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HomeMy Public PortalAbout5603 CAMBURY AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMT DEPARTMENT OF COUNTY ENGINEER DIVISION OF BUILDING 6 SAFETY ' Q WILLIAM I. FOR, COUNTY ENGINEER FO APPLICA T FILL'IN DISTRICT NO. GROUP ZONE PERMIT NO. I7 ELECTRICIAgi lip p ADORES%—Z, ` REC IVED BY READY FOR DATE ISSUED �. f� FIRST INSPECTION �1 CIT l:sf/�C TEL. O aL•IOdQ/- p`Pal NCOUNTY LI O. EXPIRES UILDING PERMT FEES ADDRESS O FEE NUMBER EACH LOGALITV ' LIGHT OUTLETS NEAREST RECEPTACLES B T WALL SWITCHESAF; ` OWNER *LA TOTAL OUTLETS So $ S MAIL ELEC. RANGES 25 ADD fib ELEC. HEATERS 25 FIXTUREfi g,• ^ CI , TEL. NO. 6 -fS4) MISC. - I HER ACKNOWL GE THAT I HAVE READ THIS OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUIT AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1�POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ' ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER New MVD. HP oven INC. eACH OF THE REB]DENT]ALI PROPERTY DESCRIBED ABOVE. � _ SIGNATURE OF �(.C../lf(, V��w• .-1. Vs- 2 .50 PERMITTE z ow- s 1.00 s is 1.50 INSPECTION RECORD N Is so 2.50 so 200 5.00 ' 200 500 , 10.00 J Soo 1000 15.00 a Z OVER 1000 20.00 M.G. SET/FRED. CHANGER-HP WELDERS: AC-KVA O GENERATORS -KW TRANSFORMERS-KVA TEMP. MOTORS (75% oF'DRIG.) MOVED MOTORS 175°/ OF ORIG.) MISC. SIGNS NO. NO. TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: �}}y�-) DATE INSPECTOR'S NAME WIRING $1.00 i/v CONDUIT FIXTURES $1.00 Q WIRING SUPPLEMENTARY .50 FIXTURES �t'\� POWER TOTAL FEE _ $_/ Ef UTILITY CO. NOTIFIED FINAL 76A 1 JBA 989 OBB# 9A. 6-8II D.B.S.SA 25M BETE ID-47 MPLICATION FOR PERMIT DEPARTMENT OFF LOS AG ANIS 9AFE'I'S ���� �� _ F� COUNTY OF LOS ANGELES �j M. J. FOX CHIEP EN (NEER NAME ✓/ S j,t1; J���, /��,, DISTRICT NO. GROUP ZONE PERMIT NO. KADDRESS 3�7 O�0 (� `-.MPJ lA vQ- � / CITY _AaJ j'I;& TEL.NO.D O 2) RSCM ,ay READY FOR 1 DATE ISSUED J COUNTY 7 - `/J FIRST INSPECTION W CERT.NO. EXPIRES O ' /J APPLICANT FILL. IN HEAVILY OUTLINED PORTION ONLY � DESCRIPTION OF WORK AooRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST J LIGHT OUTLETS 1SW.. PLUG9 Fl][T CROSS ST. CIRCUIT A B C D E F 'G JH W NAME "Cll,.w. ,C.. YYIMJ�• a w Z MAIL 3 ADDRESS O CITYTEL.NO. AI 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS lz ANGELES COUNTY CERTIF ATE O Q IFICATION.. ELECTRIDfA 1. ( I AM THE LEGAL OWNER OF THE PROPERTY D� RIBED ABOVE ZOWNER. CORRECTIONS L/ c � Z L I Q _ Z [7 � E O TOTAL No. of ounETs $ APPROVALS NO. OF FIXTURES S DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. S WIRING NO. OF RANGES OR HEATERS S FIXTURES MISCELLANEOUS S POWER PERMIT FEE S UTILITY CO.NOTIFIED ' TOTAL FEE Ill 1 It ' I FINAL 42 7BA663 DEIS SA 25M SETS 11-4e APPLICATION FOR PERMIT ' DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT NO. GROUP I ZONE PERMIT NO. FOR APPLICANT TO FILL IN S -= TnP/ / Z Q aa� ELECTRICIAN IIH V RECEIVED BY READY FOR ATE 195UE0 FIRST INSPECTION ADDRESS OO C Qi. CITYO]S_ Cj:;L C,j C 4j TEL. NOt)2( q BUILDING I LICENSE NO. EXPIRES/— O�LTJ ADDRESS .2 -7C '7 GNB� DESCRIPTION OF WORK FEES / �' NUMBER OUTLETS EACH LOCALITY 1 CROSS LIGHTS Sc $ STREET 40 r. jr CI RECEPTACLES 5 ' 40FIXTURES 5 OWN of WALL SWITCHES 5 MAIL �'1 AO DR EBB O �Y'.-o-' 6 ELEC. RANGES 25 CITY z. ELEC. HEATERS 25 TEL. MISC. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER OF CIRCUITS INSTALLED: ANGELES COUNTY LICENSE. LIGHTS RECEPTACLES j MOTORS G ELECTRICIAN. NCMBER HORSEPOWER FEE NEw MVD. HP CYE. I INC. EACH I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- I� LE99 $1 .25 ERTY DESCRIBED ABOVE. I/2 2 .50 2 5 1.00 DWNER. 5 is 1.501 INSPECTION RECORD 1 s so 2.501 1 $0 200 5.0D1 200 500 10.001 soa loon 15.001 OVER 1000 20.001 Z M.G. BET/FRED. CHANGER-HP WELDERS• AC-KVA - 13 GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (7S% D1 ORI..) MISC. SIGNS TYPE: NO. TRANS. TYPE: NO. LAMPS APPROVALS PERMIT FEE DATE I NSPECTOR•S NAME FOR ISSUING PERMIT: CONDUIT WITHOUT FIXTURES $1.00 �0 WIRING /v WITH /.R/v WITH FIXTURES 1.25 J FIXTURES SUPPLEMENTARY .50 �q POWER TOTAL FEE $ UTILITY CD. NOTIFIED eO, FINAL �. Mtyl✓" t. WORKERS' COMPENSATION DECLARATION 76A66310/8I 1,Fefeay'affirm that I have a certificate of consent tobeltCE-8066 APPLICATION PPLICATION FOR ELECTRICAL PERMIT s" insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) P❑oilcy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS �FX/ Cp R (e Certified co is hereby furnished EACH NO. FEE PY � Y New Residential Bldgs. & Pools ❑ Certified copy is filed with the county building inspec- I & 2-Famity, Sq. Ft. $ — $ LOCALITY tion deportment MultiNEARESTfamily Sq. Ft: CROSS ST. 4—f 'Residential Swimming Pools OWNER OR., Dote t Applican ' �L FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec_LightSw._ MAIL Jf'6' ^ C sti. COMPENSATION INSURANCE FIRM OJ QC[ l This section need not be completed if the work Involved b First 20 ' ( P Y Total No. CITY �pC .Cc r Tel. No. the permit is for one hundred dollars ($100)or less.) Additional ¢*. I certifythat in the performance of the work for this PLAN CHECK P APPLICANT permit is issued, I shall not employ any person in any manner - so astoAbemesthe Worker om nsation Laws. Lighting Fixtures First 20 ADDRESS Total No. AdditionalDate �' Applicant - CITY Tel. No. NOTICEPPLICANT: If, after maki is Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Range_ Heater_D.W. _ APPLICANT - .s/OHKo✓ OUB. GL �Ct [ Compensation provisions of the Labor Code, you must forth- Oven _.Dryer _W.M.— ADDRESS ' d kIi. 4"IF with comply with" such provisions or this "permit shall be Top _ FAU —W.H. — deemed revoked. - CITY &A©CQCA. Tel. No.,4q, Sapl LICENSED CONTRACTORS DECLARATION Hood — Fan _Other— Dis _ Room Air Cond. REG. NE OR ��{{ I hereby affirm that I am licensed under provisions of Chapter 9 P' REG. NUMBER 3�'Y �Class.C•./O (commencingwithSection 7000) of Division 3 of the.Business - DISTRICT NO. PROCESSED Y •• and Professions Code, and my license is in full force and effect. Power Apparatus& Large Appliances Kms/ - } �j Size &Type H � P, KW, KVA, or KVAR' s (` OY O License,Number 4f 44 '34{'/ Lic Class rSL— Up to I Incl. FINAL W Over 1 to 10 Incl DAT& �� —�f� VAUDATI�ONN7, O Contractor Date cc Over 10 to 50 Incl. J A H F] FIN am exempt under Sec. Over 50 to 100 Inc. BY 4 n # e • e e • '2 a B.&P.C. for this reason Over 100 - rq Services, Swbd., MCC& Ponelboo�dsA Lr �] ;( -.- 2a5 0 ? Date: 0 -200 Amp. Under 600 V t^ I Signature 201 - 1000 Amp. Under 600 e e e 2S506- Over 2S50Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect, 03.05-85 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 Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits &Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ D 7044, Business and Professions Code).- CONSTRUCTION LENDING AGENCY I hereby affirm that there is 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 Lender's Address I certify that I have read this application and state that the TOTAL FEE above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and here uthorize representatives of this County to enter upon bov -mentioned property{orinspection rpose . S SEE REVERSE FOR EXPLANATORY LANGUAGE —111w re of Permittee`