HomeMy Public PortalAbout6242 HART AVE_Electrical__ te-
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS � 2 . T
JOHN A. LAMBIE. COUNTY ENGINEER -�
WILLIAM A.JENSEN,SUPT op BUILDING _LOCALITY 22"n"P•[ e
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES, OWNER �✓
ITE M NUMBERI EACH FEE AAIL
DDRESS
OUTLETS: $ $ +�
LIGHTS RECEPT. SW. .10 / d o 5�
CITY t TEL. NO. 7
LIGHTING FIXTURES f0 _
ELEC. RANGES CLO. DRYERS - ELECTRICIAN
WATER H EATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
N
GARBAGE DISPOSERS AUTO.- CITY TEL O.STATE
WASHERS STA.COOKING UNITS ,25 LICENSE NO.,
MOTORS: OVER INC. H.P._ DIST CT O. GR UP I ZONE I P GESSED BY
o— 1/s .25.
'i2 25o q? INSPECTION RECORD
F
.2-- S 1.00 �'/�l�/�� G r y.� a ✓r.
Az
Of>
5-1 15 1.50 1 r U
Y
15— 50 2.50' 0
. 1 O
e;
so- 200 5.00 W
SIGNS: NO TRANS. N
NO.LAMPS
r SERVICE 0-600V 1.00
SERVICE OVER 600V 5,00
•'•` MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT ,50. '
g
TOTAL FEE $ -
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ-THIS APPLICATION x APPROVALS DATE I INSPECTORSS'SIGNATURE
a" AND STATE THAT THE ABOVE IS CORRECT AND AGREE TOCOMPLY
WITH ALL COUNTY ORDINANCES AND STATE_ LAWS REGULATING; CONDUIT
ELECTRICAL WIRING. - j►--+
1 HEREBY CERTIFY THAT I AM .PROPERLY REGISTERED AND/OR: WIRING :� � •'•�°':r ,/,� !tj `�''
.3 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWN F THE ABOVE v
DESCRIBED RESIDEN-PAL PROPERTY. - PGWER
SIGNATURE �� �, t UTILITY CO.NOTIFIED
OF PERMITTE _
FINAL
ow. =er e o.Y
VALIDATION AhThLARIC. VETT
cK MO 'CASH SUPERVISING ELECTRICAL ENGINEER
I
AY22 2 Df"3
2.9 ..
.76A663-CE806 9-67
APIPUCAYPOWF019
t° COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITYCIL
NEAREST
FOR APP L :--r, L� APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
r. $ $ OWNER
RECEPT.L
!\ MAIL
LIGHT TOTAL FIRST 20 .20 CJ .ADORES [p
SWITCH_ OVER 20 .10 CI EL. NOr�Q�(a�
LIGHTING TOTAL FIRST 20 .20 'CON TRACTOR
FIXTURES OVER 20 -.10 ADDRESS
RANGE—DRYER—WTR.HTR._ CITY EL. IN
ST A.COO KDISP.—F.A.U._ LICENSE NO. /
' SPACE HTR. AIR GOND. IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE -TO COMPLY
CLOTHES WASH._DISHWASH._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
FAN-OTHER 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOV DESCRIBED RESIDENTIAL PROPERTY.
SIZE & TYPE OVER TO SIGNATURE
0 — 1 1.00 OF PERMITTE
1 — to 3.00 DISTRICT O. GR'2fJP ONE PR . C ED
10 — 50 5.00 �Tz O
50 — 10010.00 NOTES: 0
Lu
100 — 500 15.00 CL
SI GN,GAS SIGN AND ONE CIRCUIT 3.00 z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
±. SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
r
UNDERSLAB WORK
,4
ROUGH CONDUIT
J�
WIRING
N; ISSUING FEE 2.00 0
FIXTURES
nom;SUPPLEMENTARY ISSUING FEE POWER AUTHORIZED
` PERMIT FEE 'LTILITYCO.NOTIFIED
PLAN CHECK. FEE (50% PERMIT FEE) �.FINAL
F
TOTAL FEE D JOSEPH C. ROOHAN
777-7, SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH
s: ss -:4UL 2.3 2 0 2.2 O N
3EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
7GA663-CE806 3-69 �,ry lo J g 7 t
APPUCAMN FOR
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS Un jeoo'�
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.'
NO. EACH FEE /
$ $ OWNER
RECEIPT., MAIL
^' LIGHT. TOTAL FIRST 20 ,20 dQ ADDRESS
SWITCH IL OVER 20 .10 CITY TEL.N0.
-PLAN CHECK
LIGHTING TOTAL FIRST 20 ,20 APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE_DRYER_WTR. HTR. 'CITY TEL.NO.
., STA. COOK_DISP.)—l— F.A.U. CONTRACTOR
'. SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH._DISHWASH.. CIT ?/� TEL.NO. ;1.2-
FAN_OTHER 1.00 LICENSE NO. Q CLASS.
MOTORS,TRANSFORMERS RATING (� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
iY ELECTRICAL WIRING.
0 — 1 1.00 1 HEREBY CERTIFY THAT IAM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF O
1 — 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO U
RESIDE IN, THE ABOVE ZI BED RESIDENTIAL PROPERTY.10 - 50 5.00 )IIZA-4e,_
SIGNATURE 0
50 - 100 10.00 - OF PERMITTEE x�✓'✓`' V
100 — SOO 15.00 DISTRICT NO. GROUP ZONE CE ED BY CLCL
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 Sr �'-=�
TUBE, OR
i' MARQUEE ADDITIONAL CIRCUITS 1.00NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
�. SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
j
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING � �` (� ,�
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRI L ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH I. PERMIT VALIDATION CK. M.O. CASH
6 9 5 1'::' SEP 28 2 D 7.00
SFE RACK OF APPLICATInN FOP COMPI_FTE FEE SCHEDULE (%/1'
76A663-C�4Og j
10/72 APPUC�AMN FOR C�dL��4LUC AL [PC�G°3N7
COUNTY OF LOS ANGELES
[DEPARTMENT OF COUNTY ENGINEERtjAOD
BUILDING AND SAFETY DIVISIONSS
ITY
EST
FOR APPLICANT TO FILL INS STOUTLETS N0. EACH FOR
' NAME
RECEPT.1 $ $LIGHT TOTAL FIRST 20E 25 ESS
TEL. NO.
SWITCHL OVER 20 �j .10 ICHECK
FIRST 20 25 ICANT
LIGHTING TOTAL
FIXTURES
OVER 20 .10 ADDRESS
RESIDENTIA APPLIANCES CITY TEL. NO-,
PERMIT
RANGE DRYER_WTR. HTR._ APPLICANT '
STA. COOK DISP. F.A.U. ADDRESSS G�,L�'G®� •
SPACE HTR. AIR COND. CITY TEL. N0.
CLOTHES WASH. DISHWASH. LICENSE ORCLASS. C-'7�O
REG. NUMBER
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING W ITH 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
0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE EGA OWNER OF THE ABOVE >
1 — lO 3,00 OESCRIBED RESIDENTIAL PROP Y. a
O
PERMIV
10 — 50 5.00 SIGNATEE
SGNATURE �
- O
I--
50 — 100 10.00 DISTRICT NO. ,�,ll Q 1pR=sSED BY W
C/C/
•1 00 — 500 15.00 N
EE
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE'
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK
SERVICEOVER600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT 17
TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED -�
UTILITY CO. NOTIFIED
FINAL —
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
1 .1:.5 idOV y 2 0 1 1.5 5 ,&�L
a
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE `t^�
WORKERS'COMPENSATION DECLARATION CE 866G (2-80) APPLIC/aMN COQ' ELECTQOCA L, FERNY,
I hereby affirm that I..have a certificate of consent to self COUNTY OF LOS ANGELES �� BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation Insurance,or /
a certified,copy thereof(Sec.3800,Lab.C.).
FOR APPLICANT TO FILL IN ,JOB p, Y�
Policy No. Company EACH NO. FEE ADDRESS Ip 4a t�( HI,c
New Residential Bldgs.&Pools
Certified copy is.hereby furnished. 1 &2-Family,Sq. Ft. $ — $ I LOCALITY
Multi-family S Ft. — NEAREST
FT Certified copy is filed with the county building inspection y q. CROSS ST P I'-MG ;1LQ
department: Residential Swimming Pools OWNER OR..�
FIRM NAME 14'Iom ppo4
DateApplicant Outlets: Rec.—Light Sw. MAILI T
First 20 , ADDRESS ��4.� l7 ita 1
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITYT- _ Tel No;
COMPENSATION INSURANCE 1 l`� �'�y 0-
PLAN CHECK O
(This section need not be completed if the work involved APPLICANT U
Additional
-by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First ADDRESS
Total No. 0Additional
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 _ lL
so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT �1/iGSrAI c, I- .E dT LIL d
Oven _ Dryer_W.M. ADDRESS!r pp e.l
licant Ct. . r�JL' J K L� / Top — FAU —W.H.. t!'�O ,`�FN72Fkc AVEA v�� z
Date � `-'12 m 6� . U eA
Hood — Fan _Other_ CITY �E�m��i7N Tel No.&��_Gj I
NOTICE TO APPLICANT: If, after making this Certificate of Disp. — 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.. PROCESSED BY
with comply with .such provisions or this permit shall be
deemed revoked. Size&Type HP,KW, KVA,or KVAR ()
Up to 1 Incl.
FINAL ,
Over 1 to 10 Incl. DATE / F
LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. C� VALIDATION
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 t BY
( B ) Over 100
ness and Professions.Code, and my license is in full force and
effect. jtG Services ^/tz �� f
License Number 3'T Lic.Class �t _ I fl 0-200 Amp. Under 600 V /� 3
201-1000 Amp. Under 600 V.
ContractorIA/dis3o!'dj5.. MbGqDate 4_ - 7 Over 1000 Amp.or Over 600 V'
HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances
Sign with One.Branch Circuit
I hereby affirm that I am exempt from the Contractor's Additional Sign Branch Circuits.
License Law for the following reason (Section 7031.5, Busi-
ness and Professions Code): .
Misc.Conduits&Conductors
I, as owner of the property, will do the work and the #'o�o:o 0 0 2
Other (See Complete Fee Schedule)—
structure is not intended or offered for sale (Section 2'o io.2 3 5 O
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency o"0 0 23.50
�.
for the performance of the work for which this permit is PERMIT FEE (Sub-Total)
of622,-82
issued(Sea 3097,Civ.C.). .
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)
Lender's Address PERMIT ISSUING FEE sv )
I certify that I have read this application and state that the TOTAL FEE So D i
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 property for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date
WOR'KER S'COMPENSATION DECLARA:'IP)N CE-806G (2-80,) APPHICAMN FOR ELECYMCAL [�EIRMY
I hereby'affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY
is insure, or a certificate,of Workers'Compensation'lnsurance,or /
a-certified copy thereof(Sec. 3800,Lab.C.)
Ir $� , \ FOR APPLICANT TO FILL IN ,JOB
Policy No Company °5 (;(�y1yJ ADDRESS 6
New Residential Bldgs.&P ols EACH_ NO. FEE
Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY C,
Multi-family Sq. Ft. — NEAREST
Certified copy is filed with the county building inspection CROSS ST
department. Residential Swimming Pools OWNER OR .
. FIRM NAME ®al
D.te-91-'N Applicant. /VP/ Outlets: Rec&Light Sw. 4 s MAIL
First 20 ADDRESS
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. t&� ' Additional CITY' Tel No.
COMPENSATION INSURANCE d
PLAN CHECK 0
APPLICANT U
(This section need not be completed if the.work involvedQ
Lighting Fixtures First
6y the permit is foi one hundred dollars ($100) or less.) � pC '
- Additional ADDRESS
Total No. 0.
I certify that in the performance of the work for w1iich this. Fixed Applia es Not Over 1 HP CITY Tel No.
permit is issued, I shall not employ any person in any manner PERMIT U
LU
so as to become subject to the Workers' Compensation Laws. Range Heater_D.W. APPLICANT d
Oven Dryer_W.M._ ADDRESS7�V N,
soft W11CU41.4e, Sv z
Date Applicant Top FAU W.H..
Zr
Hood Fan -Other_ / CITY L Tel No. S106 1
NOTICE TO APPLICANT: If, after making this Certificate of. Disp; 4, Room Air Cond._ S� 4O 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. PROCE§&ED WY
with comply with such provisions or this 'permit shall be Size&Type HP,KW, KVA, or KVAR
deemed revoked.
Up to 1 Incl. 217,� -
FINAL
Over 1 to 10 Incl. DATE VALIDATION
LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl.
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
effect. Services
License Number Lic. Class t
0-200 Amp.Under 600 � d
V ( �-
201'-1000 Amp.Under 600 V
Contractor V dh4te ° Over 1,000 Amp:or Over 600 V
HOMEOWNER-BUILDER DECLARATION: Temp.Power Pole&Appurtenances
Sign with One Branch Circuit' -
I hereby affirm that I am'-exempt from-the Contractor's Additional Sign Branch Circuits
License Law for the following reason (Section 7031.5, Busi-
ness and Professions Code):
Misc.Conduits&Conductors Q 6 7.6 A
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
7044, Business and Professions Code). # o"o Po o,0 2
CONSTRUCTION,LENDING AGENCY
I hereby affirm that there is a construction lending agency 2 - 33,00
'
for the performance of the work for which this permit is PERMIT FEE (Sub-Total)
J
issued(Sec. 3097, C. �0 0 0 3.7j,Q Q�
-Lender's Name.- /�f g PLAN CHECKING FEE (One-Fourth Permit Fee) O 0l,7—8
Lender's Address �L�t�� PERMIT ISSUING FEE
I certify that I have read this application and state that the TOTAL FEE 3�
above information is correct. I agree to comply with all County
ordinances and Statelaws egulating Electrical wiring, and
hereby authorize represent es of this County to enter upon i
the Zbomentione rty for inspection purposes. '
SEE REVERSE FOR EXPLANATORY LANGUAGE
Sig u e o ermittee Date