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HomeMy Public PortalAbout9684 LIVE OAK AVE_Electrical__ 76A668-CE8067.58 APP IICAT1 ON FOR ELE TRO 1}�rERMRT COUNTY OF LOS ANGELES �l ll OV LL'll'c�111�50 Il LLVL DEPARTMENT OF,COUNTY ENGINEER °r BUILDING a BUILDING AND SAFETY DIVISION ADDRESS v JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY .na:,i...`uc. ,r F,4 i<�' s- , ^w•..C�'n:to Ps.,E-� � .m x'„y - . P. FOR APPLICANT TO FILL IN NEAREST PEMM FEES CROSS ST. -- 1 T E M NUMBERI EACH FEE OWNER. A .A MAIL$ 0 $OUTLERECEPT. SW. ADDRESS , LIGHTS LIGHTING FIXTURES .10 cv CITY TEL. NO. ELEC. RANGES CLO. DRYERS ELECTRICIAN WATER H EATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS - �” CITY a TEL. NO. G RBAGE DISPOSER L1 /� UTO.- r• 7 / �5' STATEWASHERS STA. CO KING UNITS .2S LICENSE NO. eep MOTORS: OVER INC. H.P. DISTRICT NO. GF�UP ONE P OCES BY 0— 1/2 .25 / %I 1/2— 2 so INSPECTION RECORD 2— 5 1.00 5— 15 1.50 15— 50 2.50 tl 50—200 5.00 NO. TRANS. SIGNS: NO. LAMPS PJFP� Q 1 SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 + MISC. .WIRING PERMIT 1.00 Q ' FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT 4 .50- TOTAL FEE . $ APPROVALS I-HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE. IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. WIRING "J 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES / CALIFORNIA OR THAT I AM THE LEGAL r17F THE ABOVE POWER DESCRIBED RESIDENTIAL PE SIGNATURE UTILITY CO.NOTIFIED OF PERMITT FINAL 7 VALIDATION AR U R C. V EIT, CK MO CASH SUPERVISING ELECTRICAL ENGINEER _ x;0'2 g !s'o�n JAN 27 2 °7.0''5 K vz cer�4_ '6A663-CE806 5-62 APIPUCAYMN moR ilECTO, CAL "M ff COUNTY OF LOS ANGELES, DEPARTMENT OF COUNTY ENGINEER BUILDING / BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER _ s WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY P FOR.APPLICANT TO FILL IN CROSS ST. ` > RECEPT, TOTAL NO. EACH FEE .. lj�- y.- OUTLETS FIRST 20 $.20 $ OWNER' r `/ r. LIGHT. MAIL v - s AOD'L ADDRESS SWITCH. / OVER 20• 10 LLL--- LIGHTINGrTOTAL CITY TEL. NO. F]Rsr 20 .20FIXTURES ADD'L1O ELECTRICIAN1��.. [ OV R 20 b- RANGES - CLO.DRYERS WTR.HTRS. .1.00 ADDRESS - ' '. GARB.DISP. STA.COOK - - _ CITY TEL.NO. DISHWASH. AUTO.-WASH. .STATE /'/ '. SPACE HTRS. STA.APP.(+/a H.P.MAX.) ,50 LICENSE NO. /(7 Z,- - MOTORS: OVER NOT OVER H.P. DISTRI• T NGROUP E P ESSED BY O 1 1.00 1 3 1.50 INSPECTION RECORD 1 3 8 2.00 8 15 2,50 a O 15 50 3.00 l.7 50 .100 5.00 SIGNS:. NO.TRANS. - O - NO.LAMPS - bul D_ SERVICE 0.60OV-NOT OVER 200A - 1.00 SERVICE 0-60OV-OVER 200 A. 2:00 SERVICE OVER 600V 5.00' - MISC. I, PERMIT ISSUING FEE 2.00 SUPPLEMENTAgY.PERM IT-1 ING FEE 1.00 s� o d• 6 0 1 HEREBY ACKNOWLEDGE HAT 1 HAVE READ iF*W APPLICATION APPROVALS- - DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABO)FE IS CORRECT AND AGREE TO COMPLY CONDUIT p J, ,p'/ A - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING , ELECTRICAL WIRING. WIRING Cx-i w. a o!�5;:. "..'ifs✓/'`�"::.. 1 HEREBY CERTIFY THAT I. AM PROPERLY REGISTERED AND/OR - LICENSED AS REQUIRED BY LOS ANGELES.COUNTY AND STATE OF FIXTURES /AAA v CALIFORNIA OR THAT 1 THE LEGA WNER OF THE ABOVE ../ r Q+ v - DESCRIBED RESID OPERT - POWER' - SIGNATURE- ✓- UTILITY CO.NOTIFIED OF PERMITTEE v of/aA 9 r FINAL VALIDATION ARTHUR C. VEIT" r y I SUPERVISING ELECTRICAL ENGINEER CK MO CASH . A005 GOT 15 2. D 5.60 WORKERS' COMPENSATION DECLARATION CE-806 10i81 APPn ��aA�j ON FOR En ECTMI A PERNT I hereby affirm that have a certificate of consent to self insure, CE-806G L� lSo II ��I� LL �y t!v I� II@711 or.a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS.ANGELES `BUILDING AND SAFETY . copy thereof(Sec.3800,Lab.C.) Policy No. •Company '-' FOR APPLICANT TO FILL IN JOB - qt Irles ❑ -certified co is hereby furnished EACH. NO. FEE ADDRESS PY,• Y.• New Residential Bldgs.& Pools ❑ LOCALITYftA10 (I Certified copy is 'filed with the county, building inspection 1 &'2-Family,Sq.Ft. $ — $ t departments, Multi-family Sq.Ft. — NEAREST CROSS ST. Date Applicant Residential Swimming Pools OWNER oR • _- //, _ FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' ° 1/7 r MAIL Outlets:Rec Light Sw. � COMPENSATION INSURANCE as ADDRESS (This section need not be completed if the work involved by the First 20. permit is for one hundred dollars ($100)or less.) Total No. Additional / CIT ��. Tel.Noqlg 2g - I certify,that in the performance of the work for which•this permit PLAN CHECK y ,is issued, I shall not em 0 an APPLICANT:, p y-person in any.manner,so as to 22 become subject'to.the Workers'Compensation Laws., Lighting Fixtures-y/ First 20 tJ ADDRESS Total No._1— Additional CITY Tel No. Date Applicant Fixed Appliances Not Over 1 HP 'NOTICE• TO APPLICANT If, after making this Certificate of PERMIT. . Exemption,you should become•subject.to the Workers'Compensation Range_ Heater D.W. APPLICANT . provisions,of the Labor Code, you.must forthwith comply.•with such Oven Dryer A_ W.M._ ADDRESS provisions,o.this permit shall be deemed revoked.' _ Top FAU,. W.H. + "LICENSED CONTRACTORS DECLARATION Hood — Fan CITY Tel.No. Other_. y��" I hereby affirm.that I am''licensed under provisions of Chapter 9 /dLICENSE OR Disp. — Room Air Cond. Class. m (comencing with Section 7000) of Division 3;of the Business and REG.NUMBER _ Professions Code,.and my license is in full force and-effect. - DISTRICT NO., -- PRWED ED BY Power Apparatus& Large Appliances Size&.Type HP,KW,KVA,ar KVAR 0 License Number Lic.,Class Up to 1 Incl. "; FINAL U. Over 1•,to 10 Incl. - DATE TE ',Contractor Date L VALIDATION 0 ElOver 10 to 50 Incl. FINAL V 1 am exempt,under Sec'' Over 50 to 100 Inc. BY. W BAP.C.for this reason Over 100 ' Services, Swbd.,MCC& Panelboards Date: 0-200 Amp.Under 600 V Signature 201 ='1000 Amp.Under 600 V. El " Over 1000 Amp.or Over•600 V Exemption for Reg,Maint.Elect. ' SINGLE FAMILY Temp.Power Pole& Appurtenances r' HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 3 r I hereby affirm that I am exempt from the Contractor's License Law `i`q for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits. Code): ❑ Misc..Conduits& Conductors j ,1;. I;as owner of the property,will do the work and the structure .} �EMS :� is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ and Professions Code). 111 Ei . a' �. obi IZ CONSTRUCTION LENDING AGENCY _,� _:'. ;_'__ ,i 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) vliAii+ .00 Civ. C.). PLAN CHECKING FEE _ Lender's Name PERMIT ISSUING FEE a Lender's AddressA Its. i I certify.that I h e read this appli ation and state that the above TOTAL FEE �� inforc re c ply with all County ordinances an State laws ectei I wiring, and hereby authorize re resentatives of County.to nter upon th above-mentioned pr erty fo i purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Si6jature 0f Permitt Date WOIm-.th COMPENSATION DECLARATION 76A663 DPW 3 87 APPHICQT�ON FOR ELEC�TMAL PERN7 I Fi��eby.affirm that have a certificate,of consent. to self CE 06G O insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN SOB J' '� F]Certifiedcopy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS 14 lri 0. ❑Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ — $ LOCALITY tion department. Multi-family Sq. Ft. — EAREST S+ Residential Swimming Pools ROSS ST. Date Applicant OWNER OR FIRM NAME 4- Q� d CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ WAIL a COMPENSATION INSURANCE ADDRESS J 0. Ave- (This V ( completed if the work involved b This section need not be com First 20 Y i Total No. Additional , `– Tel. No. _ the permit is for one hundred dollars ($100)or less.) CITY PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit 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 ADDRESS Additional Date Applicant Total No. CITY Tel. No. NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become' subject to the Workers' Range— Heater—D.W. — APPLICATION / Compensation provisions of the Labor Code, you must forth- Oven •— Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked: CITY Tel. No. LICENSED CONTRACTORS DECLARATION Hood Fan —On . — Disp. Room Air Cond. _ LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER Class. (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PRO SED BY and Professions Code,and my license is in full force and effect. JI t1 Size &Type HP, KW, KVA, or KVAR �O Z.G�► Q License Number' Lic. Class Up to 1 Incl. FINAL C) �— Over 1 to 10 Incl. Cr DATE � VALIDATION Contractor Date" Over 10 to 50 Incl. C ~ FINAL FlI am exempt under.Sec. Over 50 to 100 Inc. BY , (� O 100 LLI Over B.BP.C. for this reason n- Date: Services, Swbd., MCC& Ponelboards j U Z 200 mp. Under 600 V — Signature 201 - 1000 Amp. Under 600 V El Exemption 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. , SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Temp. Power Pole 8 Appurtenances Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's license Sig �tV :y n� Law for the following'reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): ® I, as owner of.the property, will do the work and the Misc..Conduits.8 Conductors rry,_ Other See Complete Fee Schedule f 1 `"`t-" structure is not intended or offered for sale(Section 7044, ( P )— .Business and Professions Code). D l HL s ; 00 CONSTRUCTION LENDING AGENCY `41 111-1 I hereby affirm that there is a construction lending agency for _ the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) '•_• �f13`l�w ='j ; (Sec. 3097, Civ. C.). 00 PLAN CHECKING FEE Lender's Name /� 'siil�!_–[ { 't a •-d :,, PERMIT ISSUING FEE `�'- i ='`'=i-.•' �i Lender's Address if,2= I certify that I have read this application and state'that the TOTAL FEE �f pp fi 3`,= 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 for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ?3 nature of Permittee Dote ©5