HomeMy Public PortalAbout10665 LOWER AZUSA RD_Electrical__ 768663-Cl_!�8061CO2 'APPLIC TIO FOR E.L TRICAL PERMIT
/ COUNTS( OF, LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB /
BUILDING AND SAFETY DIVISION ADDRESS 0KJ S
LOCALITY
NEAREST
FOR APPLICANT TO FILL 'IN CROSS ST. ® -L
OUTLETS NO. EACH FEE OWNER OR J
$ s FIRM NAME
..J6 O�1 T4
RECEPT._ ADDRESS�`�6,60&I "N c%
MAIL
LIGHT TOTAL FIRST 20 .25
CITY TEL. NO.
SWITCH OVER 20 .10
PLAN CHECK _ a
FIRST 20 25 APPLICANT `^-YV
LIGHTING TOTAL D
OVER 20 ADDRESS (p
FIXTURES .t0
RESIDENTIAL APPLIANCES CITY<z - TEL. NO �`
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. - AIR COND. CITY TEL. NO.,
CLOTHES WASH. DISHWASH. LICENSE OR !-S CLASS
REG. NUMBER ,
FAN OTHER . 1.00 I HEREBY 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 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM� THE LEGAL OWNER OF THE ABOVE
1 - 1O 3.00 DESCRIBED RESI PROPERTY. c-
O
PERMI U
10 - 50 5.00 SIGNATUR
O
50 - 100 10.00 DISTRICT 0 PROC SED B U
W
100 - 500 15.00 N
>� Z
SIGN, GAS SIGN AND ONE.Cl RCUIT ' 5.00 UU APPROVALS 0,9 DATE INSPE OR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVICEOVER600VOLTS OR200AMP 10.00 ROUGH-CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING A/
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL �� w
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 Q -
TOTAL FEE Q(�
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH.
024r`_'0G7 24- ' � , 8.00 - ;
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING &. SAFETY_
WILLIAM J.,FOX, County Engineer
FOR PL ANT ILL IN DISTRICT NO. GROUP ZONE PERMIT NO..
ELECTRIC- dZ
RECEIVED BY "READY FOR DATE ISSUED
ADDRESS - ;111-1194w.
l - - "FIRST INSPECTION -
CITY
" COUNTY LICENSE NO. EXPIRF.9 BUILDING .• �( / ��
PERMIT FEE FEE ADORE9s_.1U (� r
-.
'NUM SER. EACH LOCALITY `
LIGHT.OUTLETS NEAREST
CROSS ST.
RECEPTACLES - _ -
WALL SWITCHES. 'n. OWNER
TOTAL OUTLETSSC =L
MAIL
'ELEC. RANGES - 29" - ADDRESS JI _
ELEC. HEATERS 25 CITY TEL. NO. -
FIXTURES - - 5cl'i
1 -HEREBY ACKNOWLEDGE THAT' 1 HAVE READ .THIS
MJ9C. APPLICATION AND STATE- THAT THE.ABOVE 19 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY 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 LIICqCENBE, OR 1 AM THE LEGAL OWNER
NEW MVO. HP -OVER INC. EACH OF THE REBIDENTI C/PROPERTY,,ESCRtSED B VE:
_ %2 s LESS $ .25 SIGNATURE OF
%2, _ 2 .5O PERMITTEE
-- 2 s 1.0 INSPECTIO] RECO
5. 15 1.50 -
--_ 1_S so - 2.50
50 200 5:00 - -
_ 200 300 ! 10.00 - ',J"
SOD 1 000 1.5.00
Z
OVER 1000- 20.00 C.1,
M.G. SET/FREQ.. CHANGER-HP
WELDERS:AC-KVA
GENERATORS - KW -
TRANSFORMERS.- KVA - -
TEMP. MOTORB I75% OF ORIGJ.
MOVED MOTORS (75% OF ORIG.)
MISC. _ - -
SIGNS
NO. NO TRANS.
APPROVALS
NO. LAMPS -
FOR EACH PERMIT: DAT9 INSPECTOR'S NAME
WIRING 81.00 CONDUIT
WIRING
FIXTURES 81.00- _ t
BUPPLEMENTARY - - .50 - - FIXTURES
�. POWER
I TOTAL FEE UTILITY CO..NOTIFIED ,1fA/I
FINAL / W, Mv,✓
`76Ar.63 DBS#i 5A 2-53 - f
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING '& SAFETY
WILLIAM J. FOX, County Engineer
FOR P CAN/ T FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIA
RECEIVED BY READY FOR DATE ISSUED
ADDRESSFIRST INSPECTION I -q
CITY ^� TEL NO.••
COUNTY LICENSE ND. MEE EXPIRES / �cS BUILDING //F/ �.
PERMIT FEES' _ADDRESS'S
/U�r+
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST _
CROSS ST.
RECEPTACLES '
WALL SWITCHES OWNER `z
TOTAL OUTLETS Sc MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY - TEL. NO.
FIXTURES /A 5
mi sr.. �_A //�j,{.i� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSEBB THE ABOVE VALID LOB
NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE /
NEW MVD. HP OVER INC. EACH OF THE REBIDENTIA ROPERTY DESCRIBED ABOVE.
'/2 & LESS $ .25 SIGNATURE OF
%2 2 .50 PERMITTE 777
2 5 1.00 INSPECTION RECORD
_ 5 1S 1.50
15 50 2.50
50 1 200 5.00
200 500 10.00 J
500 1 000 15.00 Q
Z
_ OVER 1000 20.00 -
M.G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA - 13
GENERATORS - KW
TRANSFORMERS - KVA '
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIB.) '
MISC.
SIGNS
NO. NO.TRANS. -
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: I DATE IN ECTOR'S NAME
WIRING $1.00 CONDUIT /
FIXTURES $1.00 V WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE UTILITY CO.NOTIFICRJ j# Al
A
FINAL l.E..Cl,6.�.........—
76A663 DBS#SA 2-53
76A663-CE806 I1-71 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
.DEPARTMENT OF'COUNTY ENGINEER FADDRESSQ (J
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN NEARE - V �
OUTLETS NO. EACH FEE
OWNER
RECEPT. $ $ ' p MAIL
FIRST 20 25. ADD �jZ �� �@d �•
LIGHT TOTAL RESS_
OVER 20 CITY TEL. N0. 'O
SWITCH_ .10 PLAN CHECK
LIGHTING TOTAL
FIRST 20 - 25 D -APPLICANT -
� OVER 20ADDRESS
FIXTURES .10 -
RESIDENTIAL APPLIANCES CITY TEL. NO.
RANGE DRYER_WTR. HTR. PERMIT
NT- CP +
f-d el
STA. COOK DISP. F.A•U. - ADDRESS 2
SPACE HTR. AIR COND.----. 'TEL.CITY G/ :J f j9 N0.
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.
FAN OTHER 1.00 1 HEREBY 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
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM.THE LEGAL OWNER OF, AND INTEND TO O
1 - 10 3.00 RESIDE IN, THE ABOVE ESCR�IIBED RESIDENTIAL PROPERTY.
, SIGNATURE
10 - 50 5.00 OF PERMITTEE O
50 100 10.00 DISTRICT NO. CLASS ZONE ROCESS D BY u
100 - S00 15.00 U
N
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: ?
TUBE, OR -
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER600VOLTS OR200AMP 3.00 00
APPROVALS DATE jNSPECTOR'S SIGNATURE
SERVI.CEOVER600VOLTS OR200AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00 _
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING 3 ��
FIXTURES ,
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED -
PLANCHECK FEE
FINAL
PERMIT ISSUING,FEE 3.00jo TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDA ' CK. M.O. CASH
SEE BACK.OF APPLICATION.FOR COMPLETE SCHEDULE
76A663-CE806 ,;-T, APPLICATION FOR ELECTRICAL PER. IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ti..
BUILDING AND SAFETY DIVISION ADDREsAZ 4p1
.. . LOCALITYJ ' t,.
NEAREST
FOR APPLICANT TO FJLL IN CROSS-ST.
OUTLETS '.�
NO. EACH FEE - - f -
,. OWNER
RECEPT: - $ $_ MAIL - ^/�
ADDRESS ?L-'JL
LIGHT - TOTAL FIRST 20 25
CITY, .� d: TEL. NO'. �!!(1
SWJTCH_ OVER 20 ,.10' PLANCHECK -
- .25 .APPLI CANT - -
LIGHTINGFIRST 20
w: 1. TOTAL
T ADDRESS
.FIXTURES OVER 20' .jp -
RESIDENTIAL APPLIANCES ti TY TEL,.NO.
- ,PERMIT /1 '
RANGE DRYER_WTR. HTR. APPLICANT• d� (r -
STA COOK. DISP: F..A.U. ADDRESS, Ile/-
SPACE HTR. AIR COND. - CITYCPL11!q TEL.NO. r (f J
CLOTHES WASH.' ISHWA - LICENSE NO. CLASS.
FAN OTHE 1.00 1 HEREBY .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 REGULATI.N G.
IND. HEATERS,'ETC. HP, KW: KVA. ELECTRICAL WIRING.
SIZE & TYPE- OVER TO -
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0— 1f.00 LICENSED AS; REQUIRED BY LOS ANGELES COUNTY AND STATE OF >
CALIFORNIA.OR THAT I AM.THE LEGAL OWNER OF, AND INTEND TO
1 — 10 3bO RESIDE IN, .THE ABOVE DE CRIBED RESIDENTIAL PROPERTY. O
10— 5,0 5.00 - SIGNATURE
OF PERMITTEE - O
50 - 100 10.00 I-
DISTRICTNO. CLASS Z-0NE PROC SS ED BY. W'.
100 -_500. 15.00 ,Q� 2�� ✓— ` N.
Z
.SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES:'
TUBE.. OR - -
MARQUEE ADDITIONAL CIRCUITS- 1.00
SERVICE NOT OVER 600:VOLTSOR.200AMP 3.00 --
APPROVALS.- DATE :INSPECTOR'S SIGNATURE
5ERV1 CE OVER 600 VOLTS OR 200-AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
- UNDERSLAB WORK -
'TEMP LIGHT OR.RECEPT. SYSTEM .3.00
ROUGH 'CONDIUT r ,
WIRING ..
'.. - FIXTURES
POWER AUTHORIZED : -
PERMIT FEE (SUBTOTAL) -
UTILITY CO. NOTIFIED
PLAN CHECK FEE-
'1 ' 1.
EE .-... -
.,.' .:. FINAL
.PERMIT ISSUING FEE, 3.00 QQ
TOTAL FEE-
PLAN CHECK VALIDATION' CK. M.O. F CASH PERMIT VALIDATION 'M,O. CASH'
;.I!!.G'd`",
.:SEE,BACK.OF APPLICATION FOR COMPLETE SCHEDULE - -
WORKERS'COMPENSATION DECLARATION CE-806 APPLICATION- FOR ELECTRICAL PERMIT
r `~ �• CE-806G (2-801
I hereby affrr*1 that„I,,have a certificate-of,consent to self COUNTY OF:LOS ANGELES BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation Insurance,or
�.
• a certified•copy'thereof.(Sec.3800,'Lab. C.)' - -
R y
-. FO APPLICANT _
ANTT.O FILL IN
PolicyNo. Company DDRESS'..
NewResidential,Bldgs.•&'Pools EACH NO; FEE „ & �!J
❑. Certified copy is hereby furnished. ° 1.&2-Family,Sq.:Ftr $ — $
'LOCALI.TY
42,M
ulti family Sq. Ft. NEAREST,
Certified copy is filed with the county bCuilding inspection OSS SA.; ,`
r
_ Residential,Swimmg
m 'Pool`s
C,�
department. - .. -OWNER OR ,
IRM NAME / t/ i { /v
Date Applicant Outlets': Rec.-ILightf�2 'Sw. MAIL•
1 .1First 2 ;�, 1129 AD %ESS- '� �A L'O�✓ /? L.�
CERTIFICATE-OF EXEMPTION FROM'WORKERS . Additional
. C No.
COMPENSATION•;INS,URANCE L d`
ITY .el
(This. section need not be compieted af,-the.work involved4 Light Fixfures' First 20 LQ/ UO
PLA CHECK
,by 'the permit is for',one hundred._.dollars :($,100),or less.) g 9
A
PPLICANT
_ Total No. „ : A
dditional - D.� pC
' CITYRE TeI.No •
SS,,
I certify that m the performance of the work for which this IF' Over Over 1 HP �.
permrtjs issued Rshall not employ any person in anymanner r . PERMIT - W
so as to become subject to the Workers' Compensation Laws.'. Range_ Heater = D.W. ` APPLICANT 40O 1,f Ae— _ d
Oven, Dryer.--W.M. ADDRESS Cl)
Date Applicant: Top — FAU W.H.1
CITY Tel No
Hood _'Fan_ _Other
'
r
.,NOTICE TO APPLICANT:.If, after making this Certificate of Disp Room Air.Cond LICENSE -
Exemption, you:'should' become subject to the,.Workers' _
REG.NUMBER Class
Compensation provisions of the Labor Code, you must forth- Power:Apparatus& Large Appliances DISTRICT NO. PR CVOi4_,�,Oe
ES$ED BY
.with comply with such provisions or'this permit .shall be
-Size&Type HP KW,KVA,or.K•VAR
,deemed revoked "'
, _ - ,- _ •, Up to,1 Incl.' .
FINA
<'
Over.l.to 10 Incl DATE
L � 1
LICENSED.CONTRACTORS DECLARATION t'{ VALIDATION
Over 10 to 50 Incl.
I hereby affirm that.I am licensed under provisions of Chapter Over 50 to.100,Inc. - FINAL
9 (commencing with Section'7000) of Division 3 of the,Busi- �•Over100 B
Y` /
,
ness and ProfessionsCode, and my license is in full force and,
effect: Services"'-.
License Number'f Lic,Class 0-200'Amp 'Onder-600 V
201'-1000 Amp. Under 600-V
Contractor Date Amp.or Ove
'r Ov 'r 600 V
HOMEOWNER-BUILDER DECLARATION f
Temp Power Pole&.Appurtenances
I hereb Sign with One Branch Circuit
y affirm 'that, I am 'exempt from -the Contractor's Additional Sign Branch Circuits
"License Law for. the following reason (Section 7031.5, Busi-
.
ness d-Professions Code): _
Misc.Conduits&Conductors r
I, as owner of the property; will do,the;work,and the Other (See,Complete Fee Schedulel=
structure is not intended or offered-`fur sale (Section '
7044, Business and Professions.Code)
CONSTRUCTION LENDING AGENCY ,
I hereby affirm that there is a construction lending agency b
for•the performance of the work for'which-this permit is # o
issued(Sec..3097;Civ:C:). PERMIT FEE ISub-Totall.
Lender's Name'
PLAN CHECKING FEE (One Fourth.Permit Feel
2'� .2Q8D'.
Lender s:Address
PERMIT ISS O
r o 02 gQ�
ISSUING FEE �
I certify that I have read'this application-and state that the TOTAL F EE 1 8 2 7 8 0
above information is correct.I agree to comply with.all County
ordinances `and .State laws regulating.Ele teal wiring, and
L
hereby aut ze representativ s f this u ty to'enter upon
ove-m'e oned' fop o ins tion urposes. S G
d I« ` EE'REVERSE FOREXPLANA.TORY LAN UAGE•
Signature of Formittee D to