HomeMy Public PortalAbout8837 1/2 LAS TUNAS DR_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMT
DEPARTMENT O BUILDING OF COUNTY ENGINEER ELECTRIC 1
DSION OF & SAFETY
WILLIAM 1. FOX, COUNTY ENGINEER
FOR APPLICANT TO FILL INDISTRICT NO. GR
OUP ZONE PERMIT-NO.
ELECTRICIANh �L470 .� _ / 7T *d.
�p
ADDRESS `J j `i✓✓y/Cw/f RECEIVEDREADY FOR DATE 169U1.ia
FIRST INSPECTION
CITY G/ TEL. NO
ICE
COtAWrY-LNSE N0. k— 9.014 EXPIRES . FEE BUILDING y g3_7
PtpARN. FEES' ADDRESS
�Laauu��Yu 11
NUMBER EACH LOCALITY
ST '
LIGHT OUTLETS NEARE
RECEPTACLES CROSS T.
WALL SWITCHES OWNER
TOTAL OUTLETS - Sc § MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25
CITY TEL. NO.
FIXTURES 5
MISC. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF LIGHT CIRCUITS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBE OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NumI R HORSEPOWER FEE ANGELES COUNTY LICENSE. R 1 AM THE LEGAL OWNER
New MVD. HP DVRR IND. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I/2 a Leas $ .25 SIGNATURE OF /
Yz 2 .50 PERMITTE A
2 5 1.00 INSPECTION RECORD
5 I5 1.50
19 BO 2..50
50 200 5.00 / /tcfo4/,4/ Sy/,
200 500 10.00
500 1 1000 15.00 Q
Z
OVER 1000 20.00 �
M.G. SET/FREQ. CHANGER-HP C
WELDERS: AC-KVA / O
GENERATORS -.KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF OR.G.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING §1,00 CONDUIT _
FIXTURES $1.00 n- WIRING -
9UPPLEMENTARY .50 FIXTURES
POWER �y
TOTAL FEE §a O UTILITY CO. NOTIFIED 61 I J -
FINAL
96A 668 DBa# DA. C-e2 '
76A663-CE80610/72 APPLICATION FOR ELE&RICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 'OB
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY �G°fFl 1,V
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO, EACH FEF OWNER OR
FIRM NAME .e/
HECEPL_� S $ MAIL ,
LIGHT_ TOTAL
FIRST 20 25 ADDRESS � .
OVER 20 CITY TEL. NO.
SWITCH_ .10 PLAN CHECK
FIRST 20 25 APPLICANT
LIGHTING TOTAL
OVER 20 AODRESS
FIXTURES .10
RESIDENTIAL APPLIANCES CITY TEL, NO.
PERMIT /�
RANGEORYER_WTR. HTR._ APPLICANT v '( 1 S 1. Q
STA. COOK_OISP. F.A.U._
ADDRESS
)/Z[jQ iA
SPACE HTR. - AIR GOND. Cl TV ,'fqq,0• f if TEL. NO _L���f•Aj5
CLOTHES WASH._❑ISHWASH.
LICENSE
UMBER/L4 Q_p J 6 CLASS.
FAN_OTHER 1.00 1 NEI;EBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE B TYPE OVER TO
HEREBY CERTIFY THAT AM PROPERLY REGISTERED EO AND/OR
ElO
100 LICENSED AS BEGUILED I BY LOS ANGELES COUNTY AND E A5 OF
CALIFORNIA OR THAI AM THE LEGAL OWNER OF THE AHOVE }
3.00 DESCRIM1ED Rf51 NTIAL PROPERTY, d
O
E50
5.00 PERMITEE
SIGNATURE �'✓GCFt/
O
1000 H"
DI STRIC N SSED BY w
15.00 O�
y
SIGN, GAS SIGN AND ONE CIRCUIT ' 5.00 APPROVALS DATE INSPE R'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CE NOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMP SERVI CE,POLE, &APPU RTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED ,
FINAL
PERMIT FEE (SUB TOTAL) NOTES: OpY_
PLAN CHECK FEE Aft EST6��
PERMIT ISSUING FEE 3.00
DU
T�TAL FEE [SO
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.D. CASH
1 9 U�"IMAR 14 2 U 8,0 Q wa6
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
4, .z Ge-Py
)6A663-CEBO6 4-68 'APPLICATION FOR ELECTRICAL PERMIT
P COUNTY OF LOS ANGELES
DEPARTMENT.OF COUNTY ENGINEER p 9 r-
BUILDING AND SAFETY DIVISION gDIDR Ess / 37 �sE '9S T✓AJ43 VK.
JOHN A. LAMBIE, COUNTY ENGIN EERY
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CRO55 ST. _ .♦
NO. EAC FEE -- -
RECEPT._
$ 5 OWNER 13046$ NC✓TAN vs. on+ti
--- MAIL
pp
LIGHT__ TOTAL FIRST 20 .20 ADDRESS Q O 3�t � AS ToJ JAT y
SWITCH_ OVER 20 .10 CITY c'nlqkE/ G1+ TEL. NO. p I 12,X
PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE_DRYER_WTR.HTR._ CITY TEL. NO,
STA.COOK_DISP. F.A.U._
CON TRAc FO RA LE"Rl� S e&-J Go
SPACE HTR. AIR COND.— ADDRESS ' NT mp'", 'l
CLOTHES WASH._DISHWASH._ CITU &s ArJ6-C4-CJ` 2
TEL. NO. 2S
. IZ'ta
FAN—OTHER 1.00LICENSE NO. S CLASS. '� Y
MOTORS.TRANSFORMERS RATING
IND. HEATERS. ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO. ANp STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
O - 1.00 ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
I IO 3,00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO
IO - SO 5.00 RESIDE IH, THE ABOVE IIESCRIPED RESIDENTIAL PROPERTY.
50 - 100 10.00 SIGNATURE T d
FFI*NAL
MITTEE U
100 - 500 15.00
CT O. GR UP ZONE PROCESSED BY p
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 AL CIRCUITS 1.00 S: � NSERVICE NOT OVER 600 VOLTS OR 200 AMP $,00ASERVICE OVER 600 VOLTS OR 200 AMP 5.00 _TEMP SERVICE. POLE, & APPURTENANCES 3.00APPROVALS DATE INSPECTOR'S SIGNATURE
POWER POLESLAB WORKH CONDUITPERMIT FEE (SUB TOTAL) GRESPLAN CHECK FEE 150a PERMIT FEE) R AUTHORIZEDPERMIT ISSUING FEE 2.00 Y CO.NOTI FIEDSUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE QU 1 - JOSEPH C. ROOHAN
SUPERVISING ELEC AL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDA TIO CK. M.O. CASH
E
ICS a o 0 7-� X-Ir;l 4 2 D 5,00~i
TEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE / %!`" • -�
WORKERS'COMPENSATIONDECLARATION 63
CE 806G (2-801 APPLICATION FOR ELECTRICAL PERMIT {�
CELJ
[' hereby off,,n that I have a certificate of consent to self COUNTY OF LOS ANGELES / BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation Insurance,or
a�er�ffie y [h ieof Se .CJ
�' Comps j- "I FOR APPLICANTTO FILL IN ,JOB
¢y o. L7^. ADDRESS
New Residential Bldgs.&Pools EACH NO, FEE ,
Certified copy is hereby furnis 1 &2-Family;Sq. Ft $ — $ LOCAL ITYLL! )-+
yam-diMulti-family Sq: Ft. — NEAREST
Certified copy is filed with the county bLilng inspection CROSS ST L- :7tt S '__>
department. Residential Swimming Pools OWNER OR
yy' 1 T AA FIRM NAME' [[��— f }}yy, yt♦�
Date— Applicant Outlets: Rec.(G Light �/ Sw.� 5(� V ADDRESS �� i .� - Li AMZf PA Pit
'First .:
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional Additional CITYTel No.
^
COMPENSATION INSURANCE ZY.
- PLAN CHECK �-
APPLICANT 0
(This section need not be completed if the work involved . J b d
Lighting Fixtures First
by the. permit is for one hundred dollars ($I00) org less.) � i
Additional ADDRESS =
Total No.
I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP - CITY Tel No.
permit is issued. I shall not employ any person in any manner PERMITy��ti /- lL
so as to become subject to the Workers' mpensation Laws. Range_ Heater_D.W. APPLICANT' �/]/ /A.S YJ d
Q / N
Oven _ Dryer_W.M. - ADDRE6Si'7� ' !t_ ( N� 7 Z
Too` — Fan —Other �✓IZ/L.L 2-Sr5 O�v)
Uate��Applica Hood — Fan LOther_ CITY yP�) �y Tel No.'
NOTICE TO APPLICA . f, ter making this Certificate of Disp. — Room Air Cond.— S LICENSE OR (/
Exemption, you should bee me subject to the Workers' REG. NUMBER 17V(ip Class
"Compensation provisions of the'Labor Code, you must forth- Power Apparatus& Large Appliances - DISTRICT NO. P SED BV
with comply with such provisions or this permit' shall be 1
Size&Type HP,KW, KVA,or KVAR otr /�
deemed revoked. 15r
Up to 1 Incl. FINAL
Over 1 to 10 Incl. I DATE '7
LICENSED CONTRACTORS DECLARATION - 7�z/iZJ VALIDATION
Over 10 to 50 Incl.
I hereby affirm that I am licensed order provisions of Chapter Over 50 to 100 Inc. FINAL -
9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 a BY
ness and Professions.Code, and my license is in full force and -
effect. - Services
t-1
License Nu mber3 t ' 0��Lic.Class 0-200 Amp. Under 600 V
201-1000'Amp. Under 600 V
Contractor (A Date Over 1000 Amp.or Over 600 V ,
HOME OWNER-BUILDER DECLARATION Temp. Power Pole & Appurtenances -
I hereby affirm that I am exempt from the Contractor's '.Sign with One Branch Circuit -
License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits
ness and Professions Code):
Misc.Conduits&Conductors _
L as owner of the property, will do the work and the Other ISee Complete Fee Schadu le)— 9 5 2 2 7 A
structure is not intended or offered for sale (Section
7044. Business and Professions Code). _ # . . . . o 2
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency _ 2 a 03 800
for the performance of the work for which this permit is PERMIT FEE (Sub-Total)
issued(Sec. 3097,Civ.C.)I O 0
Lender's Name s PLAN CHECKING FEE (One-Fourth Permit Fee) '
Lender's Addre - - '0 5' 1 2-81
z PERMIT ISSUING FEE.
I 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 State laws regulating Electrical wiring, and ,
hereby say,o z representatives of this County to enter upon
[he jv
.in ne property for inspection purposes. ,
SEE'REVERSE FOR EXPLANATORY LANGUAGE
gnature of Permittee Date