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Home My Public Portal About5602 PERSIMMON AVE_Electrical__ 76A663-CE806 3-64 APPLICATION FOR -ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS (J GlRr .JOHN A. LAMBIE, COUNTY ENGINEER � WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. e– �oc� RECEPT, TOTAL I NO. EACH FEE �Q t OUTL TS FIRST 20 Q 111 2O $ /9� ,OWNERs � LIGHT (/ '� MAIL o ADD'L0 10 D ADDRESS SWITCH. OVER 2 LIGHTING LA TTF1RST20 ,20 b CITY TEL.NO. FIXTURES rut ADD'L 0V9R 20 .f0 ELECTRICIAN 1 RANGES CLO.DRYERS NRR.HTRS. 1.00 ADDRESS ve oz GARB.DISP. STA.COOK CITYd DISHWASH. f AUTO.-WASH. STATE TEL.NO. SPACE HTRS. BTA.APP.(Va X.P.MAX.) .50 LICENSE NO. MOTORS, OVER —r7oT'pveR H.P. D!_SXRI Nff I G!r 2ZUE P D O 1 1.00 C1 s 1.50 INSPECTION RD t s S 2.00 ��2,4( - V B 1s 2.so _ N� _ lolA- p f5 so 9.00 I� E- _/� s0 100 5.00 _ a c� O. SIGNSS NO.TRANS. fq Z NO.LAMPS C_4I' .. s L C 1f A. A SERVICE O.GOOV.Ncrr OVER 200A 1.00 a' ' f*LL ABY SEWICE O-SOOV-OVER 200 A. 12.00 I r ^ SERVICE OVER 600V 5.00 MISC. 'OSE S I_ S 00 1VAI Ls 7TH PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 - TOTAL FEE O e 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INBPECTOR'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 �.s•, l.." f 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESID TIAL-PROPERTY. POWER r e SIGNATURE UTILITY CO.NOTIFIED >1 Ia a P OF PERMITTED FINAL VALIDATION ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER i..�HIJCj ,7 G U Z-3 FEB 1 S- 2 D 1 06 0 it 76A669-CE606 9-84. APPLICATION FOR EL CTRICAL PE MIT CtbUNTY'OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS. 6� .JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALI NEAREST FOR APPLICANT TO FILL IN cRoss ST RECEPT. TOTALNO. EACH FEE LIGHT OUTLETS FIRST 20 S 20 $ OWNE MAIL ADO'L .f0 ADDRESS SWITCH. OVER 20 / TOTAL CI TEL.NO. LIGHTING t F1R5T 20 .20 FIXTURES _ AOD'L. 10 ELECTRICIAN OVFR 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. .STA.COOK CITY V TEL.NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. 8TA.APP.(ya X.P.MAX.)' .50 mm LICENSE NO. MOTORS: OVER NOT OVER H.P. DIST�21CT !EPI mk NE P CESSED B 0 1 1.00 D1 9. 1.50 INSPECTION RECRD S S 2.00 0 8 is 2.50 15 BO 9.00 O 50 100 5.00 V W SIGNS: NO.TRANS. N NO.LAMPS Z SERVICE 0.600V.NoT OVER 200A 1.001 1 SERVICE 0.600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 1 S HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR' SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMP_LY�_ CONDUIT WITH ALL COUNTY ORDINANCES•AND STATE LAWS REGULATI G ELECTRICAL WIRING. WIRING I HEREBY.CERTIFY THAT 1 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 TOVE DESCRIBED RE ENTIAL PROPERTY. P RESIDE IN, THE AB OWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL LIDATION JOSEPI(C. ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER 91 7 8 E NAR 4 2 •D 3.00- S ON 1 hereby.affimWORKER'SI veMa certificate of consentIto Self insure, 76Aa69 DPW f12-91, APPLICATION FOR ELECTRICAL PERMIT 78A683 or a cVr Pleats 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.) r Policy NO Company-= ��/Cl FOR APPLICANT TO FILL IN JOB ADDRESS V t✓O'�� -� Certified copy is hereby furnished. New Residential Bldgs.&Pools NO.I EACH FEE LOCALITY ❑ 1 &2-Family,Sq.Ft. — $ $ Certified copy is filed with the cou�bulldlnaction _ NEAREST department. Multi-family Sq.Ft. CROSS ST. G 0 Applicant Residential Swimming Pools ASSESSOR Date MAP BOOK PAGE PARCEL CERTIFICATE OF EX ION FROM W ERS' Outlets:Ree._Light SW. � FIRM NAME COMPENSATION INSURANCE First 20 (This section need not be completed If the work Involved by the ADDRESS permit is for one hundred dollars($100)or less.) Total No. Additional I certify that in the performance of the work for which this permit CITY Tel.No. 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 Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY TeL No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. / provisions of the Labor Code,you must forthwith comply with such APPLICANT 6 provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances LICENSED CONTRACTORS DECLARATION Size&Type KW,KV �JQ/AR D ADDRESS 51d � Ate/ 194 � I hereby affirm that I am licensed under provisions of Chapter 9 (��TT,� (commencing with Section 7000)of Division 3 of the Business and Ove t 1 ncl. CITY��0� Tel. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. ,f� LICENSE OR `7 Class e7 2Cj } Over 50 to 100 Incl. REG.NUMBER d 6-90License Number Lia Class Over 100 DISTRICT NO. P O SED BY 0 / V /� �i�� Services,Swbd.,MCC&Panelboards Contracto��!� �;" 609 Date ' 0-399 Amp.Under 600 V DATE 0 F1 I am exempt under Sec. 400-1000 Amp.Under 600 Vl Over 1000 Amp.or Over 600 V _� p VALIDATION W B.&P.C.for this reason BY AL I L BRANCH CIRCUIT FEES (n Date: 15A,or 20A,120V,Lighting or Recept. Z_ 1 To 10 Branch Circuits I IV Signature 11 To 40 Branch Circuits 7 F141 Or More Branch Circuits +L Exemption for Reg.Maint.Elect. 15A,20A,208V To 2M Lighting Br.Circuits ACCT e 1r SINGLE FAMILY Temp.Power Pole&Appurtenances 3303 48.70 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 1 ITEMS hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits TOTAL -�_ � Code): ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors CHECK 4U°70 is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) poll'. CHANGE .00 and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the [)ogg—0001 3/28/96 performance of the work for which this permit is issued(Sec. 3097, PERMIT FEE (Sub-Total) 5588 1 PSI 6 15 Civ.C.) _ PLA*-e`EeKt dG PEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application d under penalty of purjury state TOTAL FEE that the above information is correct. agree to comply with all County ordinances and State laws regulatinovIctrical wiring,and hereby authorize representatives oft Cc to r upon the above-mentioned property r in ecti o SEE REVERSE FOR EXPLANATORY LANGUAGE NATURE OF PERMI E DATE