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HomeMy Public PortalAbout4826 DOREEN AVE_Electrical__ APPLICATION FOR ELECTRIC PERMIT COUNTY OE LOS ANGELES - DEPARTMENT OF COUNTY ENGINEER R BUILDING AND SAFETY DIVISION gDDREssUILDINc �1�6 ��© JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.DENSEN.Sup'i of 6VILDING LOCALITY A FOR APPLICANT TO FILL IN NEAREST I - w�� .L1 ��� PEPMT PEES GROSS ST. /�O A7 VF ITEM NUMBER EACH FEE OWNER �r f /SIA 2b/,4(1 OAfA..�II MAIL OUTLETS: 3 3 ADDRESS Y f d rQ Bq L LIGHTS RECEPT. SW. .10 LIGHTING FIXTURES 10 CITY TEL.NO.e'l �GT Y 'ELEC.RANGES CLO.DRYERS ELECTRICIAN G19 .InLi�i4 �A WATER HEATERS .50 ADDRESS /�� S/��N�O�T�. ELEC.SPACE HTRS. DISHWASHERS CITY TEL. NO. GARBAGE DISPOSERS AUTO.- _ STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. ( /to - MOTORS: OVER INC. H.P. DISTRIC NO. (GROUP I ZONE IP SSED Y 0— 1/° .25 Y,- z so INSPECTION RECORD 2— 5 1.00 5— 15 1.50 15— SO 2.50 50-200 5.00 SIGNS: NO.TRANS. NO.LAMPS 1 SERVICE 0-500V 1.00 SERVICE OVER EOOV 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE 3 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE IN5PECTOR'B SIGNATURE AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT `,A ELECTRICAL REBY WIRINGCERTIFY WIRING /�.y Ce C7 I HEREBY CREQUI THAT 1 AM PROPERLY REGISTERED AND/OR - Y ' LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. ///�f�� � POWER SIGNATURE 1 L ^� UTILITYCO.NOTIFIED /) --A OFPERMITTE - - FINAL I , L L I ®T D TIARTHUR C.VETT. CK mP /DT\ - DK mo XZSUPERVISING ELECTRICAL ENGINEER UCo 7 6 1 8 MAR 2 A 2.0 0 M f ..SDEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMTF COUNTY OF LOS ANGELES nr CTRIC IWM J. FOX CHIEF ENGINEER NAME I} DISTRIC NO. GROUP fZONE PERMIT NO. U ADDRESS S /J 'l IIlJ� V // K I" _ REEEIYED BY READY FOR GATE ISSUED W CITY TEL.N i///��_/-/ / FIRST INSPECTION W CERT.N . EXPIRES `C/2/. iV'" V — Z� —� APPLICANT FILL IN HEAVILY OUTLINED PORTION OXLY DESCRIPTION OF WORK A DRESS O NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS FIiT CROSS ST. CAR,FUIT A B C D E F G H X NAME Z MAIL ADDRESS O CITY TEL_NO. 1 AM THE LEGAL POSSESSOR OF THBOVE ,�03 ANGELES COUNTY CERTIFIG E OF Q AI, ICATIO /F / •, ELECTRICIAN. I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. Q CORRECRONS J - Z Z l7 R' . D ToraL NO. OF OUTLETS _ s 1?0 - APPROVALS wel NO. OF FIXTURES IS 41 0 DATE INSP/EECTOR'S NAME \ NO. OF MOTORS H.P. $ CONDUIT A-. 1A111 i �..� NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES �� l/ -I k MISCELLANEOUS / $ POWER PERMIT PEE S UTILITY CO.NOTIFIED / TOTAL FEE FINAL / 7BA663-CE80610-62 APPLICATION yyLIq ION FOR �`So-V 2, �CAL�E�OT �-- -� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 826 N. Doreen JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDINGLOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. - RECEPT. TOTAL NO. EACH FEE lI OUTLETS FIRST 20 S 20 S OWNER R_ Taguyer LIGHT 1 1 MAIL ff ADD•L ADDRESS $ SWITCH. OVEfl 20 .1G TOTAL CITY TEL. NO,LIGHTING I FIR9T 20 .z0 FI%TURES AD. ELECTRICIAN Pacific Indballers OVER L '1G RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 10920 L. Grand e GARB.DISP. STA.COOK CITY Temple CZ TEL. NO. -12 msHwASH. AUTO.-WASH. STATE poo SPACE HMS. STA.APP.(11 H.P.MAX.) .50 LICENSE NO. 211898 MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP Z NE P O ESSED BY O 1 1.00 } -/ 1 3 1.50 INSPECTION C 3 B 2.00 a B 15 2.SO u 15 50 3.00 p� 50 100 5.00 ,L - O SIGNS: NO.TRANS. „/ 1 NO. LAMPS N SERVICE 0-60OV-NOT OVER 200A 1.00 / SERVICE 0-60OV-OVER 200 A. 2.00 �/YJ SERVICE OVER 600V 5.00 MISC. 1 1 PERMIT ISSUING FEE 2.00 2 DO SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 6 2,120 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 RTE HERESY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF TIAE ABOVE DESCRIBED RESIDENTIAL P OPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE_ ITFINAL LI CAS ARTHUR C. VETT CK MOO CASH SUPERVISING ELECTRICAL ENGINEER- LCo1779GOT 23 2 D 2.20- 06S S-A 6-46 41l�PUCATION FOR P>r!f�M L DEPARTMENT OF BUILDING AND SAFETY t"���lI�1Y FOR �Gl����� COUNTY OF LOS ANGELES WM..J. FOX CHIEF ENGINEER Q NAME �� 1 l y��(/� �.,,1� la DIST'L)RIICT'NO. GROUP ZONE PERMIT 1NO. KADDRESS. �7 / l{' �I Vll�/l/t+ 10� /� / /o!/ ✓�O ~ ^ � RECEIVED BY READY FOR D\ATEISSUED JU CITY TEL.NO. ///1�/j�/� FIRST INSPECTION /G .- ,/( COUNTY �D /I(J� E%PIREB .✓✓rp- l,— �� r` � W CERT.NO. /I I-� APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY /J DESCRIPTION OF WORK 'a DDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY ✓ /��XI G1N�+��V LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS FIXT CROSS ST. CIRCUIT A B I C D E F G H W NAME /I J/GL�• Z MAIL ADDRESS O CITY TEL.NO. 1 AM THE LEGAL POSSESSOR OF THEAABOVE LOS ANGELES COUNTY CERTIEdCATE OF QUAL'IFICATION:. /p E�llU CCTTRR•IICIAAIN..i(..C•-I I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED y IIV.. ABOVE I d OWNeR. �\ CORRECTIONS t . J Z_ I7 TOTAL NO. OF OUTLETS $ D APPROVALS NO. OF FIXTURES $ DATC INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT 1 IV. X-111j1,11fAA NO. OF SIGNS- TRANS. /� $ WIRING NO. OF RANGES OR HEATERS /A S FIXTURES MISCELLANEOUS l -/ S POWER , PERMIT FEE $ / 'ss/ff UTILITY CO.NOTIFIED ++��T�/�3 I'!b �e/J -0 _ TOTAL FEE S V FINAL WORKERS'COMPENSATION DECLARATION -563 10/81 CE-808G APPLICATION FOR ELECTRICAL PERMIT - {1 I hereby affirm'that have a certificate of consent to self insure, CE - LJ a a certificate of Workers' Compensation Insurance, or a/Certified COUNTY OF LOS ANGELES - BUILDING AND SAFETY C80Y there3�Sec.380 Lab. C.) L/�////� ! _• �•�� �. 1 . �ttlS��DIicY•-- N�_��_0.t 19Z�r3 -mpany a0 FOR APPLICANT TO FILL IN .. JOB % �CJ�IV V rifled copy is hereby furnished. - - EACH NO FEE ADDRESS ffuu New Residential Bldgs.8 Pools ie- Certified copy is filed with the county building inspection 1 & 2-Family,Sq.FL $ S LOCALITY f' department. Muiti-family Sq.FL — NEAREST Residential Swimming Pools GROSS OWNER OR T. Date - Applicant )x/� FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' let Lx( MAIL Outlets:Roe Light Sw. �-' • COMPENSATION INSURANCE � ADDRESS " (This section need not be completed if the work involved by the First 20 , CITY Tel.No. permit is for,one hundred dollars ($100)or less.) Total No. Additional ' I certify that in the performance of the work for which this permit PLAN CHECK is issued, I Shall not employ any person in.any manner.so as to APPLICANT - _ become subject to'the Workers'Compensation Laws. ' Lighting Fixtures First 20 ADDRESS Additional ` • Total No. CITY Tel.No. Date Applicant 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. APPUC-N7 provisions of.the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M. — - ADDRESS Is rovisions-gr 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 8UGENSE OR (commencing with Section 7000) of Division 3 of the Business and Disp. — Roam Air Contl. Chas. REG.NUMBER Professions Code,and my license is in full force-and effect. O DISTRICT NO. PR SED BY Power Appaatus & Large Appliances _5'r O l' a' O} _9 /,Q Size& Type HP,KW,KVA,or KVAR fly License Number1y-,.6Lic.Class 64 Up to 1 IncL FINAL " V ContractorX{� �Irr[� ITixN+�ate Over 1-to 10 Incl. DATE VALIDATION Q Over 10 to 50 Ind. FINAL i^ ! U ❑ I am exempt under Sec. Over 50 to 100 Inc. BY CIL ik 8.8P.C.for this reason - Over 100 N Services,Swbd.;MCC& Panelboards Z r Date: 0- 200 Amp.Under 600 V Signature '201 - 1000-Amp.Under 600 V - - ❑ ,Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole& Appurtenances S HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit a hereby affirm that I am exempt from the Contractor's License.Law ACCT) ' for the following reason(Section 9031.5,Business and Professions Additional Sign Branch Circuits - - _ . AaO7 27.00 Code): ❑ I,as owner of the property,will do the work and the structure Misc.Conduits-&•Conductors- - 1 ITEMS. is not intended a offered.for sale (Section 7044, Business Other(See Complete Fee Schedule) D and Professions Code). TOTAL • .2�eOM� CONSTRUCTION LENDING AGENCY • • - _ CHECKK • Z7.00 I hereby affirm that there is a construction lending agency for the CHANGE .00 performance of the work for which this permit is issued(Sec.3097, PERMIT FEE - (Sub-Total) .. Civ.C). . Lenders Name PLAN CHECKING FEE -10/12/89- OOOO-ODDS LO7 12/PiS PERMIT ISSUING FEE 6201 - -• 1 - AM 902 Lender's Address �' - 1 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 property for inspection purposes. ,•,SEE REVERSE FOR EXPLANATORY LANGUAGE bigna)0r&cLQdfnmffee - Date