The URL can be used to link to this page

Home My Public Portal About4928 WILLMONTE AVE_Electrical__ 78.0869-CE$06 10,74 APPLICATION' R ELECT AL PERMIT COUNTY OF LOS ANGELES r DEPARTMENT OF COUNTY ENGINEER gDDRESS BUILDING AND SAFETY DIVISION LOCALITY NEAREST e FOR APPLICANT TO FILL IN CROSS ST. / xv OUTLETS NO. EACH FEE OWNER OR JZ FIRM NAME 6 RECEP $ MAIL;3� S R {� LIGHT TO FIRST 20 -� CITY:lk C . TEL. NO SWITCH OVER 20 1p PLAN CHECK LIGHTING FIRST 20 D APPLICANT TOTA _ FIXTURES .f0 OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT Q RANGE DRYER_WTR. HTR. APPLICANT [� STA. COOK DISP. F.A.U. ADDRESS o SPACE HTR. AIR COND. CITY TEL. N0. CLOTHES WASH. 01SHWASH. LICEN OR REG. NUMBER CLASS. FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. \ SIZE 14 TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA T I AM THE LEGAL 0 NER OF THE ABOVE ESCRIBED C 1 - 10 3.00 DRESIDE TIAL PROPER Y. 3 CJ PERMITEE 10 - 50 5.00 SIGNATURE F� V 50 - 100 10.00 W DISTRICT N0. 0PROC SSED BY y 100 - S00 15.00 Jif ° Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS v DATE INSPEC R'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE,&APPURTENANCES 5.00 WIRING 7- -'d TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES ep POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL �� / ;/�•-•�Q PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 62 . . �1 12 2 D 1 4.10 ,&� SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 1 FSASSS.CBSOS7.BB APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF,LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN,SUP'T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERI w EMS CROSS ST. 1 T E M NUMBERI EACH FEE OWNER OUTLET $ S. MAIL LIGHTS• RECE SW. .1O ADD LIGHTING FIXTURES .10 CITY TEL. NO. ELEC. RANGES CLO. DRVMS ELECTRIC WATER H A T E R S •so ADDRESS ELEC.SPACE HTRS. DISHWASHERS CtT T NO. GARBAGE DISPOSERS 1 AUTO.- STATE WASHERS STA. COOKING UNITS .28 LICENSE NO. MOTORS: OVER INC. H.P. o— V2 .25 NO. GROUP zONE. P CESSED BY 2s � +ig- 2 so MSP =ON RECORD 2— 5 1.00 a— 1s 1.50 1s— s0 2.50 so—200 5.00 l' SIGNS: NO. TRANS. ' NO. LAMPS SERVICE 0-600V 1.00 'SERVICE OVER 600V 21.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .30 TOTAL FEE $ APPROVALS T I HEREBY ACKNOWLEDGE THAT 1•HAVE READ TjAAT'OW DATE INSPECTOR'S SIGNATURE. AND STATE THAT THE ABOVE IS CORRECT AND AMPLYCONDUITWITH ALL COUNTY ORDINANCBB AND STATE LAATING ELECTRICAL WIRING. WIRING /A/� /6�I HEREBY CERTIFY THAT 1 AM PROPERLY REGD/OR LICENSED AS.REQUIRED LOS AN LES u E OF FIXTURESCALIFORNIA OR THAT THE WBOVE lAv DESCRIBED RESIDENTI l POWER SIGNATURE UTILITY CO:NOTIFIED OF PERMITTEE FI AL VALIDATION ARTHUR C. VEIT, CK lino CASH SUPERVISING ELECTRICAL ENGINEER 2.s27 2 n 10.65 _ *ORK7 S.COMPENSATIONDECLARATION CE-806 '' APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self 6OUNTY OF LOS ANGELES + BUILDING AND SAFETY insure,or a certificate of Workers'Compensatidn Insurance,or a certified copy thereof(Sec.3800,Lab.C.) JOB JOB )p� Policy No > Q CompanyZn!�r� 6l�iJYll}� FOR APPLICANT TO FILL IN ADDRESS '1 New Residential Bldgs.&Pools EACH NO. FEE F1 Certified copy is-hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY copy is filed with cou build' i Z91CMulti-family Sq. Ft. — NEAREST Certified coROSS ST qA department. Residential Swimming Pools OWNER OR _ FIRM NAME if - te•—Zi--ri Applicant Outlets: Rec._Light Sw. MAIL a ! I o— First 20 ADDRESS CERTIFICATE'OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No. } i C.OMPENSAT.ION INSURANCE � tl PLAN CHECK , 0 (This section need not be completed if the work involved APPLICANT V by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS 16® � f Cr i Additional 0 Total No. .S Tel No. 5� u I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY U permit is issued, I shall not employ any person in any manner PER a W so as to become subject to the Workers' Compensation Laws. Range_Heater D.W. _ APPLICANT Q� N Oven _ Dryer_W.M._ ADDRESS o Z Date Applicant Top _FAU'_W.H.._ Hood _ Fan _Other_ CITY Tel No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. -_Room Air Cond.— LICENSE OR f �Z�%� Exemption, you should Become subject to the Workers' REG.NUMBE Yd Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCESS D BY with comply with such provisions or this permit shall be e---, dr deemed revoked. Size&Type HP,KW.,KVA,or KVAR Up to 1 Incl. Over 1 to 10.Incl. VA EL / LICENSED CONTRACTORS DECLARATION 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 0-200 Amp.Under 600 V 7 7 License Number S O )Lic.Class �� 201-1000 Amp.Under 600 V Contractor Date ` Over 1000 Amp.or Over 600 V ` HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances 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): Misc.Conduits&Conductors I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— 049 8 n structure is not intended or offered for sale (Section 7044,Bysiness and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 2 0 0 '- G C G for the performance of the work for which this permit is PERMIT FEE (Sub-Total) n z .issued(Sec.3097,Civ.C.). u n u `� 1, u, Lender's.Name PLAN CHECKING FEE (One-Fourth Permit Fee) U'I• 2 -Lender's Address PERMIT ISSUING FEE - I certify that I have read this application and state that the TOTAL FEE e7 above information is correct.I agree to comply with all County ordinances a State laws regul g Electrical wiring, and hereby a e represe five this C u o enter upon the ab e- tinned pr r inspec rposes. SEEREVERSE FOR EXPLANATORY LANGUAGE. stdC ov / ignature of Permittee - Date WORKERS'COMPENSATION DECLARATION 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereli� affirm that I have a certificate of consent to self CE-806G insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES - - /+ BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C.) / (.a; Policy No. Company FOR APPLICANT TO FILL IN JOB C , Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS ❑ $ $ LOCALITY Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. — fry tion department. Multi-family Sq. Ft. — 'NEAREST Residential Swimming Pools CROSS ST. ° Date Applicant OWNER OR ` FIRM NAME R2 t, V Gt�a CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL �y 1 COMPENSATION INSURANCE ADDRESS Z O L This section need not be completedFirst 20 ( if the work involved b Y Total No. Additional CITY'Ta C` Tel. No. S 7 the permit is for one hundred dollars(6100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall notemploy any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS t+e ( 1 Total No, Additional 7- Applicant lnroW CITY Tel. No. Date 7' $� NOTICE TO APPLICANT: if, after making this Certificate of Fixed Appliances Not Over 1 HP 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 LII Q.11, with comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. CITYav, Tel. No. ,Z Q N LICENSED CONTRACTORS DECLARATIOHood _ Fan _Other_ Disp. _ Room Air Cond. LICENSE OR Class. I hereby affirm that I am licensed under provisions of Chapter 9 REG.NUMBER Z C �e (commencing with Section 7000)of Division 3 of the Business DISTRICT NO. PROC ED BY and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliancesi' Size&Type HP, KW, KVA, or KVAR' O License Number -39g2I 01 Lic. Class C-11-3 TFINAL Up to.l Incl. Contractor..]11rtn FQ tn�a Date I Over 1.to 10 Incl. DATE o. VALIDATION Cont ❑ Over 10 to 50 Incl. FINAL �T W I am exempt under Sec. Over 50 to 100 Inc. BY B.&P.C. for this reason /1�h� scr Vie!:► dlie-� Over 100 AJ,Ane6GT.e� t 7� g� Services; Swbd., MCC&Ponelboards ® 7� 0 -200 Amp. Under 600 V Signature 9r.4i. 201 - 1000 Amp. Under 600-V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Ma' . Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit /1 F 0 1 I hereby affirm that I am exempt from the Contractor's Licens Low for the following reason (Section 7031.5, Business ande Additional Sign Branch Circuits ?, u o c a c Professions Code): ❑ I, as owner of the property, will do the work and the Misc..Conduits&Conductors o u structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for r t 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 Lenders Address I certify that I have read this application and state that the TOTAL FEE ,Sd 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 roperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 7 -77 Signature of rmittee Date II