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Home My Public Portal About6453 OAK AVE_Electrical__ '6A663 CE-806(6/781 APPLICATION FOR ELECT CAL PERMIT COUNTY OF LOS ANGELES BUILDING AND.SAFETY FOR APPLICANT TO FILL IN JOB New Residential Bldgs.'&Pools EACH 'NO. 'FEE ADDRESS. 1 &2-Family,Sq.Ft. $ .025 — $ LOCALITY' �r Multi-family Sq.Ft. .02 — NEAREST Residential Swimming Pools 25.00 CROSS ST: OWNEROR s �f FIRM NAME Outlets:Rec `Light - MAIL ` First 20 .50 ADDRESS Total No. Additional .30 CITY (,; Tel.No 'l PLAN CHECK APPLICANT Lighting Fixtures First 20 •50 ADDRESS Additional .30 Total No: CITY Tel.No. Fixed Appliances Not Over 1 HP PERMIT- Range— ERMIT- / S'O Range_Heater_D.W.— APPLICANT Cl. .f !t' Oven—Dryer_W.M. ADDRESS � Top _FAU _W.H._ CITY o el.N Hood_Fan —Other LICEN E'OR Disp.—.Room Air Cond. 2.50REG.NUMBER �a_ Class.G/r I HEREBY A KNOV1/LEDGE THAT I HAVE READ THIS APPLICA- Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE.TO Size&Type HP,KW,KVA,or KVAR COMPLY-WITH ALL COUNTY ORDINANCES AND STATE LAWS' Yp Up to 1 Incl. 2.50 REGULATING ELECTRICAL WIRING. 500 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR . Over 1 to 10 Incl. LICENSED AS REQUIRE B OS'ANGELES COUNTY AN NATE OF Over 10 to 50 Incl. 12.50 CALIFORNIA OR TH THE LEGAL OW ABOVE Over 50 to 100 Inc. 25.00 DESCRIBED RESIDE ROPERTY Over 100 40.00 PERMITEE + SIGNATURE Services DISTRICT 0-200 Amp.Under 600 V 12-50 Q 201.1000 Amp.Under 600 V 25.00 U Over 1000 Amp.or Over 600 V 50.00 Z O Temp.Power Pole.&Appurtenances 10:00 . Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2.00 INSPECTION > lo.00 'INFORMATION Misc.Conduits&Conductors ON REVERSE x J , Other(See Complete Fee Schedule) SIDE u 5 3 5 9.6 A -Z g # 000002 IL 2000900 PERMIT FEE (Sub-Totol) 0 0 0 0 9 0 0, PLAN CHECKING FEE (One-Fourth Permit Fee) O PERMIT ISSUING FEE $7:00 0 0&06-79 TOTAL FEE' > It INSPECTION FINALED I date: CL//17 By�a psz/G c d ®s C� 7&.0689-CE8081/70 "A0PLICATION FOR ELECTRIC L PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING y� BUILDING AND SAFETY DIVISION ADDRESS J JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY Lv e NEAREST FOR APPLICANT TO FILL IN CROSS ST Z.14141.Gdq OUTLETS NO. EACH FEE OWNER RECEPT. ,,rr�� S S MAIL LIGHT TOTAL FIRST 20 20 ,20 1/ 00 ADDRESS +CITY TEL. NO. SWITCH OVER 20 / f0 D PLAN CHECK LIGHTINGFIRST 20 ,20 APPLICANT TOTAL FIXTURES OVER 20 ADDRESS .f0 APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT , A,007 STA. COOK DISP. F.A.U. ADDRESS �� y A,e SPACE HTR. _AIR COND. CITY er'" l EL. N0. Td/V,j Y"2 CLOTHES WASH. DISHWASH. J LICENSE NO. 1 CLASS. e-10 FAN OTHER / LOG / �� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW.KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED A8 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWOF, AND INTEND TO 1 - 10 8.00 RESIDE IN, THEJF' B RIBED IDENTIA PROPERTY. SIGNATURE / 0 10 - 50 8.00 OF PERMITTEE V 50 - 100 10.00 ad DIS��IC�0. LASS OROyE.. ZONE PROC SE Y O 100 - 500 15.00 SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: H TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 ? SERVI CENOT OVER 600 VOLTS OR 200 AMP /1 2.00 D SERVICE OVER 600 VOLTS OR 200 AMP 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 3.00 TEMP LIGHT OR RECEPT. SYSTEM 9.OD UNDERSLAB WORK ROUGH CONDIUT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 Q SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL JOSLIFPHf C. ROOHAN TOTAL FEE /D SUPERVISING ELECTRICAL ENGINEER. PLAN CHECK VALIDATIONCK. M.O. CASH PERMIT VALIDATION cK M.O. CASH AN 1 0 5 5 JUN 2 5 2 A 1 0.10 N SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 7•&A663;,CF,.BOBA 4/72 APPLICATION FOR ELECTRI6AL ARAM ., p COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING = BUILDING AND SAFETY DIVISION ADDRESS LOCALITY S FOR APPLICANT TO FILL IN NEAREST CROSS ST. OUTLETS NO. EACH FEE L� OWNER RECEPT.jof-- $ $ MAIL , LIGHT_ TOTAL FIRST 0 ADDRESS CITY TEL. N0. SWITC OVER 2 PLAN CHECK LIGHTING FIRST 20 0 APPLICANT TOTAL vv ADDRESS FIXTURES 13---1OVER RESIDENTIAL APPLIANCE CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOKDISP.—J—F.A.U. ADDRESS 61 ok SPACE HTR._ AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWAS LICENSE NO. CLASS.G Z) FAN OTHER 0hr 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ��JJJVVV AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING C) IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO C I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF C~7 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO a 1 - 10 RESIDE IN, THE ABOVE DESCRIBED RESID'NTIAL P OPERTY. y SIGNATURE 10 — 50 OF PERMITTEE 50 — 1D0 DISTRICT N0. 1CLASS Z� � P EBBED BY 100 — 500 SIGN, GAS SIGN AND ONE CIRCUIT NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS SERVI CE NOT OV ER 600 VOLTS OR 200 AMP SERVICEOVER600 VOLTS OR200AMP APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE, 8:APPURTENANCES TEMP LIGHT OR RECEPT. SYSTEM UNDERSLAB WORK ROUGH CONDIUT / WIRING 2,1 A6 FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE �tl +�b loll PERMIT ISSUING FEE FINAL TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. CASH 88 9 r nr.T 2"k-' 2 ® 18.0' 0 &96 WORKERS'COMPENSATION DECLARATION Llf CE-806 10/elAPPLICATION FORELECTRICAL PERMIT �i,IhereiOy'drffirm that I have a�certificale of consent to.� CE-806G insure,ior a certificate of Workers'Compensation Insura ice, COUNTY OF LOS ANGELES BUILDING AND SAFETY ora certified SPpy thereof(Sec. 3800, Lab. C.) Policy No.—Company 1 FOR APPLICANT TO FILL IN JOB Pol Certified copy is hereby furnished. i New Residential Bldgs. &Pools EACH NO. FEE ADDRESS LOCALITY Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $' — $ ,e�lt god- tion department. Multi-family Sq. Ft. — NEAREST ti . ' Residential Swimming Pools CROSS ST: \ Date Applicant OWNER OR }} FIRM NAME L CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: R@CJ_ 9 LI ht SW._' MAIL COMPENSATION.INSURANCE First 20 ADDRESS ' (This section need not be completed if the work Involved by Total'No._ CITY Tel. No. the permit is for one hundred dollars($100)or less.) Additional PLAN CHECK I certify that in the performance of the work for which this APPLICANT 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 ' Total No.- Additional Date " pplicant_Jd2h ( °ld� CITY 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' a ,� Compensation provisions of the Labor Code, you must forth- Oven _Dryer _W.M.— ADDRESS + i with comply with such provisions or this'permit .shall be Top _ FAU —W.H. = j deemed revoked. CITYTel. No. LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ - �` Dis _ Room Air Cond. — LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 p' REG.NUMBER .a Class. C—,I� (commencing with Section 7000)of Division 3 of the Business i DISTRICT NO. P ED BY dam. Power Apparatus 8 Large Appliances and Professions Code,and my license is in full force and effect. .1 Size&Type HP, KW, KVA, or KVAR' License Number o/' —��J�P> Lic.•ClassUp to 1 Incl. FINAL 6= z�40LAI Date 't ever 1 to 10 Incl. ; DATE ... VALIDATION Contractor 66 ❑ Over 10.to 50 Incl. FINAL W I am exempt under Sec. Over 50 to 100 Inc. BY n B.&P.C. for this reason Over 100 Z Services, Swbcl_ MCC&Panelboards DQ}e' 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V I Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. I SINGLE FAMILY Temp..Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits 'Low 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)_ 704 Business and Professions Code). # 5 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for ) o o.2(150 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). o o o 2 Q c5 0 5 PLAN CHECKING FEE 09.26-86 Lender's Name PERMIT ISSUING FEE Q Lender's Address - I certify that I have read this application and state that the I TOTAL FEE above information is correct: I agree to comply with all Couniy ordinances.a.nd State laws regulating Electrical wiring, and � hertove- uthor•. representatives of this County to enter upon the. nt' ned propertyf-VlPection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE !9 Si Lure of Permit ee Date