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HomeMy Public PortalAbout6453 LIVIA AVE_Electrical__ 76A863-CE89 10/74 A 11 LIC(/"UYM V F© I5 IJ Lei�7�(/-U LJ p��rl�iB�' COUNTY OF LOS ANGELES �L DEPARTMENT OF COUNTY BUILDING AND SAFETY DIVISION TNEER SOB y5a N• ADDRESS !V 1 &" LOCALITY 1VY1 C NEAREFOR APPLICANT TO FILL IN CROSSS T. 1�OYl Q T SemC' OUTLETS NO EACH FEE OWNER OR --� FIRM NAME C. C 1 ko Yr a' RECEPT. $ $ MAIL LIGHT /0 TOTAL FIRST 20 (J ADDRESS SA YYl �7 CITY TEL. N0.�p 7-I 330 0 SWITCH� CZ-3 OVER 20 L1 PLAN CHECK FIRST 20 00FIXTURES 10 APPLICANT LIGHTING 1 TOTAL Jj Cell OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR._ APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR, AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE OR CLASS. REG. NUMBER FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE a C �. - 1O 300 DESCRIBED RESIDENTIAL PROPERTY p U _4zL PERM 10 - 50 500 T SIGNATUR SIGNARE O F- U 50 - 100 1000 DISTRICT NO. OCES ED 8Y PLL-, 100 - 500 15001 `� G Z SIGN, GAS SIGN AND ONE CIRCUIT !Do APPROVALS DATE INSPECTO SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 300 UNDERSLAS WORK SERVICEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMP SERVICE, POLE, &APPURTENANCES 8.00 WIRING TEMP LIGHT OR RECEPT, SYSTEM 300 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL 4L-72 PERMIT FEE (SUB TOTAL) NOTES: SC-xavie.& A /vos^ w1 ft f PLAN CHECK FEE PERMIT ISSUING FEE 300 TOTAL FEE PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION CK. M 0 CASH 5.0.0 Att6 5 2 ® 2 5.9 5 " . _. SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE O - a 76A663C- CEBj}b6,112�75. APPHUMA , FOR ELECTREAL PERM rte''^fI'f l U BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN JOB New Residential Bldgs & Pools FEE EACH NO ADDRESS 1 &2 Finaily Sq Ft $ — $ LOCALITY Multi-family Sq Ft — NEAREST CROSS © Residential Swimming Pools OWNER O 6 f OR �+ FIRM NAME /`� cy Outlets Light, Switch &Receptacle MAI L First 20 ADDRESS '� Additional CITY ,L -/ Tel No Z5~ PLAN'CHECK APPLICANT Lighting Fixtures First 20 V ADDRESS Additional CITY Tel No PERMIT Fixed Appliances Not IV 1 HP APPLICANT 05 CA Range Heater C A D.W. ADDRESS .� Oven Dryer W M Top _ FAU W H CITY tJ$.�/��g Tel No 2 j Hood Fan LIC SE OR _ f Disp A.C. t� p REG NUMBER Class / s 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION C:)AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Lv Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING a cn UpU to 1 Incl 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF G - CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OR THE ABOVE Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PROPERTY Over 50 to 100 Incl. PERMITEE Over 100 SIGNATURE Services DISTRICT NO PROC SED BY 0-200 Amp Under 600 V J % 06 201 - 1000 Amp Under 600 V APPROVALS DATE INSPECTOR'S SIGNATURE Over 1000 Amp or Over 600 V - - TEMP POWER POLE Temp. Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit ROUGH CONDUIT Additional Sign Branch Circuits (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE -(Sub-Total) UTILITY CO NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL X0-17 7 , PERMIT ISSUING FEE © NOTES TOTAL FEE 60 PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH 950E--NOV 3 2 D 1 3.6 C) ,'-)' WORKIthat COMPENSATION DECLARATION CE-806 I0/61 p pPP �,F'A�B N FOR EL EC (l MIC p 'np E pn/�/1� Il I hereby affirm' that i' have a certificate of consent to self CE-8066 U�illr L� �a h1L; h" I1�IIV11 insure, or cI certific6te of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY lu' or a certified copy thereof (Sec 3800, Lab C ) Polic No ' Company I FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished New Residential Bldgs & Pools PEACHNO FEE ADDRESS 14El S —Certified copy is filed with the county building m 1 & 2-Familspec- Y- 4 Ft $ LOCALITY tion department Multi-family S4 Ft — NEAREST CROSS ST Residential Swimming Pools` OWNER OR Date Applicant FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets RecZ2__Light Sw� MAIL COMPENSATION INSURANCE 7aJ D ADDRESS Q, (This section need not be completed if the work involved by First 20 the permit is for one hundred dollars($100)or less.) Total No Additional /.3 CITY Tel No I certify that in the performance of the work for which this APPLICANTK 'permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compen ation Laws Lighting Fixtures First 20 a ADDRESS CA a Total No� Additional Date _ -2— Applicant CITY T 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 — APPLICANT Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — W M _ ADDRESS S L with comply with such'provisions or this permit shall be Top — FAU —W H — CITY Tel No 3 ��Y deemed revoked Hood _ Fan _ Other_ LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cd REG NUMBER Class (commencing with Section 7000) of Division 3 of the Business DISTRICT NO P ES ED BY Power Apparatus & Large Appliances and Professions Code,and my license is in full force and effect � r � O d 3 a Class �/ Size& Type HP, KW, KVA, or KVAR FINAL V 0 License Number Up to 1 incl qr1 Q Over 1 to 10 Incl DATE VALIDATION Contractor Date d V Over 10 to 50 Incl ❑ FINAL W I am exempt under Sec Over 50 to 100 Inc BY O� Over 100 B 8P C for this reason Mz Date Services wbd CC& Panelboards _ _D 0 - 200 A Under 600 V TV Signature 201 - 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V Exemption for Reg Maint Elect SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031 5, Business and Professions Code) Misc Conduits&Conductors I, as owner of the property, will do the work and the —453 4.9A ' structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)- 7044, Business and Professions Code) # 0,0 0 o o 2 CONSTRUCTION LENDING AGENCY 1'o o 5 0 0 0 1 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) 0 0 0 5 0 0 0.50 (Sec 3097, Civ C ) PLAN CHECKING FEE 0092+86 Lender's Name PERMIT ISSUING FEE 'Q Lender's Address D 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 dmonces and State jaws regulating Electrical wiring, and eby thorize representiv sof this County to enter upon ea bo -menho d propert for in purposes q'�-94, SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur of Permittee Date �NOrm th COMPENSATION DECLARATION CE-806 10/81 APP �CAq� N FOR En EC7MICAL PERM? I hereby affirm that I have a certificate of consent to self CE-806G lr U"LS tl IFCI I,,L insure, or a cert��Ute�f Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a c&14fie&c,j�py thereof (Sec 3800, Lab C ) Policy No Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS /J �i El1 8 2-Family, $ — s LOCALITY /Z Certified copy is filed with the county building inspec- y, Sq Ft tion department Multi-family Sq Ft — NEAREST Residential Swimming Pools CROSS ST Date Applicant OWNER OR FIRM NAME .0 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw_ MAIL l COMPENSATION INSURANCE ADDRESS V) L—/v[; -e. (This section need not be completed if the work involved by First 20 �, 7 the permit is for one hundred dollars ($100)or less.) Total No Additional CITY Tel No Za`�/l I certify that in the performance of the work for which this PLAN CHECK permit is issued, I shall notemploy on erson in any manner APPLICANT so as to become subject to the W er Compen ati ws Lighting Fixtures First 20 ADDRESS �/ Total No Additional -��t7L CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT If, a e making hi Certificate of PERMIT Exemption, you should beco a subject to the Workers' Range_ Heater_D W _ APPLICANT Compensation provisions of th Labor Code, you must forth- Oven _ Dryer _ W M — ADDRESS with comply with such pro sions or this permit shall be Top — FAU —W H deemed revoked Hood _ Fan _Other_ CITY Tel No LICENSED CONTRACTORS DECLARATION LICENSE OR Disp _ Room Air Canal Class I hereby affirm that[am licensed under provisions of Chapter 9 REG NUMBER �, (commencing with Section y license of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO P ES D BY and Professions Code,and my license is in full force and effect p Size &Type HP, KW, KVA, or KVAR e- �� ' 0 License Number Lic Class Up to 1 Incl FINAL Contractor Date = Over 1 to.10 Incl — DATE 0 Over 10 to 50 Incl VVALIDATION0 r_1 FINAL W I am exempt under Sec Over 50 to 100 Inc BY / CL B 8P C for this rea_son Over 100 Z (I Date Services, Swbd , MCC 8 Ponelboards D 0 -200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ ExemptionOver 1000 Amp or Over 600 V for Reg Maint Elect SINGLE FAMILY Temp Power Pole& Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031 5, Business and 3�_\structure Pofessions Code) 1, as owner of the property, will do the work and the Misc Conduits&Conductors5 1,$A is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ D 7044, Business and Professions Code) # o o o a o 2 CONSTRUCTION LENDING AGENCY I o o'1 7.5 O 1 hereby affirm that there is a construction lending agency for o o e 1 5 v the performance of the work for which this permit is issued PERMIT FEE (Sec 3097, Civ C ) (Sub-Total) PLAN CHECKING FEE , IQ21i86 Lender's Name Lender's Address PERMIT ISSUING 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 hereb horize representatives of this County to enter upon e abo -m noon roperavz0br inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE tur o ermi Date