HomeMy Public PortalAbout6354 BARELA AVE_Electrical__ Z�4e�l
APPLICATION FOR ELECTRICAL PERMIT 'I
ap ultrY or Loa ANS .5
DETA l'7aNi OF COUNTY QNSIN]CM rAl3I)DRX86
ILDING
DUIUMISIG AND SA IWff DMI.SION 1N Q
JOHA.LAIMR COUNTY KNOUGWILLIAMA.JQ 913CH. Sur'T Of DUiLDiNG
FOR APPLICANT TO FILL IN ?iTARKErrIT, '
PERMIT FEES OWNER
I T i Y NUiOut i.AQH PAIL
O FiIC
uAHTS m=w.. aw. ; CITY
i0 ADDRE�6 ..
U131-MNG FiXTUR" 10 O
dca.RANG= aLo. DRYp! PI FCi'RIC
W A T i R H i A T i R■ .60 ADDR
�C.frAOX HTRS. DISHWAAM" CITY Nb 7, V
Wi1AQi DLSAOSut! Al>TO� STATE
UCENQS N0. a
WAEHX" STA.COOIIJNG UNITD .�
MOTORQI OVut Inc. H.P. DI O. (3 O P NE P E68FD BY
O —
.DO INSPECTION RkORD y
s — D 1.00 k:
0 — i!1 1.150 U
OC
115 !JO >Z.DO
Bo — IIOO 15.00
SI GNo, MO TRAM.
Ho.L AmrS -
SIRVICS O-000V 100
83RVICI OVER 500V D.00
Misr–
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
QUPPLSMFJ,ITARY PERMIT xto
TOTAL FEE Is O
1 H1ptxmy A ueov LIDQE THAT 1 HAVi RNAD THIS ArrL�aAT70N APPROVALS DAT= IHSTtaMR'S SItNATURi
AHD STATi THAT THi ASOVJ La OORRKaT AND AQRp TO OO�I.Y .CONDUIT
VrrTH ALL COUNTY oRMNAMaM AILD STAT= LAWS RiGULATLKQ
o rMWCAL WIRING. WIRING
1 Hippy a>aMry THAT I AN pROTLILY RX01ETE"m AND/OR
LJCX2Cff= AS RIOUIRID EY LOS ANGIKLIS COUNTY AHD STATS Or P'1=11118 &bC ia- g
OAL.IFOR1ilA OR THA AM i LZOAW
L ONIa OF 7Hi POWER
DiS01U Sm
QIGNATURIRMLTITLJTY CO. NOTIFTIED
OF PSI f
AT{ON ARTHUR C.VETT.
SUPRRVIBING ELACTRICAL ENGINEER
WO CASH
M77GL-5 �3 OCTA 2 D 4 .7 0 t,'
Li
76"'°3 °"U` '-M APPLICATION FOR PEB 9I T
DEPARTMENT OFBUILDING AND SAFETY ELECTRIC COUNTY OFFLOSLOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLI NT TO FILL IN DISTRI3TNO. GROUP Z1311 PE MIT NO.
ELECTRICIAN RECEIVED �_ /
ADDRlmmkhm
E>! [,l� FIRST INRT[OTION /�rOM � J
DITY TIL N
COU IO[ IR[S ■UILDINO
o9
jVP-R11 .,,EES ADDRESS! (
NUMBER [ADH Ftt LOOALITY 3 l 7
LIOHT DUTLITIB MEAREST
CRDp ST.
REDEPTACLXB )07
WALL UWIT13HXM I'3
OWNER `
TOTAL OLIIZLTR 4116o MAIL -
ELEO. RANOd 96 ADDRE"
[LEC. HEATERS 18 CITY TEL NO.
FIXTURd 6 :92 I HERESY ADKNOWLEDO[ THAT I HAVE READ THIS
MI APPLICATION AND STATE THAT THE ABOVE 10 OCARX13T
NUMBER OF LIGHT OIROUITE AND AGREE T13 OOMPLY WITH ALL DOUNTY ORDrMANOd
NUMBER OF REDEPTADLE CIRCUITS AND STATi LAWN RMULATINO ELZOTRICAL WIRINBL
MOTORS I OOiTIFY THAT I POi/Z» THE ASDV[ VALID LOS
NUwm[R HORI NOW[R
ANOEL.ES COUNTY LICENSE, OR IA 1 ATHE L K3AL OWNER
FEE
NEW Mw. HP wcR IND. EACH OF THE RESIDENTIAL PROA[RTYR1StD ADOV[.
• Lw .16 ■IMMATURE OF
9 .60 P[RMrrITr 1 I D
1 s 1.00 INSPECTION RECORD
B 1S 1.60
1 6 60 1.150
60 2D 6.00
IZDO SOD 70.00 ..1
600 1 OQO 1 6.OD
UV ER 10013 sa DO G
M.O. BET FR HANSER-HP Q'
WEL-D[RSI AO-KVA D
GENERATOR! - KW
TRANSFORMERS - KVA
TEMP. MOTORS (76 or oRim.)
MOVED MOTORS (76 or oRIm.)
NIB
SIGN2
NO. N O.TRANS. APPROVALS
NO, ma. L!jlcL— T7
FOR [ROH PERMITI DAT[ INSPECTOR'S KA.MK
W1RINO 1.00 tl p CONDUIT
FIXTURd 1pima Q b WIRING
jllLJP'P [ .60 F I XTU Rd
POWER
TOTAL FEE UTILITY on.NOTIFIED
FINAL
c
TeAgea-caeoe 9 154 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOB ANGEL EB
DEPARTMENT OF COUNTY EN431NEER uILDIHG
BUILDING AND SAFETY DIVISION �DREes
JOHN A-LAMBIE, COUNTY ENGINEER
COLEMAN W. J[XRIX1, SU P'T. OF BUILDING LOCALI
N A REST
Oea ST.
R[CEPT. TOTA4 MO
OUTLETS FIRST 20 t.10 • OWNER
LIGHT / MAIL
SNITCH. OVQR 20 •to AIJDFUSS �
LIGHTING TOTAL �FlROT 20 .20 TKL. HO.
^DD'L10 ELECTRICIAN
Y R 2 O
MANGLE CIA.DRYIE" VYTR-HTRIL 1.00 A R"
dUkRIL wr' ITA.COOK CITY Tmi-N0.
DIEIi[►ASH. A&M-MASH. STATE
drAQ HTM. STA.APP.(14 HJ'.MAX.) .150 LICENet NO.
YOTow, oval woT oval H.P. p STRICT�10. (51N E P E B D BY
d 1 7.00
1 3 1.15o INSPECTION RECORD
a e 2.00 O
V
6 t 15 1.150
GL
14150 3.00 O
150 1qo 15.00mc? �J
b
SIGNS, •TRANS-JA y
NO.Lams Z
raotVICZ O-eOOV-Nor ovoe 100A 1.00 +'
BJERV ICG 0-150M-Ovim 100 A. 1.00
SK"ICt OvmR a v 15.00
YIaC.
ro"FT ISSUING I" l.00
surrLt)dtHTAIyY PtRY1T ISSUING FEE 1.00
TOTAL FEE fi
r
1 F�17lQY '.00tQWL� THAT 1 HAVE VOAD THIS APPUCATlOw DAYS
AND STATE THAT TNS AN01/X 10 COI¢IDt, AND Ap111K TO CDMPLY CONDUIT
WITH ALL coumiy OEDIwANcKs AND STATE LAWS MOIULATINQ
■um-rplr`1 Mulws, WIRING
1 F{[®lEY .CERTIFY THAT I Ay FRO IRL,Y 11[01'741®[4 AMD/011 FIXTURE{
LI C LFIEED A[ ®EPL iRED ■Y L-04
p ANO ECEE COWNTY AMD iTAT[ Or
CALIFO®MIA OR TF1AT AM THE LEOAL OWNER OF, AND INTEND TO
R[IIDE IN, THE AEOV /C®lE[D ID41 L PROPERTY. PQM/[®
•IGNATUR 4 ' UTILITY CO. FI
Or ftRY
F I HAL
` ALm0 k—N`1 JOSEPH sC.i ROOHAN
YO R
H BUrtVItINa EEiL[CrTRICAL FiNOINtE7!
ir�l�o 4 4 8 ? A_lkD l 0 2 D 3-.00—
+ APPLICATION OR E� PERMIT
�eAees cEeoe tiro
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS
COLQMAN W. JBNKIRMS UPKRINrKNDKNT Of u I LOCALITY f�nP�� /T
NEAREST'
FOR APPLICANT TO FILL'IN CROSS ST. PLC- C/ L Y .
I„�
OUTTS S F OWNER
RECEIPT. /p MAIL f
FIRST 20 17 ADDRESS (0 3 �"
LIGHT TOT
O CITY r"-7*n�Q TEL. NO. T r
SWITCH 1" OVER 20 tp
PLAN CHECK
LIGHTINGJ`� TOTAL FIRST 20 y APPLICANT
V
FIXTURES , OVER 20 10 ADDRESS
PPLIANCES CITY TEL. NO.
PERMIT C4
RANGE • DRYERJ—WTR. HTR. APPLICANT
STA. COOK-j-DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND.�_ CITY TEL. NQ.
CLOTHES WASH.-t—DISHWASH. LICENSE NO. CLASS.
FAN-LOTHER 1D0 OY I HER45Y ACKNOWLEDGE THAT I HAV[ READ THIS APPLICATION
AND /TAT[ THAT THE,ASOVE 19 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 A, TYPE OVER TO
I HERESY CERTIFY THAT I AM PROPERLY REGISTERED AKD/OR
AIR /� 0 - I ! IDO LICENSED AS 011':!1'.
RED Y LOS ANGELES COUNTY AND STAT[ OF
v� CALIFOR NJ
OR THAT THE LEGAL OWNER OF, AND INTEND TO
1 - 1O 'pp RESIDE IX, TH[ VE DEGCRI R IDENTIAL PROPERTY.
p
SIGNATURE (J
10 - 50 MOD OF PERMITT
OC
SO - 100 101X1 DISTRICT MO. CLASS ZONE TROCESSED O
100 - 500 teDo F /�Tj,
CL
SIGN, GAS SIGN AND ONE CIRCUIT &DO NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1A0
SERVICENOTOVER6DOVOLTS OR200Amp 5.00 QQ
APPROVALS DAT[ Dft EC TOWS■ISMI
1J1!
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEMPSERVICE,POLE, &APPURTENANCES MOD
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM DDO
ROUGH CONDIUT
WIRING
FIXTUR
POWER AUtHORI EO d ��
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTJFIED
PLAN CHECK FEE
FINAL Z`
PERMIT ISSUING FEE 3DO DO
y JOS PH C. ROOHAN
TOTAL FEE Q SUPERVISING ELECTRICAL. ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.�. CASH
LACO.2 6 6 64 2 D 19.40,-
SEE
9,40,-SEE SACK OF APPLICATION FOR COMPLETE SCHEDULE
WORKER'S COMPENSATION DECLARATION 20-0010 DPW(12.91)
I hereby afflrir�that.1 have a certlflcate of consent to self Insure, 76'Q363 APPLICATION FOR ELECTRICAL PERMIT L(
or a oerdficate of Workers Compenestlon Insurance, or a oertlfled COUNTY OF LOS ANGELES DEPT'. OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy thore-of(Seo. 3800 Lab. C.)
Policy No7—:--�%5Z/ Com parry �-T MAzo PDR APPUCA)T To rot NI A15
ye
❑ CerdW copy Is hereby fumlehed. New Reelde &l Bldgs.✓k Pools NO. EACH FEE
LOCAU TY
FLS
Certfned Dopy Is pled with ttw county bulW1 8 2-Family,Sq.lnp Inapecdon ABT
deQe)tmenL �, Muftkfi mny Sq.Ft traoea IT. 11114ti—
PossklefTtlalDate AppIk�rrt�� 1t OIL Swtrnminp Pools P
CERTIFICATE OF EXEMPTION FROM WORKERS' OUtlsis:Rec. Ught—I—Sw. FsiAI NAVE ��
COMPENSATION INSURANCE pQ le-
First
(This section need not be completed tf the work Involved by the 20 uAlL
pernitt Is for one hurldrod dollars(8100)br Is".) Total No. Addkionel AntlaEs9
1 certify that In the performance of the work for which this permit CrfY - Tei N0 4fC�
le Issued, I shall not employ any person In any Manner so as to PtM CHECK
beoome.subject to the Workers' Cpmpensatlon Laws. uplhlin9 Fixtures Fl rat 20 /PPLJr ANr
Total No. Addttlonal ADDRESS
NOTICE TO APPLICANT:Ap4lca}iter making file Certlfloats of R�DENTIALAPR-MCES NOT OVER 3 HP. O Cm Td No
Exemptlon,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP.
provialons,of the Labor Code,you must forthwith comply with such AE}l1,IPLICINr�
provisions or this permit shall tie deemed revoked. Power Apperetuq 8 Large APpflancee
LICENSED CONTRACTORS DECLARATION Size S Type HP,KW,KVA,or KVAR ADDRESS
I hereby affirm that I am ilcensed under provisions of Chapter 9 Over 3 to 10 Ind.
(commencing with Section 7000) of Division 3 of the Buelneas and CITY TM Nd.
Professions Code, and my IloensQ Ia In full force and effect. Over 10 to 60 Ind•
y� Over 60 to 100 Ind. NI}M�gF_R �J r a
.r{�'� J.•t Over 100 D18TFUCT NO. BY
LJoermse Number •-./ Lb.Class [.� p S
r Gwylcee,Swbd.,MCC A P.nelboarda 60
Contractor Det. 0-399 Amp.UM&r 600 V FNAL
oo
F-1I am exempt under Sec. 400-1000 Amp.Under 800 V
YALJDATION V
Over 1000 Amp.or Over 800 V FINAL BY OW.,
B.SP.C.forthls rseson BRANCH CIRCUIT FEES U)
Dete: t6A,of 20A, 120V,Ughting or Recept - Z
T 1 To 10 Branch Circuits
11 To 40 Branch Clrafls
❑ ch Choults
Exemption for Reg.Malat.Elect 16P,2A WW To 277V LJ Or LJghWq
C6nfhr 2
SINGLE FAMILY Tamp.Power Pole A Appurtenances ACCT.*
HOME OWNER-BUILDER DECLARATION
r hereby affirm that I am exempt from the Contractor's Ucense Law 84gn with One Branch Clroult � 4?■15
ss
for the following reason{Seotlon 7031.6, Bualness and Profelons Addftlonal Slpn Brandi Circuits
Code): 1 ITEMS
❑ I, as owner of the property,will do the work and the structure Misc.Gc ulta a Conductors TOTAL 42- 15
Is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) �+
and Professions Code). t.. CY, 42.1J
CONSTRUCTION LENDING AGENCY W
I hereby affirm that there Is a construction lending agency for the
performance of the work for which this permit Is Issued (Boo. 3097, PERMIT FEE (Sub-Total)
Cly.C.)
PLAN CHECKING FEE 1 10/25/?3
Lbndere Nemo PERMrT ISSUING FEE `)7G„$ 1 W111%1S
Lender's Addreas
I owttiy that I have reed this applloatlon and under penalty of purJury state TOTAL FEE a,
that the above Information Is correct. I agree to oompiy with all County
ordlnancee and State laws regulating Elecbical wiring,and hereby authorize
repreeantatives of this County W enter upon the above-mentloned property
for pu
SEE REVERSE FOR EXPLANATORY LANGUAGE
aG�A-ru or l DATE