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HomeMy Public PortalAbout6137 IVAR AVE_Electrical__ &PPU �Q M FOR ELEUMC K PERM 76A663C- CE606B•f 2/75 BUILDING AND SAFETY DI ION FOR APPLICANT TO FILL IN ,JOB .r New Residential Bldgs.& Pools EACH NO. FEE ADDRESS / 1 &2 Finaily Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST.OWNER OR FIRM NAME � Outlets: Light,Switch&Receptacle MAIL r , First 20 ADDRESS �L r Z. Additional CITY "_ Tel. No. PLAN CHE . Lighting Fixtures APPLICANT First 20 G ADDRESS Additional CITY j Tel. No. PERIT Fixed Appliances Not Over 1 HP APPLICANT ✓ t Range Heater_ D.W. ADDRESS Oven Dryer W.M. Top FAU W.H. CITY ' 'e j" Tel. Hood Fan LICENSE OR / cam.. Disp. A.C. REG. NUMBER Class. �'� �✓ p 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY Q Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V ELECTRICAL WIRING. W Size&Type HP, KW, KVA;or KVAR c— Upto 1 Incl. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Over 1 LO 10 Incl. LICENSED AS REQUIRED BY LOS ANGELEZO, TY AND TATE OF CALIFORNIA OR THAT I AM THE LEGAR OF E ABOVE Over 10 to 50 Incl. DESCRIBED RESIDE T L PROPEY. Over 50 to 100 Incl. PERMITEE Over 100 SIGNATURE DISTRICT NO. P C SED BY Services 0-200 Amp. Under 600 V V 201 - 1000 Amp. Under 600 V APPROVALS DATE INS CTOR'S Over 1000 Amp.or Over 600 V SIGNATURE TEMP. POWER POLE Temp. Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit - Additional Sign Branch Circuits ROUGH CONDUIT '-"j3 (Other) WIRING --Y-7 v"77 /01—", FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE NOTES TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.0. CASH 5 4 9'; FEB 6' -2 U -1 3.:10 ,&!�!3 Q 76A663 DBS SA 11-SO APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES E L EPP R N WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT O. GROUP ZONE PERMIT NO. ELECTRICIAN . ( �� l7 � (� � � _ �� ria. 1 F-CEIVED BY READY FOR DATE ISSUED ADDRESS (,dG",!� FIRST INSPECTION _CITY TEL. NO. COUNTY LICENSE NO. EXPIRES BUILDING ADDRESS PERMIT FEES E FEE A9 — NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. ROSS WALL SWITCHES OWNER j ♦ V� ,v,QJ'yA.�l e �P«�.f, TOTAL OUTLETS c 17 _ 5c /ADAIL DRESS � �.7 Z6 r ELEC. RANGES 25 x ELEC. HEATERS 2S CITYham ¢ A , m TEL. NO. j'3 6 FIXTURES 5 I HEREBY ACKNOWLEDGE THAT I 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 HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIALfL PROPERTY DESCRIBED ABOVE. I/2 s LESS .25 -l'O SIGNATURE OF %2 2 .50 PERMITTEE b e Lid G'1 2 S 1.013 INSPECTION RECORD a° 5 15 1.50 _ 15 50 2.50 50 '200 5.130 200 Soo 10.00 ' J 500 10.00 15.00 Z OVER 1000 20.00 to M.G. SET/FREQ. CHANGER-HP -- WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG•) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS NO. NO.TRANS. Np, No. LAMPS I APPROVALS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 CONDUIT ` FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES -- / � POWER TOTAL FEE ���fffJJJ/' UTILITY CO.NOTIFIED FINAL 7'6A663 DBS SA 11-50 APPLICATION FOR PERMIT. s DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES l WILLIAM J. FOX, CHIEF ENGINEER- FOR APPLICANT TO FILL IN DISTRIC NO. GROUP ZONE P RMIT NO. ELECTRICIAN S v EIVED BY READY FOR. '.DATE.ISSUED ADDRESS ® n U-,--w FIRST INSPECTION CITY SO,- ..J�LpdW'Fs41wX, TEL. NO.0-t 104tl'7I d"Yj� a� � - % (-,IP 7. j COUNTY LICENSE NO. EXPIRES 4- 30 -SP. BUILDING q °� PERMIT FEES ADDRESS �e (l FEE NUMBER EACH. LOCALITY LIGHT OUTLETS ,/ ® NEAREST Br RECEPTACLES CROSS ST. G WALL sWITCHES ® OWNER , TOTAL OUTLETS 5C $ d_ ,.MAIL ELEC. RANGES 25 ADDRESS } ELEC. HEATERS - 25 CITY A.& TEL. NC.14 , Ij 3 G 2 Z FIXTURES G7 5 ® 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE ISCORRECT - NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY OR NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING EL'ECTRICAL'WIRING. MOTORS I CERTIFY THAT 1POSSESS THE ABOVE VALID LOS ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NUMBER HORSEPOWER FEE - NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I p 1/z IN LESS $. .25 SIGNPERM T EE """ AAAAsfth 1/2 2 .50 y z s 1.oo INSPECTION RECORD V 5 15 1.50.Is 50 2:50 s0 200 S..00 200 Soo 1o.00 - .J Soo 1000 15.00 Z OVER 1000 20.00 (� M. G. SET/FREQ. CHANGER-HP Q: WELDERS: AC-KVA GENERATORS-KW TRANSFORMERS-KVA �- TEMP. MOTORS. (75%OF ORIG.) MOVED MOTORS (75%OF ORIG.) MISC. .SIGNS NO. - _ NO. TRANS. APPROVALS. NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.001 I D� CONDUIT FIXTURES $1.00 WIRING "A- FIXTURES SUPPLEMENTARY .50 POWER v TOTAL FEE $ UTILITY CO. NOTIFIED ® FINAL d IV Lei 1 k/v{ V>-. 76A663-C.E806 8/63 A PLEC 1MN FOR E.LECTMAL PERME4 - COUNTY OF LOS ANGELES x;,,�. _ fffJJJ DEPARTMENT OF COUNTY ENGINEERj UILDINGBUILDING AND SAFETY DIVISIONDDRESS /O �—JOHN A. LAMBIE, COUNTY ENGINEER _ ��WILLIAM A. JENSEN, SUPT OF BUILDINGOCALITY M LC:EARESTFOR APPLICANT TO FILL INRoss sT. Lid RECEPT.` TOTAL NO. EACH FEE OUTLETS FIRST 20 1 ffi2O $ ZQ OWNER o ��� _ O M n/�� LIGHT 6 y MAIL ` i7 ADD'L ADDRESS A S SWITCH. OVER 20 .10 , LIGHTING TOTAL FIRST 20 20 ' CITY �- TEL. NO. FIXTURES ADO'L I-[ 10 ELECTRICIAN OV R 2 0 RANGE9 CLO.DRYERS WTR.HTRS. 1.00 OU. ADDRESS GARB.DISP. STA.COOK CITY TEL. NO. DISHWASH. AUTO.-WASH. _ STATE ' SPACE HTRS. STA.APP.('/.H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER, H.P. DISTRI T NO. GR,Q ZONE P OC BY O 1 1.00 1 3 1.50 ! INSPECTION RECORD s' B 2.60 CL B 15 2.50 O 15 50 3.00 O 50 100 5.00 1 j U / (O w NO.TRANS ,�f'/J ` ,I IL SIGNS: NO.'LAMPS A' (�9 -! � N C Z SERVICE 0.600V-NOT OVER 200A 3 1.00 ©Q °� ,fj �471� SERVICE 0-60OV-OVER 200 A. 2:00 ! � •?� SERVICE OVER 600V 5.00 MISC. - - 1 PERMIT ISSUING FEE 2.. QQ SUPPLEMENTARY PERMIT ISSUING FEE 1,00 I TOTAL FEE $ �O 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS 1 DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AN I / LISTATE OF FIXTURES f7f CALIFORNIA OR THAT M THE LEGAL NE OF HE ABOVE DESCRIBED RESIDENTI LP OP Y. POWER SIGNATURE UTILITY CO.NOTIFIED f./!/S'C�✓�T •-�,/,� ,y �✓��/ OF PERMITTEE FINAL VALIDATIO ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER L�Co5409110 OCT 3Q 2 A 4.20- -R'S COMPENSATION DECLARATION o co 20-0019 DPW 9/89 f° APPUCATMN FOR ELECTMCAL PERNT 1 si c• 76A663 nsent to self insure, or a cert'- of o,ker's Compensation Insurance, or a certified COUNTY OF LO' + ELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. " I her ave a c copy thereof;(Sec.3800 Lab;.C.). .1 - - - - - i Policy No. Company • FOR APPLICANT`TO FILL IN '_ '_ JOB / N ADDRESS Certified copy is Hereby furmshed. J New Residential Bldgs.&Pools - EACH NO. .-FEE - $ — LOCALITY $ ❑ Certified copy is-filed with the county building inspection 1&2-Family,Sq.Ft. _ NEAREST department., Multi-family Sq.Ft. CROSS ST. Date " Applicant ` Residential Swimming Pools rj _ ASSESSOR - _ . IAP BOK --k - , PAGE PARCEL 6 CERTIFICATE OF EXEMPTION FROM WORKERS' j OWNER OR L 7i COMPENSATION INSURANCE- Outlets:Rec._Light Sw. FIRM NAME Y6rA- - 1 ,,Z First 20 f This section need be completed if the work,Involved b the MAIL` >> •7 ( P V Total No. Additional (G ,/ +'. ,dflie GY peg"it is for one hundred dollars($100),orless,) SS t . 8'--� 1 I certify that in the performance of the work for which this permit - 'T f� (.,••• �� is issued, shall not employ any person in aCITY Tel.No�{/ any manner;so es to - PuET K become.,subject to the Workers'Comp Lighting Fixtures First 20 gPcnr w Total No. Additional. �j 197ZA .. ADDRESS Date : pIf -15 OR-20A,120V BRANCH CIRCUITS NOTIC O A PLICANT> If., a r m' (In rtificate of CITY TeL No. Exemption;"you should become bject to the Workers.'`Compensation 1 TO 101NCLUSIVEfACH rove.. of the.Labor Co ou must forthwith com I with such 1YT040INCLUSIVE EACH PERMIT..- P Y. comply _ - - APPLICANT provisions,or this permit shall be deemed revoked. - „_ 41 OR MORE BRANCH CIRCUITS EACH LICENSED CONTRACTORS DECLARATION __..:_.. _.__ .ADDRESS � �O � I hereby•affirm that I am licensed under provision s'of'Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH - 0 (commencing with Section 7000 of'Division 3 of the Business and CITY Tel.No. Professions Code, and m license is in full force and effect. _ �'d C Y RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR Cl Power Apparatus&Large Appliances REG.NUMBER ass. -1 0 J/ Size&Type HP,KW,KVA or KVAR DISTRICT NO. PROC D BY License Number c�tr Lic.Class C=wt 0 /� 0 � 0 :•,`: Up to 3 Incl YJ 45;? U CLQ r 0 , i9•Z Over 3 to 10 Incl'. FINAL Contractor •'[. a l_ Date.•- __.,,__ _._.. _ _.- _ __ .._ _._ _ DATE Over 10 to 5o Incl.- �( Z ❑ I am exempt under Sec. Over 50 to 100 Incl. -F `9 VALIDATION ._..�..-. _ _.ver 100 _. ...�' _ L O ..._ .._. - -. ' .' INA - • B.&P.C.for'this reason "" -"' "' By Services,-Swbd,,_MCC.&Panelboards Date: -- _ 0-200 Amp.Under 600 V Signature 201--1000•Amp.Under 600 V--, -- ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Plaint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit " for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits, Code): ❑ I, as owner of the property,will do the work and the structure -Misc.-Conduits.&Conductors,- is not intended or offered for sale (Section 70.44, Business Other(See Complete Fee Schedule) •`_j I s 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 (Sec. 3097, -PERMIT.,FEE _ (Sub-Total). _• } Civ.C.) -- -.n PLAN CHECKING FEE •F_,sf=, :_tet Lender's Name -- - - - - µ; °'. PERMIT ISSUING FEE .Lender's Address 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 ordinances and State laws regulating Electrical wiring, and hereby authorize re a' es of thi ounty to enter upon the above-mentioned propert ori on purpos SEE REVERSE FOR EXPLANATORY LANGUAGE �. 0 9Z SIGNA RE OF PP ENT DA ION WORKER'S I have a CeSATate of consent to 76A669DPW9/89 ArPP I�eA��®N FOR EI�ISI TMICAL PISRIIHI10 11 76A663 I�I� L� X1,0 I hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV_. copy thereof.(Sec:3800 Lab C.) - POIINII N 0 y G.� '� - FOR APPLICANT TO FILL IN __ .... - - JOB ­_mom an ADDRESS Ua- - 'Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE_. - ❑ _ LOCALITY Sq.Ft. $ $ Certified COpY is filed with:the county building inspection 1&2-Family, _ NEAREST deppartment.. Multi-family Sq.Ft. CROSS ST. '•' y~ i ''Applicf t�""'�`��''c Residential Swimming Pools ASSESSOR Dateg� •,•\ ant :I a '7 _ •__, _ MAP BOOK PAGE I CJ PARCEL D CERTIFICATE OF EXEMPTION FROM WORKERS g Outlets:Rea Light Sw• 2 NAME COMPENSATION INSURANCE . First 20 MAIL (This section-need not be completed if the work Involved by the _ _ ADD permit is for one hundred dollars($100)or less.) Total No. Additional I certify that in the performance of the work for which•this permitCITY_ Tel.No. is issued_, I shall not employ any person in any manner_so as to '^ V "CHECK become subject to the Workers'Compensation Laws Lighting Fixtures First 20 -- APPLICANT Total No. Additional Date Applicant ADDRESS 2'Z�,-�► 15 OR-20A,120V BRANCH CIRCUITS- �Q �+ NOTICE:TO APPLICANT:.If, after making this Certificate of CITY••!o 0 �S / Exemption,you should become subject to the,Workers?Compensation 1 TO'40 INCLUSIVE EACH ' provisions of theLaborCode, you- forthwith com I with such 11 TO 40 INCLUSIVE EACH --' P. _. Y _. P.Y. - .. ._. .-.__ - ..- APPPERLICANT' - provisions or this permit shall be deemed,revoked. 41 OR MORE BRANCH CIRCUITS EACH LICENSED CONTRACTORS DECLARATION ADDRESS } I hereby affirm that I am licensed'under provisions+ 15 OR 20A,208V TO 277V LIGHTING EACH o of Chapter 9 - (commencing with Section 7000) of"Division'3'6f the Bus ness'and _ CITY Tel.No. U Professions Code,and my license is in full force'and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR Power Apparatus&Large Appliances REG.NUMBER Class. 0 Size&Type HP,KW,KVA,Or KVAR DISTRICT NO. PROC E BY O License Number Ic:Class Up to 3 Incl: J `i✓ 9 W Over 3 to 10 Incl. FINAL a Contractor Date DATE EJ - - - Over-10 to,50lncl. I am exempt under Sec. Over 50 to 100 Incl. VALIDATION Z "' FINAL Over 100 B.&P:C.for this reason -" BY Services Swbd.,,MCC&Panelboards_ Date: 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&Appurtenances HOME OWNER-BUILDER DECLARATION - - - — -^ •- ^ I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason (Section 7031.5, Business and Professions Additional Sign_Branch,Circuits, Code): ❑, I, as owner of the property,will do the work and the structure Misc:Conduits&Conductors isnot intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). CONSTRUCTION LENDING AGENCY _ - , w` �� I., '.S. _ A` , I hereby affirm that there is a construction lending agency for the 3 performance of the work for which this permit is issued (Sec. 3097, -PERMIT FEE.. (Sub-T.otal),. ,. _ Civ.C.) _' u•r PLAN CHECKING FEE Lender's Name r_i�` PERMIT ISSUING FEE Q 9 7} Lender's Address _ "' �j`�• I certify that I have read this application and state that the above TOTAL FEE 0 - "'k= information is correct. I agree to comply with all County ordinances and State laws regulating Electrical w' ing, and hereby authorize reppse ti f i Co ty to a er up the above-mentioned - prt n puros s. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF APPLICANT ORAGENT DATE