HomeMy Public PortalAbout9531 GIDLEY ST_Electrical__ 7.P%= oul.m�^ APPLICATION FOR PER<MTT
DEPARTMENT OFBUILDING AND SAFETY ELECTRIC
1
COUNTY OFF LOS L08 AMC}ELES
WILLIAM J. FOX, CHIEF ENUINI ER
FOR A, ICANT TO FILL IN DIBTRIC _NO. 'GRROUP ZONE PERMIT NO
J< 2 -� 6,56468'F,
ELECTRICIAN
REO[ READY FOR DAT[ RUED
ADDRFIRSiT INSPECTION
CITY TEL N0.
DOUNTY L O 6[ NO O I ■UILDINO
PERMIT FEES ADDRESS
NUMS[R OUTLETS EACH FE[ LOCALITY
LIUHT So D N[A TONT
CROSS ST.
R[O[PTACLEO s
�— FIXTUREE 5 OWNER
�– WALL 9WIT13HES a MAIL
ADD
[L[0. RANUES 2a
[LEO. HEATERS 2a CITY TEL N0.
1 H[R[QY ACKNOWLEDO[ THAT 1 HAVE READ THIS
NUMS[R OF CIRCUITS INSTALL EDS
TCT L APPLICATION AND 15TATE THAT THE MOVE IS CORRECT
AND ACRE[ TD COMPLY WITH ALL COUNTY ORDINANCES
MOT13RB AND STATE LAWS R[OULATINO ELECTRICAL WIRING.
IIuMaR HORSEPOWER FE[ I CERTIFY THAT 1 PO111111111Ess THE ADOVE VALID LCS
N[w I Wm HP avr.R Iwo. XAnH AMOtLKE OCUNTY LICENSE, OR I AM THE L[CIAL OWNER
1/ a U. ,26 OF THE RESIDENTIAL PROP[ D/` ■ED ASOVL
a .50 ■I9rNATUR[ O� /
a s 1.00 P[RMlrrc� /// c
1
s 1s 1.60 INSPECTION RECORD
is so SL no
ISO am 0.00
a0O sm 10.00
6013 1OOD 15.130 J
OVKR 1Om 20.00
M.M. MET/FR OHANO[R-HP O
W[LD[R11AO-KVA
O
O[N[RATURI - KW
TRANSFCRM[IMS - KVA
TLMP. MOTORa (75or ORI■
MOVED MOTOR■ 76 or 0R13J
NIE
13112N13
T'YP[I Nd TRANS.
APPROVALS
FCR EACH P[RMITI DAT1 INSPECTOR'1 NAME
WIRING CONDUIT
FIXTURES M1.00 Of' WIRIN
[HTAFY ISO FIXTUR -J
POWER
TUTAL FEE • j UTILITY CO.NOTIFIED
FINAL
78A555-CE808 a/aa APPLICATION FOR ELECTRICAL PERMIT
COUNTY OR LOS ANGELEB
DEPARTMENT OR COUNTY ENGINEER BUILDING
BUILDING AND 8APETY DIVISION /cDDIRtM
JOHN A. LAMBIE. COUNTY ENGINx R
WILJJAM A JENSK , GU3P'T Cf RU1LMMO LOCALITY
N¢AIRE/T
CRO"ET.
R[C11PT. TOTAL "0
OUTLETS FIRST 20 111.10 41 OWNER
LISHT MAIL
ADD'L ADDRXM
SWITCH. "H.� ov[R 20 10
TOTAL CITY TxLNO.
LIGHTINd FIRST 20 .10
FIXTURES } ADD'L 10 ELECTRICIAN !�
1 ov R 20
RANQS CLO.Offys l WTI.YTNS. 1.00 ADD
RSL Dtw. ETA.COOT[
CITY MQ
Dl*rwAm1H. AUTO.-WASH. STATL
QACE HTPW ETA.APF:f 4V H.F.MAX.) .50 UqDm NO.
MOTORS. ovER NOT OVnI H.F. T CT G P
N
D
O 1 R.00
3 1.50 INSPECTIORECRD
3 e A oo
O
e 1■ ALSO v
13 so 3.00
10..
No 100 5.00TFAXW
f l
0
•IGNs� NNO. DISZ
WMVICA 0.60OV-NOT Ovnt AODA 1.00
SVIVICZ 0-&WV-OVM 200 A. A OO
EARVICi crWgm eQM I6,00
MISC.
rKRmlT IMUING FILL A.00
SUPFU3dKKTAalI KRMIT IMUM CI FQ 1.00
TOTAL Fit
IST Om6t T AD*DVrLTHAT I HAYS WALD THu APPUPAnONAMbFDATE 1
AHD STATE THAT THE AJOvE 1■.00IEiGT AND A4MM TO COLDLY foNDWIT
ITJ. C
WITH ALL. ORDIHAHCZ2 AND /TATE LAWS REEULAn NS
43-X TMC-A WMINL WIRING
1 HDtOT.Cl3MFT THAT 1 AM MIQFO[LY Ral� AND/
LJCElfSm AS RiQUDtla RY Los ANaxLKs COUNTY AND IkTAT[ OF FIkTl1
CALWORSHIA OR THAT I AM THE Lray OVrNZR OF THE AROVK -
DIX&MtaED RESIDV"AL SROFEIRY. �Q
•t TU IRE U nL ——-- —
OF M[1R11 -INAL p
IDATION w u c.
JCKMO (:ASH >slJr[RVISING EI.iCTRICAI,E7iG1NmR
LACO 3 4 1 6 ZZ SEP 1 2 D 2.8 Q
T
v LHURK thSrt I have PnON DECLARATION 7 10,81 APPLICATION FOR ELECTRICAL PE-RM-IT
I hereby afflrrtr that I have a certtflcate of coruent to self ��06G
I_kW"' or n oer'ftflccte of Workers' Compensation Insurance, COUFM OF LOS ANGELES ' BUILDING AND SAFETY
' 0.1 a cattfled copy c.thereof (Se3800, Lab. C.)
Policy No.//QL 2Company rVAI'D ro,:APMX M TO rti N 'OBS,$
Certtfled copy to hereby fumished. New Rbsldehtlal Bldgs. & Pools EACH NO.
LOCALfFY
�• ; — (�La:
�Cerflfled copy Is filed with the countybullding Insppc- 1 d 2-FamllY. Sq. Ft. $ L/OF 7-Y
tlon 4epartmant. F Multl-famllySq. Ft. � ST.� lE ��-+���
Date /
/47
Z licant ^' ZM� Redden}lel Swimming Pools OW OR
APP RM NAW .CF /'C/
CERTIFICATE OF EXEMPTION FROM 125' Outlet!: Raul Sw,_ � �
ht . L
COMPENSATION INSURANCE G First 20 - ADDRESS T�5 _ao. Y41irz .4v
(T'hN sectkm need hot ba c9aVI@fed If th6 vv rk ltrvoly"b1 Total No Addklonal CITY-MOaT�g . Tel. No. 5
the pirmIt Is 4or orfs hundred dollars($100)c 14w.)
I certify fhat In the performance of the work for which this
permit Is Issued, I shall not employ anyPerson In any manner
so as to become subject to the Worker Compensation Laws. Lighting Fixtures First 20 ADDRESS
Total No. Additional
Date ATpllcont CFrY Tak rlo.
NOTICE TO APPLICANT: B, after making this Certificate of Fixed Appliances Not Over 1 HP T 1 , pERMR
Exemption, you should become subject to the Workers' Range_ Heater_D.W. �.�'t, �, LQ. T`' �•
Compensation provisions of the Labor Cqde, you must'forth- Oven _ Dryer —W.AOL ADDRESS 4/25 'S.
wltb comply with such.ptovlsions qr anis permit shall be Top -_ FAQ —W.H. —
dgemed rovpked. Mood Fon _Other_ CITY TeF No. /•��
LICENSED CONTRACTORS DECLARATOR i LIBNSEOR
I hereby affirm that I am licensed under provisions of Chapter 9 Dlsp. Boom Air Conti., REG. NUMBER 427¢ /Q
{commencing with Section 7000)of Dlvlslon ? of the BUslhess DISTRICT NOBY
and Profesions Coda,and my license Is In full force and effect. Power App .aratus_& Large Appliances �� }
11 Size&Type HP, KW, KVA, or XVAR' �.J
License NumberAJd Llc. Clas�� 'Up to 1 Incl.
FINAL. V
4���-��-• Over 1 to 10 Incl. DATE VALIDATION 0
Contract ��/p='per. r 10 to 50 Incl. F
El
I rj
I am empt and er Over X to 100 Inc. BY
B.&P.C. for this reason Over 100
Date:
Services,V
MCC&Panelboards ,1
0p. Under 600 V /
Signature 201'1mp. Under 600 V
Over 1000 Amp. or Over 6Q0 V
Exemption for Reg. Malnt. Elect, _
r,
SINGLE FAMILY Temp.. Power Pole&Appurtenances �
HOME OWNER-BUILDER bECLARATIONSign �r Y
I hereby affirm that I qm exempt from the Contractors License Adcl with One march Circuli
law for the following reason (Section 7031.5, Business and ddlTloal Slgrt Branch Circuits}
Professions Code):
I, as owner of the property, will do the work andthe Mlsc. Conduits&Conductors i-Imo'
structure as not Intended or offered fqr sale (Section �( Complete Fee Schedule)^ Boo. TOTAL 59 . 55
7044;Business and Professions Code). flit{i C7.ti
CONSTRUCTION LFNDING AGENCY
I hereby affirm that there is a construction lendln¢ayency for � ; � ■CSI
the performance of the work for which this permit 1s Issued PERMITTEE (Sub-Total)
(Sec. 3097, Civ'C.).,
PLAN CI-IECKING-FEE DVi -331 iI12192
Lenders Name PERMIT ISSUING FEE2�19 1 Ph ii:7:
Lenders Address
I certify that I have read this application and state that the TOTAL FEE -
above Information Is corned. I agree to comply with all County
ordinances.and State laws regulating Electrical wiring, and
hbreby authorize r ntatives of this County to enter upon
the above- e n party for Inspectlon�urposes. SEE REVERSE,FOR EXPLANATORY LANGUAGE
3//8/92 4
Slgnatuee Date .
r
w0RfcERs-00VPaN8AT10N o OX00TION 7WWCE-BDO '0'81 APPLICATION FOR ELECTRICAL PERMIT
I'hereby � bleat t have a certiflcats d coneerd to ae8 Insets, CE aces
or a,pacW nate d Vk kom' Corrpenaafbn Ineuranoe, or a oertttfed COUNTY OF LOS ANGELES BUILDING AND SAFETY
~c,3py tared(Sega/38000,Lab, a) I
Polby Na Qr /32rompeny-o7 T• /L�f� FMAPPLIGW7. 1r¢1m
/�DOFiE89 `Jn��f G 60 L E y N
❑ . CerM d copy is hereby furTial a 0,Cp. -1_Dl_9+ Now Residential BkJq&a PcQb EACH W. FEE
1 s 2-FanS4 Ft: $ $
LOCALITY
Certrfled Dopy b filed wflh the county txnGdtrp hadec#ion M k4arr*S4 Ft
NEAREST
bye 9, Z'1—9 3 ,r�pll 'Fd s,w My ZLWT:, Reeldentiel Swimming Pooh K)WWR OR
FM NM&
CERTIFICATE OF EXEMPTION FROM WORKERS' 0 Rac— LY�tt —T Sw. ANAL �+ A
COMPENSATpN INSURANCE FUat 20 'SSS I S �c
Mile s.ctlbn need not be,congested tf Atw work krmoNed by the Total Na Addttlonei � � � : : Tet fb2$1-395
psr b for one hundred dollars ($100).or ie.)
I•certrfy treat•in the perfortnence-of the work for Mifoh t* wTnft 1
bered,leI ehd not employ any person In any.manner so as to
becorhe sub)ecf to the W.o,. ere'Comperma Laws. Lighting F(xturee 'Rrat 20 ' ADDRESS
Tbtnl No. ' Addk,kxwd CFFY Ta{.Na
Data Fixed AppBgnoes Not Over 1 HP
NOTICE TO APPLICANT r making tNe CeritlSoate of APPuc.�xr LLfOXIoJ+/1 �LSGT
Exwnption.you should 4occme eubfaot to the VOxi—'Compeneailon Range--Healer—•D.W. —
provfaionaof "-;a Labor Co(e, you must fortrfNttr, 6m#y with mxh Oyer — Dryer � w3dt AbDRF-$S 4/S �. . 1Z .41i
provleQM or this pernR shat be deemed reyrokeli Top — FAV_ .—WR Y.tL_
_LICENSED TR
CONACTORS DEC1__N ON Sood Fan — Od-*r— ' . CrFY Z)Al Ah', Tal.Na 291-S9
hereby affirm that I,am Ikenaed-under prbvWom of Chapter 6 Dfsp. Rdbm�Alr Con(i UCZNSE
oA
�ccmendng with 86ctSm 7000) of'Walln 3 of the Bdrl
ileea and FlEa G 7 i<
m
Proteealorb Code,'and my Gere b Irl tui forte and effectD STWT NO.
Power ApparatgQ 8 LKrpe AP011enoee _ _ Q _
EXP.n9_30-94 Stze 8 Type HP,KW,KA or K'A R
Lb-eke M rnber 1`27411 Lb aria L _ d _ U
. �-: up m 1 Irpl NAL
Oyer 1 to 10 I nd. DATE27
a
Over 10'to 60 tr#, F11`4P�_
❑ I am exempt Under Seo. Over 60 to 100_tris. BY
BhP.0 for thea reeadn Over 100
MCC S Pariemoerde-
-
i Dam 200 Amp.Under 800 V
Segnature 401,• 1000 Amp.Under 600 V
Over 1000 Anp,or Over 600•V
❑ Emevtbn for Reg.Maim.Elect
SM LE,FAMI LY Temp..Power Pole d Appralenancea
HOME UNNEA-BULDf_R DECLARATION Sign with One Branch arButt - — —3303 - 63445
I hereby affirm that I-am eocenpt•fmm the Contractors Ucenee Law
for the b owason(Sacbm 7031.6,Buelneea end Professions Addttbrral Sign Branch Circuits
tnp re1 .ITEM
Code):
MMc Cordufta corrduotora -TOTAL 63 . 45
❑ I,ss owner or the property, al the work and the etrwtune Other(lam�+eb Fee Sdmd*) T CHECK 63■45 '
fe rqt infarcted br offered foror sale (flection 7044, Buelneaa
and PmOomions Code). ..00
• 1.a7-�71L
CONSTRUCTION LFNDNG ojaENCY r
I hereby 6fRrm that two le a oxmtruotfon lending agency for the _��
pwlormanpe of the work for wNch fhb permit Is issued(Sep.3087, PER�Mrr FEE (Sub-Total) tw'� 1 I 1/
Ctv.C.). ? .,
PLAN:CHECK2NG FEE _ 1 1 AM 8:4
Larders Name p
_PERW ISSUING FEE {!
Lenders Address FE5
I certify that I have reed'fhb appBmdon end atate that the above
hfomxtfon Is correct I agree m comply with all County ordhanoes
and State laws roljoMng Eleobioel wlrfng, and hereby authorize
repreeentattym of County to enter upon the abole-mentioned
for
iD SEE REVERSE FOR EMAKKMf?Y LANQUAOE _
q_ 21_ 93
Date
- - _ -4-