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Home My Public Portal About10714 MILOANN ST_Electrical__ 76A668C- &E806612/75 APPLICATION FOR ELEC (CAL PERMIT C� BUILDING SAFETY DIV S N f FOR APPLICANT TO FILL IN New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 1 &2 Finally Sq. Ft: $ — $ LOCALITY iAA Multi-family Sq. Ft. CROSS ST. Y Residential Swimming Pools OWNER T. ' FIRM NAME +NIS' Outlets: Light,Switch&Receptacle ADDRESS � � First 20 � ve- Additional CITY Tel. No. PLAN CHECK Lighting Fixtures A APPLICANT First 20 V ADDRESS Additional CITY Tel.No. PERMIT Fixed Appliances Not Ov r 1 HP APPLICANT Range_ Heater. D.W. ADDRESS Oven _ Dryer _ W.M. Top _ FAU W.H. CITYTel. No. Hood ._ Fan LICENSE OR O Disp: A.C. od REG. NUMBER Class. v - 1 HEREBY ACKNOWLEDGE'THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY V Power Apparatus& Large Appliances WITH A'LL COUNTY ORDINANCES AND STATE LAWS REGULATING 1y Size&Type HP, KW,KVA,Or KVAR ELECTRICAL WIRING, N Up to 1 Incl. 1 HEREBY CERTIFY THAT t AM PROPERLY REGISTERED AND/OR' Over 1 to 10 Incl. LICENSED AS REQUIRED Y LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE 1QQAL OWNER OF THE ABOVE Over 10 to 50 Incl. DESCRIB BO RESIDENT'A PROPERTY.. Over 50 to 100 Incl. PERNIITEE Over 100 SIGNATUR DISTRICT NO. O.0 SED B (Services 5, %O 0-200 Amp. Under 600 V 0 D 201 -1000-Amp. Under 600 VAPPROVALS DATE INSP OR'S Over 1000,Amp.or Over 600 V SIG ATURE. TEMP.POWER POLE 1 Temp.Power Pole&Appurtenances UNDERSLAB WORK Sign with One:Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING �7,.17� FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Feel FINAL 7-27 PERMIT ISSUING FEE NOTES TOTAL FEE - PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 4 .1 0.C2140V 23 2 D 1 1.10 a 76A663C-11::EBesB 1217s APPLICATION FOR ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN JOB R New Residential Bldgs.&Pools EACH NO.1 FEE ADDRESS A` 1 &2 Finaily Sq. Ft. $ — $ LOCALITY Multi-family Sq.Ft. — NEAREST Residential Swimming Pools CROSS ST. OWNER l FIRM NAME W Outlets: Light,Switch&Receptacle MAIL First 20 ADDRESS Additibnal CITY Tel. No. PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel.No. PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range_ Heater_ D.W. ADDRESS Oven _ Dryer _ W.M. Top _ FAU _ W.H. CITY Tel. No. �- Hood _ Fan LICENSE OR C REG. NUMBER Class. C.3Disp. A.C. Of 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION Q AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LLI Size&Type HP,KW,KVA,or KVAR ELECTRICAL WIRING. a- H Up to 1 Incl. z 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ , Over 1 to 10 Incl. LICENSEE) AS REQUIRED B LOS ANGELES COUNTY AND STATE OP CALIFORNIA OR THAT 1 M THE LEGAL OWNER OF THE ABOVE Over 10 to 50 Incl. DESCRIBED RESIDEN IA PROPERTY. Over 50 to 100 Incl. PERMITEE 1 Over 100 SIGNATURE DISTRICT NO.. PROCESSED BY Services 0-200 Amp. Under 600 V S ,�,� 201 -1000 Amp. Under 600 V APPROVALS DATE INSPECTOR'S Over 1000 Amp.or Over 600 V SIGNATURE TEMP.POWER POLE Temp.Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT A (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-AFee) FINAL UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit !'/7"7,7 PERMIT ISSUING FEE TOTALFEE NOTES PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 6 7 1LDEC FS 2 1) 1 U.2 U n=om c COUNTY OF LOS ANGELES KppL=T= PM PERMr DMsiox OF sQannNG sAFSTY WILLIAM J. FOXI,Oaaaay Eagtaav ELECTRIC I FOR APPLICANT3p FILL IN OIRTRICr SIO. 111ROUP ZONE PERMIT NO. ELECTRICIAN • •. �_ S 7�1 ADDREr '4%• .!_ - t- e•f F REOEIVm ■Y rim�T�YN■P OTION DATE 1■a1m •. L OOU LID NIL 1 wDDRE■■■ ■ ON01TV no., 0 4' PERIMM= FM NUM■ER EAON Fag LDOALITY USHT OUTLET■ I v NE= REDEPTAOLEM an WALL NWITONES OWNER ✓;' 4 Vf. TOTAL OuTLETN on ^ wwlL ELEO. RANEE■ on ADORE■■ FLED. HEATERS S DITY TEL. M0. FIIITURE■ I I V ■ 1 HERESY AUMCRVLED■E THAT 1 HAVE READ THIS APPUOATION AND ■TATE THAT THE A■OVE IN ODNNUM NUMSER OF LIONT OIROUIT■ // �I�' AMD A■REE TO DOMPLY WITH ALL DDUNTY unci am NUMSER OF REOEPrADLE OIROUITS C' ANp ■TATE LAW■ REOULATIM! O.EOTNIOAL WIRIMIL MOTORIS 1 OERTIFY THAT 1 PO■■E� TM ANDVE VALID LO■ MUNME HORSEPOWER I FEE AN■ELJDI OOUMTY UOEN■E, OR 1 AM THE LJI■AL OWNER Naw MvD. HP own um. INpw OF THE RESIDENTIAL PRDPERTY,DE■ORIsED AlOVE. Va • Lw a ■s NIMATURE OF ! .� Pcmuri •--— ! ■ 1.00 Lill BECK= s 1s 1.0113 1s ■O ILOO No ■ SI Sam s0o NOD 10.00 SO0 11000 7 s.OD = 7-1 OVER 1000 11 aO.Do EI Md. airr/rmm& ONAN■ER-MP G WELDIRsI AO-ILVA SENERATOINI - KW TRANNFORMEII■ - KVA TEMP. MOTOR! ■r awn.) MOVED MOTOR■ or D■u 1 11111111141111 NO. NO.TRAN6 AFPRVMJ INNION DATE INSPEDTON'S NAME_ FDR RANH PERMITI CONDUIT !-- WINING Slim61� FIXTUR ■1.mFey .� TUWIRINS j^^ FIXRE■ OWER +� TOTAL FEE UTILITY OO.MQTIFIED A,.� FINAL MM DOS#iA 4� WORKERS'COMPENSATIONDECLARATION CE-806 APPLICATION FOR ELE TRICAL PERMIT CE 806G (2-80I I hereby affirm that I have a certificate' of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure;or a-certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) FOR APPLICANT TO FILL IN JOB Policy No. ,Company EACH NO. FEE A DRESS Q 1-0o+AfA New Residential.Bldgs.&Pools Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ L C.ALITY building Multi-family Sq. Ft. EAREST y g inspection Residential Swimming Pools ROSS ST JV1 M N Certified copy is filed with the count department. OW N E R'O R /� FIRM NAME Date� Applicant Outlets: Reck, Light Sw� a 1Q ADDRESS ,. First CERTIFICATE OF EXE4PTION FROM WORKERS' Total No. 13 Additional ACITY Tel No. COMPENSATION INSURANCE PLAN CHECK a (This section need not be completed if the.work involved APPLICANT Lighting Fixtures First 20 V ng by the permit is for one hundred dollars ($100) or. less.) ADDRESS Total No._�� Additional f tr I certify that in the performance of the work for which thisFixed Appliances Not Over 1 FIP CITY Tel No. U permit is issued, I shall not employ any person in any manner PERMIT so as to become subject to the Workers'Compensation Laws. Range_HeaterD.W.` APPLICANT BaVS W Oven _ Dryer_W.M. ADDRESS �. N LQJ� Date Applicant Top _ FAU W,H.._ p� Z Hood —Fan Other— CITY 6�. Tel No: 1D NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond.— 5 LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER 06 Class c o Compensation provisions of the Labor Code,you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCESSED BY with comply with such provisions or this permit shall be deemed.revoked. Size&Type HP,KW,KVA,or K.VAR Up to 1 Incl: 7`0/� FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE l® _. � '�/ VALIDATION' Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY f" ness and Professions.Code,and my license is in full force and effect. Services License Number 5 Lic.Class 0-200 Amp.Under 600 V 201-1000 Amp.Under 600 V Contractor Date Over 1000 Amp,or Over 600 V' HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I am-exempt from the Contractor's Sign with One Branch.Circuit License Law for the following,reason (Section'7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): MISC.Conduits&Conductors I', as owner of the.property, will do,the work and the Other(See Complete Fee Schedule)— 5 0 3 8 A structure is not intended or offered for sale (Section 7044,Business and Professions Code). '► 00 0 0.'o 2 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 2 0 o 1 7.50 for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued(Sec.3097,Civ.C.). Lender's Name. c a o 0 1 7,v C 5 PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE Q9 C ` 9 I certify that I have read this application and state that the TOTAL FEE 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 thea ove-mentioned property for'nspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE l I - Signature of Permittee Date