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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!