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HomeMy Public PortalAbout6042 RENO AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County EngineerELECTRIC . D$VISION OF BUILDING & SAFSAFETY WILLIAM J. FOX, County Engineer FOIA APPLY ANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. [ADDR9SS—:?' LECTRICIA � d + R IVED BY READY FOR DATE ISSUED FIRST INSPECTIONEL.NO.O LICENSE NO. G EXPIRES UILDING i / . P FEES ADDRESS VVV FEE NUMBER EACH LOCALITY LI HT OUTLETS NEAREST RECEPTACLES CROSS BT. Sr WALL SWITCHES OWNE TOTAL OUTLETS 5C 8 MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY .� TEL. NO. FIXTURES B 1 HEREBY 6rCICHOWLEDGIC JHAT I HAVE READ THIS MISC. APPLICATION 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 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB NUMBER HORSEPOWERFEE ANGELES COU N CENSE, OR 1 AM THE LEGAL OWNER NEW MVO. HP OVER INC. EACH OF THE RESIDE IA _I R DESCRIBED 00VE. %2 a Less Is .25 SIGNATURE OF I/2 2 .50 PERM ITT j a 5 1.013 NSPECTION RECORD 5 1S 1.50 T5 SO 2.50 5O 200 5.00 2130; 500 10.00 J 500 1 1000 15.00 Z OVER 1000 20.00 19 __MOVED_MOTORS (75% OF ORIGJ - M.O. BET/FRED. CHANGER-HP O WELDERS:AC-KVA GENERATORS % KW TRANGFORMERS - KVA MISC. �A U"Y J S GNS NO. NO.TRANS. N13 N13.LAMPS APPROVALS FOR EACH PERMIT? DATE INSPECTOR+S NAME WIRING $1.013 Jr CONDUIT � p� pFIXTAURES $1.00 WIRING 0-A di„�yr-j1 jlUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE ® / � UTILITY CO.NOTIFIED FINAL 7eaee3 Dss#sw Cd b 12.5 3 C11 76A663-CE80510/72 APPLICATION F R. ELE RICAL PERMIT ,1'y111 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 7ADDRESS ✓� BUILDING AND SAFETY DIVISION t--yvo �� ,41—/FFOR APPLICANT TO FILL IN NEAREOUTLETS NO. EACH .FEE /'/ $ $ FIRM NAME (,� RECEPT._ MAI LIGHT TOTAL L FIRST 20 .25 ADDRESS Z OVER 20 CITY 7FW4,4f / EL. NO. SWITCH_ 10 PLAN CHECK LIGHTING TOTAL FIRST 20 .25 APPLICANT FIXTURES OVER 20 .10. ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. RANGEDRYER_WTR. HTR. APPLIICANT rL zrzzin ` STA. COOK DISP. F.A.U. ADDRESS 0,, L Zx SPACE HTR. AIR COND. I _ CITY 7" +Ji ' TEL. NOA?6_/ _996 CLOTHES.WASH. DISHWASH. LICENSE OR REG..NUMBER CLASS.G FAN OTHER 1.00 /4 O 1 HEREBY ACKNOWLEDGE THAT I HAVE READ.THIS APPLICATION Gr/ 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 0 _ 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE 1 - 10 3.00 DEACRI.RED RESIDENTIAL PROPERTY. PERMITEE V.. 10 - 50 5.00 SIGNATURE r O 50 _ 100 10..00 DISTRICT NO. PRO SSZD B t3 �w W 100 - 500 15.00 y ♦ � Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER600VOLTS OR200AMP I 3.00 Lf UNDERSLAB WORK SERVICE OVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT . TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING X30- Y V, TEMP LIGHT OR-RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED .FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE `3.00 _31Da TOTAL FEE PLAN CHECK VALIDATION CK. M.0. ASH PERMIT VALIDATIONCK. M.0. CASH 2 2 : 'UL ;d9 2 D 7.0 0 _ SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE Sa DOS-SA 9•SPERMITAPPLICATION FOR ELECTRIC PERMIT OS-SA . DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles ADDRESS I n WM.J.FOX, COUNTY ENGINEER CASSATT D.GRIFFIN.SUPT OF BUILDING c LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. NUMBER EACH FEE y. r LIGHT OUTLETS OWNER I^ k Q V RECEPTACLES MAIL ADDRESS o - WALL SWITCHES TOTAL OUTLETS 5¢ $ CITY TEL.NO. ELEC.RANGES 25 ELECTRICIAN _ELEC:HEATERS 25 ADDRESS e-c n KW EA CITY TEL.NO. 8 L FIXTURES 5 LICENSE NO. NUMBER OF LIGHT CIRCUITS - DISTRICT NO. I Gr I ZONE I BRADY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS NUMBER' HORSEPOWER FEE INSPECTION RECORD NEW MVD. HP OVER INC. EACH 1 ]F2&LESS 5_25 16 a 50 2 5 1.00 5 15 1.50 is 50 2.50. 50 200 5.00 MISC. r NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING $1.00 FIXTURES $1.00 SUPPLEMENTARY .50 APPROVALS . TOTAL FEE g S DATEINSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT 'i AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY s WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ;7 ELECTRICAL WIRING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AN THE LEGAL. OWN OF THE ABOVE POWER DESCRIBED RESIDENTIA OPERTY. SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL WILWAM J.FOX.COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR �:jC©5 5 9 8, PAY 1. 2 1'.3 5 �' I WORKERS'COMPENSATION DECLARATION ; 20-0019 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that i have o certificate of_coasrnt�jo self ' CE�, O insure, or a certificate of Worliturs';ComRensation Insurance, I. COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified co they of(Sec. 3800, Lab C.) Policy No.n qoCompany � II FOR APPLICANT TO FILL IN I JOB ❑Certified copy is hereby furnishe . li New Residential Bldgs. &Pools EACH NO. FEE ADDRESS ertified copy is filed with the county buildin inspec- ;I 1 &2-Family, Sq. Ft. $ $ ;,I LOCALITY (lodepa tment. tl Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST. Date � � Applicant' � �I OWNER OR r FIRMNAME CERTIFICATE OF EXEMPTION FROM WORKERS' I] MAIL COMPENSATION INSURANCE q Outlets: Rec Light Sw. _ ADDRESS (This section need not be completed if the work Involved by . Additional 20') CITY Tel. No. the permit is for one hundred.dollars($100Total No )or less.) , +� A 1•t ' I PLAN CHECK I certify that in the performance of the work for which this i ti J APPLICANT permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 b so as to co subject to the W kers'Compe ati n Laws. • Additional ADDRESS Dote Applica. ' Total No. CITY Tel. No. NOTICE O A PLICANT: If,'after making this Certificat o 41 Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers Range— Heater—D.W. _ APPLICATION 940"W?'1.. Compensation provisions of the Labor Code, you must forth- � Oven — Dryer —W.M.— ADDRESS � fJ j with comply with such provisions or this permit- shall be i- Top — FAU —W.H. — r deemed revoked. CIN Tel. No6� Disp. — Room Air Cond. — a Hood — Fan —Other— LICENSED CONTRACTORS DECLARATION �f I LICENSE OR ,,rr--pp 0� Clss. I hereby affirm that I am licensed under provisions of Chapter 9 REG.NUMBER c77PA (commencing with Section 7000)of Division 3 of the Business ' Power Apparatus&Large Appliances DISTRICT�O. PROCE D B >_ and Professions Code,and my license is in full force and effect. d Size&Type HP, KW, KVA, or KVAR f 0 License Nu ber Lic. Class Up to 1 Incl. ' FINA U Over 1 to 10 Incl. DAT I VALIDATION cr_ Contract bate I J 1❑ Over 10 to 50 Incl. 0 FINAL U I am exempt under Sec. I',I Over 50 to 100 Inc. BY LU ''. B.BP.C. for this reason �,' Over 100 d i Services, Swbd., MCC&Panelboards i Date: �! 0-200 Amp. Under 600 V Signature �I 201 - 1000 Amp: Under 600 V ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY iI Temp. Power Pole t3 Appurtenances: HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License i Sign with One Branch.Circuit ACCT e9a, Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits 37307 31.011 Professions Code): j s.1a ❑ I, as.owner of the property, will do the work and the Misc. Conduits&Conductors - 1 ITEMS LMS structure is not intended or offered for sale(Section 7044, Other(See.Complete Fee Schedule)_ - TOTAL 31 m 0113 Business and Professions Code). , CONSTRUCTION LENDING AGENCY CHECK ��'�� I hereby affirm that there is a construction lending agency for CHANGE .00 the performance of the ork for which this permit is issued PERMIT FEE (Sub-Total) . (Sec. 3097, Civ. C.). Lender's Name PLAN CHECKING FEE 0000-0001 6/25/90 PERMIT ISSUING FEE j 1463 1 AM10e52' Lender's Address 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 the ab e-mentione property for'nspection purposes. j� SEE REVERSE FOR EXPLANATORY LANGUAGE ®s Signature of Permittee Date I, f ' I ' WORKERS'COMPENSATION DECLARATION IAe68 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, CE-806G or a certificate of Workers' Compensation nsurance, o a certifie COUNTY OF LOS ANGELES BUILDING AND SAFETY copy there (Sec.38 ,Lab.C.) Policy N5007-VCompany A4 FOR APPLICANT TO FILL IN JOB ndo r] New Residential Bldgs.&Pools Certified copy is hereby furnished. EACH NO. FEE ADDRESS .01 Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. $ — $ LOCALITY department. MulA Residentialfamily Sq. mt. — NEAREST A�1 Residential Swimming Pools CROSS ST. Date Applicant „ OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec—Light-•L Sw. MAIL COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work Involved by the First 20 a� permit Is for one hundred dollars($100)or less.) Total No. Additional CITY Tel. PLAN CHECK � 1 certify that in the performance of the work for which this permitIf APPLICANT 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 Total No. CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT provisions of the Labor Code,you must forthwith comply with such Oven _ Dryer_ W.M._ ADDRES provisions or this permit shall be deemed revoked. Top — FAU _ W.H. CIT Tel.N _V LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9Disp. — Room Air Cond. LICENSE OR oZ a (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRICT NO. PR SE BY r Size&Type HP,KW,KVA,or KVAR 1� 0 5 License Number 7Q n :L Lic.Class� Up to 1 Incl. FINAL U Over 1 to 10 Inc]. DATEVALIDATION no Contracto���Date `S Over 10 to 50 Incl. ❑ FINAL I am exempt under Sec. Over 50 to 100 Inc. BY W BAPC.for this reason Over 100 N Services,Swbd.,MCC&Panelboards ® Z Date: 0-200 Amp.Under 600 V r' Signature 201 - 1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances r' t HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits AUT.AT for the following reason(Section 7031.5,Business and Professions Code): 33017 A.O.T.- 1, .O04_I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)._ and Professions Code). ► TOTAL CONSTRUCTION LENDING AGENCY CHECK 1F.411 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) CHANGE Civ.C.), i PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE 1202 €N 81.1t Lender's Address I certify that I have read this application and state that the above TOTAL FEE information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives this County to enter upon the above-mentioned Property for i s ction purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Fermittee ate