HomeMy Public PortalAbout9233 HECLA AVE_Electrical__ 76A664-CE806 ii1-7'i QpPLOC AQ(DM O Cid CAL PERM
COUNTY OF LOS ANGELES
DEPARTMENTQF COUNTY ENGINEER BUILDING
'BU'ILDING AND SAFETY DIVISION ADDRESS s
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS N0. EACH FEE
$
OWNER
$
RECEPT._ MAIL
g9 L
ry "7
FIRST 20 25, ADORE SS / � ,J
LIGHT TOTAL -
OVER 20 CITY C - TEL. NO.
SWITCH_ .10 PLAN CHECK '
LIGHTINGFIRST 20 25 APPLICANT
'TO
TAL
FIXTURES t0
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
RANGE DRYER_WTR. HTR. PERMITAPPLICANT ._.Q l
STA. COOK DISP. F.A.U. ADDRESS, s e
SPACE HTR. AIR COND. 'CIT C •TEL. NO., /+!2v�
CLOTHES WASH. 01SHWASH. LICENSE NO.2 �' CLASS.`^�
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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE.& TYPE OVER TO,
THEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM.THE LEGAL OWNER OF,T AN INTEND TO
1 - 10 3.00 RESIDE IN, THE -ABOVE DES IBED RESIDE N .A PRO ERT Y. Q
U
S
10 - 50 5.00 IGNATUREIw
OF PERMITTEE - f`� 0
50'- 100 10.00F
DI STRI CT N0. CLASS P CESS BY u
100 - 500 15.00 h
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER600VOLTS OR200AMP 3.00
- APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600 VOLTS OR200AMP 10.00 -
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK �
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE .(SUB TOTAL) "'-
UTILITY CO. NOTIFIED
' PL'AN CHECK FEE
FINAL �� -
PERMIT ISSUING.FEE 3.00 &-o
TOTALFEE.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIT ON CK.+ M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer ELECTRIC
FOR APPLICANT TO FILL IN DISTRICT O. GROUP I ZONE PERMIT No.
ELECTRICIAN -- �
tv� R IVEO BY READY FOR DATE ISSUED
ADDRESS )
I'4l Y - `�``- FIRST INSPECTION
CITY('" - TEL. NO. � ,1� b �(
COUNTY LICENSE NO. 10 0-0 EXPIRES 4 36 0'a BUILDING
PERMIT FEES ADDRESS �2 3 � -
FEE /0
NUMBER EACH LOCALITY
LIGHT OUTLETS - NEAREST -
CROSS ST. r
RECEPTACLES
WALL SWITCHES _ I �1 OWNER
TOTAL OUTLETS S3 5C $.z.. MAIL , U
ELEC. RANGES. 25 ADDRESS
ELEC. HEATERS 25
CITY TEL. NO.
FIXTURES 5 �S
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS 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 I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
New MVO. HP .OVER INC. EACH OF THE RESIDENTIAL OPERTY DESCRIBED ABOVE.
' i/2 6 LESS $ .25 �.�y
- SIGNATURE OF
_ I/2 2 .50 PERMITTEE_ --
2 5 1.00 INSPECTION RECORD i
S 15 1.50 ��" `
151 50 2.50 �`� _ _/ //V ST/9'ui n �. v/✓ b�' I
----- so zoo s.DD NAG. IQ
2DD 500 10.00 /u r2��c1 �.., F✓2,��tta-d'd Tul,� �dCR-�r,f Q
S00 1ODO 15.00 Z
❑VER loa❑
20.00 TZ
®ya'7L_ �i0✓, '
M.G. SET/FREQ. CHANGER-HP
WELDERS:AC-.KVA 0
GENERATORS - KW
TRANSFORMERS - KVA _
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.) _
MISC.
SIGNS t7 T
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DA E INSPECTOR'S NAME
WIRING $1-00 CONDUIT f
FIXTURES $1.00 WIRING � /2-
SUPPLEMENTARY .50 FIXTURES Z-
POWER
-TOTAL FEE 4 UTILITY CO.NOTIFIED /s:` rA s. ' Ary
FINAL
e• v
76A663 DBS#5A 4-52
78A889-CE808�-9-57 APPLICATION FO * E L E C e R I C PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING r1 '
BUILDING. AND SAFETY DIVISION ADDRESS
JOHN'A.LAMBIE,COUNTY ENGINEER �� �y
CASSATT D.GRIFFIN,SUP �'']
T OF BUILDING LOCALITY ! AZ I!+ ( / 7-
NEAREST NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES
1 TE M NUMBER EACH FEE OWNER
OUTLETS: MAIL
LIGHTS RECEPT. SW.�J IQ .10 f,/. - ADDRESS '
LIGHTING FIXTURES .f0V e CITY - /'� / TE�/L...,NO. `- Grp ,}'� q
ELEC.RANGES CLO.DRYERS f ELECTRICIAN ('7 Lo-es( -A f )0 �..f�_f�y7/A2: a
WATER HEATERS .50 ADDRESS mAzA-<
_ ELEC.SPACE HTRS. DISHWASHERS - yj
GARBAGE DISPOSERS AUTO.- CITY A-0 TEL.NO.
WASHERS .STA.COOKING UNITS .25 STATE LICENSE 6 y}
LICENSE NO. SA
MOTORS: OVER INC. H.P. - ^' C�
O I/z .2 5
DISTRICT .GROUP 'ZONE READY FOR INSPECTION
— s�
'/z — 2 .50
2 5 t.00
INSPECTION-RECORD "
— S
5 — 75 1.50
2.50 -
50— 200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00 '
+ SERVICE OVER 600V 5.00 - -
MISO. -
WIRING PERMIT 1.00
FIXTURE PERMIT. 1.00
SUPPLEMENTARY PERMIT. .50'
TOTAL FEE $ L� APPROVALS
I'.HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND' STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY t`+ CONDUIT {)
WITH 'ALL COUNTY ORDINANCES AND STATE LAWS' REGULATING 1
ELECTRICAL.WIRING. . WIRING
1 HEREBY-CERTIFY THAT I AM PROPERLY REGISTERED AND/OR .FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES'COUNTY AND STATE OF
CALIFORNIA.OR THAT I AM THE LEGAL OWNER OF THE ABOVE :^ POWER
DESCRIBED.RESIDENTIA PROPERTY.
SIGNATURE .UTILITY CO.NOTIFIED V, A OF PERMITTE ��
FINAL -7
_
�YATION ARTH R C.VEIT. .
CK MO' CASH SUPERVISING ELECTRICAL ENGINEER. -.
+J .G►-� aiWV 9 .� A Co Vi0 !r3
76A663-0806 10/72 APPMC AT?MbN OQ ELEC TPUC AL PERM
COUNTY OF LOS ANGELES
DEBUIL DING AND SAFETY DIVISION TMENT'OF COUNTY ER A"
ADDRESS it
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO, EACH FEEOWNER OR
S S FIRM NAME
RECEPT.<V ` MAIL
LIGHT TOTAL
FIRST 20 /0 25 �'� ADDRESS
�n CITY -� TEL. N0.
SWITCH - - OVER 20 10
PLAN CHECK
FIRST 20 APPLICANT
I
LIGHTING 1 'TOTAL .25 Q OVER 20 AD ADDRESS '
FIXTURES -
RESIDENTIAL APPLIANCES CITY TEL. N0.
RANGE DRYER- WTR. HTR._ PERMITAPPLICANT 4J, d-OLCt /F LIQ
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY .�. C TEL. N0. �/
OR
CLOTHES WASH./DISHWASH.� REG.NSE UMBER 19 - CLASS.C-A9 -
FAN OTHER 1.00I HEREBY ACKNOWLEDGE THAT I HAVE, READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULA,TI_NG
IND. HEATERS, ETC, HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO - '
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR '
0 - 1 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA_ OR THAI I AM THE LEGAL OWNER OF THE ABOVE -r
0 1 - 10 3.00 OESCRIP.ED RESIDENTIAL ROPERTY.
PERMITEE
/ 10 - 505.00 SIGNATURE
50 - 100 10.00 c:)
W
DISTRICT N SED BY
100 - 500 15.00 , `'7,, N
Z_
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 .APPROVALS ,DATE INSPECTO SSIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP.,POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMR 3.00UNDERSLAB WORK
It
SERVI CEOVER 660 VOLTS OR 200 AMP . 10.00 - ROUGH CONDUIT 1
TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING /-/3
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES,
POWER AUTHORIZED
UTILITY CO. NOTIFIED. ��
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
'LAN CHECK FEE '
'ERMIT ISSUING FEE 3.00 (j f)
OTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
n
.� 0c�—'JAN 3 2 1 1.5 0 .
'ACK OF APPLICATION FOR COMPLETE SCHEDULE -.
WORKERS'COMPENSATION DECLARATION76A669DPW 3 97 APPUC�AMN FOR [ELEC�T�°UCAL PERMT O
I Hereby affirm that I have a ceriificate'of•consent to self ;CE 806G
insure, or a ceoificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT.'OF PUBLIC WORKS
or a certified copy thereof (Sec. 3800, Lab. C.)
Policy No. Company FOR APPLICANT TO FILL IN JOB
❑Certifiedcopy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESSr-1
Certified copy is filed with the county-building inspec- 1 8 2-Family, Sq. Ft. � $ — $ LOCALITY
k� � � •
tion department. Multi-family Sq. Ft. NEAREST Oe
Residential Swimming Pools CROSS ST.OWNER OR SfiQr (�Q k.C,Date Applicant C/ FIRM NAME t 6
CERTIFICATE OF EXEMPTION FROM WORKERS' O � MAIL
Outlets: Rec Light Sw._ z
COMPENSATION INSURANCE First 20 i Q ADDRESS Z�S3 L A
(This section need not be completed if the work Involved by Total No. { Additional 0416CITY [Qr (,• ` Tel. No.
the permit is for one hundred dollars ($100)or less
1 certify that in the performance of the.work for which this APPLICANT
permii is issued, I shall notemploy any person n a
' ny manner
so as to become subject to the Workers' m nsa ion Laws. Lighting Fixtures First 20 �70 ADDRESS
!3 J / Total No.—Ll_ Additional CITY Tel. No.
Date Applicant - .;
NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT
Exemption, you should become subject to the Workers' Range— Heater—D.W. — APPLICATIONf C. �5
Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS �-
with comply with such provisions or this permit shall be Top — FAU W.H. — i
deemed revoked. Hood — Fan Other_ CITY L vv\6,N el. No. yy
LICENSED CONTRACTORS DECLARATION LICENSE OR Class. 0 rt
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER � r
(commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. pm,
ED BY
and Professions Code,and my license is in full force and effect. D p� � �� d
`l .t� Site &Type HP, KW, KVA, or KVAR e Q
License Number 1 Lic. Class 67 10 Up to 1 Incl. FINAL U
Contractor ^�-O Lpers Date -93. r Over 1 to 10 Incl. DATE r ._���, VALIDATION 0O
ElOver 10 to 50 Incl. FINAL
I am exempt under Sec. Over 50 to 100 Inc. BY U
W
B.&P.C. for this reason Over 100 d
Date: Services, Swbd.; MCC& Panelboards Z
0- 200 Amp. Under 600 V D —
Signature 201 - 1000 Amp. Under 600 V
Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V
SINGLE FAMILY Temp'. Power Pole 8 Appurtenances
HOMEOWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit -_--
Low for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits
Professions Code): T
Misc. Conduits&Conductors
I,'as owner of the property, will do the work and the {•1-3 ;ate - •._ s }* .
structure isnot intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)— _+
Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for
the rperformance of the work for which this permit is issued PERMIT FEE (Sub-Total)
(Sec. 3097, Civ. C.).
PLAN CHECKING FEE •t-1{yfl�€-_�31i1 yj?%^`t+;i
Lender's Name
PERMIT ISSUING FEE '= - cit `�
Lender's Address
I certify that I have read this application and state that the TOTAL FEE e
above information is correct. I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and
hereby authorize presentatives of this County to enter upon
the abo e- en ned operty for inspection purposes. •
SEE REVERSE FOR EXPLANATORY LANGUAGE
/z -13 9�
Signature of Permittee Date Os