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Home My Public Portal About6347 SALTER AVE_Electrical__ ,GA66e:CH306_e-57 APPLICATION FOR: ELECTRIC PERMIT 1- COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING U '+ BUILDING AND SAFETY DMSION ADD_ REBS �RD�I JOHN A.LAMBIE,COUNTY ENGINEER i. CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PFJWT'FEES OWNER .c�ti LIGHTS RECEPTACLES SWITCHES .NUMBER ITEM EACH FEE MAIL ADDRESS 2 TOTAL OUTLETS $ .10 $ .2 0 CLOTHESA DRYERSWATER .NEA7ERS, .s0 .CITY `mow TEL.NO. ELEC.SPACE HEATERS, STAT-Y. COOK- q ELECTRICIAN ING UNITS, GARBAGE DISPOSERS, 6 V ADDRESS AUCI OrtrV• •CZ-XAJ..f.Q �x AUTO WASHERS, DISHWASHER .25 LIGHTING FIXTURES .10 5-10 CITY b l.A JAALTEL.NO. C)tl f MOTORS STATE LICENSE NO. HORSEPOWER H.P: --DISTRICT�OJTO READY FOR INSPECTION OVER INC.. LESS .25 ' 2 .50 .INSPECTION RECORD i •s 1.00 s — 15 t.sd 15. so 2.50 so 200 5.00 MISC. SIGNSI NO.TRANS R NO.LAMPS SERVICE O-SOOV 1.00 0 SERVICE OVER GOOV 5.00 WIRING PERMIT 1.00 Qd FIXTURE PERMIT 1.00 60 SUPPLEMENTARY PERMIT .50APPROVALS TOTAL FEE $ 2 DATE INSPECTOR'S 'SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION y AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUITWITH ALL COUNTY ELECTRICAL WIRING.ORDINANCES AND STATE LAWS REGULATING WIRING /z-- Gr //./I 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES �Q� �(,/ff►/y LICENSED AS REQUIRED BY LOS. ANGELES COUNTY AND STATE OF CALIFORNIA. OR THAT I AM THE LEGAL OWNER OF THE. AB VE POWER DESCRIBED RESID.ENTI i� PQQI'ER7 � R _ry / �_ SIGNATURE fJ �J/(Iy� UTI LITYCO.NOTIFIED C3` ��lS Ps ��lv,/A We 11� OF PERMITTEE 7 �� 1' � FINAL %it'.`9 IBJ 73'/J Jo OHN A.LAMBIE. U ATION, ARTHUR C.VETT, rOUNTY ENGINEER C MO CASH SUPERVISING ELECTRICAL ENGINEER. ' 0 4 8 6.5 DEC .5 2 1 220 II WORKERS'COMPENSATION DECLARATION 76AS63 CEa06G (2-80) APPLICATION. FOR ELECTRICAL PERMIT I hereby affirm Aot I have, a certificate of consent to self COUNTY OF LOS ANGELES �. BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,.or 7 a certified copy thereof(Sec.3800,Lab.C.) FOR APPLICANT TO FILL IN JOB Policy No.— Company New Residential Bldgs.&Pools. EACH NO.. FEE ADDRESS ❑ Certified copy is hereby furnished. 1 &2-Family,Sq.Ft. $ — LOCALITY Zaq ❑ Certified copy is filed with the count building Multi-family wi mi NEAREST p Y g inspection CROSS ST /V department. Residential Swimming Pools OWNER M � S. O- FIRM NAME Date Applicant - Outlets: Rec. l`_ight irst 20 �0 ADDRESS S�1 Aug; CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel N29qi COMPENSATION INSURANCE PLA CHECK(This section need not be completed if the work involved First 20 © gLu APPLICANTby ,� "the permit is for one hundred dollars Lighting Fixtures($100) or less.) Additional ADDRESS 00AA140ve,W Ir Total No. ::3 . I certify. That in the performance of the work for which this CITY BCr�- . O Fixed Appliances Not Over 1 HP �20 permit is issued, I shall not employ any person in any manner PERMITLu so as to become subject to,the Workers'Compensation Laws. Range_Heater D.W. _ APPLICANT' �•fr✓'Q✓ W a ��JJ Qp�Q�7� Oven. _ Dryer_W.M._ ADDRESS Z Dated Applican ��ii/1/, Top — FAU _W.H.._ _ v Hood — Fan —Other CITY Tel No. NOTICE TO APPLICANT: If,after making.this Certificate of Disp. _Room Air Cond. LICENSE OR p Exemption, you should become subject to the Workers' REG.NUMBER 9 7 •Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT N.O. PROCES D BY with comply with such provisions or this permit shall be , deemed revoked. Size&Type HP,KIN,KVA,.or KVQ a Up to 1 Incl. FINAL LICENSED CONTRACTORS ECLARATION Over 1 to 10 Incl. DATE Dt Over,10 to 50 Incl. �! � VALIDATION I heSy by affirm that I am licensed under provisions of Chapter Over 50.to 100 Inc. BY AL 9 (cofmmencing with Section 7000)of Division 3 of the Busi- Over 100 ness5and Professions.Code, and my license is in full force and e'ffect. Services License Number 739 Lic.Class- 40 0-200 Amp.Under 600 V `/� � � g 201-1000 Amp.Under 600 V- Contractor EQ&M Cd&V._ate / '::R7_ Over 1000 Amp.or Over 600 V ! a HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances i I hereby,affirm that I am 'exempt from the Contractor's Sign with One Branch.Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): 6 10.S A Misc.Conduits&Conductors ❑ I, as owner of the property, will do the work.and the Other(See Complete Fee Schedule)— 4' o 0 0.0 0 2 structure is not intended or offered for sale (Section 7044,Business and Professions Code). 1 2 o o 1 8 7 0 CONSTRUCTION LENDING AGENCY _ I hereby affirm that there is a construction lending agency 0 0 0 1 a / 0 for the performance of the work for which this permit is PERMIT FEE (Sub-Total) U issued(Sec.3097,Civ.C.). ' L'ender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 0908-82 9 0 — 2 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 representatives of this County to enter upon the above-mentioned property for inspection purposes. �, SEE-REVERSE FOR EXPLANATORY LANGUAGE I � Signature of Permitte Date ;