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HomeMy Public PortalAbout6522 OAK AVE_Electrical__ r' 1 3A668-Cp; 10.61 • • APPLICATION FOR E.L TRICAL .kRMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS (y Z, d, �, JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF'BUILDING LOCALITY NEAREST FOR.APPLICANT TO FILL IN CROSS ST. 1 T E M NO. -EACH FEE ouTLETS: (FIRsr 20) $2O $ 60 OWNER LIGHTS RECEPT. sw. MAIL OUTLET6 z : DD'L UNITS) 10 ADDRESS LIGXTB RECEPT. SW. LIGHTING FIXTURES: (FIRST 20) 2O CITY TEL.NO: ' _ // LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN /"!e - - t RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 72--.;rd T•41, J. li GARB.DISP. STA.COOK . //++ CITY � (y . TEL.NO. DISHWASH. - AUTO.-WASH. STATE ' SPACE HTRS. STA.APP.(+/s HIP.MAX.) _ .50 LICENSE NO.' MOTORS: OVER NOT OVER H.P. 'DI STRI T K.O. GROUP I PROCESSED BY O 1 .1.00 1 a 1.50 INSPECTION RECORD s B z.00 O B Is 2.50 is so 3.00 50 1.00 3.00 Lu - a NO.TRANS. SIGNS: NO.LAMPS "`• Z SERVICE 0.600,V:NO'r OVER 200A 1.00 SERVICE 0-60OV-OvER 200.A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE ' : -I HEREBY ACKNOWLEDGE THAT 1'HAVE READ THIS:APPLICATION APPROVALS .DATE I�N,S.PECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ..,CONDUIT .► �✓� I' J'ya /'� WITH ALL COUNTY ORDINANCES AND STATE LAWS. REGULATING ' ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT 1,AM PROPERLY REGISTERED ANDIOR -LICENSED AS REQUIRED BY LOS ANGELES,COUNTY AND STATE OF ,FIXTURES CALIFORNIA OR THAT 1 'THE LEGAL WNER NE ABOVE f - ' DESCRIBED RESIDENTIA PRO ERi_Y. +POWER 'SIGNATURE ` UTILITY CO.NOTIFIED OF PERMITTEE FINAL LIDATION ARTHUR C. VEIT ( CIC MO' CASH SUPERVISING ELECTRICAL ENGINEER - COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer rg DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN 67 Z A - ) � / E RECEIVED BY READY FOR DATE IBBUED ADDRESS _ f° A P,-,F_zFIRST INSPECTION ) CITY —1 B F,' TEL.NO. • pw fJ J/f/ fJ"" �-• �` COUNTY LICENSE NO. !J EXPIRES =_�O�S.A' BUILDING PERMIT FEES ADDRESSrte. NUMBER EACH FEE LOCALITY7IuOP4.LsP CI ,FAY LIGHT OUTLETS NEACRC3REST mg iv RECEPTACLES n ,p WALL SWITCHES OWNER ert=N C ^ ��6,v dK TOTAL OUTLETS 5O $ MAIL ELEC. RANGES 26 ADDRESS _ ELEC. HEATERS 26 CITY TEL. NO. FIXTURES B 1 HEREBY ACKNOWLEDGE THAT I 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 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw MVO. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. _ I/2 3 LESS 111 .25 SIGNATURE OF .11 %s 2. .50 PERM ITTE ' / 2 .00 INSPECTI N RECORD B 1.50 15 .50 _ 50 200 5.00 200 500 10.00 J 500 1000 15.00 a Z OVER 1000 20.00 p M.G. SET/FREq. CHANGER-HP tr WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA _ TEMP. MOTORS (75% OF ORIS.) MOVED MOTORS (75% OF CRIB.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. -----NO.-LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME_ WIRING 181,00 CONDUIT FIXTURES $1,00 WIRING SUPPLEMENTARY .60 FIXTURES rA POWER TOTAL FEE ®v UTILITY CO.NOTIFIED I FINAL ✓ .�v r J 78A608 DB$#5A 4-52 7SASS3 CBS SA 11-50 APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY ���� �� COUNTY OFF LOS LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. 5" T ELECTRICIAN Pll?).C$ AE4,$Fe it S/ h RECEIVED BY READY FOR DATE ISSUED ADDRESS 19PRA& M#r1?CjThAl4p r" (//� /fJ�� FIRST INSPECTION �+ CITY ag mn"T '� TEL.NO. F4-,f1!y87 1/.�1'N �(✓f`'��t /a.�� ✓ COUNTY LICENSE NO. 7oQ EXPIRES I- =S BUILDING�{p PERMIT FEES ADDRESS 4.6 o /V. K, Ava, NUMBER EACH FEE LOCALITY E pl L F LIGHT OUTLETS NEAREST � �� RECEPTACLES CROSS ST. Ater, WALL SWITCHES ® OWNER TOTAL OUTLETS `� 5C g - D MAIL ELEC. RANGES 85 ryZr ADDRESS ELEC. HEATERS 25 d g CITY TEL. NO. FIXTURES Y 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE 19 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 A80VE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. %2 A LESS .25. �. SIGNATURE OF I/2 2 .50 PERMITTED .( �� 'Kp i 2 8 1.00 INSPECTION RECORD S.- • 15 1.50 15 50 2.50 50 2013 5.00 _ 2013 sOO 113.00 J 5013 1131313 15.00 Z OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP [� WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% CF CRIB•) MOVED MOTORS (75% DF ORIS.) MISC. SIGNS NO.. NO.TRANS. N0. NO.LAMP5 APPROVALS L DAT�7E. INSPECTORPS NAME FOR EACH PERMIT-I CONDUIT ��W.. WIRING $1.00 WIRING "' i! 04/7 i7 FIXTURES $1.00 SUPPLEMENTARY .50 FIXTURESc3'� M)"k POWER TOTAL FEE' $ �� UTILITY CO.NOTIFIED FINAL WORKERS'COMPENSATIONDECLARATION CE-806G (2.80)I APPLICATION FOR ELECTRICAL PERMIT CE.B06 I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,:or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) FOR APPLICANT TO FILL IN JOB New Residential Bldgs.&Pools /^/ � Policy No. Company •EACH NO. FEE ADDRESS 01' ~r ❑ Certified copy is hereby furnished. 1 &2 Family,Sq. Ft. $ — $ LOCALIT ❑ Certified copy is filed with the count building p Multi-family Sq. Ft. p y gins inspection CROSS ST department. Residential Swimming Pools OWNER OR FIRM NAME Date Applicant Outlets: Rec.-[Light� Sw.� D 8' MAIL CERTIFICATE OF EXEMPTION FROM WORKERS' First ADDRESS Total No. Additioonal ` COMPENSATION INSURANCE CI Tel No. –41D >_PLAN CHE a (This section need not be completed if the work involved APPLICAN V by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS Total No. Additional O I certify that in the performance of the work for which this CITY Tel No. Fixed Appliances Not Over 1 HP permit is issued, I shall t employ any person in any manner PERMIT W so as.to become aa' the Workers'Co pensation Laws. Range_Heater D.W._ APPLICANT a Oven _ Dryer_W.M._ ADDRESS rn Date Applic Top _ FAU _W.H.._ Hood _ Fan -_Other_ CITY Tel No. NOTICE TO APPLICAN f, after making this Certificate of Disp. —Room Air Cond._ LICENSE OR Exemption, you shoul ecome subject to the Workers' REG.NUMBER Class 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 Size&Type HP,KW,KVA,or KVAR deemed revoked. Up to 1 Incl. P FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATEOver 10 to 50 Incl. VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL BY - 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 -, ness and Professions Code, and my license is in full force and effect. Services t 0-200 Amp.Under 600 V License Number Lic.Class 201-1000 Amp.Under 600 V Contractor Date Over 1000 Amp.or Over 600 V 7P A HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances „ -. ,, o o r I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits 1 n n i cess and Professions Code): c ° ° 1 () 9 C:r Misc.Conduits&Conductors ❑ I, as owner of the property, will do the work and the Othei(See Complete Fee Schedule)— J,O[1 , structure is not intended or offered for sale (Section 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued(Sec.3097,Civ.C.). 0- Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE 67 I certify'that I have read this application and state that the TOTAL FEE d above information is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring, and ereby authorize representatives of this County to enter upon t an ove-mentioned pr party fo inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Si" gnature of Permittee Date