The URL can be used to link to this page

Home My Public Portal About6218 RENO AVE_Electrical__ 78A889 CB 8887: 10,7' APPLICATION FOR ELE Y TRICAL PERMIT ! COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST .�5 BUILDING AND SAFETY DIVISION SS r _ FOR APPLICANT TO FILL IN T� New Residential Bldgs.&Pools EACH NO. FEE 1 &2-Family,Sq.Ft. $ •025 — $ OWNER OR Multi-family Sq.Ft. •02 — FIRM NAME .Residential Swimming Pools 25.00 MAIL // ADDRE 'L SS Outlets:Rec LightSw. CITY Tel.No '�C First 20 -50 PPLAN CHECK Total No. Additional .30 1 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tel.No. Total No. _L Additional .30 PERMIT APPLICANT]3;gMC/ Fixed Appliances Not Over 1 HP ADDRESS b' Range_Heater_D:W.— CIl'� Tel.No.S7q—Sg 4-1 Oven_Dryer_W.M. LICENSE OR Top —FAU —W.H. REG.NUMBER I 3 Class. 00 Hood-Fan _Other_ I HEREBY.ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp. Room Air Cond. 2.50 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 I HEREBY CERTIFY'T T I AM PROPERLY R ERED AND/OR LICENSED AS REQUIRED BY AN OUNTY AND STAT F CALIFORNIA OR.THAT I AM Up to 1 Incl. 2.50 THE LEGAL O ER OF THA OVE DESCRIBED R ENTIAL PROPERTY. CD Over 1 to 10 Ind. 5.00. CA Over 10 to 50 Incl. 12.50 PERMITTEE C Over 50 to 100 Inc. 25.00 SIGNATURE Over 100 40.00 DISTRICT NO. P167 B a Services 0.200 Amp.Under 600 V 12.50 9 INSPECTOR'S 201.1000 Amp.Under 600 V 25.00 APPROVALS DATE SIGNATURE Over I000:Amp.or Over 600 V 50.00 TEMP.POWER POLE UNDERSLAB WORK Temp.Power Pole&Appurtenances 10.00 Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Cir t 2.00 WIRING Misc.Conduits&Conduct0ors' 10.00 FIXTURES Other(See Complete Fee Schedule) POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL PERMIT FEE (Sub-Total)- .NOTES PLAN-CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE $7.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH P V LIDATION CK: M.O. CASH 2 Q• +�9MAY ,2 r.Q 0.d15c . SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKER'S COMPENSATION DECLARATION 20-00S6193 0. 0011,9 DPW(12-91) I hereby affirm that I have a certificate of consent to self Insure, APPLICATION FOR ELECTRICAL PERMIT or a certificate oft�Vorker's Compensation Insurance , or a certifietlCOUNTY OF LOS ANGELES DEPT:OF PUBLIC WORKS BUILDING AND SAFETY-DIV.. copy the}eof(Sec,3.800 Lab..C.) I Policy No. Company FOR APPLICANT TO FILL IN ADDRE33 ``,, Certified copy is herebyfurnished. NO. � EACH FEE V / u� New Residential'Bldge.&Pools _ $ $ LOCALITY Z 1 &2-Family,Sq.Ft... W r Ave Certified copy is filed with the county building inspection _ NEAREST department.. Multi-family Sq.Ft, CROSS ST. Date A, licant Residential Swimming Pools ASSESSOR PP 'f .MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' �Light � F RM NAME O Vl ' (,�, I�GcvV COMPENSATION INSURANCE Outlets:Rec._ g S 20 I First 20 MAIL (This section need not be completed If the work Involved„by the /� �, ADDRESS. 67 V . perleft is for one hundred dollars($100)or less.) Total No._ t— 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. Lighting,Fixtures First 20 APPLICANT become:sutiject to the Workers'Compensation Laws. 9. 9' _ Total No:. A Additional' ADDRESS Date Applicant Dn11 � Q RESIDENTIAL API'CIR S 0 OR.3 HP. NOTICE TO APPLICANT.: IF, after making this Certificate of CITY rel: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 Y. APPLICANT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances - LIC_ENSED CONTRACTORS DECLARATION Size&Type,.HP,KW,KVA,or WAR ADDRESS I hereby affirm that I am licensed under provisions of.''Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Over,3 to 10 Incl. CITY Tel..No: Professions Code,and m-Y license Is in full force.and.effect. Over 10 to 50 Incl.. LICENSE OR Class. Over 50 t0 100 Incl, REG.NUMBER d License Number Over 100: DISTRICT NO. PROCES By. O - ,... - Lic.Class I Services;Swbd'.,.MCC&'Panelboards ' FINAL Q Date u 0-399•Amp.Under 800 V DATE..(,? Contractor, Q 400-1000 Amp.Under 600 V ~ VALIDATION W I am exempt under Sec. - Over 1000 Amp,or Over 600 V FINAL B':&P.C,for this reason BRANCH CIRCUIT FEES cc O. B Q Date: 15A,or 20A,1200,Lighting or Recept. l!//' Z r 1 To 10 Branch Circuits Signature 11 To 40 Branch'Circuits El 41:Or More Branch Circuits Exemption for R.eg.Maint.Elect. 15A',213X,20 VV To 277V Lighting Br.Circuits 2 SINGLE FAMILY Temp:Power Pole&Appurtenances ACCT.' HOME OWNER-BUILDER DECLARATION Sign with. Branch.Circuit I hereby affirm that.I am exempt from the•Contractor's License Law 3303 88.35 for the'following reason (Section'7031..5, Business and Professions Additional Sign Branch-Circuits. Code): 1 ITEMS Misc.Cdndui4s&Conductors TOTAL 88. 3- I,as owner of the property,will do the work and the structure o is not:intended or offered for sale(Section 70.44, Bu,iness - Other(See Complete Fee Schedule) and Professions'Code). poll. CHECK 88.35 CONSTRUCTION LENDING.AGENCY CHANGE .00 I hereby affirm that there is a constructlon lending agency(or the performance of the work for which this permit is issued (Sec.3097, PERMIT FEE (Sub-Total Civ:C:) ) 0000-0001 8/ 5/96 - PLAN CHECKING FEE Lender's Name-.. 7822 1 PM 5:30 PERMIT ISSUING FEE Lendoes Address.-. . I certify that I have:read this application an under penalty of purjury state TOTAL FEE 80:3 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 fiaNNTUR. purposes. (( (Qf.. SEE REVERSE FOR EXPLANATORY LANGUAGE. Jt v�SER E: V DATE ' I WORKERS'COMPENSATION DECLARATION I 76A663 APPLICATION 3/87 APPLICATION FOR ELECTRICAL PERMIT O affirm that I have a certificate of consent to self 7d406 CE-8066 certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS brtrtr{�d copy thereof(Sec. 3800, Lob. C.) 66 Pblicy No. Company FOR APPLICANT TO FILL IN JOB ❑Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS (�/I ❑Certified copy is filed with the county building inspec- 1 8 2-Family, Sq. Ft. $ — $ LOCALITY tion department. Multi-family Sq. Ft. — NEAREST CROSS ST. Date Applicant Residential Swimming Pools OWNER OR FIRM NAME C CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec�li ht4irst Sw..� MAIL COMPENSATION INSURANCE g C) ) (�(' ADDRESS f' - (This section need not be completed if the work involved by � ti CITY -� Tel. No. } / the permit is for one hundred dollars($100)or less.) Total No. Additional L O ��t� J that in the performance of the work for which this PLAN CHECK PF I certify p 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 20 430 ADDRESS ./ Total No.� Additional CITY Tel. No. Date �klhc Applicant , Fixed Appliances Not Over 1 HP PERMIT NOTICE O PLI ANT: If, after ng this Certificate o APPLICATION Exemption, you should become ,,SS bject to the Workers' Range— Heater—D.W. — Compensation provisions of the L 5or Code, you must forth- Oven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top — FAU W.H. — ppT deemed revoked. CITY f� of Tel. No. LICENSED CONTRACTORS DECLARATION Hood — Fan Other— ��/��' K Disp. Room Air Cond. j CIL, LICENSE M Class. 1 hereby affirm that I am licensed under provisions of Chapter 9 - REG. NUMBER D t� (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PRO d and Professions Code,and my license is in full force and effect.tL ^ G� O jn Size 8 Type HP, KW, KVA, or KVAR V License Number Lic. Class C-10 Up to 1 Incl. CI0 FINAL.-� /f �� r yy i -• Over 1 to 10 Incl. DATE `r � �� SGS=d'jC�dl, .�' —r�-"f / '� VALIDAT ON 0 Contractor to Over 10 to 50 Incl. FINAL U E-1I am exempt under Sec. Over 50 to 100 Inc. BY dl� WB.BP.C. for this reason Over 100 /((// _ IL Service Swbd., MCC&Panelboard _ _ Z Date: r• Z 200 Am Under 600 V 11 Signature o'201 - 1000 Amp. Under 600 V - r ❑ __ Exemption for Reg. Mainf. Elect. Over 1000 Amp. or Over 600 V % •r.•,4`•ti SINGLE FAMILY Tem Power Pole&Appurtenances i a "+..t�+ HOME OWNER-BUILDER DECLARATION p' Ci :•-I.AL -� ° s •''-� I herebyaffirm that I am exempt from the Contractor's License Sign with One Branch Circuit Law fothe following reason(Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): -hyf� ,•,?. ❑ I, as owner of the property, will do the work and the I Misc. Conduits&Conductors structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)_ Business and Professions Code). I .::t. �:•=li •=f - CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEET (Sub-Total) 30 (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE i ,'�� 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-mentionedpropertyfor inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE �" ' t 7 ,�O w I 8S Sionat of Permittee I Ddtel