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Home My Public Portal About4847 WILLMONTE AVE_Electrical__ SAGES-CEBOG-10.56 APPLICATION FOR ELECTRIC PERMIT 1' BUILDING AND SAFETY DMSION Deportment of County Engineer BUILDING County of Los Angeles ADDRESS Q.IJ JOHN A.LAMBIE.COUNTY ENGINEER CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST 1 �C.t�LG PEMWr FM LIGHTS RECEPTACLES !v SWITCHES OWNER. NUMBER I T E M EACH I FEE MAIL ADDRESS TOTAL OUTLETS $ .10 $ 2.0 ELEC. RANGES, WATER HEATERS, CITY TEL.NO CIATHEs ORYERs .50 ELECTRICIA 10, W ELEC. SPACE HEATERS, STAT-Y. COOK- / +j ING UNITS, GARBAGE DISPOSERS, ADDRESS 6 /S _IGS �* AUTO WASHERS, DISHWASHER .25 `' LIGHTING FIXTURES .10 CIT)4/-C44,-4114- TEL.NO S MOTORS STATE fJ ` LICENSE NO. aG J HORSEPOWER H.P. OVER INC DISTRICT NO. GROUP ZONE/) READY FOR INSPECTION I/2&LESS .25 / 14 - 2 .90 INSPECTION RECORD 2 — a. 1.00 5 15 1.50 15 50 2.50 50 200 5.00 MISC. f SIGNS I NO.TRANS NO.LAMPS SERVICE O-500V 1.00 AO SERVICE OVER GOOV 5.00 WIRING PERMIT 1.00 o FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 APPROVALS TOTAL FEE S DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES Y r _41 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIA P PERTY. I j SIGNATURE UTILITY CO.NOTIFIED �' —_ - L OF PERMITTEE 4FINAL ✓ �r IOHN A.LAMBIE. AFAWATION ARTHUR C.VEIT. .OUNTY ENGINEER CK O CASH SUPERVISING LECTRICALIWGINEER 2 0 4 5 N I-IAR17 2 A 220 FGAGGS.CESO6..10.56 APPLICATION .FOR' ELECTRIC PERMIT 1 BUILDING AND SAFETY DMSION DBpartnent of County Engineer BUILDING County of LOB Angeles ADDRESS JOHN A.LAMBIE.COUNTY ENGINEER CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN R08s PERMIT FEES - 'OWNER F.��MSER RECEPTACLES23 SWITCHES. IT EACH F E MAIL / ADDRESS OUTLETS S .10 S (.e D RANGES, WATER HEATERS, CITY TEL.NO. s DRYERS .50 ELECTRICIAN SPAc ,AH[ ERS, STA'LY�OK- ' HITS, GA GE DISPOSERS, ,! ADDRESS WASHERS, DIS R .25 fiyING FIXTURES ,1O CITY , TEL.NOZ4..1• /3 MOTORS STATE LICENSE NO. HORSEPOWEROVER INC. DISTRICT N GROUP Z9N READY FOR INSPECTION 1/s&LESS .25 2 so II?MCTION RECORD 2 — 5 1.00 // 5 — 15 1.50 IB SO 2.50 50 200 5.00 dy . MISC. SIGNS I NO.TRANS NO.LAMPS SERVICED-000V 1.00 0® SERVICE OVER GOOV 5.00 WIRING PERMIT 1.00 O� FIXTURE PERMIT 1.00- OD SUPPLEMENTARY PERMIT .50 - s (1 APPROVALS TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT 1.HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ��- ELECTRICAL WIRING: WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE. LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL "OPE RTY I SIGNATUREUTILITY CO.NOTIFIED OF PERMITTEE FINAL IOHN A.LAMBIE. LIDATION ARTHUR C.VEIT. AUNTY ENGINEER No CASH SUPERVISING ELECTRICAL ENGINEER r :.• 2 4 1 8SRI {Aft 2'7 2 A 1 1.5 0- -ear , , 0 WORKERS'COMPENSATION DECLARATION I CE 806G (2-80) APPLICATION FOR ELECTRICAL PERMIT - I hereby affirm that I have a certificate of consent to self I COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) FOR APPLICANT TO FILL IN ,JOB Policy No. Company EACH NO. FEE ADDRESS New Residential Bldgs.&Pools ' ❑ Certified copy is hereby furnished. 1 &2-Family,Sq.Ft. $ — LOCALITY TT Certified copy is filed with the count buildin Multi-family Sq. Ft. NEAREST y g inspection Residential Swimming Pools CROSS ST " ,(X%1 department. OWNER O.R FIRM NAME Date Applicant Outlets: Rec.—Light Sw. MAIL First 20 --ADDRESS . CERTIFICATE`OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No. COMPENSATION INSURANCE PLAN CHECK d (This section need not be completed if the work involved APPLICANT _ O by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS V Total No. Additional cc I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP - CITY Tel No. O permit is issued, I shall not employ any person in any manner PERMITV so as to become subject to the Workers'Compensation Laws. Range_Heater D.W. _ APPLICAN G W o. z Oven _ Dryer_W.M._ PIicant k ' � Top FAU _W.H. 7Hood _ Fan _Other— Tel NNOTICE TO APPLICANT: If, after making•this Certificate of Disp. _Room Air Cond— JADDRES!5�j:p ICENSR 2-9�j Exemption, you should become subject .to the Workers' REG.NUMBE •/ Pass Compensation provisions of the Labor Code,you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCES ED BY with comply with such provisions or this permit shall be Size&Type HP,KVV,KVA,or KVAR deemed revoked. _ Up to 1 Incl. O FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE ,. ,, VALIDATION Over 10 to 50 Incl. I hereby affirm that I am'licensed.under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY / ness and Professions,Code.,and my license is in full force and effect. / Services License Aium1lEi"/U 61Z L'c.Class z� 0-200 Amp.Under 600 V License Numa? 201-1000 Amp.Under 600 V r ate - Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that Iam exempt. from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 70$1.S, Busi- Additional Sign Branch Circuits ness and Professions Code): Misc.Conduits&Conductors -9 4 5 3 G A ❑ I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— structure is.not intended or offered for sale (Section ,'a o o• 0 2 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY 2 o jo [(,5 0 I hereby affirm that there is a.construction lending agency for the performance of the work for which this.permit is PERMIT FEE (Sub-Total) (p o o'0 1 45 0 5 issued(Sec.3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 0623.-82 Lender's Address PERMIT ISSUING FEE U - I certify that I have read this application and state that the TOTAL FEE Q 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- en ioned property for inspection purposes. SEE'REVERSE FO.R EXPLANATORY LANGUAGE Signature of ermittee Datof