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Home My Public Portal About6009 OAK AVE_Electrical__ 7EA463C C6EAIB 12/75 APPLICATION FOR ELECTRICAL PERMIT asses BUIL G AND SAFETY D VISION FOR APPLICANT TO FILL IN JOB New Residential Bldgs &Pools EACH NO FEE ADDRESS4V W 1 &2 Finaily Sq Ft $ — Is LOCALITY Multifamily Sq Ft NEAREST Residential Swimming Pools OWNER OR FIRM NAME Outlets Light Switch&Receptacle MAI L First 20 ADDRESS Ave Additional CITY / el N PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel No PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range_ Heater D W Oven _ Dryer _ W M ADDRESS Top _ FAU _ WH _ CITY Tel No Hood _ Fan LICENSE OR O Disp _ A C REG NUMB Class v 1XEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION O AND BTATE THAT 11.8 ABOVE IS CORRECT AND AGREE TO COMPLY Power A 1� pparatus&Large Appliances WIT_ ALL COUNTY ORDINANCES AND STATE LAWS REOULATING yVj Size&Type HP KW KVA or KVAR ELECTRICAL WIRING H Up to 1 InclZ 1 HEREBY CERTIFY THAT 1 A RO PER LY REGIST D ANO/OR Over 1 to 10 Incl LICENSED AS REQUIRED BY LO ANOBLES CO TY N STATE OP C^ CALIFORNIA OR THAT 1 LEGAL OW E P HE ABOVE 50 Over 10 to Incl DESCRIBED RESIDENTI, OF TV Over 50 to 100 Incl PERMITEE Over 100 SIGNATURE Services (STRICT NO SSED BY Q � 0 200 Amp Under 600 V 4ev U(/ 201 1000 Amp Under 600 V APPROVALS DATE Over 1000 Amp or Over 600 V S ATURE TEMP POWER POLE Temp Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) W I R 1 NG FIXTURES POWER AUTHORIZED PERMIT FEE (Sub Total) UTILITY CO NOTIFIED PLAN CHECKING FEE (One Fourth Permit Fee) FINAL PERMIT ISSUING FEE NOTES TOTAL FEE _Aktw- L LAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH 2 3 8 2 0 v U �_.► Q J010-? 4&-;'1 SAGAS `°e "APP ATION FOR ELECTRICAL PERMIT 's" COONTY OF LOS ANGELES ♦'OEPAVITMENT OF COUNTY ENGINEERJOB ADDRESS ��' BUILDING AND SAFETY DIVISION LOCAIITY New Residential Bldgs& Pools EACH NO FEE NEAREST 1 &2 Family Sq Ft 111 025 — CROSS ST OWNER O Multi family Sq Ft 02 — FIRM NAME Residential Swimming Pools 2000 MAIL ADDRESS CI Outlets Light Switch& Receptacle Tel No First 20 50 LA Additional 30 APPLICANT ADDRESS Lighting Fixtures First 20 50 CITY Tel No Additional 30 ER WI APPLICANT Fixed Appliances Not Over 1 HP ADDRESS Range_HosterD IN — CITY A Tel o Oven__Dryer W M_ Top_ FAU��W H /i V RIEG NUMBER Class Hood_ Fan 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Disp.__A C _ 200 AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Power Apparatus& Large Appliances ELECTRICAL WINING Size&Type HP KW KVA or KVAR I HEREBY A CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 2 00 � � LICENSED A8 REQUIRED BY LOS ANGELES COUNTY AND STATE OF '.. Up to 1 Incl CALIPORNIA ORAl I AM THE LEG OWNER OF THE ABOVE 16 Over 1 to 10 Incl 500 DlSfRIrED RE NTIAL OPERTY O Over 10 to 50 Incl 2000 PERMITEE AV j V Over 50 to 100 Inc) 2000 SIGNATURE 2 Over 100 3000 DISTRICT NO OC ED BY O Services V 0. 200 Amp Under 600 V 1250 INSPECTOR S d 201 1000 Amp Under 600 V 2500 APPROVALS DATE SIGNATURE y Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE Z fFINAL LAB WORK Tamp Power Pole&Appurtenances 1000 Sign with One Branch Circuit 1000 CONDUIT Additional Sign Branch Circuits 200 (other) ES AUTHORIZED CO.NOTIFIED PERMIT FEE (SulsTotal) PLAN CHECKING FEE (One-Fourth Permit Fee) 4911 PERMIT ISSUING FEE $600 TOTA pd} ~rr SATI PLAN CHECK VALIDATION MO CAS 4"0 PERMIT VALIDATION CASH POLICY HOLDER POLICY NUMBER 19 3 I►Iri �1 2 �+ 1 J 5 `J e SEE BACK OF PPLICATIOfN FOR SCHEDULE A/1= In.--A 1— S -LY V WORKERS COMPENSATION DECLATtATIQN TCE-SOSG (240) ' AMLICATION FOR ELECTRICAL PERMIT 1 herebp a/firm4that I have a certificate of consent to self COUNTY OF LOS ANGELESAND SAFETY insure or a certificate of Workers Compensation Inhuritnce or • 00 11111MLAItun�i a certified copy thereof(Sec 3800 Lab C) JOB Policy No Company, ' a FOR APPLICANT TO FILL IN ADDRESS o I/ti New Residential Bldgs &Pools EACH NO FEE Certified copy is hereby furnished 1&2 Family Sq Ft $ IS LOCALITY el Certified copy is filed with the county building inspection Multifamily Sq Ft CROSS ST department Residential Swimming Pools OWNER OR e� FIRM NAME / �i/� mu*L.4 Date Applicant Outlets Rea&QLight a SwAIL vv �/� First 20 O ADORE CERTIFICATE OF EXEMPTION FROM WORKERS Total No _!aZ Additional CITY Tel No 8' 7_rJ9 COMPENSATION INSURANCE PLAN CHECK APPLICANT (This section need not be completed if the work involved Lighting Fixtures First 20 by the permit is for one hundred dollars ($100) or leas) Additional ADDRESS � Total No lg I certify that in the performance of the work for which thisFixed ACITY Tel No permit a issued I shall not employ any person in any manner Appliances Not Over 1 HP PERMIT 11 so as to become subject to the Workers Compensation Laws Range_Heater D W APPLI ANT let-1W Oven _ Dryer_.W M ADDRESSd� 'IV 40,4 �f G U Top _ _ Z Date Applicant Hood —Fan —Other_. CITU ��Jj �� Tel No�d�J+v NOTICE TO APPLICANT If after making this Certificate of Disp —Room Air Cond_, LICENSE R Exemption you should become subject to the Workers REG NUMBER Class Compensation provisions of the Labor Code you must forth Power Apparatus&Large Appliances DISTRICT NO PR ED BY with comply with such provisions or this permit shall be Size&Type HP KW KVA or KVA D y' deemed revoked Up to 1 Incl 1 FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl DATE Over 10 to 50 Incl VALI DATI I hereby affirm that 1 am licensed under provisions of Chapter Over 50 to 100 Inc FIN 9 (commencing with Section 7000)of Division 3 of the Bust Over 100 BY ness and Professions Code and my license is in full force and effect Services Idee7 License Number 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 Contractors Sign with One Branch Circuit License Law for the following reason (Section 7031 5 Bust 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)— structure is not intended or offered for sale (Section 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 PERMIT FEE (Sub-Total) issued(Sec 3097 Civ C) Lender s Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender s Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE s a 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 irysnN ny"rty for inspection puryoses SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o Permittee Date i • � WCOMPENSATION DECLARATION 7eaea3 70/81 APPLICATION FOR ELECTRICAL PERMIT {� • I hbfirmm that that I have a certsfncate a consent to self insureCEeoeG L! or kw ate of Workers.Compensation Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY Ay (Sec 3800 Lab C) Pdcy Nq L Company FOR APPLICANT TO FILL IN ANDD �y A ❑ Oertdod copy re hereby furnished New Resdentrel Bldgs & EACH NO FEE /T V ❑ Y17 Certified copy is filed with the county building inspection 1&2 Family Sq Ft $ — $INEAREST department Multi family Sq Ft CROSS ST r Data Applicant Residential Swimming PoolsOWNER OR ._�y/� FNiM NAME '� el ryA CERTIFICATE OF EXEMPTION FROM WORKERS Outlets R ASI LIghtal Sw JZ— MAL COMPENSATION INSURANCEF1rst 20 1 ADDRESS (This section need not be completed 9 the work Involved by the permit is for one hundred dollars($400)or less) Total No MR 1 Additional CIT a0 I certify that In the performance of the work for which this permit PIAN CHECK Is issued I shall not employ any person in any maturer so as m A ADDRESS become subject to the Workers Compensation Laws Lighting Fixture24 syy�� First 20 5 ADDREss Total No 24 Additional CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT If after making this Certificate of PERMIT Exemption you should become subject to the Workers Compensation Range Heater DW APPUGANT provisions of the Labor Code you must forthwith comply with such Oven Dryer_ W M _ ADDRESS provisions or this pernnt shall be deemed revoked Top FAU WH _ CITY Tel No LICENSED CONTRACTORS DECLARATION Hood ..L Fan _J._ Other_ LICENSE OR CIM I hereby affirm that I am licensed under provisions of Chapter 9 Dssp Room Air Cond Cl (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 DISiRI ED Size&Type HP KW KVA or KVAR ✓ License Number L.nc Clear Up to 1 Ind FINAL Contractor Date Over 1 to 10 Incl DATE �J VALIDATION Over 10 to 501nc1 FINAL ❑ I am exempt under Sec Over 50 to 100 Inc By Ltd BBPC for this reason Over 100 Z Date Services Swbd MCC&Panalboards , 0 200 Amp Under 600 V Signature 201 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V Exemption for Reg Mast Elect SINGLE FAMILY Temp Power Pole&Appurtenances 2 HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit M1rb l s! I hereby affirm that 1 am exempt from the Contractors License Law e�W for the following reason(Section 70315 Business and Professions Additional Sign Branch Circuits 37 s00 1�1 Code) I as owner of the property will do the work and the stnschsre Mssc Conduits&Conductors 1 Iwo re not intended or offered for sale (Section 7044 Business Other(See Complete Fee Sdredule) _ Poo. WN. 85,00 and Professions Code) WL41f,O�E�+C/y/ 85.0085.00MM CONSTRUCTION LENDING AGENCY �uwat� I hereby affirm that there is a construction lending agency for the C A performance of the work for which this permit is issued(Sac 3097 PERMIT FEE (Sub-Total) CW C) PLAN CHECKING FEE 1 10/ 4/89 Lenders Name PERMIT ISSUING FEE 6W 1 AN 8:12 Lender s Address cr go e 44 1 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 regulating Electrical wiring and hereby authonze mpreeentahves — '--- County to enter upon the above mentioned PMR"for mspect�purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 5rig`ea uT re Permittee Dated/