HomeMy Public PortalAbout9662 CRAIGLEE ST_Electrical__ COUNTY OF LOS ANGELES ' APPUCATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY ELECTRIC
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN RECEt ED I3Y READY FOR DAT IBS ED
ADDRESS D — FIRBT INSPECTION 73
CITY _ n TEL NO.v W S-7 Z, � - 1 ,
COUNTY LICENS NO. 49 EXPIRES p7 tj� BUILDING
PERMIT FEES ADDRESS r� Z -
-- FEE
L1�/ e'
NUMBER EACH LOCALITY
LIGHT OUTLETS �_ NEAREST
RECEPTACLES i CROSS SIT. ,
WALL SWITCHES OWNER /
TOTAL OUTLETS 5C 41 -f MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25
CITY TEL NO.
FIXTURES
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. 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 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBERHORSEPOWER FEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
New MVD. HP D ER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I/2 s UEss .25 SIGNATURE OF
1/2 2 .50 PERMITTEE--= —�� �=
-- 2 5 1.00 INSPECTION RECORD
5 15 1.50
47
15 5O 2.50 Z,.�r - _
50 2D0 5.00
200 SOD 10.00 ,j
_ 500 IDOD 15.00 �p AA `y t a
-- OVER lOOO - Z ..
M.G. SE '/FREQ. CHANGER-HP 7"L -- 6-H,110,411) f7
` Q'
WELDERS:AC-KVA `/ 09,{y /p 0 `'I/ ;-7W-W' O
'GENERATORS - KW.
�✓ y IS I f'v��"�"q'.,1'�`"1q-r Adpyff
TRANSFORMERS - KVA / ' #
4
TEMP. MOTORS (75%-GF awr,.)
YJ'
MOVED MOTORS. (75% OF CRID.)
MISC. -
SIGNS
NO. NO.TRANS.
NO. APPROVALS
NO. LAMPS
FOR EACH PERMIT: j DATE
e7 INSPE
C
TOR'S NAME
WIRING $1,pD - CONDUITFIXTURES $1.00$1.00 ,LC) f) _ WIRING
SUPPLEMENTARY .50 FIXTURES
t
POWER _
TOTAL FEE UTILITY CO.NOTIFIED
FINALA
T6A663 DES#5A 4-52
�,,,
° �
76A663-CE806 102: aG°�P C�AMN F e Q ELEV QLD PERPMU
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY E-NGINEER'' )OB �}
BUILDING AND SAFETY DIVISION ADDREss.
NEAREST ,�`
FOR APPLICANT TO FILL IN _ CROSS ST /
OUTLETS NO. EACH FEE. ' OF
OR
$ $ FIRM NAME ✓.'_.� �•! �L y :j/"YA> /.�L ac.'N+.
RECEPT'._ MAIL
- ADDRESS'
FIRST.22 0
LIGHT TOTAL .25 CITY _ �; (� ' •TEL. NO. '` •,.�' ,�.0 'J
' OVER 20 .•.10 {
SWITCH_ _ _ PLAN CHECK
FIRST 20 29 APPLICANT `
LIGHTING 1 TOTAL
.',ADDRESS.
FIXTURES'' OVER 20 - .10 ..
RESIDENTIAL APPLIANCES CITY Y,EL: No.
RANGE DRYER WTR. HTR._ PERMIT
r' :APPLICANT
STA. COOK DISP. F.A.U. - .ADDRESS - -
SPACE HTR. AIR COND. ., CITY TEL-. NO.
CLOTHES WASH. •-DISHWASH. LICENSE OR CLASS.
.REG. NUMBER
FAN- OTHER 1.00 I HEREBY 'ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND-STATE THAT THE ABOVE,IS CORRECT AND.AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING - WITH ALL COUNTY ORDINANCES AND STATE• LAWS REGULATING
IND. HEATERS,.ETC.', H.P. KW. KVA. - ELECTRICAL W-IR ING.
51ZE & TYPE OVER TO,o -
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
O — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER 'OF THE ABOVE. _r
` 1 - 1O 3.00 DESCRIFED RESI.DEN l_ PROPERTY,,'
PERMITE•E ///� q ! O
1 0 - $0 5.00 C;" V
- I SIGNATURE. ��� - oz
50 - 100 10.00 O
I—
DISTRICT, NO. '; ROCES D BY W
100 - 500 1,5:00
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE 'INSPECTO - `SIGNATURES•
TUBE, OR I '
MARQUEE ADDITIONAL CIRCUITS' - ,1.00 _ TEMP. POWER POLE
SERVICENOT OVER 600VOL''TS.OR200AMP / 3.00 0 UNDERSLAB WORK'
SER'J6CE•OVER 600 VOLTS OR,200AMP 10.00 ROUGH CONDUIT ,
TEMP SERVICE, POLE,.&APPURTENANCES 5.00 , WIRING -
I/ /r 7's, 1f .r � .
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER aAUTHOR I ZED
UTILITY CO.,NOTIFIED �1�_
FINAL
PERMIT'FEE (SUB TOTAL) NOTES: 1
PLAN CHECK. FEE SS
PERMIT ISSUING FEE 3.00 b -
TOTAL FEE U
PLAN CHECK VALIDATION CK. M.O. CASH PE.RMIT.VALIDATTIIQN CK. M.O. CASH
3 25. 0 6.0 0 � =
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE,
76A663-CE806'1°2/75 QppdOC�AMN FOO Q EL EC TMC AL PE�°3M
/COUNTY OF LOS ANGELES
o RTM ENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS
FOR PP 1 ANT FI N LOCALITY
New Residential Bldgs & Pools EACH NO. FEE NEAREST
1 & 2-Family, Sq. Ft. $ .025 — $ CROSS ST.
OWNER O
Multi-family Sq. Ft. •02 — FIRM NAME
Residential Swimming Pools 20.00 MAIL �T�
ADDRESS SAME
Outlets: Light, Switch & Receptacle CITY Tel.No. _
First 20 •50 PLAN CHECK
Additional .30 APPLICANT
ADDRESS
Lighting Fixtures
50 CITY Tel.No.
First 20
Additional .30 PERMIT ri.P�T��+ HCCAPPLICANT
Fixed Appliances Not Over 1 HP ADDRESS '2034 .N. PECK RD.
Range_Heater D.W._ CITY Tel.No.
Oven=Dryer—W.M. 579-7989
LICEN O
Top FAU X'W.H:_ REG.NUMBER 265094 Class. C-10
Hood_ Fan ___ 1 50
2:00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
Disp—A.C. ___ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
W ITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
Power Apparatus& Large Appliances ELECTRICAL WIRING.
Size& Type HP, KW, KVA, or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR `
LICENSED AS RED IRED BYLOS ANGELES COUNTY AND STATE OF r
Up to 1 Incl. '2.00 CALIFORNIA OR THAI -I AM THE LE L 0 NER OF THE ABOVE &L
OESf.R IFED RESIDE PR R
Over 1 to 10 Incl. 5.00 �
Over 10 t0 50 Incl. 10.00 PERMITEE
SIGNATURE
Over 50 to 100 Incl. 20.00
Over 100 30.00 DISTRICT NO. 0 OC SED B 0
Services
LU
0- 200 Amp. Under 600 V 12.50 IN CTOR'S ®.
201--1000 Amp. Under 600 V 25.00 APPROVALS DATE SIGNATURE Vi
Over 1000 Amp. or Over 600 V 50.00 TEMP.POWER POLE m
UNDERSLAB WORK
Temp. Power Pole& Appurtenances 10.00
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2.00 WIRING
(Other)
FIXTURES
POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE. (Sub-Total) - NOTES
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE $6.00 450
TOTAL FEE 10.`5
PLAN CHECK VALIDATION CK. M.O. CASH
PERMIT VALIDATION MO. CASH
i
6576t'-APR 13 2 o: .1 0.5 0..,&98
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE -
WORKERS' COMPENSATION DECLARATION ,;:. 76A663 10/81
CE-806G .• d'l PUC/fV0•U®IICI FOR ELECT ICA E 11118 T
,.I hereby affirm that I have a certificate:of, 'consent to self insure,
or a.certificate.'of Workers' Cornpensation Insurance,or a certified COUNTY OF'.LOS ANGELES.. BUILDING,AND SAFETY
copy thereof(Sec.,3800,Lab;C:)
Policy No:.,.. is Com panyr .- .. - FOR APPLICANT.,TO'FILL IN JOB
" _ ADDRESS.`
Certified copy,is hereby,furnished New Residential Bldgs.& Pools EACH NO. FEE'
• 1 & 2-Family,S Ft. $ $ 'LOCALITY,
* NEAREST
,f Certified copy is 'filed with-the county' building inspection y' q —
...department'•,,e
Multi family Sq.=Ft. CROSS ST.
ResidentialSwimming Pools '
".;Date " �'- -• Applicant - • -• OWNER OR� b^
,ia:_o.,_. ,• FIRM.NAME r
C ct o v '
CERTIFICATE OF EXEMPTION;FROM WORKERS,..,,. MAIL,Red Light Sw."—. MAIL.
-COMPENSATION.INSURANCE .I ADDRESS'- `7
;;(Tms,sectin need,not be completed if the! First 20 _i
CITY + Tel.N
permit is for one hundred-dollars,($100)or less,) Total No. Additional
i Z6` Ll 7•
J certif that•'in,the performance.of'.the_work,+for which: his,permit PLAN CHECK
y .APPLICANT
s issuedl,shall,not,employ,any person in any.manner-so as to.
become subiectao.the Workers'.Compensation Laws:. ' Lighting Fixtures First 20`' z ADDRESS• .-
:.
AdditionaI ,
r
Total No. � ' CITY Tel No.
Dat �/ o APP,lican y• .
,.,NOTICE, ,TO,. APPLI ANT., If;. after, making- this °Certificate .of xed Appliances Not Over 7 HP PERMIT
(<' Exemption,Youshould become subject;to the:Workers'Compensation Range_ Heater_ D.W• —.. ' APPLICANT
:.
provisions'of<the.L'abor•Code,Fyou,must forthwith comply4,with such Oven Dryer _'W.M.'_' ADDRESS
provisionsbr this permit shall be,deemed revoked Top; FAU W.H
6
LICENSED,CONTRACTORS DECLARATION; . Hood Fan . Other• CITY Tel:'
I,:hereby affirm that I am'licensed.under provisions of Chapter 9 LICENSE OR
NUM
.• _•.- x .. - Disp..— Room Air Cond. —-; - Class.
'
(commencing with Section 7000)of Division 3-of the Business and.
Professions Code,and my; is in-full.force and'effect: Power.App. g ppl •:}
• DISTRICT B P C SSED•BY
ER `"'
. •-. V` aratus'&,Lar e A liances _
Size&Type HP,KW,KVA, or KVAR Q'
0 ' O
License Number • Lic.Class Up'to 1•Incl.. , FINAL y
1 '
U
Over 1 to 10 Incl
N, 1
DATE •: �
Contractor' Date
t Over 10 to 50.Incl. FINAL
VALIDATION "
0
I am exempt-under Sec: t" • Over.50;to 100 Inc. gY V
B.&P.0,for•this reasonOver 100,' a'
+ N
Services Swbd MCC"& Panelboards' q Z
Date: ,
0 '200 Amp.,Under 600 V
Signature' 201 -1000 Amp:Under 600 V
Exemption for Reg Maint Elect. °a
5C
Over 1000 Amp.or Over 600 V
t
SINGLE-FAMILY ' Temp.Power Pole&.Appurtenances.
-HOME OWNER-,BUILDER DECLARATION: O Branch
r '
- - ' ' ., .. .: Sign with One Branch Circuit
I hereby`.affirm that I am exempt from th`e.Contractor''License Law"
Additional.Sign;Branch'Circuits,_, , 'tom i
for the,following'reason(Section,7031.5;'Busine'ss,and Professions' •r" , f((`i 25 . 0
Co ej: .. s
i
Misc Conduits& Conductors.
•l,as owner of the property,Mll•do the work;and the structure'
Is not intended or offered.for sale(Section 7044,Business -Schedule),,.
Other(See Complete Fee
and Professions Code):
CONSTRUCTION LENDING AGENCY
1 hereby affirm,that there is a construction lending agency for the 0010070 -
= f 1
performance of the work for which this permit is issued(Sec:3097, PERMIT.FEE t. (Sub-Total) qf
Civ. C.).' �3 t.
PLAN•CHECKING FEE
Lender's Name''
PERMIT ISSUING FEE V.
Lender's Addres Jr.
�
I certify that I have 'read this application and state that tphe above ___ TOTAL FEE t _
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 the above-mentioned
property for inspection purposes.
SEE REVERS
.- E FOR EXPLANATORY.LANGUAGE,
Signature o Pe7rrilittee Datef
t WClnKERS'COMPENSATION DECLARATION 76-663 10/81 APPLICATION
2®R ELECTRICAL
EC RICA PE MI
`:p ti affirm that I have a cgrtificate of, consent to self insure, CE-Bose l!e l�y/ti1 II I I� L�L�L��o II L� I� If 11 tl
ora certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy jhereof(Sec.3800,Lab.C.)
Policy No. Company FOR APPLICANT TO'FILL IN - -JOB
Certified copy is hereby furnished.- New Residential Bldgs.& Pools 1 EACH NO. FEE ADDRESS pC
1 & 2-Family,Sq.Ft. $ $ LOCALITY
Certified copy is filed with the county building inspection
department: Multi-family Sq.Ft.
_'NEAREST
CROSS,ST..
Date Applicant, Residential Swimming Pools OWNER OR
/� FIRM NAME
CERTIFICATE'OF EXEMPTION FROM'WORKERS'-,, _601 3b MAIL
t COMPENSATION INSURANCE, Outlets:Rec Ligh Sw:
>�C'� ADDRESS`� .
:(This section need not be completed if the work involved by the.- First 20
Total No/ f Additional Jr CITY . Tel.No. ✓r-
•permit is for one,..hundred dollars($100)or less.) ` PLAN CHECK
J certify that ih the performance:,bf.the work for which'this,-permit APPLICANT
is„issued, I,shall not.employ any-persomin any manner-so as to
become subject to the Workers'Compensation.Laws.' Lighting Fixtures First 20 ADDRESS
i �) Additional
Total No.,Yl� CITY Tel.No,
Date,.. 'gppi icant -
--,NOTICE.'TO -APPLICANT:'�If, after making this- Certificate of Fixed Appliances Not Over 1 HP ' PERMIT
Exemption,you should become subject to the Workers'Compensation Range ,:Heater D.W. APPLICANT
provisions of the•Labor Code, you must forthwith.comply with such Oven ,;DryeW.M. , ADDRESS ,
provisions or this permit shall'be deemed_revoked. Top FAU W.H. CITY Tel.No.
,LICENSED CONTRACTORS DECLARATION. Hood Fan Other_
I hereby affirm that I am licensed under provisions ,of.Chapter 9 - / LICENSE OR
Disp. Roo Air Cond. !
:(commencing.'with Section 7000)of Division.3.,of the Business and REG.NUMBER _ Pass.
Professions Code,and my license is in full.force, and effect. DISTRICT NO. PRO S BY
Power Apparatus& Large Appliances
Size & Type HP,KW,KVA,or.KVAR 0
License Number Lic.Class Up to 1 Incl. FINAL V
�L Over 1 to 10 Incl..,
DATE
Contrac-
tor Date
VALIDATION 0
'`•Over 10•,to 501nc1. U
FINAL
I am exempt under Sec, Over 50 to 100 Inc.-
�-
B.&P.0 Over 100 for this reason
r
Services,Swbd.,MCC&Panelboards Z
Date: 0- 200 Amp.Under 606 V 45
D —
Signature 201 - 1000 Amp.Under 600 V
Over 1000 Amp. or Over'600 V
Exemption for Red.Maint.Elect..
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 Law {{t a-
for the following reason(Section 7031.5, Business and Professions.
Additional Sign Branch Circuits
Code): `i 671.513
Misc..Condu its'&'Conductors
I,as owner of the property,will do the work and the structure 1 ;:-'�0i 16
of intended or offered for sale(Section 7044,Business Other_(See,Complete Fee Schedule)
and rofessions Code)., D i4f A „ d`_} _-rs
CONSTRUCTION LENDING AGENCYs-_(_t, 167.50
I hereby affirm that there is a construction lending agency for the . r
performance of the work for which this permit is A.
issued(Sec.3097, PERMIT�FEE •(Sub=Total) =
Civ.C.):
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE 5t> -•
Lender's Address 2532Sf AMID.�s
I certify that I have read this application and state that the above TOTAL FEE
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 the above-mentioned
proper for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
tiv1 � -
ign ure ol Permitt a Date