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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