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Home My Public Portal About5833 OAK AVE_Electrical__ 76AS63 CESOS 73 APPLICATION FOR ELECTRIC PERMIT ], MWING AND SAFETY DMSION Department of County Engineer BUILDING County of Los Angeles ADDRESS JOHN A LAMBIE COUNTY ENGINEER CASSATT D GRIFFIN SUP T OP BUILDING LOCALITY FPFOR APr LIA'SNT TO FILL IN Coss ST00 ` FEE NUMBER OWNER LIGHT OUTLETS MAIL ADDRESS RECEPTACLES WALL SWITCHES FEE CITY TEL NO TOTAL OUTLETS @ 59 $ ELECTRICIAN ELEC RANGES 28 ADDRESS O ELEC HEATERS 25 CITY TEL NO ' S KW EA STATE FIXTURES 5 LICENSE NO MOTORS DISTRICT 1 GROUP ZONE I READY FOR INSPECTIO NUMBER HORSEPOWER FEE .J7 NEW MVD HP OVER INC EACH '�&LESS $ 25 INSPECTION RECOBD A t 2 50 !� 'ate * 1 r Alm 1-1 W tT 1 Al - d 5 15 1 50 15 50 2 50 50 200 5 00 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING PERMIT $1 00 p0 FIXTURE PERMIT $100 SUPPLEMENTARY 50 1 APPROVALS TOTAL FEE f DATE INSPECTOR S SIGNATURE IHEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT 1 AM T LEG OWNER OF THE ABOVE DESCRIBED RESIDENTIAL P P Y UTILITY CO NOTIFIED 1 �1 .Q 1 SIGNATURE OF PERMITTEE FINAL ti JOHN A LAMBIE ATION ARTHUR C VEIT COUNTY ENGINEER C.K o CASH SUPERVISING ELECTRICAL ENGINEER ALo / 9 0 1 ' MY 7 to �d l 76A88S CE806 758 APPLICATION FOR ELECTRIC PERMIT ], BUnDMG AND SAFETY DMSION Deportment of County EngineerBUILDING County of LOS Angeles ADDRESS JOHN A LAMBIE COUNTY ENGINEER CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN Coss ST PEBMT FEES NUMBER OWNER LIGHT OUTLETS MAIL ADDRESS RECEPTACLES WALL SWITCHES FEE CITY TEL NO TOTAL OUTLETS @ s¢ S ELECTRICIAN jq ELEC, RANGES 28 ADDRESS ELEC HEATERS 25 CITY TEL NO S KW EA STATE FIXTURES S LICENSE NO MOTORS 1317PIO GROU ZONE READY FOR INSPECTIO NUMBER HORSEPOWER FEE NEW MVD HP OVER INC EACH 1h a LESS i 25 INSPECTILD--"j`--- 2 N RECORD A ---2 SO Iiw as — I 1 .A-4 2 S 100 S 15 1 SO 18 SO 2 SO SO 200 500 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING PERMIT $1 00 00 FIXTURE PERMIT $100 SUPPLEMENTARY SO I APPROVALS TOTAL FEE i DATE INSPECTOR S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS NG ES COUNTY AND STATE OF POWER CALIFORNIA OR THAT 1 AM T LE OWNER OF THE ABOVE DESCRIBED RESIDENTIAL P P Y UTILITY CO NOTIFIED 1 �Z SIGNATURE OF PERMITTEE FINAL t JOHN A LAMBIE ATION ARTHUR C VEIT COUNTY ENGINEER cK O CASH SUPERVISING ELECTRICAL ENGINEER / 9 0 J. U-N M lY 7 5 s WORKERS COMPENSATION DECLARATION CE (280) APPLICATION FOR ELECTRICAL PERMIT - 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) Policy No Company FOR APPLICANT TO FILL IN JOB ADDRESS New Residential Bldgs &Pools EACH NO FEE Certified copy is hereby furnished 1 &2 Family Sq Ft $ — $ LOCALITY ,G� GJ 5 — NEAREST Multi family Sq Ft Certified copy is filed with the coun building inspection CROSS ST dgQa men M Residential Swimming Pools OWNER OR Y FIRM NAME F•+ �✓ N U W�j 4ate pplica — Outlets Rec_Light Sw MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION ROM WORKERS i Total No Additional CITY Tel No COMPENSATION INSURANCE } PLAN CHECK tl APPLICANT 0 (This section need not be completed if the work involved Lighting Fixtures First by the permit is for one hundred dollars ($100) or less) ADDRESS Cc Total No Additional Cc 1 certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY TelINo0 permit is issued I shall not employ any person in any manner PERMIT / �C+G�"� so as to become subject to the WorkZ,,spensatomin Law Range_Heater D W APPLICANT C/ W �� t Oven _ Dryer_W M ADDRESS y, Date �Appli Top _ FAU _W H A, _ Hood _ Fan _Other_ CITY U✓v Tel No NO ICE O APPLICANT If after mak ng this Certificate of Disp _Room Air Cond_ LICENSE OR d r- Exemption you should become subject to the Workers REG NUMBER 7 lass 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 Size&Type HP KW KVA or KVAR OQ deemed revoked ✓✓✓ !!// Up to 1 Incl FINAL �� LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl DATE 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 BY ( g ) Over 100 .�— ness and Professions Code and my license is in full force and effect Services /License Number Lic Class C ^ 0 200 Amp Under 600 Vj 201 1000 Amp Under 600 V Contractor Date Over 1000 Amp or Over 600 V woe 1 HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances I I hereby affirm that I am exempt from the Contractors Sign with One Branch Circuit License Law for the following reason (Section 7031 5 Busi Additional Sign Branch Circuits ness and Professions Code) i Misc Conduits&Conductors ;9'6 2 3 4 A Elas owner of the property will do the work and the Other(See Complete Fee Schedule)— structure is not intended or offered for sale (Section # • • • • • 2 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY f 2 - 2350 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub Total) • - 23,505 issued(Sec 3097 Civ C) Lender s Name ' PLAN CHECKING FEE (One Fourth Permit Fee) 0915-82 Lender s Address PERMIT ISSUING FEE 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 the above mentioned p operty for speetion pu�e � SEE REVERSE FOR EXPLANATORY LANGUAGE /4l^ 1 i Signature of rinitte !!lI"rm t5 COMPENSATION DECLARATION CE 863 10/81 APPLICATION FOR ELECTRICAL PERMIT I FFare�y afnrm that I have a certificate of consent to self CE 806G APPLICATION insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY �'JI or a certif copy thereof (Sec 3800 Lab C ) 4Q F Policy N " Company FOR APPLICANT TO FILL IN JOB -2r- 0 G ❑ Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS �a Certified copy is filed with the county building inspec 1 &2 Family Sq Ft $ — $ LOCALITY tioZY part ent /I �/,y� �/ Multifamily Sq Ft — CROSSST NEAREST Date Applicant (rtl�+/►�/t ,'/ rr Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec Light Sw_ MAIL t COMPENSATION INSURANCE First 20 ADDRESS (This section need not be completed of the work involved by Total No Additional CITY Cr Tel No the permit is for one hundred dollars($100)or less) I certify in that the performance of the work for which this PLAN CHECK O A/ 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 20 ADDRESS Additional Total No CITY e 1007 Tel No �"`�S Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after making this Certificate of APPLICANT /P 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 —WH — CITY Tel No deemed revoked Hood _ Fan _Other_ LICENSED CONTRACTORS DECLARATION Desp Air on Room ACd LICENSE OR ) Class I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER �J (commencing with Section 7000)of Division 3 of the Business DISTRICT NO P ED BY t1 and Professions Code and my license is in full force and effect Power Apparatus&Large Appliances U Size&Type HP KW KVA or KVAR • 0,9 License NumberJ S Lec Class U to 1 Incl FINAL 1%p DATE Q O Over 1 to 10 Incl l VALIDATION F— Contractor , , Date Over 10 to 50 Incl FIN W ❑ I am exempt under Sec Over 50 to 100 Inc 8 n- B&P C for this reason Z Over 100 Services Swbd MCC&Ponelboards aQ Date 0 200 Amp Under 600 V r Signature 201 1000 Amp Under 600 V ❑ Exemption for Reg Maent Elect Over 1000 Amp or Over 600 V SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor s License Additional Sign Branch Circuits Law for the following reason (Section 7031 5 Business and Professions Code) ❑ I as owner of the property well do the work and the Mesc Conduits&Conductors structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ ► 7044 Business and Professions Code) 5 8 9 A CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for # e e e 2 the performance of the work for which this permit is issued PERMIT FEE (Sub Total) t1 e • 2 5 5 0 (Sec 3097 Civ C ) PLAN CHECKING FEE e ° e 2 5 5 0 5 Lender s Name PERMIT ISSUING FEE ! 54 1105-86 Lender s Address 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 lows regulating Electrical wiring and hereby authorize representatives of this County to enter upon th 70bve mentioned erty for inspection pur oses ` ' �� '``� ,/ S��L SEE REVERSE FOR EXPLANATORY LANGUAGE —Signature of Permittee Date 2 + WORKERS COMPENSATION DECLARATION CE 863 10/81 APPLICATION FOR ELECTRICAL PERMIT I h r�oy gffirm that I have a certificate of consent to self CE 8066 iRs�re`Jr a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY o;a certified py thereof (Sec 3800 Lab C ) Policy No 43 716 Company F,71�/7 FOR APPLICANT TO FILL IN JOB `" D ❑ Certified copy is hereby furnishedNew Residential Bldgs & Pools EACH NO FEE ADDRESS Certified copy is filed with the county building inspec 1 8 2 Family Sq Ft $ — $ LOCALITY l C tion department Multi family Sq Ft ' — NEAREST /�►, Residential Swimming Pools CROSS ST Date �0 3 Applicant 40` � /QY—' OWNER //�� I FIRMNAME E CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec-Z. Light Sw Z MAIL COMPENSATION INSURANCE First 20 ADDRESS Q (This section need not be completed if the work involved by Total NoAdditional CITY C Tel N the permit is for one hundred dollars($100)or less) I certifythat in the performance of the work for which this PLAN CHECK P -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 20 ADDRESSg2a;j;�, cc r. Total No. ? Additional CITY rja Tel N Date �►pplicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after making this Certificate of APPLICANT L` 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 r with comply with such provisions or this permit shall be Top — FAU —W H — deemed revoked Hood _ Fan _Other_ CITY �y ( Tel N r LICENSED CONTRACTORS DECLARATION LICENSE OR Disp _ Room Air Cond Class I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER �S�' 6 (commencing with Section 7000)of Division 3 of the Business DISTRICT NO SSED BY a and Professions Code and my license is in full force and effect Power Apparatus 8 Large Appliances t�/� O -46Size&Type HP KW KVA or KVAR lJ t V V License Number Lic Class_ Up to 1 Incl FINAL 0: Over 1 to 10 Incl DATE VA Contractor 5��3rtix��-�--Date �3 IIDA N W ❑ Over 10 to 50 Incl FINAL C� I am exempt under Sec Over 50 to 100 Inc BY N B 8P C for this reason Over 100 V) Date Services Swbd MCC&Ponelboards 0 200 Amp Under 600 V Signature 201 1000 Amp Under 600V R 56 a 8 A ❑ Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V # is e • • • 2 SINGLE FAMILY Temp Power Pole&Appurtenances • • 2 1 7 5 HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor s License Additional Sign Branch Circuits 2 1755 Low for the following reason (Section 7031 5 Business and j Professions Code) I Q1 7 t 8 6 ❑ I as owner of the property will do the work andthe 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 ` r PERMIT ISSUING FEE (� Lender s Address 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 jaws regulating Electrical wiring and hereby authorize representatives of this County to enter upon the above mentione erty for inspection purposes / SEE REVERSE FOR EXPLANATORY LANGUAGE I i -Signature of Permittee Date