Loading...
HomeMy Public PortalAbout5128 BARELA AVE_Electrical__ 76A663 CE-806(11 /78) AP LICA N FOR ERI L PERMIT. COUNTY OF LOS ANGELES BUILDING AND SAFETY- 'y ' FOR APPLICANT TO FILL IN JOB ✓ New Residential Bldgs.&Pools EACH. NO. FEE ADDRESS ) 1 &2-Family,Sq. Ft. $ .025 — $ LOCALITY Multi-family Sq. Ft. .02 — NEAREST CROSS ST. Residential Swimming Pools 25.00; OWNER-OR L ?/ ti Cd7— y- Total FIRM NAME t.__Outlets: Rec Light Sw, MAILFirst 20 .50 ADDRESSTotal No. Additiond6 .30 CITY C _Tel.NoaPLAN CHECK d APPLICANT r,.Lighting Fixtures First 20 50 ADDRESS No. Additional 30 CITY 1p . Tel. N-.;Z _ ^ Fixed Appliances Not-Over 1.HP -PERMIT / r APPLICANT. -J /i A- / PL Range_Heater_D.W. ADDRESS — - Olen='Dryer_W'M.— To _FAU —W.H._ CITY Tel. N . Top �7� - -- . Hood_Fan —.Other_ LICENSE OR Disp.-..-.Room Air Co_nd•., z 2'50 REG.NUMBER Class: I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA- Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE,TO Size&T e HP; KW, KVA,.or KVAR COMPLY WITH ALL,COUNTY-ORDINANCES AND STATE-CAWS' Yp 2.50 REGULATING ELECTRICAL WIRING. Up to 1 Incl I HEREBY CERTIFY THAT I•AM-PROPERLY REGISTERED AND/OR' Over 1 to 10 Incl. 5.00' LICENSED AS REQ RED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Incl. 12.50 CALIFORNIA OR AT I AM THE LEGAL OWNEROFTHE_ABOVE O Over 50 to 100 Inc. 25.00 DESCRIBED RE TIAL' ROPERT _ PERMITEE i44l Over 100 40.00 SIGNATOR Services J'//7, j9�,t�t�-'7!%, DISTRI O. ]���ED-B)Y0-200 Amp.'Under'600 V12.5020.1-1000 Amp:Under-600 V25.00 50.00 O'v'er 1.000 Amp.or Over 600 V Z , O Temp. Power Pole&Appurtenances 10.00 - Q Sign with One.Branch Circuit 10.00 Additional Sign Branch Circuits 2'00 INSPECTION.. _ -> EI INFORMATION Misc.Conduits&Conductors 10.00 ON REVERSE, 'u o o o o o 2 Other(See Complete Fee Schedule) $IDE v 2 2200 CL _ � 22,00(� PERMIT FEE (Sub-Total) `t , Z 0 6. 1 2—0 0 PLAN CHECKING FEE )One-Fourth`Permit Feel O PERMIT ISSUING FEE $7.00 ' G TOTAL FEE S > INSPECTION FINALED m • W a dote:'& By ©5 COUNTY QF LOS ANGELES APPLICATION FOR PERMIT • Departmentof CountyEngineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer ELECTRIC i FOR APPLICANT TO FILL IN DISTRICT NO. GROUP LZONE PLERRMITf�N�O. ELECTRICIAN -11 2 ' �O CE ED BY READY FOR DATE ISS ED ADDRESS FIRST INSPECTION hhr CITY TEL.NO. 7—/ ✓y- COUNTY LICENSE NO. EXPIRES BUILDING (y PERMIT FEES ADDRESS Q /� FEE t7 � NUMBER EACH LOCALITY Jr � LIGHT OUTLETS NEAREST RECEPTACLES CR09B BT. WALL SWITCHES OWNER TOTAL OUTLETS 5C 5 _ MAIL n f� ELEC. RANGED 25 ADDRESS G�a ELEC. HEATERS 26 CITY •yLQ 4, TEL. NO. FIXTURES 6 ! p M19C. 1 HEREBY AC NOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL -PROPERTY DESCRIBED ABOVE. I 12 a L2 .513 PERMITTEE. 5 .25 SIGNATURE TTEE_ L''�• / a 5 1.00 INSPECTION RECORD 5 1S 1.50 T5 50 2.50 50 200 5.00 2130; SOO 10.00 J _ 5013 1000 15.00 Q OVER 1000 20.00 ZO _MOVED MOTORS (75% OF ORIea M.O. SET/FREQ. CHANGER-HP O WELDERS.AC-KVA GENERATORS - KW TRANSFORMERS - KVA M19C. SIGNS NO. NO.TRANS. N0. NO.LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING 51.00 06 CONDUIT ;'I FIXTURES 51.00 / WIRING L 1_h ti4 '�, .HAA, --I IsUPPLE M ENTARY .50 FIXTURES PDWER TOTAL FEE 5 L UTILITY CO.NOTIFIED ((ll FINAL $ I-sz. I 7rne63 Des#sA cd b 12-53 WORKERS!tOMPi`NSATION DECLARATION 76A669 10/81 APPLICATION 'FOR ELECTRICAL ,PERMIT hCE-8066 hereby'affirm that 1 have a certificate of consent to self inllire, or it certificate.of Workers'Compensation Insurance; COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lob.C.) " Policy No. Company FOR APPLICANT TO FILL IN JOB EACH`:,kNO. - FEE ADDRESS . ❑ Certified copy is,hereby furnished. New Residential Bldgs.-& Pools � ❑ 1 &2-Family, $ Ft. $ $ LOCALITY , Certified copy is filed with The county building inspee- Y. q• r tion department.. Multi-family Sq. Ft. 'NEAREST Residential Swimming Pools CROSS ST: OWNNa" .Date' Applicant FIRM NAM CERTIFICATE OF EXEMPTION FROM WORKERS", � MAIL Outlets: Rec�Light�Sw. COMPENSATION INSURANCE '- � ADDRESS Firsf 20 (This section need not be completed if theWork-involved by CITY` + Tel. No Total No. Additional C. the•:permit is for one hundred dollars'(:.1,06)or less.) f I:certifythat M the•erforrriance of the work.for which this PLAN CHECK P.. APPLICANT' permit Is issu.ed',I shall not employ any•person in any mariner . ' so as to,become subject to.the W r ers'Compensdtion-Laws. Lighting Fixtures. First 20 -ADDRESS ,� Total Nq;. Additional CITY- Tel. No. - D°tC O pp Fixed Appliances Not Oyer 1 HP PERMIT d NOTICE TO APPLICANT: I ; after making t s:Certificate of +- APPLICAN C $ d Exemption, you' should become-.subject, to the Workers' Range. Heater. D,W. .— Compensatio.n provisions of the Labor Code,you must forth- Oven: Dryer W.M.— ADDRESS .� . with :comply.with such provisions or this permit'shall be. Top • FAU —W.H. —, deemed revoked. �.*• Hood Fan —Other_ CITY I. Wo..447o LICENSED CONTRACTORS DECLARATIONy, ; LICENSE OR '`�,, I hereby affirm that I am licensed under provision's-of Chapter 9 Disp. Room Air Cond. Vic/ Class. REG.NUMBER (commencing with Section 7000)of Division:3 of,the Busines's DISTRICT NW. PRO S D BY L Power Apparatus.&.Large Appliances } and Professions Code,and my-license.is in full force and•effect. s" 8. Size 9.Type•HP, KW, KVA, or KVAR' ':•t r V License Number- d oc'. Class_ Up to 1 Incl.: FINAL - V. F Over 1 to 10 Incl. . DATE VAL ATION o Contractor, Date Over 10 to 50 Incl. Fi � ❑ I am exempt under Sec. Ovef 50 to 1.001Inc. IL BYUl BAP.C. for this,reason Over 100•. 1 H Services, Swbd.; MCC&'Panelborgrds' Date: 0 -'200 Amp. Under 600 V Signatu a 201 --1000 Amp. Under 600 V ' Over 1000 Amp. or Over 600 V -62"A­ 224 .❑ Exemptio'for Reg. Maint.'Elect. SINGLE FAMILY 'Temp. Power Pole&Appurtenantes # •'_� • e-02 HOMEOWNER-BUILDER DECLARATION Sigri with One.Braneh•,Circuit I herebyaffir•.m that I am exempt from the Contractor's. l • • P k5.2-5 - Additional Sign•liranch Circuits - - _ -. Law for'the following reason (Section 7031.5,-Business and Professi("ns Code): • • • 4.5 2 5 ❑ i Misc. Conduits&Conductors I, as owner of the property, ;w.ill'do the work and the `. structure is not intended or offered for scrip (Section Other(See Complete Fee Schedule)_ , 7.0 8? $5 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY i hereby affirm'that there is a construction lending agency for , 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 L'ender's Address I certify that I have read this application and state that the TOTAL FEE ,( 5 2 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 abo -mentioned property for inspe ion purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permit, D to