HomeMy Public PortalAbout6213 OAK AVE_Electrical__ GA663:CES06•16.56 •APPLICATION FOR ELECTRIC PER.... .
1 •�
' :BUILDING AND SAFETY DIVISION
s Department of County Englneei 1 BUILDING
County of Las Angeles ADDRESS
4JOH'N A.LAMBIE.COUNTY ENGINEER
CASSATT.D. GRIFFIN.SUPT OF BUILDING :i LOCALITY r_
NEAREST ' tf
'; FORj.!&PLICANT.TO FILL IN ,i CROSS ST.
PERMIT FEES .
IL HTS RECEPTACLES SWITCHES f.. -OWNER
NJ AIL
MEER I I T E M EACH 1FEE
n y ,
.ADDRESS d �✓/7
TOTAL OUTLETS $ .10. $ •i! f "t
ELEC. RANGES, WATER`HEATERS, ..CITY + TEL.NO.
CLOTHES DRYERS r _ .50 ` .•
ELEC. SPACE HEATERS, STAT'Y. cooE. - ELECTRICIAN - >:' CJI •, �..`.•L I
ING UNITS, GARBAGE DISPOSERS, '] A
AUTO WASHERS, DISHWASHER .+,25 { ADDRES.II•p � `/•
7 CITY. GL ,G ? TEL:NIOF. � �+
LIGHTING FIXTURES .10
I .
MOTORS. rr LICENSE NO. f. .•/ �� T ��
HORSEPOWER I
H.P. OVER INC. DISTRICT-NO. RAONE READY FOR INSPECTIOV/2 S:LESS .2S' IG
•. + I ..ZI '
1h ' - 2 # .50 INSPECTION RECORD
l 2 5 9 1.00
5 15 1.50
15 50 .�'. 2.50 t
50 .2004 5.00jo
1i J
SIGNS I NO.TRANS - ...••. �-*. -
NO.LAMPS
SERVICE:0-6.00V 1.00.
j SERHICE'OVER 600V, S:AO d A.-
W1
1
WIRILLNG PERMIT -'1:00 P, ,7
FIXTU.RE PERMIT 1.00:SIJP LEMEIVTARY PERMIT %5OAPPROVALS
OTAL FEE DATE INSPECTOR'S SIGNATURE
11 HERESY-ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIO
AND $TATE-THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT
WITH I ALL COUNTY ORDINANCES AND STATE•LAWS REGULATING '
ELECTRICAL WIRING' WIRING
LI HEREBY CERTIFY THAT I AN PROPERLY REGISTERED ANDioh FIXTURES
ICENSED AS REQUIRED BY. LOS ANGELES COUNTY AND STATETOF
QALI ORNIA OR THAT AN THE LEGA OWN_9"F THE.ABQVr. POWER ;
�1ESCIBED RESIDEN }. PROPERTY.
7$ " 'UTILITY CO.NCITIFIED
1 OF PERM 17.
FINAL
IOr-1N;A. -MB1E. CK VALIDATION• ARTHUR.C.VEIT.
'.OWWT ENGINEER ; T•MO CASH SUPERVISING ELECTRICAL.ENGINEER
• `• • �
Al
FBAS63-CESOG_II_g, APPUCA`lf'ION FOR ,EL:ECTRI:C•= PERMIT -
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 61JIL13wG
BUILDING AND SAFETY DIVISION' ADDRSSs
IN ALMIE, CoatyfinSTT Spt egCSIADGRUTM
'CO,CALITY:
FOR APPLICANT TO FILL IN CROSS s
PERMT FEES
ITEM NUMBER EACH -FEE OWNER
OUTLETS: !' $ $ r,4(.-' MAIL' �� �
LIGHTS 4(.-' RECEPT. / SW. ' .10 [I ADDRESS
LIGHTING FIXTURES (�- .10 G'l7 CITY TJ_L.NO.
ELEC.RANGES CLO.DRYERS
_ ELECTRICIAN �y'•% - •-^%'+�• V�•"�••�"�
WATER HEATERS .50 ADDRESS �� ' / /z
ELEC.SPACE HTRS. DISHWASHIeRS
GARBAGE DISPOSERS AUTO.-
CITY."t z-`•c G -L�c TEL.NO.=-"'
STATE f ���
WASHERS STA.COOKING UNITS .25 LICENSE NO. ••✓
MOTORS: OVER INC. H.P. •r
0— I/a O.25. DIS RIC N .,IPROUPI,ZON9 I READY FOR INSPECTION
+/z— z 1y 5o C.
2 — 5 1.00 INSPECTION -RECORD
5 — 15 1.50 y `
15 — 50 2.50
50— 200 5.00 -
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT •.50 `-
TOTAL FEE g APPROVALS .
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS PLICATION -DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING' t
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES'
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT [ .AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAV{PROPERTY. ' D
O '3
SIGNATURE !"�/ .• I/�/f UTILITY CO.NOTIFIE .
F PERMITTE �!-/•, •% G• C✓ r+lr '
FINAL
/�A�
.IDATION•': ARTHUR C.VETT,
/C/K J Mo a 7: SUPERVISING ELECTRICAL$N6INEl:R•' 1
s '
78A883=CE8081/70 APPLICATION FOR ELECTRICAL PERMIT LI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRENG
BUILDING AND SAFETY DIVISION SS �(.�JOHN A. LAMBIE, COUNTY ENGINEER .�'COLEMAN W. JENKINS. SUPERINTENDENT OF BUILDING ITYfFOR APPLICANT TO FILL IN NEARES T.
OUTLETS N0, EACH FEE . OWNER
RECEPT:_ MAIL e—
:FIRST 20PO ADDRESS //a2 C'-
LIGHT . TOTAL Cy
OVER 20 CITY TEL. N0.
SWITCH .10 PLAN CHECK
LIGHTINGFIRST 20 20 APPLICANT
TOTAL
FIXTURES
OVER 20 .10 ADDRESS
"
APPLIANCES/ CITY TEL. N0.
PERM I T
RANGE . DRYER_WTR. HTR. APPLICANT •-.0 '!FC G
STA. COOK DISP. F.A.U. ADDRESS ' Ej�' �.
SPACE HTR, AIR GOND. CITY TEL. N0. 7 J T
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. �+
FAN OTHER 1,00 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
0 - 1 100 LICENSED AS REQUIRED BY LOS.ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT THE LEG AL OWNER OF, AND INTEND TO
1 - IO 8.00 RESIDE IN, THE B E D ABED RESIDENTIAL PROPERTY.
SIGNATURE
a
10 - 50 500 OF PER
.A �- V
v
50 - 100 10.00
DISTRICTNO. ICLASS GROUP ZONE CESS O
100 - 500 15.00 F-
SIGN, GASSIGN.AND ONE CIRCUIT 3.00 NOTES: H
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 Z
SERVICENOTOVER 600 VOLTS OR 200 AMP Z.00
.APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
- ROUGH CONDIUT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50%. PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00 � FINAL-
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
JOS PH C. ROOHAN
TOTAL FEE SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. 0CAPI PERMIT VALIDATION <V'03 M..O. CASH
55" NOV 4 2 D 5.0 U,' a
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
All
�C� C
76A663-CEG061�/70 APPLICATION FOR ELECTRICAL P66T r.
COEINTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ;NEAREST
ILDING
BUILDING AND SAFETY DIVISION DDRESS
JOHN A. LAMBIE. COUNTY ENGINEER OCALITY
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
FOR APPLICANT TO FILL IN ROSS ST.
OUTLETS NO. EACH FEE
OWNER
RECEPT. $ $ MAIL
LIGHT TOTAL FIRST 20 .20 /
ADDRESS
/�) CITY TEL. NO g U
ff
SWITCH -F-� OVER 20 .10
PLAN CHECK
LIGHTINII TOTAL FIRST 20 20 APPLICANT
OVER 20 ADDRESS
FIXTURES .10
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICAN
STA. COOK DISP. F.A.U. ADDRESS O� • o
SPACE HTR. AIR COND. CITY F 640N 0. 7
CLOTHES WASH. DISHWASH. LICENSE NO.,j_,f) 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 A.ND 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
- tO 3.00 RESIDE IN, THE A VE DESCRIBED RESIDENTIAL PROPERTY.
a
SIGNATURE
10 - 50 5.00 OF PERMITTE 0
Fz
50 - 100 10.00
DISTRICTNO. LASS JORO ZO / PW
0 SSED BY
100 — 500 15.00 6�
SIGN, GAS
bd
TUBE, OR SIGN AND ONE CIRCUIT 3.00 NOTES: IL
a
Z
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600 VOLTS OR 200AMP 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CEOVER 600 VOLTS OR 200 AMP 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE,13 APPURTENANCES 3.00
TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CAB WORK
ROUGH CONDIUT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 1 2.001 1
FINAL P�
SUPPLEMENTARY PERMIT ISSUING FEE 1.001 1 JO EPH C. ROOHAN
TOTAL FEE SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. A.D. CASH PERMIT VALIDATION eK, M.O. CASH
.60NSi Ar,6 8 3 99 SEP 18 2 D 4.60-
SEE
EE BACK OF APPLICATION FOR COMPLETE SCHEDULE
WORKERS'COMPENSATION DECLARATION 76A663 10/81
-I .hereby affirm that I have a certificate of consent to self t CE_8O6G APPLICATION FOR EL [� CTRICAL PERMIT ,
insure, or a certificate of Workers'Compensation Insurance, I COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof(Sec. 3800, Lab. C.) j
Policy No. Company FOR APPLICANT TO FILL IN JOB
Certified co is hereby furnished. EACH NO. FEE ADDRESS (avC�,3 ®/�� r5, ,
PY y New.Residential Bldgs. 8 Pools
7 1 8 2-Famil Ft. $ S j LOCALITY
Certified copy is filed with the county building inspec- Y� Sq.
tion department. I Multi-family Sq. Ft. —I NEAREST
I
Residential Swimming Pools CROSS ST.
OWNER OR
Date Applicant FIRM NAME 26K I/�
CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL
Outlets: Rec Light Sw._
COMPENSATION INSURANCE ADDRESS eq/ Oh'� c5�:�
First 20
(This section neednot be completed if the work Involved by Total'No. Additional CITY �, Tel. No. f7
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
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
Total No. I Additional j.
Date` t
-Applicant CITY Tel. No.
NOTICE TO APPLICANT: If, -after making this Certificate of i Fixed Appliances Not Over 1 HP � PERMIT
Exemption, you should become subject to-the Workers' Range_ Heater_D.W. I, APPLICANT
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. —
Hood _ Fan _Other_ ���'a7T� �ya 3
deemed revoked. ( CITY Tel. rVo.
LICENSED CONTRACTORS DECLARATION LICENSE OR
Disp. _ Room Air Cond. 3 �c 44 Class. or-11010
!hereby affirm that I am licensed under provisions of Chapter 9 i REG. NUMBER
(commencing with Section 7000)of Division 3 of the Business DISTRICT NO. PRO ED BY a
and Professions Code,and m license is in full force and effect. Power Apparatus 8 Large Appliances �` ,j
y Size 8 Type HP, KW, KVA, or KVAR' I
License Number Class -/d i FINAL LL'
Up to 1 Incl. %
Contrac ate //!Ad i• Over 1 to 10 Incl. I DATE�� r LIDATION
Over 10 to 50 Incl. FINAL LVF
lam exempt Under Sec. I Over 50 to 100 Inc. BY D:
100
B:BP.C. for this reason Over �
Date: Services, Swbd.., MCC 9 Ponelboards 1 C NJ0 -200 Amp. Under 600 V /J Ww
Signature 201 - 1000 Amp: Under 600 V _
Over 1000 Amp. or Over 600 V '
Exemption for Reg. Maint. Elect. 4 2 a 7 A
SINGLE FAMILY Temp. Power Pole 8 Appurtenances.
.HOME OWNER-BUILDER DECLARATION Sign with.One Branch Circuit I 1 - 002 0 0 0002
I hereby affirm that I am exempt from the Contractor's License ' Additional Sign Branch Circuits ( 0 0 2 5i 5 Q
Law for the following reason (Section 7031.5, Business and I
Professions Code):
' II Mist: Conduits 8 Conductors o 0 0 2 5 5 O c=i
I, as owher of the property, will do the work and the i
structure is not intended or offered)for sale (Section i Other(See Complete Fee Schedule)_ , Poo031
_8 6
7044, Business and Professions Code.
' CONSTRUCTION LENDING AGENCY l
I hereby affirm that there is a construction lending agency ford
the performance of the work for which this permit is issuedl PERMIT FEE (Sub-Total)
(Sec. 3097, Civ. C.)..
I' PLAN CHECKING FEE }
Lender's Name
PERMIT ISSUING FEE d
Lender's Address
I certify that I have read this application and state that the' TOTAL FEE S$Q
above information is correct. I agree to comply with all County;
ordinances and State laws regulating Electrical wiring, and;
hereby'au.thorize representatives of this County to enter upon;( i
the e-mentioned property f s ction purposes. j
SEE REVERSE FOR EXPLANATORY LANGUAGE I
ig ature of Permittee Date +