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HomeMy Public PortalAbout8810 HERMOSA DR_Electrical__ ° °`°° APPLICATION FOR ELECTRICAL PERMIT 'I COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 8810 East Hermosa JOHN A.LAMBIE,COUNTY ENGINEER WILLIAM A.JENSEN. SUP'TOF BUILDING LOCALITY Temple Cit FORAPPLICANTTO FILLIN cRoss sT Muscatel and Ivar Avenue PERMIT FEES OWNER Dave Oakley ITEM NUMBER EACH FEE MAIL OUTLETS S S �— ADDRESS 8810 East Hermosa LIGHTS RECEPT. SW. S. AT, 7-8870 LIGHTING FIXTURES 1O CITY TEL NO ELEC. RANGES CLO. DRYERS ELECTRICIAN WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO. nTj 8- GARBAGE DISPOSERS AUTO.. STATE LICENSE NO. 120129 WASHERS STA.COOKING UNITE .25 MoioRs: Oven Inc. H.P. DISTRICT NO. GR P Z N P E D B o — %= 1/3 1 .25 25 V — 2 50 INSPECTION RECORD 2 — 5 1.00 d 5 — 15 1.50 0 U 15 — SO 2.50 C SO 200 5.00 ~ U w SIGNS: NO TRANS. D. NO. LAMPS z Z_ SERVICE O.000V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE s 3 45 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICOF ENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OW ER OF THE ABOVE DE�RBffDBN61MLETT POWER SIGNATURE 1Ull1�V OL �� UTILITY CO. NOTIFIED OF PERMITTE •� FINAL, PV�LIDATiCIN ARTHURC.VEIT. CK jInO CASH SUPERVISING ELECTRICAL ENGINEER LPICo 8 0 7 JMq 30 2 A 3.4 5 m 76A606 DOS SA 11-E0 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �������� 1 COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO ILS IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN �1.p_�APJ � ��✓ �� � I�� ADDRESS - � �� _ RECEIVED BY READY FOR FIRST INSPECTION DATEISSlrU\ESD' COUNTY LICENSE NO. kZ W ,E%PIRES BUILDING (�/']-/D PERMIT FEES v ADDRESS _pp,/,o /i=yam/ FEE v NUMBER EACH LOCALITY LIGHT OUTLETS r NEAREST /4 CROSS ST. RECEPTACLES I L/ WALL SWITCHES OWNER IIyR TOTAL OUTLETS Y O Sc S MAIL L' �/ + i ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. .L14 d FIXTURES 5 .'],� 1 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 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUNRHORSEPOWER FEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER ovER NEw MVD. HP ER IMC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/z s LESS $ .25 SIGNATURE OF '�l IA2 .50 PERMITTEE "J y 2 5 1.00 INSPECTION RECORD S 15 1.50 / 15 50 2.50 so 200 5.00-- 200 .oo200 500 10.00 _J Soo 1000 15.00 Q Z OVER 1000 20.00 _ 0 M. G. SET/FRED. CHANGER-HP i ' � � O WELDERS: AC-KVAN/ GENERATORS-KW � LI� G02 GL �`4' TRANSFORMERS-KVA TEMP. MOTORS (75%Of ORIG.) 1 /✓ MOVED MOTORS (75%OF OR.G.) MISC. 1 SIGNS 1 NO. NO. TRANS. I I APPROVALS NO. NO. LAMPS DATE r INSPECTOR'S NAME FOR EACH PERMIT: CONDUIT WIRING $1.001 FIXTURES $1.00 SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $� �� UTILITY CO. NOTIFIED OO / ' FINAL JORKERS' COMPENSATION DECLARATION XW'76A,ko W3/e7 APPLICATION FOR ELECTRICAL PERMIT 0 hhereh, affirm that I have a certificate of consent to self ci�ya insure,'or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS wr a certified copy thereof (Sec. 3800, Lab. C.)' Policy No. 11 Company FOR APPLICANT TO FILL IN JOB O_C� J fflE�m0 Certified co is hereby furnished. EACH NO. FEE ADDRESS 60 PY Y New Residential Bldgs. 8 Pools �Q Certified copy is filed with thecounty building inspec- 18 2-Family, Sq. Ft. $ — $ LOCALITY tiog department, Multi-family Sq. Ft. — NEAREST t {� CROSS ST. (`16LS C-�v Date v Applicant V Residential Swimming Pools OWNER OR /� FIRM NAME UrV (/rN ,4 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light 3 Sw. 3 IL 'A ICOMPENSATION INSURANCE First 20 -ADDRESS /, (This section need not be completed i4 the work involved by Total No. Additional CITY .O r0Vt 04 (G7fTFy. No. lJJ'-(F the permit is for one hundred dollars ($100)or less.) AN CHECK I certify that in the performance of the work for which this PLAIN HE permit is issued, I shall not employ any person in any manner NT so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS n�Q ---yyy///,,,��� // �I�� Additional Date � �d Applican; �rW Total No. CITY NOTICE TO APPLICANT: If, after melon this Certificate o Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Worker Range— Heoter—D.W. APPLICATION Compensation provisions of the Labor Code, you must forth- Oven — Dryer W.M.— ADDRESS with comply with such provisions or this permit shall be To — EAU W.H. — deemed revoked. Hood — Fan —Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION Disp. — Room Air Cond. C, LICENSE 0 Class. (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NOfr PROCESS BY > and Professions Code, and m license is in full farce and effect. t1 U License Number Lic. Class Size 8 Type HP, KW, KVA, or KVAR O Up to 1 Incl. FINAL U Over 1 to 10 Incl. DATE — VA ATION Contractor Dote Over 10 to 50 Incl. FI I am exempt under Sec. Over 50 to 100 Inc. U W B.BP.C. for this reason Over 100 / � Date: Services, Swbd., MCC 8 Panelboards , Z 0-200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V 05 2 9 A a Exemption for Req. Maint. Elect. 1000 Amp. or Over 600 V. # ° °,•.e ' 2 SINGLE FAMILY Temp. Power Pole 8 Appurtenances ,( .e e 3 3.0 0 HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from thSign with One Branch Circuit e Contractor's License e e e 3 3 0 0_ Law for the following reason (Section 7031.5, Business and Additional Sign Bmnch,Cirtuits 0 PrgOessions Code): O a 2 5 8 8 rpI, as owner of the property, will do the work and the Misc. Conduits 8 Conductors structure is not 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 performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.), CA PLAN CHECKING FEE Lender's Name A PERMIT ISSUING FEE G/ Lender's Address I certify that I have read this application and slate that the I TOTAL FEE 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-menttiionneedd]"JAp''roperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o Permittee a 3/- Y WOrmEth COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm'that I have a certificate of consent to self CE-8066 insure,or vicertificote of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C. Policy No. - Company FOR APPLICANT TO FILL IN JOB ADDRESS /r9pfr/n Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ❑ Certified copy is filed with the county building inspec- 18 2-Family, Sq. Ft.— $ — $ LOCALITY tion department. Multi-family Sq. Ft. — 'NEAREST Residential Swimming Pools CROSS ST.OWNER OR Date Applicant FIRM NAME C^ CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec�Light_Sw._ 'MAIL COMPENSATION INSURANCE First 20 ADDRESS (This section need not be completed if the work involved by Total No CITY Tel. No. the permit is for one hundred dollars ($100) or less.) Additional A 'e PAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in on manner so as to become subject to the Wo cer Cam a ti n Laws. Lighting Fixtures First 20 ADDRESS Additional S-_�G Total No. CITY Tel. No. _ Date Applicant � + �- Fixed Appliances Not Over i HPPERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT / Z: ,Z,: Exemption, you should become subject to the Workers' Range_ Heater—D.W. — Compensation provisions of the Labor Code, you must forth- Oven — Dryer — W.M._ ADDRESS Z ��69iC /iQ G with comply with such provisions or this permit shall be Top FAU —W.H. — deemed revoked. Hood Fan _Other_ CITY /,�� / T No 3�f 95%h LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm That I am licensed under provisions of Chapter 9 Disp. Room Air Cond. REG. NUMBER - Class. C�/O (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. P E ED BY and Professions Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances 5 D!l Ll\5 / q S- Size 8 Type HP, KW, KVA, or KVAR' O License Number J / I Lic Class C- LQ Up to 1 Incl. FINAL V Over I to 10 Ind. DATE - Contract,-, VALIDATION Q Date /7-S -W/ Over 10 to 50 Incl. FINPiL V am exempt under Sec. Over 50 to 100 Inc. B m B.BP.C, for this reasonOver 100 Z Services, Swbd., MCC 8 Ponelboards 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): ❑ I, as owner of the property, will do the work and the Mi.sc. Conduits 8 Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , 7044, Business and Professions Code). 6 0 (59 Q CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for # • • o • • `2 the performance of the work for which this permit is issued PERMIT FEE - (Sub-Total) (Sec. 3097,0v. C.). I es, 27.00 PLAN CHECKING FEE Lender's Name • o o `2 7.0 0 FI PERMIT ISSUING,FEE Q ' Lender's Address 1 205_86 1 certify that I have read this application and state that the TOTAL FEE above information is correct. I agree to comply with all County ordinances and State s gulating Electrical wiring, and i eb th ize re onto ves of this County to enter upon .6 o e e pro rt for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature erm ittee Date