HomeMy Public PortalAbout6355 ENCINITA AVE_Electrical__ 76-602 Das 5A I'-6D APPLICATION FOR PERMIT
APARTMENT OF BUILDING AND SAFETY (CU"D"
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT T�O6 FILL IN/ DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
RECEIVED BY READY FOR DATE ISSUED
ADDRESS 'IT ZL / � FIR5T INSPECTION
CITY IS, TEL NO. �,J ,) -LL-16 a -� ~ I
COUNTY LICENSE NO. EXPIRES BUILDING
PERMIT Ft£ ADDRESS /� 1{p �
(NUMBER EACH FEE 1 LOCALITY AA / ` l/.1/ /\
' LIGHT OUTLETS NEAREST 1III I /
/ CROSS ST. �/ A Al
RECEPTACLES _
WALL SWITCHES _ OWNER A 7 LA �.
TOTAL OUTLETS 'J '/ Sc 51 ' _3 MAIL
CLEC. RANGES I �Y— 25 ADDRESS
ELEC. HEATERS / 25 • �
CITY TEL. NO.
FIXTURES5 b 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE I9 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS (q
Numvza HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER 1'f
NCw MVD. HP DYER mc. EACH
OF THE RESIDENTIAL OPERTY OESC (BED ABOVE. 2
.25 SIGNATURE OF
PERMITTEE �n
2 9 1.00 INSPECTION RECORD
_ s is 1.50 _ —r—
is
1 s so 2.50 ` 3 f D.
_ so zoo 5.00p�/�"r <7�c0 yr / �O•
zoo Soo 10.00 Tu�/3 do �[JL T e i U e �/"jZYQI
soD 1000 15.00
OVER 1000 20.00
M.G. SET/FRED. CHANGER-HP Ir
WELDERS: AC-KVA / s -/err• O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF DRIv)
MOVED MOTORS (75% OF DRIB.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT: /
l
WIRING $1.00 CONDUIT
FIXTURES $1.00
WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE s .4 O O UTILITY CO. NOTIFIED ✓� _SSI �'
__ FINAL �/ •1 a
]6Aiw CE-806(11 ,78) ,APPLICATION FOR ELECTRICAL. PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANTTO FILL IN JOB -
New Residential Bldgs.&Pools EACH- NO. FEE - ADDRESS `C ...C//y' .--
1 82-Family, 9 S Ft. 8 .025 — S LOCALITY
_ _.
Multi-family'Sq. Ft. .02 — - NEAREST 4/
25.00 CROSS 5T. z.v
_ Resldemi_ol Swimming Pools OWNER OR /�
J FIRM NAME
Outlets:Rec�Light_�1_Sw. ADDRESS-. 'L
-" First 20 .50
Jowl No. Additional .30 CITYPLA
-- A PIICANTK._
Lighting Fixtures First 20 .50 -ADDRESS
1 - Additional .30'
Total No. Jy CITY Tel. No.
Fixed.Applionces.Nat Over 1 HP - - - PERMIT - - -- - - ---- - -Range—Heater D.W.— APPLICANT ��—
Oven_Dr er_Vd.M.— ADDRESS'
Top _FAUW.H. — _ _ CITY .-.�. TeI
Hood—Fan _Other_ LICENSE OR -
Disp.—Room Air Cond. - 2.50 REG.NUMBER _ - Class.
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICAF
Power Apparatus.&Large Appliances , TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO '
& COMPLY WITH ALL -COUNTY ORDINANCESANDSTATE-LAWS'
Size T
ype HP, KW, KVA;or KVAR 2 50 REGULATING ELECTRICAL WIRING. O
Up to I In , - .1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR —V.
Over Lto 10 Incl: 5.00. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Its
Over.10 to 501nd: 12.50- - CALIFORNIA OR THAT I AM THE LEGAL OWNER_OF THE-ABOVE, ._ Q
25.00 DESCRIBED RESIDENTIAL PROPERTY. FU
Over 50 to 100 Inca 40.00 PERMH.EE
Over 100 - SIGNATURE
W
Services - - - DISTRICT NO.^ - ' ' OCESS By-
0 200 Amp. Under 600 V 12'50 _
-201 1000 Amp. Under 600 V " 25:00 00 --
Over 1000 Amp.or Over 606 V 50. Z .
O ,
Temp. Power Pole&Appurtenances , 10.00 -- - - G -
Sign with One Branch Circuit 10.00 1 _
Additional Sign Branch Circuits 2'00 _ INSPEQION ' > `{ j,Y1 '
Misc.Conduits&Conductors lo:oo INFORMATION v 9 Z
ON REVERSE • 'z
Other(See Complete Fee Schedule)_ SIDE - u
< / 3 ,5 �'
PERMIT FEE : (S6.Total)
Z
PCAN CHECKING FEE IOne Fourth Permit Feel _ _ - _ -O -
PERMIT ISSUING FEE - $ -0 '
- Q
TOTAL FEE >
TIOfFINALED
date:
date: /(/��i% ``//�o''jj((,,((//�d//o By
]fiAfifiB GE8D6 9.65 APPLICATION FOR . Ed LTR CPERE IT(2 � L1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING .
BUILDING AND SAFETY DIVISION ADDRESS (p�'b N. NGJNIrA AVE,
.JOHN A. LAMBIE..COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY 'CBMPLIE Ct'C'(
FOR APPLICANT TO FILL IN CROSS ST. OLEM A
RECEPTACLE TOTAL No. EACH FEE
OUTLETS FIRST 20 $.205 OWNER RO.E3KRT �I6Jt.J MSAh1
LIGHT MAIL
SWITCH { ADD'L 1O ADDRESS G}hj b s aHcI Y{ 1'CA. AV
OVER 20
TOTAL E
I�!_p CITY M L T TEL. NO. �ZQD6-&e4
FIRST 20 .20
LIGHTING 1 FIXTURES
FIXTURES I _ ADD'
L 10 CONTRACTOR
OVER 20
RANGES CLO.DRYERS WTR.HTRS. 11.00 ADDRESS
GARD.DISP. STA.COOK CITY
�AHWASM AUTO.-WASH. STATE
CE HT�S S .APP.14x H.P.MA%.1 Z .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISzRICT G rP NE PRCE SFtD BY
0 1 1.00 1 O ,,�
1 3 1.50 INSPECTION RECORD
3 8 2.OD
8 15 2.50
IS 50 3.00 O
50 100 5.00 1.1
NO.TRANS 0
SIGNS: NO.LAMPS V
W
SERVICE 0-600V.Noi OVER 200A 1.00 a
H
SERVICE 0-60OV-OVER 200 A. 2.00 ?
SERVICE OVER 600V 15.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
6UPPLEMENTABY PERMIT ISSUING FEE 1.00 "
TOTAL FEE $ 1 APPROVALS DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ✓ UN DERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING ' DD
HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _ T
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, ANO INTEND TO POWER
RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. �L
61 NGATU RE �yt,/ �. /u f,�,yyvy� .. UTILITY CO.NOTIFIED
F P
IF FINAL
LIDATION JOSEPH C. ROOHAN
MO CASH SUPERVISING ELECTRICAL ENGINEER
CK
LACo6 a-51Z DEC 1 2 D 8.40-
, _- ^
WORKERS'COM11PENSATION DECLARATION76A663
CE-806G 12-801 APPLICATION FOR ELECTRICAL PERMIT {�
CE-6LJ
I hereby r affirm that I have certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY
insure, or a certificate of Workers'
rs'Compensation Insurance,or
a certified copy thereof(Sec. 3800, Lab.C.)
>"
FOR APPLICANT TO FILL IN JOB ('-c r 1
Policy No. Company EACH NO. FEE ADDRESS Jx/ I /l/
New Residential Bldgs.& Pools
Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY _ e
Multi-family Sq. Ft. — NEAREST /
Certified copy is filed with the county building inspection Residential Swimming Pools CROSS ST p�✓ i
department. l WNEROR
FO RM NAME
Date Applicant Outlets: Rea_Light_Sw._ MAIL l -
First 20 ADDRESS
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additionat CITY �- �✓� Tel No. ,O3 }
COMPENSATION'INSURANCE PLAN HECK C
(This section need not be completed if the work involved APPLICANT U
by the permit is for one hundred dollars (SI00) or less.) Lighting Fixtures First 20 ADDRESS
Additional O
Total No.
1 certify that in the Performance of the work for which thisFixed Appliances Not Over 1 HP CITY Tel No. F—
permit is issued, I shall not employ any person in any manner PERMIT U
so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANTf/ W
p
Oven _ Dryer_W.M. .ADDRESS% .Z.
Date Applicant Top FAU _W.H.
Hood Fan _Other_ CITY el No.
NOTICE TO APPLICANT: If, after making this Certificate of Dista. _ Room Air Cond._ LICENSE OR
Exemption, you should become subject to the Workers' REG. NUMBER Class
Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. /•�/�� P CE D BY
with comply with such provisions or this •permit shall be Size&Type HP,KW, KVA,or KVAR
deemed revoked. �e•� G7
Up to 1 Incl. FINAL
Over 1 to 10 Incl. DATE �'`
LICENSED CONTRACTORS DECLARATION r v �� 0� VALIDATION
Over 10 to 50 Incl.
I hereby affirm that 1 am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL
( .tyeJ-
9 (commencing with Section 7000) of Division 3 of the Susi- By Over 100 - J
ness and Professions.Code, and my license is in full force andJ�/f Q/�r®O _
effect. Services C J
License Number Lic.Class 0-200 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 1 am exempt, from. the Contractor's Sign with One Branch Circuit
License Law for the following reason (Section 70}I'.5, Busi- Additional Sign Branch Circuits
ness and Professions Code): ;9 3 8 5 O A
rlz-lrMisc.Conduits& Conductors
1, as owner of the property, will do the work and the Other (See Complete Fee Schedule)= # o o a - 02
structure is not intended or offered for sale(Section
7044, Business and Professions Code). .2'o'a 2 3.5 O '
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency 'o s o 2350
for the performanceofthe work for which this permit is PERMIT FEE (Sub-Total) c
issued (Sec. 3097,Civ.C.). '�U.0 3--8 2
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)
Lender's Address PERMIT ISSUING FEE
1 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 regulating Electrical wiring, and
hereby authorize representatives of this County to enter upon
the above-mentioned prope ty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
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