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HomeMy Public PortalAbout5345 PARMERTON AVE_Electrical__ TeAeBG APPLICATION FOR ELECTRIC PERMIT t 1� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING {� BUILDING AND SAFETY I �mSIGN ADDRESS C tA9$K D GRUTM, 3-p o!Sld w • LOCALITY NEAREST FOR APPLICANT TO FILL IN ER6sS ST ' PERMIT FEES - ITEM NUMG¢R EACH FE¢ OWNER OUTLET f MAIL L LIOHTB RECEPT 6W 10 O AO J �y LIGHTING FIXTURES 10 1 CI EL NO T ' J ELec RANGES CLO DRYERS ELECTR AN WATER HEATCRS 50 ADDRES 6LHC SPACE HTRS DISHWAOHER9 GARBAGE DISPOSERS AUTO CITY TEL O WAS ERB STA COOKING UNITS 25 STATE STATELICENSENO MOTORS OVER INC HP O — 1h 2a IS neeor FOR iN.>imoN S V. — z a 1 '50, 7- 2 — s 100 INSPECTION RECORD a — fa 150 r fa — ao 250 so— 200 500 i i I-. AA 1Le SIGNS NO TRANS NO LAMPS v r r ill. SERVICED aOOV 100 SERVICE OVER 600V 500 MISC �r �1 ii.rri Gd rit.Itm t/`J .��Ci f/ Y/ WIRING PERMIT 100 FIXTURE PERMIT too SUPPLEMENTARY PERMIT ap TOTAL FEE s6.41 ` APPROVALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA7M69 DATE INSPECTOR SSIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �G. ELECTRICAL WIRING WIRING / T' 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED 13Y LOS ANGELES COUNTY-AND STATE OF FIXTURES / CALIFORNIA OR THAT f M THE LEGAL OF THE VE POWER DESCRIBED RESIDENT PR RTY ' SIGNATURE UTI 1-17'YCO NOTIFIED OF PERMITTE y FINAL U CK M. ARTHUR KEIT CN D EH SUPERVISING ELECTRICAL ENGINEER 1 �l (,AC03273OR -JUL 28 2 A 3 .40 :R W63 DEEDS 3 ED / V v _ - APPLICATION FOR ELE((( CTRICAL PE MIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING ` BUILDING AND SAFETY DIVISION ADDRESS J 3,4'S PA 7-61LJ JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUPERINTENDENT OF BUILDING I LOCALITY FOR APPLICANT TO FILL IN NEAREST C CROSS ST NO EACH IEE C b S OWNER — RECEIPT MAIL LIGHT TOTAL FIRST 20 20 AODRESS SWITCH '2— OVER 20 10 CITY TEL NO PLANCHECK LIGHTING 11jj TOTAL FIRST 20 20 APPLICANT FIXTURES J_Af-_ OVER 20 10 ADDRESS RANGE_DRYER_WTR HTR CITY TEL NO 7` STA COOK_DISP IF A U CONTRACTOR L_ C 2( SPACE HTR _AIR COND ADDRESS CLOTHES WASH DISHWASH CITY la,,piry /� TEL NO - (� E_ FAN OTHER /.. 1 00 OV LICENSE NO �� > y CLASS C MOTORS TRANSFORMERS RATING I HERCeY ACRNOWLCDGE THAT I HAVE READ THIS APPLICATION IND HEATERS ETC HP KW KVA AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO IiWIT I ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING D — 1 1 DD 1 1 HERESY CERTIFY THAT I AM PROPERLY REGISTERED MID/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF } 1 — 10 3 OO CALIFORNIA OR THAT I THE LEGAL OWNER OF AND INTEND TO Cl_ RESIDE IN THE ASOVE E CNISE RE910ENTIAL P OPERTV O 10 - 50 5 00 () SIGNATURE 50 - 100 IODO OF PERMITTEE O 100 — SOD 1500 DISTRICT NOGROVP ZON PRO C ED OTUBEY W SIGN GAS SIGN AND ONE CIRCUIT 3 00 tTEMP OR Z MARQUEE ADDITIONAL CIRCUITS 1 00 S SERV ICE NOF OVER 600 VOLTS OR 200 AMP 2 00 OSERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTOR5 Sm ATLaE POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2 00 UTILITY CO NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE JOSEPH C ROOHAN SUPERVISING ELEC;Ukft ENGINEER PLAN CHECK VALIDATION CK SO 'ASN PERMIT VALIDATION CR M o CASH Q( S 7 0C- APR 22 2 D 7.2 ~ c SCC BACK OF APPLICATION FOR COMPLiTF FEE vCNFOVLF ;6AE63-GES001/70 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES _ DEPARTMENT OF COUNTY ENGINEER Bova INS BUILDING AND SAFETY DIVISION JOHN A LAMBIE COUNTY ENGINEER LOCALITY r COLEMAN W JENKINSt SUrCRINTIENDENT OF BUILDING NEAIRET FOR APPLICANT TO FILL IN CROSSS T OUTLETS NO EACH FEE OWNER �1,✓.lr $ $ �� RECEPT_ MAIL LIGHT_ TOTAL FIRST 20 Zp ADDRESS SWITCH_ OVER 2010 CITY AVI,1' TEL NO PLAN CHECK LIGHTING FIRST 20 Z0 APPLICANT TOTAL OVER 20 ADR ESS XTURES FI10 APPLIANCES CITY TEL NO PERMIT RANGE_DRYER_WTR HTR_ I APPLICANT STA COOK DISP F A U _ e / ADDRESS SPACE HTR AIR GOND CITY TEL NO CLOTHES WASH DISHWASH_ LICENSE NO CLASS FAN_OTHER / 100 ,pJl 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION (/ L� AND !TATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTOR! TRANSFORMERS RATIN 6 WITH ALL COUNTY ORDINANCES AND !TATE LAWS REGULATING IND HEATERS ETC HP KW KVA ELECTRICAL WIRING 91ZE S TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O - I 100 LICENSED AS REDUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEN TO I - 10 300 RESIDE IN THE AB DESCRREO RESIDENTIAL PROP RTY SIGNATURE D. 10 - 50 300 OF PERMITTEE O U 50 - 100 loop DISTRICTKO CLAS! 0 P ZO pE, PR C Y 1' 100 - 500 1300 ,�1 0 SIGN GAS SIGN AND ONE CIRCUIT 300 NOTES TUBE, OR W MARQUEE ADOITIONAL CIRCUITS 100 2 SERVI CENOT OVER 600 VOLTS OR 200 AMP 200 APPROVAL! DATE INSPECTOR'S SIOUWRE SERVICEOVER600 VOLTS OR 200AMP 300 TEMP POWER POLE TEMP SERVICE,POLE &APPURTENANCES 300 UNDERSLAB WORK TEMP LIGHT OR RECEPT SYSTEM 3W ROUGH CONDIUT WIRING FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTNORIZED PLAN CHECK FEE 1500. PERMIT FEE) UTILITY CO NOTIFIED PERMIT ISSUING FEE 200 �a 7 SUPPLEMENTARY PERMIT ISSUING FEE 100 FINAL JOSEPH C ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CX M o CASH PERMIT VALIDATION cK M o CASH - 15 0 1 2 2n IiAf 6 2 D 3.00- v SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE or WORKERS COMPENSATION DECLARATION',, •' > -108'1 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of conseni_to self CE 8066 i insure ora certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or Ft, ied copy thereof (Sec 3800 Lab C ) 4 Ocy Noom pony 1L\n FOR APPLICANT TO FILL IN JOB Certified ca a hereby furnished EACH NO FEE ADDRESS PY Y New Residential Bldgs 8 Pools s y _ = LOCALITY Certified copy is filed with the county budding mspec 1 8 2 Family Sq Ft tion department Multi family Sq Ft — NEAREST CROSS ST pQ ' `` s Residential Swimming Pools OWNER OR Dot contt« 'lGppii ©.SC tyy FIRM tJAME _ CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec!!2i_light_Sw_ ADDRESS COMPENSATION INSURANCE First 20 (This taction need not be completed if the work involved by Total No�_ Additional CIT s Tal No the permit Is for one hundred dollars ($100)or less ) RAN 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 CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP PERMIT _ NOTICE TO APPLICANT If after making this Certificate of APPLICANT Exemption you should become subject to the Workers Range_ Heater_D W _ _ 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_ ClTel No LICENSED CONTRACTORS DECLARATION LICENSE O I hereby affirm that I am licensed under provisions of Chapter 9 Drsp — Room Air Cond REG NUMBER Class "�Z• (commencing with Section 700D) of Division 3 of the Business DISTRICT NO / PROCESSED BY and Professions Code and my license is in full force and effect Power Apparatus 8 large Appliances Size 8 Type HP KW KVA or KVAR J �'�� co - License Number 208 1 L¢ Up to 1 Ind FINAL V Over 1 to 10 Incl DATE / _ _VALIDATION O Contractort!AC-%R �C�Date A-lks'*Z3 ❑ Over 10 to SO Incl H'FINAL tJ _ I am exempt under Sec Over 50 to 100 Inc BY w CIL B 8P C for this reason Over 100 to Seivices Swbd MCC 8 Ponelboords , Z Date 0 200 Amp Under 600 V Signature 201 1000 Amp Under 600V ❑ Over 1000 Amp or Over 600 V Exemption for Reg Moint Elect SINGLE FAMILY Temp Power Pole 8 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 Grcurts - rJ 3 7 A Law for the following reason (Section 7031 5 Business and , Professions Code) #}e e'e e is 2 Misc Conduits 8 Conductors off 1 as owner of the property do the work and the structure is not intended or offered for sola (SectionOther (Sae Complete Fee Schedule)— , 12 • • 1 2-0 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY see 1 2 010 6 - I hereby affirm that there is a construction lending agency for + 09 1 6-83 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sac 3097 Gv C ) , PLAN CHECKING FEE Lenders Name ��1�. PERMIT ISSUING FEE Lender s Address ` q 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 j ordinances and State jaws regulating Electrical wiring and hereby,Qutharthat' representatives of this County to enter upon + the ab Qlp mentio property for inspection purposes 1�IlA`s`Ay \V\ U-k SEE REVERSE FOR EXPLANATORY LANGUAGE t S-8_i Signature of Permittee Date