HomeMy Public PortalAbout10114 LIVE OAK AVE_Electrical__ 76A863-CEB08 4-65 O""du A WN Il ® E ECTPUCA
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ® f m
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN.W. JENKINS. SUPT. OF BUILDING LOCALITY ' J
NEAREST r
FOR APPLICANT TO FILL IN CROSS ST.
R EC EPTACLE1 TOTAL No. EACH FEE
J��1
I OUTLETS $ $ •OWNER
LIGHT J} FIRST 20 •20 MAIL rI
SWITCH ADD'L 10 ADDRESS
OVER 20
TOTAL FI RST 20 .20 CITY TEL. NO.
LIGHTING 1 FIXTURES
FIXTURES I ADD'L CONTRACTOR ,
OVER 20 •10 /y
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS QLs
GARB.DI SP. STA.COOK
CITY TEL. NO.
19 DI SHWASH. AUTO.-WASH. STATE
SPACE HTRS. BTA.APP.(+/i H.P.MAX.) .50 LICENSE NO. r�--
MOTORS: OVER NOT OVER H.P. DIST/RIC O. GROUP ZO E PR�CESSED BY
O 1 1.00 .aS �' /
C
1 3 1.50 ��� y.
INSPECTION RECOR
� 3 8 2.00
i
i
8 15 2.50 }
15 50 3.00
+ V
i s0 100 5.00
SIGNS: NO.TRANS " O
!q NO.LAMPS
CL
h, SERVICE 0.600V-NOT OVER 200A 1.00
r'. SERVICE 0.60OV-OVER 200 A. 2.00 ?
SERVICE OVER 600V 5.00
Y OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 -
TOTAL FEE $ APPROVALS DATE INSPECTOR'S SIGNATURE
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
Q LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO ` POWER
RESIDE IN,THE ABOVE ESCRIBE ES EN�PROPERTY
,jam
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE -
FINAL I I—IA r
LIDATION JOSEPH C. R01711-TA141
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
Utt 00 2.6 1-0 ;nuc 2.3 2 D>, 4.5- 0-
76A663 DBS 6A 3-60 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY 3 2
COUNTY OF LOS ANGELES
"ELECTRIC I
WILLIAM J. FOX, CHIEF ENGINEER
d FORAPPLICANT TO FILL IN DISTRICT NO. GROUPI. ZONE PERMIT NO.
ELECTRICIA'N.J _r //9
{ RECEIVED BY READY FORE ISSUED
ADDRESS / / �FJ � - 1 FIRST INSPECTION, 7 `S
CITY rr -TEL NO.
COUNTY LICENSE NO. 16QS3 EXPIRES ADD EINO
SS/40
PERMIT FEES
FEE
NUMBER EACH LOCALITY/1�.�L/L/�/�. /
LIGHT OUTLETS - NEAREST v
CROSS ST.
RECEPTACLES f/(/]
WALL SWITCHES OWNER l' +
TOTAL OUTLETS Sc >8 MAIL V
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 6 —10
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 I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE
ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL WNER
NEW MvD. HP ovER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBE�(DABOVE.
O
I %s a LESS 18 .25 ? 'all NATURE OF C/ I dr
I/2 2 .50 PERMITTED
-5 s 1.00 PNSPECTION RECORD
s 1s 1.50
is so 2.50
50 200 5.00
2043 Soo 10.00 J
Soo 1000 15.00 Z
OVER 1000 1 20.00 (�J
M.G. BEY/FREQ. CHANGER-HP -
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF DRIG.)
MOVED MOTORS (75% OF DRIG.) -
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS _
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING 181.430 Q CONDUIT 6�
FIXTURES $1.00 �' ?6 Q WIRING
r
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE >a� UTILITY CO.NOTIFIED r
FINAL 72--
WORKER'S COMPENSATION DECLARATION 76A663 DPW(12-91) ��r���A��B®� ®� ���w���w�� ������
76A663 �}j' C C IC
I hereby atfi�,m that,l have a certificate of consent to self insure, -
or'e 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:.0)
Policy No. Company FOR APPLICANT,TO FILL IN
ADDRESS / L
Certified copy Is hereby furnishedNew Residential Bldgs.&Pools
1 &2-Family;Sq.FtNO. EACH FEE
❑ _ $ $ LOCALITY
Certified copy is filed with the county building Inspection .
d9 artment Multi-family S Ft. NEAREST '
P _ Y q• CROSS ST
3 Residential Swimming Pools ASSESSOR q�� ^�
Date Applicant ' PAGEv PARCEL
00
_ MAP BOOK
CERTIFICATE OF EXEMPTION FROM WORKERS' L OWNER OR �/A/,t )
COMPENSATION INSURANCE Outlets.Rec _Light-Sw U� FIPM NAME' rfT,v,V
First 20 O($1 MAIL
(This section need not be complethe work Involved by the �(� L y
• permit is for'one hundred dollars($1000 Total No Additional ADDRESS /V �eQ)or less.) •
I certify that-ir the performance'of the work for which this permit _ CITY yin Tel No a/
/ Is issued, I shall not employ any person In any manner so as to
become subject to,the Workers' Compensation Laws Lighting Fixtures First 20 a PLICANTLAN K
\�J�� Total No Additional ADDRESS -
Date �! Applicant dC� 4` RESIDENTIAL APPLIANCES NOT OVER 3 HP
NOTI -TO APPLICANT. If, after making this b>dtificate of CITY Tel No
Exemption,you should become subject to the Workers'Compensation OTHER_ APPLIANCES NOT OVER 3 HP
provisions of the Labor Code, you must forthwith comply with Such PERMIT
provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT
LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS
I hereby affirm that I am'licensed under provisions of Chapter 9 Over 3 to 10 Incl
(commencing with Section 7000) of,Division 3 of the Business and CITY Tel No
Professions Code,and my license is in full force and effect Over 10 to 50 Incl.
SE OR
Over 50 to 100 Incl. REG NNUMBER Class a
License Number LIC.Class Over 100 DISTRICT NO PROCESSED BY O
Services,Swbd,MCC&Panelboards ✓��d cc
Contractor Date 0-399 Amp Under 600 V FINAL / 0
FT I am exempt under Sec
400-1000 Amp Under.600 V / VALIDATION H
Over 1000 Amp.or Over 600 V FINAL fffUUU W
B.&P.C.for this reasonBRANCH CIRCUIT FEES BY
Date: 15A,or 20A, 120V,Lighting or Recept Z
1 To 10 Branch Circuits
Signature
11 To 40 Branch Circuits
.J
❑ 41 Or More Branch Circuits _�
Exemption for Reg Maint Elect 15A,20A,208V To 277V Lighting Br.Circuits 2
SINGLE FAMILY a
Temp.Power Pole&Appurtenances �'('.
HOME OWNER-BUILDER DECLARATION ACCT
Circuit with One Branch C
Sign wiiui
I hereby affirm that I am exempt from the Contractor's License Law Sig �3r07 34.f5
for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits
Code). 1TEh8
1, as owner of the property,will do the mork and the structure Misc.Conduits&Conductors h 5
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) TOTAL I
�'
and Professions Code). D CHECK t a'te5
CONSTRUCTION LENDING AGENCY CHANGE-
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is Issued (Sec. 3097, PERMIT FEE (Sub-Total)
Civ. C.)
PLAN CHECKING FEE 01300 J1 q/1 /93
Lender's Name
PERMIT ISSUING FEE '�� 3 1 7*-02
_ 1�•`� A t
Lender's Address TOTAL FEE
I certify that I have read this application and under penalty of purjury 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
foe//( ion purpo s SEE REVERSE FOR EXPLANATORY LANGUAGE-
30c
SIG AT E OF PER 1 ATE