HomeMy Public PortalAbout9815 LONGDEN AVE_Electrical__ DEPACOUNTY OF LOS RTMENT OF COUNTYANGELES ER APPLICATION'FOIL PEMT
DIVISION OF BUILDING & SAFETY E L E�:T It I C 1
WILLIAM J. FOX. COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUPI ZONE/ PERMIT NO.
ELECTRICIAN 1"�A4= �( ��03 /
/ �/,r RECEIVED BY READY FOR DATE-F ISSUED
ADDRESS
�/J FIRST INSPECTION �/� G t
CITY JT TEL. NO. L // 4
COUNTY LICENSE NO. EXPIRES BUILDING
PERM FEES ADDRESS J G/
NUMBER BACH FEE
LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROS ST. 'L
WALL SWITCHES a OWNER .V
TOTAL OUTLETS 5c $ 7 MAIL
ELEC. RANGES 25 ADDRESS IV
ELEC. HEATERS 25 d
FIXTURES 5 �.�' CITY TEL. NO. (i
MISC. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF LIGHT CIRCUITS ] APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
AND AGREE TO CQMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS ' I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY. LICENSE, OR I AM THE•LEGAL OWNER
New MvD. HP oven INc. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
V:I a L686 $ .25 SIGNATURE OF
V2 2 .50 i PERMITTEEw
z s 1.00 INSPECTION RECORD
S 15 1.30
15 50 2.50
SO 200 5.00
4
200 Soo 10.00rE J
Soo 1000 13.00 //7
OVER SOOO 20.00 '/v IP- e.*G V
r (;
M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA 0
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (78% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: r� DATE INSPECTOR'S NAME
WIRING $1.00 �(! 1 CONDUIT
FIXTURES $1.00 / /"0—�WIRING �_ 1F!f r/FI_f S
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ � UTILITY CO. NOTIFIED
�FINAL• ll �rlr ,�f'r.n
76A 663 DBBIf BA. 4-63L I r
'6A8,�3 CE-BOe'(6(78) 1' 'U"O! ■ LICA OR ELLSC. F ICAC P�R, e
COUNTY..OF LOS A . .ELES BUILDING SAND SAFETY
FOR APPLICANT TO FILL IN .JOB P
New'Residential Bldgs.&'Pools EACH NO.. FEE" ADDRESS
1 &2-Family,Sq.Ft. . $ '.025. — $ LOCALITYew
r .02 — + NEAREST
Multi-family Sq;Ft. CROSS ST,
Residential`Swimming Pools 25.00
OWNER OR • "
FIRM NAME � lly .
Outlets:Repe�L'ight Sw. MAIL- / y–' ti q
Firsi 20 .50 . " ADDRESS `` �i .
Total No � Additional 30 CIT i' Tel.No.
PLAN CHECK.(•
APPLICANT
Lighting Fixturds. First 20 :50 ADDRESS'
TotallVo:_ • Additional 30 A ..
CITY. Tel.Nb.
Fixed Appliances Not Over,I HP PERMIT '
Range._Heater_D..W._ APPLICANT Li '
Oven'_Dryer W.M.— ADDRES EJ •S r
Top FAU` _Wel-1. Tel,N'
Hood,—*Fan .. _Other LICENSE OR
2.50 Class./ /
D'isp:_Room Air Cond. . REG.NUMBER CJ/p
I HEREBY ACKNOWLEDGE THAT I'HAVE READ THIS APPLICA�
Power Apparatus&Large Appliances TION AND STATE THAT.THE ABOVE IS CORRECT AND AGREE,TO
Size Type HP,KW,KVA,'or KVA.R COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING ELECTRICAL.WIRING:, S
Up to 1 Incl. 2..50 I.
- 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND%OR `.
Over 1 to 10 Incl: 5,00 LICENSED•AS REQUIRED BY'LOS ANGELES COUNTY ANb.STATE OF'. 99
Over 1.0 to 50 Incl. 12.50 CALIFORNIA OR TH I AM,'THE LEGAL OW.ER OF:THE ABOVE
Over 50 to 100 Inc.
25:00 • DESCRIBED RESID AL'PROP,ERTY.
'Over 100 40.00'. S PERNIITEEj
SIGNATURE 96
Services DISTRICT NO. BY
12.50
0-200 Amp..Under 600 V
201'•1000 Amp:Under 600 V
25.0001
:- .V
Over 1000 Amp.or Over.'600 V 50.00 Z
p
Temp.Power Pole&Appurtenances 10.00
'Sign with:Qne Branch Circuit 10.00 I
Additional Sign Branch Circuits 2.00 INSPECTION >
INFORMATION.
Misc:Conduits&'Conductors 10:00 ON REVERSE s
Other(See Complete Fee Schedule)• u
SIDE u
PERMIT FEE (Sub-Total) 36*
0.0 0 0,,0 2
PLAN CHECKING FEE (One-Fourth Permit Fee) I O
►_ 2 ,o 0420.0
PERMIT ISSUING FEE $7.00 o
o'o 0 4200
TOTAL'•FEE '
p�1,02=78
INSPECTION FINALED W
date: f ® ��fir. BY 6 ®s
.. .:' . .. - } _ , - ' .. - •
ti '•:a. L":,';WORKERS'COMPENSATION'DECLARATION• '
�76A663 10/81 !•
• APPLICATION FOR ELECTRIC . PERMIT
;;.I••h rgcy affi'rra that;`I,`have a,certificate bf consent,to -self Insure, {CE-BoeG
•or '.Certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES x :BUILDING AND SAFETY
copy thAreof(Sea 3800;Lab..C.)
' P511Cy:No Cdrhpany FOR APPLICANT To FILL-IN•: 'JOB ' �
;Q•:;Certified:copy,ts;hereby,,furnished. , Pools n
�: .Nevi ResidQntial Bldgs.& EACH' NO. FEE. ADRESS ,
❑ Certified Copy,is-filed:-*Ith the rcodnty ;building inspection 1 A.2=Family,Sq.Ft. -- _
' department. ' r Multi-family Sq.Ft. �CR4RE3T• W •i ii • , r
•�F ^ t .OSS ST. • •.
Date q -Applican '� Residehtial Swimming Pools O)NNER OR, //��(++ + v
`I t ; �' .. ;�. :FIRMNAME' .1!c�Let r•
'CERTIFICATE OF•EXEMPTION FROMWORKERS' Outlets Fief��Light' Sw.�} ', '� + yr'' S' ADDRESS W Y�I �.
r COMPENSATION•INSURANCE, �`
•;.(This section:need.not be completed if,tfie,work-inyolved.by.the• Total No CITY - Tel.No.
First.20'.
perMit,is.for one•hundred dollars($100)be less.)' '
�-. . . ,, 'PLAN CHECK.,•.
clitional
t-oertify that in the performance'of:the work:for which.this permit•• AppuOA
is issued, I shall.not-employ.arty person,in any manner so as to ,
become subject tb the Workers':Compensation Law's. , + „ Lighting Fixtures First 20'"' : ^Q ADDRESS
Additional
Total No:. Z + Tel.,No.
Date,• -Applicant
ICITY ( CZ..
r'..Fixed-Appliances Not r;1'HP, PERMIT"
NOTICE TO APPLICANT:•'If, •after•.rriaking,'tthis: Certificate. •of, ', . r 8 APPLICANT
:Exemption,:you should becorrie.subject to the Workers'Compensation. ,.; Range, Heater_ DW: !
provisions of the Labor Code,you.must forthwith comply with such. > Oven' Dryer a_. W.M. 'ADDRESS '
provisiods•orAhis permlt.shall be deemed revoked. :. Top, — ,FAU V •W.H., ,J 'CITY
LICENSED C;ONTRACTORB:DECLARATION, t;'_ ' Hood" 8_,_ Fan: �� •'Other Tel.'No.'
' I hereby;affirm 4hat:_l am'licensed under• provisions of Chapte.�9 �- -PRE
OR
oommencirt with Section 7000f'of Divtston 3 of.the'Bustnes and' Dis Room Air Cond: —� Class.
( g. . P.: REG:NUMBER v.!
Professions.Code,and my license is in full force'and effect. Power Apparatus&Large Appliances DISTRICT NO. PRO BY yo'
:Itl j— Size&Type HP,KW;KVA,bt KVAR':`• 3• ' " +...(�J'
License Number Ltc:Class Up to•1'Incl. '1\ FINAL'
t r Over'1 to 10 Indl, r DATE
E. ? 0'
, .
Coriiractor� Date �vt - a^ 1 "''� (� VALIDATION ,r. , , Q
❑ t Over 10 to 50 Incl:,.. FINAL r• (~j
I•am exempt.under'Seb.: :`s: Over 50 to 1 O0 Inc., BY WW
1 .B&P.C.for this reason• Over. i 60,'
Services;Syvbd.,MCC&Panelboards ® "` '' �•
Date: 0 200 Amp.Under-600' A.
�$ '
gignaturw ~ - �, 201,-'1000 Amp.Under.600 V
a.r r; Over;1000 Amp.dr,Over 600V.
❑; Exemption for'Reg.M.aint:Elect. •', `, i' :` s'. '
is SINGLE:FAAiIILY' I Temp.Power.Pole.&.Appurtenances ,
HOME OWNER=$UILDER.DECLARATION 5
Thereby affirm that I'am.exempt;frdm'the•Contractor's License:•Law.` I Sign with Ohe•Branch Circuit CCT
C ' y s
for tFie following reason(Section.7031. and Professions ' `P Additional;Sldn Branch Circuits �'�
Code):
" Misc.Conduits&,Conductors
I,as owner of-the property,will do the work and the structure• ;.,•.• 1 r t•4s •,
" is not intended or offered for sald'(Section-.7044,-.:Business I. Other;(See Complete.Fee Scfiedulej _ '� '•• a s—
,.., ,
and Professions'Code):
t
. _
CONSTRUCTION LENDING AGENCY' i `' CHECK
I. hereby•affirm that there Is a construction lending agency for the ! r.
performance of the work for which this permit js issued-(Sec.3097, i PERMIT FEE (Sub-Total) , t'HANs� 5.' l:�jT,:
Clv C.).
PLAN CHECKING FEE
Lender's Name ., •. ,[J)<I�i[s`•••+ �.
FERMIT-ISSUING FEEIIs: f f
T'ender's Address. r .I .48
:I'certify that I have read'this-a` libation and state that the above', ,•. '.TOTAL FEE
,Informatlon'is correct.•1 agree to.comply With all County ordinances I
and State laws regulating-Elebtricaf•wiring, and,hereby. authorize-
:representatives-
uthorize:representativesof,this Cotlnty'to`enter upon the above-mentioned
perty•for,inspection pyrposes. ' ' SEE REVEI16E FOR EXPLANATORY'LANGUAGE
Sig-nature of Permittee Date '