HomeMy Public PortalAbout9532 LIVE OAK AVE_Electrical__ CE,�6 10/72 APPL`IC TION OR Eff!"RICAL ,PERMIT
COUNTY OF LOS ANGELES
F
DEPARTMENT OF COUNTY ENGINEER• AooREss
BUILDING AND SAFETY DIVISION
LOCALITY -
NEAREST
FOR APPLICANT TO FILL IN CROSS ST .v.
OUTLETS NO EACH FEE OWNER OR
S S FIRM NAME
RECEPT MAIL Sz
FIRST 2025 ADDRESS
LIGHT TOTAL - _
�
SWITCH OVER 20 10
PLAN CHECK C TEL NO
FIRST 20 APPLIC NT
LIGHTING TOTAL 25
OVER 20 ADDRESS
FIXTURES - 10
RESIDENTIAL APPLIANCES CITY ' TEL NO.
PERM
RANGE DRYER_WTR HTR � APPLICANT &-
STA COOK DISPi F A U ADDRESS
SPACE HTR, AIR COND CITY c . TEL NO / Q.2eI
CLOTHES WASH DISHWASH LICENSE B /'7 / C7�/-•7
REG. NUMBER mC.C� G_ CLASS !
FAN OTHER 100 I HENEBY 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
O - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
' CALIFORNIA OR THAI I AM THE LEGAL OWNERZOFTABOVE1 - 10 300 CALIFOf ED RESIDENTIAL PRO ERTY >-1
PERMITEE /� C7
10 - 50 500 SIGNATURE�[ O,
50 - 100 1000 v
DISTRICT N0. (OCE;SSE LV
1 00 - 500 1500 ( ai
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR' IGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVICENOTOVER600VOLTS OR200AMP 300 UNDERSLAB WORK
SERVICE OVER 600 VOLTS OR200AMP '1000 ROUGH CONDUIT
TEMPSERVICE, POLE, &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES ,
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) 3 NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300 3 U---D•
TOTAL FEE A CIO
PLAN CHECK VALIDATION CK M 0 CASH - PERMIT VALIDATION CK M 0 , CASH
s,6 2xi"«Ay $ '2 0 46.0 0 m
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE S ,., � „
76A863-CE80612-65 APPLICATION FOR ELECTRIC L PERM.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 2 Live Oak Ave.
JOHN A. LAMBIE, COUNTY ENGINEER T
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY Temple City
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. 1 TOTAL NO EACH FEE `-
OUTLETS I FIRST 20 � $.20 $ 0 OWNER gob +' O,umanSz
LIGHT J} MAIL
SWITCH ADD'L 10 ADDRESS .Qi1Q'
OVER 20
1 TOTAL FIRST 20I .20 20. CITY i C,� TEL. NO. 286
LIGHTING l FIXTURES ;--035-'
FIXTURES 1 ADD'L CONTRACTOR C.obine Elect. Go.10RANGES DRYERS WTR.HTRS. 1.00 ADDRESS y,160 / Ches'tnut. StGARB.DISP. STA COOK CITY Alhambra. TEL. NO. 28DISHWASH AUTO-WASH STATE [l�' rr��SPACE HTRS STA. APPL ,5O LICENSE NO. C10 2G S47
MOTORS. OVER NOT OVER HP DISTRICT N . GROUP ZO PD
✓ 0 1 1 100 2 00 POOL
1 3 1.50 INSPECTION RORD a
EC
O
9 8 2.00 U
8 15 2.50 rQ
15 50 300 1./
W
CL
50 100 500 N
Z
SIGNS- NO.TRANS
NO LAMPS
SERVICE 0.600V-NOT OVER 200A 1.00
SERVICE 0.600V-OVER 200 A 2.00
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
�p
PERMIT ISSUING FEE 200 2 Qo
SUPPLEMENTARY PERMIT ISSUING FEE 100 APPROVALS DATE INSPECTOR'S SIGNATURE
TOTAL FEE $ 4. 60
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _
ELECTRICAL WIRING
WIRING �
1 HEREBY CERTIFY THAFAOPL R LY REGISTERED AND/ORFIXTURES
LICENSED A9 REQUIREDCOUN AND STATE OFCALIFORNIA OR THAT I ML ER ,AND INTEND TOPOWER
RESIDE IN,THE ABOV ESS NTIA RO PERTY
SIGNATURE UTILITY CO NOTIFIED n `
OF PERMITTEE
FINALIto -m
7LIDATION JOSEPH C. ROOHAN MO CASH
SUPERVISING ELECTRICAL ENGINEER
CK
LAW 6 2 3�3 SEP 14 2 D 4.60- n
7HA4HH-CEH084.80 APPLICATION FOR ELECRICAL
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS L `✓
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUP'TOF BUILDING LOCALITY J
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
PERMIT FEES
OWNER
I T E M NUMBER EACH FEE MAIL
OUTL '•, -odd $ $ I/� ADDRESS
LIGHT RECE BW. .10
LIGHTING FIXTURES ,10
ELEC. RANGES CLO. DRYERS___/ CITY TE ELECTRICIAN
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY Duan TEL.NO.
ARBAGfi DISPOSERB AUTO.. immi"m qmmnsr
STATE
WASHERS STA.COOKING UNITS .2S LICENSE NO.-, - Mvm���� i
�� —��
MOTORS: OVER INC. H.P. DIST IC�VO. I GROUP PSSED
y 1 5
r 1/Z — 2 sp INSPECTION RECORD
i 2 5 1.00 per„
5 — 15 1.50 ' 0
15 — s0 2.80
O
50 200 5.00 1V
W
v SIGNS: NO TRANS. N
NO. LAMPS Z
SERVICE 0.600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
a
FIXTURE PERMIT 1.00I
SUPPLEMENTARY PERMIT gp
TOTAL FEE
I
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATH THAT THE ABOVE IB CORRECT AND AGRLY
WITH ALL COUNTY ORDINANCES AND STATE LAWNG CONDUIT
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISORLICENSED AS RE&�RY LOS ANGELE kOUN Y OF FIXTURESCALIFORNIA OR/ M THELL WN OVEDESCRIBED RESIDROPERTY. UTIL TY CO. NOTIFIED J/ XlIJLA.L'r..
POWER
SIGNATURE !\ �//
OF PERMIT.
FINA IL
/ LIDATION ARTHUR C.VEIT.
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LVt 't,4 3 8 1 MR 2 4 2 D 9.9 5
/71
76A66-3-CE806 8-62 APPLICATI =RELECTRIC211.ONPERMIT
BOUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 3 -1
BUILDING AND'SAFETY DIVISION ADDRESS -2
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY 7-AM PLC— G /7'�
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT TOTAL NO. EACH FEE
OUTLETS FIRST 20 $20 $ OWNER
LIGHT MAIL
ADD'L 10 ADDRESS
SWITCH. OVER 20
TOTAL CITY TEL. NO.
LIGHTING 1 FIRST 20 .20
FIXTURES 1 ! Vf:R 2 10 ELECTRICIAN
OV R 2O
RANGES CLO DRY WTR HTRS. 1.00 � ADDRESS
GARB.DISP STA COOK
CITY (,t.)I iV TEL.NO.
DISHWASH AUTO.-WASH. STATE '
SPACE HTRS STA.APP (1/a H P.MAX.) ,50 LICENSE NO. 137614 •G`I o t
Yi
MOTORS. OVER NOT OVER H.P. DISTRICT O. GROU N P CESSED BY
O 1 1.00 i
1 3 1.so INSPECTION RECORD
3 8 2.00
8 - -15 - - 250 -
15 So 300 a
SO 100 5.00 0
SIGNS, NO.TRANS Dt:
NO LAMPS O
F-
SERVICE 0.600V.NoT OVER 200A 1.00 Q W
a
SERVICE 0.60OV•OVER 200 A. 2.00 N
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 200 (✓
SUPPLEMENTAIRY PERMIT ISSUING FEE 100
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ,
LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT, ROPERTY ' POWER l'1
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE FINAL �y �(f/✓ 6�._L•f%<�l'�f-��L.
IDATION ARTHUR C. VEIT
/� `
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
L?�GO
6 4 4,2"'23 .JIA 2 D
WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT
j ti r•-' 76A663
I„hereby�fifirm that I have.a certificate of consent to self Insure, '
or a cert ficate of Worker's Compensation kisurance,or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV
copy thereof(Sec 3800 Lab C)
Policy No Company FOR APPLICANT TO FILL IN JOB ADDRESS 1(v e !�
iC/1IQ/�
F G- (i
❑� JCertified'copy is hereby furnished New Residential Bldgs &Pools NO EACH FEE
$ $ LOCALITY ,
❑1 Certified co is filed with the coun building inspection 1 &2-Family,Sq Ft
PY tY 9 P NEAREST
department Multi-family Sq Ft CROSS ST rLy. `& �w
Date Applicant Residential Swimming Pools ASS BOOK
PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS- Outlets Rec Light__L Sw OWNER OR
COMPENSATION INSURANCE FNAME
First 20 _ 0 MAIL
(This section need not be completed If the work Involved by the Total No Additional ADDRESS f `lQf F [Dt•�('7fj�
'permit Is for one hundred dollars($100)or less) /
I certify that in the performance of the work for which this permit CITY Te [- C Tel No S-•Q PfF J_3
Is issued, I shall not employ any person'in any manner so as toLAN n �J ` p
become subject to the Workers' Compensa/U¢ Laws
Lighting Rxtures First 20 f Z J a
APPLICANT m>GrrGl.+v� /Jr Q(/m (>C-j[cI[
`1'�'1� Total No Additional ADDRESS 6 j �tAt e 1/i C� dpie
Data J % ==Applicant' V�/ p
NOTICE-TO APPLICANT If, after making this Certificate of RESIDENTIAL APPLIANCES NOT OVER 3 HP CITY � �L C! TeI No
Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP �./
provisions,of the Labor Code, you must forthwith comply with suchnpower Apparatus&Large Appliances PERIT
APPLICANTPA �� LJ7� S' L---
provisios or this permit shall be deemed revoked
LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS Ll 5— Ca
I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl /
(commencing with Section 7000) of Division 3 of the Business and CITY �e L•L-C� TeI No ZeG7
Profess ns Codeeand_my license is in full force and effect Over 10 to 50 Incl /
Over 50-t0'100 IRCI ----- - - LICENSE OR
N �7 REG_NUMBER'-' f✓J Q'�- - - -Class
J L/(fd(,Z~ J _ ( Over 100 T DISTRICT NO PRO Y Q
License Number Lic Cl s '\
� i[I//L; c^ Services,Swbd,MCC&Panelboards -U f
Contractor i^ Date �J 0-399 Amp Under 600'V FATE
❑ I am exempt under Sec 400-1000 Amp UncJer 600 V ��� R ~
Over 1000 Am or Over 600 V VALIDATION LU
P FINAL -
B&P C for this reasonBRANCH CIRCUIT FEES BY d
(/)
Date 15A,or 20A, 120V,Lighting or ReceptI A Z
1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits
❑ 41 Or More Branch Circuits
Exemption for Reg Maint Elect 15A,20A,208V To 277V Lighting Br Circuits
SINGLE FAMILY Temp Power Pole&Appurtenances 7
HOME OWNER-BUILDER DECLARATION g
I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit ACCT e Q
for4he following.reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits 3303 35.30
Code) i
❑ I,as owner, 1 ITEMS
of the property,will do the work and the structure Misc Conduits&Conductors
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) ® TOTAL 35 - 30
and Professions Code) NECK 35.30
CONSTRUCTION LENDING AGENCY CHANGE'I hereby affirm that.there is a construction lending agency for the CHANGE =00
performance of the work for which this permit is issued (Sec 3097, PERMIT FEE (Sub-Total) (b 00
Civ C)
PLAN CHECKING FEE 0WO-W01 5/15/96
Lender's Name
PERMIT ISSUING FEE `L 6431 1 Ali 9:50
Lender's Address
I certify that I have read this application and under penalty of purjury state TOTAL FEE 35;30
that the 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 `
�6
for�ispection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE
Ju(J S /r
SIGNATURE OF ERMITTEE 15ATE