Name PERMIT ISSUING FEE O? Lender's Address I certify that I have read this application and under penalty of purlury state TOTAL FEE 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 Coun o enter u the above-mentioned property for inspecti ur SEE REVERSE FOR EXPLANATORY LANGUAGE G OF E DATE