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Home My Public Portal About6540 OAK AVE_Electrical__ 78A683-CE808 8-64 APPLICATION FOR ELLCTRICAL ERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER r WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST / _ FOR APPLICANT TO FILL IN CROSS ST. C.� RECEPT. TOTAL NO. EACH FEE OUT FIRaT 20 ffi.20 D� OWNER [� LIGHT ADD'L .10 MAIL Ole 91 ADDRE86 SWITCH. � OVER 20 4 TOTAL C� . . LIGHTING CITY TELNO 1 F�RBT 2O .20 . FIXTURES1 OVER ER .10 ELECTRICIAN R 2.O O. WT IL- R.XTRB. 1.00_ =R i / a- ADDRESS/�"A/ (i�7/ l/e �� 'j,' C //✓ dd.: 'f TEL.NO. O. S6�� CITY� 18X r AUTO.-WASH. STATE SPACE HTRB. BTM APP.(V.X.P.MAX.) ,s0 LICENSE NO. MOTORSt OVER NOT OVER X.P. DISTRIC O. GR.O P I zQNv I pRo E BY O 1 1.00 I 3 1.so INSPECTION RECORD �. o_ 3 s 12.00 1 O V' e is 2.50 is so 3.00 V s0 100 5.00 d L SIGNSt NO.TRANS. Z NO.LAMPS SERVICE 0-SOOV-NOT OVER 20.0A 1.00 SERVICE O-SOOV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 ,Q SUPPLEMENTA13Y PERMIT ISSUING FEE 1.00 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP KATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING t ELECTRICAL WIRING. / WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERANO/OR / ,✓ LICENSED AB REQUIRED BY LOS ANGELES COUNTY AN STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL.PROPER'TY. • POWER SIGNATURE p UTILITY CO.NOTIFIED OF PERMITTEE FINAL CATION S THUR C. VETT CASHSUPERVISING ELECTRICAL ENGINEER �huo 6 1 2 7 ^ CDT 4 2 D ��}N 76A663-CE606 1-67 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING. LOCALITY NEAREST FOR APPLICANT TO FILL IN CRosS ST.. '-II'F Q RECEPT. l TOTAL NO. EACH FEE I OUTLETS FIRST 20 5.20 $ OWNER' LIGHT J} MAIL SWITCHADD'L 10 ADDRESS RJA OVER 20 TOTAL FIRST 20 . .20 CITY "TEL.NO. LIGHTING FIXTURES FIXTURES ADD'L 10 CONTRACTOR OVER 204 -egg RANGES DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY TEL.NOS s .619 DISHWASH. AUTO.-WASH. STATE SPACE HTRSTA. APPL. .50 LICENSE NO. S. MOTORS: OVER NOT OVER H.P. DISTRICTNO. G OUP Z NE PR C ED BY O 1 1.00 d _%rr 1 s 1.50 INSPECTION RECORD s s z.o0 a i s 2.50 1s s0 3.00 s0 100 5.00 V SIGNS: NO.TRANS. O NO.LAMPS SERVICE 0.600V-Nor OVER 200A 1.00 IL SERVICE 0.600V-OVER 200 A. 2.00 Z SERVICE OVER 600V 5.00 OTHER(SEE COMPLETE FEE SCHEDULE) Up— Vol t �- PERMIT ISSUING FEE 2.00i4N` SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'B SIGNATURE TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNgERSLA6 WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING v ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO POWER RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROP E TY. SIGNATUREUTILITY CO.NOTIFIED OF PERMITTEE �' ,p FINAL I"I/II� _li� �� -1 14q D(DATION JOSEPH C. ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER L 0 2 8 7Z—a AUU25 2 D 4.0 0NCQ 76A663-CEBO�"11/70 APPLICATION FOR ELECTRICAL PER IT vkh COUNTY OF LOS ANGELES w DEPARTMENT OF COUNTY ENGINEER ABUILDING DDRESS BUILDING AND SAFETY DIVISION COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER S S RECEPT._ MAIL / LIGHT TOTAL FIRST 20 25 ADDRESS AS a C/ SWITCH_ OVER 20 10 CITY TEL. NO. PLAN CHEC LIGHTINGTOTAL FIRST 20 •25 APPLICANT FIXTURES OVER 20 .10 ADDRESS APPLIANCES CITY TEL. NO. PERMIT G RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO 3- 115 CLOTHES WASH. DISHWASH. LICENSE NO. 2,6 CLASS. /6 FAN OTHER 1.00 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SI E & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO d 1 - 10 3.00 RESIDE IN, THE 2DESC BE� ,RESIDENTIAL OPERTY. 0 10 — 50 5.00 SIGNATURE �+�/��v� V OF PERMITTEE Q, 50 - 100 10.00 DISTRICTNO. CL E PROC SSED BY O 100 - 500 15.00 J:O �� /y'y(,L as SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: z TUBE, OR ? MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE � t�v FINAL /Y7i ,z- PERMIT ISSUING FEE 3.00 JOSEPH C. ROOHAN TOTAL FEE SUPERVISING ELECT CAL ENGINEER. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. CASH LO SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ,� WORKERS'COMPENSATION DECLARATION CE-80B63 10/81 APPLICATION FOR ELECTRICAL PERMIT " I hereby affirm that I have a certificate of consent to self insure, ,.or a eeriWicate of Workers' Compensation Insurance, or a certified.1 COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800.Lab.C.) r Policy No. Company 1 FOR APPLICANT TO FILL-IN JOB / LL� eqA . ❑ Certified copy is hereby furnished. EACH NO. FEE ADDRESS (p New Residential Bldgs.&Pools ❑ 1 &2-Family,Sq.Ft. $ _ $ LOCALITYelt Certified copy is filed with the county building inspection department. Multi-family Sq.Ft. NEAREST CROSS ST.. 0 Date Applicant Residential Swimming Pools OWNER OR n FIRM NAME 0d V �tV.S 9 CERTIFICATE OF EXEMPTION FROM WORKERS' i Outlets:Rec—Light Sw.— IL COMPENSATION INSURANCE ADDRESS (This section need not be completed If the work involved.by the-, First 20 permit.is for one hundred dollars($100)or less.) Total No. Additional PLAN CITY Tel.No. I certify that'in the performance of the work for which this permit APPLICANT CHECK is issued,.I shall not employ any person in any manner so. as tq 1 become subject to the Workers'Compensa 6 L I Lighting Fixtures First 20 ADDRESS Total No, Additional CITY Tel.No. Date f Applicant Fixed Appliances Not Over 1 HP NOTIC APPLICANT: If' after making is Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation.• Range_'Heater_ D.W. _ APPLICA provisions of the Labor Code,,you must forthwith comply with such" Oven — Dryer_ W.M._ ADDRESS _ provision or this permit.shall be deemed revoked. Top FAW W.H. _ CITY Tei.No. LICENSED CONTRACTORS DECLARATION Hood — Fan Ottier_ I hereby affirm that I am licensed under provisions of Chapter 9• Dis Room Air Cond. .— LICENSE OR: Class. (commencing with Section 7000)of Division 3 of the Business and p' REG:NUMBER403 Professions Code,and my license is in full force and effect. DISTRICT NO. PROCESSED BY Power Apparatus&Large Appliances /) Size&Type'HP,KW,KVA,or KVAR V License Number a L 6 13q Lic.Class Up.to 1 Incl. FINAL V Over 1 to 10I.'ncl. DATE VALI 10N' Contractor + Date Over 10 to 50 Incl. O ❑ FINAL I am exempt under.'Sec. Over 50 to.100 Inc. BY Lt! B.&P.C.for this reason Over 100 N Services,Swbd.,MCC&'.Panelboards ► 8 9 9.0 A Z Date: 0'-200 Amp.Under 600 V r` Signature 201 -1000 Amp.Under 600 V # 0 0 0 0 0 2 + Over 1000 Amp.or Over 600.V ❑ Exemption for Reg.Mafnt.Elect. " 0 9 0.75 SINGLE FAMILY Temp.Power Pole 8 Appurtenances o o o j (1 7 5 6 ' HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 1 hereby affirm that 1 am exempt from the Contractor's License Law for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits O 2.1 9-88 Code.):. ❑ Misc.Conduits&Conductors 1,as owner of the property,will do the work and the structure Other(See Complete Fee Schedule) • is not intended or offered for sale.(Section 7044, Business oil. Professions Code). CONSTRUCTION LENDINQ AGENCY 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.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE 1,06 Lender's Address 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 y and State laws regulating.Electrical wiring; and hereby authorize • / representatives of t ' County to enter upon the above-mentioned p[opert i pe purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE gnu Permittee Date