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Home My Public Portal About5030 WILLMONTE AVE_Electrical__ GA668-CE80610.62 APPLICATION FOR ftEeTRICAL PER IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERf G "41 BUILDING AND SAFETY DIVISION S JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING TY L T FOR APPLICANT TO FILL IN CROSS REcEPr. TOTAL NO. EACH FEE OUTLETS FIRST 20 $.20 $ R Llcer SWITCH. ADD'L S Q L�. �N�F OVER 20 .10 TOTAL TEL.NO.LIGHTING FIRST 20 .2OFIXTURES ADD'L f0 RICIAN OVER 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY TEL.NO. DISHWASH. 'AUTO.•WASH. STATE SPACE HTRS. STA.APP.(Ve H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISIPCT149. G OUP Z N P ESSED BY O 1 1.00 1 8 1.50 �r INSPECTION RECORD s a 2.00 5 is 2.50 75 50 8.00 v O 50 100 5.00 r YJ d SIGNS: NO.TRANS. H NO.LAMPS SERVICE 0.600V-NoT OVER 200A 1.00 SERVICE 0-600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ '7 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP CATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT 1 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _ ELECTRICAL WIRING. WIRING •' I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR ( ��• - LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES Am CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE + DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED 1 >r f' OF PERMITTE FINAL ® 4vvii 4� VALIDAT19" ARTHUR C.'VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER L&92s9 MAY 26 2 D 3.0 0N g P� 76A669-CE806 8.62 APPLICATION FOR ELECTRICAL PERMIT' COUNTY OF LOS ANGELES ° DEPARTMENT OF COUNTY ENGINEER BUILDING So 3o W` �pj . 2t BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER f� WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY �4 NEAREST �®WAR-3— FOR APPLICANT TO FILL IN cRosa ST. RECEPT. TOTAL NO. EACH FEE LIGHT OUTLETS FIRST 2O $2O $ �- OWNER >� ® =50 MAIL ADO'L ADDRESS. SWITCO OVER 20 .10 ' rip LIGHTING TOTAL .20 CITY TEL.NO. F1Rsr20 /� FIXTURES ADD'L .10 ELECTRICIAN S OV R ZO JJ RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS/® / �60 CO/, 4Z,tj Ydt, GARB.DISP.d STA.COOK J Q py CITY / •d;p TEL.NO. �� 74 r DISHWASH. AUTO.-WASH. STATE / d'9 SPACE HTRS. STA.APP.CIA H.P.MAX.) .50 A� LICENSE NO. a7 MOTORS: OVER NOT OVER H.P. DISTRICT NO. I G�pUP ;VE SED BY O 1 1.00 1 1 s 1.50 INSPECTION RECORD s a 2.00 8 is 2.50 15 s0 13.00 > o_ so 100 5.00 O u SIGNS: NO.TRAN8. NO.LAMPS ICZ IO – SERVICE 0-600V-NOT OVER 200A ' 1.00 �� U SERVICE 0-600V-OVER 200 A. 2.00 H SERVICE OVER 600V 5.00 Z MISC. PERMIT ISSUING FEE 2.00 �() SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ �� 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION -..APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE I8 CORRECT AND AGREE TO COMPLY CONDUIT , �' .M •) WITH ALL•COUNTY ORDINANCES AND STATE LAWS REGULATING - ELECTRICAL WIRING. - WIRING N. r `.+ k �..i-:�:'--' •..!/ 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR ./�/+ ••� �•' -�'- V 7� LICENSED A8 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ✓ i73r.,.11� r CALIFORNIA OR THAT 1 AM THE LE NER F THE ABOVE DESCRIBEDRESIDENT Y. POWER , UTILITY CO.NOTIFIED OF PERMITTEE //.•` /yy1-z— SIGNATURE FINAL ��di,: -i /"LIDATION ARTHUR C. VIE IT / (/CK MO CASH SUPERVISING ELECTRICAL ENGINEER r,.tia 7 31 3-2 - !L 1. o p o 14.8 ON ti i WORKERS'COMPENSATION DECLARATION 76A663 . iCE-806G t(2-80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES e2 BUILDING AND.SAFETY insure,or a certificate of Workers'Compensation Insurance,or ( IIIJJJ a certified copy thereof(Sec.3800,Lab.C;) FOR APPLICANT TO FILL IN ' JOB ^�.� Policy No. Compariy .d ADDRESS RU ` New Residential Bldgs:&Pools EACH NO. FEE ❑ Certified copy is hereby furnished. 1 &2-0amily,Sq.Ft. $ — Is. LOCALITY Multi-family Sq. Ft. — NEAREST i ❑ Certified copy is filed with the county building inspection CROSS ST department. Residential Swimming Pools OWNER T Date FIRM NAME C1 pplicant Outlets: Rec.�Light Sw.� AI'L_ CERTIFICATE OF EXEMPTION FROM WORKERS' TAddi 20 ADDRESS •COMPENSATION INSURANCE Total No. AdditioFst .nal CIT Tel No`/ 3 . PLAN CR ECK APPLICANT O (This section need not be completed if the work involved C� Lighting Fixtures First 20 by the permit is for one hundred dollars ($100) or less.) g ADDRESS Total No. Additional cc. ,I•certify that in the performance of the work for which this ' Fixed Appliances Not Over 1 HP 'C.ITY Tel No. 01 permit is issued, I shall not employ any person in any manner PERMIT V so as to become subject.to the Workers'Compensation Laws: Range_Heater_D.W. _• APPLICANT Oven _ Dryer_W.M.— ADDRESS 2 Date Applicant Top _FAU _W.H. Hood _Fan _.Other_ CIT T NOTICE TO APPLICANT: If, after making.this Certificate of Disp. _Room Air Cond.— NT: LI.CEN EOR /a Exemption, you should 'become subject to the. Workers' REG.NUMBER Class Compensation provisions of the Labor Code,you must forth-. Power Apparatus&.Large Appliances DISTRICT NO. PROCES D.BY_ with comply with such provisions or this permit`shall be deemed revoked. Size&Type HP,KW,KVA,or KVAR Up to 1 Incl. FINAL Over 1 to 10 Iricl. DATE LICENSED CONTRACTORS DECLARATION " Over 10 to 50 Incl. P "` VALI DATION 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. $usi- BY Over 100 f 'ness and Professions.Code„and my license is-in full force and -effect. ,E Services Ir License.Numbe 15�Lic.Class— 0-200 Amp.,Under V �6 7 201-1000 Amp.Under Contract Date Over 1000 Amp..or Overr 6 6000 V ' HOME OWNER.-BUILDER DECLARATION Temp.Power Pdle&Appurtenances ( C' A I hereby affirm that Iam exempt from the Contractor's Sign with-One:Branch Circuit - 12 License Law for the following.reason (Section 7031.5, Busi=• a Additional Sign Branch Circuits Wo 0 o o. a 2 nese and Professions Code): Misc.Conduits&Conductors 4;0 r 1.13— ❑ I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— 11) structure is not intended or offered for sale (Section c m 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that. there is a construction Lending agency V - . for the. performance 'of the work for which this permit is• PERMIT FEE (Sub-Total) issued(Sec.3097,Civ.C.). (� Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address ti PERMIT ISSUING FEE S O I certify that I,have read this application and state that the . I.TOTAL FEE ` Above information is correct:I agree to comply with ail County y ; ordinances. and. State laws regulating Electrical wiring, and l hereby authorize representatives of,this County to enter upon , the above-mentioned property for inspection purposes. j SEE'REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date. WORKERS'COMPENSATIONDECLARAWON CE-so3 . APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self 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 INJODDRESS P_ g /O[7 � �� 0�� p �� Policy No. Company A New Residential Bldgs.&Pools EACH No. FEE Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY ''/ Certified copy is filed with the count building P Multi-family Sq.Ft. — NEOSS ST W 1.L /V.� y gins inspection Residential Swimming Pools C �I department. !/ FIRM NAMES �-� A t Date Applicant Outlets: Rec�Light�Sw. 1 MAIL )i/�L P1D�� First 20 ADDRESS Ny CERTIFICATE OF EXEMPTION FROM WORKERS' Total No.�— Additional CITY ,Eg C/T Tel No.4 JI- } COMPENSATION INSURANCE AN CHECK a APPLICANT (This section need not be completed if the work involved V by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS Additional I certify that in the performance of the work for which this Total No. CITY Tel No. permit is issued, I shall not em Fixed Appliances Not Ober 1 HP p employ y an y person in any manner PERMIT W so as to become subject to the Workers' Compensation Laws. Range_Heater D.W._ APPLICANT tl Oven — Dryer_W.M._ ADDRESS to Date Applicant Top _ FAU _W.H. Z Hood _ Fan —Other CITY Te No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. —Room Air Condom LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCESSED BY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW,KVA,or KVAR Up to 1 Incl. FINAL d Over 1 to 10 Incl. DATE VALIDATION LICENSED CONTRACTORS DECLARATION 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- ( g ) Over 100 BY ness and Professions.Code, and my license is in full force and effect. Services License Number Lic.Class 0-200 Amp.Under 600 V 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 El 1, 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 <- 6-13 0,8 A 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY o-o a 0'o 2 I hereby affirm that there is a construction.lending agency for the performance. of the work for which this permit is i PERMIT FEE (Sub-Total) 2 o - 2050 issued(Sec.3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) o C o , Lender's Address PERMIT ISSUING FEE Q q,1 7—8 2 I certify that I have read this application and state that the 11TOTAL.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 inspectidn'purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Signet ure Permittee Date e