HomeMy Public PortalAbout6454 OAK AVE_Electrical__ Era
76A6e3FCEB06,11/7d; APPLICATION FOR il�lL PElt"MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDREss Q
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY G!
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. q'
OUTLETS N0. EACH FEE
OWNER
ECEPT.
$ $
RMAIL
LIGHT TOTAL FIRST 20 7i0 25 ADDRESS
fd L9 OVER 20 O �0 CITY TEL. N0.
SWITC 10 PLAN CHECK
LIGHTINGTOTAFIRST 20 .25 APPLICANT
L
OVER 20 ADDRESS
FIXTURES .10
APPLIANCES CITY j TEL. NO. �I /
RANGE�DRYER�WTR. HTR. APPLIICANT �1 1Iv
STA. COOK DISP.,I,F.A.U. ADDRESS {,!, I?(I 6?1---)
SPACE HTR. AIR COND. CITY �( ffk3 TEL. NO.
CLOTHES WASH.' DISHWASHJ_ ` LICENSE NO. '7,.6 or CLASS.G1b
FAN-t—OTHER 1.00 /n QD I HEREBY ACKNOWLEDGE THAT 1 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. y ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO }.
1 - 10 3.00 RES DE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. d
10 - 50 5.00 SIGNATURE OF OF PERMITTEE Ed
50 - 100 10.00 O
DIISS•TTRICTNO. CLASS N P O SED BY
100 — 500 15.00 .�7�O I W
a
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: rA
TUBE, OR ?
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 10.00
-TEMP.POWER POLE
TEMP SERVI CE,POLE,&APPU RTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT 0'R RECEPT. SYSTEM 3.00
ROUGH CONDIUT �qq
WIRING -3 7Z
FIXTUR"
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED*
PLAN CHECK FEE y
O
PERMIT ISSUING FEE FINAL
3.00 JOS P C. ROOHAN
TOTAL FEE -Z,7 SUPt2 ,5
ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALICK. M.O. CASH
LAof 2, 2 -7� f.8 2 2 D Oe a
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76.0663='CE806 11 70r APPLICATION FOR ELECTRI AL PER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING "
BUILDING AND SAFETY DIVISION ADDRESS164v
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE
OWNER
RECEPT._ S $ MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS
CITY TEL. NO.
SWITCH OVER 20 ,10
---- PLAN CHECK
LIGHTING TOTAL FIRST 20 .29 APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT I /
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. •F.A.U. ADDRESS PCIV Gj g(O
SPACE HTR. AIR COND. CITY 56 AAC TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. 0 CLASS.
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CON'RECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING i WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE IN TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 9.00 RESIDE IN, THE A@qVE PESCRIBEA RESIDENTIAERTY. a
SIGNATURE O
10 — 50 5.00 OF PERMITTEE
_ v Cd
50 — 100 10.00 O
015 TRACT NO. CLA58 ZON P OCESSE Y F..
100 — 500 15.00 c'S W
CL
SIGN, GASSIGN AND ONE CIRCUIT 5.00 NOTES: N
TUBE, OR ?
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600 VOLTS OR 200AMP 3.00
SERVI CE OVER 600 VOLTS OR 200 AM P 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURE1S
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO. NOTIFIED
PLAN CHECK FEE
�—
PERMIT ISSUING FEE 3.00 0:3Vv FINAL 7 7J qLlPfi C. ROOHAN .
TOTAL FEE 6109 S PES [SING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERJ I� IID'ATION cK. 0. CASH
_U&6 4 3 4H. JUN '7 , .0 0^'
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663-CE606'9-66 APPLICATI N F � ELIECTR AL 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
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
1 OUTLETS FIRST 20 S.20 $ OWNER'
LIGHT J} MAIL i
SWITCH ADD'L 10 ADDRESS y
OVER 20 ,��
TOTAL FIRST 20 .20 CITfAf TEL.NQ .
LIGHTING 1 FIXTURES
FIXTURES J( ADD'L 10 CONTRACTORiOd
OVER 20
RANGES DRYERS WTR.HTRS. 1.00 ADDRE'S'S`
GARB.DISP.. STA.COOK CITY .U)c TEL NO.
DISHWASH. AUTO.-WASH. STATE �� / '
SPACE HTRS. STA. APPL. .50 LICENSE NO. `
MOTORS: OVER NOT OVER H.P. DISTRICT GROUP ZO E P C ED BY
O 1 1:00
I. 3 v.so INSPECTION RECORD
3 s 2.00 C �+s�
8 1s 2.so
15 so 3.00 d
50 100 5.00 V
NO.TRANS. �
SIG S. NO.LAMPS
V
SE ICE 0.60OV-NOT OVER 209A 1.00.• W
SE VICE 0-600V-OVER 200 A. 2.00 Z
SE VICE OVER 600V 5.00
OT ER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00 d
SUPPLEMENTARY PERMIT ISSUING FEE 1.001 1 APPROVALS DATE IN8PECTOR'S SIGNATURE
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. 'WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDWOR FIXTURES _
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO POWER r f
RESIDE IN.THE ABOVE SCR �IDENTPROPERTY..
��SIGNATUREUTILITY CO.NOTIFIED -
-- `
FINAL °f s
OCKMOLIDATION JOSEPH C. ROOHAN
CASHSUPERVISING ELECTRICAL ENGINEER
MO CASH
ALO-9 0;4 4JUN 13 2 D 6:.0d^' co
DOS-BA 9.59 APPLICATION FOR ELECTRIC PERMIT 1
DOS-BA ,
DMSION OF BUILDING AND SAFETY
Deportment of County Engineer A
County of Los Angeles BUILDING 167 -4 k ' 0A1
WM.J. FOX.COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUPT OF BUILDING w�-�+
LOCALITY C w
FOR APPLICANT TO FILL IN NEAREST r f '
PLi1+�+++ FFrF+S CROSS ST. ISM UN
NUMBER EACH FEE '
MAIL
LIGHT OUTLETS / OWNER JO
RECEPTACLES L d ADDRESS AMP—
WALLSWITCHES T r�1
TOTAL OUTLETS 5¢ S B CITY TEL.NO.A j1--r1+ 4
ELEC.RANGES 25 ELECTRICIAN / S
_ELEC. HEATERS 25 ADDRESS
U /ZTi9
KW EA CITY M I TEL.NOI,b
FIXTURES 5 LICENSE NO. A02-7M
NUMBER OF LIGHT CIRCUITS DISTRICT NO. Gy UP ZONE READY FOR INSFECTION
NUMBER OF RECEPTACLE CIRCUITS I I v 1 /"v
MOTORS
T NUMBER HORSEPOWER FEE IN ECTION RECORD
NfiW MVD. HP OVER INC. EACH
2&LESS 5 .25
>� 2 .50
2 5 1.00
5 15 1.50
15 50 2.50
. 50 200 5.00
M ISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING i Igo
FIXTURES $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE 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.
1 HEREBY CERTIFY AT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REOUI BY LOS ANGEL COUNTY AND STATE OF
CALIFORNIA OR TH. 1 AM THE LEG WNER. OF THE ABOVE POWER
DESCRIBED RESIDEN PROPE TY.
` SIGNATURE 1[J UTILITY CO.NOTIFIED
OF PERMITTEE �.✓s �f ��
FINAL
WILLIAM J.FOX, DUN ENGINEER VALIDATION A.C.VEIT,CHIEF ELECT.INSPECTOR
�rfl 3 8 2 "AR 6 2 13 D in
WORKERS'COMPENSATIONDECLARATION 78A663
CP-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT
,.
,reb affirm khat I lflave a certificate of consent to self COUNTY OF LOS ANGELES I BUILDING AND SAFETY
re,or a certificate of Workers'Compensgtion Insurance,or i
rtif(ed copy thereof(Sec.3800,Lab.C.) I 1
FOR APPLICANT TO FILL IN JOB
cyNo. 8 9()F)3:og9,pan y-zZementI EACH NOFEE ADDRESS 6454 N. Oak Ave.
New Residential Bldgs.&Pools .
Certified copy is hereby furnished. 11 &2-Family,Sq. Ft. $ — $ LOCALITY Tem le City
Multi-family Sq. Ft. — NEAREST
Certified copy is filed with the county building inspection CROSS ST
department. Residential Swimming Pools OWNER OR
4-30-90 Kamor A.C. 170 FIRM NAME
Applicant Outlets: Rec.—Light Sw. 2 MAIL
First 20 ADDRESS
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No. }
COMPENSATION INSURANCE PLAN CHECK a
s section need not be completed if the work, involved APPLICANT V
the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS
,Total No. Additional
rtify that in the performance of the work for which this
P Y an NOver CITY Tel No.. U
F
,iit is issued, I shall not em to in any manner ixed Appliances Not 1 HP
Y person LL!
s to become subject to the Workers' Compensation Laws. Range_Heater PERMIT D.W._ APPLICANT d
Oven _ Dryer_W.M._ ADDRESS to
Applicant
Top _ FAU _W.H.,—
Hood _ Fan _Other_ CITY Tel No.
ICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond.— LICENSE OR
tption, you should become subject to the Workers' REG.NUMBER Class
pensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. ✓ PR ESSED Y
comply with such provisions or this permit shall be /�►' W
Size&Type HP,KW,KVA,or KVAR
ted revoked. cdi/1
Up to 1 Incl.
5 H.i'3 Aver 1 to 10 Incl. , 00 1 r FINAL
LICENSED CONTRACTORS DECLARATION DATE VALIDATION
Over 10 to 50 Incl. Ila
;by affirm that I am licensed under provisions of Chapter I Over 50 to 100 Inc. FINAL
BY
mmencing with Section 7000)of Division 3 of the Busi- Over 100
ind Professions Code, and my license is in full force and �i
Services
se Number 165064 Lic.Class C-20 0-200 Amp.Under 600 V
201-1000 Amp.Under 600 V
actor Kamctr A.C. Date 4-30-91 Over 1000 Amp.or Over 600 V
HOME OWNER-BUILDER DECLARATION Temp.Power Pile,&Appurtenances
I '
:by affirm that I am exempt from the Contractor's Sign with One Branch Circuit A�=_'09'a' _
e Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits L`y T 2Z. 21]
ad Professions Code): 1 ITEI'
• Misc.Conduits&Conductors
, as owner of the property, will do the work and the Other(See Complete Fee Schedule)—
tructure is not intended or offered for sale (Section TOTAL 23.80
044,Business and Professions Code). IF-� 01
CONSTRUCTION LENDING AGENCY CHECK ' aVJ.I
-by affirm that there is a construction lending agency (CHANGE .130
ie performance of the work for which this permit is PERMIT FEE (Sub-Total)
(Sec. 3097,Civ.C.).
is Name PLAN CHECKING FEE (One-Fourth Permit Fee) 1/ �/��ti-,
QilU.l �fD�l�
is Address
PERMIT ISSUING FEE ,r
�I511t'y 1 AN11:I30
fy that I have read this application and state that the TOTAL FEE
information is correct.I agree to comply with all County G
nces and State laws regulating Electrical wiring, and
authorize representatives of this County to enter upon
ove- entioned property for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE
12-29--89
lature of Per Iftee Date