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HomeMy Public PortalAbout6362 OAK AVE_Electrical__ 78A#83-CE8081/70 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING 1 NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH I FEE OWNER RECEPT._ $ s MAIL 1 LIGHT TOTAL FIRST 20 Zp ADDRESS CITY TEL. NO. SWITCH_ OVER 20 .10 PLAN CHECK LIGHTING TOTAL. FIRST 20 •Zp APPLICANT FIXTURES OVER 20 •10 ADDRESS APPLIANCES CITY TEL. N0. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS d SPACE HTR. AIR COND. CITY TEL. N0. CLOTHES WASH. DISHWASH. LICENSE NO. /® �3 CLASS FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 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 tpp LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO 1 — 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. XD 11(4mSIGNATURE 0 If 10 — 50 5.00 OF PERMITTEE 50 — 100 10.00 DISTRICT N0. CLASS GROUP IZONPRO S BY OL 100 — S00 15.00 fzxec SIGN, GAS OR SIGN AND ONE CIRCUIT 3.00 NOTES: �9 "J® //>?/&jG jeM If h MARQUEE ADDITIONAL CIRCUITS 1.00 //1/, c .ins Z SERVICE NOT OVER 600 VOLTS OR , eta'°` APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR 200 AMP 5.00 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 3.00 TEMP LIGHT OR RECEPT. SYSTEM 31001 1 UNDERSLAB WORK ROUGH CONDIUT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED UTILITY CO. NOTIFIED PERMIT ISSUING FEE SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL JOSEPH C. ROOHAN TOTAL FEE A cro SUPERVISING ELECTRICAL ENGINEE:CAJIII PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. 4&--' JUL28 i D c Q Is E BACK OF APPLICATION FOR COMPLETE SCHEDULE 78A889 DBS•SA 9-55 APPLICATION LICATION ■ OR EIEC ■ RIC PERMIT 1 DMSION OF BUILDING AND SAFETY Department of County Engineer CountyofLos Angeles BUILDING WM.J. F01A.COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN,SUPT OF BUILDING / LOCALITY fP I FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. O FEE NUMBER EACH OWNE fF / 'E LIGHT OUTLETS RECEPTACLES MAIL ADDRESS WALL SWITCHES TOTAL OUTLETS 5¢ S CITY TEL.NO. ELEC.RANGES 25 ELECTRICIANK D /T�dy ELEC. HEATERS 25 ADDRESS rLtS� S u S KW EA CITY /►� TEL.INO FIXTURES 5 LICENSE NOMMS. Z-v-499 NUMBER OF LIGHT CIRCUITS - DISTRICT NO. I GROUP I Z N R ADY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS tgg S MOTORS INUMBER HORSEPOWER FEE INSPECTION CORD NEW MVD. HP OVER INC. EACH I/2&LESS $ .25 'h 2 .50 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5'.00 M ISG. NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT' WIRING / dD $1.00 d FIXTURES $1.00 SUPPLEMENTARY 50 APPROVALS TOTAL FEE S DO DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LIGATION CONDUIT J, t.i AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Atu vi' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY L95 ANGELES OUNTY' AND STATE OF CALIFORNIA OR THAT L GAL NER OF THE ABOVE POWER DESCRIBED RESIDENT! P OPE - Jl� SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL U> WILLIAM J.FOX.COUNTY ENGINEER VALIDATION. A.C.VEIT.CHIEF ELECT.INSPECTOR 17[74 9 8 8In APR 11 2 1 .0 0 J TSS-SA 9-SS ASSB DBAPPLICATION ION FOR ELECTRIC PERMIT 1 DIVISION OF BUILDING AND SAFETY Deportment of CouLAn gineer County of Los es BUILDING �WM.J.FOX.COUNGINEER ADDRESSCASSATT D.GRIFFIN.SP BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSSST. NUMBER EACH FEE LIGHT OUTLETS OWNER RECEPTACLES IL AD RES 3.1 J O fr WALL SWITCHES TOTAL OUTLETS W $ CITY TEL.NO. ELEC.RANGES 25 ELECTRICIAN ELEC.HEATERS 25 ' ADDRESS KW EA CITY151-0/l/ TEL.N d FIXTURES 5 LICENSE NO. NUMBER OF LIGHT CIRCUITS DISTRICT NO. I GROUP I ZONE READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD. HP OVER INC. EACH P 1/2&LESS $ .25 s lft 2 .50 2 5 1.00 5 15 1.50 15 50 2.50 z• 50 200 5.00 MISC. 'r NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR.EACH PERMIT: ' WIRING S1.00 Q(9 FIXTURES $1.00 i SUPPLEMENTARY .50 APPROVALS TOTAL FEE S DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS. CORRECT AND AGREE TO COMPLY �. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY ANGELES UNTY AND STATE OF CALIFORNIA OR THAT I T GAL NER OF THE ABOVE POWER DESCRIBED RI SIDENTIA R PE Y SIGNATUREUTILITY CO.NOTIFIED OF PERMITTEE FINAL o• WILLIAM J.FOX,COUNTY ENGINEER VALIDATION A.C.VEIT.,CHIEF ELECT.INSPECTOR �C-6t1L�-Gy,2 F� 76AGGS-CEG06 8-69 Al- 1"pz' l r� APPLICATION FOR ELECTRIrm PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NO. EACH FEE $ $ OWNER RECEIPT._ MAIL LIGHT TOTAL FIRST 20 ,20 ADDRESS A . CITY Af TEL.NO..2 �q SWITCH OVER 20 '70 PLAN C ECK LIGHTING TOTAL FIRST 20 ,20 APPLICANT FIXTURES } OVER 20 ,10 ADDRESS RANGE_DRYER_WTR. HTR. CITY TEL.NO. STA. COOK_DISP. I F.A.U. CONTRACTOR SPACE HTR. AIR COND. ADDRESS �J CLOTHES WASH._DISHWASH. 1 CITY f /j TEL.NO. 41V-2- © D FAN_OTHER 1.00 QV LICENSE N0. CLASS. MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCE. AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF I - 10 3.00 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF. AND INTEND TO G RESIDE IN, THE ABOVE DESCRIBED((��RE91D NTIAL P ERTY. 10 - 50 5.00 L� L SIGNATURE 50 - 100 10.00 OF PERMITTEE �� •• (�` H 100 - SOO 15.00 DISTRICT N GR.O Z PRO D �J W SIGN GAS SIGN AND ONE CIRCUIT 3.00 P Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: - SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE .00 pa UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL 6�l�,�j�7r/ &W-;1l ,.I- 0 TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECTR ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION 01..0- CASH I Arl- 1 4 4 72--' juL 15 2 D 5.0 0 N SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE t;WORKER'S COMPENSATION DECLARATION 20=0019 DPW(12-91) 76A663 APPLICATION FOR ELECTRICAL PERMIT 111JJJ I hereby affiFm!tha( I have a certificate of consent to self insure, i or alcef-iRlcate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copyl4hefeof(Sec.3800 Lab.C.) rte. Policy No. Compaq _o,g,^_ FOR APPLICANT TO FILL IN ADDRESS, Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITYSq.Ft. $ $ C— , rl Certified copy is filed with the county building inspection 1 I&2-Family, — NEAREST department. Multi-family Sq.Ft. NCROSSEAREST ST. Date Applicant Residential Swimming Pobls ASSESSOR .. 1' _ MAP BOOK .RAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR COMPENSATION INSURANCE Outlets:Rec. Light First 20 7� FIRM NAME (This section need not be completed if the work Involved by the /� MAIL permit is for one hundred.dollars($100)or less.) Total No. 0-0 Additional ADDRESS I certify that in the performance of the work for which this permit CITY Tel.No. is Issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional 0 ADDRESS Date - Applicart- K117Q-J�AG� RESIDENTIAL APPLIANCES NOT OVER.3 HP. NOTICE TO,'APPLICANT: If, after making,this Certifiqate of CITY Tel.No. Exemption,,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER.3 HP. PERMIT provisions of the Labor Code,you must'forthwith comply with suchA provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APP1ICANT PPLIC LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS an �yt t VIS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with"Section 700b)of Division 3 of the Business and CITY Tel.N ..1L/–lo&L– Professions.Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE OR Class. Over 50 to 100 Incl. REG.NUMBER Qp� �j C/V d v Over 100 DISTRICT NO. PROCESSED BY U License Number Lic.Class 1077 9 � ,,,.� Services,Swbd.,MCC&Panelboards d cc Contractor' '�74 �r"'� Date. / � I 0-399 Amp.Under 600 VFDATE INAL O ❑ I.am exempt under Sec: 400-1000 Amp.Under 800 V W i, Over 1000 Amp.or Over;600 V FINAL �I O v VALIDATION a B:&P.C.for this reasonBRANCH CIRCUIT FEES BY• CO Date: 15A,or 206 ,Lighting or Recept. Signature 1 To 10 Branch Circuits 11 To 40 Branch Circuits �r'l� 41 Or More Branch Circuits L 0 Exemption for Reg.Maim.Elect. ISA,20A,20 VV To 277V L_ighting Br.Circuits a , SINGLE FAMILY ACC °T HOME OWNER:BUILDER DECLARATION Temp;Power Pole&Appurtenances �3`2�� ;'' 1 hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit . 307 for the.following reason (Section 703.1.5, Business anis Professions Additional Sign Branch Circuits 1 ITEMS Code): _ 93 -79 r-1 1,as owner of the property,will do the work and the structure Misc.Conduits&Conductors fAL " is not intended or offered for sale(Section 7044, Business . Other'(See Complete Fee Schedule) , CHECK 93,29 and Professions Code). i CHANGE hh GG n 00 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this Civ.C.) 0000-0001 11/ 9/92 permit is issued(Sec. 3097, PERMIT FEE (Sub-Total) PLAN CHECKING FEE s (3 ��j) ] ( 88-31Lender's Name PERMIT ISSUING FEE Lender"s Address • I certify that.I have read this application and under penalty of purjury state TOTAL FEE that the 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 pur Dees. SEE REVERSE FOR EXPLANATORY LANGUAGE r � � BI6iDIAt1d E OF PERMITTEE DATE ,Q, >WQ&KERS'COMPENSATION DECLARATION 76AG63 F CE-806G (2.80) APPLICATION FOR ELECTRICAL PERMIT. ' I hereby affirm that I have a certificate of consent to self �' COUNTY OF LOS ANGELES I BUILDING AND SAETY insure, or a certificate of Workers'C pensation Insurance,or i ?cert if coi a /3800 C,) -+ - I .O.L :�•./�`.C� � r.r�- A.1 7o 1/0 FOR APPLICANT TO FILL IN JOB `7 yNo. ompa y EACH NO. FEE ADDRESS New Residential Bldgs.&Pools ❑ Certified copy, is hereby furnished. �J 1'&2-Family,.5q.. Ft. $ — $ t LITY �� Multi-family Sq. Ft. NEAREST ❑ Cert de tin t. entmm p'fied opy is filed with:the county building inspection ST CROSS Residial Swimming Pools OWNER OR rFIRM NAME G �:S C Dat�I ApplicantOutlets: Rec.—Light Sw. MAIL �- �y First.20 ADDRESS J J �'� ' © KR IFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY �� Tel No. COMPENSATION INSURANCE PLAN CHECK > (This section need not'be completed if the work involved APPLICANT Q Lighting Fixtures First 20 _by_ ,the permit is for one hundred dollars ($100) or less.) ADDRESS Total No. Additional I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. U, permit is issued, I shall not employ any person in any manner PERMIT so as to become subject to the Workers'Compensation Laws. Range_Heater D:W. _ APPLICANT W Oven _ Dryer—W.M._ ADDRESS a , t 1 Date Applicant Top _FAU _W.H.,_ Hood _ Fan _Other_ CITY Tel No. l txemption;l OTICE TOAPPLI.CANT: If, after making this Certificate of Di'sp. _Room Air Cond` LICENS O•P��. y �1 you should become subject to the Workers'' y REG.NUMBER f"7 class C.� .V (compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCESSED BY with comply with such provisions or this permit shall be dAmed revoked. Size&Type HP,KW,KVA,or KVAR I _ Up to 1 Incl: ? I FINAL Over 1 to 10 Intl. DATE + LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. VALIDATION hereby-affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 0. cocnmencin with Section 7000 of Division 3 of the Busi- BY (" gl ) O e 100 • nss and Professions.Code, and my license is in full force and T9 �J1�1 " e�ct. I Services Lfense Number Lic.Class 0-200 Amp.Under 600'V 1 �LroCX I + , . d 201-1000 Amp.Under 600 V l ,Cmntra pre Over 1000 Amp'.or Over 600 V I HOME OWNER-BUILDER'DECLARATIONTemp.Power Pole&Appurtenances + ' II ereby affirm that I am exempt Prom the Contractor's Sign with One Branch Circuit l , ILic nse Law for the following reason (Section 7031.5, Busi- AdditionalSign Branch Circuits � l nesA and Professions Code): I Misc.Conduits&Conductors I ❑ I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— , structure; is not intended or offered for sale (Section ! ,7044,Business and Professions Code.). L 2 3 8.2 A CONSTRUCTION LENDING AGENCY I I hereby affirm that there is a construction lending agency o o o a o 2 for the performance of the work for which this permit is PERMIT FEE (Sub-Total) t" issued (Sec.3097,Civ..-C.). 620.5 Lender's Name i I PLAN CHECKING FEE - (One-Fourth Permit Fee) I = -'Londer�s-Address PERMIT ISSUING FEE o 0 0 2 0,50 1218-81 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 .Electrical wiring, and I hereby authorize representatives of this County to enter upon the abgve=men'tio ed roperty for inspection purpILI l 1 SEE'REVERSE.FOR EXPLANATORY LANGUAGE Signature of Permittee /Datd , I