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HomeMy Public PortalAbout6415 LIVIA AVE_Electrical__ DBS 5-A 6-46 - . MPLI.ATIO17 FOR PERM DEPARTMENT of F LOS AN AND sAF ��.,��:��1�: COUNTY ®� Los ANGELES ' WM. J. FOX CHIEF ENGINEER a NAME_ DISTRICT NO. GROUP ZONE PERMIT NO. ADDRESS C % RECEIVED BY READY FOR DATE ISSUED CITY TE f]._ FIRST INSPECTION J COUNTY w CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED POR'T'ION ONLY JOB DESCRIPTION OF WORD ADDRESS A u M y. w NUMBER OF OUTLETS ON CIRCUITS LOCALITY / /'�7 L.� 'A J T �� �J LC LOCATION BY ROOMS ,NEAREST / , LIGHT OUTLETS JSW. PLUGS FIXT 'CROSS ST. ,aP9 AIJ I`4 A:'A! CIRCUIT A B C D E F G H w NAME PA 1 APS ,? cd S Yn Aeo- q - / Z MA_IL '7 1 6 3 ADDRE,,,,SS 1 .��� .d 1 LJ!�� � �� 1 O CITY pr ,YJJ/.n 1 AM THE LEGAL. POSSESSOR OF THE ABOd.AN ANGELES COUNTY CERTIFICATE OF QUALIFICAT ELECTRIC i I AM THE LXGAL OWNER OF THE PROPERTY DE ,ABOVEOW CORRECTIONS } J Q Z_ O O LNO. OUTLETS $ APPROVALS FIXTURES $ DATE INSPECTOR'S NAME MOTORS H.P. $ CONDUIT SIGNS TRANS. $ WIRING RANGES OR HEATERS $ FIXTURES LANEOUS $ ) POWER I PERMIT FEE $ l r UTILITY CO.NOTIFIED i/ TOTAL FEE IU_'Q FINAL DBS 5-A 12-4-4 "rY.1CATIO FOR YlGOYlY DEPARTMENT OF BUILDING AND SAFETY ELEC"IrL IC COUNTY OF LOS ANGELES WM. J. FOX CHIEF ENGINEER NAME B. DISTRICT NO. GROUP ZONE PERMIT NO. ADDRESS FF 1 R$ EIVED BY READY FOR ll DATE ISSUED CITY K L.NO. / FIRST INSPECTION �.� �� � COUNTY C U ( CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WOVE; ADDRESS ' / !J I IFi NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST p ` p LIGHT OUTLETS SW. PLUGS FIXT CROSS ST /1' e AY/ y CIRCUIT A B C D E F G H NAME 1 IQ 0 Z MAIL ADDRESS O G GI AP. O CITY R)°AG 2, TEL.NO. 7 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. i ELECTRICIAN. I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE 0 I / d OWNER. CORRECTIONS J Q Z_ L7 O TOTAL NO. OF OUTLETS $ rA APPROVALS NO. OF FIXTURES A $ C/ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING , NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ 1 POWER PERMIT FEE �y �� $ _UTILITYCO.NOTIFIED i. . 1` n P TOTAL FEE !� FINAL D ��PPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER Q NAME r DISTRICTZ NO. GROUP ONE PERMIT NO. U ADDRESS W CITYQ� T RECEIVED BY READY FOR DATE ISSUED /[ FIRST INSPECTION J COUNTY W CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY J fi LOCATION BY ROOMS NEAREST p LIGHT OUTLETS SW. PLUGS FlXT CROSS ST !i CIRCUIT' A B C D E F G IH w NAME �I IALd A 1� 9�/ _ 2 M IL ADDRESS / J A A 1,, e 3 CITY 6 A/?,, eTEL.No./ 3 -IK-'X,�) I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE 44 v v OWNER. CORRECTIONS ti J Q Z TOTAL NO. OF OUTLETS / $ APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES O EATERS (� $ FIXTURES MISCELLANEOUS S $ POWER PERMIT FEE / $ UTILITY CO.NOTIFIED TOTAL FE Q (j FINAL l a 76A663-CE806 8-62 APPLICATION 'FOR ELECTRICAL PERMIT - COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING d BUILDING AND SAFETY DIVISION ADDRESS I Vi'u cTtlE JOHN A. LAMBIE. COUNTY ENGINEER rd- �}}� pp WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY rd--",0 � �j�� � � AIo NEAREST FOR APPLICANT TO FILL IN CROSS ST. �O RECEPT TOTALNO EACH FEE OUTLETS FIRST 20_/0 $2O $ OWNER LIGHT ® ADo'L .1O MAIL ADDRESS H SWITC1 0 OVER 2O LIGHTING I TOTAL F1RST20 .20 CITY /r `. //' TEL NO Q��p /I FIXTURES 1IS -6— ADD'L 10 ELECTRICIAN e'l - OV R 20 - _p RANGES CLO DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY, TEL NO. DISHWASH AUTO.-WASH STATE SPACE HTRS STA.APP.(v,H.P.MAX.) ,50 LICENSE NO. MOTORS OVER NOT OVER . H P. DISTRICT137 P Z PR FjD Y _0y I0 1 100 1 3 150 INSPECTION RECORD 3 8 2.00 8 is 2.50 15 50 300 O_ 50 100 5,00 0 SIGNS NO.TRANS NO LAMPS O SERVICE 0.60OV-NOT OVER 200A too tL CL SERVICE 0.60OV-OVER 200 A. 200 Z SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ IH ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSP S SIGNATURE AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING, I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL EOWaNEROFHE AB VE DESCRIBED RESIDENTI R ERTY POWER SIGNATURE UTILITY CO.NOTIFIED 1/7 OF PERMITTEE FINAL ✓ VAIIDATl9 ARTHUR V SUPE ' CK M�CASH SUPERVISING ELECTRICAL ENGINEER LACO 0 ,3 8 7Q SEP19 2 0 5.0 OM l�,l� I� 2 I1 2/� /� I� 1 ` WORKERS'-GOMPENSATION DECLARATION 76A663 10/81 Gl P OP C /�5'1 �ON FOR EL E C��n MCAD FI.2f[D1� OT I h y affirm that I have a certificate of consent to self CE-8066 G�1[f"I�L� `a�G�1 N Ili 111 U fSlIl@9kl in ai atertificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES Ir �( BUILDING AND SAFETY 1 or a certified copy Thereof (Sec 3800, Lab C / Policy No ` Compan FOR APPLICANT TO FILL IN JOB Certified co is here urnished EACH NO FEE ADDRESS PY New Residential Bldgs & Pools . ' — �- Certified co s filed with the•counTy building m 1 & 2-Familspec- Y. Sq Ft $ $ LOCALITY C,— tion de ment Multi-family Sci Ft NEAREST CROSS ST. Residential Swimming Pools OWNER OR , Dat Applicant FIRM NAMEAZ CERTIFICATE-OF EXEMPTION FROM WORKERS" MAIL COMPENSATION INSURANCE Outlets Rec Light Sw_ ADDRESS ' Tis section need not be completed if the woik involved b First 20 ( htip Y Total No – CITY ( Tel No the permit is for one hundred dollars($100)or less.) Additional << ' � 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 Total No Additional f( CITY Tel No Date Z''V pplIcant ""y 1 Fixed Appliances Not Over 1 HP PERMIT NOJCY TO APPLI ANT If, after making this Certificate of APPLICANT J ExerrVtion, you should become subject to the Woikers' Range_ Heater_D W 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 Hood Fan _Other_ CITY , Tel No LICENSED CONTRACTORS DECLARATION LICENSE OR +7 I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond REG NUMBER J(� L Class 1 (commencing with Section 7000) of Division 3 of the,Busmess DISTRICT NO PROCESS BY and Professions Code,and my license is in full force and effect Power Apparatus&Large Appliances (� •, 0. 0. Size &Type HP, KW, KVA, or KVAR �ir�() Q License NumbecT2 'j 6J CV 1 D--Lic Class --��yy--�� Up to 1 Incl FINAL - V � lr Over 1 to 10 Incl DATE �� VALIDATION Q Contractor , Date ((// Over 10 to 50 Incl OFIN U I am exempt under Sec Over 50 to 100 Inc FBy W B&P C for this reason / Over 100 Z 'Services, Swbd , MCC & Panelboards D ' —• ate 0 -200 Amp,Under 600 V Signature 201'- 1000 Amp Under 600 V Over 1000 Amp or Over 600 V Exemption for Reg Mai Elect $'2 1,'b A SING FAMILY Temp Power Pole.&Appurtenances ' {o i o t o o 10•2 HOME OWNER UILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I a2/exempt from the Contractor's License Additional Sign Branch Circuits,, 2 o ro'3 2 rj d Law/7044, usiness ollow n reason (Section 7031 5, Business and Profde) Misc Conduits&Conductorsn n r of the property, will do the work and the 0 2'8-'84 is not intended or offered for sale (Section Other (See Complete Fee Schedule)— usiness and Professions Code)CONSTRUCTION LENDING AGENCYI hethat there is a construction lending agency for the nce of the work for which this permit is issued PERMIT FEE (Sub-Total)(Se , iv C�) PLAN CHECKING FEE ender's Name PERMIT ISSUING FEE p V Lender's Address 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 authorize represe totives of this County to enter upon the —fveent;ioZcl pert for inspection_purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Z.� Signature of Permittee Dale