HomeMy Public PortalAbout5342 BARELA AVE_Electrical__ OOUWrY OF LOS ANGELES APPUCATION FO$ PERS
DMSION OF BIIII..DING & SAFETY
WILLIAM J. FOX, County EaplaaK ELECTRIC I
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
QLECTRICIAN6 71
my ADDRESSZ A Q f Rte[ rim, INSPECTION DA 1 [D
CITY t%. !� TE-NO.
COUNTY LIG[ N0. IR[S ADDRXM
PEH]�T FEES
NUMBER EACH LOCALITY r!
LIGHT OUTLET7'JNMAR EST
RECEPTACLES O
WALL SWITCHES OWNER
TOTAL O u-LET'S C o 111
ADORES! !_Ds �d� I�
[LIC. RANGER Qi �G /
ELEC. HEATERS 16 CITY L� (��C T=L Nal-rd—/k
FIXTURES 6
1 HERESY A13KNaWI-KD0[ THAT I HAV[ READ 71-II8
MISCL APPLICIATION AND STATIC THAT THE ABOVE 10 CORRECT
NUMBER OF LIGHT CIRCUITS AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE DIROUITS AND STATIC LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POMTH[ ABOVE VALID LOS
NuMsm HORISEPOWER FEE ANGELES OCUNTY LIOENEIr. OR I AM THE LEGAL CMRIER
N[w Mvo. HP ov[R IND. nAal1 OF THE R[SID[NTI [SC RIS[D AO13VL
yx + �r.. .26 01ONATURK OF f
9 ,50 PIERMITTIEK _
>a a 1.OD MSPF.C'FION RECORb
5 16 1.50
7s SD I L50
60 ZCp 5.00
SCID SCD IaDo J
6013 lam In 00
Q
Z
OVICR 1000 20.00
M.G. S[T FR OHANG[R-HP
WILDERAe AO-KVA O
GENERATORS - KW
T EFORM[RD - KVA
TEMP. MOTORS (75 or ORIs.)
MOVED MOTORS (76 or opI■
I
SIGNS
N0. NO.TRANS.
NO NO. Po APPROVALS
FOR EACH PERMITS DAT[ INSP[OTOR'S NAM[
WIRING 11111.00 CONDUIT
FIXTURIA SI.ca WIRING
SUPPJAMENTARY .5 FIXTURES
POWER
TOTAL FgE ti 1, UTILITY CO.NOTIFIED
FINAL
TGAM DBB#6A "I
J
nA „-0o APPLICATION FOR PERMIT
DEP TMENT OF BUILDING AND SAFETY
COUNTY OF Lob ANGIIELECTRIC 1
WILLIAM J.J. FOX, CHIEF ENGINKNE01
FOR APPLICANT TO FILL JN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
RIVED BY READY FOR DAT[ffiSU
ADDRESS i r FIRST INSrECTION
CITY TEL No.
COU C BUILDING
��� AD DR[fD �/f�p dd
U e EACH FEs LOCALTTY
LIGHT OUTLETS NCAR[DT TJ 'A
7 RtC EPTACLIB CROSS ST. K. ,
�WAIL SWITCHES OWNER01 3,► ,
1 G TOTAL OuTLKTV 5cl s MAIL � / ,,Q
EL[C. RANGEb 25 ADDRESS iO4 /aµ}�- `r
ELEC. HEATER8 Yp CITY
NO.
FUTURES p
MISC. 1 HIRNMY E H
THAT 1 AVE READ THIS
APPLICATION AND STATIK THAT THE ABOVIt IS CORRiCT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMORR OF RECEPTACL.K CIRCUITS AND STATI< LAWS REGULATINQ ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSX00 THE ABOVE VALID LOS
NuKa" HORSANGELES �COUNTY LICENSE, OR 1 AM THE AKAL OWNER 1
�OW FEE
ua OF THE REHIDEMIAL r P ISED MOVE.
NM MVD. Hr OVLR IMG
Ats SIGNATUR !
E 60 PE RM-.1'm
s p 1.OQ INSPECTION RECORD
p 18 1,50 7
.t
is no 2.90
00 too 15.00
Roo 10.00 - f
1000 15.00
OVER 1000 10.00 43
I/
M. G. SIKT/PrRXQ. CHANGER-Hr a
WYLDERI, AC-KVA
GENERATOR!-KW
TRA NSFOR MERZ-KVA
TEMP. MOTORS 715or o,ua.
MOVIDMOTORS 715 OFoRla.
SIGNS
NO. NO. TRANS.
APPROVALS
DA INSP R' AME
FOR EACH P IT,
WIRING 00 CONDUIT
F1XT11REb 1.00 WIRING
SUPPLEMENTARY .60 FIXTUREI
POWER
TOTAL FEE f II f UTILITY CO. NOTIFIED
r lr
FINAL, /
i
WOE COMPENSATIONoecoreardON CE-aoe '°'81 APPLICATION FOR ELECTRICAL PERMIT
BtTUm that I have a oerUflcate d consent to aetf kiatae, CE-soeo
or a oerttficate of Workers' Compensation Insurance, or a cerNed COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thAred(Sec 3800.Lab.C.)
Poacy Na 1.11 • Company rW APPUcurr TO.PELL N .toe
F1Certtfied Dopy b N.,.by.furfdehed: New Regkientlal Bldgs.8 Pogis EACH NO. FEE
❑ Cer f copy is fled with the coWiy txA&V kt¢peddon 1 8 2-Famfy,S4 Ft. $ = 8 WCAL.FTY, f CI.
deperlment Muftl famRy '_` ,� ,44 4 ANO 1/
�r.
Date' Appb—t id On
Resenttel swtmmkrg PUote FFOA NAME c/s IS ,/LFA Gu�v+iii
CERTiFTCATE OF EXEMPTION FROWWORKERS
COMFENSI410N tN3lJfiANCE .. d,neta Rec Llgm 8w.'j1 ,. �d�QE
met �,`r ,
(Thlo section need not be.compWt d tl.the work hvoh-d by the Tata!Na y f ,
pertr$t is for one twndredddtara(=100)or kw&), r � PLAN Cl�c
I oertffy'that kr the performance d the vyork for which V* pwrnft
b•blued, I*al not•amPlRy wW Peroon In arry merrier so as to
ne au
beoorb}eot to the Wirkom' Law& lip YMv Fbduee Bret 20 ADDRESS
Tbtel No. 'Farre' CITY TSL Na.
NOT)CE. TO APPI.JCANT: td, after, making this CertMpOe Of Fbaed AppBencee No(Over i HP ppFf,tr,
E care bn,you sha kd Become wib6 of to the Wbrkara CorrpeF� Heeler_ D.W. 4PPLIGwG
provt*m of em Labor Code, yo4 must torthwkh aom with ouch Oven WMT ADDRESS
provfslons or thb perrTrft*wd be deemed revoked Top FAU WJ-L — CTTY Tal.Na
LICENSED OONTRACTORS DEG�AW" Hood Fan Othefi
I hereby aff9rm-that f am Iloeneed under pravbbne d Chapter•9 Dbp� _ Roam Air Cond. LC ��
(cortrnerx�l4 OR
wr+ h S9cbon,7.000) d Dfvfe(ai 3 d Buetrieee and
Prolehaions Cods.and my 5w-me le Ih fug force efteot Pmw Appy&Lame App-- OteTFtlCr No BY
Shze 8 Type HP,KW,KVk or K\MA
LJoensA Number' Lb.Ctaes Up to 1 kicL FRdAL
Over.1 td 10 InoL DATE
Date Over 10 to 60 Ind
Fl NAL
❑ I To under Seo. Over 60 td.100 h'rc. QY
BdP.C.for this reaeon Over 100
I - JBer� Swbd,Mcg a Penetboaris #$ 114 a 5�
0-200 Arrp.Under 600 V
+e 201 - 10Q0 Anp.lhider 800 V
Over 1000 Amp.or Over 800 V o o '
SINGLE FAA9LY Tamp.Po%kW Pole 8 Apprn-tana a 1229
-88
RRAT "
HOME OWNER-BIDER DECLA " Std w th One Branch GhrL*
I hereby affirm thet I am exempt from the CenbecWs License Law
for the foEbwft reason(Section 7031.8,Buekreee and Pofas*em WttionelSign Durich Clraftn
Code)
❑ ea
A6ec Cohdufts S'Conixtore'
owner d the property,win the work and the etrudire
b not intended or offered for agile (8eWon 7044, B4ehees Other(bee Cortpbie Fee Schedrte)
and Prdeeebns Code).
CONSTRUCTION LENDNO Aaej Y
I hereby afflrm that there b a con&uctlon Wnc&Q agency for tN
performance of the work for wNch thb permlt is beusd(Sec 3097, PERMIT FEE (Sub-Total)
Clv.C.).
PLAN CHECK NO FEE
Lenders Name
-PERMTf ISSU N0 FFD
Lender's Address
I certffy thef I have 0-is read s appkaYion and state theft the above TOTALFEE
krformatton is axrect. I agree to'corpty with al County ordinances
and State k*e regulating Ebbtricel wblrQ and hereby authortre
4nprssenlatfvee of thb County to enter upon the above-menbor d
/`+•� '/JFK� �i' I �� 8kEE REVEH8f=FOR EXPLANATORY LANdUAaE ,
7 r
of PwTr ttee Date