HomeMy Public PortalAbout6216 OAK AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR .PERMIT
Department of County Engineer ��������
DYVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.NO.
ELECTRICIAN VQ W 01Jf J VT/
RECEIVED BY READY FOR DATE ISSUED
ADDRESS
'Y V6 O FIRST INSPECTION CITY
CITY I TEL NO. xa OaAth- / I n— _4_
COUNTY LICEN E NO. EXPIRES ABUILDING
�°'� 1n� k�
PERMIT FEES
NUMBER EACH FEE LOCALITY ;2#
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST. O h e-r
WALL SWITCHES OWNER 1'r1 C.P.
TOTAL OUTLETS 5D 9 MAIL / 7rj /J � /k ��J
ELEC. RANGES _ t 25 _ ADDRESS byioe6 ^N7�.IICJ hf�/
ELEC. HEATERS 1yC Lc�_25 —CITY
Jt y�it ` lly TEL. NO.Ar.
FIXTURES /- 5 L A
1 HEREBY/ ACKNOWL GE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IB 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 HORSEPOWER FEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
NEW I MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
'/z a LEBB S .25 SIGNATURE or
%a 2 .50 PERMITTB '
2 5 1.00 INSPECTION RECORD
5 1B 1.50
15 50 2.50
50 200 5.00
200 _ Sao 10.00 J
_ 500 1000 15.00 r Z
OVER 1 DOE] 20.00 I9
M.G. SET/FREI). CHANGER-HP Q'
WELDERS.,AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA _
TEMP. MOTORS (75% OF CRIB-)
MOVED MOTORS (75% OF DRIB.)
MISC.
SIGNS
NO. NO.TRANS.
NO. NO.LAMPS APPROVALS
FOR EACH PERMIT: DATE INBPECTORP9 NAME
WIRING 51.00 CONDUIT- ���• _
FIXTURES $1.00 �_ Q b WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE 41 �] UTILITY 00.NOTIFIED
FINAL
TOA663 DBS#5A 4-52
r
herebil%ffi m that I'h veMPENSATION a certificate of consentOto self insure, DPw(12-91) APPLICATION FOR ELECTRICAL PERMIT
or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy thereof(Sec,,.3800 Lab.C.)
POIICy NO.. -. JOB Company FOR APPLICANT TO FILL IN � ADDRESS .k. /4
❑ Certified copy is hereby furnished. New Residential Bldgs:&Pools NO., EACH_ FEE
$ •LOCALITY•
• Certified copy is.filed with the county building inspection 1'&2-Family,Sq.Ft.- NEAREST
department. Multi-family Sq.Ft. CROSS ST.
Date Applicant Residential Swimming Pools ABSESSOR
MAP�BOOK PAGE PAgCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR
COMPENSATION INSURANCE Outlets:Rec. Light. Sw. FIRM NAME /
First 20 MAIL
(This section need not be completed If.the work Involved by the Total No. Additional ADDRESS //11
permit is.for one hundred dollars($100)or less.) ' ®T.
I certify that in the performance of the work for which this permit (CITY j: q rel.:No. .
Is issued, I shall not employ any person in any'manner so as to PLAN CHECK
IF
become,subject to the Workers'.Compensation Laws. Lighting Fixtures First 20 . , APPLICANT
Total No. Additional "
ADDRESS
Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3.HP.
NOTICE TO APPLICANT: If, after making.-this Certlfjcate of CITY 'rel.No:-
Exemption,you should become subject to.the Workers,Compensation OTHER APPLIANCES NOT OVER 3 HP.
provisions of the Labor Code,you must forthwith comply with suchPERMIT
provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT
LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR. ADDRESS
hereby.affirm that I am L . .
licensed under.provisions of Chapter 9 Over 3to 10 Incl
(commencing with Section 7000)of Division 3 of the Business and CITY Tel.No.
Professions Code,and;my license is in full force and affect. Over 10 to 50 Incl.
LICENSE OR Class. d
Over 50 to 100 Incl. REG.NUMBER
Over 100 DISTRICT N ®� PROCE Q
License Number 'Lie.Class V
cc
Se s, wbd., &Panelboards n
Contractor... Date �� mp.Under 600 V DATE
4 0•10 0 Amp.Under 600 V /j " ~
❑ I am exempt under Sec. �2 "(. VALIDATION V
Over�1000 Amp,or Over t100 V FINAL III
Y CL
B:&P.C.for this reason BRANCH CIRCUIT'FEES Kp T
C0
Date: 15A,or 20A,120V,Lighting or Recept. +i I3 � ,�,-Z
Signature 1 To 10 Branch Circuits
11 To 40 Branch Circuits —1
ENS
41 Or More Branch Circuits • Ow i y 5
ElEx,
for Reg.Ma'int.Eject. 15A,20A,208V To 277V Lighting Br.Circuits ; •( �- '.3 •'�_6
SINGLE FAMILYTemp.Power Pole&Appurtenances CHECK 63.45
HOMEOWNER-BUILDER DECLARATION Sign with One Branch Circuit s. f
HAN E
for the following reason.(Section 7031.5, Business and'Professions Additional Sign Branch Circuits I
Code):"
❑ 1,as owner of the property,will do the work and the structure Misc.Conduits&Conductors I, 0600 .3IIS 4/95
is not intended.or offered for sale(Section 7044,:Business Other(See Complete Fee Schedule)
•
1 � Cs=Ly
R
,and Professions Code). , C-46 X + ti_
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued(Sec.. 3097', PERMIT FEE (Sub-Total) I'
• Civ.C.)
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE �p
Lendet's Address / �}
I certify that I have read this application and under penalty of purjury state TOTAL FEE (moo j
that the above information is correct. I agree to comply with all County
ordinances and State laws regulating Electrical wiring,and hereby authorize
repres ntatives of this County to enter upon the above-mentioned property '
for.' s ctio r es. / SEE REVERSE FOR EXPLANATORY LANGUAGE
'S NATURE OF PERMftTEE DATE
D.B.B.5A 25M BETS 113-47 �. APMCATION FOR P
DEMRTKENT OF BUILDING AND SAFB'ff -.4
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX CHIEFENGIN ER �!
IS
NAME DISTRICT NO. GR . ZC?NE PERMIT PTO.
ADDRESS
U —
CITY TEL.NO. REcmVED 13Y READY R DATE ISSUED
pI FIRST INSPECTION
COUNTY e�
d CERT.NO. EXPIRES O 7 A
APPLH, Ou*IrLI 1EIID PORTION ONLY6�?�/�i
DESCREMON OF WORK ADDRESS o
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST o
LIGHT OUTLETS SW. PLUGS FIXT CR06 T.
CIRCUIT° A B C D E F G H !r NAME s
Z MAIL
ADDRESS � F
D CITY TEL.NO.
S _ H AM TH LEGAL 38ESSOR OF THE ABOVE LOS
;+ANGELES -coUNITY CERTIFI�T F °IF CATIgN..
El-CiRICIAN-
AI J gTIN LOWL O1�NBFt OF 77+1E PROPERTY DESCRIBED
•
� OWNER.
yYRXECMNS.
• jj
13
No. OF OUTLKM
i
�.
APPROVALS—-
no
PPROVAL3—.
NO. OF FIXTURES ® DATE. INSPECTOR'B'NAM6
NO. OR MOTOR$ H.P. $ 1 CONDUIT
No..OFSIGNS TRANS. —WIRING
-NO.-OF RANGES OR HEATERS $ iFIXTURES
1 L N US $ IbOWER f
PERMIT FEE $ lzo& 'UTILITY CO.NOTIFIED /�Z. .a1S e; fr
-'TOTAL FEE S — ® INA
9 S-A 12-43 25M
DDEPADTWNT OF BUILDING AND S&Mff APFLICAT'YON FOR PERM
COUNTY OF LOS ANGELES ELECTRIC
M. J. FOX CHIEF ENGINEER
NAME DISTRICT NO. GROUP ZONE PERMIT NO.
D ADDRESSREADY FOR
1A v TEL.NO. RECEIVED BY FIRST INSPECTION 'D �PU�
CITY
COUNTY ! W
CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS / r•'—
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW. PLUGS FLIT CROSS 5T.
CIRCUIT A B C D E F G H N NAM
Z MAIL
,p ADDRESS Iv 1.r3f/� AB
CITYg rll4�k�L2" eel.0y&# TEL. `"„y�,. 14
I AM THE LEGAL POSSESSOR OF THE ABOVE LOSS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AM THE LWAL 01111NERiOF 7HB,PROPF,RTY DESCRIBED
ABOVE
GWNER.
CORRECTIONS
J
Q
_Z
I7
O
rTOTA ,,//!!rLOF OUTLETS �/� ffi .;719 � s`APPROVALS
e;
r
NO. OF FIXTURES (tea ffi -) DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. ffi CONDUIT
NO. OF SIGNS TRANS. ffi WIRING
NO. OF RANGES OR HEATERS ffi FIXTURES
MISCELLANEOUS ffi / POWER
PERMIT FEE ffi ✓ -- �� UTILITY CO.NOTIFIED l,
TOTA FE 45 FINAL 6` 7 9 ��`f.�:
00■M 4-25 ZEN APPLICATION FOR PERKIr
DEPARTMENT OF BUILDING AND SAFETY *�
COUNTY OF LOS ANGELES �1
WM J. FOX CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT No.
WIRING FIXTURES SERVICE
RANGE HEATER POWERr
FIRSRT EAINSPI=ECTION RECEIVEDfBY DATE ISSUED
SIGN. MISCELL.ANIXOUS 60 A/L 7
,t�PPLICIINT FILL IN HEAVILY OUTLINIM PORTION ONLY
NAME r - C'�•rr,� ADDRESSE7 C
U ADDR ` 4:. f Rte` L f r-!e - J/� `� LOCALITY �Z �+~ w��, •r�
CITY - CysT. r•
COUNTY
REO. NO.
EXPIRES r "d NAME
DIIACEFFON OF WORE Z MAIL i r� r
NUNN= OR OUTLETS ON CIRCUITS
LOCATION BY ROOMS CITY TEL No.
uGHT oun is law. PLUas rn CORRECTIONS
CIRCUIT A B C D E F a H
LIVING ROOM
DINING ROOM I
SRFST. RM.
BATH
Err. HALL ,J
HALL NO. __ sZ_
O
FRONT PORCH _
OUTSIDE
KITCHEN
SERV. PCH. I _
SoIW. No.
CLOSET
CLOssT APPROVALS
DATE S spouraws SANE
CONDUIT
WIRING
TOTAL .FIXTURES
NO. OF OUTLEXS 1 vti POWER • f
NO. OF FIXTURES • UTILITY Co.NOi1F1® )/�
NO. OF MOTORS H. P. • FINAL r`?-S �'v a .r
1 AN THE LEGAL O)AIA�X OF THE {AS ANOE.ES
NO. OF SIGNS TRANS. �1 ,fROYE`
COUNTY RUOISTRATI r1U ER:
NO. OF RANGER OR HEATERS //ffi_, :••I ,r: :J ■
E 1 AM THE LEGAL11-M OF THE FROP�IRTY DpCRISED
PERMIT FEZ S ABOVE.
TOTAL FEE • owllsR.
76ASSS DBS SA 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN a S�
RECEIVED BY READY FOR DATE ISSUED
ADDRESS , FIRST INSPECTION
CITY Ur
TEL. NO.
COUNTY LICENSE NO. EXPIRES BUILDING/
PERMIT FEES ADDRESS CZ7 ,O
NUMBREEER EACH LOCALITY
LIGHT OUTLETS A NEAREST
- +••
RECEPTACLES CROSS ST.
WALL'SWITCHES OWNER i4l, fl���-,+/'
TOTAL OUTLETS 6, Sc $ a MAIL
ELEC. RANGES L 85 ADDRESS
ELEC. HEATERS 25 CITY TEL. 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 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PRQRERTY DESCRIBED ABOVE.
1/2 a LESS $ '.25 SIGNATURE OF
'2 2 .50 PERMITTE
2 S 1.00 INSPECTION RECORD
s 1s 1.50--
15
.501s so 2.50
So 200 5,00
200 Soo 10.00
A42 I r, :Cir.
Soo 1000 1s.00 !j' <
� �c �'" y'l/l�rte Z
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP ST L 19 H'1 S A S H Ir J,--rd �
WELDERS.•AC-KVA J=
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (78%of ORIG.)
MOVED MOTORS (75%OFOR:6.)
MISC.
SIGNS
NO. NO.TRANS. I APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT: :'
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ UTILITY CO. NOTIFIED
® FINAL
DE E-A 7-38 ANN
DEPARTMENT OF BURDING AND SAFETY APPLICATION FOR PERMIT _
COUNTY OF LOS ANGELES _ ELECTRIC
W-INST DISTRIar NoORo UP M� � QWIT
WIRING FIXTURE• •ERVICEREADY_ _
RANGE HEATER POWER FIRST IN PE:TIONL;7/
DATE 1 U•lame MISCEJLANEDUS
Rm
7/sy
APAACANT Ma. IN NUM OUTIMINED ON ONLY
JOB
NAYSx4og ADDRESS
tl
ADDR LOCALITY
Nzmwr
CRY TEL N ROSS•T.
STATECOUNTY 21
•E NO. REa No. � NAME
DESCRIPTION OF WOES MAIL
NUMBER OP ONTLLTS ON CIRCUIT• ADDRESS
LOCATION YY ROONS CITY TEL No.
LIGHT oIm.ETi I•Ii.l I roer CORRECTIONS
CIRCUIT A B C D a R O H
LIVING ROOY
DINING ROOM
GREET.RM.
MATH
off. HALL
HALL Na. J
FRONT PORCH _Z
[K:I.
DE
a
E�1 0
. PCN.
No.ET
No.ET APPROVALS
DATE s ms
CONDUIT
WIRING
T&r" FIXTURES
NO. OF O • "� POWER 1p
NO. OF FIXTURM • IITILJTY CO.NOTIFIED
FINAL
NO. OF YO'I�OR• N.P. i
1 AN THE LEGAL E ANG
NO. OF SIGN• TRANS. • OOIINTY RXIIIW
NO. OF RANGES OR HEATIVIS i
NISCELLANEO • 1 AY TH3 LEGAL ER OF THE PROPERTY DEICRIOED
ABOVE.
PERMIT PEE i
TOTAL FEE /I owwml.
76A663-6E806 8-62 APPL�CATI - FOR E.LEC ICAL PERMIT .
COUNTY OF LOS ANGEL S
DEPARTMENT OF COUNTY ENGINEER BUILDING '•
BUILDING AND SAFETY DIVISION ADDRESS ' ok
=JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN 'CROSS ST.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 A� $.20 $ d p OWNER
LIGHT 'MAIL _
A DD'L ADDRESS
SWITCH./ � OVER 20 !�� .70 �' Q` •
TOTAL CITY TEL,NO.
LIGHTING FIRST 20 J .20 O
FIXTURES } 13 ADD'L .1O ELECTRIGIANRiohardson Eleot•CO!.Ino
OVER 20
Y,
RANGES CLO:DRYERS WTR.HTRS: 1.00 ADDRESS ;.
GARB.DISP'ASH. UT COOK C(TYgag, ,Aabriel TEL.NOLt- -0 9
DISH WASH. AUTO.•WABN. STATE
SPACE HTRB. STA.APP.'(W H.P.MAX:) .50 'LICENSE NO.
MOTORS, OVER NOT OVER H.P. DIST CT O. G� O E ESSED BF
O 1 1.00. C ov
1 s 1.50 /INSPECTION RECORD-
s a 2.00 f 1/.`,�140-
a
� s'_ ''Y .�• ✓'�..-�f',
,•F y
8 18 2.50
15 so 3.00 a
so 100 5.00 / 0
NO:TRANS.
'SIGNS-. NO.LAMP8 �0
.SERVICE O.600V•NOT OVER 200A 1.00 W
d
SERVICE 0.600V•OVER 200 A. ..2.00 y
SERVICE OVER 600V 5.00 ' " Z
MISC.
PERMIT ISSUING FEE 2.00 Q�
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT I HAVE'READ THIS APPLICATION APPROVALS 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 1�'1'4Y4sr+i fi..
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR ���
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
2F
ELECTRICAL
• ,{gip'
DQBCRIBEDCALIFORNIAOR RBSIDENTT I AM THE L PROPERTY LEGAL OWNER OF THE ABOVE POWER �fp a i�..(•�ry I;�r '• r. 'Sd`
SIGNATURE 5 UTILITY CO.NOTIFIED i
OF PERMITTE
FINAL :7
LIDATION y' R c.. MIT '
CK 1D CASH UPERVISING ELECTRICAL ENGINEER
t.rj�o 0 6 6 5 FEB 6 2 0 1 3.6 0 N N