The URL can be used to link to this page

Home My Public Portal About5022 DOREEN AVE_Electrical__ APPLICATION I=OR ` ELECTRIC ,PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUIL BUILDING AND SAFETY DIVISION ADDINGDREss SO Z Do/"�-e y ST IONN A- LAMSIE, CoS=tp EBuiBser er' /,e C r CASSATT D. GRIFFIN. Supt a!r diup LOCALITY 7e;41 fL NEARESTA LlJ r V FOR APPLICANT TO FILL IN CROSS ST. IE/ Iy Z S A PERMIT FEES O ITEM INUMBERI EACH FEE OWNER ✓t� `/� �r 7 to 1- 5 MAIL zZ NO/ ',ee �/ 1 OUTLETS: $ $ ADDRESS A �T LIGHTS - RECEPT._3 SW. .10 O // p LIGHTING FIXTURES .To CITY 'P C TEL.NO. aI C ELEC.RANGES CLO. DRYERS ELECTRICIAN 19 N.4 O A/,e L r 1 WATER HEATERS .50 ADDRESS 2- ZI 4 SGA^ SIT- ELEC.SPACE HTRS. DISHWASHERS p CITY O AV Y 1/ TEL.NO. GARBAGE DISPOSERS AUTO.- WASHERS STA.COOKING UNITE .25 STATE LICENSE NO. MOTORS: OVER INC. H.P. ......_. .. _ .., .. .. .., 0 — v. 25 �SDIS RIC I NO GR UP ZON READY FOR IN.PECTION Vz — 2 .50 If z — s Loo INSPECTION RECORD 5 — 15 1.50 15 — 50 2.50 50— 200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-000V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT LDo B FIXTURE PERMIT 1.00 0� SUPPLEMENTARY PERMIT .50 TOTAL FEE 1 s 3 - APPROVALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY CONDUITWITH ALL O y Y ,✓/ ELECTRICAL COUNTY ORDINANCES ORDINANCES AND STATE LAWS REGULATING WIRING . �/. /] Gi 76A663•CEa0642 APPLICATION F®R.'ELECTRICAL PERMIT COUNTY OF LOS ANGELES _ - - DEPARTMENT OF COUNTY ENGINEER BUILDING �'/ �• BUILDING-AND SAFETY DIVISION ADDRE65 p .Z /y'• L�D EL ^ ., JOHN A. LAMBIE. COUNTY ENGINEER _r /' y WILLIAM A. JENSEN,'SUP'T OF BUILDING LOCALITY / L� NEAREST FOR APPLICANT TO FILL IN CR05S 6T. E (: S T TALNo EACH FEE RECEPT. OUTOLETS FIRST 20 5,20 $ A L O OWN ERe. S. / lj-i'P Z�44. LIGHT ADD'L ADDRESS / .T..3. • OO CCN SWITCH. MAIL OVER 20 .10 _ TOTAL - CITY Fl RST 20 .20 716-111 PL` {.-� TEL. NO. 7'7 3 S� LIGHTING , FIXTURESl A°O•L ,fp ELECTRICIAN Ov R 20 RANGES CLO.DRYERS WTR.HTRS. 1.00. ADDRESS GARB,BIER. STA.COOK CITY TEL. NO. ' DISHWASH. AUTO.-WASH STATE SP EHTRS. STA.APP ('/AHP MAX.) ,50 LICENSE NO. MOTORS: OVER NOT OVER M.P. I DI STR CT OU ZONE PR ESSED BY o 1 1.00 ( / f 1 3 1.50 L , INSPECTION RECORD _ -{ s e 2.00 m7L/1,iffrl:i il/•ftf t.%" v /' . a 1s 2a0 •,�. I 15 so 3.00 ' 1' so foo 5.00 O SIGNS' MO.TRANS Y+i1:(O/�A/YY /' Q \� U✓lW NO.LAMPS SERVICE O-600V-NOT OVER 200A SERVICE 0.60OV-OVER 200 A. SERVICE OVER 600V 5.00 MISC. /42.049hA2txi6 t .v PERMIT ISSUING FEE 2.00 SUPPLEMENTABV PERMIT ISSUING FEE LOO O rb Is VP 0L% TOTAL FEE $ m es,:14 Wigg - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLIC TION APPROVALS DATE INS OR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. _WIRING 1 HEREBY CERTIFY THAT, I AM PROPERLY REGISTERED ANO/OR CE LINSED AS REQUIRED BY LOS ANGELES COUNTY AND.STATE OF FIXTURES N• /� CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE - DESCRIBED REBID T -PROPERT - POWER SIGNATURE UTILITY CO.NOTIFIED J OF PERMITTEE FINAL 4Ld�A ALIDATION _R C. VETT R� C MO CASH SUPERVISING ELECTRICAL ENGINEER L,' o2 5 6 S� NOV 14 2 D4.10- .Q - . _ I ISAS63C �Emsa 1:„s- APPLICATION FOR ELECTRICAL PERMITfl BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN JOB New Residential Bldgs. & Pools EACH NO.1 FEE ADDRESS 50221jDor en A U¢ 1 &2 Finaily Sq. Ft. $ — S LOCA! ITV Multi-family Sq. Ft. — NEAREST Tp3zplp City Residential Swimming Pools CROSS ST. OWNER OR FIRM NAME Outlets: Light, Switch & Receptacle AMAIL DDRESS First 20 5029 Dorepn Additional CITYTemple City Tel, No. PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel, No. PERMIT Fixed Appliances Not Over 1 HP APP LICAN7 Range_ Heater_ D.W. ADDRESS Oven Dryer W.M. Top FAU W.H. CITY 13npTnpTel. No. _ Hood Fan REG.NN U M BER 227962 Class.C_ O Disp. A.C. I HERESY ACKNOWLEDGE THAT I RAVE READ THIS APPLICAT1GN AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Size&Type HP, KW, KVA,or KVAR ELECTRICAL W""N`' w o_ Up tollncl. I HEREBY CERTIFY THAT I AMOA NDroP rn 3ton A/(Over 1 to 101ncl. 0 oT 1-. A BE AND STATE OF of T„ N Z Over 10 to 50 Incl. CALI OaeoAA NT.of oAE OR T „�D Over 50 to 100 Irel. PERMITEE E: Over 100 SIGNATU DISTRICT NO. PR ESS BV Services ')�! D 8 I^,,vim-nJ 0-200 Amp. Under 600 V 201 - 1000 Amp. Under 600 V APPROVALS DAIV INSPECTOR'S Over 1000 Amp.or Over 600 V SIGNATURE TEMP. POWER POLE Temp. Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED +� p PLAN CHECKING FEE (One-Fourth Permit Feel FINAL G.Z7-7p PERMIT ISSUING FEE 4 5o NOTES TOTAL FEE i?l3.50 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 7s^B$AI25A a APPLICATION FOR ELECTRIC PERMIT DeS. 1 DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los AngelesBUILDING L WM. J. FOX. COUNTY ENGINEER ADDRESS CASSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL IN LOCALITY PERMIT FEES CROSS ST FEE NUMBER EACH LIGHT OUTLETS __ OWNER RECEPTACLES MAIL ADDRESS WALL SWITCHES TOTAL OUTLETS SR $ CITY TEL. NO. ELEC. RANGES 25 ELECTRICIAN ELEC. HEATERS 25 �3 gD�DRE55I�'f��C'LG» y��-- KW EA T b� TITy j TEL NO 5Yr& S9y (1 FIXTURES `7 5 nln _1 -LICENSE NO. A NUMBER OF LIGHT CIRCUITS /13 DISTRICT_NO. GROUP ZONE RE...Y IOR INSPECTION` NUMBER OF RECEPTACLE CIRCUITS - MOTORS `4 NumeER HORSEPOWER FEE INSPECTION RECORD NEW MVO. HP OVER INC. EACH I{2 9 LESS $ .25 _ _--- 1112 2 .50 _ 2 5 1.00 5 15 1.50 _ IS 50 2.50 _ 50 200 5.00 MISC. NO. SIGNS NO. TRANS. NO. IS NO. LAMPS _ FOR EACH PERMIT: WIRING �- i FIXTURES $1.00 SUPPLEMENTARY .50 _ APPROVALS TOTAL FEE $ I/ i DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR FIXTURES O 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT IM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTI P O E TY.. UTILITY CO. NOTIFIED OT� SIGNATURE /J �A OF PERMITTEE FINAL a WILLIAM J. FOX.COUNTY ENGINEER VALIDATION 2 3.10 m A02 6 BY DEPUTY Wm that I havea COMPENSATION DECLARATION CE-863 ,D,a, APPLICATION FOR ELECTRICAL PERMIT {� I hereby affirm that I have a certificate of consent to self insure, CE-806G LJ or a certificate of Workers Compensatign Insufance,'or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec. 3800,Lab.C.) Policy NO. Company FOR APPLICANT TO FILL IN JOB 2 7 Q N r � p ve El Certified copy is herebyfurnished. EACH NO. FEE ADDRESS 50 ✓ ✓ /1 New Residential Bldgs.8 Pools Certified copy is filed with the county building inspection 1 & 2-Family,Sq.Ft. $ — $ LOCALITY - �pcE_ C department. Multi-family Sq.FL NEAREST ^ P� �J CROSS ST, r Date Applicant Residential Swimming Pools 1 OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Ree— Light J__ Sw. MAIL COMPENSATION INSURANCE ADDRESS Sa"�•L (This section need not be completed if the work involved by the First 20 permit is for one hundred dollars ($100)or less.) Total No. Additional CITY Tel.No. •9fs PLAN CHECK .1� 311 I certify that in the performance of the work for which this permit APPLICANT !/Ac K V Ol is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS _ Additional Total No.� CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of `l L.Ip A✓ Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. APPLICANT �. l provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer .� W.M. _ ADDRESS provisions or this permit shall be deemed revoked. Top — FAU W.H. _ LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ CITY Tel.No. I hereby affirm that 1 am licensed under provisions of Chapter 9LICENSE OR (commencing with Section 7000) of Division 3 of the Business and Disp. — Room Air Cond. REG.NUMBER Pass, Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO PR E By a Size& Type HP,KW,KVA,or I of 11.11, License Number Lic.Class Up to 1 Incl. FINAL ^^ U Over 1 to 10 Ind. DATE /%(((,/J Contractor Date VALIDATION ❑ Over 10 to 50 Incl. FINAL F am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C.for this reason Over 100 Services,Swbd.,MCC & Panelboards Z Date: 0- 200 Amp.Under 600 V r. 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 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits i Code): ACCT.tr Misc.Conduits& Conductors 3307 15.70 I,as owner of the property,will do the work and the structure Other(See Complete Fee Schedule) is not intended or offered for sale (Section 7044, Business pit. ITEMS and Professions Code). CONSTRUCTION LENDING AGENCY TOTAL 15 . 70 1 hereby affirm that there is a construction lending agency for the (:HECK 1`.'0 performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). CHANGE ) Lender's Name A PLAN CHECKING FEE PERMIT ISSUING FEE 0000-0001 S/28/90 Lender's Address / 1 certify that I have read this application and state that the above TOTAL FEE 1505 1 AN 7:46 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 'nspection purposes. I /� , / SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur of Permittee Date _- _