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HomeMy Public PortalAbout9075 LONGDEN AVE_Electrical__ TEPAFILE CITY 76A663-CE806 B-62 APPLICATION FOR ELECTRICAL PERMT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER T DING card,(� 5��- G /V 0 R/ BUILDING AND SAFETY DIVISION RESS 7 JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING ALITY RESTFOR APPLICANT TO FILL IN SS ST. L GI M 14 — RECEPT TOTAL NO. EACH FEE LIGHT OUTLETS FIRST 20 1, 20 $ �O OWNER OIC, MAIL SWITCH / .10 �, C, ADO'L ADDRESS U i OVER 20 TOTAL CITY C TEL. NO. 7" /1� LIGHTING 1 F1R9T20 .20 FIXTURES 1 ADD'L 10 ELECTRICIAN OVFR 20 RANGES CLO.DRYERS WTR HTRS 1.00 1 ADDRESS 41 GARB.DISP. STA COOK CITY TEL.NO. DISHWASH AUTO.-WASH. _ STATE SPACE HTR9 STA.APP.('/.H P.MAX ) .50 LICENSE NO MOTORS. OVER NOT OVER H P. DIST ICT Njpv. GROUP I ZONE I PR E EDr BY O 1 1.00 60 O + 3 150 INSPECTION RECORD 3 S 200 8 15 2.50 15 50 300 /A d uN lJ 5 100 5.00 0 "'— NO LAMPS _ 0 O � H SERVICE 0.600V-Nor OVER 200A foo - 00 V W SERVICE 0.60OV-OVER 200 A. 2 00 - D_ N SERVICE OVER 600V 5.00 ? MISC. PERMIT ISSUING FEE 2 00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPL CATION APPROVALS DATE INSPECTOR'S SIGNATURE ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND�OR / LICENSED Ae REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE �_ UTILITY CO NOTIFIED OF PERMITTEE FINAL A. ' Fifit`ND�VALIDAT ARTHUR C. VEIT SUPERVISING ELECTRICAL ENGINEER CK MO CASH Lrll,o5 5JAN30 . 2 D 4.20- a r DBS 5`A 14-44 ����®� ��� �� `` _ �►iOU ®� BUILDINGOSAN Arr® .sA ELE��"RI E RIM c®UN�.'Y O� LOS ANGELES '° WM. J. FOX CHIEF ENGINEER Q NAME DISTRICT NO. GROUP ZONE PERMIT NO. �U Q ADDRESS WU CITYY TEL.NO. RECEIVED BY READY FOR DATE ISSUED COUNTY �d l� FIRST INSPECTION CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLYJOB AlSCIiIPB'ION OF WORK' ADDRESS � / / L.O,JtIPb&dll NUMBER OF OUTLETS ON CIRCUITS LOCALITY ML E: e.I 7-V LOCATION BY ROOMS NEAREST LIGHT OUTLETS ISW.I PLUGS FIX T C OSS ST /1 CIRCUIT A B C D E F G H W NAME .S' �c� Z MAIL d. 3 ADDRESS O CITY TEL.NO. I AM THE LEGAL P068E680R OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. I AM THE LEGAL OWNER OF PROP TY DESCRIBED ABOVE / t ' ✓, OWNER. CORRECTIONS Q Z 9 OTA12 DWt I NO. OF OUTLETS $ S APPROVALS NO. OF FIXTURES $ 10 DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ s POWER PERMIT FEE $ / 2L UTILITY CO.NOTIFIED /� _�/ - (♦S/, e TOTAL FEE Z nl FINA 76A663CE_80816/761 APPLICATION FOR ELECT PERMIT-- - d COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB E. - New Residential Bldgs &Pools EACH NO FEE ADDRESS 1 &2-Family,Sq Ft $ 025 — $ LOCALITY TIZ ,CITY Multi family Sq Ft 02 — NEAREST Residential Swimming Pools 25 00 CROSS ST fay►V1 aJ OWNER OR FIRM NAME ' Outlets Rec Light Sw' MAIL First 20 50 ADDRESS SAIZ - ' Total No _Additional 30 CITY SRIF Tel No 2860368 PLAN CHECK APPLICANT Lighting Fixtures First 20 50 ADDRESS Additional 30 _ _ - , Total No _ CITY Tel No Fixed Appliances Not Over 1 HP PERMIT rl. � HCC Heater_D W APPLICANT ' Oven_Dryer—W M— ADDRESS 2034A. PECK Top —FAU X WH 2.50 CITY_S• Te_I No 97982 Hood_Fan —Other LICENSE OR Disp —Room Air Cond 2 50 REG NUMBER 265094 Clossc-10 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA- Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS Size&T pe HP, KW, KVA,or KVAR 2 50 REGULATING ELECTRICAL WIRING Up to 1 Incl 1 HEREBY CERTIFY JHAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Incl 12 50 CALIFORNIA OR THAT I AM THE LEGAL gWNER OF THE ABOVE Over 50 to 100 Inc 25 00 DESCRIBED RESIDENTIAL PROPERTY 40 00 PERMITEE Over 100 SIGNATURE Cl ServicesDISTRICT NO OCES D BY - 0-200 Amp Under 600 V 1250 � vg 201-1000 Amp Under 600 V 25 00 Over 1000 Amp or Over 600 V 5000 Temp Power Pole&Appurtenances 1000 Cyl� Sign with One Branch Circuit 1000 Q 0 d 0 i to D -7(0 �L- Additional Sign Branch Circuits 200 1 INSPECTION > INFORMATION Misc Conduits&Conductors 1000 ON REVERSEx Other(See Complete Fee Schedule) SIDE Z 4 7 3 3 A Q , # 000002 PERMIT FEE (Sub Total) 7.50 2oo1450' PLAN CHECKING FEE (One-Fourth Permit Feel p o o o 14.5 0 0 PERMIT ISSUING FEE $7 00 7.00 . c c604-79 J - TOTAL FEE 14.59 > INSPECTI'O�FINALED W date /j 4/� 9 BY �Z __ I ' ('v 0 y 6 ©s WORKERS*CCDM NSATION DECLARATION CE-806 10/81 n ��n ��n��O�n 2O� �n ���n��n n n2nnn�� I hereby Cff rf� t{iotr I,hare�a certificate of consent to self CE-806G G�1 L� G�1 0 N F L� ll� ALS IT LS II�M/ I,ns�re; &;a 'ertlic�to.of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or'•a ceftrfie&copy thereof (Sec 3800, Lab C ) Policy N an FOR APPLICANT TO FILL IN JOB❑ 76 Certified copy is hereby furnished EACH NO FEE ADDRESS aal New Residential Bldgs & Pools � G ❑ Cert14ed copy is filed with the county builds i pec- 1 & 2-Family, Sq Ft $ — $ LOCALITY rty ti n de artment Multi-family Sq Ft — 'NEAREST A­011 Residential Swimming Pools CROSS ST DateOR Applicant FFIIRM NAME H04HPC CERTIFICATE OF EXEMPTION XOM WORKERS' Outlets RecLightSw MAIL COMPENSATION INSURANCE First 20 ADDRESS (This section need not be completed if the work'involved by the permit is for one hundred dollars ($100)or less.) Total No Additional _nB CITY Tel No 1 certify that in the performance of the work for which this PLAN CHECK permit is issued, I shall not employ any person in any manner APPLICANT so as to become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS 1 Additional Total No� CITY Tel No Date Applicant Fixed Appliances Not Overl'HP NOTICE TO APPLICANT If, after making this-Certificate of. PERMIT Exemption, you should become subject to the Workers' Range_ Heater_FH APPLICANT Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — ADDRESS -7 with comply with such provisions or this permit shall be Top _ FAU deemed revoked CITY Tel No LICENSED CONTRACTORS DECLARATION Hood _ Fan Other_ Disp- _ Room Air Cond LICENSE Class I.hereby affirm that'[am licensed under provisions of Chapter 96 REG NUMBER (commencing with Section 7000) of Division 3 of the Business Apparatus 8 Large Appliances DISTRICT NO PRO D BY and Professions Cade,and my license is in full force and effect power Apyp ` AraSize &Type HP, KW, KVA, or KVAR (� O License Number Lic Class Up to 1 Incl FINAL `� V Over 1 to 10 Incl DATE VA4ATION 0 Contracto at Over 10 to 50 Incl v ❑ 1 am exempt under Sec FINAL P Over 50 to 100 Inc BY- uVa B&P C for this reason Over 100 y S Services, Swbd , MCC& Panelboards Z Date 0 - 200 Amp Under 600 V D Signature 201 - 1000 Amp Under 600 V ❑ Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V SINGLE FAMILY Temp Power Pole& Appurtenances ;2 2 7 4,5 A HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit # 0 0 0 0 0 2 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 o 0 3 4 2 5 Professions Code) ❑ I, as owner of the property, will do the work and the Misc Conduits& Conductors o o 0 3 4 2 5 5 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ D 7044, Business and Professions Code) O a 2 0-$5 CONSTRUCTION LENDING AGENCY 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) (Sec 3097, Civ C ) PLAN CHECKING FEE - Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE J above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize repretentatives of this County to enter upon ;theZve- ntio rty for inspect on pu poses�� SEE REVERSE.FOR EXPLANATORY LANGUAGE g ureof P m Ae Date