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Home My Public Portal About5755 OAK AVE_Electrical__ COUNTY OF LOS ANOELES APPLICATION FOR PERMIT Department of County EngineerELECTRIC ` DIVISION OF BUILDING & SAFETY WILLIAM J FOX County Engineer FOR APPLICANT TO FILL IN DISTRICT NO GROUP I ZONE PERMIT NO ELECTRICIAN / `r REC ED READY FOR DAT 188 D ADDRESS FIRSTINBPECTI N CITY TEL NO , COUNTY LICENSE NO EXPIRES A.S BUILDI148 7s-S O• ®� PERMIT FEES ADDRESS NUMBER EACH FEE LOCALITY LIGHT OUTLETS CROSS BT S -5 A t/Q RECEPTACLES WALL SWITCHES OWNER L TOTAL OUTLETS SC S MAIL / ELEC RANGER r- O ! 28 ADDRESS ELEC HEATER 28 A6 CITY /� TEL No FIXTURES 5 _L 1 HEREBY ACKNOWLEDO THAT 1 HAVE READ THIS M18C APPLICATION AND STATE THAT THE ABOVE 18 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 I P08SUM THE ABOVE VALID LOS Numnan HORSEPOWER FEE ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER New Mw HIS OVER ING CACH of THE RESIDENTIAL rROPERTY D RIBED ABOVE I/ a LEBB S ZS SIGNATURE OF I/ B So PER 2 S 1 aD INSPECTION RECORD 6 16 I 1 BO 18 So 250 SO 200 Sao 200 SOO 1000 = O 00 /� j Sao 1000 1500 IG u OVER 1000 1 2000 / i M O sET/rREM CHANGER HIS .fS OAC WELDERS AD KVA GENERATORS - KW / SzJ/ INS S le�0 TRANSFORMERS - KVA G•+ TEMP MOTORS (75Or t7RIo) / MOVED MOTORS (75or onto) / IBC SIGNS NQ NO TRANS. APPROVALS NO NO LAMPS FOR EACH PKRMITi DATE I NSPSCTOR B NAME WIRING mica iagp CONDUIT FIXTURES mica WIRING SUPPLEMENTARY__ 50 FIXTURES POWER TOTAL FEE B UTILITY Co NOTIFIED ,I 1 FINAL / SSI 7lA552 DBS#gA 253 COUNTY OF"L08-Ai8ELES APPLICATION FOR PERMIT Department of County Engineer ELECTRIC � �� 1 DIVISION OF BUILDING & SAFETY �i WILLIAM J FOX County Emeloeer FOR APPLICA TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO ELECTRICIAN r, RECEIVED 8Y READY FOR DATE ISSUED ADDRESS I ��/� FIRST INBPECTION CITYAey Ia COUNTY LICENSE NO EXPIRES BUILDING PERMIT FEE ADOREaS NUMBER EACH FEE LOCALITY Z LIGHT OUTLETSNEAREST RECEPTACLES CROBB BT WALL SWITCHES OWNER TOTAL OUTLETSse � ELEC RANGES 25 ADDRESSL /V/d I—,d /Wt, A ELEC HEATERS 29 CITY TEL. NO FIXTURES S I HEREBY ACKNOWLEDTHAT 1 HAVE READ THIS MIBC APPLICATION AND STATE THAT THE ABOVE 18 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 LOB NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER NEw Mw HP OVER INO e.wN OF THE RESIDENTI PROPERTY DESCRIBED ABOVE Ya i LEes S 25 SIGNATURE of Y2 2 s0 PERMITTE 2 5 Igo SPECTION RECORD g 18 ISO is so 250 so 200 sop top goo 1000 J sop 1000 1500 OVER 1000 2000 d M G BET/FREq CHANGER HP WELDERS AC KVA O GENERATORS KW 1 TRANSFORMERS KVA TEMP MOTORS (75% or anim) MOVED MOTORS (75or own) Mi-BC SIGNS NO NO TRANS NO NO LAMPS APPROVALS FOR EACH PERMIT DATE INSPECTOR B NAME WIRING *Ica CONDUIT FIXTURES Illion WIRING UPPLEMENTARY gp FIXTURES POWER TOTAL FEE 0a UTILITYCO NOTIFIED /Q / FINAL �'(/ d A A 76AG63 DBS#BA 2 ss COUNTY OF LOS ANGEM APPLICATION FOR PERM DVISION O OF COMMG F.N AFE ELECTRIC 1 a DIVISION OF BUILDING b SAFETY WMU M 1 FOX COUNTY EKGII� FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO ELECTRICIAN -r- M- I I Ok 7 ADDRESS RECEIVED BY READY FOR DATE ISSUED CITY L NO FIRST INSPECTION E f COUNTY LICENSE NO EXPIRES BUILDING PERMIT FEES ADDRESS c if A NUMBER EACH FEE LOCALITY r � LIGHT OUTLETS NEAREST Al/ RECEPTACLES ST t•/V► WALL SWITCHES OWNER TOTAL OUTLETS Sc MAIL EIEC RANGES 28 ADDRESS ♦� ELEC HEATERS 28 FIXTURES S CITY ` TEL NOA 3 MISC 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE 18 CORRECT 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 Numom HORSEPOWER FEE ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNS New MvD HP ovale I INC SACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOV i va a X566 i 28 SIGNATURE OF ,� 1 2 so PERMITTER 2 s too IION RECORD �• s isplo is so so 200 200 Soo goo 1000 Z OVER 10001 20 00 M G SET/FRBQ CHANGER HP WELDERS, AC KVA 0 GENERATORS KW TRANSFORMERS KVA TEMP MOTORS 7896 of o1Da MOVED MCUORS (70% of oRl6 ) MISC IGNS NO NO TRANS APPROVALS NO NO LAMPS FOR EACH PERMITs DATE INSPECTOR B NAME WIRING *too CONDUIT FIXTURES i1 00 WIRING SUPPLEMENTARY Sp FIXTURES / POWER TOTAL FEE i J ` UTILITY CO NOTIFIED INA � S 76A 608 DOO 8A 4 62 COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County EngineerELECTRIC DIVISIONSION OFFBUILDING 8c SAFFETY WILLIAM J FOX County Engineer FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO ELECTRICIAN T ba ADDRESS T P V RE E IRSTINSPECTI N READY FOR DAT IMPED CITY AE7 L. M 0 All- TEL NO J — COUNTY LICENSE NO EXPIRED �i .'+r .4 .� BUILDING C1 , PERMIT FEES ADDRESS .7.7 NUMBER EACH REE LOCALITY / C LIGHT OUTLETS CMEARecirr R08B BT V RECEPTACLES O WALL SWITCHES OWNER / / I C... W G LL-S TOTAL OUTLETS Be d MAIL AQ A ELEC RANGES "'a VP.f1I O y 2S ADDRESS.r 1 ry�j CLEC HEATERS f+ 25 l CITY / TEL. NO rIXTUREB 6 O 1 menceyf AOr.NOWLEoof THAT 1 HAVE READ THIN MIBC APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER of LIGHT CIRCUITS AND ADRBE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS 1 CERTIFY THAT 1 POSBEM THE ABOVE VALID LOB NuMaEn HORSEPOWER FEE ANGELES COUNTY LICENBE OR I AM THE LEGAL OWNER New Mw HP ovER INC EACH OF THE RESIDENTIAL ROPERTY RE L!01 ABOVE A LESS' S 28 l ^ SIGNATURE E va 2 SO PERMtTTBr s 8 100 INSPECTION RECORD 8 is ISO is SO 2.80 SO 200 Sao 200 S00 1000 W Soo 1000 1500 OVER 10013 20 00 J NO SET FREO CHANGER HP IL WELDERS AC KVA Q OENERATORS KW TRANSFORMERS - KVA TEMP MOTORS (78% or CRIB) MOVED MOTORS (75% or onis) M 18C SIGNS NC No TRANS. NO NO LAMP@ APPROVALS FOR EACH PERMITS DATE INSPECTOR B NAME WIRING $1.00 bQ CONDUIT FIXTURES Sl OO a , WIRING E E TARY SO FIXTURES �} POWER Y TOTAL FEE • / UTILITY CO NOTIFIED i FINAL 76^663 g)ns*a^ 253 `t WORKERS COMPENSATION DECLARATION 10/81 APPLICATION FOR ELECTRICAL PERMIT I hAretay affirm fiatCE 806 I have a certificate of consent to self insure CE 906G or a certificate 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 New Residential Bldgs &Pools EACH NO FEE ADDRESS Aw ❑ Certified copy is filed with the county budding inspection 1 &2 Family Sq Ft $ — $ LOCALITY department Multi family Sq Ft — NEAREST CROSS ST Date Applicant Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec—Light_Sw MAIL COMPENSATION INSURANCE ADDRESS Y (This section need not be completed K First 20 the work involved by the Total No Additional CITY Tel No permit is for one hundred dollars($100)or less) I certify that in the performance of the work for which this permit PLAN CHECK 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 NOTICE TO APPLICANT If after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT 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 _ 0 LICENSED CONTRACTORS DECLARATION Hood — Fan OtherCITY Tel No _ _ I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond LICENSE OR Class (commencing with Section 7000)of Division 3 of the Business and REG NUMBER Professions Code and my license is in full force and effect Power Apparatus&Large Appliances DISTRICT NO PqOCfSSED BY Size&Type HP KW KVA or KVAR + �� O License Number Lie Class Up to 1 Incl 11", FINAL Q Contractor Date Over 1 to 10 Incl DATE VALIDATION p Over 10 to 50 Incl FINAL FC-) ElI am exempt under Sec Over 50 to 100 Inc BY �/� W.O B&PC for this reason Over 100 �f y Date Services S A��,��(� e o , Z 0 !05AM nr/" Signature 201 00 Amp U er 600 V ❑ Over 1000 Amp or Over 600 V Exemption for Reg MaiM Elect SINGLE FAMILY Temp Power Pole&Appurtenances 2 HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractors License Law Additional Sign Branch Circuits ACCT': for the ing reason(Secbon 70315 Business and Professions ".70 r,nd asowner of the property will do the work and the structure Misc Conduits&Conductors 1 ITM not intended or offered for sale (Section 7044 Business cher(See Complete Fee Schedule) �,rw, �� Professions Code) ► ru. CONSTRUCTION LENDING AGENCY CAM 95.70 1 hereby affirm that there is a construction lending agency for the C!r .00performance of the work for which this permit is issued(Sac 3097 PERMIT FEE (Sub Total) D Civ C) PLAN CHECKING FEE Lenders Name LendersPERMIT ISSUING FEE �l0 1 Address I cern 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 wrong and hereby authorize representatives or this County to nter u n the above mentioned property ion purp�e q SEE REVERSE FOR EXPLANATORY LANGUAGE //?4 Signature of Permi ate t'heteby a4flmtthktRI ha COMPENSATION cert�if ca a DECLARATION coonnsen Oto self insure 20 DPW"2 91' APPLICATION FOR ELECTRICAL PERMIT LJ or a certificate of Worker s Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy therbof(Sec 3800 Lab C) Policy NO #--vCompany FOR APPLICANT TO FILL IN JOB Poli t� Certified copy is hereby furnished New Residential Bldgs &Pools NO EACH FEE ADDRESS $ $ LOCALITY C� ❑ Certified copy is filed with the county budding Inspection 1&2 Family Sq Ft department Multi family Sq Ft — CROSSS ST DateApplicant Residential Swimming Pools ASSESSOR JFC ,�j MAP SOOK "� PAG ".{ PARCEL O"� CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec -L Light S. 91RMER OR COMPENSATION INSURANCE First 20 ME (This section need not be completed if the work Involved by the MAIL permit is for one hundred dollars($100)or less) Total No4Additional ADDRESS 0 a I certify that in the performance of the work for which this permit CITYTel No �p�D is Issued I shall not employ any person in any manner so as to PLAN CHE K become subject to the Workers Compensation Laws Lighting Fixtures L First 20 APPLICANT TorNo Additional ADDRESS Date Applicant RE E A PLIANCES NOT OVER 3 HP l10 a NOTICE TO APPLICANT If after making this Certificate of CITY Tel No Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code you must forthwith comply with such AIRNIT �� 9 provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances PPLICANT 6"4-Z(/L - LICENSED 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 CITY Tel No Professions Code and my license is in full force and effect Over 10 to 50 Incl } Over 50 to 100 Incl LICENSE Class REG NUMBER d License Number Lic Class Over 100 DISTRICT NO PROC D O � V Services Swbd MCC&Panelboards • Contractor Date 0 399 Amp Under 600 V FINAL DATE a°`�, H ❑ I am exempt under Sec 400 1000 Amp Under B00 V VALIDATION V Over 1000 Amp or Over 600 V FINAL W B&P C for this reason BY BRANCH CIRCUIT FEES Date 15A or 20A 120V Lighting or Recept Z Signature 1 To 10 Branch Circuits Q 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg Maint Elect 15A 20A MSV To 277V Lighting Br Circuits 2 SINGLE FAMILY Temp Power Pole&Appurtenances g HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit ACCT s I hereby affirm that I am exempt from the Contractors License Law for the following reason(Section 7031 5 Business and Professions Additional Sign Branch Circuits 3303 49 G Code) 1 ITEMS 1 as owner of the property will do the work and the structure Mise Conduits&Conductors TI IT�( - ',. is not intended or offered for sale(Section 7044 Business Other(See Complete Fee Schedule) }}VV��,,-- !4+ 05 and Professions Code) �t1C 49 U CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the n performance of the work for which this permit is issued(Sec 3097 PERMIT FEE (Sub Total) P Civ C) PLAN CHECKING FEE 0000-0001 6/12/1*9 Lender s Name j i F � PERMIT ISSUING FEE 081E :6 Lender a Address I certify that I have read this application and under penalty of puqury state TOTAL FEE - D - that the above information is correct I agree to comply with all County ordinances and State laws regulatorElectrical wiring and hereby authorize 44re�: this County or on the above mentioned property �� SEE REVERSE FOR EXPLANATORY LANGUAGE ./j, /:> SIGNATURE OF PERM E DATE