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HomeMy Public PortalAbout6033 ROWLAND AVE_Electrical__ 0 76A663-c2"�9-_"�PPLICA TIO ORifirTl PERMIT ��l COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS ® L✓ I Cl� JOHN A. LAMBIE, COUNTY ENGINEER J +/`_ COLEMAN W. JENKINS, SUP'T. OF BUILDING LOCALITY 'e-L&. `� C l�y NEAREST FOR APPLICANT TO FILL IN CROSS ST. ZrJCQ �V V REC EPT. TOTAL NO. EACH FEE LL LIGHT OUTLETS FIRST 20 ffi 2O $ OWNERPIS-(, J.4C k-jr b MAIL C�UA� ADD'L 10 ADDRESS J SWITCH. OVER 20 LIGHTING 1 TOTAL i FIRST 20 .20 CITY ,(� TEL.NO. FIXTURES l} _ ADO'L .1O ELECTRICIAN J11ZK 1- H"4,Le OVER 20 �7 ��A y. RANGES CLO.DRYERS WTR.HTRS. Loo ADDRESS / 7 4 a s Ci 0 e 6. q✓e-. GARB.DISP. STA.COOK CITY O "141.Qa C TEL.NO. � .6.0 DISHWASH. AUTO.-WASH. STATE r7 L SPACE HTRS. BTA.APP.(V$H.P.MAX.) .50 LICENSE NO. fes, MOTORS: OVER NOT OVER H.P. DIST CT G . P ZON P FTD BY O 1 1.00 Q 1 3 1.50 INSPECTION RECORD 3 s 2.00 a O s is 2.50 V 15 50 3.00 oe so 100 5.00 O SIGNS: NO.TRANS. 3 NO.LAMPS rA Z SERVICE 0.60OV-NOT OVER 200A 1.00 SERVICE O-SOOV-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 HEREBY ACKMQ.WLEDGE THAT 1 HAVE READ THIS APP ICATION APPROVALS DATE INSPECTOR' SIGNATURE AND STATE THAT TNB ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL -COUNTY ORDINANCES AND STATE LAWS REGULATING _ ELECTRICAL WIRING. WIRING 1 oE HEREBY.CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES r •� •Y � ` LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF w„ CALIFORNIA OR THAT 1 THE LEGAL OWNER AND INTEND TO RESIDE IN,THE ABOVE D CRIBED RE DENT OPERTY. POWER /N/�,� SIGNATURE UTILITY CO.NOTIFIED dl 1m OF PERMITTE FINAL / MLIDATION JOSEPH C. ROOHAN (CK, MO CASH SUPERVISING ELECTRICAL ENGINEER. LhUo 4 5 0 ?,.o SEP 1 2 D 4.2 0^' ca U"°IIII-`81106'-50 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS O Cel JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST IPEMCT FEES CROSS ST. ITEM NUMBER I EACH FEE OWNER OUTLETS: • MAIL LIGHTS REPT SW. 10 ADDRESS LIGHTING FIXTURES .10 CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .50 ADDRESS . ELEC.SPACE HTRS. DISHWASHERS CITY TEL,NO. GARBAGE DISPOSERSL�AU70.- STATE v- 2 WASHERS STA.COOKING UNITS .25 LICENSE NO. nCP +J MOTORS: OVER INC. H.P. DISTRICT NO. (GROUP ZiO,.A�E P OCES BY o— 1/2 .28 va- 2 50 INSPECTION BECOBD 2— 5 1.00 5— i8 1.50 i5-- SO 2.50 50-200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT 5o TOTAL FEE S I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE 1NSP�CT R'S SIGNATURE ' AND STATE THAT THE ABOVE IS CORRECT AND,AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND SPATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THIS LEGAL WNER OF THE ABOVE 10011) DESCRIBED RESIDENTIAL FROPER7Y. POWER ol SIGNATURE UTILITY CO.NOTIFIED /9 a "-.� OF PERMITTE 9p IONCASH SUPERYISiNG ELECTRICAL ENGINEER K O CASH "�'0 6 8 0 3 OCT 3 0 2 A 1A5 WORKERS'COMPENSATION DECLARATION 78-883 10/87 APPLICATION FOR ELECTRICAL PERMIT Q,gwelp of rm that I have a certificate,of consent to self insure, CE-8o8G a certifbate of Workers' Compensations Insurance, or a certified COUNTY OF LOS ANGELES BUILDING A14D SAFETY copy thereof(Sec.3800,Lab.G) 7 Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO.I FEE $ _ ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. $ LOCALITY 7, " 446 E L5, department. Multi-family Sq.Ft. NEARESTCROSS ST. 67f Date Applicant Residential Swimming Pools OWNER OR / L [� FIRM NAME ' .A A V CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec Lb Light_I�Sw. �Y AD RESS a COMPENSATION INSURANCE First 20 > (This section need not be completed if the work Involved by the Total No. Additional CITY Tel.Noa7 J permit is for one hundred dollars($100)or less.) PLAN CHECK I certify that in the performance of the work for which this permit APPLICANT is issued, I shall not employ any person in any manner so as to become subject to the Workers'*amaking n La �� Lighting Fixtures First 20 ADDRESS 7 � Total No. 7� Additional CITY Tel.No. Date S//_/ ApplicFixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: y,/ this Certificate of 1 Exemption,you should becoge subjlzct to the Workers'Compensation Range_ Heater D.W. _ APPLICANT provisions of the Labor Cod�G must forthwith comply with such Oven _ DryerW.M._ ADDRES VV provisions or this permit shall be deemed revoked. Top — FAO _ W.H. _ CITY Tel.No. LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR Disp. — Room Air Cond. REG.NUMBER Com$ (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. &Large Appliances DISTRICT NO. PROCE Power Apparatus BY > /� Size&Type HP,KW,KVA,or KVAR ,�IL V U License Number Lic.Class Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE V IDATION Q Contractor Date Over 10 to 50 Incl. FIN (~) ❑ I am exempt under Sec. Over 50 to 100 Inc. W B.&P.C.for this reason Over 100 71 Q 7 A can Services,Swbd.,MCC&Panelboards Z Date: 0-200 Amp.Under 600 V # 0 0 0 0 02 Signature 201 - 1000 Amp.Under 600 V 1 - - 6-550 El Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. 0 o 0 6 S 5 0 5 SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit o S 2 7=8 7 1 hereby affirm that 1 am exempt from the Contractor's License Law Additional Sign Branch Circuits for the following reason(Section 7031.5,Business and Professions Code): 1Gi Misc.Conduits&Conductors LJ I,as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) 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(Sec.3097, PERMIT FEE (Sub-Total) 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 above TOTAL FEE �� information is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this 50,!1 to enter upon the above-mentioned pro• 7t r insp ion a. SEE REVERSE FOR EXPLANATORY LANGUAGE // 1,177 Sig ature of Permittee Date