HomeMy Public PortalAbout5470 BARELA AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMT
DEPARTMENT OF COUNTY ENGINEER ELECTRIC �
DIVISION OF BUILDING & SAFETY
WILLIAM 1. FO& COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
ADDRESS �' RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
CITY �,. �', TEL. NO. 'T. ;,-!.
COUNTY LICENSE NO. EXPIRES BUILDING
PEMM FEES FEE ADDRESS �---�-
•��
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES ROSS ST.
WALL SWITCHES +I -
OWNER
TOTAL OUTLETS ScMAIL
ELEC. RANGES 25 ADDRESS , "
ELEC. HEATERS 25
FIXTURES 5 CITY TEL.
TEL. NO.
MISC. I HEREBY ACKNOWLEDGE THAT I 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
I CERTIFY THAT t POSSESS THE ABOVE VALID LOB
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER I INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
1/2 a LESS $ .25 SIGNATURE OF -
V2 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 1 50 2.50
50 200 5.00
200 500 10.00
500 1000 15.00 Q
Z
OVER 1000 20.00 F
M.G. SET/FREQ. CHANGER-HP It
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
DATE INSPECT R'8 NAME
FOR EACH PERMIT:
WIRING $1,00 Ur.i CONDUIT
FIXTURES $1,00 �C:� WIRING ..--
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ 1 f UTILITY CO. NOTIFIED
FINAL Ll
76A 663 DBS# 6A. 4-52 -
r 15_,;;z7t!
1
70ke APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGIIMsurLDINO
BUMEIING AND SAFETT DIVISION ADbREBS
JOHN A.I B1E,COUNTY ENaINRER +.
CASBATT D GRIFFIN,<UPT Or RUILDINa LOC:ALiTY '
FOR APPLICANT TO FILL IN NEAR
PEBMT FEES
uoxrs le>tcvrwcLcr sVvlrcNrs LO AM 4 Q
OWNER
MAIL
TOTAL OUTLETS ADDRESS; f0
[LEC. RAEGRS, WATER ■EATERS, C N ++
Soren DETau .DO ELE RIC
ELEC. SPACE HEATERS, STAT-T. C00[-
0S URI TS, GEjN
AE7 ASE DISPOSERS,
ADrO ■ASllISu DUY1ASeER .Y!!I ADDRESS ?
at
LIGHTING FIXTURES .10 (ITV a m TEL N G9
ROTORS STATE
LICENSE NO:' l/
HORSEPOWER
H. OVIR INC. MDISTII.ADT POR OEPECTIOR
i LSA .26 /
Y .110 WSP=0N RECORD
Y' — 15 1.00
15 — 115 1.60
116 — ISO Y.DO
ISO — 200 I5.00 -
'bloc.
fUCN9 No.TRAM
No.LAM"
1
SERVICE O-6QOV 1.00
SERVICH OVER GOOV 11.00
WIRING PERMIT 1.0.0
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .DO J $Ovlag
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGRATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTT ORDINANCFS AND STATE LAWS REGULATING
ELECTRICAL 'AIRING. WIRING t
I HEREBT CERTIFT THAT I AR PROPE31LT REGISTERED AND/OR FIXTURES
LIC"3ED AS REQUIRED BY LAS ANGELES COU AND ATS OF
CALIFORNIA OR__=T_I AN THE LE OW 0 ABO YE POWER
RES r- EYTT,
SIGNATURE
LIT ILITY CO.NOTIFIED
OF I
FI
HNA�AMnBIE, ARTHUR C.YEIT,
uxrY alN [R IDa�^'-" ) surl[RrrlsiNa EL[G'tltlawL ENalNMXt
LCOO D 5 6� J1�1 2 !l 2-.00
MmwursCO"'PE"s""° °E '°" IMAM° 'B1 APPUCAT10N FOR ELECTRICAL PERMIT
I hereby affirm that I have a oartlftcate of consent to sett tieire,
or @ oertffica* of Workers' Cornpeneatlon Inmrance, or a oet tWl COUNTY OF'LOS ANGELES BUILDING, AND SAFETY
co13y therW(Sec.3800,Lab.C.)
Poky' 2 -r�—CorpAny .J!AG r'* FOR APPM-Wr To PLL IN 109 j
❑ CerttW copy Is hereby furnlsbs ,, New Reeldentiel f3idge.d Pools EACH NO. FEE ADORE
Certified b filed with the .cou buldlpc LOCALJTY
1 d 2-Fwn y,S4 Ft $ — b �,, [
department Muttl femAy Sq Ft — NEAREST
ST (�D
AliPasbeat:lal Swlmmtng Pbob _
Debs rt FFOA w,1 F totCEFflT7lCAT`E OF I`+R AUOE'L
COMPENSICfION IN$. CE Oubetr,RooT Light SW.� MAL
ADDRPSS E. .
(Thl..ectbn r>Md riot be conpkkw tf tit•Work trnCITY Tel No.
oh d by ttw �yt� Ffret 20
;p.rrnk In.for-one twndrod dol le r.($100)or lMa} Total No._�`� Additional
.
I ceFttty that in the performer of,the work for vvtdoh this permit �l>
IS hBUpd, I shall not.ernpiOY airy pew In any mariner so as to
become sub)eot to ti-pe,Vkrks-m•Compensatbon Lowe. Ligh&Q Ftxharis First 20 ADDRESS
Total Na Addttionel CffY Tel.No.
Date APpk-d Fbred Appliances Not Over 1 HP PERWT
NOTICE JO APPLICANT: If, after .making't ie CerbToate of AWLICANT
tnrVdon You MMM co
beme&t3lect to the.Work"'Con peneffiion Range— Heater— D.W. —
provial" of the Labor Co* you must forthv th comply wrfth afch Oven — Dryer — Wk ADDRESS GLI, Ate,
F provldone or tufa perrrdt'8W be deemed revokedTop — FAU — WJ-L Cl-FY
LICENSED CONTRACTORS DECLARATION Hood — Fan Other No
I *Vby affirm that I am Ibensed under provieiorm Of Chapter 9 DbQ Rpprn Air Cord. T LIC�OF1 � Ci--
(oorrmenoing wfth Section 7000) of Dlvislon 3 of the B*nees and
Profesabnn Code,end my Roerrse fa fn full farce and affect.'
Power Apparatus S Large AppQances T PrroCi 9y
III �
glow
� �p�p X31 p Stze&type HP,KW,K10,or KIAR
ent(�
Llcee Number T lJo Lb.CiEM -f tip-to 1 irx 1: - FINAL
Over 1 to'10 Ind. DATE f fQ�Q
Corrtreat°r bate Over 10 to 50 Lid. ho/
� C
Q_ C..7�
I sm mmrrrpt Seo. Over 50 to 100 IrisFINAL_ 8Y y
EAP.G.for thIa reason Ov9r 10.0LL
f
Data
Services.Swbd,MCC d Penefboerds ,0-200 Amp.Under 800 V
Sbgratem 201 - 1000 Amp,Urxier 800 V
Over 1000 Amp.or Over 800 V
❑ FCemptkxi for Rep.MaInt Elect
SINGLE FAMILY "tamp.Power Pole S Appurtenantcee
HOME OWNER-BUILDER DECLARATION Sign with One Branch ClrouR �v7►�� -fit
I hereby atfir'm ttmt I am exenpt from the CiORt WtOre Lbenee Law
for the fodowing reason(Section 7031.5,BualnWas and Profeealorn AddRloneJ Sign Branch Clrttrtte AirLl !
Com): - 3311?' 47.W
E] Mleo.Condutin d Conduci«n _ --
i,as owner of the prQp",wIq do the work and the structure
is not intended or offered fol sale.(Secdbn 7Q4-4, Business ( Sdreduie) _
' .OD•�
and Profeselons.Code). , _ -- -`�OTW: 1/ .
CONSTRUCTION LENDING AGENCY and
47.�
I hereby affirm #tat there'is a conetructbn larding agency for the -C�
perfornWm of the,work for which tits permit to lasted(Sea,3097, PERMrr FES - j Tote1)
ALAN CNEGKINQ FEE 000D-0001 Wil o7
Lender's Name ,_ ,�y
PERMFr ISSUING FEE L/ V 4094 1 AN 8938
I'oertffy that I haw read this apoloafton and stats that: the above TO-VL FEE
Lrforme±lop Is oorrwft I agree to comply with all County Ordkwioe.
and State lawn mgrAetk-Q Elaatrlcal wkkU and hergby auLhprtze
repreeer#attvee of this County to enter upon tho above-marrIJ d
popertY for h"xwdcn SEE REVERSE FOR EXP4AlAr0j-Y LANGUAGE
7
6
re of Date
'&ORKER'S COMPENSATION DECLARATION 0018 DPW(12-91' APPLICATION FOR ELECTRICAL PERMIT
1 htreby afflrm t�t 1 ha�R a certificate of consent to self Insure, 78ASC�
or a certificate of Workers%3-F4ahs:non Insuranoe, or a oertlfled COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFELY DIV.
copy thereof7� .
(Sec..38004:6.C.)
Policy No. 1�Canpdny N FOR APPUGwr TO!4t M -�
❑/ certfned copy M ay New R"dw%w Sidge.s Pooh No. EACH FEE r�
;f�rrhQy,8q.Ft. LOCALITY_
Certified copy Is Med with the but g I on 1 8 Mutt2-FiLf l Sq. sT. yV
Ay
Data Applicant Reelderrdal 8RMmmbV Pools ASBEB80R
ALAP BOOK PA3E PARCg
CERTIRCATE OF EXEMPTI OYMER OR
COMPENSATION kUCE Outletx Roc. Light R ✓gt 20 - D RFp1 Ny1E
MAIL
(This section need not be oompla t1nv.),,.d by the Total No. Addttlorul DDADC
flE69
permit Is for one hundred dollars(1100)or lap.)
�_
I oertlty that In the performance of the work for which this permit CITY Td Na
Is Issued, I ehall not employ any person In any manner so as to PLAN CHECK
become subject to the Workers' Compensation Laws. Lighdng Fbdurse First 20 A IAPPLICANT
Total No. Addltio,"
ADDRESS
Data Applioenl RESIDEIJTIAL APPLIANCES NOT OVER 3 HP.
NOTICE TO APPLICANT: If, after making thlp Certificate of CFTY Tel.Na
Exemptlon,you should beoome subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP.
provisionsof the Labor Code, you must forthwith comply with such Power Appareiw 3 Large Applfanc�w
provlslons or this permit shell be deemed revoked. �•-�
LICENSED CONTRACTORS DECLARATION Stzs h Type HP,KW,KVA,or KVAR ADDRESS 3S C- ' \t N` Vt
I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Ind.
(commencing with Section T000) of Division 3 of the Business and CITY Tel.No
Professions Code,and my license Is In full foros and effect. Over 10 to 50 Ind.
UC�OR
Over 60 t0 100 Ind. RE(b.Nl1MDER
31 Z
5,319 2--) Lb.Claes Over 100 MEMUCT NO. BY S
Lk»r»e Number y
/� Services,Swbd.,MCC S Peneltoerde ��O �
Contractor bo �T` Data 0-3B9 Amp.Under 800 V DATE O
❑ I em exempt under Bea 400-100)Amp.Under 800 V
Over 1000 Amp.or Over 800 V VALIDATION W
RNAL d
B.SP.C.for Lila reason BRANCH CIRCUIT FEES By z
Z
Date: 15A,or 20A,12oV,Llghtlng or RsoepL
1 To 10 Branch a.cu
ftn11 To 40 Branch CtatEs
41 Or Mon Brrroh Ctrhx�
❑ Exempdm f Mal 15A,MA 209V To UN Br.Clrnrits 7
SIN
ILY
HOME OWNER-BUILDERDECLARATION Temp.Power Po4e S Appurtenernoes ( •�•T.i
I hereby afflrm that I am exempt from the Contractor's Llcenas Law ftn with One Branch aroult ry� rxr }�
for the following reason (Section 7031.5,Business and Professions Additional Sign Branch Circuits i 7Vti+ r•�
Code):
❑ 1, as owner of the property,will do the work and the struoture Woo.Qxidufm S Conductors w� hr's j0
Complete Is not Intended or offered for sale (Sectlon 7044, Business Other(See Fee Schwdule) , TOTAL '—
end Professions Code). 1IUY, 2 I
CONSTRUCTION LENDING AGENCY I_ X03
I hereby affirm that there Is a construction lending agency for the
performance of the work for whloh this permit Is Issued (Seo. 3097, PERMIT FEE (Sub-Totaf)
Civ.C.) _
PLAN CHECKING FEE 0 —OD01 4/2�J/94
Lenders Name G 48859 1 AM 10:31
PERMIT ISSUING FEE
Lenders Addrees
I oerttfy tui I'eve read &NAoaton and under perulty of purtury state TOTAL FEE
theft the above Inform correct I agree to comply wtth all County
ordnancee and State 1 {sing Elecfrtoal wiring,and hereby authorize
reprueen my bD errter upon the above-mentioned property
fa SEE REVERSE FOR EXPLANATORY LANGUAGE
• DATE