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Home My Public Portal About6037 OAK AVE_Electrical__ 78.0883-CEB089-89 APPLICATION FOR ELECTRICA PERMlr COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS DAl. lop JOHN A. LAMBIE, COUNTY ENGINEER r COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING (LOCALITY ol FOR APPLICANT TO FILL IN 'NEAREST NO. EACH FEE I CROSS ST. $ $ OWNER „ SO y RECEIPT._ MAIL 'ADDRESS FIRST 20 ,20 /Vi v Q LIGHT TOTAL SWITCH OVER 20 ,70 CITY , TEL.NO. PLAN CHECK LIGHTING TOTAL �tv" RST 20 .20 APPLICANT FIXTURES } ER20 ,10 ,ADDRESS RANGE_DRYER_WTR. HTR. !CITY TEL.NO. STA. COOK_DISP._F.A.U. ;CONTRACTOR SPACE HTR. AIR COND. (ADDRESS i CLOTHES WASH._DISHWASH. CITY TEL.NO. FAN_OTHER 1.00 LICENSE NO. CLASS. MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 I 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 1 - 10 3.00 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF. AND INTEND TO C RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. C 10 — 50 15.00 L SIGNATURE // cm 50 — 100 10.00 OF PERMITTEE L` H 100 - 500 15.00 DISTRI�C.T NO. GRZONE PROC 5 Y LL SI , SIGN AND ONE CIRCUIT 3.00 r TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: — SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAS WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES 6 PLAN CHECK FEE (50%a PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 1 FINAL TOTAL FEE 0 JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH 1 PERMIT n VALIDATION CK. M.O. GASH L ! Ar,. 6 0 6 29 Ja27 2 D 4.00- 4cc T SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE WORKERS'COMPENSATION DECLARATION- "20-0019 DPN 3/87 ereby;affirm that I have a.certificate of consent to.self CE-806G 6663 APPLICATION FOR ELECTRICAL PERMIT O .in pre or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or •:.I-Hied copy thereof(Sec. 3800,Lab. C.) Polic No. Company FOR APPLICANT TO FII L IN JOB —7 Certified copy is hereby furnished. New Residential BJd s. &Pools EACH' NO. FEE ADDRESS r g $ ._ $ LOCALITY G Certified copy is filed with•.'the county building inspec- 1 &2,Family, Sq. Ft. _ l tion department. Multi-family Sq. Ft. NEAREST CROSS ST. r Residential Swimming Pools: OWNER OR Date Appl.icanT FIRM NAME � + CERTIFICATE OF EXEMPTION FROM WORKERS' i/ MAIL Outlets: Rec Light Sw.L �D , / 1 COMPENSATION INSURANCE �/ c3 0 ADDRESS �. First 20 � (This section need not:be completed If the work Involved byl i CITY Tel. No the permit is for one hundred dollars($:1.00)or less.) , Total No. Additional PLAN CHECK 53 I certify that in the performance of the work for which this APPLICANT permit:is issued, I shall not employ any person in any nner a so as to become sub'dct to the Wor erg'to nsatio aws: Lighting Fixtures First 20 V .� ADDRESS P Additional ` Total No: CITYa Tel..N Date Applicant —' Fixed Appliances Not Over 1 HP 'PERMIT' e NOTICE TO APPLICANT: If; after making this,Cer ificate of ; Exemption, you ,should become subject to -the Workers' ;1 Range_ .Heater—D.W. APPLICATION �, v Compensation provisions df the Labor Code,.you must forth- I Oven — Dryer —W.M.—, . ADDRESS with .comply with such provisions or this permit shall be. Top — FAU W.H. deemed-revoked'. i —Other-- CITY fel: No. LICENSED-CONTRACTORS DECLARATION' I Hood --Fan LICENSE OR I'hereby affirm that:l am.licensed under provisions of Chapter 9 I D'isp. _ Room'Air Coad. — Class, REG: NUMBER..-. (commencing with Section.7000)of Division 3 of,theBusiness Power Apparatus&Large Appliances. DISTRICT NO. RWSSED BY >_ and Professions Code,and my license is in full force-and effect. Size&Type HP, KW, KVA•, or KVAR r f/ Q License'Number Lic. Class Up to 1. Incl; I FINAL. U Over 1:to 10 Incl. s DATE VALIDATION 0 Contractor Date' i Over 10 to 50 Incl. FINAL U I amexempt under Sec. Over 50 to 100 Inc. By LV B.&P.C. for this reason Over 100 d. Art Services,'Swbd.., MCC'&Panelboards Date , Z 0:•200 Amp. Under 600 V Signature. 201.- 1.000 Amp. Under 600V Over 1.,000 Amp. or Over 600:V r. i El ,Exemption for Reg. Maine.'Elect. 16. ` SINGLE FAMILY 4 HOME OWNER-BUILDER DECLARATION Temp. Power Pole.-&Appurtenances , I hereby affirm that I•am exempt from the'Contractor's License Sign with One Branch Circuit ;1sv;14r i Law for the following reason (Section 7031:5, Business and Additional Sign Branch Circuits. , O Professions Code;): a,.,07 : T„-r,„ t I as owner of the property, will do the work and the Misc. Conduits&,Conductors s. s!tel° structure is not intended or offered for sale(Section 7044, -Other(See Complete Fee•Schedule.)_ T1�I AL -19 -40 XBusiness and Professions Code). I , CONSTRUCTION LENDING AGENCY CHECK 19.tei) ' I hereby affirm that there.is a construction lending agency for CHfi1KGE :tlL; the,performance of the work for which this.permit is issued :PERMIT FEE (Sub-Total.) 1 (Sec. 3097, Civ.. C.).' l .PLAN CHECKING FEE ! 0-13,0131 . = .;; Lend'er's Name i sl}0-13,0131 5/29/ PERMIT ISSUING FEE i -,e Lender's,Address 7 189 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 aws regulating Electrical wiring; and hereby.authorize re sentatilres.of this County to enter upon e abo'.'.e ention property for Inspection purposes. i c ^ SEE REVERSE EXPLANATORY LANGUAGE o,[ VERS FOR ATO Y S�- `� 9i + Signa ure o er•.m tee Date ; ®s t. 1 WORKERS'COMPENSATION DECLARATION 6 10/81 APPLICATION FOR ELECTRICAL PERMIT +I`here �iv bQm that I have a certificate of consent to self CE-806G. insyze, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY a0 u certified copy thereof(Sec. 3800, Lab. C.) Policy No/'K 5�i1b'�� Company& CIL lI7Fr?��A5AYi0 FOR APPLICANT TO FILL IN JOB 1f��dJ Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS ❑ Certified copy is filed with the county building inspec- I A 2-Family, Sq. Ft. $ — $ LOCALITY T h-CA Lr CIT!/ tion department. Multi-family Sq. Ft. — NEAREST r Residential Swimming Pools CROSS ST. TVAI/ Date 7 ApplicantA%7MR119 f04);;- C0# OWNER OR Outlets: Rec CERTIFICATE OF EXEMPTION FROM WORKERS' ._2 MAIL NAME m l V OAy 4V[T/Ort) C Ct pled First 20 COMPENSATION INSURANCE Light Sw 17 ADDRESS [ia/ -j7fi704) &1alki (This section need not be completed if the work Involved byTotal No. �� CITY Tel. No.s/ir the permit is for one hundred dollars($100)or less.) Additional s �9 /9 - f6S I certifythat in the performance of the work for which this PLAN CHECK /� p APPLICANT eveg5 IQt![T/Qou [dr 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 woluTW67,00 Ang. Total No. Additional Date Applicant CIT S Tel. No. NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Range_ Heater_D.W. — APPLICANT/�o X. (06iJ'%211[7 f� [Or Compensation provisions of the Labor Code, you must forth- Oven — Dryer _W.M.— ADDRESS,,,Qq /'ttJ11lT1NX-T06t1 I✓I' with comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. Hood _ Fan _Other— CIT O Tel. Nag" LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER 7�p 4 Class. (commencing with Section 7000)of Division 3 of the Business power Apparatus&Large Appliances DISTRICT NO. PROCE.§SJb BY and Professions Code,and my license is in full force and effect. /J Site 8 Type HP, KW, KVA, or KVAR t O �5 License Number QC145' Classes Up to 1 Incl. FINAL ` „�. Over 1 to 10 Incl. DATE at h_ 16) TO VALIDA 1 N Contractor V 1� Date Over 10 to 50 Incl. FINAL V ❑ I am exempt under Sec. Over 50 to 100 Inc. BY Im B.&P.C. for this reason AM Over 100 XU Date: Services, Swbd., MCC&Ponelboards ► 14 5.5 A 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 Vt o o o o c 2 ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V � o 0 1 $ C Q SINGLE FAMILY Temp. Power Pole&Appurtenances o 0 0 1 $,Q Q,u HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's LicenseAdditional Sign Branch Circuits 8 5 Law for the following reason (Section 7031.5, Business and Professions Code): ❑ I, as owner of the property, will do the work and the 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 C Lender's Name �vJtti�/=u cti7®SG7®s i PERMIT ISSUING FEE Lender's Address 1 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 repr entatives of this County to enter upon the above-mentio roperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sig turaof r r16 Date