HomeMy Public PortalAbout9627 LONGDEN AVE_Electrical__ � r
9MMMM DM■M 11.49 A � Pon PAZ
�� Y BUELDUM"� s ELECTRIC i
WILLIAM J. FOX. OHIlF EN■IN!!R
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PER IT NO.
ELECTRICIAN A/ 13YeCz
RID%IYID my FIRST 1 READY IDR DATE ISSUED
ADDRION
Ee�� �►IiY '/jam
CITY " TEL.NO.
COUNTY LIUCN■! NIL TO 0— LUPIR!■ ■UILDIN■
p�Z P=6 ADDR6■■
FE! LOCALITY
HUM-NCR OUTLETS EACH
LI■HT SEQ NEAREST
ORO■■or.
REOEPTAOLES 6
/` racTuRv ■ D OWNER
WALL SWITONE■ ■ DO MAIL
21 !L RANO i■ ADDR�
ELEd NEATER■ on
CITY TEL. NO-
Minn 1 HERESY AOKNOWLED■! THAT 1 HAVE READ THIN
MUMMER OR CIRCUIT■ INSTALLCOI
TOTAL APPLICATION AND ■TAT! THAT THE A■OVE IN OORR!
LIMNLIMHTE RECEPTACLES AND A■REE TO COMPLY WITH ALL COUNTY ORDINANCE■
MOTORS AND STATE LAWS RE■ULATIH■ ELECTRICAL WIRIN■.
HUMMER HORSEPOWER FEE 1 CERTIFY THAT 1 PO®E■■ THE A■OVE VALID LO■
NEW I MvE. NP oval I IME. ESM IANNKLCE COUNTY LIMEN■!. OR 1 AM THE LESAL OWNER
14 • LOM a BE OF THE RESIDENTIAL PROP DE■ORISED A■OVIL
i .SO ■I■NATURE O
i ■ 7.00 PCRMITT!
S 7■ 1.50 DISPECr=ON RECO=
7 S
NO i.■C
SO ioD 111.013
i00 SOC 10.013
y
MUM 1000 15.00 J
/ OVER 1000 NIL= Z
r M.N. ■ET FR! OIIAti■ER-HP p
J WILDENMs AO-KVA Q
00 ■ENERATTILALKORS - KW
r•
■FORMER■ - KVA
TEMP. MOTOR■ or ERIs
MOVED MOTOR■ or ERIM
BIpNB
y TYPE1 Nd TRANS.
NdLAMM APPROVAU
'i FOR EACH PERMITI DATE INSPECTOR?NAME
S *1.00 Q CONDUIT
WIRINROW
Form 1111.00 tv WIRIN■
FIXTURES
POWER
TOTAL FEE 4 O UTILITY Cd NOTIFIED Ia
FINAL
SA663-CEBOG.10-56 APPLICATION. FOR 'ELECTRIC PERMIT 1
BUILDING AND SAFETY DIVISION
Depmt:nent of County Engineer BUILDING
County of LOS Angeles ADDRESS
JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D. GRIFFIN.SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS T
PEMT FEES 177
OWNER
LIGHTS RECEPTACLES SWITCHES
NUMBER 1 T E MEACH FEE MAIL-
ADDRESS
TOTAL OUTLETS $ .10 $
Et,—M:6 WATER HEATERS, CITY EL.NO.
c RANG ERs so O 0 ELECTRICIAN
.ELEC. SPACE HEATERS, STAT-Y. 000K-
ING UNITS, OARBAGE DISPOSERS, ADDRESS
AUTO WASHERS, DISHWASHER .25
LIGHTING FIXTURES .10 CITY TEL.NO -
MOTORS iSTATE L� /
LICENSE NO. .G V /
HORSEPOWER
H.P. OVER INC. DISTRICT NO. GFS/QLIA ZONE READY FOR INSPECTION
1/s&LESS .25 ..Lr
1h - 2 .so INSPECTION RECORD
2 — 5 1.00
5 15 1.50
15 s0 2.50
50 — 200 5.00 3S- y / 1/r/1 /.
misc. : v k illAS2,
SIGNSI NO.TRANS
NO.LAMPS
SERVICE O-sOOV 1.00 d
SERVICE OVER 500V 5.00
WIRING PERMIT 1.00 O
FIXTURE PER f.00
SUPPLEMENTARY PERMIT .50 APPROVALS
TOTAL FEE $ O d DATE' INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION'
AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING v.
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE pOWER
DESCRIBED RESIDENTIAL P ERTY. I
U'T'ILITY CO.NOTIFIED
iiiiiiiiiiiiiiiiii6
SOF PERMITTEE FINAL
IOHN A..3-AMBIE. VALIDATION ARTHUR C.)LN
EIT.
:OUNTY NGINEBR
ON MO CASH $UP67ZY11i1NG LECTRICAL EGINEER
I, `1 8 0 6 HAR 3 2 A 3.00 m
e
76A663 DBS 5A 3-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 2
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL INDISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN YVLlL - nJlr=-:,Nd � �����
RECEIVED BY READY FOR DATE ISSUED
ADDRESS 61� f(f '• FIRST INSPECTION -� f
CITY ' TEL NO. a 541 Ir
COUNTY LICENSE NO. li Y EXPIRESBUILDING
PERMIT FEES ADDRESS ( v 7 C, , �.Uw •.
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS 2- r NEAREST
T.
CROSS SJU 1
RECEPTACLES n �J
WALL SWITCHES I OWNER
TOTAL OUTLETS ► 5D 111 r U MAIL ~
ELEC. RANGES S5 ADDRESS
ELEC. HEATERS r 25 CITY TEL. NO.
FIXTURES 5 G 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MIB,. APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDJNAN_ CES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID L138
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEw MVD. HP OVER INO. 6AOH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
%z s LEBB S .25 SIGNATURE OF� ,
%s 2 .50 PERMITTEE d
a 5 1.00 INSPECTION RECORD
s 1s 1.50
Is so 2.50
SO 200 5.00
200 500 10.00 H
500 1000 15.00
OVER 1000 20.00 j
M.G. SET FREQ. CHANGER-HP M'
WELDERS,AC-KVA �•
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORB (75% or ania.)
M13VED MOTORS (75% or DRIB.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT, DATE INSPECTORS HAMS
WIRING $1.00 U V CONDUIT
FIXTURES 1111.00 V f, WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE # �/ UTILITY CO.NOTIFIED
FINAL
WORK,EFS'COMPENSATION DECLARATION 76A663 l0/8.1 `
'''1'her �y affix•`that I have 'a certificate of consent to self : CE-806G APPLICATION FOR ELECTRICAL PERMIT
in0b, cir`-o.'eertificate of Workers'Compensation Insurance, L COUNTY OF LOS ANGELES BUILDING AND SAFETY
or-a certified copy thereof(Sec. 3800, Lab. C.) I
Policy No. Company , FOR APPLICANT TO FILL IN JOB
Certified copy is hereby furnished. + EACH NO. FEE' ADDRESS
New Residential Bldgs. &Pools
❑ Certified copy is filed with the county building inspec 1 &2-Family, Sq. Ft.. $ — $ LOCALITY
tion department. Multi-famlly.Sq. Ft. — NEAREST
CROSS ST.
Residential Swimming Pools OWNER OR
Date Applicant FIRM NAME
CERTIFICATE OF EXEMPTION FROM.WORKERS' EOutlets: Rec�Light. I/ .Sw._ `r ' MAR
COMPENSATION INSURANCE First 20 ADDRESS 1
+
(This section need not be completed if the work Involved by Total No. Additional CITY Tel No.
the permit is for one hundred dollars($lbd)or less.) 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 �-
`�' ' Additional.
Date ��� a lice .��b Total No. T CITY T
pP Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: I , er making-this Certificate of APPLICANT
Exemption, you should' ecome subject to the Workers' 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 —'W6 H. —
deemed revoked. CITY Tel. No.
LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other—
LICENSE OR
I hereby affirm•that I am licensed under provisions of Chapter 9 Disp. —.Room Air Cond. REG.NUMBER Class.
(commencing with Section.7000)of Division 3 of the Business DISTRICT NO. PRO C E Y pr
and Professions Code,and my.license is in full force and-effect. Power Apparatus 8 Large Appliances
Sjte&Type HP, KW, KVA, or KVAR'
License Number Lic.'ClassFINAL CL
Up to 1 Incl.
Over 1 16 10 Incl. DATE _/� ,--goO
OO VA ATION I-:
Contractor Date Over 10 to 50 Incl. FINA W
❑ I am exempt under Sec.' Over 50 to.100 Inc. BY +•, N
B.BP.C. for this reason Over 100 z
Date: Services, Swbd., MCC&Ponelboards
0-200 Amp. Under 600 V
Signature 201 -1000 Amp. Under 600 V M 4 1 6 3 A
Over 1000 Amp. or Over 600 V❑. # 0.0 0 0 0 2 Exemption for-Reg. Maint. Elgct.,
SINGLE FAMILY Temp. Power Pole&Appurtenances ( 0 0 2(�2 0
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 o 0 o 2 0.2 0 ig
Professions Code):
❑ I, as owner of the property, will do the work and the Misc. Conduits A Conductors 0305-86
structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby offirm 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 Q
PERMIT ISSUING FEE '
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 representatives of this County to enter upon
the above-mentioned property for i,�spection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
S gnature of Permittee Date
I I ,
'
WORKERS'that
COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT
I•♦hereby bffirm That I have a certificate of consent to self' CE-8066 ,
insufr6, orb certificate of Workers'Compensation Insurance,+ COUNTY OF LOS ANGELES. BUILDING AND SAFETY
br a certified copy thereof(Sec. 3800; Lab. C.)
Policy No, Company i FOR APPLICANT TO FILL IN JOB
Certified co is hereby furnished. EACH NO.: FEE ADDRESS
copy y New Residential Bldgs. '8 Pools
❑ Certified copy is filed with the county building inspec- 1 8 2-Family, Sq. Ft. $ — $ LOCALITY
tion department. Multi-family Sq. Ff. — NEAREST
CROSS ST.
Residential Swimming Pools OWNER OR
Date Applicant 'FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' s: ._ MAIL
OutletRec Light Swn
COMPENSATION INSURANCE '� ADDRESS
This section need not be completedFirst t
Y Total No. Addition
(This if the work involved b al Tel.
the permit is for one hundred dollars(;100)or less.) CITY
CHECK
I certify that in the performance of the work for which this APPLICANT
permit is issued, I shalhnot employ any person in any manner
so as to become subject to the Workers'Compensation La s.'• Lighting Fixtures First 20 " ADDRESS
3�.. Total No. Additional 48
CITY T
Date Appli Fixed Appliances Not Over 1 HP PERMIT.
NOTICE TO APPLICANT: ter making this Certificate of, APPLICANT
Exemption, you should ecome subject to the Workers' 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:— de
deemed revoked. Hood _ Fan _Other_ CITY Tel. IVo.
LICENSED CONTRACTORS DECLARATION LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9' Disp. _ Room Air Cond. REG. NUMBER Class.
(commencing with Section 7000)of Division 30 the Business DISTRICT NO. PRO BY Q�e
and Professions Code,and my license is in full force and effect. Fowey Apparatus 8 Large Appliances �(
Size 8 Type HP, KW, KVA; or KVAR �GO(0 C3
License Number Lic. Class Up to 1 Incl. FINAL ^� LL'
Contractor Date Over 1 to 10 Incl. DATE . 'aJ LIDATION
Over 10 to 50 Incl. FIN LLF
El. I am exempt under Sec. Over 50 to 100 Inc. BY G:
100 N
B.BP.C. for this reason Over
Date: Services, Swbd., MCC 8 Ponelboards
0.-200 Amp. Under 600 V �s
Signature 201 - 1000 Amp. Under 600.V
'
1-3 -Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V '
SINGLE FAMILY Temp. Power Pole 8 Appurtenances
0 0 0 0 0
4 2 8
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit $�
1 hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits .1 0 - 2S50
0
Law for the following reason (Section 7031.5, Business and
Professions Code): o o 0 2 5,5 0 53
❑ 1, as owner of the property, will do the work and the ' Misc. Conduits 8 Conductors
structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ , 3 9 e$6
7044, Business and Professions Code).
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
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
th bove-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date