HomeMy Public PortalAbout6343 SALTER AVE_Electrical__ "Bee-DEBQB`,a:eG APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING f—'
BUILDING AND SAFETY DMSION ADDRESS ,
JOHN A. LAMBIE. COUNTY ENGINEER �^
WILLIAM A.JENSEN,SUPT of BUILDING LOCALITY 7. L.+
NEAREST
FOR APPLICANT TO FILL IN -
CROS ST. .V s
PERMIT FEES OWNER
I T E M NUMBER EACH I FEE MAIL
OUTLETB� $ $ ADDRESS 7
LIGHTS RECEPT SW. •Ip Oro CITY l C,� TEL'.NO. + J Z d
LIGHTING FIXTURES .Ip C7 �g
ELEC.RANGES CLO.DRYERS
ENECTRICIAN (Yr6i✓ �V fa
WATER HEATERS -.SO. ADDRESS S.9-N./
ELEC.SPACE HTRS. DISHWASHERS ,
CITY G+ TEL NO.
GARBAGE DISI&OSERS AUTO.- STATE
WASHER¢ STA.COOKING UNITS .20 LICENSE NO. '
MOTORS: OVER INC. H.P. DISTRINO. G�P Z� E PR CESSED BY
0— 1/2 2S
1/2— 2 so ��9 INSPECTION RECORD
2— S 1.00, �j,••���n,.0-/�6� ge=je2P-9 9!n O�21;0e. U
s— Is 1.50.
Is— SO $� Q
SO— 200 5.00 ��+-�`d�� e;-+��2,� L�"ce OVA- F-�!� m .
NO TRANS. �- � O.
SIGNS: No.LAMPS N
r� �'��.�,+l=•A,I.� �.QeI•A fI' w°�C��'•-��'iZ_
SERVICE 0-600V 1.00 O 0 e,e.-/is
SERVICE OVER 600V 5.00
MISC. r7 C
WIRING PERMIT f.00
FIXTURE PERMIT 1.00 21- /Do!. ��lsQ- oQmalac
SUPPLEMENTARY PERMIT Sp 31 c-0 ` <2 A.e4 O-I.J \g A00-2. „
TOTAL FEE S
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS.APPLICATION APPROVALS DATE I INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE ES CORRECT AND AGREE TO COMPLY CONDUIT
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 I AM THE LEGAL OWNER OF THE ABOVE -
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE + UTILITY CO.NOTIFIED C7 1e^ • CJI 3
OF PERMITTE FINAL !r-
VALIDATI ARTHUR C.VEIT
CK Mo CASH SUPERVISING ELECTRICAL ENGINEER
�l': �0'i94 JG119• 2 D 12.40
WORKERS'COMPENSATION ofcns DECLARATION CE-8069 tc,at APPLICATION FOR ELECTRICAL PERMIT
CE-806(1
I hereby (firm that I have a certificate of consent,�o golf inure,
qr a oert�cate of Workers'Compensation Insurance, or a'certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
py thereof(See.3800,Lab.C.).
Policy No. Company FOR APPLICANT TO FILL IN JOB
ADDRESS
❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE
❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. $ — $ LOCALITY 720
department.
Multi-family Sq.Ft. NEAREST
CROSS ST.. �/✓rJ
Residential Swimming Pools
Date Applicant - FIRM NAMEC/ /i • P�
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec_Light—Sw.— MAIL
COMPENSATION INSURANCE ADDRESS
(This section need not be completed I the work Involved by the TiFirst 20
permit Is for one hundred dollars($100)or less:) dtal No. Additional CITY Tel.No: 72
I certifythat in.the performance.of the work for which this permit PLAN CHECK
APPLICANT
is issued, I shall-not employ any person in any manner so as to
become subject to the Workers'Compensation Laws: Lightipg Fixtures First 20 ADDRESS
Additional
Date Applicant
Tc No. CITY • 'Tel:No.
' d '
NOTICE FixeAppliances Not Over 1HP TO .APPLICANT: If, after making this Certificate of 4 PERMIT
Exemption,you should become subject to the Workers'Compensation Range_ Heater D.W. _ APPUCANT
provisions of the Labor Code,you must forthwith comply with such Oren— Dryer_ W.M._ ADDRESS
provisions.or this permit shall be deemed revoked. Top FAU. W.H.
LICENSED CONTRACTORS DECLARATION Hood — Fan OtFierCITY Tel.No.
_
I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR
DTI p. — Room Air Cond. REG.NUMBER Class.
(commencing with Section 7000)of Division 3 of the Business and
Professions Code,and my license is in full force and effect. DISTRICT NO PROCE BY
Powe(`Apparatus.&Large Appliances
S!a&Type HP,KW,KVA,or KVAR
License Number'• Lic.ClassI Up to 1 Incl. FINAL
Over 1 to 10 Incl. DATE VALIDATION
Contractor Date Over 1.0 to-50 Incl.
FINAL
❑ I am exempt under Sec: Over 50 to 100 Inc. By W
B.&P.C.for this reason - Over 100 r N
Services,Swbd„MCC&Panelboards Z
Date: ` I 0-200 Amp.Under 600 V
Signature ,2.1 - 1000 Amp.Under 600'V
Over 1000 Amp.or Over 600 V
❑ Exemption for Reg.Maint.Elect.
SINGLE FAMILY Tem I Power Pole&Appurtenances l 2
HOME OWNER-BUILDER DECLARATION Sign with. Branch Circuit iTeA
I hereby affirm that I am exempt from the.Contractor's License Law
for the following reason(Section 7031.5,Business and Professions Additional Sign-Branch Circuits 3307 31vOC)
Code):
El 1,.n owner Misc.Conduits&Conductors 1 ITEMS
a the property,will do the work and the structure I j TOTAL
is not intended or offered for sale (Section 7044, Business Othe. (See Complete Fee Schedule)
and Professions Code).
CONSTRUCTION LENDING AGENCY' IHEG 31=0
I hereby affirm that there is a construction lendir(g agency for the '
CHANGE e[ {
performance of the work for which this permit is issued(Sec.3097, PERIT FEE (Sub Total)
Civ.C.). I
PLA14 CHECKING FEE
Lender's Name 0000-0001 6/22/90
PER IT ISSUING FEE I 1433 1 Ate 80-57
Lender's Address
I certify that I have read this application and state that the above TOTAL FEE
information is cor..ct.I agree to comply with'all County ordinances `
and State law ,regulating. Electrical wiring, and hereby authorize
representati. of this County to enter u n the above-mentioned
property f spect' osas.
rypu/ U2 /. SEE REVERSE FOR EXPLANATORY LANGUAGE IWA
gnatu of Permittee //v, ate 1