Loading...
HomeMy Public PortalAbout10535 FREER ST_Electrical__'76A689.CEBD6 ,O.6z APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN FELECTRICIAN RECEIPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 $.20 ffi Ile LIGHT ✓" SWITCH. ADD'L f0 OVER 20 TOTAL TEL. NO. LIGHTING FIRST 20 .20 — FIXTURES ADD'L OVER 20 .10 RANGES CLO.DRYERS WTR.H"S. 1.00 GARB.DISP. STA.COOK TEL. NO. _ DISHWASH. AUTO.-WASH. STATE SPACE NTRB. STA.APP.(y H.P. X.) .50 LICENSE NO. MOTORS: OVER NOT OVER DISTRICT NO. GROUP ZONE PROCESSED BY i O 1 1.00 r 1 3 1.50; INSPECTION RECORD O 3 S 2.00 W J S f a 2.50 U- 13 50 3.00 Q SO 100 5.00 0 SIGNS: NO.TRANS. <a NO.LAMPS SERVICE 0.60OV-NOT OVER 200A 1.00 ! SERVICE 0-600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. I, PERMIT ISSUING FEE - .00 . -- SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE&THA7l, 1 YE' READ THIS APPLICATION Y APPROVALS -DATE INSPECTOR'331G A'IYiRE. AND STATE THAT THE ABOVE IS A Rf2ECT ANO AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - - -- -- -- ELECTRICAL WIRING. WIRING IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR _ LICENSED AS REQUIREDBY LOS ANGELES COUNTY AND STATE OF FIXTURES _ CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE - -- - DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED _ 4 OF PERMITTEE -- _- — FINAL VALIDATION ARTHUR C. VEIT SUPERVISING ELECTRICAL ENGINEER CK MO CASH r , ! ^ UrL' r 1 76A663-CE806 10-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING lr BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER r WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY �.®�/�• 4'+•6� C� w NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL NO. EACH FEE a - LIGHT 3 OUTLETS FIRST 20 $20 s OWNER leis 5 imizz SWITCH. OVER 20 .10 ADDRESS TOTAL CITY TEL. NO. LIGHTING � FIRST 20 .20 FIXTURES 3 ADD'L ELECTRICIAN` ��VJJ OVER 20 •10 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY .. TEL. NO. DISH WASH. AUTO.-WASH. STATE 06 t,3SPACE HTRS STA.APP.(1/z H.P.MAX.) ,5O LICENSE NO. MOTORS: OVER NOT OVER H . DIST ICT O. GROUP ZONE JP ESSED BY O 1 1.00 r ! + 3 1.50 INSPECTION RECORD a 3 8 2.00 O 6 15 2.50 V 15 50 3.00 W 50 100 5.00 d SIGNS: NO.TRANS. N NO.LAMPS SERVICE 0-600V-Nor OVER 200A 1.00 p - SERVICE 0-60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 p2CPO SUPPLEMENTARY PERMIT ISSUING FEE 1.00 - TOTAL FEE $ 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 I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 4 �- LICENSED AS REQUIRED BY LOS ANGELES_COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER //,y �'eR j� SIGNATURE UTILITY CO.NOTIFIED BA9�9 OF PERMITTEE FINAL n rj cater LIDATION ARTHUR C. VEIT u CK MO CASH SUPERVISING ELECTRICAL ENGINEER L-cw3 8 3 _5"'2DEC 24 2 D 5.90- V DB B-A 10.41 26M r {i .0 �PUCKHON OR Ya+AdWr DEPARTMENT OF BUILDING AND SAFETY, ELECTRICCOUNTY OF LOS ANGELES WK-J. FOX CHIEF ENGINEER a NAME DISTRICT O„ GROUP_, ZONE PERMIT NO. Y L.tea i tl ADDRESS F REI er0� ECVED BIL READY FOR DATE ISSUED U CITY f TEL.NO i � w ' t FIRST INSPECTION J COON ,rye y• ���;� W CERT.NO. EXPIRES .ps ,w. 5' APPLICANT Fgf IN HEAVILY OUTLINED PORTION ONLY ` DESCRIPTION OF WORD ADDRESS a NUMBER OF OUTLETS ON CIRCUITS LOCALITY tea.JPS LOCATION BY ROOMS NEAREST LIGHT OUTLETS JSW.I PLUGS rix. CROSS ST. CIRCUIT A B C D E F G H W NAME Z MAIL �J 3 ADDRESS O cI c' TEL No.•, I AM THEGAL POSE OR OF ,THE ABOVE LOS ANGELES COU 7 CERTI OF IFICATI ° CIAN.: I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE 'OWNER. CORRECTIONS � 4 • Z I (7 a 0 I TOTAL NO. OF OUTLETS S .APPROVALS NO. OF FIXTURES DATE' INSPECTOR'S NAME NO. OF MOTORS H.P.• ffi CONDUIT NO. OF SIGNS TRANS., ffi WIRING NO.'OF RANGES S ffi FIXTURES dr MISCELLANEOUS POWE'R PERMIT FEE UTILITY CO.NOTIFIED TOTAL FEE AFINAL f �� WORKERS'COMPENSATION DECLARATION 76A663 10/e1 CE-806APPLICATION FOR ELECTRICAL PERMIT ' I h;ra�y affirm that I have a certificate of consent to self insure, , or a'certificate^of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND'SAFETY copy there f(Sec.3800,Lab C) �f. FOR APPLICANT TO FILL IN- ,- JOB A Policy NO�;,____�,,_Company ADDRESS, �3 �E�L 5 ❑• Certified'copy is hereby furnished. New Residential Bldgs & Pools EACH NO. FEE 1 &'2'-Family,Sq Ft $ _ $ LOCALITY Certified copy is filed with •the county bwlding"inspedtion .i departmentNEAREST Multi-family Sq Ft. f I rhj CROSS ST )L_ Date Applicant Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS'' Outlets'Rec Light Sw. MAIL J ) `, COMPENSATION INSURANFirst 20 CE 6 0C ADDRESS y�o� V//�F 1 {/POC (This section need not be completed if the work involved by the J ` permit is for one hundred dollars($100)or less.) .•, Total No 9 Additional CITY/77v Te�%�a Tel.No,7,g_2 4(,jV I certifythat in the'performance of the work,for which this permit PLAN CHECK P P APPLICANT - ,is issued, I shall not employ any person in any manner so as to become subject to the-Workers'Compensa' Laws Lighting Fixtures First 20 ADDRESS Additional Total No.� CITY Tel No' Date /�/a — Applicant 1.4Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT- If, aft making, this Certificate of Exemption,you should become su ct to the Workers'Compensation. Range_ Heater_ D W APPLICANT provisions of the Labor Code, you must forthwith comply with such Oven Dryer WV._ ADDRESS provisions'or this permit shall be deemed revoked', TopFAU W.H. CITY Tel No LICENSED CONTRACTORS DECLARATION Hood Fan' Other_ I hereby affirm that I'am licensed under provisions of` provisions.* 9 Disp .— Room Air Cond LICENSE OR (commencing with Section 7000) of Division:3 of the Business and REG NUMBER Class Professions Code,and my license is in full force and effect.• Power Apparatus& Large.Apphances DISTRICT NO CESSE BY Size& Type HP, KW,KVA,or KVAR 5/ Q• • License Number ©3 2— Lic.Class Up to 1 Incl. FINAL U ��/ Over 1 to 10.lncl " DATE VALIDATION -Q 'Contractor Date Over 10 to 50 Incl T U FINAL I a 0exempt,under Sec. Over 50 to 100 Inc BY ` d B.&PC for this reason Over 100 Z Date 0- 200 Amp--Under 600 V Services,Swbd,MCC& Panelboards 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 ACCT;v "-' - """ """'•"r I hereby affirm that I am exempt from the Contractor's License Law Additional Sin Branch Circuits. for the following reason'(Section 7031 5, Business and Professions g 3307 - - --•-•-17.25 Code): T•f•��,t�+ Misc.Conduits& Conductors- 1 1 f G1 I,as owner of the property,will do the work and the structure r1 2 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) TOTAL and Professions Code) Poo. CHECK. 17e2`t 'CONSTRUCTION LENDING AGENCY 11 ' I hereby affirm that there is a construction,leriding agency for the w CHANGE •� performance of the work for which this permit is issued(Sec.3097, PERMIT FEE - (Sub-Total) ;. Civ. C), ' ` PLAN•CHECKING FEE COQ—DOD1 9/11/.'9• , Lender's Name' �L PERMIT ISSUING FEE , 012 1 1'111 8:36 'Lender's Addresstate-that I certify that I have read this application and state-that the above TOTAL' FEE information is correct. I agree to comply with all County orduiances and'State laws regulating Electrical wiring, and'hereby authorize representatives of this County to enter upon the above-mentioned property f spection purposes. , SEE REVERSE FOR EXPLANATORY LANGUAGE , S ture of Permittee Date Y