Loading...
HomeMy Public PortalAbout5232 BARELA AVE_Electrical__ 7 DaS-5A 3.55 APPLICATION FOR ELECTRIC PERMIT 1 S•5A DIVISION OF BUILDING AND SAFETY Department of County Engineer J County of Los Angeles ADDRessi�/C�eC h i f1�F • WM.J. FOX, COUNTY ENGINEER CASSATT D.GRIFFIN. SUPT OF BUILDING JINQ LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. FE LIGHT OUTLETS NUMBER EACH E OWNER MAIL RECEPTACLES ADDRESS ;5,ojK IM If WALL SWITCHES TOTAL OUTLETS 5¢ $ / ,� CITY TEL.NO. ELEC.RANGES 25 ELECTRICIAN _ELEC. HEATERS 25 ADDRESS". C KW EA CITY �/9a• //�G//TEL. O � FIXTURES 5 LICENSE NO. e NUMBER OF LIGHT CIRCUITS - DISTRICT>0— I GR P 1 I ZONE I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS NUMBER HORSEPOWERFEE INSPECTION RECORD NEW MVD. I HP OVER I INC. EACH Y Ih&LESS $ .25 1h 2 .50 2 5 1.00 5 i5 1.50 I5 50 2.50 50 200 5.00 MISC. NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING $1.00 I a� FIXTURES 51.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ / DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT _e P AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY / �P WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. i r� -• --- 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT TH LEGA OWNER OF THE ABOVE POWER t' A DESCRIBED RESIDEN L PRO ER / F' K .'e SIGNATURE �� UTILITY CO.NOTIFIEDe (�I ��" �?.--4, OF PERMITTEE FINAL rQ t-1WILLIAM J.FOX.COUNTY ENGINEERVALIDATION A. C.VEIT.CHIEF ELECT. INSPECTOR 1 .55 In ` ,too7405-1r� ,UN126 t-- 76A663GE,606R9/76 APPLICATION FOR ELECTRICAL A1�11�1ff C� C�� ^ 't l COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS _2_5 FOR APPLICANT TO FILL IN LOCALITY New Residential Bldgs.&Pools EACH NO. FEE CNEAREST ROSS ST. 1 &2-Family,Sq. Ft. $ 025 — $ OWNER OR �J Multi-family Sq.Ft. •02 — FIRM NAME / Residential Swimming Pools 20.00 MAIL -J ADDRESS Z. a4a Outlets:Rec Light. °-.Sw. CITY Tel.No.067,-73 First 20 .50 � PLAN CHECK Total No. Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 0 CITY Tel.No. Additional .30 PERMIT /t Total No. APPLICANT l ! Fixed Appliances Not Over 1 HP ADDRESS- Range—Heater_D.W.— CITY n Tel. No. Oven—Dryer—W.M. LICENSE OR Top —FAU —W.H.— REG.NUMBER Class. Hood_Fan —Other— I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp. — Room Air Cond. 2.00 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN- ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS 2.00 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Up to 1 Ind. THE LEGAL OWNER O HE ABOVE DESCRIBED RESIDENTIAL PROPERTY. Over 1 to 10 Incl. 5.00 Over 10 to 50 Incl. 10.00 PERMITTEE 0 Over 50 to 100 Inc. 20.00 SIGNATURE - - - V RC Over 100 30.00 DISTRI O. G O� PROCESSED BY Cj� -D. `-T/ / ) v Services w 0-200 Amp.Under 600 V 12.50 I,NSPECTOR'S t� 201-1000 Amp.Under 600 V 25.00 APPROVALS DATE SIGNATURE 2 Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE UNDERSLAB WORK 9-7�`? Temp.Power Pole&Appurtenances 10.00 Sign with One Branch Circuit 10.00 ROUGH CONDUIT rl Additional Sign Branch Circuits 2.00 WIRING, Misc.Conduits&Conductors 15 00 FIXTURES Other(See Complete Fee Schedule) POWER AUTHORIZED UTILITY CO.NOTIFIED d s FINAL PERMIT FEE (Sub-Total) NOTES `pf3 A 7 E • � V PLAN CHECKING FEE (One-Fourth Permit Fee) PERMIT ISSUING FEE $6.00 �i S TOTAL FEE 1_5� . PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH 6 5 0 SEP 7 2 D 1 5.9 C) ,&--)6 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ©s 76A668-CE806 Et-71 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS rl LOCALITY NEAREST L FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE $ $ OWNER RECEPT._ MAIL LIGHT TOTAL FIRST 20 25, ADDRESS rZ; ^,,1A e° CITY - ,` TEL. NO OVER 20 �- 3 SWITCH_ .f0 PLAN CHECX LIGHTING FIRST 20 25 APPLICANT TOTAL OVER 20 ADDRESS FIXTURES .10 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR._ APPLICANT /' G t-h L. , STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I 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 & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d ) CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 3 /'7 1 - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. OV 10 - 50 5.00 SIGNATURE OF PERMITTEE 50 - 100 10.00 O OISTRICTNO. JCLASS ZCO-'NSE P E ED BY W 100 - 500 15.00 �� I d N SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: +7 ? TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 S ERVICE OVER 600 VOLTS OR 200 AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE n, PERMIT ISSUING FEE 3.00 3 �� FINAL 4, 7 TOTAL FEE r000 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH Lr �O 2 GGT 16 2 D 6_0 0- SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMITELECTRIC 1 COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ��.. ELECTRICIAN tt�� - RECEIVED BY READY FOR DATE ISSUED ADDRESS ,.y .�-♦ i f}• ._,ft 9-'i �i 1.�.`�.i ;��', /� FIRST INSPECTION ! (� CITY J 'r' t'l�1 ;�' i� �' TEL. NO.lr°°."r` i COUNTY LICENSE NO. EXPIRES BUILDING !!�� J <y }}�� PERMIT FEES ADDRESS A. NUMBFEE ]ER EACH LOCALITY _ r' LIGHT OUTLETS 6 NEAREST ,J CROSS ST. .j, C' �;'�: d- G N RECEPTACLES )!I I WALL SWITCHES 9 OWNER NJ 1-1-r.i _}�:''' , P Ll C— k �^ TOTAL OUTLETS .A4 Sc $ .-i-' "7�.1, MAIL �� "' C ,q ELEC. RANGES ,�.. a 8S ADDRESS ,l,,� „? Sf.)� ( t,�9-Rj %�'f t � ELEC. HEATERS 25 CITY A. H' TEL. NO. 4'l' I""�% ;'3,'_• FIXTURES S � I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. 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 I POSSESS THE ABOVE VALID LOS N ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW EW HORSEPOWER FEC MVO. HP OVER I INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/2 E LESS $ .25 SIGNATURE OF �� I/2 2 50 PERMITTE / -IP/kAA..A I 2 5 1.00 IST PECTION RECORD 5 15 1.50 15 50 2.SO �- 50 200 I 5.00 200 Soo 10.00 J Soo 1000 15.00 Z OVER 1000 20.00 M. G. SET/FREQ. CHANGER-HP Q' WELDERS: AC-KVA GENERATORS-KW TRANSFORMERS-kVA TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (75%OF ORIG.) MISC. ( SIGNS NO. NO. TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME I / WIRING -�) CONDUIT FIXTURES $1.00 ,� �}'�� WIRING _SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ UTILITY Ck OTIFIED I.i / - ® FINAL 76A563-C�E80810/yZ APPLICATION FOR ELECTRICAL PERMIT `�CO.U`NTY OF LOS ANGELES ' l-!'6EP,1(RTMENT OF COUNTY ENGINEER 'JOB. BUILDING AND SAFETY DIVISION ADDRESS 6 3( ti 02 /Vi ��.2eL LOCALITY NEAREST t..4 FOR APPLICANT TO FILL IN CROSS ST. G OUTLETS NO. EACH: FEE OWNER OR $ $, FIRM NAME ' (/�/:I , !,S RECEPT: nn AIL ADDRESS C114 LIGHT TOTAL FIRST 20 O ,25 V� CITY C` TEL. N - ?slf S'WITCH_6— OVER 20 ••.10 v PLAN CHECK LIGHTING Fl.RST'90 .25 APPLICANT TOTAL. OVER 2.0 ADDRESS FIXTURES / 10 RESIDENTIAL APPLIANCES CITY TEL. N0. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA.,COOK DISP.-F:A.U:' ADDRESS, ' SPACE HTR, AIR CORD. CITY, TEL..NO. CLOTHES WASH. DISHWASH. LIREG.CENSE OR NUMBER CLASS. , FAN .OTHER. _ 1.00. dlv 'I. .HEREBY ACKNOWLEDGE THAT I HAVE READ THIS'.APPL ICATION VV AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WIT,N ALL COUNTY ORDINANCES AND'S,TATE LAWS REGULATING IND, HEATERS, ETC. Hf. KW. KVA.. - ELE•CTR:I,CAL WIRING. - SIZE & TYPE OVER TO ' I HEREBY CERTIFY'THAT 1 AM PROPERLY REGISTERED AND/OR 0 — 1 1.00: LICENSED. AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CA,LIFORN:IA OR THA.7 I AM THE LEGAL OWNER OF THE ABOVE 1 — 1O 3.00 DESCRIBED RESIOEN,TIAL, PROPERTY.,. p, CD i PERMITEE �W • I .10 - 50 5.00 SIGNATURE 60,,- 100 10.00 -DISTRICT No. PROCESSED BY LLI cam! am 100 - Boo 15.00 a�p r C z SIGN;- GAS 'SIGN AND'ON'E CIRCUIT 5.00 APPROVALS DATE INSPECTOWSSIGNATURE TUBE', OR - TEMP. POWER POLE .MARQUEE A-DDITIONAL CIRCUITS 1.00 SERVICENOTOVER600VOLTSbR200AMP '. r 3;00: 3 .V UNDERSLAB WORK SERVI CE OVER.600 VOLTS OR 200 AMP 10:00 ROUGH CONDUIT TEMP SERVICE,POLE,'&APPURTENANCES '5.00' WIRING TEMP L.IGHT OR:RECEPT. SYSTEM, 3.00 FIXTURES. POWER AUTHORIZED ��Q•.7 UTI,LITI' CO. NOTIFIED FINAL.. PERMIT FEE (SUB TOTAL) NOTES: r PLAN.CHECK FEE . PERMIT.ISSUING FEE TOTAL F'E'E PLAN CHECK,VALIDATION •CK. M.O. CASH PERMIT VALIDATION • cK.. M-0- CASH 9 rJAN © 13.9 5 *;8 SEX BACK.OF APPLICATION'FOR COMPLETE SCHEDULE+' WORKER'S COMPENSATION DECLARATION 20-0019 DPW 9189 Thereby affirm'thal I have a certificate of consent to self insure, 76A663 APPLICATION FOR ELECTRICAL PERMIT or a 6ertificate of worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab. C.) Policy NO. Company FOR APPLICANT TO FILL IN JOB ADDRESS ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE LOCALITY-7r'�m El $Ft $ S -Family, q. . — Certified copy is filed with the county building inspection 1 &2 _ NEAREST department. Multi-family Sq.Ft. CROSS ST. / Date Applicant Residential Swimming Pools ASSEssOR MAP BOOK PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. LightSw. OWNER OR FIRM NAME COMPENSATION INSURANCE / First 20 (This section need not be completed if the work involved by the MAIL No.� Additional ADDRESS lr permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY Tel.No. is issued, I shall not employ any person in any manner so as to PLAN CHECK /�^�✓"� become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. e — Additional ADDRESS Date Applicant 15 OR 20A,120V BRANCH CIRCUITS NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation 1 TO 10 INCLUSIVE EACH provisions of the Labor Code, you must forthwith comply with such 11 TO 40 INCLUSIVE EACH PERMIT ®� P Y P Y APPLICANT provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH } LICENSED CONTRACTORS DECLARATION ADDRESS 0- l I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH C (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. Professions Code, and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR Power Apparatus&Large Appliances REG.NUMBER Class. U License Number Lic.Class Size&Type HP,KW,KVA,or KVAR DISTRICT NO. PROCESSED BY Up to 3 Incl. �Oi�l���. � LU Over 3 to 10 Incl. FINAL G" Contractor Date DATE Over 10 to 50 Incl. _G' ❑ ` �� / ) VALIDATION I ' am exempt under Sec. Over 50 to 100 Incl. _ AL B.&P.C.for this reason Over 100 BYAL Servi anelboards Date: (\ 0-200 Amp.U600 V Signature 2pt--1000 Amp Under 600 V Over 1000 Amp.or Over 600 V ElExemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law for the fo owing reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code); III I, as owner of the property,will do the work and the structure Misc.Conduits&Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) 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 (Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE Lender's Name — PERMIT ISSUING FEE Lf ,j Lender's Address /q I certify that I have read this application and state that the above TOTAL FEE !o J 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 fir' ectio purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATOR OF PLICANT OR AGENT DATE