HomeMy Public PortalAbout9304 LA ROSA DR_Electrical__ 76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS Q S
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY >
CROSST.NEAREST D !.j
FOR APPLICANT TO FILL 1N "?"-'
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 , $20 $ ryf� OWNER O
LIGHT J �� C� � C AIL
ADD'L f0 ADDRESS 5J OL
SWITCH. OVER 20
G C
LIGHTING LX—�
(FIRST 20 .20 CITY J� �Yl TEL. NO..04
FIXTURES AOD'L f0ELECTRICIANOVER 2 0
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL. NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(+/z H.P.MAX.) .50
LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT N G ZONE P O E D B
O 1 1.00
1 3 1.50 INSPECTION RECORD
i
3 S 2.00
8 15 2.50
15 50 3.00 CL
CL
50 100 5.00 0
SIGNS: NO.TRANS O
NO.LAMPS
H
SERVICE 0.600V-NOT OVER 200A 1.00 W
a
SERVICE 0.600V-OVER 200 A. 2.00 Z
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 C,-
SUPPLEMENTAgY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS 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
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
LjDjESCRIBED RESIDFl�Tj1L PR E �J � , if POWER
IGNATURE // � /( / LAW UTILITY CO.NOTIFIED
F PERMITTEE iG c
FINAL -
�(ALIDATION ARTHUR C. VEIT
CK lj- MO CASH SUPERVISING ELECTRICAL ENGINEER
76A663 DBS 5A 11-50 APPLICATION FOR PERMIT ,
DEPARTMENT OF ,BUILDING AND SAFETY
COUNTY OF LOS ANGELES L IC1'
,WILLIAM'J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN 0
ADDRESS RECEIVED BY READY FOR DATE ISSUED-
ADDRESS FIRST INSPECTION
CITY l;e TEL. NO
COUNTY LICENSE NO. !O EXPIRES ADDRE.
1 G
PERMIT FEES
FEE r
NUMBER EACH I LOCALITY
LIGHT OUTLETS ( NEAREST
Z
RECEPTACLES CROSS ST.Z � �
WALL SWITCHES OWNER
TOTAL OUTLETS Sc $ MAIL
ELEC. RANGES 25 ADDRESS '
ELEC. HEATERS 25 CITY ` TEL. NO.
FIXTURES 5 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 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
-
1/2 a LZ .50 s $ SIGNATURE OF
1/2 PERM TTEE����)
2 = 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5,00
200 s00 10.00 J
Soo 1000 15.00 Q
'_Z
OVER 1000 20.00 0
M. G. SET/FREQ. CHANGER-HP • 0
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
DArt INSPECTOR'S NAME
FOR EACH PERMIT: _
WIRING $1.00 — CONDUIT
WIRING '-"` x -IL:
FIXTURES $1.00
SUPPLEMENTARY .SO FIXTURES '
- POWER
TOTAL FEE I $ /V UTILITY CO. NOTIFIED ,
FINAL �" �O
76A663 DBS SA 11-50 APPLICATION FOR PERMIT
! DEPARTMENT OF BUILDING AND SAFETY
COUNTY"OF LOS-ANGELES ELECTRIC
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE, PERMIT NO.
ELECTRICIAN '
.5' 17 So-
RECEIVED BY READY FOR DATE ISSUED
ADDRESS 1 No Acacia St. FIRST INSPECTION
CITY Sass Gab. TEL. No. AT. 68583 - /)—
^�1
COUNTY LICENSE NO. 1104 EXPIRECi S BUILDING '�_ i v �•
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY Temple'City
LIGHT OUTLETS- V NEAREST
CROSS ST. - -
RECEPTACLES 14
WALL SWITCHES _ 14 OWNER Turner Homes. .
TOTAL OUTLETS 36 Sc $ ll 80 MAIL
ELEC. RANGES 25 ADDRESS -
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 8 5 40 -
I 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
ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
LHORSEPOWER FEEEACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.NEW MVD. HPER INC. -
1 1/2 a LESS $ .2S-2 " SIGNATURE OF
1/2 2 .50 PERMITTE
2 5 1.00 INSPECTION RECORD
5 15 1 1.50
15 50 2.50
50 200 5.00 -
200 500 10.00 - ,J
Soo 1000 15.00 - Z
OVER 1000 20.00 - (;
M. G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA
GENERATORS-KW '
TRANSFORMERS-KVA -
TEMP. MOTORS (75%OF ORIG.) - I'
MOVED MOTORS (75%OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. I APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
CONDUIT
WIRING $1.00 00
FIXTURES $1.00 1 00 WIRING _G�ynL--'
lol
SUPPLEMENTARY .50 FIXTURES
4 45 PowER
.TOTAL FEE $ "UTILITY CO. NOTIFIED
® - I FINAL
WORKERS'COMPENSATION DECLARATION-
CE-806G (2-80) APPLICATION - FOR ELECTRICAL PERMIT
CE-806
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,br
a certified co y thereof(Sec. 3800,Lab. C.)
/ -81, /�/ �vUj FOR APPLICANT TO FILL IN JOB n
Policy N�j o CompanyfJ (� EACH • NO. FEE ADDRESS py.
' New Residential Bldgs.&Pools /
Certified copy is hereby furnished_. 1 &2-Family,Sq. Ft. $ $ LOCALITY
Multi-family Sq. Ft. — NEAREST O� U
Certified copy is filed with the county building inspection CROSS ST C9
.department. Residential Swimming Pools OWNER OR /,' ^-'
^^�� a-16
JJ / FIRM NAME IGd
'Date d- i$v.Applicant!�`/�0 � Er� v Outlets Rec_Light Sw FIRM NA �� /f d
First'20 3'' 11&1` S
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY /fL/�L1�CiT Tel
COMPENSATION INSURANCE O,
PLAN CHECK-
(This•section need not be completed if the work involved APPLICANT U
by-the' permit is for one hundred dollars ($100),or less.)' Lighting Fixtures First 20 ADDRESS . .
Additional
Total No.
I certify that in the performance of the work for which this CITY Tel No.
Fixed Appliances Not Over 1 HP
permit is issued, I shall not employ any person in any manner PERMIT /7 /� J
so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT f/�174 ,110-C 1444 CSN//10 L a
' / / Co
Oven Dryer_W.M. ADDRESS/;? ,r/ �`, Z
Date/�i�7ia�� Applicant. 4L/F,Ct//M/� E'�d Top` _ FAU ✓W.H.
Hood _ Fan _Other_ CITY jr;�>Das�,w Tel No 96 S S Z
NOTICE TO APPLICANT-/If, after making this Certificate ofDisp. _ Room Air Cond._. '2!