HomeMy Public PortalAbout10616 LIVE OAK AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
f- ;r DEPARTMENT OF COUNTY ENGINEER
DMSION OF BUILDING,&•SAFETY ,
WILLIAM J. FOX, COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN , 141 7 7 / 8S
ADDRESS REC V���Y READY FOR DATE ISSUED
/�� FIRST INSPECTION
CITY TEL. NO C
COUNTY LICENSE NO. EXPIRES BUILDINSSG
PERMIT FEES ADDRE
� R
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS
2 NEAREST
RECEPTACLES ST -
WALL SWITCHES 4C
' OWNER
TOTAL OUTLETS 5c MAIL
ELEC. RANGES 25 ADDRESS
ELEC HEATERS 25
FIXTURES - S
CITY "'�7✓IL TEL. NG.-,�/ _� v O
MISC. I 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
NUMBER OF RECEPTACLE CIRCUIT AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS-THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
New MvD. HP OVER INC. EACH OF THE RESIDENTI PROPERTY DESCRI�BEESDABOV�
t/ 8 LEBH $ 25 s-
SIGNATURE OF
t/x 2 .50 PERMITT
2 . 5 1.00 SPECTION RECORD
•5 15 1.SO ,
15 50 2.50
50 200 5.00
200 Soo , 10.00 .J
500 1 1000, 15.00 Q
z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA O
GENERATORS -KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO NO. TRANS. APPROK
NO. NO. LAMPS _ -
FOR EACH PERMIT: DATE(/ INSPECTOR'S NAME
WIRING $1,00 CONDUIT
FIXTURES $1.00 oobWIRING
SUPPLEMENTARY BO FIXTURES-
POWER
TOTAL FEE S Z UTILITY CO NOTIFIED
FINAL eeZ— e/
76A 603 D91S# 5A. 4-62 '
DBS s-A is-aa MPUCATION FOR PS.IilvaalL
IDEPARTIi'IENT OF BUILDING AND SAFETY , ��������
COUNTY OF LOS ANGELES i
WM. J. FOX CHIEF ENGINEER
a NAME DISTRICT NO. GROUP I ZONE PERMIT NO.
ADDRESS
e ��71/.�' REC IVSD BY READY FOR DATE ISSUED
f"
J CITY .0 i !/ TE'L NO. FIRST INSPECTIONCOUNTY
W CERT.NO. v EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK ADDRESS 3
pp/
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS JSW. PLUGS FIXT CROSS ST.
CIRCUIT A B C D E F G IH
Z MAIL `
2! 3 ADDRESS
O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ES
ANGELCOUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
AI AM
BO 6 THE LEGAL OWNER OF THE PROPERTY DESCRIBED
I�.Y OWNER.
CORRECHONS
G-1 3 AA
6
'29 s�iEfiL� tt4-e, < �-
G��E-r /
J
Q
Z_
O
TOTAL
NO. OF OUTLE $ Xn APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ ry�-Jt' IUTILITYCO.NOTIFIED rf3r ^r
TOTAL FEE �� x V FINAL 7- ! 7 - � -.��.
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER
DIVISION OF BUIIMING IS SAFETY
WHIJAM J. FOB, COUNTY ENGINEER
FOR APPLIC,A►NT.TO, FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
ADDRESS RECfi ED BY READY FOR DATE SSU D
FIRST INSPECTION
CITY TEL NO. WOW _
COUNTY LICENSE NO. EXPIRES BUILDING
PERMIT ��+ ADDRESS, / � �-
i"�+[-u7 NUMBER EACH FEE _ iy'_ iy
LOCALITY � �/Vt~6+�-�
LIGHT OUTLETS
NEAREST
RECEPTACLES CROSSaT. r•, //'
WALL SWITCHES
R
TOTAL OUTLETS 44 5c OWNE
MAIL L Rl�i`11-1,1,1'a r IF
ELEC. RANGES 25 ADDRESSC'
ELEC. HEATERS 25 ,,;,�
FIXTURES 5 ' ® CITY .-TL�i,�- ' "�'�'e 1--f TEL. N0. 4910 0
MISC. I 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
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 I AM THE LEGAL OWNER
New MVD. HP OVeR I INC. eACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
'/z 9 IF99 $ 25
SIGNATURE OF
I/2 2 .50 PERMITT
2 '- _5 1.00
5 15 1.5500 SPECTION RECORD
15 50 2.50
SO 200 5.00
200 soo 10.00 J
500 1000 15.00 a
Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA - O
GENERATORS-KW '
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS.
NO. NO. LAMPS ,G./ APPROVALS
n
DAVE INSPECTOR'S NAME
FOR EACH PERMIT: _
WIRING $1.00 0 CONDUIT ,
FIXTURES $1.00 / Q Q WIRING
SUPPLEMENTARY 50 FIXTURES
g
POWER
TOTAL FEE $ UTILITY CO. NOTIFIED77
_^ I FINAL 7j
76A 063 DBS# DA. 4-82
I WORKERS'COMPENSATIONDECLARATION CE-806 QPPLICAT�®N FOR ELECTRICAL PERMIT
1• � - CE-806G (2-801 ', U `a� U V ,
1
1 I hereby affirm that I have a certificate of consent-to self COUNTY-OF 'L'OS ANGELES BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation Insurance,or
a certified copy thereof(Sec 3800,Lab C.) ;
t ! FOR APPLICANT TO FILL IN /
j•Policy No• - Company r ,(f,,� ' f
New Residential Bldgs &Pools EACH NO. FEEADDRESS �i'[y i� O `
E] Certified copy is hrebyfurnished1 &2-FamilY.S9Ft $ $ LOCALITY
C;
Multi-family Scl Ft — NEAREST ,
® Certified copy is filed with the"county building inspection CROSS ST r;,f'J�rr
department Residential Swimming'Pools OWNER OR )p
f FIRM NAME fSfN
I Date Applicant Outlets Rec_Light_Sw ADDRESS O
? - First 20
Cy;CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional. CITY Tel No W
COMPENSATION INSURANCE PLAN CHECK -J
;(This_section need not be completed if the work'involved APPLICANT
by the permit ts'for one hundred dollars ($100) or less.) Lighting Fixtures First 20 _ ADDRESS �
Total No Additional Q
'I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No IM
permit is issued, I shall not employ any person in any manner PERMIT Fr ,r 0
so as'to become subject to the Workers' Compensation Laws Range_Heater—D.W. _ APPLICANT
Oven Dryer—W.M- ADDRESS' W
f ,.Date_Applicant Top FAU _,W H r
`• Hood Fan —Other CITY'�`•y�7 2 „r„ ;r -
4 ; /Tel No 0 `�
NOTICE"T,O'APPLICANT If, after making this Certificate of Disp _ Room Air Cond LICENSE OR
Exemption, ,you should become-.subject 'to the Workers' REG NUMBER , Q,/�" Class
Compensation provisions of the Labor•Code, you must forth- Power Apparatus& Large Appliances, DISTRICT NO PROCESSED BY
e with comply wjth such -provisions or this permit shall be
%t'deemed revoked. Size&Type HP, KW, KVA,or KVAR•
Up to 1 Incl
i' Over 1 to 10 Incl FINADATE `
-LICENSED CONTRACTORS DECLARATIONVALIDATION
Over 10 to 50'1 ncl - -
I hereby affirm,that I am licensed under pfovisions of Chapter Over 50 to 100 Inc FINAL _
9 (commericg with Section 7000) of Division 3 oBY
f the Busy- .-Over 100
ness and Professions Code, and my license is in full force and
effect Services a, \
200 mp,Under 600 V
-r ,
• License Number Lac Class t� -
0 � 000 Amp. Under 600 V
Contractor Date Over 1000 Amp.or Over 600 V
HOME OWNER-BUILDER DECLARATION Temp Power,Pole& Appurtenances
Sign with One Branch Circuit
I hereby affirm thatI am exempt-from the Contractor's I 7
Additional Sig1`s
n Branch Circuits ly.y,j A
License Law for the following reason (Section 7031.5, Busi- - , ,, �7 •
ness and Professions Code)
s Misc Conduits,&Conductors
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
7044, Business and Professions Code)
CONST RUCT[ON•LENDING AGENCY ( 1 .,i.•� •�-.���!i^'1• .
I hereby affirm that there 'is a construction lending-agency . t fp•
for the performance of the work for which this permit ,is PERMIT FEE (Sub-Total) C'`,f.,
4'~ r'
issued(Sec 3097,Civ C)
Lenders Name PLAN CHECKING FEE (One-'Fourth Permit Fee)
Lender's Address PERMITISSUING'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 and State laws regulating Electrical wiring, and
hereby thorize representatives of this County to enter upon
theaov�mentio ed proper for inspection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE e
tl r E ;L.✓ i
_Signafure of•Pe'rmrttee Date
1