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HomeMy Public PortalAbout4936 FIESTA AVE_Electrical__ 7 w r.w tl11 i1 L L91 E CBI- Lf ` 76A663 CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE COUNTY ENGINEER �j'' WILLIAM A JENSEN SUP T OF BUILDING LOCALITY `"QM \Q. NEAREST FOR APPLICANT TO FILL IN CROSS ST O S R RECEPT TOTALNO I EACH FEE OUTLETS FIRST 20 / $20 $ OWNER � LIGHT MAIL ADD L -� ADDRESS SWITCH 10 OVER 20 LIGHTING ` CITCv. TEL NO ' T-TOTALFlasr 20 20 Y \'E^FIXTURES OV R 20 ADD L 10 ELECTRICIAN f RANGES CLO DRYERS WTR HTRS 1001 ADDRESS GARB DISP STA COOK - - CITY TEL NO DISHWASH AUTO WASH STATE SPACE HTRS STA APP ('/.H P MAIC) 50 LICENSE N t MOTORS OVER NOT OVER H P DISTRICT NO G OU ZONE P ESSED BY O 1 100 1 I 1 3 150 INSPECTION+ ,RECORD _ 3 8 200 15 50 300 r o (f v >_ IL 50 100 500 Q SIGNS NO TRANS Ix NO LAMPS t0' SERVICE O 600V NOT OVER 200A too 0 a SERVICE O 600V OVER 200 A 200, N Z SERVICE OVER 600V 500 MISC PERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING FEE 1 00 TOTAL FEE Is 04 1 HEREBY ACKNOWLEDGE THAT 1 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 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR �!- LICENSED A8 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE C - DESCRIBED RESIDENTIAL PROPERTY POWER SIGNATURE �"1n. � UTILITY CO NOTIFIED —7--r-1i 1 OF PERMITTE - FINAL IDATION ARTHUR C VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER LA'k I o 3 n 0 2�. APR 13 2 D 2 90- CE806I1/70 APPLICATION FOR ELECTRICAL ,PERMIT LJ COUNTY OF LOS ANGELES DEPAII2TMENT OF COUNTY ENGINEER BUITADDREs -4936 Fiest J-c�BUILDING AND SAFETY DIVISION /�COLEMAN W JENKINS SUPERINTENDENT OF BUILDINGTYTe le Cit — TFOR APPLICANT TO FILL IN ST"" Azusa OUTLETS NOEACH FEE OWNER Stevenson RECEPT MAIL LIGHT. TOTAL - FIRST 20 ADDRESS CITY TEL NO 286w SWITCH OVER 20 10 PLAN CHECK FIRST 20 1 APPLICANT ' LIGHTING TOTAL FIXTURES OVER 20 10 ADDRESS APPLIANCES CITY _TEL NO PERMIT RANGE DRYER_WTR HTR_ APPLICANT Warr Electric STA COOK DISP F A U ADDRESS15834 Workman SPACE HTR YlAIR COND CITY La Puente - TEL N0333-5918 CLOTHES WASH DISHWASH LICENSE NO 249210 CLASS C-,rlo FAN OTHERn O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS ETC HP KW KVA ELECTRICAL WIRING SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Q – 1 100 LICENSED AS REQUIRED BY L05 ANGEL S COUNTY AND STATE OF CALIFORNIA OR THAT I A TH LEGAL WNER OF AND INTEND TO >- 1 – 10 300 RESIDE IN THE A. y RISE RESIDENTIAL PROPERTY O_ SIGNATURE O 10 — 50 500 OF PERMIT EE — 50 – 100 1000 DISTRICT NO CLASS ZONE 7 R E BY O 100 - 500 1500 O / W a N SIGN GASSIGN AND ONE CIRCUIT 500 NOTES +. Z TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 SERVI CENOT OVER 600 VOLTS OR 200 AMP ✓ 5_0 APPROVALS DATE INSPECTOR S SIGNATURE S ERVI CE OVER 600 VOLTS OR 200 AM P 1000 TEMP POWER POLE TEMPSERVICE POLE &APPURTENANCES 500 UNDERSLAB WORK TEMP LIGHT OR RECEPT SYSTEM 300 ROUGH CONDIUT WIRING Ap�–� FIXTURES O ��27 PERMIT FEE (SUB TOTAL) / POWER AUTHORIZED UTILITY CO NOTIFIED PLAN CHECK FEE a � — FINAL PERMIT ISSUING FEE JOSEPHC ROO TOTAL FEE U� SUPERVISING EL I L ENGINEEP PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 CASH 81670--m 7 2 ® 1: 800 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE DSS SA 2�[SyN�SETS �7�7774�7 y� g�77'��g�g7��p� 7�7�� �'1(��Ig�Q� � /�� y�{�1�/'p�� �T '�/� g�p� 8'Y A.4LA TMENT iV H ®1C Sl9.l l➢11VILL\ll A1QllY Ate.l'1Y1➢./1L S `+`ELECTRIC �°9•X�•�L�Y E®1N Y'lD� ��YL1�i8 t1. COUNTY OF LOS ANGELES Y LECT IC M J FOX CHIEF ENGINEER zIJAntFUBN ECTRIC DISTRICT NO GROUP ZONE PERMIT NO Q NAME 33 94 P- U ADDRESS GARVFY (-Al P, prjoNTAT4, gA U CITY TEL NO / RECE VED Y READY FOR DATE ISSUED W COUNTY FIRST INSPECTION CERT NO EXPIRES APPLICANT FII. IN/i&AVILY O LINEI9 POR'T'ION ONLY JOB DESCRIPTION OF WORK ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS Isw PLUGS FIXT CROSS ST 1 f CIRCUIT A B C D E F X NAME y MAIL ADDRESS O CITY / TEL NO 1 AM THE LEGAL POSSESSOR OF THE ABOVE/LOS ANGELES COUNTY CERTIFICAT OF QU r CATN ELECTRICIAN 1 AM THE LXGAL.OWNER OF��PROPERTY DESCRIBED ABOVE OWNER CORRECTIONS J Q Z C7 TOTAL NO OF OUTLETS $ APPROVALS S?I NO OF FIXTURES $ S DATE INSPECTOR S NAME NO OF MOTORS HIP $ CONDUIT NO OF SIGNS TRANS $ WIRING 9 Y NO OFi2'§'S R HEATERS $ FIXTURES MISCELLANEOUS H $ POWER //11 PERMIT FEE $ UTILITYCO NOTIFIED (p` 30 TOTAL FEE ffi D FINAL 7SA663 DBS 5A 11 50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WILLIAM J FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO GROUP I ZONE PERMIT NO Is" ?4 ,0 3 ELECTRICIAN &l RECEIVED BY READY FOR DATE ISSUED ADDRESS FIRST INSPECTION CITY TEL NO Z COUNTY LICEN NO } EXPIRES b BUILDING ADDRESS PERMIT FEES FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST CROSS ST A_"'L_.P� r-ok-1 RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS _L Sc $ MAIL ELEC RANGES 25 ADDRESS ELEC HEATERS 25 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 13ROINANCEB NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD HP OVER INC EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE Iii 6 LESS $ 25 SIGNATURE OF Vz 2 50 PERMITTEE 2 5 loo INSPECTION RECORD 5 15 1 5o 15 50 250 50 200 Sol] 2130 1500 1000 J 500 1 1000 1500 Z OVER 1000 2000 L7 M G SET/FREQ CHANGER HP WELDERS AC KVA O GENERATORS KW TRANSFORMERS KVA TEMP MOTORS X75% OF ORIG) — MOVED MOTOR9 (75% OF ORlr) MISC SIGNS NO NO TRANS APPROVALS NO NO LAMPS FOR EACH PERMIT DATE INSPECTOR S NAME WIRING $1130 U Q CONDUIT FIXTURES $1 OO (f U WIRING -�'(d-I, SUPPLEMENTARY SO rIXTURES POWER TOTAL FEE $ UTILITY CO NOTIFIED ./ FINAL A£�fi..+ WORKERS COMPENSATION DECLARATION CE806G (280) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELESBUILDING AND SAFETY insure or a certificate of Workers Compensation Insurance or a certified copy thereof(Sec 3800 Lab C) FILL Policy No Company FOR APPLICANT TO EACH IN NO FEE DDRESS O Certified copy is hereby furnished New Residential Bldgs &Pools1 &2 Family Sq Ft $ — $ LOCALITY 0 Certified co Multi family Sq Ft — NEAREST copy is Bled with the county building inspection CROSS ST Residential Swimming Pools department OWNER ORS FIRM NAME Date Applicant Outlets Rec,2_Light - SwMAIL First 20 440 1 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS Total No 1 4!9 Additional CITY - Tel No COMPENSATION INSURANCE PLA CHEC d APPLICANT O (This section need not be completed if the work involved Lighting Fixtures First 20 G d U by the permit is for one hundred dollars ($100) or less) g ADDRESS Additional Total No p I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No permit is issued I shall not employ any person in any manner PERMIT W so as to become subject to the Workers Compensation Laws Range_ Heater D W APPLICANT CL Oven _ Dryer_W M ADDRESS f/1z Date%/ LApplicant Top FAU _W H i CITY Tel No Hood _ Fan _Other NOTI E TO APPLICANT after making this tificate of Disp _ Room Air Cond_ LICE ORIf Exemption you should become subject to the Workers REG NUMBER Class 0— Compensation Compensation provisions of the Labor Code you must forth Power Apparatus& Large Appliances DISTRICT NO PROCE SED BY with comply with such provisions or this permit shall be - b r deemed revoked Size&Type HP KW KVA or KVAR �i e4/ Up to 1 Incl FINAL Over 1 to 10 Incl LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl �J 1 DATE 8 9 J VALIDATION O I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINAL 9 (commencing with Section 7000) of Division 3 of the Busi Over 100 BY �.� ness and Professions Code and my license is in full force and 01 effect Services s �r License Number I Lic Class 0 200 Amp Under 600 V / /' 201 1000 Amp Under 600 V �c7 Contractor Date Over 1000 Amp or Over 600 V HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractors Sign with One Branch Circuit License Law for the following reason (Section 7031 5 Busi Additional Sign�Branch Circuits ness and Professions Code) ;23938A Misc Conduits& Conductors , I as owner of the property will do the work and the Other(See Complete Fee Schedule)— structure is not intended or offered for sale (Section ) # 0 0 0 0 0 2 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY 2 °IO1570 I hereby affirm that there is a construction lending agency s for the performance of the work for which this permit isPERMIT FEE (Sub Total) e o o 570' issued (Sec 3097 Civ C) O � ,� ,� _8 i Lender s Name PLAN CHECKING FEE (One Fourth Permit Fee) i Lender s Address PERMIT ISSUING FEE rO i I certify that I have read this application and state that the TOTAL FEE 0 above information is correct I agree to comply with all County 1 ordinances and State laws regulating Electrical wiring and hereby authorize representatives of this County to enter upon if above mention e property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Perm tee ate