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Home My Public Portal About6032 RENO AVE_Electrical__ 76A689 CE-8 9/76 APPLICATION FOR ELECTR(CAL PERMIT 0 COUNTY OF LOS ANGELES y� DEPARTMENT OF COUNTY ENGINEER FADDRESS BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN TY New Residential Bldgs.&Pools EACH NO. FEE T1 &2-Family;Sq.Ft. $ .025 — $ ,/ „ tMulti-family Sq.Ft. -02 — FIRM O E /t') /��GW Residential Swimming Pools MAIL �d3 Z G'Jo x;00 ADDRESS Outlets:Rec Llght_Sw. _ CITY 71S-11” o— Tel.No.4,,;�2'7 First 20 .50 PLAN CHECK Total No. Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY ,y ,Tel.No. Total No. Additional 30 APPLICANT Fixed Appliances Not Over 1 HP ADDRESS Range_Heater_D.W._ CITY z u Tel.No. 2 Oven_Dryer_W.M. LICENSE OR Top —FAU —W.H._ REG.NUMBER Class.CS Hood_Fan _Other— _-•So I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp. — Room Air Cond. '�1�'8' THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN• ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size&Type HP,KW,KVA,or KVAR -..Sv I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Up to 1 Incl. THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENT AL PROPERTY. �— Over 1 to 10 Incl. 5.00 Over 10 to 50 Incl.J.2.SV PERMITTEE 9 Over 50 to 100 InLa-w.00 2ftu SIGNATURE Over 100 4O.&D mao DISTRICT NO. P Services 0.200 Amp.Under 600 V 12.50 INSPECTOR'S 201.1000 Amp.Under 600 V 25.00 APPROVALS DTE SIGNATURE Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE Temp.Power Pole&Appurtenances 10.00 UNDERSLAB WORK Sign with One Branch Circuit 10.00 2.00 WIRING ROUGH CONDUIT r. Additional Sign Branch Circuits ��. Misc.Conduits&Conductors FIXTURES Other(See Complete Fee Schedule) POWER AUTHORIZED UTILITY CO.NOTIFIED 14 FINAL PERMIT FEE ISub•Total) NOTES s-2 j B Nb)A'6- PLAN CHECKING FEE (One-Fourth Permit Fee) PERMIT ISSUING FEE , 7 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDAT1 .,CK. M.O. CASH (9:" 1?4L__11j 9. 76 S 9,97� 3 7 9�JIAY 10 2 D_ 3 2.0 0 o'jb SEE BACK OF APPLICATION FOR MPLETE SCHEDULE ®s 7GAG68-cE000 1074 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES •DEPARTMENT OF COUNTY ENGINEER FNEAREST �jQ� BUILDING AND SAFETY DIVISION TY I �'�� CA LI rr aa�� J� FOR APPLICANT TO FILL IN CROSS ST, lL7ftl D OUTLETS N0. EACH FEE OWNER OR FIRM NAME RECEPA& S $ MAIL LIGHT TOTAL FIRST 20 25 ADDRESS SWITCH .�_ OVER 20 10 CITY TEL. NO. PLAN CHECK �^»f LIGHTING TOTAL FIRST 20 .25 APPLICANT ' } OVER 20 ADDRESS � (� ! FIXTURES J .10 RESIDENTIAL APPLIANCES CITY IC_ TEL. NO PERMIT �e RANGE DRYER_WTR. HTR. APPLICANT 'bb STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE OR REG. NUMBER 2 CLASS. FAN � OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I 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. SIZE & TYPE OVER TO 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O - 1 1.00 LICENSED AS REQUIRED BY LOS ANGE ES COUNTY AND STATE OF y CALIFORNIA OR THAT I A�)'.JR E LEG L OWNER OF THE ABOVE C7 1 - 10 3.00 DESCRIBED RE IDE NTIAL ETY. C3PERMITEE 10 - 50 5.00 SIGNATUREco V 50 - 100 10A0 DISTRICT 0. PROCESSED BY y 100 - 500 15.00 'J SIGN, GASSIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPEC 'S SIGNATURE TUBE, OR . MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE,&APPURTENANCES 5.00 WIRING —i3.2 TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED !e FINAL PERMIT FEE (SUB TOTAL) NOTES: v PLAN CHECK FEE PERMIT ISSUING FEE 3.00. TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.D. CASH 5 0 0 SEP 4 2 0 1 9.6 0 A% SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A669C—•CE666B ,z/,S! APPLICATION FOR tLECTRICAL. PERMIT BUILD.ING D SAFETY D-IVISIO FOR APPLICANT TO PILL IN JOB ADDRESS 'V,'q z New Residential Bldgs.&Pools EACH NO. FEE - 1 &2 Finally Sq. Ft. $ — $ LOCALITY Multi-family Sq.'Ft. — N.E:ARE.ST CROSS ST. Residential'Swimming Pools OWNER.OR FI RM.NAME Outlets: Light,Switch&Receptacle MAIL - First 20 ADDRESS Additibnal CITY Tel. NoaZF7,,q7 ' PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel'.No. PERMI Fixed Appliances Not Over 1 HP APPLICANT Range'_ Heater_ D.W. — ADDRESS �[.. Oven Dryer_ W.M: Top _ FAU _ W.H. _ CITY' a Tel. No. Hood Fan LICENSE OR REG'.NUMBER. 1,94a "IS. Class Disp. _ A.C. _. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE.READ THIS APPLICATION Power Apparatus& Large Appliances AND STATE THAT 411E ABOVE IS CORRECT AND AGREE TO COMPLY 01 wITH: ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I-- Size&T ELECTRICAL WIRING. Type HP., KW,KVA�or KVAR _ a Upto I Incl. 1HEREBY.'CERTIFY THAT I AM PROPERLY REGISTERED ANOfOR Over 11 to.10 I.ncl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORIIIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PROPERTY. Over 50 to 100 Incl. PE ITEE Over 100 SIO 'sT'iRE 9 DISTRICT NO. PRO: SSED. Services - t 0-200 Amp. Under 600 V e Q 201 -1000 Amp.Under 600 V APPROVAL$ DATE I ECTOR'S IGNATURE Over 1000 Amp.or Over 600'V TEMP.POWER POLE Temp. Power Pole&Appurtenances UNDE_RSLAB WORK _ Sign with Orie.Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING. FI'XTU'RES POWER AUTHORIZED. PERMIT FEE. (Sub-Total) U:TI:LITY'CO.NOTIFIED PLAN CHECKING FEE (One-Fourth.Permit Fee) FI'NA.L � �7 _ Z1p . PERMIT ISSUING FEE NOTES TOTAL FEE CASH PERMIT VALIDATION CK. M.O. CASH XICY HOLDER: 5 9 8rmFEB 9 2 0 9.0 0 )LICY 1!lCINIBERe �S-3 7 >�l r WORKER'S COMPENSATION DECLARATION 20.0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, 76A663 or a certificate 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.) Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS Z— Ile 4 kt,03 Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY ❑ $ $Ft Sq. . — Certified copy is filed with the county building inspection 1 &2-Family, _ NEAREST department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' / t% /C OWNER OR COMPENSATION INSURANCE Outlets:Rec. Light Sw. FIRM NAME it .�lpV First 20 MAIL , (This section need not be completed If the work involved by the Total No. Additional ADDRESS 7i fi . permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY B G'�. 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 rr�� 1 f4�r Total No. Additional ADDRESS Date ?��L wiicant �'��f'� ' 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 PERMIT •� provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances { iA LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000)of Division 3 of the Business and Over 10 to 50 Incl. CITY✓� d Tel.No. �l Professions Code,and my license is in full force and effect. LICENSE OR >_Over 50 to 100 Incl. REG.NUMBER 'Z 2, 6 Class. d Over 100 DISTRICT NO. P OC SED BY License Number l� �7. Lic.Class O Services,Swbd.,MCC&Panelboards j Z Contractor Date 0-399 Amp.Under 600 V DATE 7 0 F1400-1000 Amp.Under 600 V I am exempt under Sec. FINAL _ VALIDATION d Over 1000 Amp.or Over 600 V B.&P.C.for this reasonBRANCH CIRCUIT FEES BY Z Dat : 15A,or 20A,120V,Lighting or Recept. 1 To 10 Branch Circuits Signature ea 11 To 40 Branch Circuits 41 Or More Branch Circuits ❑ Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits S _ �_�; 2 SINGLE FAMILY Temp.Power Pole&AppurtenancesR ;,g HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 3307 26.45 I 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 Code): 1 ITEMS ❑ 1,as owner of the property,will do the work and the structure Misc.Conduits&Conductors TOTAL 26.45 is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) teS and Professions Code). CHECK 26.45 CONSTRUCTION LENDING AGENCY CHANGE ,00 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 6740 1 AM100-5Gi PERMIT ISSUING FEE .�� Lender's Address / I certify that I have read this application and under penalty of purjury state TOTAL FEE that the 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 the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTEE DATE