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HomeMy Public PortalAbout5038 DOREEN AVE_Electrical__ 7SA663 obs SA 25M SETS 11-,8 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �������� COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER DISTRICT NO. GRROOUP ZONE PERMIT NO. FOR APPLICANT TO FILL IN RECEIVEBY READv �FOR /A/ ELECTRICIANMd� A r A . FIRST INSPECTION ADDRESS .{ ISSUED �j 2 ��/—sl CITY A TEL'N O. /7/q 11, 0 NG LICENSE ND. DO EXPIRES 3O-Sb ADDRESS 911 DESCRIPTION OF WORK FEES LOCALITY Y r 1/ NUMBER OUTLETS EACH STREET LIGHTS Se $ a STREET RECEPTACLES FIXTU RE9 g I '0 OWNER WALL SWITCHES 5 MAIL ADDRESS go 6 CLEC. RANGES 25 ELEC. HEATERS 25 CITE 11f� TEL NO. f MISC. I CERTIFY THAT I PO SEMS THE ABOVE VALID LOS OF CIRCUITS INSTALLED: ANGELES COUNTY LICENSE. LIGHTS , LIGHTS RECEPTACLES MOTORS JL ' ELECTRICIAN. NUMBER HORSEPOWER FEE NEw MVO. HPI BV ER 1Ne. EACN I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- 1�s s LESS $ .2S ERTY DESCRIBED ABOVE. 1/2 2 .50 2 S 1.00 OWNER. I15 sI..SO 'IN�SSrP�E�CiT/ILO/N1 RECORD V12 50 2.50 A A 200 5.00 10.00 <S /�, loono 1000 2 0ZZ111-e- ya/ l l UQ Z M.G. SET/FREQ. CHANGER-HP ag 0 �/a�r�'a JNT i..iiPs,lli 03.N � WELDERS: AC-KVA 1` GENERATORS - KW TRANSFORMERS - KVA ✓ TEMP. MOTORS (95% OF GR1GJ MOVED MOTORS (95% OF GRIG.) MISC. SIGNS TYPE: NO.TRANS TYPE: ND. LAMPS APPROVALS PERMIT FEE DATE INSPECTOR'S NAME FOR ISSUING PERMIT: CONDUIT WITHOUT FIXTURES $1.00 I WIRING /ij�Yo WITH FIXTURES 1.25 •� d e FIXTURES SUPPLEMENTARY .50 I POWER TOTAL FEE y 3 5 UTILITY CO. NOTIFIED FINAL 9 S-A 12-43 25M APPUCATION oDEPARTMENT OF BUILDING AND SAFETY; rnir ►yFPERMIT �OR COUNTY OF LOS ANGELES' ELE� a�IC WM. J. FOX CHIEF ENGINEER NAME / / - - / DISTRICT NO. GROUP ZONE PERMIT NO. ADDRESS ,/G/�/ -1—,7 7/ G CITY RECEIVED BY READ FOR FIRST INSPECTION DATE ISSUED J COUNTY W COUNTY . EXPIRES APPLICANT FILL IN HEAVILY OUTLINED./.PORTION ONLY DESCRIPTION OF WORK 'ADDRESS /1✓� h t�`K�/��/ ` — " — WKa�L� NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW.I PLUGS FI%T CROSS GT. / //�-�(��//(•� � CIRCUIT A B I C I D I E IF IG IH I rc I NAME _ MAIL r I Z ADDRESS O CITY TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LAS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. A RIJZ iRIGAN. I AM THE IsEOAL'OWNER,QR THEIPR. OPER'7Y DESCRIBED ABOVE EQ.PF_T HI /ROPEI/ OWNER. CbRRECTION3:"7 ' � l�� U/..GVn di 1a.� eb„a ,w✓�uii-%DII..1/r.✓ A -1, � J Q ' Z. O D TOTAL NO. OF OUTLETS s _/. ZO APPROVALS NO. OF FIXTURES $ 'f'I� DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. S WIRING NO. OF RANGES OR TR! $ FIXTURES / MISCELLANEOUS S POWER �� •/I PERMIT FEE $ �v UTILITYCO.NOTIFIED TOTAL,FEE X,i' FINAL Y6AaG3 oaa SA 11-150 ' : APPLICATION FOR PERMIT DEPARTMENT OF BUILDING, AND`SAFETY COUNTY'OF LOS�ANGELES E LEC"I 1 WILLIAM J. FOX.,'CHIEF ENGINEER t ' FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I, ZONE PERMIT NO. S -I / G80 ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRESS.'� /1 /�•LP 'T, T INSPECTION CITY - TEL. .0 149 8 19 WD COUNTY LICENSE NO.I ADO -EXPIRES'& O d'Z BUILDING S� 3 8 PERMIT FEES ADDRESS FEE NUMBER EACH LOCALITY � LIGHT OUTLETS ( CROSSST. IC.� W-4�6-� •� - / /� RECEPTACLES - - WALL SWITCHES OWNER - TOTAL OUTLETS 50 '$ 'D _MAIL .ELEC. RANGES 25 ADDRESS ELEC. HEATERS23 ' CITY- TEL. NO. FIXTURES 5 '1 HEREBY ACKNOWLEDGE THAT I 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 w. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NuwaER FEE HORSEPOWER ( ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER _ NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY'DESCR I BED ABOVE. - . I/z a L2 $ .25 SIGNATURE OF /� /3 _ 1/2 2 .SO PERMITTEE ���/���LLL����NNUU ��,!!! ��/"CCCLII//�VVVVVV��'C/C.+l 2. 5 1.O0 INSPECTION RECORD b '1 b 1.50 Is so 2.50 so zoo s oo ' 200 . 500 10.00 - y 'S00 1000 15.00 - Q tY 2 OVER 1000 20.00 M• G. SET/FRED. CHANGER-HP a' WELDERS: AC-KVA D GENERATORS-KW TRANSFORMERS-KVA 'TEMP. MOTORS (75%of RIG.) MOVED MOTORS (75%OF ORIG.) - MISC. - SIGNS ' NO. NO. TRANS. I APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE. INSPECTOR'S NAME - - I. CONDUIT WIRING $1.00 'D —j /-ll v9 .:... FIXTURES 51.00 WIRING SUPPLEMENTARY .50 I FIXTURES ' �I I `� POWER. •. TOTAL FEE $ 1 G15 UTILITY CO. NOTIFIED © O`1 FINAL 1'JORKERS'COMPENSA'I'ION DECLARATION . 76A66G863 (2 80) ' APPLICATION FOR. ELECTRICAL,. PERMIT ' S - r CE 1.hereby affirm that 1 have'a certificate of consent to self COUNTY OF LOS ANGELES "'BtJFLflING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or /�/J� a certified`copy thereof(Sec. 3800, Lab. C".) Pol icy;No. CompanyFOR APPLICANT TO EI LLIN JOB New Residential Bldgs.&Pools `EACH NOV -.FEE Certified copy is hereby furnished. 1 &2-Family,Sq: Ft. I .$ — $ LOCALITY7�_=A/r Z& C_ r Y. ❑ Multi family Sq: Ft. — NEAREST. .Certified copy is filed with thecountybuilding inspection CROSSST - department. Residential-Swimming Pools OWNER OR _ /�/� its r-6Mr1• FIRM NAME AR. ® �1//•�- Date Applicant _ Outlets: Res Light-Sw. ADAIL DRESS . , - First 20 ` _ CERTIFICATE OF EXEMPTION FROM WORKERS' r^ COMPENSATION INSURANCE ,.'.' ' Total No. Additional CITY Tel No • PLAN CHECK d' v AddiAPPLICANT 0, (This section'need riot be•completed'if 4he,work involved _ by the permit is for-one.hundred dollil ($100) or'less:) Lighting Fixtures ' First Additional - ADDRESS _ U Total No I certify (hat in the,performance_6f the'work for which this Fixed Appliances Not Over-1 HP- CITY Tel No. 0 permit is issued, I shall not employ any person to any manner PERMIT - F so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT, W' .Oven _ DryerW M. ADDRESS •�� C ' Date Applicant '' _ Top — FAU. W:H. ,Z Hood — Fan _Other_ CITY Tel No NOTICE TO APPLICANT': If, after making This:Certificate of Disp. Room Air Cord,_, LICENSE OR Exemption, you should become subject to Ihe.•Workers' REG. NUMBER. Class , Compensation^provisions of the Labor Code, you must'furth- Power Apparatus& Large Appliances' DISTRICT IN O. P OC SED BY with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or KVAR:.' deemed revoked... .. _ Up to 1 Incl--... - FINAL _- - 1 Over.1 to 10'lncl. DATE , ��/ VALIDATION LICENSED CONTRACTORS DECLARATION 'Over 10 to50Incl. 7 FINAL I hereby affirm that I'am licensed under,provisions of Chapter - Over 50 to 100 Inc., BY. 9 (commencing with_Section 7000) of Division.3'of the Busi-' Over 100 ness and Professions,Code, and,my license is in full force and. effect. - Services ' t 0-200 Amp. Under 600 V License.Number r +.Lie. Class' 201-1000 Amp. Under 600 V' Contractor' Date ' Over 1000 Amp.or Over'600 V r ' HOME OWNER-BUILDER DECLARATION Temp. Power Pole& Appurtenances 'I hereb' Sign with One Branch Circuit ' y'affirm that I am.exempt from the Contractor's License Law,for the.following reason (Section 7031;5, Busi- 'additional Sign Branch Circuits,- '3 29,Q A nese and Professions Code): Misc.Conduits&Conductors ) I, as owner of the property, will do the work and thee. #{ a e'a . '2 Other(See Complete Fee structu re' n sa :intended or offered for sale (Section - 2 ii,e 1.70 '• 7044, Business and Professions Code). ' CONSTRUCTION LENDING AGENCY I hereby affirm that thereis a construction lending agency I �� e.e 1.7.0 0.� for the performance of the work for which this perp itis PERMIT FEE .(Sub-Total). issued (Sec:3097;Civ._C.). _ - V - 1 2&3' 8 0 Lender's Name - PLAN CHECKING FEE (One-Fourth Permit;Fee) - -- Lender's Address PERMIT ISSUING EE F7 ' 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 regul ann Electrical wiring, and hereby auth representatives of t s County to enter upon the above- en i property for insction purposes. , SEE REVERSE FOR EXPLANATORY LANGUAGE • _ � r'.�-� SigratifrFe of Permittee - Date .'' ,