HomeMy Public PortalAbout9432 CAMINO REAL AVE_Electrical__ OOUKTY OF LOS ANGELES APPUCATION FOR PST
'e` ELECTRIC i
DIVISION OF BIIII�DING & SAFETY
WILLIAM L FOX. Cao EmFlmw
FOR APPLICANT TO FILL IN DIBTRICT NO. GROUP ZONE ERMIT NO.
ELECTRICIAN
R LI READY FURDA 1■iU
ADDRESS FIR1T IN [ H O
DITY TEL NO.
COUNTY LJOENJW NO. IRK■ ■UILDINO�
pERBMa ADDR[ ■■
�r�+D rim
/�/ `•f
NUMtiLR KADH LDDALITY v 1
LIGHT OUTUTS HLAR[IIT
R[OLPTACL[S ST.
WALL SWITOHM OWNER kI
TOTAL OUTL[TD so III MAIL
KLM RANMXB f5 ADDRLES 9 a
[LLC. HEATERS 215 CITY f'C.`tl TIL No. �'fl
FIXTUR[0 6
1 H[R[■Y A13KN[1WL[DGI THAT I HAVE R[AD TH ■
MIEC. APPI IOATIOM AND STATIC THAT TH[ ASOVK I■ 13ORREL.'T
NUM LR OF LIGHT OIROUIYI AND ABRIK TO OOMrLY WITH ALL COUNTY ORDINANDEM
NUMBER OF R[OLPTAOLL OIROUITS AND STATIC LAWS "MULATINB KL[OTRICAL WIRIMbL
MOTORS I CERTIFY THAT I POMEM THK ABOVE VALID LD1■
MUMMA HORS[PQW[RFE[ ANORL[S COUNTY UDIEN [. OR I AM THE I rn^I OWNER
N[w MvO. Hr av[R IND. FAaH OF THE RKSIDEKTT}LAL� wrROPKJr Y DEMORISLDO\/
ASE.
VIA Loa .il ■IU ATifRK OF ///0.I4i.l�A'%
ya ! .150 r[RMrTTE
! 15 I.m IlpPEqnON RECORD
s is 1.513
1s so 2.150
so ZOO ILm
Soo am 1anD J
1500 1ODO 115.00 - -rr� ✓� Z
OVER 1 Cita 90.OD
M.2. ■rT CHAMBER-Hr - - It
WRS
LLDLI AD-"A - 7 �R, 1 O
BLNKRATORS - KW
T ■FORMER■ - KYA fi
TEMP. MOTOR■ (72. OF aRIR.) J _
MOVED MOTORS 715 OF amim.) C o
HIDNH
N0. NO.TRANIL
N r■ APPROVALS
FOR LA13H rEiMITI DA
TL IN■rKCTOR'S NAME
WIRING 01.0113 CONDUIT
FIXTLRKS 01.00 V WIRING
NUPIPLAMENTARY PQ FfXTURi7 " '1 - ''i
rOW[R
TOTAL FKE ! UTILITY 04 NOTIFIED
FINAL t ^
7aAfa7 Dom#M w
DS S-A 4-4I 25Y APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
WLA. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT NO.
WIRING FIXTURES SERVICE J "'
RECEIVED BY READY FOR DATE ISSUED
RANGE HEATER POWER FIRST INSPECTION
SIGNS MISCELLANEOUS - Y'`•
APPLICANT FILL IN HEAVILY OUTLINED PORTION_ ONLY
Io6
z
t NAME ADDRESS
U
F ADDRESS of A }.A,��'}� LOCALITY �
U NEAREST
W CITY TEL.NO. CROSS ST. -
COUNTY
CERT.NO. EXPIRES W NAMEMAI
'f'' - -
DESCRIPTION OF WORK 3 ADDRESS
NUMBER OF OUTLETS ON CIRCUITS O
LOCATION BY ROOMS CITY - TEL.NO.
LIGHT OUTLETS SW. PLUGS FIX, 1 AM THE J LEGAL POSSESSOR OF THE ABOVE LOS
CIRCUIT
A B C D E F G H ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
LIVING ROOM ELECTRICIAN.
I AM THE LEGAL OWNER OF PROPERTY DESCRIBED
DINING ROOM ABOVE-
BRFST.RM. _ OWNER.
BATH ---------_- CORRECTIONS
ENT.HALL
HALL NO.
FRONT PORCH
OUTSIDE
KITCHEN
SERV.PCH. -_-----_-_ J
BDRM.NO. dz
CLOSET 0
FE
BDRM.NO. Q
CLOSET
TOTAL
NO. OF OUTLETS $ -y APPROVALS
NO. OF FIXTURES 67� $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. -'X -
III CONDUIT `
NO. OF SIGNS TRANS. $ WIRING 2 -
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ - UTILITY CO.NOTIFIED
TOTAL FEE $ FINAL
WORKERS'COMPENSATIONDECLARATION
CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT
E�08
I hereby affirm that I have a certificate of consent to Pelf COUNTY OF LOS ANGELES �"� BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation Insurance,or / , i
a certified copy thereof(Sec.3800,Lab.C.)
FOR APPLICANT TO FILL IN JOB
I� Policy No. Company New Residential Bldgs.&Poole EACH NO. FEE ADDRESS d
El Certified copy is hereby furnished. 1 &2-Famlly,Sq. Ft. ; — 6 LOCALITY
.�_
F-1Multi-family Sq. Ft. NFARES
Certified copy lifiled with the county building inspection CROSS S
department. Residential Swimming Pools OWNER OR
FIRM NAME
Data Applicant Outlets: Rec.—Light Sw. MAIL
9
T�i rat 20
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No.
COMPENSATION INSURANCE - >-
PLAN CHECK iL.
(This section need not be completed if the work Invohad APPLICANT
by the permit b for one hundred dobars ($100) or lea.) Lighting Flxturm Finn 2G
ADDRESS
Total No. Additio0
I certify that In the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No.
permit is Issued, I shall not employ any person in any manner PERMIT
to as to become subject to the Workers' Compensation Laws. Range_ Heater D.W. APPLICANTAm%vi, lis
Oven _ Dryer_W.M._ ADDRESS
Dstely7y Applicant Top ^ FAU _W.H.
Hood _ Fan _Outer_ CITYi"A eA Tel No. 7
NOTICE TO APPLICANT: If, nuking thh Certificate of Dlsp. _ Room Air Condom C
Exemption, you should become subject to the Workers' REG.NUMBER Clan
Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROC 8ED 13Y
with comply with such provisions or this permit shall be
deemed revoked Size&Type HP,KW,KVA,or KVA
Up to 1 Incl.
FI ffAL
Over 1 to 10 Incl. DATE �/
LICENSED CONTRACTORS DECLARATION Over 10 to 60 Incl. VALIDATION
I hereby affirm that I am licensed under provisions of Chapter Over 60 to 100 Inc. FINAL
9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 BY
ness and ProfeWons.Coda, and my Hcen}e is in full force and
effect. Services
License Number Llc.Clan0-200 Amp. Under 600 V
201-1000 Amp. Under 600 V
Contractor Date Over 1000 Amp.or Over 600 V
HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances
I hereby affirm that I ■m exempt from the•Contractor'a Sign Wth One Branch Circuit
License Law for the following reason (Section 7031.5, Bust- Additional Sign Branch Circuits
ness and Professions Code):
Misc.Conduits&Conductors 1 1.9 A
I, ss owner of the property, will do the work and the Other(See Complete Fee Schedule)—
structure la' not intended or offered for sale (Section # o 0 0 0 0 2
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm khat there Is a construction lending agency 2 0 0 2350
for the performance of the work for which this permit is PERMIT FEE (Sub-Total)
issued(Sec. 3097,Clv.C.). 0 0 0 2�. 5 0 5
Lender's Name PLAN CHECKING FEE (One-Fourth Permlt Fee) 0 9. 1 7-8-1
Lender's Address PERMIT ISSUING FEE
I certify that I have read this application and state that the TOTAL FEE 3
above information is correct.I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and
hereby authorize representattves of this County to enter upon
the abovementioned pro rty for Ins tion purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE
tureSMEaof Permittee Date
# 0508 urr�TCAL PERMIT
Co= OF LOS ANGELES �� CITY Kr, 0508 0706110024
DEPARTKKNT OF PUBLIC WORM 9701 LAS TUNAS
BUILDING AND SAFETY / LAND DEVELOPMENT PHONE:
CITY CCA 91780
ME
PHONE: (626) 185-0488 EXT:
FHH.9 PAID BUIIZI21G ADDRESS:
9432 CAMINO REAL AV H
7—T:
ARCD CA 910077713
PEE DFL9CRSPTIOl7: QUANTITY: DO!{: AMOUN : NEAREST CROSS BTREST:R24aTION NUMBER: 27.75 TACMO+.9 PAGE: 596J7 LOCALITY: TE�L,E CITY, C
Al PBRI[TT ISSUANCE FEE
LB 200 AMP PANELS, MC`C 1.00 PAN 38.85 7-2 i?.L FEES 66.60 ISSUED ON: pROCFSSHD BY: PLAN BY: 12/008/07ON:
06/11/07 SR
F-7p��L B CODE:
OFRiR: TEL. NO: !_ i
Lt0l1 DYISTRA (626) 445-2277- �O
9432 (71!432.70 REALAV DESCP=ON F FAR&
ARCD 910077713 SERVICE OPC�LADE 200 AMP P
APPLICANT: TEL.
YKVCE2= VOLYNSIT (323) 533-3395- SPECIAL CO2mMONS:
16748 IMTSLOAN 9T-
VAN NUMB, CA 91406
APPROVALS PECTOR SIGNATURE
OONiRACTOR. TEL. NO:
YHVQSF27C VOL7N8IY (323) 533-3395- TEMPORARY POSER POLE
LIC. No
16748 — LOAN STREET
�
VAN NUYS, CA 91406 895630 C10 0 }DIaD CONDUIT
UPE� GROQbID �
ARCHITECT OR ENGI2E3FFR: TEL. N0:
- ROUGH CQi=
LIC. NO:
RoUm WIRING
MORIN WATER LIMB
PLAs-nc YIN METAL YIN
CTTII,IT7 COMSpANY MOTIF
REPORT ID: DPR265 ROUTE TOi BS0508
WORKERS'CI have An ON DEaAR copse CE-556 lo/B1 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of cohsent }o self ��G ,
Insure, or a certtflcate of Workers'Compensatlen Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certlfied copy thereof (Sec:3800, Lab. C.)
Policy No. ' Company PO*APMJCAtCT TO M1 IN
Certified copy Is hereby furnished. New Resldentlal Bldgs. & fools E`CN NO.
Certlfled copy Is filed Mth'the county building Irupec- 1 & 2famlly, Sq. Ft. _ — f LOCALFTY
tion department. Multi-famlly Sq. Ft. NEAREST
Date Applicant
Residential Swimming Pools �5
OWNER OR
..��dd RM NAME fV
CERTIFICATE OF E)CEMPTION FROM WORKERS' Outlets: RecdV_Llght�Sw.� MAIL
COMPENSATION INSURANCE First 20 .
AWRESS
(leis section need not be completed If the work InvoFsed by Total No -1 CITY Tel. No. f/
the permit b for one hundred dollars (=100)or less.)
CK
I certify that In the performance of the work for which this APPLIPLAN CANT
T
permit Is Issued, I shall not employ any erson In arty manner �
so as to become subject to.the WorkersPCompensation Laws. Lighting Fixtures First 20 -ADDRESS
Total No.— 9 Additional CITY T61. No.
Date pllcant Fixed Appliances Not Over 1 HP PERMIT
NOT1TO AFjPUCANT: If, after ma g this Certificate of APRIGsNF
Exemption, you should become su ject to the Workefi Rooge— Heater—D.W. —
Comperuation provisions of the Labor Code, you must forth- Oven — Dryer -ply1'-W.M.— ADDRESS
with comply with such provisions or this permit shall be Top — FA A W.H. CITY Tel. No.TI
deemed revoked.
LICENSED.CONTRACTORS DECLARAON Hood _ Fan —Other— LK�E OR
I hereby affirm that I am licensed under provisions of Chapter 9 Dlap. — Room AJr Cond. REO NUMBER
Class
(cornmencing with Section 7000) of Division 3 of t6a Business DISTRICT NO. BY
and Professions Code,and my license Is In full force and effgct. Power Apparatus 8 Large Appliances -
Size&Typo HP, KW, KVA, or WAR
License Number —LIC. Class Up to 1 Incl. NAL V
Over 1 to 10 Incl- y VALIDATION O
Contrbttor Date Over 10 to 50 Incl.
Fl
ElI am exempt under Sec. over 50-to 100 Inc. BY
B.BP.0 for this reason Over 100
Date, Services, Swbd., MCC$ Pa ne I boards
O 200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V
❑ Over 10010 Amp. or Over 600 f J
Exemption for Reg. Malnt. Elect.
SINGLE FAMILY Temp. Power"Pole S A/rtepancea
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby afflrm that I am exempt from the Contractor's License
Low for the following reason (Secflon 7031.5, Business and Additional Sign Branch Circuits
Ions Code):
, as owner of the property, will do the work and the Misc. Conduits b Conductors 9 0 1, 8.A
structure Is not Intended or offered for sail (Sectlon Other (Sep,Complete Fee Schedule)_
7044, Business and Professlons Code). #10 °,°.°,° ?
CONSTRUCTION LENDING AGENCY Z•° ° 600 0
I hereby affirm that there Is a construction lending agency for
the perforrpance of the work for which this permit Is Issued PERMIT FEE (Sub-Total)
(Sec. 3047, Clv. C.). 0112-83
Lender's NamePLAN CHECKING FEE,
PERMIT ISSUING FEE
Lender's Address -
I certify that I have read this application and state that the TOTAL FEE J
above 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
e above-mentioned fo nspecilon Purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
�l.2
Sig ure of Permlttee ~ Date