HomeMy Public PortalAbout5344 PARMERTON AVE_Electrical__ '°"°°' `E°° ""' APPLICATION FOR ELECtRIL� ER Thr � I,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 6
BUILDING AND SAFETY DIVISION ADDREss ✓ 7 /� AJ
LOCALITYNEAREST
G L T
FOR APPLICANT TO FILL IN CROSS ST '
OUTLETS P o E-A I H Re[ OWNER OR
FIRM NAE J
/I S MERECEPT SMAILLIGHTTOTAL ISADDRESS
SWITCH � OVER 20 ; CITY TEL NONe
PLAN CHECK
FIRST 20 APPLICANT
LIGHTING TOTAL
ADDRESS
FIXTUREOVER 20 S 1 3+D
• RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE_ORYER / WTR HTR_ APPLICANT
'STA COOK_—DISP _F A U _ ADDR.EyS�S/
SPACE HTR AIR COND CITY (i1/ r^� TEL NO 3a-7 .V
CLOTHES WASH III
OISHWASH 2eo� REcF NUMBER (J / CLASS
FAN OTHER /O �' I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAW! REGULATING
IND HEATER! ETC HP KW'KVA ELECTRICAL WIRING
SIIE B TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPBRLY pl015 TERED AND/OR
D - 1 LICENSED A9 REQUIRED ST LO! AN LE! COUNTY ANO STATE OI
CALIFORNIA OR THAT I AM THE L OWNER OF THE ABOVE d
I - 10 900 DESCRIFED RESIDENTIAL PROP T CD
PERM6TEE C
10 - 60 500 SIGNATURE
U
50 - 100 1000 DISTRICT NO PR 5 0 BY d
100 - 500 1500 Z
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPIECTOAF5514NATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
S ERVICENOTOVER 600 VOLTS OR 200 AMP IiBO UNDERSLAB WORK
SERVICE OVER 600 VOLTS OR200AMP 1000 ROUGH CONDUIT
TEMPSERVICE, POLE &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 500 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED x
FINAL
PERMIT FEE (SUB TOTAL) 3 NOTES S 1116 -7—
PLAN CHECK FEE /V C��'d�' 'l j72 7-T.
PERMIT ISSUING FEE
TOTAL FEE
M O CASH PERMIT VALIDATION c M D CASH
E '
I
a
I,LICY HOLDER: 0 1 4n,jUL S1 2 U, 3'8.5 U 4.9p,
ILkPY�/ ��III'M RElrrRR M Z -
BA•L�('01 APPLR711ON FOR COMPLETE SCHEDULE
COUNTY OF LOS ANGELES I APPLICATION FOR PERM
DEPARTMENT OF COUNTY ENGINEER
DIVISION OF BUILDING &,SAFETY ELECTRIC" 1
' WILLIAM I FO%, COUNTY ENGWEEA '
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
_
ELECTRICIAN L.O
ADDRESS 5" 'f�{- N. A.e AXeR roil 40e 'RECEIVED BY READY FOR DATE,IBSUED
FIRSTINSPECTION
c STY Tt MPLE C/rY TEL' NO FO 6 /8 W/ 2nr • �� �si
COUNTY LICENSE No EXPIRES BUILDING ��i/ Rwn�R'l�N Q�
PERM FEES ADDRESS T i v.
NUMBER EACH FEE LOCALITY /N t
LIGHT OUTLETS NEAREST
RECEPTACLES O B r
WALL SWITCHES OWNER CLD S,�C
TOTAL OUTLETS r 5c 6 �
MAIL 44, A/, H p//I r0v.�
ELEC RANGES 2D ADDRESS w �/"Y� / /1 8674�] (�
6LEC HEATERS 25 CITY l�„I PLC- C� T'/ TEL NO O O 6 / �G
FIXTURES 6
MISC - - 1' HEBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLSERCATION 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 LO
Nura¢R HORSKPMI R FEE ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNS
N¢w Mv0 AHP ov¢R Inc - ucn OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
327� 500
S 2S SIGNATURE OF '
80 PERM1 0o INSPECTION RECORD1 50
2 50
5 00
10 0015 00Z
20 00
M G BET/FRED CHANGER-HP
WELDERS 'AC-KVA 0
GENERATORS KW
r _
TRANSFORMERS-KVA n
TEMP MOTORS 75% of oRID )
MOVED OTORS (]5q oI oRla )
SIGNS wn
NO f - NO TRANS APPROVALS
NO NO LAM _
FOR EACH PERMIT DATE INSPECTOR B NAME
WIRING $I 00 1 OcCONDUIT
FIXTURES' $1 00 WIRING
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE t S / Or UTILITY CO NOTIFIED
FINAZ �l
7”OW DOO SA Get
Z APPLICATION FOR PERMIT
DEPARTMENT OF LOG AND SAFETY ELECTRIC
COUNTY OFF LOS S ANGELES 1
WM J1 OX CHIEF ENGINEERY
NAME- / DISTRICT NO. GRO JF I ZONE PERMIT NO.
ADDREB
/ �1 � t RECEIVED BY READY FOR DATE ItUED
CRY //l1am� TEL NO _ /y-�� FIRST INSPECTION i�L !!
CERT NO Y -5--" EXPIRES �/� `E
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK ADDRESSSI / fLp�� //✓\ R—'
NUMBER OF OUTLETS ON CIRCUITS LOCALITY !T\�/
LOCATION By ROOMS
NEAREST
LIGMT OUTLETS ISW PLUGS I IIIT CROSS 87
C
IRCUIT Aii B C I D I E I
IC /+ F G H X NAME �j r� r/'7
ADDRESS
CITYA/0 TEL-No
y.7`s -7
.�I Z 1 AM THE LFAA POSSESSOR OF THE ABOVE LOS
ANGELES COU C FICATE OF QUALIFICATION
(�f
3 //ELQCTEICIAM
1 AM THE LEGAL OWNBf!OF THE PROPERTY DESCRIBED
� ABOVE
_IJ � I OWNQR
CORRECTIONS
Q
Z
O_
a'
TOTAL
NO OF OUTLETS 7o APPR VATS
NO OF FIXTURES 4 S INS 70R•H NAME
NO OF MOTORS H P S CONDUIT
NO OF SIGNS TRANS WIRING /
NO OF RANGES OR HEATERS 6 ZS FIXTURES _
SC L NEOU S - POWER
PERMIT FEE S cZ,aS UTILITYCONOTIFIED
TA /rJ INA
WORKERS COMPENSATION DECLARATION 7663
I
' APPLICATION FOR ELECTRICAL' PERMIT
CE 866G (2 801
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
certified copy thereof(Sec 3900 Lab C) r' +
hCQ'r'361 L���'J , //n FOR APPLICANT TO FILL IN ,Ipg
c6iRp'dnJ -e Lc'^.-l�fLfr/t-rt� 44
❑ r New Residential Bldgs &PoolS. EACH NO FEE ADORES
Certified copy is hereby furnished 1 &2 Fam lySq Ft $ — $ LOCALITY P
L
I Certified co Multifamily Sq Ft CROSS S7, -
copy filed with the county budding inspection, Residential Swimming Pools
department OWNER OR
'Y 2 77 FIRM NAME
'Date Z plmant - Outlets RaL gt,� Sw - MAIL
First 20 ADDRESS
CERTI ICATE OF EXEMPTIO ROM WORKLRS Total No Addmonal CITY i, s Tel No }
COMPENSATION INSURANCE _ PLAN CHECK .�^ ILPPLICANT G' 3d¢ rO
(Thissection need not be completed if the work involved ' ) (J U
Li htin Fixtures r First 20 G �/ / t
by the permit Is for one hundred dollais ($I00) or less) g g ADORE O ("ror
i Additional
Total No .O .•
I certify that m the performance of the work for any
ma this / Flxed_Appliances Not Over 1 HP r CITY .� r Tel No- -.`�(.,a U
permit u issued, I shall to tti ploy any person n any manner PERMIT•
so as to become subject to the Workers bCompensatron Laws Range_ Heater D W APPLICANT _ .r..-cam' IL
c ,Oven '_ Dryer_W M ADDRESS Z '
Date ppbcant w' , ^ --Top — FAU —W H _ _
Hood Fan _Other— CITY Tel No
NOTICE T APPLICANT If a er akin this Certificste`oP Disp Room Air Cond L CENSE OR qrr -C Clens
Exemption, you should `becoi6e subject to the Workers REG NVMBER 6�-r/
Compensation provisions of the Labor Code you must forth Power Apparatus.& Large Appliances ' DISTRICT NO PROCE SED BY
with comply with such provisions or this permit shall be
deemed revoked Size&Type HP KW, KVA or KVAR
-
t ' Up to 1 Incl
•
Over 1 to 101 nc1 FINAL,
C
LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl �' J 'z7 r VALIDATION
j
I hereby affirm that I am licensed
to cansed under provisions of Chapter _ Over 50 100 Inc BY ,• r
9 (commencing with Section 7000) of Division 3 of the Busi. Over 100
ness and Professions Code and my license ts`m full force and , r
effect - Services
0 20O Amp Under 600 V �✓ i
LicenselNumber Lin Class �l 201 1000 Amp Under 600 V
Contractor Date Over 1000 Amp or Over 600 V M T
HOME OWNLR BUILDER DECLARATI
i Temp Power Pale& Appurtenances
I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit
License Law for the follovnng reason (Section 7031 5, Bust Additional Sign Branch Circuits
w
ness and Professions Code)
Misc Conduits&Conductors e 3 7 5 8 A
I as owner of the property will do the work and the Other (See Complete Fee Schedule)— t rr
structure is not intended or offered for sale (Section U2 {
7044, Business and Professions Code) _ r j s
CONSTRUCTION LFNDING AGENCY ~� - ,i Z �(a,, t 0
I hereby affirm that there is a construction lending agency, , _ r
for the performance of the work for which this permit is ' .'e`�
issued (Sec 3097 Cie C) PERMIT FEE _ y (Sub Total) _ g �,arx
Lender s Name PLAN CHECKING FEE (One Fourth Permit Fee) 042 3,-"8 2
Lender s Address Com' x'
PERMIT ISSUING FEE 0 +
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
hereby authorize representatives of this County to enter upon ' _ - L __ • ,
the above mention property for inspection purposes - ^�
SEE REVERSE FOR EXPLANATORY LANGUAGE '
,�
igg t of Permittee ' Det i \
L •'" v