HomeMy Public PortalAbout10134 LA ROSA DR_Electrical__ -IBABsa BBB 5A 11-69 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
ELECTRIC 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO..
ELECTRICIANN �i LJ✓r� .> /yO "
ADDRESS / l{-fi P n_ RECEIVED BY READY FOR DATE/ISSUED'
/ FIRST INSPECTION kv
CITY G TEL. NO. �p b'✓Y /m�
COUNTY LICENSE NO. ) EXPIRES BUILDING
PERMIT FEES ADDRESS
NUMBER OUTLETS EACH FEE LOCALITY
LIGHT Sc ® NEAREST
CROSS ST.
RECEPTACLES 5 r /j
FIXTURES 5 I O OWNER ,X , //� '�A . ll[l
WALL SWITCHES 5 I MAIL ,
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
M16C. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED:
TOTAL APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER HORSEPOWERPEE I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NEW MVS. HPI UVER INS.' EAC ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
I. 6 LESS .25
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
11 $ y
j/2 2 .50 SIGNATURE EOF
E5 1 00 PERMITTEEis 1.50 INSPECTION RECORD
50 2.50
I 50 200 5.00
200 I 500 10.001
SOo IOOO 15.00 J
OVER 1000 20.00 Z
_Z
M.G. SET/FRED. CHANGER-HP D
WELDERS:AC-KVA LL'
GENERATORS - KW O
TRANSFORMERS - KVA
TEMP. MOTORS (75% BF BRI.-)
MOVED MOTORS (75% OF ORIGJ
M15C.
SIGNS
TYPE: NO.TRANS.
TYPE: NO. LAMPS APPROVALS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 C/v FIXTURES
IIS/O POWER
TOTAL FEE $ / UTILITY CO. NOTIFIED
{ FINAL
DB a-A I0-41 EEM APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
M. J. FOX CHIEF ENGINEER
NAME DISTRICT NO. GROUP ZONE PERMIT NO.
U ADDRESS / S'1 v
r RECEIVED BY READY FOR DATEISSUED
.W.11 CITY [ TEL.NO. M FIRST INSPECTION COUNTY �J,
W CERT.NO. `` EXPIRES �1 � � • ' _ _ T
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK JOB
ADDRE9O3
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
i LOCATION BY ROOMS NEAREST
LIGHT OUTLETS ISW. PLUGS IF= CROSS ST. YV I N
CIRCUIT A B C D E F G H I NAME L E W IS
AIL
Z AD RESB 25"A.'1,15: LFJ3 L OR ES
3
0
cln R M R R li TEL-No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LAS
ANGP.LEQ COUNTY CERTIFICATE OF QUALIFICATION..
BLELTRICIAN.
I AM THE LEGAL OWNER OF TH ROPERTY DESCR ED
ABOVE
SC J 1
OVINER.
CORRECTIONS
/ YM
— a
z
u
0
0
TOTAL 6
NO. OF OUTLETS APPROVALS
NO. OF FIXTURES Q Is.
DDATEINNSPECTOR'S NAME
NO. OF MOTORS H.P. S CONDUITNO. OF SIGNS TRANS. S WIRING J 1"NO. OF RANGES OR HEATERS S FIXTURESMISCELLANEOUS S POWERPERMIT FEE S UTILITY CO.NOTIFIED
TOTAL FEE 21 LLS ':;'I FINAL L�� � •���-
76A663 DBB5A 11-49 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �i Ci �� I 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERM'/IT NO.
ELECTRICIAN S- l '41 /D Y 98
RECEIVED BY READY FOR DATE ISSUED
ADDRESB 3 YV FIRST INSPECTION — 2—
CITY ♦ TEL NO.
COUNTY LICENSE NO. I EXPIRES BUILDING
PERMIT FEES ADDRESS p� //�♦/'
^1 NUMBER ❑UTLETB EACH FEE LOCALITY / '
V� ARE
LIGHT Sc $ NEST
CAREST.
RECEPTACLES 5 , 11
1�S FIXTURES s OWNER
Z� WALL SWITCHES 5 MAIL l .
ELEC. RANGES 25 ADDRE99
G ELEC. HEATERS 25 CITY TEL. NO.
MISC. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
�3 NUMBER OF CIRCUITS INSTALLED:
TOTAL APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUI "" HORSEPOWER FEE I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
.EW I MVD. HPI OVER I IMC. EACH ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
I I/a s EEss 1 IS .251 OF THE RESIDENTIAL PROPERTY ESCRIBED ABOVE.
I I/z 2 .SOI SIGNATURE OF
--{ISI 2 5 1.001 PERMITTEE
I s l is I.Sal INSPECTION R CORD
I 15 1 50 1 2.501
sD zaD 5.031
1 200 SDo IO.00
Soo 1DDD I 15.00 j
OVER 1000 1 20.00 4
Z
M.G. SET/FREQ. CHANGER-HP (�
WELDERS:AC-KVA Q;
GENERATORS - KW D
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIS.)
MOVED MOTORS (75% OF R.G.)
M15C.
SIGNS
TYPE: NO.TRANS.
TYPE: NO. LAMPS APPROVALS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.001 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
/ POWER
TOTAL FEE $ (P UTILITY CO.NOTIFIED
FINAL
DGS S-A 1244
APPLICATION FOR PER1LYFa'
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
•4 WM. J. FOX CHIEF ENGINEER
Z -,NAME DIST NO. GROUP ZONE PER
U ADD'I.'ESS
FEIVED BY READY FOR DATE ISSUED
U CITY,
TEL. V 2Z FIRST INSPECTION
W STP, P 2 l;XPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS JSW. PLUGS IFIXT CROSS 6T.
CIRCUIT A B C D I E F G I H K NAME IEs-�
2 MAIL
ADDRESS
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE U IFICATION..
VI I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
4`1 <i OWNER.
CORRECTIONS
_ ..•%, /�o .C,•/.r,.cttcr •�Gpc.pt lf.:°1_,.,..Ir.,,�fi/'�.•
Z_
U'
O
TOTAL
NO. OF OUTLETS ' $ APPROVALS
NO, OF FIXTURES B DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT O_
NO. OF SIGNS TRANS. 6 WIRING
NO. OF RANGES OR HEATERS B FIXTURES
L
ISCELLANEOUS S POWER
ERMIT FEE O� B UTILITY CO.NOTIFIEDOTAL FEE 6 ' FINAL r ��
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Dof County Engineer L ���I C
DIVISIONSION OFF BUILDING & SAFETYRE
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROLIP ZONE �PE](({RyyMIIT7nNO.
ELECTRICIAN Fl rl _—
RECEIVED BY READY FOR DATE ISSUED
ADDRESS 5711
_ FIRST INSPECTION
CITY . NO. i(•J.�- u^'f_ �] s
COUNTY LICENSE NO. EXPIRES BUILDIN
PERMIT FEES ADDRESe
FEE
NUMBER EACH LOCALITY // /r
LIGHT OUTLETSEAREST IN
RECEPTACLES CROSS ST. C-I �M///�e
Ii
111
�'. /� //VI /u'�//I
WALL SWITCHES OWNER /. /A HA'/c II ` . /// I Al e- /t-
TOTAL OUTLETS y� Sc $ MAIL
ELEC. RANGES 25 ADDRESS
n{ �O 14
ELEC. HEATERS 25 CITY EMS 01 L' I'iTV/ TEL. NO.
FIXTURES S
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MIBC. 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 1 POSSESS THE ABOVE VALID LOB
NIJerl HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
Ncw MVD. HP ovER M.- EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
J /
A LESS $ .25 SIGNATURE OF
I/m 2 .50 PERMITTEE y% - 4
2 5 1.00 INSPECTION RECORD
5 IS 1.50
_ 15 50 2.50 _
_ 50 200 5.00 _
_ 200 50010.00
_I 500 I 1000 15.00 Q
Z
OVER 1000 20.00
M.S. SET/FRED. CHANGER-HP
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75q GF ORIG.)
MOVED MOTORS (75% GF onl G.)
MIBC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: _ ! DATE INSPECTO'R'S NAME_
CONDU
WIRING $1.00 00 IT WIRINGl ��'T 1 1N�..✓r.C'G�...s✓
FIXTURES $1.00
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ RO UTILITY CO.NOTIFIED
FINAL ��1 fir+' 1��jRgcµwy
76AGG3 DDS#5A 4-52
76AC63-CESOG7-88 APPLICATION -FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER au1LDING
BUILDING AND SAFETY DIVISION ADDREss L1 �� O
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN, SUP'T OF BUILDING LOCALITY 1
FOR APPLICANT TO FILL IN cRoss s7. v{L
PERM FEES
1 T E M NUMBER EACH FEE OWNER
OUTLETS:. $ s + MAIL
LIGHTS RECEPT. SW./ .10 V ADDRESS
LIGHTING FIXTUR S .10 D CITY
EIEC. RANGES CLO. DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS V�ELEC.SPACE HTRS. DISHWASHERS �C^ /] /�GARBAGE DISPOSERS AUTO.- CITYJ� V/•/ b! STATWASHERS STA. COOKING UNITS .25 LICENSE NO.MOTORS: OVER INC. H.P. DISTRI NO. GaD Y `0— +/ .25 /
y— 2 so INSPECTION RECORD
2— s 1.00
5— 15 1.50 a
1s—' so 2.50
s0-200 5.00
I SIGNS: NO. TRANS. 1
NO. LAMPS
�I V.
SERVICE O-BOON 1.00
SERVICE OVER SOON 5.00 v
MISC.
9 Chi L'Es-
J S e� `4s 11 'A L
C
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 1
SUPPLEMENTARY PERMIT .50-
TOTAL
50TOTAL FEE $ APPROVAIS
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'
S SIGNATURE
ANDS
TATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING —'�
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR yG I1
LICENSED A8 REQUIRED BY L08 ANGELES COUNTY AND STATE OF FIXTURES •t I �� \" ��
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 1 '
DESCRIBED RESIDENTIAL P PERTY.
SIGNATURE �(M„y POWER
UTILITY CO.NOTIFIED : O
OF PERMITTEE FINAL I'�/'
^TION ARTHUR C. VETT,
CK o CwsX SUPERVISING ELECTRICAL ENGINEER
LAC,.)7292n MAY 29 2A 8.85 M
WORKER'S COMPENSATION DECLARATION 0PW 9/89 APPLICATION FOR ELECTRICAL PERMIT u`
1 heresy affirm 76A663 that I have a certificate of consent to self insure, 76A663
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.) r
Policy No. Company FOR APPLICANT TO FILL IN JOB -
❑ ADDRESS
Certified copy is hereby furnished. New Residential Bltlgs.8 Pools FAC NO. •FEE i
O _ $ LOCALITY
Certified copy is filed with the county building inspection 1 & i -Family,Sq.Ft.
department. Multi-family Sq.FL CFoRE ST.
Date - Applicant Residential Swimming Pools ASSESSOR
MAPBOOK PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR
COMPENSATION INSURANCE Outlets:Rep. Light_Sw. IRM NAME
First 20 MAIL
(This section need not be completed
($I O the work involvetl by the Total No. Additional ADDRESS 3
permit is for one hundred dollars($100)or less.) j
I certify that in the performance of the work for which this permitCITY L; Tel.Nos/
i5 Issued, I shelf not employ any person In any manner so as t0 U' PLAN CHECK C
become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 - APPLICANT
Total No. Additional
Date 7���Z Applican
( ADDRESS
NOTICE TO PPLICAN T: If; aitery eking this ert ficate of 150R 20A,120V BRANCH CIRCUITS- -- -- - CITY Tet.No.
Exemption,you should become subject to the Workers'Compensation 1 TO 10 INCLUSIVE EACH
provisions of the Labor.Code, you must forthwith comply with such 11 TO40 INCLUSIVE EACH — - - PERMIT
provisions or this permit shall be deemed revoked. - _ 41 OR MORE BRANCH CIRCUITS EACH PUCANT
LICENSED CONTRACTORS DECLARATION _ ADDRESS
d
1 hereby affirm that I am licensed under provisions"of Chapter 9 150R 20A,208V TO 27N LIGHTING EACH Ae-
yA4'
(commencing with Section 7000) of Division 3 of the Busineswand CITY A19 W�L/() T.I.N..3��s7 0
Professions Code,and my license is in full farce and effect. RESIDENTIAL APPLIANCES UP T03HP LICENSE OR
Power Apparatus&Large Appliances REG.NUMcc
BER S DIS' r..-!� O
License Number 7 w Lic.Class G?� `Size&Type HP,MN,KVA,or KVAR DISTRICT NO. y PROCESSED BY F
-' Up to 31ncl: -' — DO - W
Conlractor(��& W11;1A1 Date �� r Over 3 to 10 Ind. FINAL d
Over 10 t650 Ind. DATE Z
I am exempt under Sec. VALIDATION
P Over 50 to 100 Incl.
FINAL J///
B.&P.C.for this reason Over 100 gy
Services,Swbd„MCC&Panelboards ,. - 1
Date: 0-200 Amp.Under 600 V
Signature 201 -1000 Amp.Under 600.V / f 'rr/� P��
❑ Over 1000 Amp.or Over 600 V �1 U
Exemption for Reg.Maim.Elect.
i
SINGLE FAMILY Temp.Power Pole 8 Appurtenances
HOMEOWNER-BUILDER DECLARATION - --- - - ;x,'f.T ,a,
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.Contluits&Conductors.
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)_
and Professions Code).
CHECK
CONSTRUCTION LENDING AGENCY t r: rYrr^^
I hereby affirm that there is a construction lending agency for the (diHl9.3E eNI
performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE._ ... - (Sub-Total)
Civ.C.)
PLAN CHECKING FEEI_l;!j�—I II jjj E, I% J 'Y'I
Lender's Name IU/ —
PERMIT ISSUING FEE a7 mo i. 'i
Lender's Address TOTAL FEE
I certify that I have read this application and state that the 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 APPLICANT OR AGENT DATE '
ORKERS'COMPENSATJONDECCARAAON 76A663 10/8I APPLICATION FOR ELECTRICAL PERMIT
PIT
that I have a certificate of consent to self CE-806G
insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or ocertified copy thereof (Sec. 3800, Lab. C.)
Policy No. m
Copany FOR APPLICANT TO FILL IN JOB
O
Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS
F-1Certified copy is filed with the county building inspec- 1 8 2-Family, Sq. FI. S — $ LOCALITY
lion department. Multi-family Sq. Ft. — NEAREST
Residential Swimming PoolsCROSS ST.
Date Applicant OWNER OR
/ FIRM NAME G /v
CERTIFICATE OF EXEMPTION FROM WORKERS' � S7 n MAIL ' /_3
) A �+
COMPENSATION INSURANCE Outlets: Rec light Sw. '�OV ADDRESS f/ lift- S
(This section need not be completed if the work involved by First 20 �T,,,
the permit is for one hundred dollars ($100)or less.) Total No. Additional CITY eN 1,e T.I. No.
I certify that in the performance of the work for which this PLAN CHECK
APPLICANT
permit is issued, ubal t to employ any Workers'
In any manner
so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 20 ADDRESS
�+ Q�/ Total No.�� Additional
DateyA-_17-V( Applicant rlci 0I/1IGK- CITY Tel. No.
Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT
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
with comply with such provisions or this .permit shall be Top _ FAU —W.H. —
deemed revoked. Hood Fan _Other_ CITY Tel. No.
LICENSED CONTRACTORS DECLARATION LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. REG. NUMBER Class. }
(commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PRO ED BY a
and Professions Code, and my license is in full force and effect. Power Apparatus 8 large Appliances Q` �( 0
Size 8 Type HP, KW, KVA, or KVAR I.J r O (J
License Number Lic. Class - Up to 1 Incl. FINAL 0::
Over 1 to 10 Incl. DATE 0
Contractor Date [ 0��—� V IDATION 0
❑ Over 10 to 50 Incl. FINAL LU
I am exempt under Sec. Over 50 to 100 Inc. BY N
B.BP.C. for this reason Over 100 z
—Date:— Services, Swbd., MCC 8 Ponelboords ,
0 - 200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V
❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V 9 4 4 33 A
SINGLE FAMILY Temp. Power Pole 8 Appurtenances # e e e e 0 2
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I • • 35.5 0
I hereby affirm that 1 am exempt from the Contractor's License Additional Sign Branch Circuits
Law for the following reason (Section 7031.5, Business and • • ! 35.5 0 U
Professions Code):
I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors 0 60 (I 8 b
structure is not intended or offered for sale (Section Other (See.Complete Fee Schedule)_
7044, 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) D
(Sec. 3097, Civ. C.).
PLAN CHECKING FEE
Lender's Name _
PERMIT ISSUING FEE ,s
Lender's Address
I certify that I have read this application and state that the TOTAL FEE 3 LJ,,S
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,,y�ggqbov 'men�t,i9�ed propert for inspection purposes.
ijl `/ SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date lrJ