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Home My Public Portal About9652 1/2 LIVE OAK AVE_Electrical__ 76A66� DB,-5A 11-55 APPLICATION ®®LICAfiION FO R ELECTRIC LVCpRBC PER ' p DIVISION OF BUILDING AND SAFETY Department Of County Engineer BUILDING �% (1J County of Los Angeles ADDRESS l� i.UIL C5� JOHN A. LAMBIE,COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST T p PERM FEES CROSS ST. NUMBER OWNER LIGHT OUTLETS MAIL RECEPTACLES ADDRESSprr / vi y— d WALL SWITCHES FEE CITY ` - l.— ' TEL.NO. TOTAL OUTLETS @ 52 $ ELECTRICIAN ELEC. RANGES 25 ADDRESS EC. HEATERS 25 KW EA CITY TEL. NO. STATE I FIXTURES 5 C6S-I LICENSE NO. MOTORS li4l rDIS CT NO. GROUP ZONE I READY FOR INSPECTION NUMBER HORSEPOWER FEE I NEW MVD. HP OVER INC. EACH •''` ,�&LE55 $ .25 INSPECTION RECORD 2 .50 2 5 1.00 5 15 1.50 15 50 2.50 SO 200 5.00 MISC. NO.SIGNS NO.TRANS. NO. SIGNS NO. LAMPS FOR EACH PERMIT: WIRING $i.00 FIXTURES $1.00 L,N EMENTARY .50 APPROVALS TOTAL FEE $ DATE INSPECTORS SIGNATURE EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION TATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT RICALWITH ALL COUNTY WIRING,ORDINANCES AND STATE LAWS REGULATING WIRING EREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES SED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER IBED RESIDENTIAL PROP ATURE / /i/ UTILITY CO.NOTIFIED PERMITTEE �•{� FINAL JOHN A.LAMBIE.COUNTY ENGINEER VALIDATION ARTHUR C.VEIT.CHIEF ELECT. INSPECTOR CK MO CASH I� O6 4 9 6.'uMy29 2 2.25 in 0d5 �� -S�m PL-A. c. I T V " (c=�-:S `7 �--� 76A663-CE806 I1,70 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS { ems+ COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. -MZ / OUTLETS NO. EACHI FEE F-_ IV OWNER �V�•`-`` /�/j /J RECEPT. $ $ AMAIL DDRESS •' LIGHT TOTAL FIRST 20 .25, l �.,� y CITY TEL. NO. SWITCH_ V OVER 20 Ip PLAN CHECK LIGHTING TOTALFIRST 20 25 ` APPLICANT OVER 20 .t0 ADDRESS FIXTURES ?"' APPLIANCES CITY TEL. NO. PERMIT +� e� 1\ i j — a ] r RANGE DRYER_WTR. HTR. APPLICANT V//�'' ^lik" CL- l� v� � Q`�(` STA. COOK DISP. -F.A.U. ADDRES/SO-O(yytC) UK)CRO sA' alV'� SPACE HTR. AIR COND. y�Q CITY A TEL. NO.'N3 :.-S76 CLOTHES WASH.' !!!�DISHWASH. .ry LICENSE NO. �q �, CLASS. G ,Q FAN OTHER <� 1.00 1 HEREBY ACKNOWLEDGE THAT IHAVE 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 8 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 OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO >- 1 - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. CL O 10 - 50 5.00 SIGNATURE V OF PERMITTEE 50 - 100 10.00 0 DISTRICT NO. CL SS ZONE PR CFSSE 1- 100 - 500 15.00 a SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: ! Z Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CE NOT OVER 600 VOLTS OR 200 AM P 3.00 a� ` APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AM P 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT, SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORI;ED UTILITY CO. NOTIFIED A 11 PLAN CHECK FEE, FINAL G PERMIT ISSUING FEE 3,001. JOSEPH C. ROOHAN . TOTAL FEE SUPERVISING ELECTRICAL ENGINEER, PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH L 77o �� DE 2 D 9.75M SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE Worm that COMPENSATION DECLARATION CE-806 foist APPLICATION FOR ELECTRICAL PERMIT I hereby affirm.that ! hwre a certificate of consent to self CE-806G insure, or a cerFificate 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 ! \ r ❑ Certified co is hereby furnished. EACH NO. FEE ADDRESS 65 i V C OAJf PY Y New Residential Bldgs. & Pools ❑ $ — $ LOCALITY M C4-qt-7V p Q Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. e. I I 1 e �(• (�f-- 170 tion department. Multi-family Sq. Ft. — NEAREST T p� / / Residential Swimming Pools CROSS ST. le. if C( _ 6 1 1/, Date�' ApplicanOWNER OR • / /� r FIRM NAME 1 A/ 6 C- 1 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec 6 Li ht j Sw._ MAIL COMPENSATION INSURANCE g ADDRESS �� V(J S C 2 (This section need not be completed if the work involved by First 20 nn ^ the permit is for one hundred dollars ($100)or less.) Total No Additional CITY C .±J Tel. No.3S S -('x PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First ADDRESS Total No. " Additional Date Applicant CITY el. No. Fixed Appliances Not Over 1 HP PERMIT (� NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT ' ` Exemption, you should become subject to the Workers' Range_ Heater—D.W. Compensation provisions of the Labor Code, you must forth- Oven _ Dryer --'%— W.M. ADDRESS with comply with such provisions or this permit shall be Top _ FAU —W.H. — 10 deemed revoked. Hood V FanOther_ CITY Tel. No. LICENSED CONTRACTORS DECLARATION 2L Disp. Room Air Cond. LICENSE I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER Class. (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. �/ PROCESSEDBY . and Professions Code,and my license is in full force and effect. x G 1 Size &Type HP,.KW, KVA, or KVAR V O License Number.. Lic. Class FINAL Up to 1 Incl. �6 `9 � � Over 1 to 10 Incl. DATE VALI TION Contractor Date Over 10 to 50 Incl. F I am exempt under Sec. Over 50 to 100 Inc. BY LU Over 100 B.&P.C. for this reason (L A Services, Swbd., MCC& Panelboards TWA Date: 0 -200 Amo. Under 600 V u # o o o o o 2 Signature 201 - 1000 Amp. Under 600 V ' o 0 5500 5 O ID Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. 5� 0 O� SINGLE FAMILY o 0 0 HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits 0 a25-87 Law for the following reason (Section 7031.5, Business and Professions Code): I, as owner of the property, will do the work and the Misc. Conduits&Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ 7044, Business and Professions Code). 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 PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name !� PERMIT ISSUING FEE U � Lender's Address aa I certify that I have read this application and state that the TOTAL FEEV� 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-mentione roperty for.inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE � Signature o Per 'ttee Date