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HomeMy Public PortalAbout10146 LIVE OAK AVE_Electrical__ / 7SA663 CBS SA 3-513 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES -�� I i I I WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICy4NT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. I E7 ELECTRICIANCC / V i 6 ADDRESS �4'V O (u.Q tv�' RECEIVED BY FIRSREADY INSPECTION DATE IMBUED CITY TEL NO. COUNTY LICENSE NO. 1406 EXPIRES BUILDING PERMIT FEES ADDRESS - NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST U / RECEPTACLES CROSS ST. , WALL SWITCHES -1 OWNER TOTAL OUTLETS 5c Oti, Q MAIL y ELEC. RANGES 85 ADDRESS ELEC. HEATERS 25 a CITY TEL. NO. FIXTURES /,417— 5 9 da` 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS, CORRECT NUMBER OF LIGHT CIRCUITS ar 10AND AGREE TO COMPLY WITH ALL COUNTY ORDIMANCE13 NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THEABOVE VALID LOS NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR I A114THE LEGAL OWNER NEW MvD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESS�CRIIBEDfrr ABOVE. %2 6 LESS $ .25 .5 SIGNATURE OF V2 2 .50 PERMITTEE. 2 s 1.00 LINSPECTION RECORD s is l.sD is SO 2.50 50 200 5.00 200 SOO 10.00 J 500 1000 15.00 Z OVER 1000 20.00 p M.G. SET/FREQ. CHANGER-HP WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% Or ORIG.) i MOVED MOTORS (75% of ORIG.) MISC: SIGNS NO. N O.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES $1.00 © n WIRING v SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE --UTILITY CO.NOTIFIED FINAL 76A663-;EBD6�:vp APPUCATI®N FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER B UILDING BUILQr;NG AND SAFETY DIVISION DDREss 0//JOHN A. LAMBIE, COUNTY ENGINEERCOLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGCALITY C NEAREST FOR APPLICANT TO FILL IN CROSS ST NO EACH FEE RECEPT $ $ OWNER MAIL ,,II�� LIGHT TO AL FIRST 20 '20 ADDRES C1 4/4 C .� SWITCH_ OVER 20 10 CI Y L. N ` LIGHTING �TOTAL FIRST 20 20 C{ONTRACTO FIXTURES OVER 20 10 AfDD ES ��JJ RANGE ''DRYER— TR HTR.— T ` NO /b STA COOK_DISP F.A U LICENSE N SPACE HTR AIR COND I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH DISHWAS WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING FAN OTHER 1 OO 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM-THE LEGAL OWN R OF, AND INTEND TO IND HEATERS, ETC HP KW KVA RESIDE IN, THE A DE ED R IDE TIAL PROPERTY SIZE & TYPE OVER TO I IGNATURE0 - 1 1 00 F PERMITTEE _ O 1 - 10 3 00 DIST ICT N gR/!Q_bP ZO E P E V 10 - 50 5 00 C 50 - 100 10 00 NOTES: Z G W 100 - 500 15 00 N TUBE,A SIGN AND ONE CIRCUIT 3 00 MARQUEE ADDITIONAL CIRCUITS 1 00 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 V SERVICE OVER-600 VOLTS OR 200 AMP 5 00 TEMP SERVICE, POLE, &APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING S �yf 4J ISSUING FEE 2 00 0 i FIXTURES SUPPLEMENTARY ISSUING FEE 1 00 POWER AUTHORIZED PERMIT FEE UTILITY CO NOTIFIED PLAN CHECK FEE (50% PERMIT FEE) FINAL TOTAL FEE J EPA C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION � M o CASH 17 ,yrs 5 .2 0 8.2 0� 3EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE, WOR-KERS'COMPENSATIONDECLARATION ',CE -806 /�( PHICATIO "J FOR ELECTRICAL. PERMIT ' '�CE$06G (2-80) li�uu 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'Co ensativn Insuran Vie,or , _ f,-7 VIM d c py.theree>of Sec 3800 a 7 �/ /1FOR APPLICANT TO FILLIN 30g o Se ny New Residential Bldgs &Pools EACH NO FEE ADDRESS 10146 Live Oak �7 Certified copy is hereby furnished, p� Y 1 &2 Family,Sq Ft ' $ — $ LOCALITY Temp 1 e 1 t Certified co •✓ Multifamily Sq Ft NEAREST copy is Bled with the unty building inspection CROSS ST ` depa tmen . Residential Swimming Pools OWNER OR /�i'�� FIRM NAME arl Haro Date—L1�S��pplicant tlets 'Rec-_Light Sw MAIL First 20 ADDRESS 10146 Live Oak CERTIFICATE OF EXE TION FROM WORKERS' Total No- Additional CITY Temple City Tel No 447-3851 a COMPENSATION INSURANCE PLAN CHECK Q (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 ADDRESScc Total No Additional O I certify that in the performance'of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No U permit is issued, I shall not employ any person in any manner PERMIT W so as to become subject to the Workers' Compensation Laws Range_ Heater DW APPLICANT - a Oven-_ DryerTwMADDRESS 315 S. San Gabriel B1 Z Date Applicant Top., . FAU _W Hood Fan _o CITY an Gabriel Tel No 287-0477 NOTICE TO APPLICANT If, after making this Certificate of Disp. _ Room Air Cond. LICENSE OR C-1 Exemption, you should become subject to the Workers' REG NUMBER- Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO +� PRO ESS BY with comply with such provisions or this permit shall be deemed revoked Size&Type HP,KW, KVA,or KVARj ` V ? Up to 1 Incl FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl DATE S �O ��7 VALIDATIO Over 10 to 50 Incl C� I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINAL ✓6 9 (commencing withSection 7000) of Division 3 of'the Busi- Over 100 BY, V"T•�+C.J ness and Professions Code,_,and my license ism full force and a effect Services —7 License Nu r 251206 Lie Class C-10 0-200 Amp. Under 600 V .� /e(-:,A � j�� 201-1.000'Amp Under 600 V Contract r l?`�te - Over 1000 Amp or Over 600 V r' z?,2b7 4'A HOME OWNER-BUILDER'DECLARATI N Temp Power Pole&Appurtenances _ # °.°-°-° °'2 , Sign with One Branch Circuit I hereby affirm that I 'am exempt from the Contractor's Additional Sign Branch Circuits Q e o 2 0,5 0 License Law for the following reason (Section 7031.5, Busi- _ , ness'and Professions Code) i Misc Conduits&Conductors °b° ° 2 0.5 0'05 I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)—' structure is not intended or offered for sale (Section 0 11 9`—8.2 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which, this permit is PERMIT FEE (Sub-Total) issued(Sec 3097,Civ C)- Lender's Name l PLAN,CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE r J certify that I have read this application and state that the I TOTAL FEE O 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 abov ntioned property for inspection poses ` SEE REVERSE FOR EXPLANATORY LANGUAGE • S gnature Permittee Date/ ( `