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Home My Public Portal About6224 ROWLAND AVE_Electrical__ ,6A663C_ CV808P/ APPLICATIN FOR ELECTRICAL P MI BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN ,JOB � ' New Residential Bldgs.&Pools EACH NO. FEE ADDRESS LU. 1 &2 Finally Sq. Ft. $ — $ LOCALITY Multi-family Sq.Ft. — NEAREST Residential Swimming Pools CROSS . O OWNER ORc FIRM NAME E Outlets: Light,Switch&Receptacle MAI L r First 20 AK ADDRESS. f`/11vv Additional. CITY . 24 Tel. No. PLAN CHECK Lighting Fixtures o APPLICANT First 20' ( ADDRESS Additional CITY Tel.No. PERMIT l Fixed Appliances Not Over 1 HP ' APPLICANT �J Range— Heater_ D.W. ADDRESS _! ki - Oven _ Dryer _ W.M. Top _ FAU _ W.H. CITY Tel NO3tongl a Hood Fan LICENSE OR CD REG. NUMBER Class, r, Disp. _. A:C. � 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION Q AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND: STATE LAWS REGULATING W Size&Type HP,KW,KVA,or'KVAR ELECTRICAL WIRING. y U to 1 Incl. Z Up 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND./OR Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR TXA 1 A THE EG'AL OWNER OF THE ABOVE Over 10 to 50 Incl. DESCRIBED RES'IDEN IAL PR E TY Over 50 to 100 Incl. PERMITEE Over 100 SIGNATURE Services DISTRICT lyli f� PRO SS BY 0-200 Amp. Under 600 V U v 201 -1000 Amp. Under 600 V APPROVALS DATE.' I ECTOR'S Over 1000 Amp.or Over 600V IG URE TEMP,.POWER POLE Temp.Power Pole&Appurtenances UNDER SLAB WORK aI. Sign with One Branch Circuit t Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES y +{y POWER AUTHORIZED \� . PERMIT FEE (Sub-Total) UTI LITYCO.NOTIFIED , '� IV PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE oo TOTAL FEE NOTES . PLAN CHECK VALIDATION K: M..O. CASH PERMIT VALIDATION CK.' M.O. CASH :. 7 :2-'15 Ram- 303 2,-91 . 8.0...0 '�` 3 76A1363 DBS SA 11-130 APPLICATION FOR PERMIT DEPARTMENT'OR.$PILDING AND, SAFETY - COUNTY OF- ANGELES ELECTRIC 1 WILLIAM J. FOX,, CH CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE_ PERM No* ELECTRICIAN SMITH El ECIRIC 5 3 CE/Iy/'_�ED�J B*Y READY FOR. DATE ISSUED ADDRESS A%IFNDALE DR. ��L`l�' FIRST INSPECTION CITY -A- 3 -5 N 173:!?RWd..CALIF. 9 COUNTY LICENSE NO. EXPIRES BUILDING IN / ADDRESS t eGc� r9L/J PERMIT FEES NUMBER EACH FEE LOCALITY Prizp - LIGHT OUTLETS NEAREST (• RECEPTACLES CROSS ST. WALL SWITCHES OWNER ,G AM 6440 4449 TOTAL OUTLETS ® Sc $ cS MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 °adj CITY TEL. NO. FIXTURES MISC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 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 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LE�''AL OWNER REE OF THE RESIDENTI P OP RTY7DESC, BED¢ABOVE. NEW MVD. HP OVER INC. EACH `. a// - 1/2&LES13 $ .25 SIGNATURE OF 1/2 2 .50 PERMITTE 2 5 1.00 INSPECTION RECORD s Is 1.50 is so 2.50 50 200 5.001 200 500 10.00 J Boo 1000 15.00 Z OVER 1000 20.00. M. G. SET/FREQ. CHANGER-HP WELDERS:AC-KVA O GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (75%OF ORIG.) MISC. SIGNS NO. NO.TRANS. I I APPROVALS NO. NO. LAMPS DA FOR EACH PERMIT: TE INSPECTOR'S NAME I CONDUIT WIRING $1.00 T A FIXTURES $1.00 � WIRING �el�:a ?,+-�,i /A ' r' SUPPLEMENTARY .50FIXTURES i 0-1i th,k �� POWER TOTAL FEE I $ ® UTILITY CO. NOTIFIED v L i - ® FINAL ��' 7663 CES 806R 9/76 APPLIdATION FOR L RIC L PERMIT r COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER tNEAREST DRESS BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN CALITY �� / New Residential Bldgs.&Pools EACH NO. FEE$ 025 — $ OSS ST.1 &2-Family,Sq.f. WNER OR u� Multi-family Sq.Ft. 02 — FIRM NAME �— v Residential Swimming Pools 20.00 MAIL. ir ADDRESS A Outlets:Rec 'Light l=Sw. _L .410 "11CITY ' Tel.No. First 20 - 1 PLAN CHECK Total No. - Additional .30 APPLICANT ADDRESS �1206&0 Lighting Fixtures First 20 .50 CITY Tel.No. =�oZG Total No.. ZAdditional '30 MIT APPLICANT Fixed Appliances Not Over 1 HP ADDRESS Range—Heater_D.W._ CITY Tel.No. Oven_Dryer_W.M. LICENSE OR • „ '3 Top —FAU —W.H. REG.NUMBER Z t� Class.Las Hood_Fan _Other— I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp. — Room Air Cond. 2.00 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 THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS 2.00 REQUIRED BY NTY AND ST F'CALIFORN14 OR THAT I AM Up to 1 Incl. THE LEGAL NEROFTHE ABO CRIBE TIAL PROPERTY. Over 1 to 10 Incl. 5.00 PERMITTEE 0 Over 10 to 50 Incl. 10..00 Over 50 to 100 Inc. 20.00 SIGNATURE (� ` 30.00 Over 100 DISTRICT NO. P SE 0 Services 0-200 Amp.Under 600 V 12.50 INSPECTOR'S vii 201.1000 Amp.Under 600 V 25.00 APPROVALS DA SIGNATURE a 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 ROUGH CONDUIT 2.00 WIRING Additional Sign Branch Circuits Misc.Conduits&Conductors 15.00 FIXTURES Other[See Complete Fee Schedule) POWERAUTHORI ZED UTILITY CO.NOTIFIED FINAL '7 PERMIT FEE (Sub-Total) NOTES PLAN CHECKING FEE (One-Fourth Permit Feet PERMIT ISSUING FEE $6.00 JzL TOTAL FEE A FO PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH 2 0 1 LIZ AUG 15 2 D 1 1.8 0 0 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ®} { (WORKERS'COMPENSATION DECLARATION 76-663 10181 APPLICATION FOR ELECTRICAL PERMIT l.herebyt;pffirm that I have a CE-&W of consent to self CE-B {� insure,,ora certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY lul or a certified copy thereof(Sec. 3800, Lob. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS Certified copy is filed with the county building inspec- 1 8 2-Family, Sq. Ft. $ — $ LOCALITY tion department. Multi-fomily Sq. Ft. — NEAREST J Residential Swimming Pools CROSS ST. Date Applicant OWNER OR z FIRM NAME ME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec�Light 4 Sw.� MAIL COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work Involved by >r First 20 the permit is for one hundred dollars($100)or less.) Total No. Additional CITY ��, �+� Tel. No. GGA I certify that in the performance of the work for which this PLAN CHECK permit is issued, I shall not employ any person in any manner APPLICANT so as to become subject to the Wo4mth ' mpens tion La" Lighting Fixtures First 20 ADDRESS r Total No._� Additional CITY Tel. No. Date Applican Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after is Certificate of PERMIT Exemption, you should become subject to the Workers' Range_ Heater_D.W. APPLICANT 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. Hood _ Fan _Other_ CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR I.hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER Class. (commencing with Section 7000)of Division 3 of the Business power Apparatus 8 Large Appliances DISTRICT NQS. PROCES ED Y CL and Professions Code,and my license is in full force and effect. \ 0 Size 8 Type HP, KW, KVA, or KVAR V License Number Lic. Class Up to 1 Incl. I FINAL 8' Contractor Date Over 1 to 10 Incl. DATE 7 VA -TION ❑ Over 10 to 50 Incl. FINAL C/ W I am exempt under Sec. Over 50 to 100 Inc. BY N t7. B.BP.C. for this reason Over 100 � Z Date: Services, Swbd., MCC 8 Ponelboards ► 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 —54358A SINGLE FAMILY Temp. Power Pole 8 Appurtenances # 0 0 0 0 0 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License ) 0 o23.50 Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): 0 0 0 235 t0 x N1, as owner of the property, will do the work and the Misc. Conduits 8 Conductors structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ ® 04,02-86 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 Lender's Address PERMIT ISSUING FEE x —Q I certify,that I have read this application and state that the TOTAL FEE 3 eSv 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 jv entioned pr ert fo 'inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature' Permittee Date