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Home My Public Portal About6116 OAK AVE_Electrical__ 76A889C- C68086 12/71; APPLICATION FOR ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO RILL IN. JOB EACH NO. FEE ADDRESS �. New Residential Bldgs.&Pools E + VMc A& 1 &2 Finaily Sq. Ft. $ — $ LOCALITY 1 Multi-family Sq.Ft. — NEAREST Residential.Swimming Pools CROSS S.T. L. OWNER OR FIRM NAME Outlets: Light,Switch&Receptacle MAI L First 20 ADDRESS / Additibnal CITY. QWIQ_Cj Tel. No.12 PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel.No. PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range_ Heater_ D.W. _ ADDRESS Oven Dryer W.M. _ 4 Top FAU W.H. CITY Tel. No. Hood Fan LICENSE G RNUM ER Class. Disp. A.C. CD r, 1'HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O Power Apparatus&Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING F. Size&Type HP,KW,KVA,or KVAR ELECTRICAL WIRING. V w o_ Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Z .Over 1 to 10 Intl. LICENSED AS REQUIR BY LOS ANGELES COU Y AND STATE OF CALIFORNIA OR TH 1 AM T E GA O OF THE ABOVE Over 10 to 50 Incl. DESCRIBED•RES,I PROP R Y Over 50 tb 100 Incl. PERMITEE Over 100 SIGNATURE Services DISTRICT NO. V CESSE Y � � 0 0-200 Amp. Under:600 V 0 201 -1000 Amp. Under 600 V APPROVALS A .E INSPECTOR'S SIGNATURE Over 1000 Amp,or Over 600 V TEMP.POWER POLE Temp.Power Pole&Appurtenances UN,DERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITY Co.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL a 7� PERMIT ISSUING FEE NOTES TOTAL FEE / a PLAN CHECK VALIDATION CK. M.O. CASH PERMITqDT GK. M.O. CASH 2 8'2DEC 20. 2 1 2.L 0 A-446 APPLICATION FOR ELECTRIC PERMIT DBB•8/�'I I.88 DIVISION OF BU=RIG AND SAFETY t Department of County Engineer BUILDING / fj County Of'LOS Angeles ADDRESS t� v JOHN A.LA BIE,COUNTY ENGINEER �a /� CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY E RILE FOR APPLICANT TO FILL IN NEAR s. L PES= FEES ' NUMBER OWNER LIGHT OUTLETS MAIL RECEPTACLES ADDRESS WALL SWITCHES FEE CITY S/9/_116 TEL.NO. TOTAL OUTLETS @ 5¢ $ - ELECTRICIAN e2&LIAgeELEC.RANGES 25 ADDRESS ELEC.HEATERS 25 KW EA CITY TEL.NO. STATE FIXTURES 5 QJ� LICENSE NO. MOTORSDISTRICT NO. GROUP ZONE READ FOR iNSPECTIOA NUMBER HORSEPOWER FEE I ,� I• R I NEW MVD.' HP OVER INC. EACH 36&LESS $ .25 INSPECTION RECORD Y. 2 .50 = 2 5 1.00 to 1.00 15 50 2.50 ZJ: D`Lr7 n tIA2 50 200 5.00 MISC. L�74 -/1.fIYlj V,. boy-I r Al is NO.SIGNS NO.TRANS. NO.SIGNS NO. LAMPS FOR EACH PERMIT: WIRING $1.00 FIXTURES $1.00 i SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ ® DATE INSPECTOR'S,SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY11 CONDUIT = WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. I HEREBY CERTIFY THAT I A PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REpUIRED'`HY)LO ANGELES COUNTY AND STATE OF CALIFORNIA OR�TffAT I ' HE LEGAL. W OF THE ABOVE POWER DESCRIBED ESIDENTI PER V% ER UTILITY CO.NOTIFIED OF PERMITT �' • �' 2.� ,il 11 dDEX FINAL r`.ii IOHN BIE:,:COUNTY ENGIREER VALIDATION ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR CK NO CASH .ACo h• .2 5 3?� t-`!Y 2 2 2 2.2 0 . In WORKER'S COMPENSATION DECLARATION 20.0019 DPW(1z-91) APPLICATION FOR ELECTRICAL PERMIT I hekeby affirm that I have a certificate of consent to self Insure, 76A663 or s�,certiflcafe of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. .copy thereof(Sec.3800 Lab.C.) Policy No. Company FOR APPLICANT TO FILL INJOB ❑, ADDRESS Certified copy is hereby furnished. New Residential Bldgs.B.Pools NO. EACH FEE LOCALITY 0 Certified copy is filed with the county building Inspection 1&2-Family,Sq.FL' — $ $ department. Multi-family Sq.Ft. CRossSST. jTi� Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR COMPENSATION INSURANCE Outlets:ReC..—Light Sw. FIRM NAME (This section need not be completed If the work involved by the First 20 MAIL permit is for one hundred dollars($100)'or leas.) Total No. Additional ADDRESS I certify that in the performance of the work for which this permit CITY N(. L Tel.No. is Issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant. RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE,TO..APPLICANT: If,. after making this Certificate of CITY Tel-No. Exemption,,you should blicome subject to the Workers!Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of.the Labor Code,you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT 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 700 0)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 OR Class y' REG.NUMBER IL License Number Lie.Class Over 100 DISTRICT.NO. ,®� PROCESS Y�' O V Services,Swbd.,MCC&Panelboards per,` Contractor Date .0-399 Amp.:Under 600 V FINALE 0 400-1000 Amp.Under 600 V DAT ~ 0 I am exempt under Sec. (� VALIDATION V Over 1000 Amp.or Over.600 V FINAL LJ 1 B.&P.C,for this reason BRANCH CIRCUIT FEES BY co Date: 15A,or 20A,12OV,Lighting or Recept. z 1 To 10 Branch.Circuits Signature 11 To 40 Branch Circuits 41Or More Branch Circuits Exemption for Reg.Maint.Elect.. f5A,20A,208V'To.277V Lighting Br.Circuits SINGLE.FAMILY Temp.Power Pole&Appurtenances ACCT HOME OWNER-BUILDER DECLARATION ith Ci B with One Branch Circuit I hereby affirm that I am exempt from the Contractor's'License Law Sign w 3303 80.90 for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): r 1 ITEMS I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors TOTAL 80.90 Is not intended or offered for sale(Section 7044, Business Other(Se opiate Fee Schedule) , 09 And Professions Code)., S CHECK 80 CONSTRUCTION LENDING AGENCY t CHAiat'7E .00 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) g000-0001 4/ 3/96 PLAN CHECKING FEE Lender's Name 56M 1 Ph 6:34 PERMIT ISSUING FEE ?V7 38 Lender's Address I certify that I.have read this application and under penalty of purjury state TOTAL FEE ®, that the 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 ter upon the above-mentioned property for Insp ion pur oses. SEE REVERSE FOR EXPLANATORY LANGUAGE f 3 y' SIGNA RE OFYYRMItTEE ff DATE * WORKERS'COMPENSUATJONDECLARATION 76A663 APPLICATION 'FOR ELECTRICAL PERMIT CE-806G (2-80) I hereby affirm that I 'have a certificate of consent to self COUNTY OF LOS ANGELES 7f- BUILDING AND SAFETY insure,or a certificate of.Workers'Compensation Insurance,or / .a certified copy thereof(Sec.3600,Lab.C.) FOR APPLICANT TO FILL IN JOB ,V ®� Policy:No. Company :New Residential Bldgs.&Pools EACH' NO. FEE ADDRESS 6116. Certified copy is hereby furnished. 1 &2-Fa.mily,Sq. Ft. $ LOCALITY CJ Certified co y g inspection Multi-family Sq. Ft. NEAREST copy is filed with the count buildin Residential Swimming Pools CROSS ST .department. OWNER OR FIRM NAME 6110 i Date - Applicants Outlets: Rec Light 3 Sw. �d Q L ADDR First 20 ESS V11 /I/.' CERTIFICATE OF EXEMPTION FROM WORKERS' Total No: Additional CITY, Tel-No. ` .. COMPENSATION INSURANCEjQlg PLAN C 'EC . (This section need not be completed if the work involved Lighting Fixtures First 20 APPLiICANT - O by the permit is, for one hundred .dollars ($100) or less.) Additional r ADDRESS — W :Total No.. , t� • . p Fixed Appliances No I certify that in the performance of the.work for which this CITY Tel No. ma1' permit is issued, I shall not employ any person.in any mann PERMIT so as to become subject to the kers'Co p 'luat'"n s ,Range_Heater t ver 1 HP D.W._ APPLICANT' W a Oven Dryer-W.M._, ADDRESS -Date Applicant• •Top _ FAU _W.H..LY "U14 — .Hood _ Fan _Other_ CITY Tel JVo. NOTIC O APPLICANT: If, r ma tis CertI Ica, of Disp. _Room Air Cond— J U d LICENSE OR .Exemption, you should become subject to the Workers' REG:`NUMS Class Compensation provisions of the.Labor Code,.you must forth- Power Apparatus&Large Appliances DISTRICT NO. / PROCES ED BY.. with comply, with such provisions or this permit shall be ' „ {Jp' deemed revoked. Size&Type HP,KW,KVA,or KVAR 'g— deemed to 1 Incl. Over 1 to 10 Incl. FINAL DATE LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL ( �j o L" 9 (commencing with Section 7000)of Division 3 of the Bu$i- BY �. Over 100 V/1�+ ness and Professions.Code, and my license is in full force and I effect. Services 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 Contractor's Sign with One Branch Circuit License Law for the following reason (Section'7031.S, Busi- Additional Sign Branch.Circuits ness and Professions Code): , Misc.Conduits&.Conductors 0 I, as owner of the property, will do the work and the Other(See Complete Fee•Schedule)— Q b 4 A structure is .not intended or offered for sale (Section 7044;Business and Professions Code). 1, 0-0 0 0,o 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) / 2 o o I R 5 0 issued(Sec.3097,Civ.,C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) o o r Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE 6 above information is correct.I agree to comply with all County , ordinances and State laws regulating Electrical wiring, and -hereby authorize repr a ives f this ounty to enter upon th -mentioned f on purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE ho jqR P to