HomeMy Public PortalAbout9550 LOWER AZUSA RD_Electrical__ 7""3 DBS 6A 7-51 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY ��������
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICqj NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN
EIVE READY FOR DATE IBB ED
ADDRESS FIRST INSPECTION
/ J
CITY TEL NO
COUNTY LICENSE NO. EXPIRES BUILDING
ADDRESS
PERMIT FEES
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST e—, �
RECEPTACLES CROBB ST
41
WALL SWITCHES OWNER"
TOTAL OUTLETS 5C $ S MAIL `
ELEC RANGES 85 ADDRESS „/ Q, *
ELEC HEATERS 25 CITY E1.. NO
FIXTURES 5 �` I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC APPLICATION AND STATE THAT THE ABOVE 18 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 I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVC HP OVER INC EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
m LESS $ 25 SIGNATURE OF
�/ 2 .50 PERMITTE
2 B 100 INSPECTION RECORD
5 IS 1 So-
15
o15 s0 250
so 200 Bao
200 Boo 1000 J
Soo IOOD 1500 Q
Z
OVER 1000 2000 Q
M G BET/FREQ CHANGER-HP
WELDERS*AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORB (75% or oRIG)
MOVED MOTORS (75% Or ORIG)
MISC
SIGNS
NO NO TRANS. APPROVALS
NO NO LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $100 ( CONDUIT
FIXTURES 181 00 WIRING J
SUPPLEMENTARY s0 FIXTURES
POWER
TOTAL FEE ® UTILITY CO.NOTIFIED
FINAL
I
'YOA663 ORS=A 11-49 ® APPLICATION FOR PERM
- DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
�����'
COUNTY OF LOS ANGELES
V*gLLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DI NO. GROUP ZONE PERMIT NO.
[ADDRESP
CTRICIAN
CEIVED BY READY FOR DAT ISBU
PP
FIRST INSPECTION TEL NO O 3 NTY LICENSE NO EXPIRES 0 d BUILDIN PERMIT FEESFEE
MBER OUTLETS EACH LOCALITY
LIGHtS ac 0 NEAREST
RECEPTACLES 8 O CROSS ST
F XTURE8 s 4037 OWNER
WALL SWITCHES S MAIL
ELEC RANGES 25 ADDRESS
ELEC HEATERS 25 CITY TEL NO
MISC
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING
NUMBER HORSEPOWER1 CERTIFY THAT 1 POSSESS THE ABOVE VALID ES
MVO HP OVER NC EACH FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
I
OF THE RESIDETINPROPE B
DESCRIBED AOVE.
a LESS $ 28
1/2 2 s0 SIGNATURE OR
PERMITTE
E s 1 00
s 15 1 50 INSPECTION RECORD
1s Iso 2 50
SO 200 s 00
200 Soo 10 00
300 1000 1s 00 "'I
OVER 1000 20 00 .
M G SET FREQ CHANGER-HP
WELDERS A -KVA
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS 75% OF ORIG )
MOVED MOTORS (78% OF OR1G )
M 8C
SIGNS
TYPE NO TRANS
TYPE NO LAMPS APPROVALS
FOR EACH PERMIT DATE INSPECTOR'S NAME
WIRING $1 00 CONDUIT IF
FIXTURES $1 00 WIRING
SUPPLEMENTARY So FIXTURES
POWER
TOTAL FEE $ f1 UTILITY CO NOTIFIED /
V FINAL f
79A666 1769 GA 11-49 ® APPLICATION FOR PERMIT
DEPAMIENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J FCX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTR NO. GROUP ZO E PERMIT NO. _
NADDRESS
AN
RECE Y READY'FOR DATE ISSUED
FIRST INSPECTION D TEL NO Z.N86 NO mCP " BUILDINGPERMiT �QADDRQ88
r r. FEE
OUTLETS EACH LOCALITY JL
LIGHTS Bc S NEAREST
RECEPTACLES 8
S CROSSST
FIXTURES s OWNER
WALL SWITCHES s MAIL
ELEC RANGES 2B ADDRESS
ELEC HEATERS 25 CITY TEL NO
M18C
NUMBER OF CIRCUITS INSTALLED 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECT41CAL WIRING
NUMBER HORSEPOWERI CERTIFY THAT I POSSESS THE ABOVE VALID LOS
FE6 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
RMGMVSE,/FREQ
HP oven INc ewcH
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
a LE86 f 25
1/ 2 s0 SIGNATURE OF
PERMITTEE
a s 100
s Is 1 so INSPECTION RECORD
iB so 2 50
50 200 B 00
200 Boo 10 00
Boo 1000 is 00 '�
OVER 1000 2000 Z
CHANGER-HP 5
WELDERS AC KVA Ir0
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS 75 OF ORM )
MOVED MOTORS 73% OF ORIG )
MIBC
SIGNS
TYPE NO TRANS
TYPE NO LAMPS APPROVALS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING 1 00 0
CONDUIT
FIXTURES 1 00 WIRING
SUPPLEMENTARY so FIXTURES
POWER
TOTAL FEE f UTILITY CO NOTIFIED
FINAL 3 -T E
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer ELECTRIC
DIVISION OF BUILDING & SAFETY
WILLIAM J FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN S' _r A^/ .0_45-
ADDREBBRECEI ED BY FI RE DYBPEOOTRION DATE ISMIED
CITY TEL NO poll / /0 S
COUNTY LICENSE NO. EXPIRES ABUILDING
DDRESS S� ♦�-��
PERMIT' FM F '
NUMBER EACH FEE LOCALITY PAIG
LIGHT OUTLETS NEAREST
RECEPTACLES CR038 BT
WALL SWITCHES OWNER
TOTAL OUTLETS 6c iii
S_
MAIL j��►yp ' A'�y
ELEC RANGER25 ADORE
ELEC HEATERS 25 CITYCITY�L. NO
FIXTURES a
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
M18C APPLICATION AND STATE THAT THE ABOVE 18 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 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
New MVO HP OVER iNc EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
I2 a LESS .2s SIGNATURE OF ��
_
va 2 so PERMITTEE - --__--
a B 1.00 INSp TION RECORD
s 1a t.so
15 so 250
so 200 goo
200 Sao 1000 J
_ Sao 1000 15 00 a
Z
OVER 1000 2000 0
MG SET/rREM CHANGER-HP Q
WELDERS AC-KVA
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (75% or Own)
MOVED MOTORS (75% or ORlo)
MISO
SIGNS
NO. NO TRANS.
No NO LAMPS APPROVALS
FOR EACH PERMITi DATE INSPECTOR'S NAME
WIRING 51.00 d D CONDUIT _
FIXTURES $1.00 WIRING
SUPPLEMENTARY so FIXTURES
POWER Af
TOTAL FEE S / �� UTILITY CO.NOTIFIED A
FINAL `7 :± 5-� �
78A868 D73S$k 6A �-68
WORKERS'COMPENSATIONDECLARATION
CE-806G (2 80) APPLICATION FOR ELECTRICAL PERMIT
E,806
I hereby affirm 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)
Policy No Company FOR APPLICANT TO FILL IN JOB
DDRESS 5S D �VW rC. Ku
New Residential Bldgs &Pools EACH NO FEE
Certified copy is hereby furnished 1 &2-Family,Sq Ft $ — $ LOCALITY
ElCertifiedSq Ft — EAR T \
Certified copy is filed with the county building inspection CROSS ST 4--k
department Residential Swimming Pools OWNER OR
FIRM NAME ZA IF, O
Date Applicant Outlets �Rec ADDRESS
—Light Sw MAIL S
First 20
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY Tel No }
COMPENSATION INSURANCE PLAN CHECK d
(This section need not be completed if the work tnvolved APPLICANT U
by the permit is for one hundred dollars ($100) or less) Lighting Fixtures First 20 ADDRESS lr
Total No Additional O
I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No t
permit is issued, I shall not employ any person in any manner PERMIT rr
so as to become subject to the Workers'Compensation Laws Range_Heater D W APPLICANT ��7�rCi� �i d
c, L Oven _ Dryer_W M ADDRESS IlAn AL � Z
Date Se s Applicant if - Top _ FAU _W H _
�— Hood _ Fan _Other_ CITY _ Do 1piA Tel No C11 111SO
NOTICE TO APPLICANT If, after making this Certificate of Disp _ Room Air Cond_ LICENSE OR
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 PROCES ED BY
with comply with such provisions or this permit shall be
deemed revoked Size&Type HP,KW,KVA,or KVA
Up to 1 Incl
FINAL
LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl DATE �.�� VALIDATION
Over 10 to 50 Incl
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINAL
BY
9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 Cf'
_ness and Professions Code, and my license is in full force and
effect Services t r 112-
License
iLicense Number 7 S L Lic Class L—��
0-200 Amp Under 600 V f/
201-1000 Amp Under 600 V
contractor Date 9,^2
" Over 1000 Amp or Over 600 V
HOME OWNER-BUILDER DECLARATION Temp Power Pole&Appurtenances a'41 (( $ A
I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit
Sign Branch Circuits #
License Law for the following reason (Section 7031 5, Busi- Additional Sig ,• • • • • 2
ness and Professions Code) 2 • • 2 5;5 0
Misc Conduits&Conductors -
I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— • ! • 2 5 5 0
structure is not intended or offered for sale (Section
7044, Business and Professions Code) 0 0 2—8 3
CONSTRUCTION LENDING AGENCY ,
I hereby affirm that there is a construction lending agency
for the performance of the work for which this permit is PERMIT FEE (Sub-Total)
issued(Sec 3097,Civ C) /-S—
Lender's
-Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)
Lender's Address PERMIT ISSUING FEE ()
I certify that I have read this application and state that the TOTAL FEE S
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 inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE
nature of Permittee Date