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Home My Public Portal About6220 OAK AVE_Electrical__ 76A663-CE806yl/70 APPLICATION FOR ELECT �ALERWu COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION _ JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY �f`�{/�IZIZ ` J7•'• COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER ' RECEPT.� $ $ MAIL / ADDRESS (Q LIGHT TOTAL FIRST 20 .20 CITY �/�=/lfj� E r TEL. N0. �� SWITCH OVER 20 ip PLAN CHECK LIGHTING FIRST 20 20 ® APPLICANT TO AL OVER 20 ADDRESS FIXTURES .10 APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. APPLICANT f STA. COOK DISP. F.A.U. ADDRESS lop SPACE HTR. AIR COND. CITY jS TEL. N0. ,447 CLOTHES SH. DISHWASH. LICENSE NO. CLASS. F OTHER 1.001 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW.K ELECH TRICAL WIRING. SIZE & TYPE OVER O I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO - 1O 3.00 RESIDE IN, THE AB VE DE CRIBED RESIDENTIAL PROPERTY. SIGNATURE _ a 10 - 50 6.00 OF PERMITTEE !' U 50 - 100 10A0 DISTRICT 1O1 LASS JOROUP ZONE t PROC S BY O 100 - 500 18.00 01 V SIGN, GASSIGN AND ONE CIRCUIT 3.00 NOTES: w a TUBE, OR i I U) MARQUEE ADDITIONAL CIRCUITS 1.00 Z SERVI CENOT OVER 600 VOLTS OR 200 AMP 2.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AMP 8.00 TEMP.POWER POLE TEMP SERVICE,POLE,IN APPURTENANCES 3.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDI UT WIRING ) PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50%. PERMIT FEE) UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 FINAL 094 1 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 JO H C. ROOHAN TOTAL FEE SUPER (SING ELECTRICAL ENGINEER a PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION --,OKI M.O. CASH I fr, 0 JUN 1 ? D 3.0 0- SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE iA..663 f E60B.5-62' APPLICATION FOR ELECTRICAL PERMIT -�- COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER F.ADDRESS ING. BUILDING AND SAFETY DIVISION � 2,O JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JEN8EN,SUPT of BUILDING ITY ST FOR APPLICANT TO FILL IN ST. , RECEPT. TOTAL NO. EACH FEE ' LIGHT 4Z OUTLETS FIRST 2b v $.2O $ OWNER SWITCH-7.3-f-= — OVER 20 .10 �• �AOD'L ADDRESS TOTAL CITY TEL.NO. LIGHTING FIRST 20 1Z .20 FIXTURES f Z ., 2 .10ELECTRICIAN R 2O OV ---RANGES., c�CLO.DRYERS WTR.HTRS. 1.00 ADDREBS l/� �� rGARB.—D-18—P- BTA.COOK CITY TEL.NO. J SPACE HTRB. AUTOA..-AWPAPS.(.DHWASHVa H.P.MAX STATE .50 Z LICENSE NO. MOTORSI OVER NOTCVER H.P. DISTRI T GR P ED O f 1.00NE } i + s 1.50 INSPECTION RECORD. n 8 S 2.00 8 1s 2.50 _ ; .6 ' 15 50 8.00 y O' V. so 100 5.00 SIGNSS NO.TRANS. F— NO.LAMPS W a SERVICE O-SOOV-Nor OVER 200A 1.00 H 'SERVICE 0.600V-OVER 200 A. 2.00 SERVICE OVER SOOV 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.1.00 TOTAL FEE $ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATI APPROVALS DATE. INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING - ELECTRICAL WIRING. WIRING Z—It.reI HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE GAL OWNER OF.THE ABOVE ,�yy DESCRIBED RESIDENTIAL OPE POWER SIGNATURE UTILITY CO.NOTIFIED .e, .!✓A. d� OF PERMITTE FINAL LIDATION ARTHUR G. V T.� CK MO CASH SUPERVISING E ECTRICAL ENGINEER L -0 0 0 9 4Q JAN-23 2 D WORKERS'COMPENSATION DECLARATION -8 10/81 APPLICATION FOR ELECTRICAL PERMIT C r J;hereby.vffirm that I�have a certificate of consent to self insure, CE-80908G ' or a certifi6ft of WorkersCompensation Insurance,o a ce '' d COUNTY OF LOS ANGELES BUILDING AND.SAFETY co'p"y thereof(Sec.3800,Lab.C.) .i Policy N6 mpany FOR APPLICANT TO FILL IN JOB r Certified copy,is hereby furnished. EACH NO. FEE' ADDRESS 6220 Oak Ave. ❑ New Residential Bldgs.&Pools 1 &2-Family,Sq.Ft. $ _ $ LOCALITY department. Multi-family q. . NEAREST e y SFtCROSS ST. Longden Ave. Ins a Residential Swimming Pools OWNER OR Bob P1tZer FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec—Light—Sw.— MAIL COMPENSATION INSURANCE ADDRESS Same (This section need not be completed if the work Involved by the First 20 I permit is for one hundred dollars($100)or less.) Total No. Additional CITY Tel.No, I. PLAN CHECK I I certify that in the performance'of the:wofk for which this permit APPLICANT , is issued, I shall not employ.any person in any manner so as to !, become subject to the Workers'Com . tion Laws. Lighting Fixtures First 20 ADDRESS " Additional Total No. CITY Tel.No. , Data — Applicgnt 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_. D.W. APPLICANT R017ert Noelle.Electrician provisions of the Labor. Code,you must forthwith comply with such Oven._ Dryer— W.M._ ADDRESS 122.3 $. Russelee Dr.. provisions or this permit shall be deemed revoked.. Top _ FAU W.H. CITY- WeS• . �i na Tel.No. 91']-1.835 LICENSED CONTRACTORS DECLARATION Hood -Fan Other_ I hereby affirm that 1.ani licensed under provisions of Chapter 9 LICENSE OR (commencing with Section 7000)of Division 3 of the Business and Disp: — Room Air Cond. REG..NUMBER Class Professions Code,and my license is'in full force and effect: D.Ismar'NO. ' r P OCF,SSED BY Power Apparatus.&Large Appliances Size& .ype HP,KW;KVA,or,KVAR • J•.o` �L� �/. � License�mbe- Lic.Class�=10 _y Up to.1 Incl. FINAL. �. Over 1 to 10 Ihcl. DATE. �7 VALIDATION 0 ' Contractor. te. 7—')-�5�9T Over'10 to 50 Incl. FINAL ( �j ❑ I am exempt under Sec. Over 50 to 100 Inc. gY W BAP.C.for this reason Over 100 N Services,Swbd.,MCC'&&Panelboards / Date: / 0-200 Amp.Under 800 V " Signature 201 - 1000 Amp.Under 800 V + ❑ Over 1000 Amp..or Over 800 V Exemption for Reg.Maint.Elect: SINGLE FAMILY Temp.Power Pole&Appurtenances t HOME OWNER-BUILDER DECLARATION Sign with One.Branch Circuit :(,ti I.hereby affirm that I am exempt from the Contractor's License Law ?. °3 for the following reason'(Section 7031.5,Business and Professions Additional Sign.Branch Circuits. Code): 37X-r ' 7 '11'e Ltij + ❑ Misc:Conduits&Conductors r; I,as owner of the property,will do the work and the structure E 1 TE1)S is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). T61 A 4-8'm F—in pop. CONSTRUCTION LENDING AGENCY CHECK , 48.611 I he'reb. affirm that there is a construction lending agency for the " f•� Y �ry performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub Total) t,i�l�NGE .I.i l Civ.C.). OIJ 0 PLAN CHECKING FEE '•+ Lender's Name COC �_�}s�j._a 711�1 If :r PERMIT ISSUING FEE s_,; Lender's Address 1 AM 9°02 I 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 authorize d representatives of this County to enter upon the above-mentioned i �rcpe fo ectton purposes. q SEE REVERSE FOR EXPLANATORY LANGUAGE IN Fill I)`� Signatufbsof rmi ee Date WORKERS'COMPENSATION DECLARATION56A�3 t9� ei APPLICATIONFOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self rCE-BO6G + Insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy threreof(Sec. 3800, pZ �� Pany I FOR APPLICANT TO FILL IN JOB ❑ Certified co is hereb furnished. :EACH NO. FEE'' ADDRESS , PY Y New Residential Bldgs.;8 Pools / o-. g _ $ LOCALITY g ❑ Certified,copy is filed with a un Ild' irisp - 1 &2-Family, Sq. Ft. k - — NEAREST J /I atre tion department. Multi-family.Sq. Ft. CROSS ST.,- h ate App' Residential SwimmIA9 Pools OWNER OR Inca •'�FIRM NAME Z-e_ r CERTIFICATE OF EXEMPTION F WORKERS" # q MAIL Outlets: Rec _LightSw: sa COMPENSATION INS RANCE ADDRESS :First 20 '�� '(This section need riot be completed if the work involved by ' Total No. I `• Additional .e►'� — CITY Tel. N the permit is for one hundred dollars•($100)or less.) l I`certif that in the. P erformance'of.•the work for which this PLAN CHECK Y .APPLICANT - permit is issued, I shall riot employ any person In ariy manner' - so as to become.-subject-to the Workers'Compensation Laws. Lighting Fixtures First 20 ' ADDRESS Total No. Additional CITY- Tel. No. 'Date :Applicant ` Fixed Appliances Not Over 1 'HP PERMIT' !NOTICE TO'APPLICANT: If', after making this Certificate of: APPLICANT Qr � Exemption'- you should become 'subject to,the Workers'., Range'_ Heater_D:1N. r 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 W.H. — deemed revoked. Hood _ Fan Other CITY , �� a Tel..IVo .,7,��4. LICENSED CONTRACTORS DECLARATION' . : i •• LICENSE'OR n I hereby affirm that I am licensed under provisions of Chapter 9; Disp. _ Room Air Gond, D '3 ',REG. NUMBER oZo?7 07 Class. (commencing with.Section 7000)of Division 3 of the Business'. DISTRICT NO. PR CESSED B ', and Professions Code;and my license is in full force and effect:- Power Apparatus 8 Large Appliances �� v06 _ Size 8 Type HP, KW, I(VA, or KVAR' License Number-�� 7b?.9 -Lic. Class FINAL t3 p�� - _ O•t0 1 In tl. TE - ontracto � Date "-2z Over t I , - _ Over 1 to .0 Incl. DA VALIDATION s-e4- P TO o 50 Inc. . FINAL U ❑ I am exempt under Sec. . Over 50 to 100 Inc, BY 'W B.BP.C. for this reason - Over 100 • Date: .Services,.Swbd.., MCC 8 P.arielboards 1 �f '"] - 0 -200 Amp.•Under 600 V � I ® + Signature 201 - 1000 Amp. Under 600 V G -'l, 1 A Over 1000 Amp. or,Over 600-V. ' Exemptiori for Reg. Maint. Elect. - c'c:n u o. SINGLE FAMILY ' Temp. Power Pole 6 Appurtenances � � o �/; �0HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit r1hereby affirm that I am exempt from the Contractors.Licente r'� o 3 Q, .Q?- for the following reason (Section 7031.5; Business and Additional Sign Branch Circuits , rofessions Code): C;`j—8 Ll" Misc: Conduits&Conductors .I, as owner'of the property will do the work-and the , structure• is not 'intended or offered for'saie (Section 'Other(See Complete Fee Schedule)_ 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY hereby affirm that there is a,.construction lending agency for- n , he performance of the work for which.this permit is issued PERMIT FEE (Sub-Total') oL Sec. 3097, Civ. C.)" 'PLAN CHECKING FEE ender's Name 'PERMIT.ISSUING FEE a/b ender's Address ' certify that I have read this application.and 'state that.the 1 TOTAL FEE bove information i3 correct. I agree.to comply with all County 4,gn. krmitte�e d Stat laws re ul.ating Electrical wiring; and izer senfa es of this Coun fo ent uponntio pro t for inspe io purpo� SEE REVERSE FOR EXPLANATORY LANGUAGE ate i .