The URL can be used to link to this page

Home My Public Portal About9534 LIVE OAK AVE_Electrical__ 76A663-CE„g0612-65 APPLICATION FOR ELECTRICa PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING T� BUILDING AND SAFETY DIVISION ADDRESS E. Uve O€�ke. gVE+►1 JOHN A. LAMBIE, COUNTY ENGINEER m COLEMAN W.,JENKINS, SUPERINTENDENT OF BUILDING, LOCALITY Tem le Cr] FOR APPLICANT TO FILL IN CROSS 3T, Temgle City BlVd� , RECEPT, TOTAL -NO. EACH FEE OUTLETS I FI $20 $ OWNER Charlotte. Br&IiC�in LIGHT MAIL SWITCH JJJ G< OVER 2 1O ADDRESS ;aIll@; c. above: OVER 20I y !� 1 TOTAL FIRST 20I .20 2QJ CITY TEL. NO. Z81, 21: ' LIGHTING l FIXTURES — 5 FIXTURES Jr 1 ADD'L 1O CONTRACTOR C.obine Elect& CSO*1. in* c� OVER 201 // Chestnut ,{. .L RANGES DRYERS WTR.HTRS. 1.00 ADDRESS /� jp0 Ches nuy S.4e' nQ GARB.DISP. STA.COOK CITY Alhambra. TEL. NO. 282-0.315 DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA. APPL. .5O LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRI�.T GI� P ZON P O 1 1.00 [(/J �J/— 1 3 12 1.50 1 0 INSPECTION RECORD 3 V 8 2.00 ��B-s;c9��'� AJ .f✓.I � .�• � 8 15 2.50 `'�� f 0 � v 15 50 3.00 U W a 50 100 5.00 h _z SIGNS: NO.TRANS NO.LAMPS SERVICEO.60OV-NOT OVER 200A 1.00 SERVICE 0-60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR•SSIGNATURE TOTAL FEE 4. 0 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK Ij AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT ��_!j 1t J y�/J��'�• WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - ELECTRICAL WIRING. WIRING f•'�i�`�// ,/� I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRE Y L ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT A T E LEUR �S OWNER OF,AND INTEND TO POWER RESIDE IN,THE ABOV D SC I EDIDE IAL PROPERTY. SIGNATURE \ OF PERMITTEE i' '1. UTILITY CO.NOTIFIED ,�// �(n FINAL /—/i-v 7Y'f% 411"1 % LIDATION JOSEPH C. ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER LhLo 1 21 91 GOT 17 2 D 4.10- �J f WORKER'S COMPENSATION DECLARATION 20-0019DPW 9189 76A663 APPLICATION FOR ELECTRICAL PERMIT 76A66 I hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, 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 Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE LOCALITY ❑ $ $Ft Sq. . Certified copy is filed with the county building inspection 1&2-Family, _ NEAREST department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools .ASSESSOR r� MAP BOOK d PAGE L�� PARCEL / CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR Outlets:Rec. Light Sw. p FIRM NAME COMPENSATION INSURANCE First 2011 (This section need not be completed if the work involved by the MAIL I / permit is for one hundred dollars($100)or less.) Total No. Additional ADDRESS sj LI (� �J (J(% I certify that in the performance of the work for which this permitCITY . �, Tel.No. o S_ is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers' Comp sation Laws. hting Fixtures First 20 APPLICANT Total No. Additionaln' n ADDRESS 2 ! HCl 'S Date Applicant15 OR 20A120V BRANCH CIRCUITS ,NOTICE TO APPLICANT: If, after making this Certificate of , CITYL Tel. o. Exemption,you should become subject to the Workers' Compensation 1 TO 10 INCLUSIVE EACH provisions of the Labor Code, ou must forthwith comply with such 11 TO 40 INCLUSIVE EACH PER ,j P Y P Y PPLICANT (/ provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH LICENSED CONTRACTORS DECLARATION ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH (commencing with Section 7000) of Division 3 of the Business andCITY 1 A Tel o D�/ o Professions Code,and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR Power Apparatus&Large Appliances REG.NUMBER -� Gass. License Number -ZZLic.Class Size&Type HP,KW,KVA,or KVAR DISTRICT NO. PROCESSED BY /� � � ��•y�, Up to 3 Incl. ,�Dfr��r sC�rl Vj,J Kit / &_t4.-y_- Contractor "�f " Over 3 t0 10 Incl. FINAL Contractor ,1-- L/V u e DATE ✓� Z ❑ Over 10 to 50 Incl. � I am exempt under Sec. Over 50 to 100 Incl. VALIDATION FINAL 100 BY B.&P.C.for this reason Over • Services,Swbd.,MCC&Panelboards D te: 0-200 Amp. Under 600 V Signature 201 -1000 Amp.Under 600 V Y❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATIONSign with One Branch Circuit ` I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): ❑ I, as owner 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) 011. and Professions Code). CONSTRUCTION LENDING AGENCY 1 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) . Civ. C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE - Lender's Address 41 1 certify that I have read this application and state that the above TOTAL FEE �j 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 SIGNATURE OF APPLICANT OR AGENT DATE - ' WORKERS'COMPENSATION DECLARATION 76A663 10/81 I hereby affirm that I have a certificate of consent to self insure, CE-806G APPLICATI®N FOR ELECTRICAL PERMIT 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 � FUAD FOR APPLICANT TO FILL IN JOB _ Certified copy,is hereby furnished. New Residential Bldgs.& Pools EACH NO. FEE ADDRESS 4-1 V F-0 a- 1 $Ft $ LOCALITY S il F & 2-Family, q. . _ Certified copy is filed with the county building inspection 1 NEAREST department. Multi-family Sq. Ft. c' CROSS ST. i >E�lwDi Residential Swimming Pools OWNER OR Date Applicant FIRM NAME P CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec— Light Sw. — MAIL COMPENSATION INSURANCE ADDRESS ' A-5L,/ This section need not be completed if the work involved First 20 ( b p Y the CITY Tel.No. permit is for one hundred dollars($100)or less.) Total No. Additional I certify that in the performance oe workor wf the for this permit PLAN CHECK.is issued, I shall not employ any person in any manner so as to APPLICANT become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional ' Total No. CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT:.If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. APPLICANT provisions of the Labor'Code,.you must forthwith comply with su9N Oven _ Dryer _ W.M._ ADDRESS "- l provisions or this permit shall be deemed revoked. Top _ FAU _ W.H. CITYr L � 7 Tel.No. LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. LICENSE OR /��-7'Ytc� Class (commencing with Section 7000) of Division 3 of the Business and REG.NUMBER 1 " Professions Code,and my license is in full force and effect. DISTRICT NO. PROCESSED BY Power Apparatus& Large Appliances 9.: Size& Type HP,KW,KVA,or KVAR 0 License Numbers Lic.Class Up to 1 Incl. FINAL U Contractor E' er Date 5 0 , —t Over 1 to 10'Incl DATE ,� 0 i VALIDATION Over 10 to 50 Incl. FINA V ❑ I am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C.for this reason Over 100 U' Services,Swbd.,MCC&Panelboards / U Z Date: 0- 200 Amp.Under 600 V 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 31307 225.50 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit TMS I hereby affirm that I am exempt from the Contractor's License Law �� 1 IE i t for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits a - Code): �}I- 225 o 50 Lv. n TY ❑ Misc.Conduits & Conductors �' { I,as owner of the property,will do the work and the structure Other(See Complete Fee Schedule) is not intended or offered for sale (Section 7044, Business . and Professions Code). 1 NEMS CONSTRUCTION LENDING AGENCY TOTAL� � !a o°—n� 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) 0.HE K 25.50 Civ.C.). CHANGE °00 ' PLAN CHECKING FEE Lender's Name /g PERMIT ISSUING FEE 7/ Lender's Address 1 01313-0001 13/17/89 8 1 certify that I have read this application and state that the above TOTAL FEE 4� y wd3 information is correct. I agree to comply with all County ordinances 195y i AN 1007 and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspectio #purpias. - SEE REVERSE FOR EXPLANATORY.LANGUAGE Signa re of Permitt I Date WCRK, COMPENSATION DECLARATION 76-663 10/81 APPLICATION FOR ELECTRICAL PERMIT {� . I}:lreby affi�n that at I I`ave a certificate of consent to self insure, CE-906G LJ 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 �ii, ��'J FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs.& Pools EACH NO. FEE ADDRESS FT 1 & 2-Family, Sq. Ft. $ — $ LOCALITY. depalrled tmentpy is filed with ,the county building i sp�ion Multi-family Sq. Ft. — NEAREST _ CROSS ST. I ala Gt 1 �- Date P +f Applicant Residential Swimming Pools OWNER OR ,p G��1 /� CERTIFICATE OF EXEMPTION FROM WOR,ERS' Outlets:Rec r Light Sw. MAiIL NAME (�S_ COMPENSATION INSURANCE � .ADDRESS This section need not be completed if the work involved b the First 20 ( P y Total No.�� Additional CITY Tel.No. permit is for one hundred.dollars($100)or less.) PLAN CHECK I certify that in the performance of the work for which this permitp y any, person in any manner.so as to is issued, I shall not em , - APPLICANT y become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS ' n Additional Total No.� CITY 1 Tel.No. o Date Applicant NOTICE TO APPLICANT: If, after making this. Certificate of Fixed Appliances Not Over 1 HP 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 W.M._ ADDRESS Z t-7 JIA, _ i""L provisions or this permit shall be deemed revoked. Top — FAU W.H. _ LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ CITY C, I.No. I hereby affirm that I am licensed under provisions of Chapter9 LICENSE OR Dlsp. Room Air Cond. REG.NUMBER 1 Class. (commencing with Section 7000)'of Division 3 of the Business and Professions Code,and my license is in full force and effect. DISTRICT NO. PROCESSE ,BY Power Apparatus& Large Appliances J a Size & Type HP, KW,KVA,or KVAR f CL License Number �� Lia Class�_ Up to 1 Incl. FINAL /� U v Over 1 to'10 Incl. DATE ✓ Contractor, 4 ✓[i/`'( (� Dt �r��► ��[]� ae / VAL ION ❑ Over 10 to 50 Incl. FINAL 0 I am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C.for this reason Over 100 N Services,Swbd.,MCC&Panelboards Z Date: 0- 200 Amp.Under 600 V 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 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit y I hereby affirm that I am exempt from the Contractor's License Lawa for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits ACCT.ir Code): 3307 38-00 I,as owner of the property,will do the work and the structure Misc.Conduits& Conductors i ITEi�+J is not intended or offered for sale:(Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). TOTAL AL 311+ ®00 CONSTRUCTION LENDING AGENCY CHECK vt S.00 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 FEEC.HAN9 .00 (Sub-Total) Civ. C.). PLAN CHECKING FEE nCICIC{^�ngo i i 1/12/89 Lender's Name (( V PERMIT ISSUING FEE CO J 13312 �t'i'11 °0#11 Lender's Address j I certify that I have read this application and state that the above TOTAL FEE `� .06 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 urpo es. SEE REVERSE FOR EXPLANATORY LANGUAGE Sign.RU1J'6f Permitte Date