HomeMy Public PortalAbout10108 LIVE OAK AVE_Electrical__ 76AS63 D89 SA'3-SO APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY � �
COUNTY OF LOS ANGELES I
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT NS GROUP ZONE PERMIT NO.
F RIAPPLICAfyT TO FILL IN �7��
•�I ELECTRICIA 1 ' 11��4,. RECEIVED BY READY FOR DATE ISSUED
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ADDRESS d �—L 6 FIRST INSPECTION
L /
CITY TEL NO. �+
COUNTY LICENSE NO. 46 nlY EXPIRES `7 BUILDING
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PERMIT FEES ADDRESS Q U
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS /� NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES �o OWNER
TOTAL OUTLETS L'yL ScAAND
MAIL
ELEC. RANGES 25ADDRESS
ELEC. HEATERS 25CITY TEL NO.
FIXTURES 51 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 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 RESIDENTIAL PROPERTY DESCRIBED ABOVE.
(AI/2 & LESS .25 SIGNATURE OF
I/2 2 .50 PERMITTEE
2 s 1.00 INSPECTION RECORD
s 15 1.50
15 SO 2.50
s0 200 s.OD
200 600 10.00 J
500 1 1000 15.00 Z
OVER 1000 20.00
M.O. BET/FREQ. CHANGER-HP Q'
WELDERS:AC-KVA
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% DF D"ala.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INBPECTOR'S NAME.
WIRING $1.00 Q CONDUIT
FIXTURES $1.00 Q WIRING
•v
SUPPLEMENTARY .50 FIXTURES
POWER
/
TOTAL FEE ! /s UTILITY CO.NOTIFIED I
FINAL
76A863C- CE806B12,75 QppUMM FOR UNREAL -PERM
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN `
New Residential Bldgs.& Pools EACH NO. FEE DDR
ESS
1 &2 Finaily Sq. Ft. $ — $ LOCALITY
Multi-family Sq. Ft. — NEAREST
L jv
Residential Swimming Pools CROSS ST.-OWNER OR
FIRM NAME
Outlets: Light,Switch& ReceptacleMAI L
First 20 Q `L ADDRESS p
Additional CITY Tel. No.
PLAN CHECK ti -
Lighting Fixtures
First 20 0 ADDRESS-r' - =
Additional
_ CITY Tel. No.•.
PERMIT s \�
Fixed Appliances Not Over 1 HP APPLICANT ie G
Range Heater_ D.W. ADDRESS.35/ 6
Ave-
Oven Dryer W.M. p Q
Top FAU VV.H. CITY W//.+ Tel. No.
Hood Fan LICENSE OR y /p
Disp. A.C. a Q REG. NUMBER — Class. v�, V
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND
STATE THAT THE ABOVE ICORRECT AND AGREE TO COMPLY
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES- AND STATE LAWS REGULATING O
S
Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. V
W
Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR TH 1 AM THE LOR TH I AM THE L AL�IER OF THE ABOVE
THE ABOVE
Over 10 to 50 Incl. DESCRIBED RESIDE ALESIDE AL P��RT��
Over 50 to 100 Incl. PERMITIE
Over 100 - SIGNATIL,
DISTRICT NO. PROCE ED B
Services
0-200 Amp Under 600 V C�
201.- 1000 Amp. Under 600 V APPROVALS DATE INSPECTOR'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 7 �.
(Other) WIRING 17/ 7 -/1
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.0. CASH PERMIT VALIDATION M O. CASH
47 4c--AUG 26 2 0 1 3.7 0 A