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Home My Public Portal About6309 OAK AVE_Electrical__ I a 1 76A668-CE60612-65 APPLICATION FOR ELECTRICALORM�l� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING BUILDING.AND SAFETY DIVISION ADDRESS OangA JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W: JENKINS, SUPERINTENDENT OF BUILDING- LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL NO. EACH FEE 1I OUTLETSFII RST 2O III $ OWNER LIGHT J� MAIL SWITCH ADD'L 10 ADDRESS OVER 20 TOTAL FIRST 20 .2p CITY EL.NO. LIGHTING FIXTURES FIXTURES ADD'L 10 CONTRACTOR OVER 20 RANGES DRYERS WTR.HTRS. 1.00 ADDRESS. GARB.DISP. STA.COOK CITY TEL.NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA. APPL. .SO LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTFI= NQS GR P I 7CINE I PR o t 11.00 25 } I a 1.50 INSPECTION RECORD a O s 5 2.00 V m S 15 2.50 rO is 50 s.00 W D_ so 100 5.00 Z SIGNS: NO.TRANS. NO.LAMPS SERVICE 0.000V-NOT OVER 200A 1.00 SERVICE 0-SOOV-OVER 200 A. 2.00 SERVICE OVER GOOV 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FFIXTURES OVALS DATE INSPECTOR'S SIGNATURK TAL FEE 2 6 . 8 1 HEREBY ACKNOWLEDGE TNA 1 H E READ THIS APPLICATION B WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY NDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNE F,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBE RESIDENT PROPERTY. SIGNATURE .NOTIFIED OF PERMITTEE FO�x VALIDATIO JOSEPH C. ROOHAN , CK MO CASH 'SUPERVISING ELECTRICAL ENGINEER +� LQ 542' 4 OCT24 2• D 2.0 0A. If , I 78A883-CE806 9-84 APPLICATION FOR E.LIECTRICAPERMIT � R COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER cc COLEMAN W. JENRINS, SUPT. OF BUILDING LOCALITY 4� NEAREST FOR APPLICANT TO FILL IN CROSS ST. 'RET G CEPT. OTALNO. EACH FEE 5 �� OUTLETS& FIRST 20 $20 $ OWNER .J �L,IGH'[- '� MAIL ADD'L ADDRESS 3O • d ELWITCH. / OVER 20 .10 LIGHTING TOTAL I FIRST 20 .20 CITY TEL.NO. - 7.I FIXTURES / _ OVER .10 ELECTRICIAN VER R 20 2 ANGE LO RY�RB_,rTR.HTRS. 1.00 ADDRESS 1 GARB.IbISP. STA.C OK CITY TEL.NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRtr STA.APP.1 H.P.MAXI ' .50 LICENSE NO. MOTORS& OVER •P• DIST ICT N G P O 1 1• 1.00 v 1 3 1.50 Q INSPECTION RECORD 8 8 2.00 , Gk. s to 2.50 6 VO 15 so 3.00 s0 100 5.00 W SIGNS: NO.TRANS. ,i 09 or- NO.LAMPS 1 0 SERVICE O-SOOV-NOT OVER 200A 1.00 I' SERVICE 0-SOOV-OVER 200 A. 2.00 000'. f SERVICE OVER SOOV 5.00 MISC. r PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE is j5�m 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ._ 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 I HEREBY.CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR FIXTURES 'LICENSED AS REQUIRED BY .LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF. AND INTEND TO I` RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE 00, UTILITY CO.NOTIFIED OF PERMITTEE FINAL : IV VALID JOSEPH C. ROOHAN CK M CASH SUPERVISING ELECTRICAL ENGINEER LJ1Lc3 4 8 5 6 SEP 21 2 D 5.8 0 WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12.91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, 76A583 ' or a certificate 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.) rupaliCy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS .G.r(i Certified copy is hereby.furnished. New Residential'Bldgs.&:Pools NO. EACH' FEE LOCALITY ❑ 1&2-Family,Sq.Ft. — $ $ CArtified copy is filed with the county building inspection — NEAREST department. Multifamily Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. LiJ OWNER OR Y�r COMPENSATION INSURANCE Light Sw. FIRM NAME 'lL rte' J (This ser:tiort need not be,completed if the work Involved by the Total No. First 20 Additional ADDRESS ] permit is for one hundred dollars($100)or less.) T I certify that in the performance of the work for which this permit CITY / iy� Tel.No. 3G _ 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 ate 7 `J' Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE•TO APPLI ANT: If, after making this Certificate of NCITY Tel.No. Exemption,you should:become subject to the orkers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code,you must fort ith comply With such PERMIT P y p y Power Apparatus&Large Appliances APPLICANT ee provisions or this permit shall be deemed revoked.. 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 7000)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 REG.NUMBER a License Number Lic.Class Over 100 DISTRICT NO. PROCESS O � () Services,Swbd.,MCC&Penelboards a a: 0-399 Amp.Under 300 V FINAL O Contractor Date DATE., ❑ I am exempt under Sec. 400-1000.Amp.Under 600 V VALIDATION Over 1000 Amp.or Over 500 V FINAL ,B.&P.C.for this reason BRANCH CIRCUIT FEES BY Date: 15A,or 20A,120V,Lighting or Recept. Z_ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,2DBV To 277V Lighting Br.Circuits r SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION PT s. I hereby affirm that I am exempt from the Contractor's License Law Sign With One Branch'Circuit AU.-I n v for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits 3631133 L7o.20 Code): ❑ 1,as owner of the property,will do the work.and the structure Misc..Conduits&Conductors I I.(EM is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) ' TOTAL 37.20 and Professions.Code). CHECK 37.20 CONSTRUCTION LENDING AGENCY 1 hereby affirm that there Is a construction lending agency for the CHANGE .00 Performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) �Q Civ.C.) PLAN CHECKING FEE OOCICII— 001 7/`r5/94 Lender's Ntl PERMIT ISSUING FEE /�• •�f{ } �+Gi S .L P!i 5:06 Lenders Address TOTAL FEE I certify that I have read this application and under penalty of purjury state 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 IN County to enter upon the above-mentioned property a for inspection puPp s. SEE REVERSE FOR EXPLANATORY LANGUAGE 7_ -p SIGNATURE OF PE ItTEE DATE