The URL can be used to link to this page

Home My Public Portal About6237 RENO AVE_Electrical__ 70g6.83-CE806 ,0.m ..,APPLICATION .FOR ELECTRICAL PERMIT � -� 41;4p COUNTY OF LOS ANGELES I � �,, DEPARTMENT QF-COUNTY ENGINEER Af BUILDING AND SAFETY DIVISION DDRESS 237 /fI . i LOCALITY 7250" NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACHFEE OWNER OR /� Y ' $ s FIRM NAME A.A), RECEPT._ MAIL FIRST 20 25 ADDRESS 2.3 7 N.. "LIGHT TOTAL r `+��/ TEL. NO.'iS7o�ED OVER 20. CITY SWITCH._ .10 I PLAN CCK LIGHTING FIRST 20 .25 APPLICA. TOTAL OVER 20 ADDRESS FIXTURES f0 RESIDENTIAL APPLIANCES 11 CITY TEL. NO. . r RANGE DRYER_WTR. HTR. PERMIT APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE CLASS. REG. NU ER FAN OTHER 1.00 1 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. II :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 THE ABOVE 1 - 1O 3.00. OD DESCRIBED RESIDENTIAL PROPERTY.. V 10 - 50 5.00 PERMITEE _ _ 7 Y SIGNATURE ^�v 50 100 1040 W DISTRICT NO. SSED BY 100 - 500 15.60 SIGN, GAS SIGN AND ONE'CIRCUIT 5.00 APPROVALS DATE INSPE R'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 I TEMP. POWER POLE 'SERVICE NOT OVER 600 VOLTS OR200AMP 3.00 I UNDEASLAB WORK SERVICEOVER600.VOLTSOR200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE,INAPPURTENANCES 5.00 WIRING TEMP LIGHT OR.RECEPT. SYSTEM- 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED g A FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 1 3.00 3.009 TOTAL FEE PLAN CHECK.VALIDATION CK. M.O. CASH{ PERMIT VALIDATION CK. a M.0. CASH 3'I 1.6 673 SE 13 2 D 6 v0 O A SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 1• 76.0663-C 806 10/72 • D : r • Li I : . - APPUCAIrION FOR aECTRICAL PERMITew � tr'� �J COUNTY OF LOS ANGELES �J `� DEPARTMENT OF COUNTY ENGINEER p,DDRESS pC�.�J BUILDING AND SAFETY DIVISION LOCALITY -741 NEAREST ` FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER OR �j ``�� FIRM NAME Ic10 RE EP S S MAIL .L TOTA FIRST 20 25 C a� ADDRESS cw—, OVER 20 •J CITY TEL. NO. SWITCH .1D PLAN CHECK• LIGHTING TOTAL .25 FIRST 20 � APPLICANT 1 FIXTURES .f0 /( OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS -� SPACE HTR. AIR COND. CITY TEL. N0. V Q CLOTHES WASH. DISHWASH. LICENSE OR � 3 CLASS. `� REG. NUMBER : FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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/Op 0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE — 1O 3.00 DESCRIBED RESIDENTIAL PROPERTY. i Cd 10 - 50 5.00 PERMITEE SIGNATURE � 50 - 100 10.00 t3 DISTRICT NO. e 1,PRO ESSED BY100 - 500 15.00 J '9 f LLL�.'. a= m'6 SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER600 VOLTS OR 200AMP 3.00 e UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE,&APPURTENANCES 5.00 WIRING 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 TOTAL FEE i PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH t t�„ 3 p 673 SEP 6 2 D 12.754 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKERS'COMPENSATION DECLARATION 78.603 10/87 APPLICATION FOR ELECTRICAL PERMIT • I hereby affirm that I have a certificate of consent to self insure, I CE-aoOG or a,,certificate of Workers' Compensation Insurance, oela certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy there f( e b.C.) `'e Policy No Company FOR APPLICANT TO FILL IN JOB ADDRESS /� ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE Certified copy is filed with the county building ' ection 1 &2-Family,Sq.Ft. ffi _ $ LOCALITY d ar nt � � Multi-family Sq.Ft. NEAREST fif Al HiA ? ST Residential Swimming Pools CROSSOWNER OR, Date Applicant FIRM NAM U-1 _0400 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._L,Light E Sw. 9 MAIL I Al COMPENSATION INSURANCE u I ADDRESS r First-20 (This section need not be completed if the work Involved by the peimlt Is for one hundred dollars($100)or less.) ; Total No.� Additional CITY '77! Tel.No. I certify that in the performance of the work for which this permit PLAN CHECK 'I � 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.Al A Date' Applicant I 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 ff- provisions of the Labor Code,you must forthwith comply with such Oven Dryer W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top FAU W.H. _ CITYTel.No: LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ 1 hereby affirm that I am licensed.under;provisions„of,Chapter 9 Disp,,— Room Air Cond. UCE..NSE OR Class• (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 OOZ YHP,KW,KVA,or KVAR � ::,. �. 1 License Number Lic.Class Up to 1 Incl. FINAL' /' Go'Ad 11A-4Over 1'to 10lncl. [ DATE' U�� / VALIDATION Q Contracto Date Over 10 to 50 Incl. FINAL /` ❑ 'I am exam under Sec. Over.50 to 100 Inc. BY ry. �W BAP.C.for this reason Over 100 j/ Services,Swbd.,MCC&Panelboards Dater ' 0-200 Amp.Under 600 V Signature I 201 - 1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances " HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit' I hereby affirm-that I am exempt from the Contractor's License Law for the following reason(Section 7031.5,Business and Professions I Additional Sign Branch Circuits A-1 Code): Misc.Conduits&Conductors ❑ I, 1 I E'03 as owner of the property,will do the work and the.structure Other(See Complete Fee Schedule) _ is not intended or offered for sale (Section 7044, Business. and Professions Code). I TOTAL 22. 71— CONSTRUCTION .z= 71-CONSTRUCTION LENDING AGENCY ' C jEICK X_i•(.I I hereby affirm that there is a construction lending agency for the =( E performance•of the work.for which this permit is issued(Sec..3097, PERMIT FEE (Sub THotal) Civ.C.). PLAN CHECKING FEE DL f s -y. Lender's Name I / i!L!I I {—cif � ' :./2.3Ir?1 PERMIT ISSUING FEE Lender's.Address ' 6 i 3 1 i AM 111:1 , 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 .I and State laws regulating Electrical wiring, and hereby authorize � � representatives of this ounty to enter upon the above-mentioned pro for ins ti roses. SEE REVERSE FOR EXPLANATORY LANGUAGE Gn Igna ure of Perml ee D