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HomeMy Public PortalAbout5807 OAK AVE_Electrical__ 76A663&E 806NF6/78 APPLICA N FOR ELE RICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDRESS o I?/ p�/C oft/2 Residential Bldgs &Pools EACH NO FEE 1 &2 Family Sq Ft $ LOCALITY Multi family Sq Ft — NEAREST Residential Swimming Pools CROSSE R � ✓J�!/ Outlets Rec5Light-1--Sw J— FIRM NAME MAI �/ .•. First 20 ADDRESSL A ©fV e Total No � Additional CITY _ Tel No� PLAN CHECK Lighting Fixtures First 20 ADDRESS Total No Additional CITY Tel No Fixed Appliances Not Over 1 HP PERMIT APPLICANT a !� L/✓✓ Range_Heater_D W /�` Oven—Dryer_W M_ ADDRESS 0 /v ' Top _FAU —W H CITY — Tel N� Hood_Fan —Other LICENSE OR Disp —Room Air Cond REG NUMBER lass 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 8 Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING Up to 1 Incl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF V CALIFORNIA OR THAT I AM THE LEGAL OWNER OF BOVE Over 10 to 50 Incl DESCRIBED RESIDENTIAL PROPE Y ` Q Over 50 to 100 Inc Over 100 PERMITEE SIGNATURE N Services / DISTRICT NO CE ED BY Z 0 200 Amp Under 600 V D 201 1000 Amp Under 600 V ` Over 1000 Amp or Over 600 V Z O Temp Power Pole&Appurtenances Sign with One Branch Circuit Additional Sign Branch Circuits INSPECTION > INFORMATION Misc Conduits&Conductors ON REVERSE _ Other(See Complete Fee Schedule) SIDE v 14 6 5 A 9 2 • • 2200 PERMIT FEE (Sub Total) 15- • • * 22-009 PLAN CHECKING FEE (One Fourth Permit Fee) O 3 —79 PERMIT ISSUING FEE TOTAL FEE > 1= INSPECTION FINALED W date By OVA/L IL Os 7SASS3 OBER SA I I sD APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE /PERMIT NO ELECTRICIAN — 36 7 } R EIVED BY READY FOR FIRST INSPECTION DATE ISSUED ADDRESS CITY TEL.NO 7 COUNTY LICENSE N0 EXPIRES /W-10-A-9 BUILDING PERMIT FEES ADDRESS NUMBER EACH FEE LOCALITY / LQ Mf�L Ip � re LIGHT OUTLETS NEAREST RECEPTACLES d CROSS 8T 11 eur H,4 N WALL SWITCHES OWNER a T.' TOTAL OUTLETS Sc S MAIL ELEC RANGES 29 ADDRESS ELEC HEATERS 25 CITY TEL NO FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC 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 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER FEE NEW MVD HP OVER INC EADN OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE �'f 1/2 s LESS S 25 SIGNATURE or V2 %2 2 50 PERMITTEE-c-t 2 5 Igo INSPECTION RECORD 5 15 1 50 15 50 2 50 50 200 Sao 6 L o b.Icdo 2130 Sao 1 D DD 500 1000 1500 Z OVER 1000 1 21300 13 M G BET/FREQ CHANGER HP Q� WELDERS AC KVA O GENERATORS KW TRANSFORMERS KVA TEMP MOTORS (75% DR CRIB) MOVED MOTORS (75% DF DRIM) MISC SIGNS 5�r NO NO TRANS tk i"4 APPROVALS NO NO LAMPS FOR EACH PERMIT DATE INSPECTOR S NAME WIRING mica d CONDUIT FIXTURES S1 00 WIRING SUPPLEMENTARY 50 FIXTURES POWER TOTAL FEE S / s UTILITY CO NOTm-EDl I -�� lk FINAL �J 76A663 OBB 6A 11 so APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC ���� COUNTY OF LOS ANGELES WILLIAM J FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRIC�T.NO GROUP ZO E PERMIT NO J( � -/ G 3 ELECTRICIAN CE RE VEEDD BY READY FOR DATE ISSUED ADDRESS 0 A. `� FIRSTc'10N /3-j CITY TEL NO � �vo COUNTY LICENSE NO EXPIRESD'S •�. BUILDING ©AKY�T. .J O O/ /Y, PERMIT FEES ADDRESS �J NUMBER EACH FEE LOCALITY �g/b/IV .Z (C/AAf Y /� LIGHT OUTLETS NEAREST WeR Ic MAN y . RECEPTACLES CROB9 BT ^ WALL SWITCHES 19 OWNER (�� T, D',L CA R �/ TOTAL OUTLETS 5C MAIL ELEC RANGES 25 ADDRESS ELEC HEATERS Z 25CITY TEL NO FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS M19C 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 POSSESS THE ABOVE VALID LOS NUMBERHORSEPOWER FEE ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER NEW MVD HP OVER INC EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE I/z a LESS $ 25I-M SIGNATURE OF I z 2 s0 PERMITTE �rE 2 5 100 INSPECTION RECORD 5 15 1 50 15 60 250 50 1 200 Sao 200 1 600 10130 j 500 1000 1500 Z OVER 1000 2000 M G HET/FREQ CHANGER HP Q� WELDERS AC KVA O GENERATORS KW TRANSFORMERS - KVA TEMP MOTORS (75% OF ORIS) MOVED MOTORS (75% OF CRIGI) M 19C SIGNS c NO NO TRANS. APPROVALS NO NO LAMPS I d FOR EACH PERMIT DATE INSPECTOR S NAME WIRING $1130 QO CONDUIT FIXTURES $1 00 0 WIRING SUPPLEMENTARY 50 FIXTURES L� POWER TOTAL FEE $ 7 0 UTILITY CO NOTIFIED FINAL Z� . ' 'warm that COMPENSATION cerci DECLARATION CE ,D,B, APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE I�bG insure or a &rtificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec 3800 Lab C ) Policy No Company FOR APPLICANT TO FILL IN JOB O� • //mss ❑ Certified copy is hereby furnished New Residential Bldgs &Pools EACH NO FEE ADDRESS ❑ Certified copy is filed with the county building inspec 1 &2 Family Sq Ft $ — $ LOCALITY —MjWp tion department Multi family Sq Ft — NEAREST Residential Swimming Pools CROSS ST W5 Date Applicant OWNER M 4f O 4 Ik 4fV/j. //�� FIRM NAME /7 Y �.r CERTIFICATE OF EXEMPTION FROM WORKERS Outlets RecLl%Light Sw- MAIL COMPENSATION INSURANCE --,,� First 20 -� ADDRESS (This section need not be completed if the work involved by Total Nom Additional CITY �r� el No the permit Is for one hundred dollars($100)or less) PLAN CHECK I certify that in the performance of the work for which this APPLICANT 01 permit is issued I shall not employ any person in any manner so as to become subject to the Workers Co per s�ation Laws fighting Fixtures — First 20 ADDRESS 1 Total No .Jr Additional CITY Tel No Date L pplica Fixed Appliances Not Over 1 HP PERMIT NOT E TO PPLI NT If after making t ertificate o APPLICANT Exemption you should become 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 — deemed revoked Hood _ Fan _Other_ CITY Tel No 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 3 of the Business Power Apparatus&Large Appliances DISTRICT NO�_ P SED BY and Professions Code and my license is in full force and effect d. Size&Type HP KW KVA or KVAR U 0 License Number Lic Class Up to 1 Incl FINAL �� ^Over 1 to 10 Incl DATE VALIDATION V j(/J OC Contractor Date 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 Z IL Date Services Swbd MCC&Panelboards ► 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 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 Pro ssions Code) 110 Iq I 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)_ , 7 3 13 A 7044 Business and Professions Code) # - 962 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for - 2925 the performance of the work for which this permit is issued PERMIT FEE (Sub Total) (Sec 3097 Civ C ) • • * 29255 PLAN CHECKING FEE Lender shame /D 06,23-87 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 E ctrical wiring and hereby authorize represe atives of this aunty to enter upon the ove ention prop insp tion///p777urposesep ) SEE REVERSE FOR EXPLANATORY LANGUAGE r Signature of Permute v Date- X