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Home My Public Portal About6317-6319 OAK AVE_Electrical__ DB S-A 12-43 98M I APMC.ATION FOR PER= DEPARTMENT OF BUILDING AND SAFETF. COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER _ NAME ` //✓ i D18TN0. GROUP Z J ONE. PERMIT NO. O ADDRESS -Am t d' � CITY TEL.NO. VED i: READY FOR DATE ISSUED COUNTY / FIRST INSPECTION Sf df CERT.NO. EXPIRES "L APPLICANT FILL IN HEAVILY OUTLINED PORTION�O�Yf DESCRIPTION OF PORK II ADDRESS - ,I< �' `r^��• / NUMBER OF OUTLETS ON CIRCUITS i� LOCALITY r.. !'iJ�^;��. -CSG- may 0-0 LOCATION BY ROOMS `!�., • NEAREST �f� LIGHT OUTLETS SW. PLUGS RI)& CROSS ST / / CIRCUIT A JBJcJDJE R Jr. I H i, X NAME ADDRESS I/ CITY TEL NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGLES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. ABi OAS THN ZEQAL.OWNER OF vie P�ROPF,RTY DESCRIBED OWNER. ' CORRECTIONS " • tl .� /�.� i�n.e ,cam'...� - "r: U J Z �i 0 Ir I s: v TOTAL No. of OUTLETS -4. APPROVALS J` ' NO. OF FIXTURES �¢ E DATE INSPECTOR'S NAME � I NO. OF MOTORS H.P. E CONDUIT NO. OF SIGNS TRANS. E WIRING NO. OF RANGES OR HEATERS E FIXTURES MISCELLANEOUS 5 POWER PERMIT FEE E UTILITYCO.NOTIFIED TOTAL FEE FINAL WORKERS'COMPENSATIONDECLARATION I76A663 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self i COUNTY OF LOS ANGELES - BUILDING AND SAFETY insure.,'or a certificate of Workers'Compenpqipn Insurance,or I a a cert' 'ed copy thereof(Sec.3380000}L b.C PAiliey'1V �C p/ 7 FOR APPLICANT,TO FILL IN AD 3/ /� V ofit � EACH NO. FEE ADDRESS (t/r� New Residential Bldgs.&Pools Certified copy is hereby furnis 1 &2-Family.Sq. Ft. $ — $ LOCALITY f `� ❑ p y i g'-�j i Multi-family Sq. Ft. NEAREST Certified copy is filed with t e ount.b i n inspection CROSS ST department. Residential Swimming Pools OWNER OR FIRM NAME Date Applicant Outlets:Rec—Light Sw. MAIL LL .First 20 ADDRESSt�J g / CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Z�� - Tel No. COMPENSATION INSURANCE �-/~ } PLAN CHECK (- APPLICANT O (This section 'need not be completed if the work involved Lighting Fixtures First 20 V gng by the permit is for one hundred dollars ($100) or less.) Additional ADDRESS Total No. p I certify that in the performance of the work for which this CITY Tel No. permit is issued, I shall not employ any person in any manner Fixed Appliances Not Over 1 HP PERMIT so as to become subject to the Workers'Compensation Laws. Range—Heater—D.W.'- APPLICANT. fJ a Oven _. Dryer_W.M._ ADDRESS J �� Go L N Date Applicant Top _ FAU _W.H. Hood _ Fan —Other CITY S�,07 fi Tel.No. NOTICE TO APPLICANT: If, after making this Certificate of D'isp. —Room Air Cond-_ LICENSE OR Exemption, you should become subject to the -Workers' REG.NUMBER 3777 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 KVAR deemed revoked. Up to,1 Incl. • FINAL CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE' /,p� 71 'ION LICENSED Over 10 to 50 Incl. `4J ® VALIDAT I hereby affirm that.I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000)of.Division 3 of the Busi- Over 100 BY ness and Professions.Code,and my license is in full force and effect. /0 Services 1000, License,Niimber V Lic.Class `_!� 0-200 A n�00 V "�i 7� 201-1000 Amp.Under 600 V Contractor /�S 61lr 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 7.031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): O' ' 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 2 4 8 3 A 7044,Business and Professions Code). CONSTRUCTION LENDING A.OEINCY 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 0 0 q Or Q issued.(Sec..3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) o, o o 9 5 0 Q, Lender's Address PERMIT ISSUING FEE. 10,66-80 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' an'd State laws. regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned p arty for' s ction,purposes. I SEE'REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date , 176A66 WORKERS'COMPENSATIONDECLARATION 3 1CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT ICE-80 I hereby affirm that I have a certificate of consent to self I COUNTY OF LOS ANGELES r'�, - BUILDING AND SAFETY insure, or a certificate of Workers'C mpensation Insura ce,or , O a cite t�r 8 ( ✓ FOR APPLICANT TO FILL IN JOB /� ri� // o rcy N ompa ADDRESS ((f !1 v New Residential Bldgs.&Pools EACH NO. FEE Certified copy is hereby furnished. �t / 1 &2-Family,Sq. Ft. $ — $ LOCALITY Te lW Cj \ ` Certified co `�' Multi-family Sq. Ft. — NEAREST copy is filed with the county bu ding inspect n Residential Swimming Pools CROSS ST g department. FIRM NAME r ,y _/��/ Date Applicant Outlets: Rec.—Light First 20 ADDRESS � SJ � ,gr64g L/eeA- CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY &VWe Tel No. COMPENSATION INSURANCE PLAN CHECK } APPLICANT a (This section need not be completed if the work involved V by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS Total No. Additional W I certify that in the performance of the work for which thisCITY ' Q Fixed Appliances Not Over 1 HP 5 % permit is issued, I shall not employ any person in any mannerPERMIT ,o I_so as to become subject to the Workers'Compensation Laws. Range_Heater D.W._ APPLICANT G egg uc� l0e iV a Oven _ Dryer_W.M._ AISDRESS &7-/ ,41, Og Log? �/ N Date Applicant TcWHo _od _ Fan Fan _Other__W.H.,_ CITY Soh `o Tel No. Ho NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond._ LICENSE OR 72 Exemption, you should become subject to the Workers' REG.NUMBER 77 Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROLE S BY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW,KVA,or KVAR Up to 1 Incl. FINAL , Over 1 10 Incl. DATE LICENSED CONTRACTORS DECLARATION Over 10,t VALIDATION 50 Incl. � / I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY ness and Professions Code, and my license is in full force and I effect. Services License Number 3777'2 Lic.Class. C 0-200 Amp.Under 60 V f 201-1000 Amp.Under 600 V Contractor_P155 ��eC. Date o e' 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 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): Misc.Conduits&Conductors E] 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). -19 2 4 8.4 P CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency '# 0 0 0 0 0 for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued(Sec.3097,Civ.C.). 2 o 0 1 n 5 0 Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE 1 Q.G 6—3 G I certify that I have read this application and state that the TOTAL FEE Z ed 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 theab^Coned opertypection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date i