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Home My Public Portal About6158 MUSCATEL AVE_Electrical__ eA66CE-e0'e`Ie"z' APPLICATION FOR ELECTRICAL PERMIT �. COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB New Residential Bldgs.&Pools EACH NO. FEE ADDRESS IJ'S M OUT,C'CIL e- 1 &2.Family,Sq.Ft. $ .025 — S LOCALITY S� Ga 11 r t u Multi-family Sq.Ft. 02 CRSNEAREST.. f b[ .L Residential Swimming Pools 25,00 OWNER OR // FIRM NAME O N -n 141161114 &t Outlets:RecIL 4_. Light Sw. ADDRESS (O f �9.M e C 4,4e- 7 First 20 50 Total No.. Additional 30 CITY (Sti6 y` '_ Tel.No..Z S117,2 PLAN CHECK APPLICANT Lighting Fixtures First 20 .50 ADDRESS Additional .30 ,Total No. CITY .No. Fixed Appliances Not Over 1 HP PERMIT Range—Heater—D.W._ APPLICANT Oven—Dryer_W.M. ADDRESS �. Top _FAU —W.H._ CITY Tel.No. Hood—Fan —Other LICENSE OR Disp,_Room Air.Cond. 2.50 REG.NUMBER Class. I HEREBY ACKNOWLEDGETHAT I HAVE.READ THIS APPLI.CA- Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT.AND AGREE TO Size&Type HP,KW,KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS YP REGULATING ELECTRICAL WIRING. Up to 1 Incl. 2..50 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 1.0 Incl, 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF � Over 10 to 50 Incl. 12.50..00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE.ABOVE O 25DESCRIBED RESIDENTIAL PROPERTY. Over 50 to 100 Inc. PERMITEE Over 100 40.00 • SIGNATURE Services DISTRICT NO. PR ED BY 4'0.200 Amp.Under 600 V 12.50 201.1000 Amp. Under 600 V 25.00 Over 1000 Amp.or Over 600 V 50.00 Z O Temp.Power Pole&Appurtenances 10.00 Q Sign with One Branch Circuit 10.00 0. Additional Sign-Branch Circuits 2.00 INSPECTION > `J r1 1.0.00 INFORMATION bd. Misc..Conduits&Conductors ON REVERSE 0 0 x 0 0 0 Other ISee Complete Fee Schedule) SIDE Z o 0 0 Q 0 C 0 0 0 a i? (tel ) 0 u' V 2—�� 7 PERMIT FEE l )Sub-Total) t_�,/'� ' (PLAN CHECKING FEE (One-Fourth Permit Fee) ZO PERMIT ISSUING FEE I $7.00 c TOTAL FEE INSPECTION FIN LED date:;. ` 6v" - By ' Os / /� i WORKERS'COMPENSATION DECLARATION CE-806G 70/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, -or a,cWtificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800.Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ^ ❑ Certified copy is hereby furnished. EACH NO. FEE ADDRESS New Residential Bldgs.&Pools ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft.. $ _ $ iLOCALIT ,� G fj department. Multi-family Sq.Ft. 'NEAREST /� p� CROSS ST. oCnAQ—t 1 L�i Date Applicant Residential Swimming Pools i=ER OR n i 1 i FIRM NAME � CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL �/��y� I COMPENSATION INSURANCE First 20 Outlets:Rec—Light_Sw.— ;ADDRESS �, Ve—V `�' (This section need not be completed if the work involved by the Total No. Additional onnaYl 1 CITa-7"vL�Q"f� Tel.No.Z97-a7i 1 permit is for one hundred dollars($100)or less.) 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' s ws. Lighting Fixtures First 20 ADDRESS Additional Total No. CITY Tel.No. Date Applica Fixed Appliances Not Over 1 HP PERMIT gF NOTICE TO APPLICANT: If, after making this Certificate of APPLICANIO fEFIS 1E(_JEZ*r)e/4:r__0 Exemption,you should become subject to the Workers'Compensation Range_ Heater D.W. _ 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 — FA.0 _ W.H. _ CIT -t4 pt.F (nTy Tel.No. LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9 Disp. •— Room Air Cond. LICENSE OR 7 i_327� ��D (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER =Wo Class. Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRICT NO. PROCESS BY � G O Size&Type HP,KW,KVA,or KVAR S Of h License Number2IGZ Lic..Class Up to 1 Incl. FINAL �+ del Over 1 to 10 Incl. DATE Contras Data `7- Over 10 to 50 Incl. FINA ❑ I am exempt under Sec. Over 50 to 100 Inc. gY00, W BAP.C.for this reason Over 100 Q„ Services,Swbd.,MCC&Panelboards N Date: 0-200 Amp.Under 600 V a Signature 201 - 1000 Amp.Under 600 V Over 1000 Afnp.or Over 600 V ❑ Exemption for Reg.Maint.Elect. �4 3 9.7 A i SINGLE FAMILY Temp.Power Pole&Appurtenances 0 0 0 0 0 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereb ffirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits ° o29,00 for the fo\asnson(Section 7031.5,Business and Professions Code): Misc.Conduits&Conductors 0 - 29.005 ❑• 1,athe property,will do the work and the structure Other(See Complete Fee Schedule) _ 0 4, 1 5�8 8 is or offered for sale (Section 7044, Business p ► anns ode).TRU N LENDING AGENCY 1 hereby there Is construction lending agency for the performanork for w this permit is issued(Sec.3097, PERMIT FEE (Sub Total) Civ.C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that 1 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 s of this un! y n e on the above-mentioned Prof pection pu ose SEE REVERSE FOR EXPLANATORY LANGUAGE Sign Fe of Permittee Date i WORKERS'COMPENSATION DECLARATION 76-663 10/91 APPLICATION FOR ELECTRICAL PERMIT {� I hereby affirm that I have a certificate of consent to self insure, CE-906G �J or, a certificate of Workers' Compensation Insurance,or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) Policy. Company NJ�✓� FOR APPLICANT TO FILL IN JOB r, / ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE ADDRESS Certified copy is filed with the cou Idi g inspection 1 & 2-Family,Sq.Ft. S = $ LOCALITY epartment. Multi-family Sq.Ft. NEAREST CROSS ST �� p C_ Date � Applican °?� Residential Swimming Pools OWNER • // FIRM NAME CERTIFICATE OF EXEM ION FROM WORKERS' Outlets.Red 5 Light lSw.CK/ MAIL � COMPENSATION INSURANCE First 20 �� ADDRESS ze G (This section need not be completed If the work Involved by the �""�' f L _ f permit Is for one hundred dollars($100)or less.) Total NOL -P Additional CITY �` r Tel.No I certify that in the performance of the work for which this permit APPLICANT CHECK j l ��✓ ve 00, is issued, I shall not employ any person in any manner so as to n become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS .i/ele-le S—_ 7 Additional s Total No.�� CITY �� Tel.f�.0 /e Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Zs Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. 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 W.H_ _ LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ CITY i a Tel. I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. • �i LICENSE OR �y (commencing with Section 7000)of Division 3 of the Business and REG NUMBER .g ��% Claw Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRICT NO. ESSED BY �7/��.7 Size&Type HP,KW,KVA,or KVAR 0 License Number I5/9d! // Lic.Class ff Up to 1 Incl. FINAL / V Over 1 to 10 Incl. DATE /7 0: �1�z� 6�6 T C Contractor ' Date Over 10 to 50 Incl VALIDATION O ❑ V I am exempt under Sec. Over 50 to 100 Inc. FINAL ACCTA' BAP.C.for this reason Over 100 307 jam/ Date: Services,Swbd.,MCC&Panelboar �' ► 1 ITEM Z 0-200 Amp.Under 600 V Sign; 201.� 201 - 1000 Amp.Under 600 TOT-, 14,37 m 32 ❑ Over 1000 Amp.or Over 600 �� J7n Exemption for Reg.Maint..Elect. 62 SINGLE FAMILY Temp.Power Pole& Appurtenances CHANGE- .f ly HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits for the following reason(Section 7031.5,Business and Professions 2' � L Code): q� 0003-5331 Misc.Conduits&Conductors 7�4 1 f i'IDle..� ❑ I,as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044, Business Other(Seo Complete Fee Schedule) _ plop. Professions Code). I 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) Civ.C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE 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 ting Electrical wiring, and hereby authorize representa• t ' C�mty to enter upon the above-mentioned proper p poses. SEE REVERSE FOR EXPLANATORY LANGUAGE _�� 2 Signature of Pdtmittee Date I ° , ••t •f3'd ti•A 9y9 09F] .+. - .r, .y. :1'-��t r=,,:,t,;A•�I ••?trfSi T.'.v5�,��•"o�a'�'.t' �rACT�s;. .� � BDE&'AItT9IEN°I' OF )BBJIH.I)ING 'APED S ; :;�:»;: g� -FOR ' COUM OF LOS ANGELES �� 1 NE .! :.'+tri , I)EPAHi IVATiIRis OF IPI3rd'ALI;ATIORY'. 0ISTRI6F No. • ®Route Zt71v1; f;>@orl� '. r, MTRiNo +• IR7[TS/R[[ tt[R�4Gg ' ;',• •, ' 2: RAND[ NIUITER RIICEt1Y[D Y REAOY roR DAT[IBBY[D ROUGH PER PIRBT INBP[CTION - UMBII am�� o1�Mf�e�l�Nco B 1.. .v4'...: �\ /I`! ®4� tZAT[R APPLICANT—.' L IN HEAVILY OUTLINED PORMON ONLY Aen AODR[ • ADOR¢89IAOALOCALI#T wgMAP R CITY TEL No, NCARCBT � AOC COUNTY /I��aq .-�••• +-,. CRR T. NO. d sL. [RPIR[B r® �� ' Ai a dds•a• • CET D%�Ct�HI7HON OF ;VOHiK � m MAIL �R NUMBER OF, OUTL[TB ON CIRCUtTff' ADDR[Lls _ ..'r LOCATION BY ROOMS .1 00 RY ,or� ATI' e 10HT ouTLRT6 .1 PLUDB etnr. TRL Ne. . 1 AM Y LCaA POBGEp or TH[ ABOYL LOM CIRCUIT II ® C D F ® H ANG CLU COYN17 TMT1rICA O� :atCAT10N• �- LIbIkD ItOOM! J p ... I jaue►RIMMI. OTHIN6 Roots I � ;A�[.INC L[0AI.00YNI[t2 B5f TK[ IWTT D10[a.. j BRr4T.RM. 'S f� v ' DA— _ CO LrMONS ENT. HALL •, Ir HALL No. _ $I FRONT PORCH _KITt.MitH 1 Ect:Y. PCH. .e L CLoaffr r Bb1Ip, Ne. r'' Q MC rn ® * ' 7- FLcW 11Jil— eLop TbrAL f 1 Hn. Ar OUTLEAU ..<r o a APPROVALS :c. .i.•: Wan NO. OP rIXTLREta •® ' DAT[ IR6ret:Tee•e rupE - WATI NO. Ori MOTDRb H. P. aCONDUIT I�, M[T6 4r i'tO.. PO TRAND.• WIRINrGO _rBIO �• ' " NO. OP RANaRlT 004WATIERg1 MfBGRLANLOU9 ® f'OtVIM •" +' � e,e�r �••w. TOTAI PCRLIT -cc-. UTI C70� Emill TOTAC'rSR Q RING- + +t tr L FEE a E-9. WIN - Kill I I - -- �'••i :y.Ti1.l o 'SS ;. '�.{r '-S` •:a r'nv.ar,di.•- t•rg.•.:S:r.'Y,:...�Y':r, .J .i... :1 �raaPtfM�aY�t♦1 -0 u � I $e os • e o CO a o d c op D p 4' •' Y"•'<i•;M?,(. .¢ai+,'��p�;..:,�,d• ,(.�ja,a cT• •1• .•e, aVa.r•+' �. ;• DEPARTMENT"OFIIUILDIINO•Aft'* ' JIpPATION'F08 PSRwr-- F .• COUNTY ox LOS ANdnaii T.=kl,;i';r� lL`E :TRIC,wI ?r`e O 1 IH[ Wd•r• a .. NATURE OF INSTALLADISTRICT No.�!, oRour s pRR n.. wlRllrO r17rTUR[R R[RY -• a'+ t O'S• •'� fj�. _ • . RANG! M,[ATIIR pW� ',� ..RtCirrtO/Y,�} r1RR 1N��run - ��l qsY :r+ .... . ...r,a.. t Mf [LLA WOUS -. :, i's+°_T{ L":?• .: t �i•+•:, �/r�� , %.., PPLICANT F IN HEAVILY OUTLINED'PORTION ONLY - 16. ''L• � .�pR[Ci A ra �OGAL117y�';�%a. •' ;. DESCRIPTION OF WORIC, .MAIL.. ,•�;.: •r,.. NUMR[q Or OUTL[Tti ON cIRCUIT/ ••ADOR -:•:off, ' .r LOCATION OY ROOM• 'C/Tyr•��^... -:v L y':� : - LIONT OUTL[TD RW. —UOR /1!r• He 'S' CfRCUIT iwr AM THE LEGAL POsgttottoR or THE •w ; e C Q R O• oa.s/ oouarrl0/• ,%ICArll of ou� Iri�( TroN. LIVING ROOM :0 s R.r•• /\L •?iAr _ s DINING ROOM / l Ag I All TNt LtQ11L 0"In Or TNI NIOPtll7*DOCr//Im. —fes t• a 4'. BATH •• •, r , OwRl4 w cNT HALL , • .�•.. CORRECZTON3 HALL NO. ` s, a rRONr PORCH-1 . 1 OUTSIDE ' K ITCHTHOil , •~ -� . RcRV, PCN. &DON. No ;'�".•S :•r r' �Lfr • TOTAL '• + I �• �� / .....t L:i ati Y'Z`_ � :it �;�..�.�.� `. NO. Or OUTLIC:C , - •"Y'!• •APPROVALS N . . .. aid, O. Or rt R[d r .a .:•. ..' .'.� :; •a — rr NO. Or MOTORB H. P. CONDUIT 7, NO. OP slams TRAND. IRINO �� •• NO. Or RANO96 ORKAJ t`..., -NIECCLLAM[000� [•; .'•.+. ':r. .-. :''".. :� •�_ ?�_`�'=�..-+� v . i -ti•. PCRNIT P[[•••h'• '.7" ;.iti'r..x. :: ^.-..•:t.: w. .•!• ..p 1 � �a.. ' q• `�'' •uT'rtGO.NOTt►1 tD m'::}. ,'�IL^_' r+• T .i� TOTAL r[[: '. ..:' ^•.:. - r . �� fit . :.e.bs �._,. • PINA •,.,��.».Si.��. ..'.s;:: �:�x 7i�...� .►t:'t�y�'i�'. isy'@+. '�Tk4��p":tiG`a.+es►.[1:"�if:ti0�''.�:`L:�'7>�}. :TTNFi}�.i '!n V•+�.•.V?+l�yaCli�— — - '•aSi:.+T:i!A:. In _ �'i ri•w •t:S�l•L