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Home My Public Portal About4846 RIO HONDO AVE_Electrical__ .76ASS3 DES SA 11-50 A-VMCATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY W4 COUNTY OF LOS ANGELESELECTRL%.O WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUPI ZONE PERMIT NO. S-- IMA3 ELECTRICIAN R. F. Walton RECEIVED BY READY FOR DATE ISSUED ADDRESS 5134 -Na Aoftela, Ste FIRST INSPECTION CITY San Gabo TEL. No&T 68583 COUNTY LICENSE O. 1104: EXPIRES — BUILDADDRESSINHondo G 4846 Rio Avea PERMIT FEES FEE Temple City NUMBER. EACH LOCALITY LIGHT OUTLETS 9 NEAREST CROSS ST. RECEPTACLES 16 Turner Homes WALL SWITCHES 16 OWNER TOTAL OUTLETS 41 Sc S 2105 MAIL ELEC. RANGES as ADDRF-86 ELEC. HEATERS 25 — CITY TEL. NO. FIXTURESS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. 4� APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NUMB HORSEPOWER FEE OF THE RESIDENTIAL PROPTYDESCRIBED ABOVE. N--13-1 M. HPOVER 'INC. EACN /412 8 LESS .2S SIGNATURE OF PERMITTE 1/2 2 .90 a 5 1.00 INSPECTION RECORD Is 1.50 15 so P-0 so so 200 9.00-- 200 500 10.00 soo 1000 15.00 z OVER 1000 20.00 M. G.SET/FREQ. CHANGER-HP 0 WELDERS-AC-KVA GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%GFORIG.) MOVED MOTORS (75%OF ORIG.) MISC. SIGNS NO. NO.TRANS. —APPROVALS NO. NO.LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: CONDUIT WIRING $1.00 1 00 /J/ WIRING Zen,-1, 77 W �'2A 6 FIXTURES $1.00 00 FIXTURIRING ES -SUPPLEMENTARY .50 4 75 POWER TOTAL FEE $ UTILITY CO. NOTIFIED 10 . FINAL WORKER'S'COMPENSATION DECLARATION I 76AS6G (2-80) APPLICATION FOR E(ECTRICAL ,PERMIT - I hereby affirm that I have a certificate of.consent to self COUNTY OF LOS ANGELES 1. BUILDING AND SAFETY insure,qr,a certificate of Workers'Compensation Insurance;or a certified copy thereof(Sec..3800,Lab.C.) Policy No. CompanFOR APPLICANT TO FILL IN JOB �[L � �. (� y EACH NO, FEE ADDRESS rO !�J d �r11�0 New Residential Bldgs.&Pools ❑ Certified copy is hereby furnished. 1 &2-Family.Sq. Ft. $ — $ LOCALITY ❑ Certified co p , Multi-family Sq.Ft. — EAREST py,is filed with the county building ins ection ROSS ST Lower z4 S1* department. Residential Swimming Pools OWNER OR ' - yQ FIRM NAME RE AI () Date Applicant Outlets: Rec.—Light Sw. I MAIL ``'' First 20 ADDRESS N•�• �417�Q CERTIFICATE OF EXEMPTION FROM WORKERS' I Total No. Additional CITY _ /E6Jy Tel No. � COMPENSATION INSURANCE LAN CHECK cL (This section need not be completed U the work involved 'f APPLICANT Li by the permit is for one hundred 'dollars. ($100) or less.) +1 ghting Fixtures First 20 . ADDRESS V Total No. Additional Cc I certify that in the.performance of the work for which thisI CITY Tel No. O permit is issued, I shall not employ any person in any manner Fixed Appliances Not Over 1 HP i PERMIT U so as to become subject to.the Workers'Compensation Laws. Range_Heater_D.W. _ APPLICANT W 1 i a � .Oven _ Dryer_W.M._ ADDRESS' CA " •Date Applicant l Top _ FAU _W.H. ' CITY Tel No. Z Hood _ Fan _OtherCITY TO APPLICANT: If, after making this Certificate of ' Disp. _Room Air Cond— LICENSE OR Exemption; you should become subject to the Workers' i REG.NUMBER Class 'Compensation provisions of the Labor Code,you must forth- Power Apparatus&Large Appliances DISTRICT NO. _ PROCESSED BY with comply with such provisions or this permit shall be deemed revoked.' I Size&Type HP,KW,KVA,or KVAR Up to 1 Inc(. FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE Over 10 to 50 Incl. 2VALIDATION - I hereby affirm that I am licensed under provisions of Chapter I Over 50 to 100 Inc. I FINAL — 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY ness and Professions.Code,:and my license.is in full.force and i effect. Services 0-200 Amp.Under 600 V �• License Number Lic.Class 201-1000 Amp.Under 600 V Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION I Temp.Power Pole&Appurtenances Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's g s {�. 2 A' License Law for the following reason (Section.7031.5, Busi- Additional Sign Branch Circuits ness and Paofessions Code): # o o'o o .o \ Misc.Conduits&Conductors ❑ I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— 0. 0 2 5 Q structure is not intended or offered for sale (Section 7044,Business and Professions Code). i 0 0 - 235010 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Q E•2 Q—8112 issued(Sec.3Q97,Civ.C.). PERMIT FEE (Sub-Total) Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE .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 ordinances and State laws regulating Electrical wiring, and ' hereby authorize representativell of this County.to enter upon I i the abo e-mentioned property for ins.pectibn purposes. SEE`REVERSE FOR EXPLANATORY LANGUAGE Signatur&Jof Permittee Date ( i wtiRKERS'CgMPENSATION DECLARATION 76A663 10,81 APPLICATION FOR. ELECTRICAL PERMIT I hereby affirm that I have a cehificare of cons8nt to sell" I E-BtMG V. insure, or a gertificate•iof Workers'Cbmpensation4nsuspnce, COUNTY OF LOS ANGELES �� C BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB Certified co is hereby furnished. EACH NO. FEE ADDRESS U/�! PY Y New Residential Bldgs. 8 Pools LOCALITY � Certified co is filed with the count building p 1 8 2-Famil copy' y gins ec- Y, Sq. Ft. 'NEAREST � tion department. Multi-family Sq. Ft. Residential.Swimming Pools, CROSS ST. - Date Applicant OWNER OR �' FIRM NAME CERTIFICATE OF,EXEMPTION FROM WORKERS' Outlets: Re�J Li ht�Swf ( MAIL � COMPENSATION INSURANCE g' �� ADDRESS (This section need not be completed if the work Involved by First 20 the permit is for one hundred dollars(5100)or less.) Total No. Additional O ro CITY Tel. No that in the performance of the work for which this PLAN CHECK 1 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 ti ADDRESS Total No. Additional Date pplicafft CITY T. No. NOTICE TO APPLICANT: If, of er .making this Certificate o Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Range_ Heater_D.W. APPLICANT c Compensation provisions of the Labor Code, you must forth- Oven —Dryer _W.M.— ADDRESS d with comply with such.provisions or this permit shall be Top, _ FAU —W.H. — deemed revoked.,. - Hood _Fan _Other_ CIN a C�77 T.I. Noc, LICENSED CONTRACTORS DECLARATION 'LICENSE OR Room Air Cond. _ I hereby affirm that I am licensed under provisions of Chapter 9 Disp. REG. NUMBER Class. (commencing with Section 7000)of Division 3 of the Busine•ss power Apparatus 8Large Appliances DISTRICT NO. PROCES BY, and Professions Code,and my license is in full force and effect. r G� Size 8 Type HP, KW, KVA, or KVAR' J i License Number Lic. Class . Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE ✓ �j 0 Contractor Date C VALIDATION O ❑ Over 10 to 50 Incl. FINAL I am exempt under Sec. Over 50 to 100 Inc. BY lu 1. 100 tH i B.BP.C. for this reason Over poloZ Date.: Services, Swbd., MCC 8 Panelboards 0 -200,Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V i ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILYr i Temp. Power Pole 8 Appurtenances --�S 7. r, �A HOME OWNER-BUILDER DECLARATION �% 0 0 0 0 0 ? I hSign.with One Branch Circuit ereby affirm that I am exempt from the Contractor's License SignAddiwith Sign Branch Circuits o 0 Law for the following reason (Section 7031.5, Business and rcus J 6 00 EProfe ions Code): ' lJ 'I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors J r, o Fo structure is 'not intended or offered for sale (Section ! Other(See Complete Fee Schedule)_ , �, C 0, 11 7044, Business and Professions Code). 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 FEE (Sub-Total) (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 I TOTAL FEE �! 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-men'on erty for inspection p .pose . �' SEE REVERSE FOR EXPLANATORY LANGUAGE Signature f'Permittee Date f