HomeMy Public PortalAbout5924 RENO AVE_Electrical__ D.B.S.SA 25M BETS 7047 A
-DEPA'DEPARTMENT OF BUII�Il�TG AND SAFETY saPLTU�®NELECTRIC
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF WJINEER
DIsTmcT GROUP ZONO �PERMIT
NO.
NAME s+-�aE ✓ ! • �C�r , s LCA' ! lsr
,t A
ADDRE S� _ ;/ q-e4
CITY ��f %.! f -r.%%i TEL.NO.- �. RECEIVED�' READY FOR DATE ISSUEr7COUNTYFIRST INSPECTIONCERT.NO. � EXPIR684� `
APPLICANT FELL IN EMAVILH OUTLINED PORTION ONLY
JOB
IDESCREMON OF WORK ADDRESS -
>
NUMBER OF OUTLETS ON CIRCUITS LOCALITY v1 (� ►• ♦ ..'_ �i tel._ �ri�{ —
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS law. PLUGS IF& CROSSIS .
�✓ti' ���'`��- �`
CIRCUIT A B C D E I F IG IM INAME 1•� t-�-•:t y�1-Z) + �,•,-. + . :ter ll .
MAIL
J .l ADDRESS ki. �'l:/ 1.�I /��!?-Y♦llr f �i
O CITY Lj/&JI TEL.PAO.
a 1 AL1 THELEGAq.1 POSSESSOR' OF THE ABOVE LOS
ANGR ES COUNTY LERTIFI I3 OF I UALIFICATIi'1N..
' ELECTRICIAN.
4 AM THE LEGAL OWNER Ojir THE PROPERTY DESM13RD
ABOVE
��pp��77ppryry�� 7�Q OWNER.
OdtIWI.�cnoNS
v
J
Q
a
I�
a
TOTAL I r -
NO. OF OUTLETS S I APPROVALS
NO. OF FIXTURES DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. S CONDUIT
NO. OF SIGNS TRANS. !g WIRING
NO. OFRANGES OR HEATERS e! FIXTURES
MISCEL A EOUS $ POWER /
t f
PERMIT FEE $ , . 1y UTILITY CO.NOTIFIED
TOTAL FEE 91 _ —FINAL I ' u
D.S.S.5A 25M 5vTfi 70-47 CATION FOR PFJM
DEPARTMENT OF B TG AIS SAS � ii�
YJ OF LOS ANGELES
.-F F.E 61 R
.,f �' 9 DISTRICT NO. GROUP ZONE PERMIT NO.
Q MAME _p y� ..1 _. �` �. r
U ADDRESS ' rJh� v 4 t�Oii ✓� / Y. _ ' =-!r=!::
W CITY TEL.NO. 1 I � a R� E !3Y READY FOR DATE ISSUED
Flo.1 % FIRST INSPECTION
W CERT.NO. EXPI�tL� "�" rr r� b
A PUCANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB �y
DESCRIPTION OF WORD ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS lsw. PLUGS FI' CR
IRCUIT A 113 C D E F G H W NAME-
Lr MAIL
ADDRESS
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
`ANGPLES COUNTY CERTIFICATE OF QUALIFICATION--
AN.ICI AN.
I AM THE LEGAL OYIIN=OF THIS POP DESCRIBED
ABOVE
��{{++��®e��++� 77pp77 OWNER.
,i Vd'QDYA.Il moms '
a
z
_ C
d
TAL �.
NO. OF OUTLETS �/ , _ APPROVALS
NO. OF FIXTURES Z ffi 6 DATE ( '. INSP,/,OR'S NAME
NO.OF MOTORS H.P. S i CONDUIT
NO. OF SIGNS TRANS. ffi WIRING
NO. OF RANGES OR HEATERS ffi FIXTURES
MISCELLA14EOLJO ffi ' POWER
PERMIT FEE ffi _ UTILITY CO.NOTIFIED .� r. •IP: fYl...
TOTAL FEE _ _ ffi e'0 FINAL ��� -yo `y✓
PERNM
DOS
IDEP b817�Li�C,,iV 8OF��rp'-tpltnW�{Yf�DING AMSE9fCJfy3L]L 19ilCsfliu4.�L3�®1Q FOR
S ANGMES
ELEC
M. J. FOX CHIEF ENGINEER i� LLLLC
_a NAME �a DISTRICT NO. GROUP ZONE PERMIT NO.
U ADDRESS n v ! A' At ^
CITY , TEL.NO.- ..)'o READY FOR DATE ISSUED
FIRST INSPECTION
' COUNTY- ' .--
d CERT.NO. EXPIRES
APPUC.MT FHL IN HEAMY®U M®P01MON
JOB
D}E.� ®N OF WORK. ADDRESS
NUMBER OF OUTLETS ON CIRCUITS y LOCALITY
LOCATION BY ROOMS !f r
NEAREST
LIGHT OUTLETS sW. PLUGS peat CROS S '-•Yd.�[� �
CI Curr A 13 C D Ie •F G JH w NAME
a; MAIL `
ADDRESS
w O
CITY TKL_NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGr�rIN COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
U AN T HIi LEGAL OWNER OF THE PROPERTI!1PESCRIZED
ABOVE W ,
" wNER."
J
Q
X
L7
R
0
TOTAL L
J/
NO. OF OUTLETS �J $ �� "PR®VALS
NO. OF FIXTURES S Q DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. s WIRING
NO. OF RANGES OR HEATERS R FIXTURES
r
L N U $ POWERIT FEE 6 UTILITYCO.NOTIFIED i eRW .in FIn1AQ_
I I "
WORKERS'COMPENSATIONDECLARATION
CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT
. CE-806 '
I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES4 BUILDING AND SAFETY
/�
insure,or a certificate of Workers'Compensation Insurance,or , j -
a certified copy thereof(Sec.3800,Lab.C.).
FOR APPLICANT TO FILL IN of A. Awe-we Ave
Policy No. Company New Residential Bldgs.&Pools EACH NO. FEE , ADDRESS
Certified copy is hereby furnished. 1 &2-Family,Sq.Ft. $ — $ . LOCALITY '
Certified co is filed with the count building p Multi-family Sq.Ft. NEAREST
copy" y gins action Residential Swimming Pools CROSS ST
department. OWNER OR � jc+ •
I FIRM NAME /-/ Gc1F✓�S
Date Applicant Outlets: Rec.—Light Sw. MAI L
First 20 ADDRESS
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional
CITY [a Tel No. d
COMPENSATION INSURANCE PLAN CHECK a-
APPLICANT
(This section need not be completed if the work involved 0
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 oft work for which this CITY Tel No. 0
Fixed Appliances Not Over 1 HP
permit is issued, I shall not employ y person in any manner : PERMIT
so as to become subject to the Wo ''C 'pensation Laws. i Range_Heater D.W. _ APPLICANT IL
`yy Oven — Dryer_W.M._ ADDRESS Z
Datee�Appiicant Top _ FAU _W.H. CITY Tel No.
Hood _ Fan —Other t
NOTICE TO PPLICANT: If, after making this Certificate of Disp. _Room Air Condom LIC.E:NSE OR
Exemption, you should become subject to the Workers' I REG.NUMBER Class
Compensation provisions of the Labor Code,you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROC SSED BY
with comply with such provisions or this permit shall be
deemed revoked. Size&Type HP,KW,KVA,or KVAR v
Up to 1•Incl. OO
-
Over 1 to 10 Incl. FINAL '
„'r4o,�,
LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. � _- f.' VALIDATION
I Hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL
9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY
ness and'Professions.Code, and my license is in full force and. j
effect. J Services , f
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 -
HOME OWNER-BUILDER DECLARATION
Temp.Power Pole.&Appurtenances ,
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
ness and Professions Code): P 3 0 2 5 A '
Misc.Conduits&Conductors ,
I, as owner of the property, will do the'work and the Other(See.Complete Fee Schedule)— 7i'o o'a 0 0 2
structure is not intended or offered• for sale (Section ��D o2 d '
7044,Business and Professions Code).
CONSTRUCTION LENDING AG'EN'CY I o 0 5 3 c C
I hereby affirm that there is a construction lending agency
for the .performance of the, work for which this permit is I o 0 0.r, 3 5 0 6.
issued(Sec.3097,Civ,C.). 'j PERMIT FEE (Sub-Total)
Lender's Name I PLAN CHECKING FEE (One-Fourth Permit Fee) I 0222-82
Lend'er's Address c PERMIT ISSUING FEE
I certify that 1 have read this application and state that the TOTAL FEE -. 8above information correct.I agree to comply with all County
ordinances an ate laws regulating Electrical wiring, and
hereby aulho re ntatives of this County to enter upon ,
t above ratiparty for inspection purp es. ( SEE'REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date
i
+ WORKERS'COMPENSATION DECLARATION 76-863 10/81 APPLICATION FOR ELECTRICAL PERMIT
" I hereby a[firm{hat 1 have a certificate of consent to self insure, CE-808G
or a cgrtifcate of Workers' Comperlsatlon Insurance, or a certified COUNTY OF LOS ANGELES r BUILDING AND SAFETY
copy thereof(Sea 3800,Lab.C.) l
Plllicy Nb. Company FOR APPLICANT TO FILL IN :JOB,
❑ Certified copy is hereby furnished. EACH NO. FEE ;ADDRESS
New Residential Bldgs.&Pools
❑ 1 &2-Family,S Ft. $ — $ (LOCALITY
Certified copy is filed with the county building inspection y' q•
department: Multi-family Sq.Ft. — ,NEAREST
CROSS ST.
Date
Residential Swimming Pools OWNER OR
Applicant FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' ' MAIL
COMPENSATION INSURANCE Outlets Rao' Light Sw. ADDRESS
(This section need not be completed if the work Involved by the –� 1 (ret 20
permit Is for one hundred dollars($100)or less.) I Total No. Additional CITY Tel.No .I
I certify that in the.performance of the work for which this permit + PLAN CHECK
is issued, I shall not employ any perso n arty manner as to APPLICANT
become su ject the Workers'Comp tion La Lighting Fixtures . First 20 DRESS
Total No. Additional CITY Tel.No.
Date Applica Fixed Appliances Not Over 1 HP
NOTICE O PLICANT: If, afte making this Certificate o PERMIT
Exemption,you hould become subject to;the Workers'Compensation Range_ Heater D.W. _ APPLICANT
provisions of the Labor Code,you must forthwith comply with such I Oven _ Dryer_ W.M._ ADDRESS
provisions or this permit she(!be deemed revoked. Top _ FAU _ W.H.
CITY Tel.No.
LICENSED CONTRACTORS DECLARATION. Hood,— Fan _ Other_
Ihereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR'
(commencing with Section 7000)of Division 3 of the Business and Disp. — Room Air Cond. ;REG.NUMBER CI�g
Professions Code,and my license is in full force and effect. DISTRICT NOJ, �� P SSED
Power Apparatus&Large Appliances 5
Size&Type HP,KW,KVA,or KVAR
License Number Lia Class Up to 1.Incl. FINAL r7
Over 1 to 10 Incl. J,DATE
Contractor Date J ( I VALIDATION
Over 10 to 50 Incl. FINAL �1�- '�+,�, 0
❑ I am exempt under Sec. Over 50 to 100 Inc. 1BY
BAP.C.for this reason I Over 100 v N
Services,Swbd.,MCC&Panelboards Z
Date,- i 0-200.Amp.Under 600 V
Signature 201 - 1000 Amp..Unddr 600 V
❑ Exemption for Reg..Maint.Elect. Over 1000 Amp.or Over 600 V
SINGLE FAMILY Temp.Power Pole&Appurtenances 2
HOME OWNER-BUILDER DECLARATION Sign with.One Branch Circuit a
I hereby affirm that I am exempt from the'Contractor's License Law Additional Sign Branch Circuits ACCT°T
for the following reason(Section 7031.5,Business and Professions
6307 56.2Kea Conduits&Conductors �'�E
I,as owner of the property,will do the work and the structure. Other.(See Complete Fee Schedule)
MS
is not intended or offered for sale (Section 7044, Business ® TOTAL c
and Professions Code).
CONSTRUCTION LENDING AGENCY 1 CHECK 56.211
1 hereby affirm that there is'a construction lending agency for the CHANGE .00
performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total)
Civ.C.). '
1
PLAN CHECKING FEE
Lender's Name 000[1-0001 7/23/911
PERMIT ISSUING FEE 197 1 �� 7a ;
Lender's Address j '�
I, I certify that I have read this application and state that the above TOTAL FEE
!• .inform 'on is correct. agree to comply with all County ordinanc
and a laws ing Electrical wiring, and hereby autho e
hep tatives of ti unty to enter `the ove-menti ed ,
'i pro r y for in p. rp SEE REVERSE FOR EXPLANATORY LANGUAGE
Si i Date
• a
i
WORKERS'COMPENSATION DECL44ATIONCE 1 APPLICATION - RICAL PERMIT
I hereby affirm that I have a certificate of consent to self -e06G
insure, or a certificate of Workers'Compensation Insurance,ti COUNTY OF LOS ANGELS �, BUILDING AND SAFETY
or a certified copy thereof.(Sec. 3800, Lab. C.) /
IFOR APPLICANT TO FILL IN
Policy No. Company B
�FEE "EDRESS Certified copy is hereby furnished, New Residential Bldgs. $ Pools EACH NO.Certified copy.is filed with the county building inspec- 1 $2-Family,Sq. Ft. $ — $ CALITY
tion department. Multi-family Sq. Ft. — 'NEAREST
CROSS ST.
Date Applicant Residential Swimming Pools OWNER OR
/� FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' 1 Outlets: Rec`I r+'LightlLsw.i. 'MAIL d�
COMPENSATION INSURANCE t ��j ADDRESS �nM
This section need not be completed if the work involved b First 20
( p y( Total No— Additional CITY Tel. No.
the permit is for one hundred dollars($100)or less.)
I certifythat in the erformance of the work for which this PLAN CHECK
P. APPLICANT
permit is issued, I shall not employ person in any manner
so as to become subject t the W rk s'Co ensation Laws. , Lighting Fixtures First 20 ADDRESS
Total No. Additional
Dat 0—17— pplicant D '149 ij CITY Tel. No.
NOTICE TO APPLICANT: If; after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT
Exemption, you should become subject to the. Workers' Range_ Heater D.W. _ APPLICANT
Compensation provisions of the Labor Code, you must forth- Oven T-DryerW W.M.— ADDRESS
with comply with such. provisions or this permit shall be Top _ FAU W.H. —
deemed revoked. CITY Tel No.
Hood Par! Other_
LICENSED CONTRACTORS DECLARATION3 L. LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. 00m Air Cond. REG.NUMBER Class.
(commencing with Section 7000)of Division 3'of the Business ,t Power Apparatus$Large Appliances DISTRICT NO. PROCESSED'BY
and Professions Code,and;my license is in full force and effect.
Size$.Type HP, KW, KVA, or KVAR•'
License Number Lic. Class— Up %)
Up to 1 Incl.
ad
Over 1 to 10 Incl. DATE J VALIDATION
Contractor Date Over 10 to 50 Incl, FINAL
'P"
E] I am exempt under Sec. Over 50 to 100 Inc,. BY .» � eaa
BAP.C. for this reason Over 100
Date: i Services, Swbd:,•MCC$Panelboards
0 -200 Amp. Under 600 V , , ,.
Signature + 201- 1000 Amp. Under 600 V -.6 C O"
❑ Over 1000 Amp. or Over 600 V , a. 0 0 0 0
Exemption for Reg. Maint. Elect.
SINGLE FAMILY Temp, Power Pole$Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit T
I hereby affirm that'I am exempt from the Contractor's License 1 Additional Sign Branch Circuits o 1'2`
Law for the following reason (Section 7031.5, Business and
Lifessions Code): I Q, 1. 7—8
AN,
, as owner of the property, will do the work and the Misc. Conduits$Conductors
tructure is not intended or offered for sale (Section ` Other(See Complete Fee Schedule)_ ►
7044, Business and Professions Code). i
CONSTRUCTION LENDING AGENCY
I hereby affirm that fhere-is a construction lending,agency.for it
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) �.
(Sec. 3097, Civ. C.
PLAN CHECKING FEE
Lender's Name 9
PERMIT ISSUING FEE /C3
Lender's Address
I certi!.for
fy the I have read this application and:state-that the TOTAL FEE
1 above mation is correct. I agree to comply with all County
ordinances and'State• laws regulating Electrical wiring, and
hereby auI ize representatives of this.County to enter upon
he abo - entio roperty for inspection purpose).
SEE REVERSE FOR EXPLANATORY LANGUAGE
D �.�
�Sinature D
WORKERS'COMPENSATION DECLARATION .20-0019 oFnr 3ie7I � 1
!1ereby affirm that I have a certificate of consent to self APPLICATION FOR ELECTRICAL PERMIT Q
insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES I DEPT. OF PUBLIC WORKS
or.a.certified copy thereof(Sec. 3800, Lab. C.)
�Prl!licy No. Company FOR APPLICANT TO FILL IN ! JOB
fr-11 Certified co is hereby furnished. EACH NO. FEE ADDRESS ��
copy y . New Residential Bldgs. &Pools
F Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ I LOCALITY ��
tion department. Multi-family Sq. Ft. — NEAREST
CROSS ST.
Residential Swimming Pools OWNER OR
Date Applicant I FIRM NAME
ll//
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec�Llght Sw._ MAIL
COMPENSATION INSURANCE e �� ADDRESS .?� Adm.
tThis section need not be com leted if the work Involved b First 20
he permit.Is for one hundred dollars($100)or less.) y Total No. Additional CITM�r=.�t�L� G�jT 7e1.
PLAN CHECK
I certify that in the performance of the work for which this APPLICANT
permit is issued, I shall not employ any person in any manner
so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS
• ' , Additional
Date Applicant Total No. CITY Tel. No.
NOTICE',TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT
Exemption,, you should become subject to the Workers' Range.— Heater—D.W. _ APPLICATION
Compensation provisions of the Labor Code,.you must forth- Oven -- Dryer _W.M.— ADDRESS.
with comply,with such provisions or this permit shall be Top — FAU —W.H. —
deemed revoked. ` Hood —, Fan —Other— CITY Tel. No.:
LICENSED CONTRACTORS DECLARATION LICENSE OR
I hereby.offirm that I am licensed-under provisions of.Chcpter 9 Disp. _ Room Air Cond. — REG. NUMBER Class.
(commencing with Section 7000)of Division 3 of the.Business Power Apparatus&Large Appliances. DISTRICT NO. PROCESSED BY >_
and Professions Code,and my license is in full force and effect. Q a
Size&Type HP, KW, KVA, or KVAR Q
License Number Lic. Class ,J U
. � Up to 1 Incl. .s� 7 FINAL
Over 1 to 10 Incl. DATE �-"9/ VALIDATION cc
Contractor Date
Over 10 to 50 Incl. FINAL. // F-
❑. I am exempt under Sec. Over 50 to 100 Inc, BY � � U
Over 100 VVV W
B..&P.C. for this.reason n-
N
Date: Services, Am, MCC PanelbOardS � � /� O , Z
0-20000 Amp. Under 600 V
Signature 201 - 1000 Amp. Under'600 V
❑ Over 1000 Amp. or Over 600 V
Exemption for Reg. Maint. Elect. r
SINGLE FAMILY
HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances
I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit its ; ■i
Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits � U� 0.7
Professions Code): T IE
�
I, as owner of the property, will do the work and the Misc. Conduits&Conductors
structure is not intended or offered for sale(Section1044, Other(See Complete Fee Schedule)_ f LITAL 54.90
Business.and Professions Code). ` cit■nrl
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lehding agency for , CHANGE .00
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) 71 l 4f4
(Sec. 3097, Civ. C.). >
Lender's Name
PLAN CHECKING FEE
00�• 1? �/r t
L)L R._1-) _� . ��s
PERMIT ISSUING FEE ��..1a til 1 r?Lender's,Address !�
I certify that I have read this application and state that the TOTAL FEE d tl q8
above information is correct. I agree to comply with all-County
• ordinances and State laws regulating Electrical wiring; and
herebyATithorize representatives of this County to enter upon
thea e-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date �'