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Home My Public Portal About6215 ROWLAND AVE_Electrical__ COUNTY OF LOG ANNNLM APPLMTM FOS PEHKff aqpastaOF of CoT�t �plaGGoc ELECTINGarm=ox of sva�a�G & sAFET�r lr WILLIAM L FOX, Canty Regine FOR APPLICANT TO FILL IN DISTRICT 0.NO. GROUP I ZONE PERMIT NO. EADDE ICIAN dalton Elect. Coo RECEIVED SY READY FOR DATA SSU 21L51L H. Roseneadvd85679 "� � FIRaRINBPEOTION /� CITY 1- B TEL.NO. FO OUUNTY LICENSE NC. 1U& EXPIRESAD PERMT FEES DRESS 6215 Rowland NUMBER EACH FEE LmALmr Temple Ci LIGHT OUTLETS 11 NCAREGT RECEPTACLES WALL SWITCHES OWNER Celeste TOTAL OUTLET■ 35 an A-1 MAIL CLEC. RANEE■ ss ADDRCi CLEO. HEATERS BB CITY TCL. NC. FIXTURCS 1 33- s 1 HEREXY ACKNOWLCOOE THAT 1 HAVE READ THIS MIND. APPLICATION AND STATE THAT THE ABOVE IN CORRECT NUMNER OF LIBHT CIRCUITS AND ABREE TO COMPLY WITH ALL BOUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS RENULATINS CLZUTRICAL WIRINS. MOTORS 1 CERTIFY THAT 1 PCS THE ABOVE VALID LON NUMBER HORSEPOWER FEE ANNELCO COUNTY LIOCNBE, OR 1 AM THE LENAL OWNER NEW MVI. HP EVER IND. CAM CF TMC REBIDENTIAL P DCNCRINED ANOVC. 14 • LEON .Bs SIGNATURE B • , 14 N .SD RMITTRE S f 7.00 MSPBiCrTZOS R=Ra N 7B �.ND is s0Ll N.Bo SO RODBAC SCC sCO0.00 J SCC 70008.00 Z OVER IOOO BD.00 M.N. sirr/rnza. DHANGER-HP V/CLOCRNI AO-EVA O GENCRATORN - KW TRANBFCRMERB - KVA TEMP. MOTORS (78% Or ORIN.) MOVED MOTORS (Is% OF IRII.) SIGNS NO. NO.TRANN. APPIMAU MCL NC.LAMPS FOR EACH PERMITI DATE INSP DTOR•■NAME WIWINB �,® CONDUIT Z -I /' I FIIITURE■ 61.00 WIRING eae.I .sC FIXTUREN Z -1A �/ •• 'n POWER TOTAL FEE c ,�+ UTILITY OC.NOTIFIED - • •,- FINAL "- TURN DNG#iA +-0 TifflLfwFilz MA66S-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST., RECEPT G TOTAL NO. EACH FEE , LIGHT OUTLETS FIRST 20 1,5 $.20 $ OWNER r.7MAIL /J SWITCH:- OVER 20 .10 ADDRESSy� pC LIGHTING TOTAL FIRST 20 .20 CITY /' TEL.NO. FIXTURES AOOkL 1O OVER 20 , ELECTRICIAN RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.C�OO_K— CITY TEL.NO. ' DISHWASH. a/AUf6,WASH. -STATE SPACE BTA.APP.(V.H.P.MAX.) .50 LICENSE NO. ' MOTORSs OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE P CESSED Y O f 1.00 Q 1 s 1.50 INSPECTION RECORD 8 s 2.00 / — s 1s 2.50 V 15 so 3.00 I so 100 1 5.00 OV SIGNSi NO.TRANS• _ ad NO.LAMPS O H SERVICE 0=600V-NO'r OVER 200A 1.00 UVj SERVICE 0-600V-OVER 200 A. 2.00 h SERVICE OVER 600V 5.00' ? MISC. PERMIT ISSUING FEE 2.00 --� SUPPLEMENTA13Y PERMIT ISSUING FEE 1.00 TOTAL FEE $ r I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP ATION APPROVALS DATE INBPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT /In _ A•f!�•/� WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.. , WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PE POWER SIGNATURE OF PER TILITY CO.NOTIFIED iii FINAL ,77"77--t[ -�7 t 22M. �LIDATION ARTHUR C. VEIT C MO CASH SUPERVISING ELECTRICAL ENGINEER LAU0 1 _/ L7 �'�J�i� 15 2 Q 6.70- 4 I her ! WORKERS'COMPENSATION hate-a TION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT by affirm that I hate'a certificate of consent to self SCE-806G irti5ure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY IV certified copy thereof(Sec. 3800, Lob. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE. ADDRESS ❑ Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY tion department. Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST. Date Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL 'DIM C COMPENSATION INSURANCE First 20 ADDRESS (This section need not be completed if the work involved by Total No. Additional CITY Tel.'No. the permit is for one hundred dollars($100)or less.) PIAN CHECK I certify that in the performance of the work for which this 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 ADDRESS Total No. Additional `eZ _?4 CITY Tel. No. Date Applicant NOTICE TO APPLICANT: If, after making t s Fixed Appliances Not Over 1 HP PERMIT Certificate of APPLICANT E Exemption, you should become subject to the Workers' Range_ Heater—D.W. — Compensation provisions of the Labor Code, you must forth- Oven —Dryer W.M.— ADDRESS . ®vwAV with comply with such provisions or this permit shall be Top _ FAU W.H. —, deemed revoked. CITY Room Air Cond. Tel. IVo,l,Z-��57 LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ LICENSE I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ REG. NUMBER Class.BER � �.�/� e —(o (commencing with Section 7000) of Division 3 of the Business power Apparatus&Large Appliances DISTRICT NO._ PR S D BY O: and Professions Code,and my license is in full force and effect. 0 License Number 2965 A3 Lic. Class r Size&Type HP, KW, KVA, or KVAR 5a V (� Up to 1 Incl. FINAL � �] Over 1 to 10 Incl. DATE V IDATION Contractor �i3�E�? �� [Date Over 10 to 50 Incl. FIN W El am exempt under Sec. Over 50 to 100 Inc. BV_ p,' B.BP.C. for this reason Over 100 Date: Services, Swbd., MCC&Panelboards 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V I �4 75, 1 A SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit # 9 0 0 0 0 2 1 hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and o o29.00 Professions Code): ❑ Misc. Conduits&Conductors = I, as owner of the property, will do the work and the o a 0 2 9 0 0 5 structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ 7044, Business and Professions Code). 0602-86 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 TOTAL FEE above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and here y aut orize representat' of t 's County to enter upon the ove entioned prop ty�or in pection purposes. 4,2-1 SEE REVERSE FOR EXPLANATORY LANGUAGE i nature of P ittee Date ti WORKERS'COMPENSATION DECLARATION 2MUM0-0019 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT O I hereby affirm that I have a certificate of consent to self cE inst.ire, or o Certificate of Workers'Compensation Insurance, ,COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or d 4ertifie co y thereof(Sec. 3800yLab. Policy iVo. Company FOR APPLICANT TO FILL IN JOB /� /y ❑Certified copy is hereby furnished. 1J__ /Z New Residential Bldgs. &Pools EACH NO. FEE ADDRESS p� L'L0JUA h a Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ —is LOCALITY tion department. Multi-family Sq. Ft. NEAREST v� _ CROSS ST. Date �- Applicant Quw C '" Residential Swimming Pools NEROR L !FIRM NAME T L 1%4- CERTIFICATE OF EXEMPTION FROM WORKERS' � �. 3 MAIL u COMPENSATION INSURANCE Outlets: Rec Light Sw._ , Cl r/ CITY -i 05 S First 20 , �-' (This section need not be completed if the work involved by Total No.� Additional CIN Tel. No. 7Q�YgD7 the permit is for one hundred dollars($100)or less.) 1 certify that in the performance of the work for which this AP�K Lr L, S .W permit is issued,I shall not employ any person in any manner F Lighting Fixtures First 20 ADDRESS Light so as to become subject to the Workers'Compensation Laws. 2- K Additional l� �" Date Applicant Total No.� t , CITY `` � Tel. No. S NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP tV� PERMIT Exemption, you should become subject to the Workers' Range— Heater—D.W. — APPLICATION Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. CITY Tel. No. Hood Fan —Other— CITY Tel. No. LICENSED Other— LICENSED CONTRACTORS DECLARATION LICENSE OR REG. NUMBER I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. — 2',r Class. 1 (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PROCESSED BY >_ and Professions Code,and my license is in full force and effect. `ts (/ a ,�� Size&Type HP, KW, KVA, or KVAR d � �l�'�t U License Number JDtl L'c. Class 61 Up to 1 Incl. FINAL Contractor-506694 �T'°`�Date 6- 9-91 Over 1 to 10 Incl. DATE VALIDATION 0 ❑ Over 10 to 50 Incl. F- ID U I am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C. for this reason Over 100 n. Services, Swbd., MCC&Panelboards Z Date:. 0-200 Amp. Under 600 V — Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License n Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits - Professions Code): \ 3�il r' ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors } i:' � structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)— '= Business and Professions Code). ® TUN- 3 m 3 CONSTRUCTION LENDING AGENCY I 9.� JI� Z3.801 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) �' �� CHANGE or[L (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name ,e t; C-10;i -ij / :1 PERMIT ISSUING FEE (-O Lender's Address S"6� •. I certify that I have read this application and state that the TOTAL,FEE �� '�, �C� I t6Uf AM `1'-'■-,; 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 Al e,� c'I� ®S 1 Signature of Permittee Date